CHOLERA SITUATION IN October 2019 Highlights Cholera cases in Somalia, December 2017 to October 2019 Cumulative key figures, December 2017 to October 2019 Cases Deaths CFR(%) In October 2019, a total of 201 suspected cholera cases and one related death with CFR 450 6 0.49%, was reported from Banadir and Lower Jubba regions. 8 911 47 0.53% 60.57% 400 From December 2017 to October 2019, a total of 8,911 suspected cholera cases including 5 Suspected Related CFR Children < 5 years 350 ) s %

47 related deaths (CFR: 0.53 %) were reported from six regions (Banadir, , Hiran, ( cases deaths

e s e

300 4 t Lower Jubba, and ). The districts with the highest a a c

f R cumulative number of cases are; Kismayo 2,305 (25.87%), Hodan 1,097 (12.31%) and

o 250 y

t r 3 i l

Madina 955 (10.72%). e a

b 200 t Last 4 weeks key figures, October 2019 a m

During the month of October, Badhadhe district of the Lower Jubba has started reporting F

u 150 2 e N

cases. A total of 30 suspected cases has been reported during the month of October. In s 100 addition, the Madina district of the Bnadir region has also reported the first death of the year 1 C a 201 1 0.49% 63.26% 2019, and now the total deaths reported are 47 since December 2017. 50 Suspected Related CFR Children < 5 years This cholera outbreak is continuation of the outbreak that started since December 2017 but 0 0 49 511 3 5 7 9 111315 1719 21 23 25 27 29 31 33 35 37 39 41 45 51 1 3 5 7 9 111315 17 19 21 23 25 27 29 35 39 43 cases deaths there was a gap in the reporting of the cases in the first seven weeks of 2019 due to closer 2017 2018 2019 of the main Cholera Treatment Center (CTC) in Banadir. The CTC has been reopened in Epidemiological weeks early February to manage the suspected cholera cases and the center has started reporting the cases again. Cholera cases and deaths reported during Dec 2017 to Oct 2019 A total of 820 stool specimen were collected since December 2017. Of which, only 162 were Distribution of cholera cases in Somalia, Jan 2018 to Oct 2019 Cumulative Cumulative laboratory confirmed for Vibrio cholerae, serotype Ogawa. Region Districts CFR (%) cases* Deaths* Abdilaziz 16 1 6.25 Bondere 27 0 0 02 out of 18 regions Case fatality Daynile 931 10 1.07 reported suspected cholera rate (CFR) 0.49% Darkenley 767 1 0.13 cases in October 2019 in october 2019 HamarJabja 260 2 0.77 Legend Hamrweyn 70 0 0 Cholera Cases Heliwa 43 0 0 No Cases 1- 200 Cases Cholera cases by Regions in Somalia, Hodan 1 097 2 0.18 201- 500 Cases Howlwadag 208 1 0.48 December 2017 to October 2019 Banadir 501- 1000 Cases Kahda 77 0 0 1001- 2330 Cases Cumulative Cases Cumulative Deaths CFR(%) Karaan 95 1 1.05 sea Madina 955 4 0.42 Shibis 16 0 6000 1.60 0 Shingani 18 0 0 1.40 Waberi 180 2 1.11 5000 Warta Nabada 211 1 0.47 1.20 Yaqshid 96 0 0 4000 Gedo Belethawo 94 0 0 1.00 Beletweyn 522 1 0.19 Hiran Bulo Burti 41 0 0 3000 0.80 Lower jubba Kismayo 2 305 15 0.65

Number of cases 0.60 Badhadhe 30 0 0 Case fatality rate (%) 2000 Middle Shabelle Jowhar 558 2 0.36 0.40 Afgoye 133 0 0 1000 Lower Shabelle Brava 14 0 0 0.20 Kurtunwarey 27 4 14.81 0 50 100 200 300 400 Merka 120 0 0 Miles 0 0.00 The designation employed and presentation of material on the map do not imply the expression on any opinion whatsoever on the part of the Secretariat or the Lower Bnadir Gedo Hiran Middle Lower Total 8 911 47 0.53 United Nations concerning the legal status of any country, territory, city or any any area of authority, or concerning determination of its fronteers or boundaries. Jubba Shabelle Shabelle * Case fatality rate more than 1% is highlighted * Cumulative number of cases and deaths are from December 2017 to October 2019

© World Health Organization 2019. Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, Egypt Some rights reserved. This work is available under the Creative Commons Attribution-Non Commercial-Share Alike 3.0 IGO license (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). For Correspondence: Tel +20-2-22765604, Fax + 20-2-2765456. E-mail: [email protected] Document no. WHO-EM/CSR/239/E