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Somalia Health Cluster Bulletin, January 2020.Pub 250 SOMALIA: Trends of cholera cases 1 (Jan. 2019 to 19 Jan. 2020) 200 150 100 AWD Cases AWD Cases 50 0 HEALTH CLUSTER BULLETIN Epidemiological weeks AWD Cases AWD Deaths During the second week of January 2020, an alert of a suspected outbreak of acute watery 1-31 January 2020 diarrhea (AWD) was reported from Beletweyne district of Hiran region, Hirshabelle state. More than 250 cases were recorded. Of these 128 (48.5%) female and 136 (51.52%) cases male. Country Name: Somalia Emergency Type: Conflict, Drought, Floods, Outbreaks, Desert Locusts. Reporting Period: 1-31 January, 2020 On February 11, the World Health Organizaon an‐ nounced COVID‐19, the official name for the dis‐ ease causing the 2019 nov‐ el coronavirus outbreak. 45,171 Globally confirmed cases 44,739 The Chinese government reported the outbreak to the United Cases confirmed in China Nations World Health Organization (WHO) on 31 December 2019. There was one confirmed case in Africa as of 16 Feb- ruary 2020, and no vaccine, or specific treatment known. 441 Confirmed outside of China Distribution of COVID-19 Cases (February 16, 2020, WHO). Coronavirus Disease (COVID-19) spreads through droplet transmission, mainly from symptomatic patients. There was one con- firmed case in Africa as of 16 February 2020, and no vaccine, or specific treatment known. The Somali Health Cluster continues to receive updates from WHO, closely monitors how the out- break is evolving. Visit https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public for information on COVID-9 advice to the public. SOMALIA 2020 HUMANITARIAN RESPONSE PLAN (HRP) COVID‐19 OUTBREAK: The COVID‐19 outbreak is spread‐ ing from person to person in China and limited spread The 2020 HRP estimates that overall 5.2 million people are in need among close contacts has been detected in some countries humanitarian assistance (compared to 4.2 million in 2019). Overall outside China. 3.0 million people have been targeted for assistance. There is no record of the COVID‐19 disease spreading in The number of people targeted for humanitarian assistance re- duced from the 3.4 million in 2019 due to the realization that alt- Somalia as of 16 February 2020. The greatest risk of infec‐ hough the people in need are vulnerable, many of them will benefit on is for people in China or people who have traveled to from development, recovery and resiliency programs. China. Risk of infecon is dependent on exposure. Close contacts of people who are infected are at greater risk of exposure, for example health care workers and close con‐ tacts of people who are infected. WHO has shared the case definion for COVID‐19 high‐ 5.2m 3.0m US$1.03b lighng the criteria for assessing and determining suspect‐ PEOPLE IN NEED PEOPLE TARGETED TOTAL REQUIREMENTS ed, probable and/or confirmed cases. Health Cluster BulleƟn, January 2020 2 HRP 2020—Health Overview The health response seeks to reach those who are 1. Reduce excess morbidity and mortality due to most-at-risk due to poor physical and/or mental well- disease outbreaks driven by climatic shocks and being, as well as those who face limited access to conflict among 1.6 million IDPs and non- healthcare services. Life-saving and preventive in- displaced by 5%; terventions will target several intersecting vulnerable 2. Contribute to improvement in physical and men- groups: those displaced and marginalized; those tal wellbeing of the population affected by conflict and displacement among 1.6 million IDPs and non-displaced; including 140,000 people with 2.5m disabilities; 3.15M 51 3. Improve equitable access to quality emergency PEOPLE IN NEED PEOPLE TARGETED HRPPROJECTS OF HEALTH ASSISTANCE FOR HEALTH ASSISTANCE and essential lifesaving health services for the crisis affected population to 1.3 million IDPs and 1.1 million non-displaced host population; 4. Improve case management and referral services 51 US$85m US$0.0 for 120,000 survivors of sexual or gender-based HRP PARTNERS REQUIREMENTS FUNDING RECEIVED violence. The cluster will collect information through an estab- suffering from malnutrition and concomitant illness- lished health monitoring system: the direct reporting es; those with insufficient access to water leading to of consultations by partners. A system is also to be diarrheal disease; those yet to be immunized, ex- established to monitor the functionality of healthcare posing the wider population to outbreaks; and survi- facilities. Partners will disaggregate data in their re- vors of gender-based violence. Violence and trau- porting by age, sex, disability and IDP/non-IDP. The matic injury claim many lives and result in perma- cluster will work with partners to enhance population nent disabilities if not addressed. The Cluster objec- feedback mechanisms. tives are to: COVID-19 Preparedness Ongoing COVID-19 prepared- ness activities in Somalia include screening at points of entry, con- tingency preparedness plans developed by the Ministry of Health and the World Health Or- ganization, procurement of infec- tion prevention control (IPC) and sample collection materials, training of health workers and airport staff, sample shipment to identified reference laboratories, translation and printing of risk communication materials from English to Somali, and monitor- ing of SARI and ILI cases through the Early Warning and Response Network (eWARN). Photo credits—StoryMaps: hps://nyurl.com/uha9hz9 Health Cluster BulleƟn, January 2020 3 Acute Watery Diarrhea in Beledweyne—Situation Update An outbreak of acute watery diarrhea was Eljalle neighborhood of Beletweyne for case reported in Beletweyne during the third week management. In addion, RRT and IERTS from of January 2020. The outbreak was associated the SMoH and WHO were vigilant, closely moni‐ with inadequate clean water and sanitaon toring the situaon, strengthening surveillance, following the recent floods in the area. verificaon and providing decentralized treat‐ ment. Health and WASH Cluster partners On 10th February 2020 in Kacaanka, Mahaday worked in close coordinaon on case tracing, 249,337 town, 20 AWD cases were reported, with scaling up community awareness on hygiene District population voming and severe dehydraon. Some of and sanitaon at facility and outreach level in these were treated in private dispensaries the affected areas. They sensized health work‐ 261 while others were referred to the Regional ers on standard case definion, case detecon Hospital in Jowhar town. Although the num‐ Total cases reported and early treatment with oral rehydraon salts, ber of cases has decreased as compared to infecon prevenon control and provision of past days, addional cases were reported 128 medical supplies. Confirmed as vibrio cholerae from Balad and Bula‐burde villages in Hiran and Middle Shabelle. The most recent updates—as of 13 February 2020 indicate a stabilizing situaon, with a daily The response acvies included collecon of 04 average of 1 to 2 new cases being admied to a and transportaon of stool samples to the Total deaths cholera treatment center (CTC) in Beledweyne Federal Reference Lab in Mogadishu for la‐ for treatment. 2.4% boratory tesng and case confirmaon. The result confirmed that 6 out of 10 were posi‐ Since the onset, Rapid Response Teams have CFR in Beledweyne ve for Vibrio Cholerae Ogawa. An addional reported at least 261 cases recorded, with a CFR 16 stool samples were taken in first week of of 2.4% in Beletweyne. This calls for urgent in‐ February 2020, 5 out of which were posive. tervenons to bring it down to <1%. Most of the cases have been reported to come from Koosh‐ The State Ministry of Health established a in, Hawo‐Tako and Buundaweyn. new Cholera Treatment Center (CTC) at the Health and WASH TWG on Prevention and Response to WASH-related Outbreaks The Somalia Water, Sanitaon and Hygiene (WASH) and Health Clusters maintain a technical working group that aims to pre‐ During the second week of February 2020, following the out‐ vent and respond to water‐ and vector‐ borne related disease break of acute watery diarrhea in Beledweyne late in January outbreaks in hotspots areas in Somalia. The objecve of the 2020, the TWG convened and inter‐alia, discussed joint map‐ working group is to reduce mortality and morbidity related to ping of organizaons that are operaonal in the AWD hotspot WASH‐related diseases in idenfying risk factors for their trans‐ areas, establish the under‐served areas with inadequate or mission and prevenve measure to reduce occurrence of out‐ no partner operaonal presence, facilitate coordinaon be‐ breaks. tween Health and WASH Cluster partners and scale up joint response monitoring and gap analysis. With WASH and Health as lead and co‐lead respecvely, the TWG comprises representaves from Ministry of Water and The TWG also agreed on the need for capacity mapping in Environment, the Federal Ministry of Health, naonal and inter‐ AWD hotspot areas to establish the capacity of the Health naonal Non‐Governmental Organizaons and the respecve and WASH cluster partners to respond to water, sanitaon cluster informaon management officers. and hygiene‐related disease outbreaks, address staffing, sup‐ plies and related issues that are essenal for preparedness. The TWG supports response and capacity mapping, conduct of needs assessments on WASH‐related diseases in hot‐spot areas; The last meeng of the TWG convened in July 2019, during provides guidance to partners for effecve and efficient prepar‐ which agreement was reached on TWG representaon, for‐ edness and response, including developing Standard Operang mulaon of acon plans for TWG, co‐branding of communica‐ Procedures, dras and updates joint preparedness and re‐ on and informaon products with WASH and Health clusters sponse plans; facilitate and enhance collaboraon between the logos or idenes, inclusion of all TWG members in the Epi health and the WASH Clusters partners and conduct field moni‐ Watch product mailing list and sharing of the outcomes of toring and evaluaon missions to affected hotspots.
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