CHOLERA SITUATION IN February 2019

Cumulative key figures, October 2016 – February 2019 Highlights Epidemic curve of cholera cases in Yemen, Epidemic curve of cholera cases in Yemen, In February 2019, the Ministry of Public Health and Population of Yemen October 2016 - 26 April 2017 (First wave) 27 April 2017 – 28 February 2019 (Second wave) 1 490 808 2 963 reported a total 31 960 suspected cholera cases including 55 related deaths 60000 Suspected Related

(case fatality rate: 0.17%), from 18 governorates. 2500 s s e cases deaths e s s a a The cumulative number of suspected cholera cases reported in Yemen since c 50000

c

2000 d d October 2016 to February 2019 is 1 490 808 including 2 963 related deaths e t e t c 40000 c with a case fatality rate of 0.19%. The country experienced a second wave e 29% 0.19% e p p 1500 s

s Children < 5 years CFR of this outbreak from 27 April 2017. The total number of suspected cholera u u s 30000

s

o f

cases reported during the second wave were 1 464 981 including 2 834 o f

1000 r r e

e 20000 related deaths with a case fatality rate of 0.19%. b

b Last 4 weeks key figures, February 2019 m m u

Since January 2018, a total of 11 704 stool specimens were tested. Out of u

500 N

N 10000 these, 3 698 were laboratory confirmed for Vibrio cholerae. 31 960 55 0.17% 0 0 Suspected Related CFR The 5 governorates with the highest cumulative attack rate per 10 000 are 444546474849505152 1 2 3 4 5 6 7 8 9 10111213141516 17 20 24 28 32 36 40 44 48 52 1 5 9 13 17 21 26 30 35 39 43 45 48 52 1 5 9 2017 2018 2019 cases deaths Amran (1 320.76), (1 124.11), Sana’a (831.08), Dahamar (738.26) 2016 2017 and (677.13). The national attack rate is 520.10 per 10 000. Epi weeks Epi weeks The Governorate with high numbers of deaths are (475), (391), Al Distribution of suspected cholera cases in Yemen, Hudaydah (344) and Amran and Taizz (226). January 2017 – February 2019

Cholera cases reported in Yemen by epidemic wave, Cholera cases and deaths reported during the second wave October 2016 – February 2019 (n= 1 490 808) by governorate, 27 April 2017 – 28 February 2019 Cumulative attack 2% Amanat Al Aslma Governorate Cases Deaths CFR (%) rate (per 10 000) Al Jawf Abyan 28399 42 0.15 491.68

Aden 23297 71 0.30 247.73 Amran First wave Al Bayda 50320 71 0.14 657.47 Hajjah Second wave Al Dhale'e 48952 86 0.18 658.43 Al Hudaydah 222130 344 0.15 677.13 Al Mahwit 98% Al Jawf 19259 27 0.14 329.54 Sana’a Al Maharah 1173 1 0.09 77.33 Al Hudaydah Al Mahwit 83293 188 0.23 1124.11 Shabwah Cholera cases and Case fatality rates by governorate Amanat Al Asimah 153440 110 0.07 528.74 Baymah Dhaman in Yemen, 27 April 2017 – 28 February 2019 (second wave) Amran 154215 226 0.15 1320.76 Dhamar 150657 197 0.13 738.26 Al Bayda Ibb 250000 0.80 Hajjah 141511 475 0.34 591.81 Ibb 102870 391 0.38 344.08 s 0.70

e Abyan s 150000 ) Lahj 26384 31 0.12 258.83 a % c ( 0.60 Taizz

d e Marib 7354 8 0.11 202.02 t e t a

c 0.50 150000 R

Lahj e Moklla 575 2 0.35 12.85 y p t i s l u 0.40 a Raymah 23041 155 0.67 374.58 t s

a f F o 10000

Sa'ada 22245 15 0.07 237.22

r 0.30 e e s b Sana'a 123424 165 0.13 831.08 C a m 0.20

u 5000

N Say'on 31 0 - 0.81 0.10 Shabwah 1402 3 0.21 22.93 Number of cholera cases 0 0.00 Taizz 81009 226 0.28 267.37 0 1 10 ,000 20 ,000 50 ,000 Total 1 464 981 2 834 0.19 520.10 Governorate

Disclaimer: Permission must be sought from the Ministry of Public Health and Population Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, Egypt Yemen and WHO Representative of Yemen to use this data.

WHO-EM/CSR/209/E For Correspondence: Tel + 20-2-22765604, Fax + 20-2-2765456. E-mail: [email protected]