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ZIMBABWE: Cholera Outbreak Snapshot

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ZIMBABWE: Cholera Outbreak Snapshot ZIMBABWE: Cholera outbreak snapshot (as of 10 October 2018) OVERVIEW KEY FIGURES By 10 October, 8,980 cholera cases (8,786 suspected and 194 confirmed cases), including 54 deaths (case fatality ratio 0.60 per cent), had been reported in seven provinces across 8,980 cholera cases 54 cholera deaths 18 areas with active Zimbabwe. Between 3 October and 10 October, 445 new cases were registered, including both new cases and older cases that were newly verified. New cases were recorded in four as of 10 October 2018 cholera outbreaks areas - Harare City, Chitungwiza (Harare), Buhera (Manicaland) and Bulawayo City (Bulawayo). Bulawayo City had not previously reported any infections. However, transmission is declining, with significantly fewer cases reported from 1 to 11 October (974) compared to Distribution of cholera cases by the same period in September (2,793). Harare City remains the epicentre of the outbreak, most affected suburbs, Harare City accounting for 97 per cent (8,721) of all cases and the majority of new cases. An estimated 22 per cent of all suspected and confirmed cases are children under age five. Glen View 46% The Oral Cholera Vaccine (OCV) mass vaccination campaign is underway and aims to protect 1.4 million people most at-risk of cholera in Harare, Chitungwiza and Epworth in two phases. HARARE CITY Budiriro 29% Phase one targeted 423,000 people in the most affected suburbs of Harare (Glen View, Other Suburbs 18% 8,721 Budiriro, Glen Norah and Mbare) and reached more than 378,100 people, 52.5 per cent of Kuwadzana Warren Park cases whom were females. Phase two is scheduled to start on 15 October, targeting 170,000 123 60 Mufakose Mbare Mbare people in Epworth, Seke district, and, 200,000 people in Chitungwiza. Some 170,000 people 60 344 4% Budiriro +LJKοHOG have been provided with access to clean water and 10,683 families, 125 schools have been 2.5k 122 Epworth 68 Glen Norah Waterfalls Glen Norah 3% assisted with water, sanitation and hygiene (WASH) items. Community mobilization efforts Glen View 285 183 4.0k have reached 400,000 with key messages on hygiene and other critical issues. Hopely 68 The national government continues to provide leadership of the response through its inter-ministerial committee on the cholera outbreak. In addition, the Ministry of Health and Child Care (MoHCC) convenes regular Interagency Coordinating Committee on Health Chitungwiza (IACCH) meetings to ensure effective coordination of the response and communication of 109 response gaps to all stakeholders. Technical thematic committees are activated and include MASHONALAND Rushinga MASHONALAND CENTRAL 1 Case Management, WASH, Health and Hygiene Promotion, Surveillance and Laboratory and WEST Logistics. Shamva Cholera cases by gender Cholera cases by age Not stated Mazowe 2 3 > 45 yrs Matoko 1% 8 9% GokweNorth MASHONALAND 10 HARARE EAST 8,721 Murehwa 5-15 yrs Chitungwiza109 5 Male Female 19% Seke Marondera Makoni 49.6% 50.4% 15-45 yrs 6 13 49% 3 Wedza < 5 yrs Chikomba MANICALAND MATABELELAND NORTH 4 22% MIDLANDS 4 TREND IN CUMULATIVE AND NEW CHOLERA CASES (11 Sep - 10 Oct 2018)* Mutare Buhera 13 37 800 9000 8,980 BULAWAYO Active cholera 38 Masvingo 600 6750 outbreak 619 543 New cholera cases 2 reported 400 4500 Number of cholera MATABELELAND SOUTH MASVINGO New cases XX cases Cumulative cases 271 Cholera cases 200 2250 210 211 225 219 223 <= 50 1,901 135 130 135 136 142 51 - 200 Beitbridge 103 88 95 48 32 42 42 59 8 13 18 0 0 201 - 2,000 1 11 13 14 16 17 18 19 20 21 23 24 25 29 30 1 2 3 4 5 6 7 8 9 10 Sep Sep Oct More than 2,000 The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 12 October 2018 Sources: WHO/ MOHCC *The new cholera cases equate to new cases reported by MoHCC/WHO in their daily sitreps. The cumulative figures are retroactively revised however these revisions are not included in the new cases bar graph. ZIMBABWE: 3W cholera response mapping (as of 12 October 2018) OVERVIEW Operational presence NATIONAL CHITUNGWIZA MSF, WHO MASHONALAND CENTRAL MSF, UNICEF, Save the MSF, WVZ Chldren, WHH 28 Shamva WHO partners MASHONALAND Mutoko WEST HARARE Murehwa HARARE Gokwe North MASHONALAND EAST WHO HARARE CITY MSF, UNFPA, UNICEF, WHO ZIMBABWEMSF, WHH HARARE WHO Caledonia MSF UNICEF Seke Makoni Marondera Mbare MIDLANDS MANICALAND Budiriro EPWORTH UNFPA, UNICEF Wedza WHO, MSF MATABELELAND NORTH Glen Norah ACF/Africa Ahead, ADRA, HLF, Mercycorps, Glen View MSF WVZ, UNICEF, GOAL, PACT, Unilever, MEDRA, Oxfam, Buhera Mutare Save the Children No. of partners UNICEF, WHO 1 - 5 BULAWAYO 6 - 15 Masvingo CHITUNGWIZA WHO MSF, Christian > 15 Care Data not available WHO No. of partners MATABELELAND MASVINGO SOUTH 1 - 5 Emergency Shelter and Nutrition Protection Health Non-Food Items 6 - 15 Water, Sanitation and > 15 Hygiene No information HEALTH WASH OVERVIEW CHOLERA FUNDING (US$ million) Communication Case OCVs Hygiene & Areas WASH Refuse Capacity Water WASH Water Water Province & Social Mgt vaccination Surveillance Sanitation affected CTCs Coordination removal building treatment NFIs supply quality Number of organizations by cluster Funding by cluster Mobilisation Labs Promotion Harare Harare City X X X X X X X X X X X X Harare Chitungwiza X X X X X X X X 11 Mashonaland Central Shamva X X X X Mashonaland Central Seke X X X X 9 3.3 Mashonaland East Marondera X X X X 0.5 Mashonaland East Murehwa X X X X Mashonaland East Mutoko X X X X Mashonaland East Wedza X X X X 5.5 Mashonaland East Chikomba X X X X Funding Gaps 3 3 4.0 Manicaland Buhera X X X X 1 X X 2 Contribution to date Manicaland Makoni X X X Midlands Gokwe North X X X X Health WASH Child GBV Logs Nutrition Health WASH Manicaland Mutare City X X X X Protection Masvingo Masvingo X X X X X X X The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 12 October 2018 Sources: Partners & Sector leads.
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