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Cholera in South Sudan

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Cholera in South Sudan Republic of South Sudan Cholera in South Sudan Situation Report # 65 as at 23:59 Hours, 20 July 2014 Situation Update As of 20 July 2014, a total of 4,668 cholera cases including 106 deaths (CFR 2.3%) had been reported in South Sudan as summarized in Tables 1 and 2. Table 1. Summary of cholera cases reported in Juba County, 23 April - 20 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 5 0 0 12 16 0 16 1378 1404 Gurei CTC 0 0 0 1 2 0 2 358 361 Tongping CTC 0 0 0 4 2 1 3 56 63 Jube 3/UN House CTC 2 1 0 11 0 0 0 48 59 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 7 1 0 28 21 18 39 2002 2067 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 – 20 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 0 0 0 3 1 2 3 48 54 CES Yei Hospital 0 0 0 0 0 2 2 45 47 WES Lanyi- Mundri East 0 0 0 0 0 0 0 3 3 Jonglei Kolmanyang, Bor 0 0 0 0 0 0 0 1 1 Nimule Hospital 0 0 0 1 0 0 0 22 23 OTC PHCC, Magwi 0 0 0 5 8 0 8 121 134 Magwi PHCC* 0 0 0 0 0 0 0 1 1 Pajok PHCC, Magwi 0 0 0 1 0 0 0 0 1 Torit Hospital 0 0 0 41 7 9 16 851 908 Idali PHCU, Lafon 1 1 0 0 4 0 4 89 93 Bur Mutram PHCU, 0 0 0 7 0 1 1 63 71 Bur Payam, Torit Ohiri PHCC, Bur 0 0 0 10 3 0 3 43 56 Payam, Torit Ohila PHCC, Bur 0 0 0 10 0 0 0 0 10 Payam, Torit Imurok PHCU, Imurok EES 0 0 0 4 2 0 2 2 8 Payam, Torit Hiyala PHCC, Torit 0 0 0 23 0 0 0 88 111 Olere PHCU, Imurok 0 0 0 0 0 0 0 4 4 Payam, Torit Osito PHCU, Bur 0 0 0 17 0 0 0 26 43 payam, Torit Ileu PHCU, Hiyala 0 0 0 50 7 0 7 19 76 payam, Torit Hileu PHCC, Himodonge Payam, 0 0 0 0 0 0 0 4 4 Torit Ofiri PHCU, Kudo 0 0 0 0 0 0 0 5 5 Payam, Torit Kudo PHCC, Kudo 9 0 0 29 1 0 1 15 45 Payam, Torit Other sites 0 0 0 0 0 1 1 18 19 Kaka 0 0 0 0 0 0 0 0 1 Upper Nile Wau Shilluk, Malakal 0 0 0 134 16 1 17 678 829 1 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 Malakal PoC 0 0 0 0 2 0 2 52 54 Total 10 1 0 335 51 16 67 2198 2601 *No reports from EES and UNS were received for the 19th Figure 1: South Sudan cholera epidemic curve, 23 April– 20 July 2014 140 Alive Died 120 100 80 60 Number of of cases Number 40 20 0 2/7/2014 4/7/2014 6/7/2014 8/7/2014 10/7/2014 12/7/2014 14/7/2014 16/7/2014 20/7/2014 23/04/2014 27/05/2014 30/06/2014 21/04/2014 25/04/2014 27/04/2014 29/04/2014 01/05/2014 03/05/2014 05/05/2014 07/05/2014 09/05/2014 11/05/2014 13/05/2014 15/05/2014 17/05/2014 19/05/2014 21/05/2014 23/05/2014 25/05/2014 29/05/2014 31/05/2014 02/06/2014 04/06/2014 06/06/2014 08/06/2014 10/06/2014 12/06/2014 14/06/2014 16/06/2014 18/06/2014 20/06/2014 22/06/2014 24/06/2014 26/06/2014 28/06/2014 18/7/20014 17 18 19 20 21 22 23 24 25 26 27 28 29 Date of onset Figure 2: Central Equatoria State (Juba/Kajo-Keji/Yei counties) Epicurve, 23 April– 20 July 2014 140 Alive Died 120 100 80 60 Number of of cases Number 40 20 0 2/7/2014 4/7/2014 6/7/2014 8/7/2014 18/7/2014 10/7/2014 12/7/2014 14/7/2014 16/7/2014 20/7/2014 25/04/2014 23/05/2014 20/06/2014 21/04/2014 23/04/2014 27/04/2014 29/04/2014 01/05/2014 03/05/2014 05/05/2014 07/05/2014 09/05/2014 11/05/2014 13/05/2014 15/05/2014 17/05/2014 19/05/2014 21/05/2014 25/05/2014 27/05/2014 29/05/2014 31/05/2014 02/06/2014 04/06/2014 06/06/2014 08/06/2014 10/06/2014 12/06/2014 14/06/2014 16/06/2014 18/06/2014 22/06/2014 24/06/2014 26/06/2014 28/06/2014 30/06/2014 17 18 19 20 21 22 23 24 25 26 27 28 29 Date of onset 2 Figure 3: Distribution of cases by place of residence, Juba County, 14 –20 July 2014 14 12 12 10 8 7 6 4 4 3 3 3 Number of cases of Number 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 Luri Luriki Gurei Giada Sirikat Gezira Juba 3 Juba Munuki Amarat Gumbo Malakia - New site New Mia sava Mia Gudele 2 Gudele Gudele 1 Gudele Ghosene Tongping Nyakuron Koroobou Hai Jalaba Hai Gondokoro UN Jebel Market Jebel Jebel Yesuwa Jebel Kator Juba Town Munuki Northern Bari Rejaf Gondokoro Figure 4: Central Equatoria State (Juba/Kajo-Keji/Yei counties), 14 – 20 July 2014 12 M F 10 8 6 4 10 1 2 2 4 Number of cases Number 5 3 2 4 4 4 4 1 2 1 1 1 1 1 0 Age group Figure 5: Eastern Equatoria State (Lafon, Magwi, Torit counties) cholera epidemic curve, 10 June –20 July 2014 90 80 Alive Dead 70 60 50 40 82 72 74 67 71 70 71 66 30 60 63 65 53 57 58 56 51 46 46 20 44 34 39 39 37 26 Number of of cases Number 10 18 23 19 10 13 13 13 9 10 0 1 1 4 3 2 5 4 3 1/7/2014 2/7/2014 3/7/2014 4/7/2014 5/7/2014 6/7/2014 7/7/2014 8/7/2014 9/7/2014 11/7/2014 16/7/2014 10/7/2014 12/7/2014 13/7/2014 14/7/2014 15/7/2014 17/7/2014 18/7/2014 19/7/2014 20/7/2014 09/06/2014 10/06/2014 11/06/2014 12/06/2014 13/06/2014 14/06/2014 15/06/2014 16/06/2014 17/06/2014 18/06/2014 19/06/2014 20/06/2014 21/06/2014 22/06/2014 23/06/2014 24/06/2014 25/06/2014 26/06/2014 27/06/2014 28/06/2014 29/06/2014 30/06/2014 24 25 26 27 28 29 Date of onset 3 Figure 6: Distribution of cholera cases by age and sex, Eastern Equatoria State, 14 - 20 July 25 M F 20 15 13 12 12 3 10 3 4 Number of cases Number 5 3 5 5 8 9 8 3 9 9 1 4 5 5 4 4 3 3 2 0 1 Age group Figure 7: Upper Nile State (Malakal County) cholera epidemic curve, 30 June –20 July 2014 140 Died Alive 120 100 80 60 40 20 Number of cases Number 0 1/7/2014 2/7/2014 3/7/2014 4/7/2014 5/7/2014 6/7/2014 7/7/2014 8/7/2014 9/7/2014 10/7/2014 11/7/2014 12/7/2014 13/7/2014 14/7/2014 15/7/2014 16/7/2014 17/7/2014 18/7/2014 19/7/2014 20/7/2014 23/06/2014 24/06/2014 25/06/2014 26/06/2014 27/06/2014 28/06/2014 29/06/2014 30/06/2014 26 27 28 29 Date of onset Figure 8: Upper Nile State (Malakal County) distribution per age/gender, 30 June – 20 July 2014 350 M 300 F 250 157 200 150 94 100 164 Number of casesNumber 50 93 30 33 24 16 27 24 24 0 19 58 1 2 46 12 24 Age group 4 Table 4. Cholera alerts reported between 1 to 20 July 2014 Date of Details of the alert Area Action notification 06/07/2014 A suspected cholera case was Lobonok, Juba Case verification is underway by Juba county reported to a health facility close to County, Central surveillance team.
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