CHOLERA OUTBREAK SITUATION

Date: 7th March 2016, update # 136

1. SITUATION UPDATE

• A total of 82 new suspected cholera cases were reported from 9 regions

• Morogoro Region had highest number (21) cases followed by Mara and Manyara with the same number (13) cases. • Morogoro and Mara Region have reported a death each with no other available information.

• The ongoing Cholera outbreak have claimed 280 lives and sickening of around 17496 citizens’ country wide since August 2015.

Trend of reported cholera cases, , August 21 - March 07th, 2016

250

200

150

100

50 No. of reported cases reported of No. 0

New cases Date of reporting 7 Days Moving average for Total cases

CHOLERA OUTBREAK SITUATION

2. PUBLIC HEALTH RESPONSE

2.1 COORDINATION • Coordination subcommittee meeting done today with the following deliberations o To compile the Comprehensive Cholera response plan o To deploy rapid response team in five hotspot Region in collaboration with WHO

2.2 SURVEILLANCE • Surveillance subcommittee meeting was conducted today at the EOC room o Revision of Surveillance section in Comprehensive Cholera National Plan o Discussed the debriefing meeting on Surveillance assessment in all District in . • Started today, a three day work shop addressing challenges and way forward on the electronic IDSR reporting to improves data quality in all districts in Singida and Regions. 2.3 CASE MANAGEMENT • None to be reported 2.4 SOCIAL MOBILIZATION • Developed draft tool guide for community health workers for the community based approach interventions in containing Cholera outbreak. • The subcommittee meeting was not conducted today due to the fact that, members did not showed up 2.5 WATER AND SANITATION • UNICEF and CDC are working with Kinondoni Municipal council on bulk (large volumes) Chlorination and Mapping of vendors conducted in three streets in Manzese Ward. 2.6 LABORATORY • Diagnostic meeting at NIMR building done today o Addressed the Comprehensive National Cholera Plan with regards to laboratory 2.7 LOGISTIC • None to be reported 3. NEXT STEPS

Planned actions

• WASH and Laboratory subcommittee meeting to be conducted tomorrow at 2:30 pm in the Minister of Health conference Room & 2nd Floor, NIMR building respectively. • Case management meeting to be conducted tomorrow at 11:00 am at the EOC room • To compile National Cholera Comprehensive Response Plan on Wednesday just after the coordination meeting at the EOC room. • To have the coordination meeting on Wednesday 9th Mach 2016 at the EOC room • Planning to deploy rapid response team to five Cholera Hotsport Region at the end of this week. • WASH to replicate the large chlorination in Ilala and in Dar es salaam.

CHOLERA OUTBREAK SITUATION

4. Epidemiological data

New New Bed Cumulative Cumulative Region District Cases Deaths State Cases Deaths Ilala 3 0 4 1757 13 Dar es Salaam Temeke 5 0 6 829 15 Morogoro(M) 2 0 2 600 4 Kilosa 8 0 11 150 1 Morogoro Ulanga 2 0 3 184 4 Morogoro(v) 9 1 10 332 10 Iringa Iringa (v) 2 0 2 468 1 Mpwapwa 5 0 6 60 2 Dodoma Kondoa 3 0 5 73 2 Ukerewe 3 0 2 506 16 Mwanza Ilemela 5 0 4 477 5 Arusha mjini 1 0 1 687 7 Arusha Arusha DC 4 0 4 340 2 Musoma(m) 4 0 8 417 12 Rorya 0 0 0 234 3 Mara Butiama 1 0 1 75 2 Tarime(v) 8 1 14 153 7 Babati (v) 8 0 19 55 0 Manyara Mbulu 5 0 16 39 0 Mbeya Busokelo 4 0 4 4 0 Grand Total 82 2 126 17496 280

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