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Pdf | 628.9 Kb WHO Representative’s Office in Iraq Mid-week Situation Report on Cholera in Iraq Sitrep no. 31; Date of Reporting: 31 October 2007 (week 44). 1. NEW LABORATORY-CONFIRMED CHOLERA CASES REPORTED DURING 29-31 OCTOBER 2007 (WEEK 44): a. Kirkuk: 7 (of 122 samples tested) 6% b. Sulaymaniyah: 1 (number of samples tested not yet reported) NA c. Erbil: 2 (of 184 samples tested) 1% d. Ninawa: 0 (of 396 samples tested) 0% 2. OVERVIEW As of 31 October 2007 (week 44), 45 districts, 28 in northern Iraq and 17 in the centre and South have reported laboratory-confirmed cases of cholera. In northern Iraq, 13 out of the 14 districts of Sulaymaniyah governorate, all 5 districts of Kirkuk governorate, 6 of 7 districts of Erbil governorate, 4 districts in Dahuk. As for the centre and South; the affected districts are: 4 districts in Baghdad, and 3 districts each of Tikrit; Mosul and Diyala, 2 districts in Basra as well as one district in each of Wassit and Anbar. The results of the samples of vibrio cholerae isolates from Sulaymaniyah were received by the U.S. Naval Medical Research Unit No. 3 (NAMRU-3) laboratory, Cairo. NAMRU-3 results confirmed Sulaymaniyah- and Central Public Health Laboratory (CPHL) results, showing vibrio cholerae O1 El Tor Inaba. 99% of Iraq’s cholera cases were reported from Kirkuk, Sulaymaniyah and Erbil, northern Iraq. Sporadic cases with definite history of travel and food consumption in Kirkuk were reported from Tikrit province; however, isolated cases with no epidemiological link to northern Iraq were also confirmed in Mosul, Wassit, Baghdad, Anbar and Basra. One of the important features in this outbreak is that most of the cases seen have mild to moderate signs and symptoms. The traditional signs and symptoms of severe dehydrating diarrhoea were seen only very occasionally, out of the 4,479 laboratory-confirmed cholera cases; 22 deaths were reported, most of the deceased had other, serious underlying morbidity. Specific control measures to contain this ongoing outbreak and limit its spread to other areas have been reinforced by the concerned governmental departments of the affected provinces, with technical support from WHO. In non-epidemic provinces, during the period 14 August - 31 October 2007, 36 cholera cases were discovered. Table 1: Laboratory confirmed cholera Cases, Iraq, 14/08-31/10/2007 Province No. districts Date first case Date most recent No. deaths laboratory-confirmed affected reported case reported reported cholera cases Kirkuk 5 14/08/2007 30/10/2007 5 2,977 Sulaymaniyah 13 23/08/2007 29/10/2007 14 1,227 Erbil 6 05/09/2007 31/10/2007 0 237 Dahuk 4 07/09/2007 28/10/2007 0 6 Tikrit 3 12/09/2007 07/10/2007 0 5 Ninewa-Mosul 3 15/09/2007 25/10/2007 1 3 Baghdad-Resafa 4 19/09/2007 28/10/2007 1 12 Basra 2 19/09/2007 02/10/2007 0 2 Wasit 1 20/09/2007 20/09/2007 0 3 Anbar 1 03/10/2007 03/10/2007 1 2 Diyala 3 03/10/2007 03/10/2007 0 5 Total 45 22 4,479 1/2 Map showing Cholera affected Districts of Iraq, Cholera Affected Dis ZAKHO as of 31 October 2007 Dahuk AMEDI BARZAN SUMELDAHUK SHEKHAN SORAN AKRE AL-SHIKHAN CHOMAN TELAFAR TILKAIF SHAQLAWA BARDARASH Erbil AYMEN AL-HAMDANIYA RANIAPSHDAR SINJAR ERBIL CENTER KOISNJAQ Ninewa GAYARA DASHTE HAWLER DOKAN SHARBAZHER MAKHMUR AL DIBIS SULAYMANIYASHARAZOOR Legend AL-BA'AJ AL-SHIRQATAL-HAWIGA1 ZIMNAKO HATRA CHAMCHAMALSulaymaniyah One confirmed Kirkuk BAZYAN KIRKUK HALABJA AL-HAWIGA2 Cholera case DAQUQ Governorate TIKRIT GARMIANDARBANDIKHAN BAIJI TOOZ boundary AMIRYA Salah al-Din HADITHA AL-DAUR KHANAQIN The boundaries and names shown AL-KA'IM SAMARRA AL-KHALIS designations used on this map do n the expression of any opinion what on the part of the World Health Org BALADAL-MUQDADIYADiyala concerning the status of any count HEET DIJEL city, or area,or of its authorities, or TARMIABA'QUBA BALADROOZ the delimitation of its frontiers or bo KADHMIYA Dotted lines on maps represent ap border lines for which there may no RAMADI1 ABU GHRAIBKarkh DORAResafa full agreement FALLUJA KARKH MADA'IN @WHO Iraq, 2007 MAHMOUDIYA Anbar AZIZYIA AL-MUSAYAB AL-SUWAIRA Wassit World Health Organization AL-HINDIYAAL-MAHAWIL Country office for Iraq Kerbala KUT HUSAINYA KERBALA Babylon 26, Yanbu' St., Um Uthaina P.O Bo RAMADI2 ALI AL-GHARBI HILLAHASHIMIYA AL-NA'MANIYA Amman 11181 Jordan T: +962 6 55 10 438 AL-HAI F: +962 6 55 10 437 KUFA DIWANIYA [email protected] AFAQ AMARA AL-MANATHERA Diwaniya AL-SHAMIYA Missan AL-RIFA'I HAMZAAL-RUMAITHA QAL'AT SALEH AL-MEJAR AL-KABIR AL-SHATRA AL-KHIDHIR Thi-QarNASSRIYA2 NAJAF Najaf NASSRIYA1 AL-MIDAINA AL-QURNA SUQ AL-SHOYOKHAL-CHIBAYISH ® SHATT AL-ARAB BASRAH2 BASRAH1 Basrah Muthanna AL-ZUBAIR ABU AL-KHASEEB AL-SAMAWA 2/2.
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