Republic of CHOLERA RESPONSE UPDATES AS OF 19-August-2017 .

Coordination of cholera response Overall coordination of the cholera response at the national level is coordinated by the National Cholera Taskforce that meets weekly on Wednesdays from 2pm in the WHO conference hall in Juba. In addition, the cholera coordination meeting in Juba Teaching Hospital is always on Monday starting 11am and Friday starting 9am in the Postgraduate School.

At the sub-national level, Cholera Taskforce Committees are coordinating the cholera response in all the affected states and counties. Other non-affected states have also initiated cholera preparedness meetings in Aweil, Torit, Wau, Yambio, and Rumbek.

Surveillance and case management updates.

Cholera Alerts Overall, only one cholera alert was received during the week Ayod County: One suspect cholera case was reported on 20th Aug 2017 in Kandak payam. CMD, the health cluster partner operating in the area is to conduct an investigation and general assessment of the situation and share findings.

General Cholera trends. There is a significant decline in cholera cases in the country over the past three weeks. The average number of cases reported in the last three epidemiological week is 80. The number of counties with active transmission reduced to nine from 11 in the past 4 weeks. These include South, Kapoeta East, Kapoeta North, Tonj East, Yirol East, Nyirol, Ayod, Duk and Juba. Low transmission continues to be reported in Lankien, Duk, Pieri, Uror, Akobo West and Yirol West. Also, cholera has been confirmed in in Kapoeta state with over 11 cases reported between the 15th and 16th August, 2017.

In Juba, transmission in Don Bosco IDP camp is controlled following the first round of oral cholera vaccination from 3rd to 6th July 2017 although there are few sporadic cases being reported. There is sporadic transmission also from Jebel Suk, Mahad, Newsite, Munuki Bk C, and Thongpiny areas.

Cholera response updates and field missions At least 50 cholera treatment facilities including cholera treatment centers and units; and oral rehydration points are currently operational in the areas with active cholera transmission. In Juba, HLSS has been supported by Unicef to establish 9 ORP sites in AlSabbah hospital; Gurei; Kator; Lologo; Gumbo; Don Bosco, KorWoliang, Nesitu, and Nyakuron.

In Tonj East, there are currently seven (7) cholera treatment facilities (4-CTUs and 3-ORPs) The four CTUs are located in Makuac, Mapara, Paweng and Paliang payams while the ORPs are in Ager bac, Aliet and Apernum. Four more ORPs are proposed to be sited at Marial Lou where cholera has been confirmed, Wunbol, Golguk and Pagour. One more CTU has been established in response to the case upsurge in Marial Lou. A total of 15 cholera treatment facilities have been set up in Kapoeta state, with Kapoeta South having 1CTC, 1CTU, and 1 ORP; Kapoeta East having 3CTUs and 3 ORPs; and Kapoeta North having 1 CTC and 5 ORPs.and One ORP is being put up in Budi County

Oral cholera vaccination A total of 640,893 (71%) doses have been deployed during the first round and 161,321 doses in the second round. Cholera cases have significantly reduced in areas where the OCV campaigns have been conducted so far in 2017. Since the beginning of 2017, cholera vaccines have been deployed in Leer, BorPoC, Malakal Town, BentiuPoC, Mingkaman IDP settlement, Aburoc IDPs, Bentiu/Rubkona Town, Ayod (Pagil, Tar, Jiech, Karmun, Padek, and Kandak), Juba (Don Bosco IDPs), Kapoeta North, Kapoeta South, Kapoeta East and Tonj East and surrounding payams.( Ref. Tab.2) The next phase of the campaign will target the remaining four prioritized counties including Juba, Akobo/Uror, Lankien and Panyijiar with a target population of 395,940.

An additional 2 million doses of oral cholera vaccines are required to mitigate the risk of cholera in high risk areas and to interrupt transmission in the areas with ongoing transmission. WHO is in the final stages of securing these additional doses to complement the ongoing cholera response.

Table 2: Doses of Oral Cholera Vaccines deployed in 2017 by site Target First round Second round No Site pop. # vacc. %cov. # vacc. %cov. Drop Vacc. Dates Partner out 1 Leer 44,731 30,772 69 - - - 22-Feb-17 MedAir, WHO,UNICEF 2 Malakal Town 16,500 10,499 64 - - - 18-22 May MSF-E, WHO,UNICEF 3 BorPoC 2,265 1,926 85 1,885 83 - 3-4 Apr/ HLSS, 26-29 Apr WHO,UNICEF 4 Mingkaman 111,278 68,512 62 42,296 38 - 12-26 May MedAir, 10-21 Jun WHO,UNICEF 5 Ayod Tar 19,400 15,649 81 - - - 9-22 May MedAir, WHO,UNICEF 6 AyodPagil 4,850 3,943 81 - - - 9-22 May MedAir, WHO,UNICEF 7 BentiuPoC 112,924 72,514 64 77,603 69 - 5-10 May IOM, WHO, UNICEF 8 Rabkona&Bentiu 35,204 31,908 91 38,387 109 - 20-23 Jun IOM, WHO, town UNICEF 9 Aburoj IDPs 11,640 10,723 92 - - 20-22 May MSF-E, WHO,UNICEF Ayod (Jiech, 10 Karmun,Padek&Kand 15,000 11,140 74 - - - 22-25 Jun IOM, CMD, ak) WHO, UNICEF MSF-H, 11 Juba Don Bosco IDPs 5,940 3,909 66 1150 19 - 3-6 Jul; 24- WHO,UNICEF 27 Jul WHO, 12 Tonj East 189,058 160,862 85 - - - 6-12Aug UNICEF, IOM,CCM, THESO 13 Kapoeta North 141,520 73,767 52.1 - - - 29 Jul-4-Aug WHO, UNICEF, SCI 14 Kapoeta South 97,000 78,469 81 29 Jul-4-Aug WHO,UNICEF, ARC 15 Kapoeta East 97,000 66,300 68 29 Jul-4-Aug WHO, UNICEF, SCI Total doses deployed 2017 904,310 640,893 71 161,321 42

Fig.1: Updated First Round OCV Vaccination, 2017

Target Coverage % Coverage

1,000,000 90.0 379,398 85.1 900,000 80.9 80.0

800,000 72.3 68.4 70.0 700,000 60.0 600,000 52.1 50.0 500,000 40.0

160,862 Target/Coverage

400,000 %Coverage 30.0 300,000 73,767 524,578 78,469 66,300 200,000 20.0

100,000 189,058 10.0 141,520 97,000 97,000 0 0.0 Kap-N Kap-S Kap-E Tonj-E Total Counties

A total of 379,398 out of a target of 524,578 across the four counties were vaccinated, representing 72.3% of the target population. Kapoeta South and Tonj East recorded slightly above 80%, that is, 80.9% and 85.1% respectively. Following a low coverage in Kapoeta North during the first round, a mop-up campaign was conducted in the area which saw the 29,329 more people vaccinated. This brings the total of people

vaccinated in the county to 73, 767 (52%).

Kap= Kapoeta North, South, East and Tonj East

Laboratory updates A total 664 samples of cholera have been tested of which 41% (272) have been confirmed positive for Vibrio cholerae.

Tab.3: Laboratory statistics

Culture results State (County) Cumulative New positives in week 32 Positive Cumulative Negative Total tested Central Upper Nile 0 0 5 5 Jonglei-Duk 0 7 5 12 Jonglei-Bor South 0 6 3 9 Jonglei-Lankien 0 4 3 7 Jubek-Juba 2 115 149 266 Terekeka 0 2 0 2 Eastern Lakes - Mingkaman 0 44 52 96 Eastern Lakes – Yirol West 0 3 0 3 Eastern Lakes – Yirol East 0 4 6 10 Imatong 0 7 1 8 Fangak – Fangak 0 18 42 60 Fangak – Ayod 0 1 2 3 Wau 0 0 6 6 Boma 0 0 3 3 Northern Liech – Rubkona 0 32 76 108 Northern Liech – Mayom 0 1 3 4 Southern Liech – Leer 0 2 0 2 Southern Liech - Panyijiar 0 1 0 1 Southern Liech – Mayendit 0 4 6 10 Fashoda – Kodok, Aburoc 0 3 5 8 Central Upper Nile (Pigi) 0 3 5 8 Central Upper Nile (Malakal) 0 1 11 12 Kapoeta (Kapoeta South) 0 4 2 6 Kapoeta (Kapoeta East) 0 4 0 4 Kapoeta (Budi county) 0 2 0 2 (Tonj East) 0 3 3 6 Torit 0 0 2 2 Renk (Geiger) 0 1 0 1 Total tested 02 272 390 664

WASH CLUSTER RESPONSE UPDATES

Note: WASH Cluster partners to send their Cholera response updates by Friday 4pm every week at [email protected] [email protected]

WASH Cluster Key Cholera Response updates: 13th-19th August, 2017

Nine (9) WASH Cluster partners namely Help, RUWASSA, CCOSS, CAFOD, MEDAIR, ADA, CRS, NH reported in the prescribed WASH Cluster Cholera weekly reporting matrix Locations with WASH Partners Ongoing actions with number of population reached with Cholera Gaps and recommended action ongoing outbreak and present interventions hot spots (Payam level) IOM - A cumulative total of 110 boreholes have been worked on, (Kapoeta North – 46 repaired and 0 rehabilitated, Kapoeta South – 43 repaired and 21 rehabilitated), benefitting approximately 55,000 individuals. - Kapoeta case management, - House to house visits for hygiene promotion carried out in Kapoeta surveillance & OCV working North (Najie, Chumakori, Lokwamor, Lomeyen, Paringa and group meeting: Wednesday Nakwa) and Kapoeta South (Napetait, Nanaknak and Kapoeta 9th Augu12 2017 (10h – 11h town), reaching 10,369 individuals (2,480 men, 3,448 women, and AM); 4,441 children) during the week. Kapoeta South - Kapoeta WASH cluster - The hygiene promotion activities passed messages on safe disposal (Nakwasingira, Napetait, meeting: Friday 11th August of human waste, proper handwashing with soap and running Nanaknak, Kapoeta 2017 (1.30PM – 3h PM) water at all critical times, safe water chain and handling, good town) and IOM health seeking behavior for cholera and mobilization for OCV. - Kapoeta Cholera taskforce Kapoeta North - Handover process completed with CMD to take over WASH meeting (with the Governor): (Lomeyen, Najie, activities in Kapoeta South. By 21st August 2017, CMD will start Friday 11th August 2017 (3h – Paringa, Lokwamor, implementing the activities; 5h PM) Chumakori and Nakwa) - Cholera cases have dropped

CINA in Kapoeta North, South and Focal Point: David - Selection and training of 38 hygiene promoters completed in Kinyua East (only 3 cases in total for Katiko. The team will be working in 19 bomas (2 HP/Boma); Project Officer – WASH the past week); - Hygiene promotion awareness conducted on main cholera (EPnR) prevention messages and total of 1,911 households (1757 women, IOM South Sudan 1133 men, 838 boys and 802 girls) have been targeted. Cell: +211 920 083 201

+211 915 776 520 CINA CMD +211 954 355 494 (Machi 1, Machi 2) - Plan to implement WASH project in Kapoeta for 8 months; Skype: david.kinyua37 - Currently, the main targeted areas are under Kapoeta South [email protected] (Nanaknak, Kapoeta town, Nakwasingera and Napetait).

- The main activities will be: rehabilitation of toilets; rehabilitation of water points, including creation and training of Water Management Committees; hygiene promotion activities; - Discussion ongoing with Unicef for the possibility to extend activities to Budi County to respond to the current outbreak (establishment of health facility). . South Sudan Red Cross - Hygiene promotion conducted from the past week and total of 100 households (31 boys, 58 girls, 197 women and 133 men) were reached with cholera prevention and response messages; - Expect supplies to be coming from Torit to continue distribution during household’s visits (PuR, Aquatabs, Soaps…) Plan to extend activities to Machi 2 (Kapoeta South) and Narus, Napotpot and Kauto (Kapoeta East) IRW/UNICEF 1 hand pump repaired in Kokoro, Narusboma; - - 7,000 (700 strips) of aquatabs distributed across Lokumaboma; IRW/UNICEF - Garbage polythene bags (28,160 pieces) delivered but yet to (Nadapal, Narus, be distributed across Katodoripayam; - Meeting to be held with Cord Napotpot) - 273 HHs to benefit from aquatabs already delivered with each aid and SI to mitigate Kapoeta East receiving 5 strips in Nadapal town. duplication. (Nadapal, Narus,

Napotpot, Loyolo, Rural Action Against Hunger (RAAH) Mogos, Natinga/New - Identification of NFIs beneficiaries of Lolim and Lopua completed Site, Lolim, Lopua, (1,000 households selected) - SSRC to meet with RAAH, Katodori) - Hygiene promotion activities in the two location of Lolim and Lopua. Intersos and IRW to identify

The topic this week was food hygiene. In light of the plans, the areas not yet covered in Focal Point: David following achievements were realized 651 HHS reached with routine Kapoeta East by current Kinyua partners on the ground and Project Officer – WASH Hygiene promotion messaging. A total of 1052 individuals reached avoid duplication. (EPnR) (439 Women, 201 Men 220 Girls and 192 Boys); - SSRC to meet with CINA, IOM South Sudan - Items have been received from County Department in Kapoeta East: currently intervening in Cell: +211 920 083 201 28 boxes of PuR, 8 boxes Aquatabs, 13 rolls of cholera posters. Machi 2 to avoid duplication +211 915 776 520

+211 954 355 494 Intersos RAAH Skype: david.kinyua37 - Intersos will be implemented WASH project in Kapoeta East for 9 (Lolim, Lopua) [email protected] months;

- The main targeted areas is from Narus to Kuron (no humanitarian partner is allowed to go after Kuron)

- The main activities will be focused on boreholes repairs and

rehabilitation, households latrines construction (subsidy), hygiene

promotion activities (schools and community) and NFI distribution (mainly MHM kits)

Solidarités International - Partners suggested that areas - Assessment has been completed and report shared with partners; in Budi, especially Ngauro, be - Plan to come back to Kapoeta on 22nd August 2017 to start responding considered for vaccination to the cholera outbreak in Budi County - There is still need for SI to Budi County (Ngauro) SI (Ngauro) intervene even in the presence of SSRC since proper confirmation for SSRC to respond is not obtained Yirol (Lakes) - HELP HELP All the partners to share their - CCOSS - Weekly cleaning campaigns in Yirol main market. updates on weekly bases for clear HELP – WASH Focal - Caritas - Conducted cholera mass campaign targeting women, men and school monitoring, coordination and Point - PAH children in Hai Matar with 850 individual reached with key hygiene support through the Cluster. Bernard James: - CHADO and cholera massages(Men 113, Women 204,Boys 255 Girls 293) [email protected] - HACO - 5 HH Latrine construction have been completed - Continuous mobilization of HHs for latrine construction. - CLTS mobilization is ongoing in Amethic, Wunthou, Lekakudu and Billiny villages. - Continues with key Cholera Hygiene promotion messages in Yirol town through focus group discussion, in markets and other gathering places with 8967 individuals reached (men 1406, women 2779, Boys 2070, Girls 2712) - 902 HHs (5412) individuals reached with key hygiene massages in Yirol town - Continues with hygiene and cholera prevention awareness sessions in 12 OTP facilities( in Yirol west; Aluakluak, Pandit, Anuol, Wouwou, Agany and in Yirol east; Lekakudu, Billiny, Achigor, Amethic, Khap, Pagarau and Thonabutkok) with 5978 individuals reached (Men 799, Women 2717, Boys 1088, Girls 1374) - Provision of soap for jerry can cleaning campaigns in the water points with distribution of Aqua tabs as well. - Identification of land for construction of drainable public latrines by the county authorities HACO - Hygiene promotion activities is continuous in the following areas Liepliep, Billiny, Bunagany and Bunmager. - Jerrican cleaning on going in water points with provision of soap for washing water containers - 300 HH registered in Tinapal and Rianteng for proper intervention. - Distributed soap and Aqua Tabs to 100 HHs in Billiny, Bungany, and Liepliep with 1821 beneficiaries and 657 school children from Bunagany and Mamer primary schools Caritas - Have not shared their updates CHADO - Have not shared their updates Puolchuol,Peiri,Motot,Ka Nile Hope - 1 boreholes have been rehabilitated in Puolchuolpayam this week and Lack of soap, PUR and spare parts ram,Pathai and Uror serving 650 Individuals with clean and safe water. for rehabilitation is a big PayaiUror County - House to house visits for hygiene promotion carried out in Karam, challenge . Puolchuol ,Peiri, and Modit 553 individual reach during 5 days social WASH Supplies for Uror are

DUk- - CRS-focal point - Reached 600 HH (2354 beneficiaries’ 1709 males and 1810 females) Ageer, Padiet, Pagak and - PAH with hygiene messages through house to house hygiene sensitization. Dong-chak and Payuel, - Reached 2262 beneficiaries with hygiene messages through mass WASH Cholera Focal campaign. Point: - Disinfected 84 HH stances of latrines and 81 infected HH KuanyAyiik - Carry out jerry can cleaning campaign was conducted and the total # of [email protected] 832 were cleaned

Asrat, Abayneh: [email protected] Juba PAH - PAH conducting Cholera response activities in Joppa, Walangwalang, - Many local partners are Solidarite Newsite. willing but do not have Mariana Matoso; International, - SI conducting WASH Cholera response in Hai Gudele 1, Rock City and funding. UNICEF and other [email protected] SSRC donors requested for support. Hai Gumbo. UNICEF/ THESO/ - Urban WASH technical NSDO - THESO conducting Cholera response in UN house with support from working group meeting every Medair UNICEF. week to strengthen Juba - Medair Karire 1 and 2 in RejafPayam, Don Bosco IDP camp, Gumbo, response. Next meeting on Lologo 2, Khor William. In Kator they are responding in Atlabara, 18th August at 11 am at Kator, Lologo 1, Kelibala, Suksita, JeberShukar UNICEF - Water quality monitoring to - NSDO a national NGO supported by UNICEF is working in schools and be the focus of WASH hospital in Munuki, Northern Bari and Kator in the following partners. neighborhoods: Joppa Block 2 , Joppa Block 4, Home Dove Primary , Gurie Block 1, Jebel Yesua Block 5, Rock city, St. Peters Gudele , Hai Tarawa

mobilization available in Rumbek warehouse Focal Point: Deng Bol Akobo-East - 2 new suspected cholera reported in Pathai on 17/8/2017, 1 treated for delivery Assistant – WASH and discharge and 1 under treatment Coordinator Nile Hope - 200 individual reach with hygiene and Sanitation session in Buong Cell: +211 955 308 882 health center and the house to house visited Skype: deng.bol.wuol [email protected]

Social Mobilization, Communication and Hygiene Promotion Reporting Format (13-19 August, 2017)

Locations with ongoing Partners present Ongoing Action with number of population reached with Cholera Gaps and recommended action outbreak and hot spots ( interventions Payam level)

Tonj East: Most affected - CCM, THESO, UNICEF, A total of 37 trained community mobilizers are working in the Makuac, Paliang, WHO and SMOH above locations PawengPayam, Tonj South 2 cases were reported and referred during the reporting week and Marial-Lou-Tonj North. A total of 3060 people from 510 households were reached with (Warrap) cholera messages by community mobilizers during house to house visits. Delivery of soaps, camera, IEC A total of 4099 from 23 schools were exposed to risk of cholera, materials on cholera in dingka prevention and control methods. dialect, and airing radio talk show A total of 4110 were reached with cholera messages during 22 community meeting. A total of 521 people including food vendors were reached during 13 market outreach session carried out by community mobilizers. A total of 285 water vendors with messages on water treatment and safe water storage to avoid cholera diseases at house hold levels during 19 water points session. Kapoeta ( EEQ) SSRC, ARC, Singaita FM - Send report in time In the reporting week, Kapoeta remains to be the hotspot. No major implementation gap was In Kapoata town, a total of 2,528 people have been reached with reported except delays in receiving key messages on cholera prevention and control methods, through reports from IPs 4 radio talks shows and 5 street announcements, also received 4500 PUR sachets. Community outreach in the cattle camps and goldmining sites has been stepped up during the reporting week A total of 6342 Women in the Kapoeta town public food market, were educated on five steps of cholera prevention at the food distribution. Six local advocacy meeting with community leaders to support the interventions on cholera prevention and mobilize mothers group and school teachers in the community Torit, Nimule (EES) Health Link, SSRC, AMREF and - Radio stations Jonglei (Duk, Bor and Twic - CDNF, SMoH, CHDs UNICEF supported partner CDNF continue with community East engagement activities which include household visits with critical demonstrations, community meetings, water-point and market awareness, school and cattle camps intervention in areas of Bor, Duk and TwicEast,Pibor and Pochalla. During the reporting period

A total of 11,000 people from 2200 through 100 trained volunteers social mobilizers/home health promoters) received education on community on social and behavior change intervention on cholera control and diarrheal disease prevention.

In Pibor total of 3,082 people from 474 households has been reached with cholera messages by 30 trained social mobilizers.

A total 4420 school children benefited from school-based interventions on cholera awareness session carried out by social mobilizers at 13 schools in Bor,Twiceast,Duk and Pibor counties.

A total of 784 people including water vendors from hard to reach villages of Pibor,Bor,Twic east, Duk counties were reached with Cholera and diarrheal disease educative messages including demonstration on proper water treatment and storage during water point outreach sessions in 14 water points in the area.

405 people including food vendors were reached with cholera messages during 9 market outreach session.

A total of 250 people inclusive community leaders comprise of local chiefs, religious leaders and women and youth leaders at different payams of Bor, Twic east and Duk ,Pibor counties were reached through 10 community meetings

Mass media intervention: cholera key messages and radio spots are continuously being broadcasted on Mingkaman100 FM, and Radio Jonglei 95.9FM, 6 times daily in Dinka, English and Arabic reachingpopulation in remote locations and villages with lifesaving messages on cholera prevention and control Over 60 churches in the counties of Bor,Pibor,Duk,Twiceast,andPochalla were reached with lifesaving messages on cholera control and prevention during religious services. Akobo, Old Fangak, (Jonglei) Nile Hope, FCDI UNICEF supported partner FCDI and Nile hope continue with - community engagement activities which include household visits with critical demonstrations, community meetings, water- point and market awareness, school and cattle camps intervention in areas of Fangak,Ayod,Pigi,Akobo , Nyirol, and Uror counties A total of 29,372 people from 7401 households were reached with cholera messages by 91 trained social mobilizers. A total of 2847 school children were reached with cholera messages during 12 school outreach sessions. A total 250 people in 10 community meetings were sensitized to advocate for cholera control and prevention methods to be adhered in their communities. 785 people including food vendors reached with cholera messages in 15 markets awareness sessions conducted by social mobilizers. 472 water vendors with messages on water treatment and safe water storage to avoid cholera diseases at house hold levels during 12 water points session. Over 5,007 people were reached by social mobilizers through public announcements inclusive of health education through churches and health facilities Rubkona, Bentiu town and UNIDO, Nile Hope, IRC, - - POC Mercy Corps Upper Nile (Maban) Mobile Threatre Team - - Yirol East(Eastern - SSRC, CHADO/ CHD During the reporting period 3 cases were identified and Lakes),AdiorPayam, reported MalekPayam, CHADO continued to conduct communication and social LekakeduPayam, YaliPayam, mobilization activities in 19 payams of Awerial , Yirol East and PagarauPayam, Tin- Yirol West counties agauPayam, Nyang(Lakes) A total of 3196 people from 576 households were reached with cholera messages by community mobilizers during house to house visits. A total of 2873 from 26 schools were exposed to risk of cholera, prevention and control methods. A total of 548 people were reached with cholera messages during 27 community meeting in 19 payams. A total of 493 people including food vendors were reached during 52market outreach session carried out by community mobilizers. A total of 801 people including water vendors with messages on water treatment and safe water storage to avoid cholera diseases at house hold levels during 72 water points session. Awerial ( Eastern Lakes) - A total of 2896 people from 658 households were reached with Mingkaman,Alel, Dor, Puluk, cholera messages by community mobilizers during house to Bunangok, Nile, Magok, house visits. Abuyong A total of 2500 from 10 schools were exposed to risk of cholera, prevention and control methods. A total of 531 people were reached with cholera messages during 43 community meeting in 19 payams. A total of 219 people including food vendors were reached during 15market outreach session carried out by community mobilizers. A total of 176 people including water vendors with messages on water treatment and safe water storage to avoid cholera diseases at house hold levels during 25 water points session. 827 people in 13 cattle camps were reached with cholera messages in Awerial county.

YirolWest(Eastern Lakes), - CHADO, SSRC and CHD During the reporting period 8 cases were identified and 6 - AbangPayam, AnuolPayam referred Yirol Centre (Town), Geng- A total of 2513 people from 731 households were reached with GengPayam, Geer Payam, cholera messages by community mobilizers during house to AluakLuakPayam, house visits. MapuorditPayam A total of 1463 from 18 schools were exposed to risk of cholera, prevention and control methods. A total of 581 people were reached with cholera messages during 28 community meeting in 19 payams. A total of 150 people including food vendors were reached during 42market outreach session carried out by community mobilizers. A total of 172 people including water vendors with messages on water treatment and safe water storage to avoid cholera diseases at house hold levels during 37 water points session. Juba - MoH, SMoH-Jubek, SSRC, A total of 45 trained community mobilizers are working in the Cholera was confirmed in Juba Radio Stations, Telecom above locations by lab culture. Four cases Companies, THESO-POC 2 cases were reported and referred during the reporting week were admitted to JTH CTC on A total of 21,750 people from 3402 households were reached 8th June, originating from Gumbo, Atabara, checkpoint with cholera messages by community mobilizers during house and Rock city. to house visits. A total of 1593 from 7 schools were exposed to risk of cholera, prevention and control methods. A total of 819 were reached with cholera messages during 11 community meeting. A total of 662 people including food vendors were reached during 3 market outreach session carried out by community mobilizers. A total of 50 home hygiene promoters on cholera awareness and prevention messages and strategies. WASH supplies distributed during the reporting period includes 580 soaps, 7011 ORS, 898 PUR and 2038 chlorine taps

Contacts Dr. Mathew Tut Dr. Joseph F. Wamala Director, Emergency Preparedness and Response Epidemiologist Ministry of Health, Ministerial Complex World Health Organization Juba, Republic of South Sudan Ministerial Complex Email: [email protected] Juba, Republic of South Sudan Email: [email protected]