Epi update week 04/1/08 - 10/1/09 C4 Surveillance and lab group Toll free number for alert by district and province is 08089001 or 08089002 or 08089000 Mobile number for alerts is 0912 104 257 Email:
[email protected]. New cholera cases, with case-fatality rates, by week. Zimbabwe, Nov 08 - Jan 09 • * For week 7-13 December, gaps in reporting of data • ** For week 28 December 08- 3 January 09, artefact (Christmas- New Years) 7,000 10.0 9.0 6,000 8.0 5,000 7.0 6.0 4,000 * * 5.0 Cases CFR Cases * CFR 3,000 4.0 3.0 2,000 2.0 1,000 1.0 0 0.0 16-22 Nov 23-29 Nov 30 Nov - 6 Dec 7-13 Dec 14-20 Dec 21-27 Dec 28 Dec-3 Jan 4-10 Jan Global picture The cholera outbreak is not yet under control with 9 of 10 provinces reported cases this week. • Duration of the outbreak: 5 months • To date, cumulative total of 37 806 suspected cases and 1912 deaths have been reported • Number of cases have increased from last week as well as the number of deaths. • CFR increased markedly this week to 6 % similar to the week preceding the Christmas and New year’s holiday, • and CFR still much higher than expected for a cholera outbreak (normally <1%). • This week (4 Jan -10 Jan 2009), 656 cases per day reported and 39 persons are dying every day of cholera. • This week (4 Jan -10 Jan 2009) nearly half of the deaths (41%) are occurring outside treatments centre →unavailability of health care (especially human resources shortage) “Hot spots” this week • Mashonaland West (increase cases and CFRs > 5% and high attack rates and 1/3 of the total weekly number of cases) • Midlands, (increase cases and CFRs > 5% and high attack rates) • Manicaland (CFRs > 5% and high attack rates) • Mathebeleland South (increase cases) • Chitungwiza (CFRs > 5%) • Masvingo (CFRs > 5%) • Mashonaland central (increase cases) Cumulative cholera cases, with cumulative case-fatality rates.