: Cholera outbreak (as of 5 of June 2014)

HIGHLIGHTS The Ministry of Health officially declared an outbreak of cholera in , the capital of South Sudan on 15 May 2014. CURRENT GAPS Since then, over 1,370 cases of cholera have been reported in Juba, Kajo-Keji, Manyo and Yei counties. Need to set up a CTC in areas with Conflicts 1,371 TOTAL high number of cholera cases. CASES Population movements Kaka Manyo County No disinfection activities at patients Camps household is conducted.

Currently admitted cases: Unadequate number of community 66 SUDAN mobilizers to reach all affected areas in Juba. Cumulative cases discharged: SUDAN 1,157 ^Malakal

Abyei RISK FACTORS Cholera Treatment Centres (CTC) ^ Upper Nile Bentiu UPPER NILE 4 ( and 3 ORPs currently operating in Juba town) E Malakal ! Drinking water from unsafe sources. KuajokFangak Canal Bentiu Gogrial W. County Cumulative death / Case Fatality Rate ! Water tankers supplying untreated 30 2.2% Aweil river water. NORTHERN BAHR UNITYNyirol EL GHAZAL Kwajok ! Community handling of dead bodies E ETHIOPIA and unsupervisoed burials. ONGOING RESPONSE WARRAP Unity JONGLEI Poor hygiene practices at community Four CTCs operational in Juba town Wau E ! WESTERN BAHR Ayod EE E level. and one in Yei EL GHAZAL %E E E Panyagor ETHIOPIA LAKESE lack of latrines and hand washing Cholera Command Control Centre E Twic East County ! Rumbek E stations. (C4) is operational. EE E EE Mingkaman CENTRAL Awerial CountyAkobo Uror Microbiology unit for cholera is AFRICAN Duk E E EMundri E. operating in Juba since 28 May 2014 REPUBLIC EE County Bor Jonglei RECOMMANDATIONS Community mobilisation and WESTERN County % Pochalla preventive messaging on cholera EASTERN% % --- Call for rigourous community %% disseminated. Twic East Mangala CENTRAL % EQUATORIA interventions throughout the country DEMOCRATIC EQUATORIA E E %% to interupt the spread of cholera. Water chlorination, collection and REPUBLIC OF %%E%% E ^Rumbek Yambio %E Kajo-Keji THE CONGO % Juba % County removal of solid waste and hygiene E % Torit --- Call to donors for funding to % % promotion performed in Juba. E implement programs at community Cholera outbreak E Lakes E Bor South E Mahdi level. Pibor KENYA Cholera alerts pending investigation Yei County UGANDA 100 km ^Bor

Gondokoro Epidemic curve since the start of the outbreak, Juba, 23 April - 5 June 2014 115 Others 250 120 2% Distribution of Cholera cases by age, Juba, 23 April - 5 June 2014 101 Kator 3% 100 90 89 E Inter/Intra-communal violence 200 Male 79 11% 72 80 71 Central 27% Munuki Female 52 62 61 150 60 54 54 52 Equatoria52 Eastern Equatoria % Other42 armed47 incident44 44 44 46 Distribution of Cholera 39 Juba 16% 100 40 26 30 cases in Juba town 21 20 14 14 50 2 1 1 1 1 3 3 21% 0 20% 1000 km 22 24 26 28 30 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 1 3 5 Northern June 2014 Bari <1yr 60+yrs April 2014 May 2014 2-4yrs 5-9yrs 10-14yrs 15-19yrs 20-24yrs 25-29yrs 30-34yrs 35-39yrs 40-44yrs 45-49yrs 50-54yrs 55-59yrs Partners supporting the response: ART, Medair, MSF, NPA, OVCI, OXFAM, People In Need, South Sudan Red Cross, UNICEF and WHO Production date: 06 June 2014 geographic data Source: MoH/WHO, OCHA http://www.who.int/hac/crises/ssd/en/ The 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 South Sudan and Republic of Sudan has not yet been determined. Final status of the Abyei area is not yet determined.