Cholera Daily SitRep as of 4th November 2017 Borno State Ministry of Health
Highlights 6 additional suspected cholera cases were reported No death reported. No case reported from Dikwa for OVER 3 weeks. No Alert. Epidemiological summary Total number of suspected cases of cholera reported stands at 5305, with 61 deaths (CFR = 1.2%). 2660 cases in the Muna corridor (Jere LGA), 736 cases in Dikwa, 1756 cases in Monguno, cases in MMC and Mafa stands at 58 and 20 respectively. 1 new cases reported from Guzamala (Guworam) today, and the cumulative for Guzamala stand at 75 cases. Out of the 274 samples tested using RDTs, 220 (80%) were positive while 120 (64%) of 187 samples were culture positive. Table 1: Number of suspected cholera cases reported as of 4th November 2017 Jere MMC Mafa Dikwa Monguno Guzamala* Total Cases New cholera suspected cases 4 0 0 0 1 1 6 Cumulative cholera suspected cases 2660 58 20 736 1756 75 5305 Deaths New deaths 0 0 0 0 0 0 0 Cumulative deaths 43 2 0 13 3 0 61 Laboratory Number of specimen tested (RDT) 171 10 5 29 49 10 274 Specimen Positive RDT 145 8 4 19 38 6 220 Number of specimen tested (culture) 96 10 6 29 36 10 187 Specimen Positive Culture 64 7 2 18 25 4 120 * Gwaram in Guzamala LGA, a community very close to Munguno and patients referred and admitted in Munguno CTC.
Fig1. Map of Borno state showing affected LGAs.
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Six (6) suspected cholera cases reported on 4th November 2017 in Borno, showing a consistent trend (Fig 2). 4 suspected cases from Jere (fig 3), 1 case reported from Monguno, 1 case from Gworam in Guzamala LGA referred and treated in Munguno CTC (Fig. 5). Dikwa has remained silent for over 3 weeks now (Fig. 4).
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Fig 2a: Daily Epi-curve of cholera cases and line-curve showing number of deaths in Borno state
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Fig.2b: Weekly Epi-curve of cholera cases in Borno state by weeks
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0 0 16 - 20 21 - 27 28 Aug 4 - 10 11 - 17 18 - 2425 Sep- 2 Oct - 9 Oct - 16 Oct 23 Oct 30 Oct Aug Aug - 3 Sep Sep Sep Sep 1 Oct 8 Oct 15 Oct - 22 - 29 - 5 Nov Oct Oct
Fig.3a: Daily Epi-curve of suspected cholera cases in Jere and MMC Fig.3b: Weekly Epi-curve of suspected cholera cases in Jere and MMC
120 500 450 100 400 80 350 300 60 250 200 40 150 20 100 50 0 0 28 Aug - 4 - 10 11 - 17 18 - 24 25 Sep- 2 Oct - 8 9 Oct - 16 Oct - 23 Oct - 30 Oct - 3 Sep Sep Sep Sep 1 Oct Oct 15 Oct 22 Oct 29 Oct 5 Nov Fig 4a: Daily Epi-curve of suspected cholera cases in Dikwa LGA Fig 4b: Weekly Epi-curve of suspected cholera cases in Dikwa LGA 160 800 140 700 120 600 100 500 80 400 60 300 40 200 20 100 0 0
28 Aug - 4 - 10 11 - 17 18 - 24 25 Sep- 2 Oct - 8 9 Oct - 16 Oct - 23 Oct - 30 Oct -
9/3/2017 9/5/2017 9/7/2017 9/9/2017
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10/13/2017 10/15/2017 10/17/2017 10/19/2017 10/21/2017 10/23/2017 10/25/2017 10/27/2017 10/29/2017 10/31/2017 10/11/2017 3 Sep Sep Sep Sep 1 Oct Oct 15 Oct 22 Oct 29 Oct 5 Nov Fig.5a: Daily Epi-curve of suspected cholera cases in Monguno Fig.5b: Weekly Epi-curve of suspected cholera cases in Monguno *NB: The last bar on the weekly epidemiological curves above are not complete data for week 44* Response 1. Surveillance
Active case search continues in hot spots and high-risk areas NO ALERT DIKWA LGA still Silent, No case reported No new case found during Community case search in Jere LGA Gwaram, Guzamala LGA:
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- Active case search and health promotion by the LGA RRT and WHO Hard-To-Reach team still ongoing. Priority locations identified and communicated to WASH and risk communication teams for priority intervention in Jere LGA: Response activities to continue in Kaleri, Fariya, Shuwari and old Maiduguri.
Laboratory Results – No sample collected & no test conducted today 2. Case management Table 2: In-patient admissions to CTCs Jere MMC Dikwa Monguno Mafa Total Admissions New admissions 4 0 0 2 0 6 Number on Admission 1 0 0 3 0 4 New Discharges 8 0 0 2 0 10
3 CTCs and 4 ORPs are fully functional across the state. Alima Madinatu ORP to be closed on 6th November, 2017 MSF Muna CTC relocating and to operate in Bolori II from 6th November 2017 due to insecurity, ambulance to standby for patients in Muna area
3. WASH
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4. Vaccination Request for OCV for the second round of the campaign in Jere, MMC Dikwa, Mongono, Konoduga, and Mafa, vaccine to arrive by 29/11/2017. OCV campaign date to be determined, tentative for December 2017
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