CHOLERA SITUATION IN OCTOBER 2016

CHOLERA/AWD IN YEMEN BY GOVERNORATE FIG 2. DISTRIBUTION OF SUSPECTED HIGHLIGHTS AS OF 1ST NOVEMBER 2016 AWD/CHOLERA CASES AND CASE-FATALITY RATES PER GOVERNARATES IN YEMEN FROM 28 As of 31st October 2016, a cumulative number of 2 241 SEPTEMBER - 31 OCTOBER, 2016 suspected AWD/cholera cases including 47 deaths (CFR 600 25 2.4%) were reported from Sana’a, the capital city and 11 Suspected AWD/Cholera cases N governorates including Sana’a, Ta’izz, , Adan, 500 CFR (%) 20 , Al Bayda’, , Dhamar, , Amran and Ad Dali;

SAADAH HADRAMOAT SYOUN AL MAHARA 400 There are equal numbers of males and females a ected by the AL JAWF HAJJAH AMRAN 15

SANAA outbreak; 31% of children a ected are below 5 years of age; ALMAHAWEET

SHABWAH HADRAMOAT ALMUKALAI RIMAH DHAMAR 300 AL HUDAYDAH AL BAIDAH IBB A total number of 71 cholera cases have been AL DHALE ABYAN TAIZZ LAHAJ 10 laboratory-confirmed since the beginning of the outbreak;

200 (%) Rate Fatality Case

As shown in the EPI curve (Figure 1), the number of new cases Suspected AWD/Cholera cases 5 recorded in the last few days has been declining; 100 Legend Ta’izz, Aden, Hajjah, Al Hudaydah and Lahij governorates have Yem_prov.shp No cases recorded the highest number of suspected AWD/Cholera 0 0 Suspected case Ibb Ta’izz Adan Lahij Hajjah Amran cases in the past 4 weeks (Figure 2). Dhamar Ad Dali Confirmed case Al Bayda’ Sana’a City Sana’a Gov Al Hudaydah Governorates

FIG 1. EPIDEMIC CURVE OF SUSPECTED AWD/CHOLERA CASES IN YEMEN ONGOING ACTIVITIES TO CONTAIN SUMMARY STATISTICS WEEK 28 SEPTEMBER - 31 OCTOBER 2016 (N=2 241) THE AWD/CHOLERA OUTBREAK 2 241 Cumulative cases 180 Improved multi-sectoral coordination through national 160 Cases CFR (%) cholera task force chaired by the Ministry of Health 47 Cumulative deaths ocials; 140 Enhanced detection, verification and reporting of cases 2.4% Case fatality rate 120 at health facilities and at the community level;

100 Activated 1 242 eDEWS sentinel sites across 23 53%31% < 5 yrs of age governorates to report on a daily basis; 80 Strengthened local capacity among physicians, Age group 60 surveillance ocers, laboratory technicians and health ≥ workforce on active surveillance, case management and 69% 5 yrs of age 40 laboratory diagnosis;

20 Supported the establishment and operationalization of 21 Number of AWD/Cholera cases cholera treatment centres (CTCs) in the a ected 53%51% Male 0 governorates. There are plans to establish an additional 60 CTCs in high-risk governorates (15 governorates); Gender 1/10/2016 7/10/2016 3/10/2016 2/10/2016 5/10/2016 8/10/2016 6/10/2016 9/10/2016 4/10/2016 28/9/2016 29/9/2016 11/10/2016 30/9/2016 Scaled up water chlorination/testing and sewage 17/10/2016 13/10/2016 31/10/2016 12/10/2016 21/10/2016 15/10/2016 18/10/2016 16/10/2016 19/10/2016 14/10/2016 10/10/2016 27/10/2016 23/10/2016 22/10/2016 25/10/2016 28/10/2016 26/10/2016 29/10/2016 24/10/2016 30/10/2016 20/10/2016 49% Female management Date of Onset

Published by the World Health Organization (WHO), Eastern Mediterranean Regional O ce (EMRO), Cairo, Egypt For Correspondence: Tel + 20-2-22765273, Fax + 20-2-2765456. E-mail: [email protected]