DOCSLIB.ORG

Cholera Situation and Response Updates 27 October 2017

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Cholera Situation and Response Updates 27 October 2017 Republic of South Sudan CHOLERA SITUATION AND RESPONSE UPDATES 27 OCTOBER 2017 Epidemic trends § Cholera transmission reported in three counties [Juba, Budi, and Kapoeta East] in the last four weeks [40-43, 2017]. § Two cholera cases were confirmed from Napotpot, Kapoeta East after more than two incubation periods without cases. Oral cholera vaccination was conducted in the county and there is currently no evidence of active transmission. § Nine cholera cases were confirmed from Juba in week 43 (table 2). § Cholera transmission in Budi has continued to decline (Table 1, Figs. 1&2). § Three suspect cholera cases (all RDT positive) reported from Mayom in the last four weeks. Table 1: Cholera cases by county for weeks 40, 2017 to 43, 2017 Cases reported Deaths Cumulative Cumulative New Date first (attack New during County during Facility+ reported Number rate per reporting reporting Community Facility Community of cases 10,000) period period CFR% Kapoeta East 24-Apr-17 2 2,107 88 0 16 10 1.23 Juba 18-Jun-16 112 2,808 48 1 26 10 1.28 Budi 22-Jul-17 33 703 41 2 43 36 11.24 § During the last four weeks, Juba and Budi have reported the highest number of cholera cases (Table 1). During the same period, three deaths were reported from Budi (2) and Juba (1) (Table 1). Fig. 1|ChoLera cases in Juba, Budi, & Fangak from week 39 to 42, 50 2017 40 46 30 26 Budi Juba Fangak 23 20 22 Number of cases 7 10 10 0 7 10 0 wk39 wk 40 wk 41 wk 42 EpidemioLogicaL week of onset 1 § A cumulative of 703 cases including 79 deaths [CFR 11.2%] have been reported in Budi since week 29, 2017 (Table 1 and Figure 2). Overall, males (54.8%) are more affected than females (43.4%). Male children and male young adults are more affected than their female counterparts of corresponding age (Figure 3). § The outbreak in Budi started on 28 July 2017 with the initial transmission occurring among gold-miners in Ngauro. Fig. 2|Cholera epidemic curve, Budi county 2017 140 100% 100% 90% 120 Alive Dead CFR% 80% 100 70% 67% 80 60% 50% 60 CFR % 40% 40 30% Number of cases/deaths 20% 20% 20 16% 17% 16% 17% 10% 9% 9% 8% 10% 0 0% 0% 0% 0% 0% 0% 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Epidemiological week of illness onset 2017 Cordaid and the County Health Department are supporting management in Ngauro CTU, Kimotong CTU, Kimotong PHCC, Vaka ORP, Nagishot PHCC, and Kakilai PHCC in Budi county. Fig. 3|ChoLera case distribution by age and sex, Budi, week 26 - 42 2017 75-79 0.10 0.00 70-74 0.10 65-69 0.40 0.00 60-64 0.100.70 55-59 0.10 1.10 50-54 1.60 2.00 45-49 2.10 2.30 40-44 2.30 3.70 35-39 3.00 2.80 30-34 7.50 3.80 25-29 6.00 4.30 20-24 7.40 4.10 15-19 5.10 6.10 10-14 3.10 2.40 5-9 4.00 3.40 <0-4 11.40 6.40 14 12 10 8 6 4 2 0 2 4 6 8 Percentage % There are ample cholera case management kits and the cholera treatment facilities are 2 adequately staffed for the current case-loads. In addition to case management, surveillance, and WASH interventions, a cholera vaccine campaign is planned for the second week of November 2017. In Juba, 112 cases including one death (CFR 0.89%) were reported in the last four weeks [week 40-43]. Most of the cases seen in Juba in the last four weeks originated from Rejaf, Kator, and Northern Bari payams. An oral cholera vaccine campaign has been completed in Juba targeting both high-risk locations and areas with active transmission. Fig. 4|ChoLera cases per 10,000 by county in South Sudan, 2016 and 2017 15 Yirol West - 143 Yirol East - 1 Tonj North - 144 Tonj East - Terekeka 1 - Rubkona 22 70 0 Renk - Panyijiar 38 40 4 Nyirol - 0 Mayom - Mayendit 13 10 2017 2016 1 Malakal - Magwi -1 Leer - 10 87 Kapoeta … - 66 Kapoeta … - 88 Kapoeta East - Juba 14 35 131 Fashoda - Fangak 8 8 Duk 10 47 Canal Pigi 3 11 Budi 41 - 5 Bor 4 189 Ayod - Awerial 31 74 - 20 40 60 80 100 120 140 160 180 200 choLera cases per 10,000 population OveraLL choLera trends § Since the start of the current outbreak on 18 June 2016, a total of 21,268 cases including 437 deaths (CFR 2.05%) have been reported from 26 counties. The most affected counties include Ayod, Tonj East, Yirol East, Fashoda, Kapoeta East, and Kapoeta South (Figure 4). § The most affected populations in these locations include: Landing sites/ towns along River Nile; cattle camp dwellers; populations living on islands - no social services; and IDPs - recently displaced with inadequate access to WASH. 3 Fig. 5|ChoLera cases fataLity rate (%) by county in South Sudan, 2016 and 2017 Yirol West 0% Yirol East 4% Tonj North 0% Tonj East 2% Terekeka 33% 0% Rubkona 1% Raja 0% Panyijiar 3% 7% Nyirol 3% Mayom 44% 2% Mayendit 3% Malakal 0% 2017 2016 Magwi 3% Leer 3% Kapoeta … 1% Kapoeta … 0% Kapoeta East 1% Juba 1% 2% Fashoda 2% Fangak 1% 1% 6% Duk 9% Canal Pigi 0% 3% Budi 11% Bor 3% Ayod 1% 2% Awerial 1% 1% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% choLera case fataLity rate - CFR [%] Cholera case fatality rates were highest in counties with poor access to health care especially in populations living in the islands and cattle camps (Figure 5). Overall, a higher proportion of females (51.9%) are affected than males (47.5%). Children and young adults are more affected. Figure 6 shows the age and sex distribution of cases. There are no significant sex differences after adjusting for age (marginally higher number of cases in females). Fig 6|ChoLera case distribution by age and sex, June 2016 - Oct 2017 90+ 0.00 85-89 0.00 80-84 0.10 0.10 75-79 0.10 0.10 70-74 0.30 0.30 65-69 0.30 0.40 60-64 0.80 1.10 55-59 0.60 0.60 50-54 1.30 1.50 45-49 1.50 1.80 40-44 1.90 2.40 35-39 2.60 3.30 30-34 3.30 4.60 25-29 3.60 5.00 20-24 3.10 4.00 15-19 3.40 4.30 10-14 5.70 5.40 5-9 7.50 6.50 0-4 11.20 10.20 15 10 5 Percentage %0 5 10 15 4 Fig.7|Cholera Epidemic Curve for South Sudan, week 23, 2016 to week 43, 2017 2000 20% 1500 Alive Died CFR% 15% 1000 10% CFR% 500 5% Number of cases/deaths 0 0% 2628303234363840424446485052 2 4 6 8 1012141618202224262830323436384042 2016 2017 Figure 7 shows the overall cholera epidemic curve for South Sudan. The highest transmission peaks were associated with outbreaks that affected cattle camps in the following counties – Awerial, Yirol East, Duk, Bor, Uror, Ayod, Kapoeta East, Kapoeta South, and Kapoeta North. The same locations also reported high CFR due to poor access to health care especially at the onset of the outbreak. In week 43, the CFR is 14.3% since only seven cases including one death were reported from Juba county. As seen in Table 2, cholera cases have been confirmed every year since the onset of the South Sudan crisis in 2013. The 2016/17 outbreak is the longest and largest in magnitude and geographical extent. Due to the protracted crisis, displacements, insecurity, and declining investment in WASH, access to safe drinking water and sanitation facilities has declined significantly. Access to improved sanitation facilities is less than 10% while access to safe drinking water from improved water sources is estimated at 60%. TABLE 2|CHOLERA OUTBREAKS IN SOUTH SUDAN 2014-2017 Summary measure 2014 2015 2016/17 No. cases 6,421 1,818 21,268 No. deaths 167 47 437 CFR% 2.60% 2.59% 2.05% No. counties affected 16 3 26 Duration (weeks) 29 19 (72) Ongoing Outbreak start date 24/04/2016 18/05/2016 18/06/2016 Date of last case 13/11/2016 24/09/2016 Ongoing Attack rate [per 10,000] 27 17 45.8 5 Coordination of choLera response The National cholera task force is coordinating the overall cholera response. The task force meetings convene weekly on Wednesdays from 2 pm in the WHO conference hall in Juba. ChoLera response updates The overall response to cholera in South Sudan is coordinated by the national taskforce that is Chaired by MoH with support from WHO, Unicef, and partners (Health and WASH clusters). The weekly cholera taskforce meetings are ongoing in Juba during which, the cholera situation and the ongoing cholera prevention and response activities in the affected and high-risk areas are reviewed. During week 43, the cholera taskforce meeting was convened in Juba on 25 October 2017 to review the current cholera situation and status of outbreak response activities. In the same way, the oral cholera vaccine working group meeting was convened on 27 October 2017. The oral cholera vaccine working group meeting reviewed and updated plans for ongoing and planned oral cholera vaccine deployments.
Load more

Recommended publications
  • Cholera in South Sudan Situation Report # 95 As at 23:59 Hours, 29 September to 5 October 2014
    Republic of South Sudan Cholera in South Sudan Situation Report # 95 as at 23:59 Hours, 29 September to 5 October 2014 Situation Update As of 5 October 2014, a total of 6,139 cholera cases including 139 deaths (CFR 2%) had been reportedTable 1. Summary in South of Suda choleran as cases summarizedreported in in Juba Tables County 1 and, 23 2.April – 5 October 2014 New New New deaths Total cases Total Total admisions discharges Total Total cases Reporting Sites 29 Sept to currently facility community Total cases 29 Sept to 29 Sept to deaths discharged 5 Oct 2014 admitted deaths deaths 5 Oct 2014 5 Oct 2014 JTH CTC 0 0 0 0 16 0 16 1466 1482 Gurei CTC (changed to ORP) Closed 28 July 2 0 2 365 367 Tongping CTC 0 2 1 3 69 72 Closed August Jube 3/UN House CTC Closed August 0 0 0 0 97 97 Nyakuron West CTC Closed 15 July 0 0 0 18 18 Gumbo CTC Closed 5 July 0 0 0 48 48 Nyakuron ORP Closed 5 July 0 0 0 20 20 Munuki ORP Closed 5 July 0 0 0 8 8 Gumbo ORP Closed 15 July 0 3 3 67 70 Pager PHCU 0 0 0 0 1 5 6 42 48 Other sites 0 0 0 1 15 16 1 17 Total 0 0 0 0 22 24 46 2201 2247 N.B. To prevent double counting of patients, transferred cases from ORPs to CTCs are not counted in the ORPs. Table 2: Summary of cholera cases reported outside Juba County, 23 April – 5 October 2014 New New New Total cases Total Total admisions discharges deaths Total Total cases Total States Reporting Sites currently facility community 29 Sept to 29 Sept to 29 Sep to deaths discharged cases admitted deaths deaths 5 Oct 2014 5 Oct 2014 5 Oct 14 Kajo-Keji civil hospital 0 0 0 0
    [Show full text]
  • Ss 9303 Ee Kapoeta North Cou
    SOUTH SUDAN Kapoeta North County reference map SUDAN Pibor JONGLEI ETHIOPIA CAR DRC KENYA UGANDA EASTERN EQUATORIA Kenyi Lafon Kapoeta East Akitukomoi Kangitabok Lomokori Kapoeta North Ngigalingatun Kangibun Kalopedet Lokidangoai Nomogonjet Nawitapal Mogos Chokagiling Lorutuk Lokoges Nakwa Owetiani Nawabei Natatur Kamaliato Kanyowokol Karibungura Lokale Nagira Belengtobok Tuliabok Lokorechoke Kadapangolol Akoribok Nakwaparich Kalobeliang Wana Kachinga Lomus Lotiakara Pucwa Lopetet Nawao Lokorilam Naduket Tingayta Lodomei Kibak Nakatiti International boundary Nakapangiteng Napusiret Napulak State boundary Loriwo County boundary Kochoto Naminitotit Parpar Undetermined boundary Napusireit Nakwamoru Abyei region Kotak Kasotongor Napochorege Katiakin Nawayareng Riwoto Lokorumor Country capital Nangoletire Lokualem Lumeyen Logerain Lomidila Takankim Lobei Administrative centre/County capital Lokwamor Nacukut Naronyi Nakoret Lotiekar Namukeris Principal town Napotit Naoyatir Nakore Napureit Secondary town Lokwamiro Narubui Barach Lolepon Lotiri Paima Village Loregai Narongyet Lochuloit Kabuni Primary road Kudule Locheler Napusiria Napotpot Secondary road Nacholobo Tertiary road Budi Idong Main river Kapoeta South 0 5 10 km The administrative boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Final boundary between the Republic of Sudan and the Republic of South Sudan has not yet been determined. Final status of Abyei area is not yet determined. Created: March 2020 | Code: SS-9303 | Sources: OCHA, SSNBS | Feedback: [email protected] | unocha.org/south-sudan | reliefweb.int/country/ssd | southsudan.humanitarianresponse.info .
    [Show full text]
  • Cholera in South Sudan Situation Report # 67 As at 23:59 Hours, 22 July 2014 Situation Update
    Republic of South Sudan Cholera in South Sudan Situation Report # 67 as at 23:59 Hours, 22 July 2014 Situation Update As of 22 July 2014, a total of 4,765 cholera cases including 109 deaths (CFR 2.3%) had been reported in South Sudan as summarized in Tables 1 and 2. Laboratory results have confirmed cholera cases in Kapoeta North and Budi counties in Eastern Equatoria state. Table 1. Summary of cholera cases reported in Juba County, 23 April - 22 July 2014 New New Total cases Total Total New deaths Total Total cases Reporting Sites admisions discharges currently facility community Total cases today deaths discharged today today admitted deaths deaths JTH CTC 3 9 0 2 16 0 16 1393 1411 Gurei CTC (changed to ORP) 3 3 0 0 2 0 2 363 365 Tongping CTC 0 0 0 3 2 1 3 58 64 Jube 3/UN House CTC 5 5 0 9 0 0 0 57 66 Nyakuron West CTC Closed 15 July 0 0 0 18 18 Gumbo CTC Closed 5 July 0 0 0 48 48 Nyakuron ORP Closed 5 July 0 0 0 20 20 Munuki ORP Closed 5 July 0 0 0 8 8 Gumbo ORP Closed 15 July 0 3 3 67 70 Other sites 0 0 0 0 1 14 15 1 16 Total 11 17 0 14 21 18 39 2033 2086 N.B. To prevent double counting of patients, transferred cases from ORPs to CTCs are not counted in the ORPs. Table 2. Summary of cholera cases reported outside Juba County, 23 April – 22 July 2014 New New New Total cases Total Total Total Total cases Total States Reporting Sites admisions discharges deaths currently facility community deaths discharged cases today today today admitted deaths deaths Kajo-Keji civil hospital X X X 2 1 2 3 53 59 CES Yei Hospital X X X 0 0 2 2 45 47
    [Show full text]
  • Date: December 15, 2006 From: WHO Collaborating Center for Research, Training and Eradication of Dracunculiasis Subject: GUINEA
    Public Health Service Centers for Disease Control DEPARTMENT OF HEALTH & HUMAN SERVICES and Prevention (CDC) Memorandum Date: December 15, 2006 From: WHO Collaborating Center for Research, Training and Eradication of Dracunculiasis Subject: GUINEA WORM WRAP-UP #168 To: Addressees Count Down to Glory Consecutive months with zero indigenous cases: Nigeria 6 Ethiopia 5 Nigeria (653,000 cases in 1989) has had no indigenous cases for six months. Uganda (126,000 cases in 1992) has had no indigenous cases for three years. FIRST PROGRAM REVIEW HELD IN SOUTHERN SUDAN The Ministry of Health of the Government of South Sudan (GOSS) convened the first Program Review of the South Sudan Guinea Worm Eradication Program (SSGWEP) in Juba on December 5-6, 2006. The Vice President of the GOSS Dr. Riek Machar and the GOSS Minister of Health Dr. Theophilus Ochang Lotti opened the review meeting. The coordinator of the SSGWEP, Mr. Makoy Samuel, summarized the current status of the program during the opening ceremony, which was also attended by other MOH officials, representatives of The Carter Center, UNICEF, and the World Health Organization (WHO), and ministers of health of six southern states and program personnel from all ten southern states; as well as by the national program coordinator Dr. Nabil Aziz; a member of the Global Commission for the Certification of Dracunculiasis Eradication, Dr. Joel Breman; and representatives from the Ethiopian Dracunculiasis Eradication Program. (The Minister of Health for North Bahr Al-Ghazal state used to sew cloth filters for the Guinea worm program in southern Sudan as a member of the Sudanese Women’s Association of Nairobi during the civil war.) In his opening remarks, the GOSS vice president reminded everyone that earlier this year, the President of the GOSS publicly stated his government’s priority for the SSGWEP and for achieving eradication by the 2009 target date during a speech to the Legislative Assembly.
    [Show full text]
  • Final Resettlement Action Plan Report
    Public Disclosure Authorized Upgrading of the NADAPAL-JUBA ROAD Public Disclosure Authorized from Gravel to Paved (Bitumen) Standards FINAL RESETTLEMENT ACTION PLAN REPORT Public Disclosure Authorized Issued on: November 6th, 2013 EMPLOYER: Ministry of Transport, Roads and Bridges, Government of Republic of South Sudan CONSULTANT: Public Disclosure Authorized SMEC INTERNATIONAL PTY LIMITED, AUSTRALIA REVISED BY: Ing. MRS. RITA OHENE SARFOH i | P a g e Table of Contents List of Tables ............................................................................................................................................. vi List of Figures ........................................................................................................................................ vi Acronyms ................................................................................................................................................. vii Executive Summary ................................................................................................................................... ix Chapter 1Introduction ................................................................................................................................. 1 1.1 Background .................................................................................................................................. 1 1.2 The Statements of Objectives........................................................................................................ 2 1.3 Brief Description
    [Show full text]
  • Cholera in South Sudan Situation Report # 93 As at 23:59 Hours, 15-21 September 2014
    Republic of South Sudan Cholera in South Sudan Situation Report # 93 as at 23:59 Hours, 15-21 September 2014 Situation Update As of 21 September 2014, a total of 6,128 cholera cases including 139 deaths (CFR 2.27%) had beenTable reported1. Summary in of South cholera Sudan cases asreported summarized in Juba in County Tables, 23 1 April and –2.21 September 2014 New New New deaths Total cases Total Total admisions discharges Total Total cases Reporting Sites 15-21 Sept currently facility community Total cases 15-21 Sept 15-21 Sept deaths discharged 2014 admitted deaths deaths 2014 2014 JTH CTC 3 3 0 0 16 0 16 1455 1479 Gurei CTC (changed to ORP) Closed 28 July 2 0 2 365 367 Tongping CTC 0 2 1 3 69 72 Closed August Jube 3/UN House CTC Closed August 0 0 0 0 97 97 Nyakuron West CTC Closed 15 July 0 0 0 18 18 Gumbo CTC Closed 5 July 0 0 0 48 48 Nyakuron ORP Closed 5 July 0 0 0 20 20 Munuki ORP Closed 5 July 0 0 0 8 8 Gumbo ORP Closed 15 July 0 3 3 67 70 Pager PHCU 1 1 0 0 1 5 6 42 48 Other sites 0 0 0 1 15 16 1 17 Total 4 4 0 0 22 24 46 2190 2244 N.B. To prevent double counting of patients, transferred cases from ORPs to CTCs are not counted in the ORPs. Table 2: Summary of cholera cases reported outside Juba County, 23 April –21 September 2014 New New New Total cases Total Total admisions discharges deaths Total Total cases Total States Reporting Sites currently facility community 15-21 Sept 15-21 Sept 15-21 deaths discharged cases admitted deaths deaths 2014 2014 Sept 2014 Kajo-Keji civil hospital 0 0 0 0 3 4 7 86 93 CES Yei Hospital -- 0
    [Show full text]
  • Review of Rinderpest Control in Southern Sudan 1989-2000
    Review of Rinderpest Control in Southern Sudan 1989-2000 Prepared for the Community-based Animal Health and Epidemiology (CAPE) Unit of the Pan African Programme for the Control of Epizootics (PACE) Bryony Jones March 2001 Acknowledgements The information contained in this document has been collected over the years by southern Sudanese animal health workers, UNICEF/OLS Livestock Project staff, Tufts University consultants, and the staff of NGOs that have supported community-based animal health projects in southern Sudan (ACROSS, ACORD, ADRA, DOT, GAA, NPA, Oxfam-GB, Oxfam-Quebec, SC-UK, VETAID, VSF-B, VSF-CH, VSF-G, Vetwork Services Trust, World Relief). The individuals involved are too numerous to name, but their hard work and contribution of information is gratefully acknowledged. The data from the early years of the OLS Livestock Programme (1993 to 1996) was collated by Tim Leyland, formerly UNICEF/OLS Livestock Project Officer. Disease outbreak information from 1998 to date has been collated by Dr Gachengo Matindi, FAO/OLS Livestock Officer (formerly UNICEF/OLS Livestock Officer). Rinderpest serology and virus testing has mainly been carried out by National Veterinary Research Centre, Muguga, Nairobi. Any errors or omissions in this review are the fault of the author. If any reader has additional information to correct an error or omission the author would be grateful to receive this information. For further information contact: CAPE Unit PACE Programme OAU/IBAR PO Box 30786 Nairobi Tel: Nairobi 226447 Fax: Nairobi 226565 E mail: [email protected] Or the author: Bryony Jones PO Box 13434 Nairobi Kenya Tel: Nairobi 580799 E mail: [email protected] 2 CONTENTS Page 1.
    [Show full text]
  • Alternative Citizenship the Nuer Between Ethiopia and the Sudan ABORNE Workshop on Sudan’S Borders, April 2011 Dereje Feyissa
    Alternative citizenship The Nuer between Ethiopia and the Sudan ABORNE Workshop on Sudan’s Borders, April 2011 Dereje Feyissa Abstract A lot has been written about state borders as constraints to local populations who are often ‘artificially’ split into two and at times more national states (Asiwaju 1985; Kolossov 2005). The Nuer, like many other pastoral communities arbitrarily divided by a state border, have experienced the Ethio-Sudanese border as a constraint, in as much as they were cut off from wet season villages in the Sudan and dry season camps in Ethiopia. As recent literature on the border has shown, however, state borders function not only as constraints but also as opportunities (Nugent 2002), and even as ‘resources’ (Dereje and Hohene 2010). The paper examines how the Nuer have positively signified state border by tapping into - taking advantage of their cross-border settlements -fluctuating opportunity structures within the Ethiopian and Sudanese states through alternative citizenship. Nuer strategic action is reinforced by a flexible identity system within which border-crossing is a norm. Sudan's Southeastern frontier: The Toposa and their Neighbours (abstract) The Topòsa and some of their neighbours have long been among the groups in particular remoteness from the political and economic metabolism of the state system. Until recently, the borders of the Sudan with three other nations, Uganda, Kenya and Ethiopia, that touch on their area could be considered mere notions and lines on maps of another world. This situation has substantially changed since the 2nd Sudanese Civil War – and with it the meaning of terms like “their area”.
    [Show full text]
  • Greater Kapoeta Cattle Migration and Cholera Transmission Brief Greater Kapoeta, Eastern Equatoria State, South Sudan, March 2018
    Greater Kapoeta Cattle Migration and Cholera Transmission Brief Greater Kapoeta, Eastern Equatoria State, South Sudan, March 2018 Introduction Key Findings In April 2017, cases of cholera surfaced in Kapoeta North County, and rapidly spread to the rest of the Greater Kapoeta area (Kapoeta • The 2017 cholera outbreak affected the Greater Kapoeta area South, East and North Counties).1 The spread of cholera across at the very end of the dry season when pastoralists were leaving the area occured in the late dry season (November-May), a time swampy areas toward settlements all across the territory, where the area’s pastoralist communities are getting ready to leave creating the conditions for a rapid spread of cholera. Toward seasonal grazing lands toward their home settlements. A lack of the late dry season, pastoralists tend to be highly concentrated information on cattle migration patterns impeded access of livesaving around scarce water sources in camps where open defecation assistance to many cattle camps and pastoralist communities. To is widespread and WASH infrastructure is not available.3 inform future humanitarian response to crisis affected populations • Humanitarian access to cholera-affected pastoralist in the Greater Kapoeta area, REACH conducted an assessment communities of the Greater Kapoeta area was impeded by of cattle migration patterns and dynamics. REACH looked at poor road infrastructure compounded by the rainy season whether or not these influenced the spread of the disease and the onset, insecurity, mistrust as well as lack of information effectiveness of the response during the cholera outbreak in the regarding cattle migration routes and areas of large seasonal Greater Kapoeta area in 2017.
    [Show full text]
  • 2Nd Round Standard Allocation
    Requesting Organization : Associazione Volontari per il Servizio Internazionale Allocation Type : 2nd Round Standard Allocation Primary Cluster Sub Cluster Percentage EDUCATION 100.00 100 Project Title : Comprehensive Cholera-Prevention Response in Education in Kapoeta and Magwi Allocation Type Category : Frontline services OPS Details Project Code : SSD-17/E/104085 Fund Project Code : SSD-17/HSS10/SA2/E/INGO/6577 Cluster : Education Project Budget in US$ : 302,507.51 Planned project duration : 9 months Priority: Planned Start Date : 01/09/2017 Planned End Date : 31/05/2018 Actual Start Date: 01/09/2017 Actual End Date: 31/05/2018 Project Summary : AVSI South Sudan conducted an education rapid assessment in Kapoeta region, covering the areas of Kapoeta North, Kapoeta East and Kapoeta South, from Wednesday July 5th to Friday July 7th 2017. The aim of the assessment was to understand the education situation in Kapoeta State, especially related to aspects of hygiene and sanitation, considering the recent outbreak of cholera that affected the region. In order to tackle this cholera crisis, AVSI is proposing a comprehensive response to this situation through a direct intervention in schools with a WASH programme that will respond to the immediate health threats that pupils are facing during learning hours due to the poor hygiene conditions of the schools. The strategy behind this intervention is to use schools as catalysts for behavioral change regarding cholera-prevention and treatment among the whole community of the area. The first step of this intervention will focus on providing the schools with the right tools for facing a potential cholera-outbreak in the establishments.
    [Show full text]
  • South Sudan: Force Protection Map As of June 2018 White Nile Sennar
    South Sudan: Force Protection map as of June 2018 White Nile Sennar The map is shown where the road require force protection for convoy and access denied. Girbanat ! Renk Manyo ! Dakona! SUDAN ! El-galhak Renk Routes/roads in Eastern Equatoria for Force Protection (FP) requirements Road Status ! Kaka Torit - Liria - Juba Recommended Melut ! ! Paloich Tori - Magwi Recommended Magwi - Ame/Aru Junction Not recommended ! Melut Magwi - Maaji - Abara Not recommended ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Wuntau ! Magwi - Panyikwara - Owinygibul Not recommended ! ! ! ! Magwi - Opari Not recommended ! Yida ! ! ! o Adar Bunj ! ! ! Nimule - Moli - Aru Junction Recommended ! ! Fashoda o ! Rom ! Pariang ! ! Nimule - Mugale Not recommended ! ! ! Guel Guk an ! Kodok! Mab Nimule - Melijo Not recommended ! Malakal ! ! ! ! Akoka ! ! Magwi - Iyire - Ayaci - Lobone Not recommended ! ! ! ! Biu Panyikang ! ! ! Agarak Parajok - Pugee Recommended ! ! Malual ! Abiemnhom Tonga ! P ! ! o Magwi - Agoro - Omeo Not recommended ! Malakal Baliet ! ! ! ! ! Abiemnom ! Wath Wang! Kech Motti - Gonyoro Recommended ! ! ! ! ! ! ! ! ! ! ! ! ! ! Banglai ! Aweil North ! Pul Luthni ! Pakoi ! Baliet Aweil ! !! ! Udier Torit - Loudo - Lafon Not recommended Bentiu Keew ! Nyinthok Gok-machar ! East Twic ! P Longochuk ! Mayom o ! Torit - Chalamni - Imehejek Recommended Guit ! Chotbora Raga ! Wanyjok Akoc Rubkona Paguir Canal/Pigi ! Chuei Torit - Katire Not recommended ! ! Mayom ny ! Turalei ! Luakpi Warweng Chelkou Yargot ! Guit Kuon ! Torit - Imatong - Ikotos Not recommended
    [Show full text]
  • REPORT on the FACT FINDING MISSION to GREATER KAPOETA and BUDI, EASTERN EQUATORIA STATE 17Th-22Nd February, 2013
    REPORT ON THE FACT FINDING MISSION TO GREATER KAPOETA AND BUDI, EASTERN EQUATORIA STATE 17th-22nd February, 2013 Reported dated: 26th February 2013 A joint report of Relief Rehabilitation Commission, Ministry of Humanitarian Affairs and Disaster Management, Food Security and Livelihoods Cluster and Nutrition Cluster Report on the Fact Finding Mission to Greater Kapoeta and Budi Counties 17-22 February, 2013 Executive Summary A fact finding mission was deployed on 17-22 February to investigate concerns about a deteriorating food security and nutrition situation in which some hunger-related deaths were reported. The mission covered greater Kapoeta (Kapoeta East, North and South) and Budi. The fact finding mission confirmed some deaths had occurred in the assessed areas but the link to hunger as a cause was not obvious and could not be verified in the absence of medical reports. No further deaths had occurred since the alarm was raised which suggests that the deaths were highly localized and not particularly linked to the reported food security situation. However, the mission was concerned that all the deaths involved women and children. Household food availability has declined and households had increased consumption of wild food especially in Kapoeta East while food prices have increased by 30-40% and income generation is linked to sale of firewood and building materials. Livestock conditions are good but the main herd has already moved to the dry season grazing areas. With these indicators, the lean season will start earlier than expected because of the combined effects of weather-related shocks on harvest in 2012. The general health status appears to be normal but there is a dearth of health and nutrition services and existing health facilities are constrained by qualified medical personnel, equipment and supplies.
    [Show full text]