DOCSLIB.ORG

Epidemiological Week 22 (Week Ending 3Rd June, 2018)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Epidemiological Week 22 (Week Ending 3Rd June, 2018) Epidemiological Week 22 (Week ending 3rd June, 2018) Highlights Cumulative figures as of week 22 • 216 health facilities across Somalia submitted weekly • 1,250,869 consultations from week 1 reports of epidemic-prone diseases in the electronic to week 22. early warning disease surveillance (EWARN) system in • 4,300 cumulative cases of week 22. • Total number of consultations decreased from 62,876 AWD/Cholera and 28 deaths since in week 21 to 59,673 in week 22. December 2017. • A total of 4,231 alerts were received. 159 of these • 7,050 Accumulative alerts were alerts were confirmed as true alerts1. received, 251 of these, were • The highest numbers of diseases reported in week 22 confirmed as true alerts from week 1 were other acute diarrhoeas (3,161 cases), influenza to week 22, 2018. like illness (2,041 cases) and severe acute respiratory illness (981 cases). • 5,736 cumulative cases of suspected measles cases since the beginning of • A total of 396 new cases of suspected AWD/cholera including 1 death were reported in week 22 2018. compared to 357 AWD cases including 4 deaths in • Of the 5,736 measles cases, 3,729 week 21. (65%) are under 5 years while 2,007 • A cumulative total of 4,300 AWD/cholera cases2, (35%) are above 5 years. including 28 deaths have been reported since December 2017. • The number of reported measles cases decreased from 127 in week 21 to 113 cases in week 22. Table 1. Summary of Alerts for epidemic prone diseases Disease Wk19 Wk20 Wk21 Wk22 Cumulative cases (Wk 1 – 22, 2018 2018 2018 2018 2018) Total consultations 57,498 50749 62,876 59,673 1,250,869 Other Acute Diarrheas 2816 2470 3718 3161 50541 Influenza Like Illness 1729 1387 1611 2041 38,507 Severe Acute Respiratory 20,500 930 1353 981 Illness 751 Suspected Measles 126 98 127 113 5736 Confirmed Malaria 314 319 377 356 5498 Acute Watery Diarrhoea 14 43 227 82 1506 1 These alerts are alerts from specific diseases of SARI, ILI, AWD, OAD, WC, Measles, Malaria, Falciprium Positive &RDT examined as auto-calculated by the system. 2 The Cases of AWD/Cholera in the eWARN system are collected from sentinel sites. while the cases of AWD/cholera in Sitrep are collected from temporary CTC sites which doesn't include the Sentinel sites Page 1 of 15 Bloody Diarrhea 114 112 133 123 1634 Whooping Cough 41 38 82 67 1037 Acute Jaundice 3 6 5 0 79 Suspected Meningitis 6 4 12 1 72 Diphtheria 0 16 1 0 43 Neonatal Tetanus 1 0 1 0 20 Acute Flaccid Paralysis 0 0 0 0 2 Viral Hemorrhagic Fever 0 0 0 0 3 Total number of Consultations and Reporting sites Completeness of Reporting. Out of 578 health facilities3 expected to submit weekly reports of communicable diseases in the EWARN system across Somalia, 216 submitted reports in week 22, a completeness of reporting of 37.4%. A total of 59,673 consultations were recorded in week 22, 2018 (Fig 1). Fig 1: Consultations and reporting sites, week 1 to 22, 2018 70000 250 60000 200 50000 40000 150 30000 100 Consultations 20000 50 Reporting Sites 10000 0 0 13 14 15 16 17 18 19 20 21 22 Epi-Week Totoal Consultations Reporting Sites Proportionate Morbidity As shown in figure 2; other acute diarrhoeas (OAD), influenza like illness (ILI), severe acute respiratory illness (SARI), suspected measles and malaria are the commonest causes of morbidity across Somalia in 2018. In week 22, the highest numbers of diseases were other acute diarrhoeas (3,161 cases), influenza like illness (2,041 cases) and severe acute respiratory illness (981 cases). Fig. 2. Commonest Causes of Morbidity during Week 1 to 22 3Some of the HFs are with no Network while some closed for a number of reasons Page 2 of 15 4000 3000 2000 1000 0 Wk19 Wk20 Wk21 Wk22 other acute Diaria influence like illness Severe Acute Respiratory Illness Suspected Measles Confirmed Malaria AWD/Cholera situation in Somalia Fig 3. Districts Reporting Cases in Week 22 Following the heavy rains that have led to the floods in the Juba land and Shabelle basins, there has been an observed increase in the number of new AWD/Cholera cases (fig 4) below. The cholera outbreak that started in December 2017 in Beletweyne along river Shabelle has spread to Jowhar, Kismayo, Afgoye Merka and Banadir. The cholera spread is expected to increase due to the floods that have led to contamination of water sources in the flood affected regions. Floods have also led to blockage of access of health services which will contribute to delayed health seeking by the affected populations with. Over the past 2 Weeks, there has been an increase in the number of AWD/Cholera cases reported in Lower Shabelle, Banadir and LowerJubba; the regions that are affected by floods. In week ending 3rd June, active transmission of AWD/cholera was reported in Kismayo district in Lower Jubba, Afgoye and Merka in Lower Shabelle as well as in 11 districts of Banadir region (Darkenly, Daynile, Page 3 of 15 Hodan, Madina, Waberi, HamarWeine, Hamarjabjab, Heliwa, and Kaaran, Yaqshid, Howlwadag districts). In Kismayo, affected communities especially in Farjano IDP are reportedly using contaminated water due to floods. There was an increase in the number of cases reported from 357 in week 21 to 396 in week 22. The Oral Cholera Vaccination that was implemented in 11 high risk districts in 2017 of the central region has greatly contributed to the reduction in the number of new AWD/cholera cases compared to the same time in 2017. Fig 4. AWD/Cholera cases in Somalia May 2017-June 2018 3500 4.0 3.5 3000 Cases Total Deaths CFR (%) 2500 3.0 2.5 2000 2.0 1500 1.5 1000 1.0 500 0.5 0 0.0 week 2 week 4 week 6 week 8 Numberof AWD/Cholera cases week 10 week 12 week 14 week 16 week 18 week 20 week 22 Week 22 Week 24 Week 26 Week 28 Week 30 Week 32 Week 34 Week 36 Week 38 Week 40 Week 42 Week 44 Week 46 Week 48 Week 50 Week 52 Jun.17 Jul.17 Aug.17 Sep.17 Oct.17 Nov.17 Dec.17 Jan-18 Feb-18 Mar.18April.18 May.18 weeks Table 2. Summary of AWD/Cholera cases in different regions States Week 21 Week 22 Cumulativeas of 3rd June 2018 Regions (21th -27thMay-2018) (28th May-3rdJune-2018) 2018 Cases Deaths CFR (%) Cases Deaths CFR (%) Case Deaths CFR s (%) Central Banadir 199 1 0.5 210 1 0.5 1,576 11 0.7 Jubba land L/ Jubba 142 3 2.1 146 0 0.0 1609 14 0.9 South west L/ Shabelle 16 0 0 40 0 0 135 0 0 Hir- M/Shabelle 0 0 0 0 0 0 415 2 0.5 shabele Hiraan 0 0 0 0 0 0 565 1 0.2 Total 357 4 1.1 396 1 0.3 4,300 28 0.7 *The AWD/Deaths reported in this table have not been confirmed by stool analysis. Cholera Situation in Hiraan, Lower Jubba, Middle Shabelle and Banadir. • Banadir regions which included Mogadishu city has one of the highest concentration of refugees where access to safe water and proper sanitation is limited. The AWD/Cholera outbreak in Banadir region started in January 2018 following reports of similar outbreak in Beletweyne district of Hiraan region. Of the 17 districts that make up Banadir region, 11 of them have so far reported cases which have been managed in Banadir CTC located in the Page 4 of 15 capital Mogadishu. There has been an increase in the number of AWD/Cholera cases from 199 and 1death to 210 cases and 1 death in the past 2 weeks. More than 64% of the AWD cases reported in Banadir are children below 2 years of age. • In Lower Jubba, The current AWD/Cholera outbreak in Kismayo district started in week 5 of 2018 in the IDP communities of Farjano where access to safe water and sanitation is limited. The district is characterised by returnees from Kenya as well as those displaced by war in Middle Jubba. Currently Lower Jubba is one of the flood affected regions. The reported cases of AWD/Cholera did not receive OCV which was given in Kismayo in March 2017. The persons may have been absent during the OCV campaign. Over the past week, the number of AWD/Cholera cases in Lower Jubba has increased from 142 and 3 deaths to 146 no deaths. More than 43% of the cholera cases reported from Lower Jubba are children below 2 years (Fig 2d). • The AWD/Cholera outbreak in Lower Shabelle region started in week 17 of 2018 and Merka destrict strated in week 22-2018 as a result of displacement of people due to floods that have been reported in this regions. Afgoye is the most affected district and cases are being managed in lower shabelle. More than 44% of the cases reported in Afgoye are children below 5 years. AWD/Cholera cases and floods Following heavy rains in Ethiopia and Somalia, flash floods have been reported in the basins of Juba and Shabelle in 4 states. An estimated 718,000 people have been affected of which 220,000 have been displaced. Floods contribute to contamination of water sources as well as disruption of health services which are precursors of cholera outbreaks. Of the flood affected regions, cholera cases have been reported in Kismayo(146 cases) and Afgoye(24 cases) Merka (cases 16) as shown in table 5 below.
Load more

Recommended publications
  • Epidemiological Week 45 (Week Ending 12Th November, 2017)
    Early Warning Disease Surveillance and Response Bulletin, Somalia 2017 Epidemiological week 45 (Week ending 12th November, 2017) Highlights Cumulative figures as of week 45 Reports were received from 226 out of 265 reporting 1,363,590 total facilities (85.2%) in week 45, a decrease in the reporting consultations completeness compared to 251 (94.7%) in week 44. 78,596 cumulative cases of Total number of consultations increased from 69091 in week 44 to 71206 in week 45 AWD/cholera in 2017 The highest number of consultations in week 44were for 1,159 cumulative deaths other acute diarrhoeas (2,229 cases), influenza like illness of AWD/Cholera in 2017 (21,00 cases) followed by severe acute respiratory illness 55 districts in 19 regions (834 cases) reported AWD/Cholera AWD cases increased from 77 in week 44 to 170 in week 45 cases No AWD/cholera deaths reported in all districts in the past 7 20794 weeks cumulative cases of The number of measles cases increased from in 323 in week suspected measles cases 44 to 358 in week 45 Disease Week 44 Week 45 Cumulative cases (Wk 1 – 45) Total consultations 69367 71206 1363590 Influenza Like Illness 2287 1801 50517 Other Acute Diarrhoeas 2240 2234 60798 Severe Acute Respiratory Illness 890 911 16581 suspected measles [1] 323 358 20436 Confirmed Malaria 269 289 11581 Acute Watery Diarrhoea [2] 77 170 78596 Bloody diarrhea 73 32 1983 Whooping Cough 56 60 687 Diphtheria 8 11 221 Suspected Meningitis 2 2 225 Acute Jaundice 0 4 166 Neonatal Tetanus 0 2 173 Viral Haemorrhagic Fever 0 0 130 [1] Source of data is CSR, [2] Source of data is Somalia Weekly Epi/POL Updates The number of EWARN sites reporting decrease from 251 in week 44 to 226 in week 45.
    [Show full text]
  • Protection Cluster Update Weekly Report
    Protection Cluster Update Funded by: The People of Japan Weeklyhttp://www.shabelle.net/article.php?id=4297 Report 29 th July 2011 European Commission IASC Somalia •Objective Protection Monitoring Network (PMN) Humanitarian Aid This update provides information on the protection environment in Somalia, including apparent violations of Human Rights and International Humanitarian Law as reported in during the last week through the IASC Somalia Protection Cluster monitoring systems. Incidents mentioned in this report are not exhaustive. They are intended to highlight credible reports in order to inform programming and advocacy by the humanitarian community and national authorities. General Overview A combination of famine, drought, lawlessness and conflict during the last two weeks continues to raise the number of multi layered direct and indirect protection related cases in South Central Somalia. The United Nations officially declared famine in parts of Bakool and Lower Shabelle regions, declaring that Somalia is experiencing the worst drought in decades. 1 Currently in some parts of Bakool and Lower Shabelle, acute malnutrition tops 50 percent and death rates exceed six per 10,000 populations per day. 2 In other parts of southern Somalia, the humanitarian crisis is escalating as aid agencies struggle with funding constraints and access to Al Shabaab controlled areas. Although Al Shabaab recently lifted a ban on aid agencies, the group has since retracted the statement and has continued to restrict humanitarian aid access in many areas under their control. 3 Hence many aid agencies have reported that they are still unable to reach an estimated 2.2 million Somalis facing starvation in many Al Shabaab controlled areas.
    [Show full text]
  • Somalia Type of Report: Semi-Annual, Annual Or Final: Semi- Annual Year of Report: 15 June 2020
    PBF PROJECT PROGRESS REPORT COUNTRY: SOMALIA TYPE OF REPORT: SEMI-ANNUAL, ANNUAL OR FINAL: SEMI- ANNUAL YEAR OF REPORT: 15 JUNE 2020 Project Title: Supporting Reconciliation and State-Building Processes Project Number from MPTF-O Gateway: 00114146 If funding is disbursed into a national Type and name of reciPient organizations: or regional trust fund: Country Trust Fund UNDP (Convening Agency) Regional Trust Fund UNSOM Name of ReciPient Fund: ResPonsible Parties Implementing the Project include; (1) Ministry of Interior, Federal Affairs and Reconciliation of Federal Government of Somalia (MoIFAR-FGS) (2) Ministry of Constitution and Federal Affairs- Jubaland State of Somalia (MoCFA-JSS) (3) Ministry of Reconciliation and Federal Affairs - Galmudug State of Somalia (MoRFA-GSS) (4) Office of the President, Southwest State (OOP- SWS) (5) Office of the President, Hirshabelle State (OOP- HSS) (6) The Ministry of Interior, Federalism and Democratization, Puntland State (MoIFAD-PLS) Date of first transfer: 31st December 2018 Project end date: 31st August 2020 Is the current project end date within 6 months? Yes Check if the Project falls under one or more PBF priority windows: Gender promotion initiative Youth promotion initiative Transition from UN or regional peacekeeping or special political missions Cross-border or regional project Total PBF apProved project budget (by reciPient organization): ReciPient Organization Amount UNDP: $ USD 2,598,173 $ $ $ Total: $ USD 2,598,173 Approximate implementation rate as percentage of total project budget:
    [Show full text]
  • Region Receiving People Population Movement Trends Continued to Decrease from 12,000 in July to 9,000 in the Month of August
    Population Movement Tracking Monthly Report August , 2012 Total movement within Somalia: 9,000 nationwide UNHCR Office Location Region receiving people Population movement trends continued to decrease from 12,000 in July to 9,000 in the month of August. Region People Awdal 200 This downward trend in movements is likely to have resulted from the cessation of fighting between Woqooyi Galbeed 200 AMISOM/SNF and Al-Shabaab in areas once under the control of Al-Shabaab. Despite this, residents in Sanaag 0 some districts still fear conflict due to sporadic fighting between AMISOM/SNF forces and disperesed Al- Bari 100 Shabab groups. For example, Xudur district saw disperesed Al-Shabaab groups trying to reinstate its Sool 0 authority. Almost 2,000 people left Marka because of fighting between these two groups. Major Togdheer 100 movements took place in Mogadishu which received almost 3,000 people due to the defeat of Al-Shabaab Nugaal 0 militants from surroudning regions. Insecurity remained the main reason for movement, resulting in almost Mudug 100 Galgaduud 0 5,000 displacements. This month, Marka and Kismayo district exepericned insecurity which led to almost Hiraan 0 2,000 and 900 people respectively flee to other districts. Lack of livelihood was the secondary reason for Bakool 300 movement. Residents in Gedo region were deeply affected by the failure of the previous rainy season. Shabelle Dhexe 300 Forced returns from Saudi Arabia continued this month, with about 400 individuals returned to Mogadishu. Mogadishu 3,000 Cross-border movements from Kenya to Somalia were reported to have been a total of 600 individuals.
    [Show full text]
  • Somalia Un Mptf Programme
    SOMALIA UN MPTF PROGRAMME QUARTERLY PROGRESS REPORT Period (Quarter-Year): QUARTER 1 YEAR 2017 1 Rev. 6 SOMALIA UN MPTF Total MPTF Funds Received Total non-MPTF Funds Received PUNO Current quarter Cumulative Current quarter Cumulative FGS-MOF 0 899,408 0 0 JP Expenditure of MPTF Funds1 JP Expenditure of non-MPTF Funds PUNO Current quarter Cumulative Current quarter Cumulative FGS MOF 37,794.15 123,727.43 0 0 QUARTER HIGHLIGHTS 1. A unified work plan has been produced for both UN and World Bank projects by PIU with input from ECOTECH. 2. PIU with collaboration with the Permanent Secretary of the FGS Ministry of Finance established a bid evaluations committee comprising of five (5) individuals drawn from different departments. 3. In the procurement of phase 1 sub-projects in Kismayo and Banaadir, PIU and ECOTECH jointly developed bidding documents. The Bid Evaluation Committee has recommended two bids for Kismayo and Banadir sub-projects. The documents & the evaluation is now under review by the UN. 4. ECOTECH (designing company) and the PIU engineers visited Bandiiradley and Galkac'yo districts to conduct an initial design of the sub-projects prioritized by the community. 5. PIU team participated in five-day workshop in Nairobi to be trained on fiduciary, procurement and disbursements of funds organized by the WB. SITUATION UPDATE Generally, there has been a delay in implementation of the SFF-LD project activities because of the prolonged elections period and the selection of the Cabinet of Ministers. On the project front, PIU is working with the UN to review of project result framework.
    [Show full text]
  • EHA Weekly14-20 May 2011
    WHO Somalia P.O. Box: 63565 - Nairobi, Kenya - [email protected] - T: +254 20 7623197/8/9 and +254 20 7622840 Emergency Humanitarian Action Weekly Highlights 14 – 20 May 2011 BULLETIN HIGHLIGHTS • From 1-15 May 2011, 933 weapon related- injuries were reported by three major hospi- tals in Mogadishu, 398 cases or 43% were children under the age of five. During April 2011, only 3.5% were children younger than five among the reported casualties. • From 14-15 May 2011, WHO in collaboration with Puntland and Galmudug ministries of health trained more than 40 health workers on AWD/cholera prevention, case detection and management. The health workers are from 9 districts of Galgaduud and Mudug and are now fully skilled to assist an estimated population of 780 000 people1. Update on major public health concerns: • Trends of acute watery diarrhoea (AWD)/cholera The cholera transmission season is ongoing. Some areas in most regions of Somalia have received sporadic rainfall. Due to water shortages, WHO observes that there is a likelihood of a risk in transmis- sion of waterborne diseases as communities tend to utilize water from contaminated sources. Investigation of a number of rumors have confirmed the existence of AWD cases though not severe. Since week 12, and following a confirmed cholera outbreak in Mogadishu, 2268 AWD/cholera cases including 1782 (79%) cases under the age of five with 77 related deaths have been reported from Banadir Hospital in Mogadishu (see graph 1). Children under the age of Graph 2. Low er Shabelle region w eekly AWD two bear the greatest burden of AWD accounting for Cases cases 59% of all reported cases.
    [Show full text]
  • Somalia Energy Sector Needs Assessment and Investment Programme November 2015 Somalia - Energy Sector Needs Assessment and Investment Programme
    Somalia Energy Sector Needs Assessment and Investment Programme November 2015 Somalia - Energy Sector Needs Assessment and Investment Programme Copyright © 2015 African Development Bank Group Immeuble du Centre de commerce International d’Abidjan CCIA Avenue Jean-Paul II 01 BP 1387 Abidjan 01, Côte d'Ivoire Phone (Standard): +225 20 26 10 20 Internet: www.afdb.org Rights and Permissions All rights reserved. The text and data in this publication may be reproduced as long as the source is cited. Reproduction for commercial purposes is forbidden. Legal Disclaimer The findings, interpretations and conclusions expressed in this report are those of the author/s and are not necessarily those of the African Development Bank. In the preparation of this document, every effort has been made to offer the most current, correct and clearly expressed information possible. Nonetheless, inadvertent errors can occur, and appli - cable laws, rules and regulations may change. The African Development Bank makes its documentation available wi - thout warranty of any kind and accepts no responsibility for its accuracy or for any consequences of its use. Cover design: AfDB Cover photos: Image © AU-UN IST PHOTO/Ilyas A. Abukar; Image © NIGEL CARR ii Somalia - Energy Sector Needs Assessment and Investment Programme Table of contents Foreword v Ackonwledgements vii Abbreviations and acronyms ix Executive summary xi 1. Introduction and background 1 1.1. Introduction 1 1.2. Objectives/scope 3 1.3. Brief description of the current energy sector 3 1.4. Sector organisation and policies 4 1.5. Reliance on the private sector 5 1.6. Four main issues facing Somalia’s energy sector 6 2.
    [Show full text]
  • Cholera Epidemiological Week 15 (10 – 16 April 2017)
    Situation report for acute watery diarrhoea/ cholera Epidemiological week 15 (10 – 16 April 2017) Cumulative key figures Highlights 10 – 16 April 2017 A total of 2,984 AWD/ cholera cases and 34 deaths (CFR– 1.1%) were reported during week 15 (10 – 16 April 2017) in 50 2,984 new cases in week 15 districts in 13 regions. Of these, 175 cases were reported from Iidale village(in-accessible) district Baidoa in Bay region, which 34 deaths (CFR–1.1%) in week 15 represents 5.9% of the total cases. There is a slight decrease in the number of new AWD/ cholera 51.9 % cases females cases and deaths reported – 2984 cases/ 34 deaths were 33.4% of cases are children under 5 recorded in week 15 compared to 3128 cases/ 32 deaths in years of age week 14. 50 districts reported AWD/ cholera New locations that have reported new AWD/ cholera cases cases and deaths are: Busul Village, Mintane, Saydhalow and Landanbal Village Baidoa district in Bay region, Abudwak Galinsor Village, Addado district Guriel Village, Dusmareb 28,408 cumulative cases since week 1 district in Galgadud region and Bulomarer Village district Kurtunwarey in Lower Shebelle region. Additional alerts were 558 cumulative deaths (CFR–2.0%) recorded from other regions or districts; verification by since week 1 to week 15 surveillance officers is ongoing. Situation update A total of 2984 AWD/ cholera cases and 34 deaths (CFR–1.1%) were reported during week 15 (10- to 16th April 2017) from 50 districts in 13 regions. Of these cases, 175 cases were reported from Iidale village district Baidoa in Bay which represents 5.9% of the total cases; Out of 10 stool samples collected from Bardere district, 6 have tested positive for Vibrio Cholerea.
    [Show full text]
  • Gedo Intercluster Initial Investigation – September
    INTER -AGENCY DROUGHT ASSESSMENT IN LOWER JUBA REGION OF SOMALIA JANUARY 2017 INTER-AGENCY DROUGHT ASSESSMENT IN LOWER JUBA REGION – JANUARY 2017 Table of contents Executive summary -------------------------------------------------------------------------------------- 2 Key findings --------------------------------------------------------------------------------------------- 2 Recommendations --------------------------------------------------------------------------------------- 3 Acronyms, abbreviations and definitions of Somalia terminologies --------------------------- 6 Acknowledgement ----------------------------------------------------------------------------------------- 7 Introduction /context of the inter-agency assessment -------------------------------------------- 8 Methodology ------------------------------------------------------------------------------------------------ 9 Assessment findings -------------------------------------------------------------------------------------- 10 Impact of drought ------------------------------------------------------------------------------------------ 10 Findings by cluster ----------------------------------------------------------------------------------------- 10 Food Security and Livelihoods --------------------------------------------------------------- 10 Education ------------------------------------------------------------------------------------------ 12 Nutrition -------------------------------------------------------------------------------------------- 13 Water, Sanitation
    [Show full text]
  • Export Agreement Coding (PDF)
    Peace Agreement Access Tool PA-X www.peaceagreements.org Country/entity Somalia Region Africa (excl MENA) Agreement name Declaration of National Commitment (Arta Declaration) Date 05/05/2000 Agreement status Multiparty signed/agreed Interim arrangement No Agreement/conflict level Intrastate/intrastate conflict ( Somali Civil War (1991 - ) ) Stage Framework/substantive - partial (Multiple issues) Conflict nature Government/territory Peace process 87: Somalia Peace Process Parties The Transnational Government of Somalia Third parties [Note: Several references to the international community] Description Agreement outlines the responsibilities of the Transitional National Assembly, the election of the Chief Justice, the roles of the President and Prime Minister, particularly, the limitations of power of the President. It includes 17-points of binding principles. The Annexes include a ceasefire; a plan of reconstrution and recovery; and the foundations for representation of the Somali population in the TNA and the national dialogue. Agreement document SO_000505_Declaration of national commitment.pdf [] Groups Children/youth No specific mention. Disabled persons No specific mention. Elderly/age No specific mention. Migrant workers No specific mention. Racial/ethnic/national Substantive group [Summary] Contains substantive consideration of inter-group representation in the Transitional National Assembly. Page 1, • Representation in the Conference and in the "Transitional National Assembly" shall be on the basis of local constituencies (regional /clan mix) Page 3, TOWARD THIS END WE ... 8. pledge to place national interest above clan self interest, personal greed and ambitions Page 6, ANNEX IV BASE OF REPRESENTATION IN THE ... WHAT TO GUARD AGAINST • It must be stressed that representation based on clan affiliations or the assumed strength or importance of certain clan, including the size of territories presumed or traditional belonging to certain clans, would only succeed in perpetuating or reinforcing the division of the nation.
    [Show full text]
  • Afmadow District Detailed Site Assessment Lower Juba Region, Somalia
    Afmadow district Detailed Site Assessment Lower Juba Region, Somalia Introduction Location map The Detailed Site Assessment (DSA) was triggered in the perspectives of different groups were captured2. KI coordination with the Camp Coordination and Camp responses were aggregated for each site. These were then Management (CCCM) Cluster in order to provide the aggregated further to the district level, with each site having humanitarian community with up-to-date information on an equal weight. Data analysis was done by thematic location of internally displaced person (IDP) sites, the sectors, that is, protection, water, sanitation and hygiene conditions and capacity of the sites and the humanitarian (WASH), shelter, displacement, food security, health and needs of the residents. The first round of the DSA took nutrition, education and communication. place from October 2017 to March 2018 assessing a total of 1,843 sites in 48 districts. The second round of the DSA This factsheet presents a summary of profiles of assessed sites3 in Afmadow District along with needs and priorities of took place from 1 September 2018 to 31 January 2019 IDPs residing in these sites. As the data is captured through assessing a total of 1778 sites in 57 districts. KIs, findings should be considered indicative rather than A grid pattern approach1 was used to identify all IDP generalisable. sites in a specific area. In each identified site, two key Number of assessed sites: 14 informants (KIs) were interviewed: the site manager or community leader and a women’s representative, to ensure Assessed IDP sites in Afmadow4 Coordinates: Lat. 0.6, Long.
    [Show full text]
  • Cholera Outbreaks Bulletin for Eastern And
    Bulletin: Cholera and AWD Outbreaks in Eastern and Southern Africa Regional Update for 2018 - as of 31 December 2018 Highlights Cholera continues to represent a major public health concern in Eastern and Southern Africa Region (ESAR). From 10 37,565 443 1.2% Eritrea January to December 2018, approximately 37,565 cases and 443 cholera-related deaths were reported in the region with an average CFR of 1.2%. These cases emerged from 10 out of the 21 countries in Eastern and Southern Africa Countries Cases deaths CFR Region (ESAR). In 2018, the cholera burden in ESAR was markedly heterogeneous, with Zimbabwe accounting for the highest case load at 28.8% (10,807 cases), followed by Somalia reporting 17.2% of cases (6,447 cases). During the same period; Kenya reported 15.4% (5, 782) of cases, Tanzania reported 4,688 cases, Zambia declared 4,127 cases, Uganda recorded 2,699 Somalia cases, Angola reported 1,262 cases, Mozambique declared 863 cholera cases, Malawi registered 785 cases, Rwanda 3 Ethiopia cases and recently Burundi declared 102 cases. South Sudan Out of the 10 countries with reported cholera/ AWD outbreaks in 2018, 5 (Burundi, Zimbabwe, Angola, Somalia and 30 Tanzania) have ongoing cholera outbreaks. 6,447 Burundi: A new cholera outbreak emerging from Rumonge Health Province in Rumonge District was declared on 28 45 December 2018. This is attributed to heavy rains that have led to flooding in the coastal areas of Lake Tanganyika. The outbreak continues to evolve with a cumulative total of 102 cases including 1 death (CFR, 1%) notified by 31 December 2,699 Uganda 2018.
    [Show full text]