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EWARN Disease Surveillance Highlights World Health Organization 1 January to 9 August 2015 South Sudan NEW DISEASE OUTBREAKS, JANUARY to AUGUST 2015 Hepatitis E

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EWARN Disease Surveillance Highlights World Health Organization 1 January to 9 August 2015 South Sudan NEW DISEASE OUTBREAKS, JANUARY to AUGUST 2015 Hepatitis E Since the beginning of 2015, measles outbreaks have been conrmed in Duk, Rubkona, and Renk Counties. In addition, there are three Hepatitis E Virus outbreaks that started last year in Mingkaman and Bentiu PoC. The HEV cases have declined in Mingkaman with only sporadic cases reported currently. However, the outbreak in Bentiu PoC has ared up in the recent weeks due to an upsurge in new arrivals into the PoC. A malaria upsurge was reported in Bentiu PoC starting mid June 2015. Since the beginning of 2015, cholera has been conrmed in three counties [Ikotos, Juba, and Bor]. EWARN Disease Surveillance Highlights World Health Organization 1 January to 9 August 2015 South Sudan NEW DISEASE OUTBREAKS, JANUARY TO AUGUST 2015 Hepatitis E Bentiu in Unity States IDP CONSULTATIONS Malaria Hepatitis E Virus (HEV) was conrmed 32,910 27 553,287 Cases Deaths Bentiu in Unity States Polio Virus type Since week 23 of 2015, malaria in Bentiu PoC surpassed ARI as the top cause of morbidity. Measles The current trends consistent with a malaria upsurge Cases 0 Deaths Cholera WHO has continued to support implementing partners to 9 Cases 0 Deaths Duk in Jongei States 1 Mayom in Unity States Conrmed case an 11-month-old female from Wangkei Payam, 130 1 provide essential healthcare services to displaced populations Three measles IgM positive cases; outbreak Mayom with no history of vaccination. In response three rounds Cases Deaths Bor in Jonglei States controlled after vaccination campaign by SMC of Short interval additional dose campaigns and two rounds of Most cases originated from Malou, Langbar, Achingdii, living in PoC sites and select IDP camps.During 2015, most of the NIDs will be conducted for all conict aected states Arek, and Hai Salam in Makuach Payam consultations were reported from Bentiu PoC, Malakal PoC, Awerial 2015 Epidemiological weeks (Mingkaman), Renk, and UN House Measles Cholera Cholera Measles 358 Cases 7 Deaths Rubkona in Unity States DISTRIBUTION OF CONSULTATIONS BY QUARTER, 20142015 43 Cases 3 Deaths Ikotos in Eastern Equatoria States 1,477Cases 44Deaths Juba in Central Equatoria States 6 Cases 0 Deaths Renk in Upper Nile States A total of 12 measles IgM positive cases; vaccination Cases reported from Nakoringole village, Ikotos county. Comprehensive Kator, Rejaf, Northern Bari, Gondokoro, and Munuki are the most One measles IgM positive case in week 31 of 2015. campaign in week 15 reached 21,361 (91%) children response initiated with last case reported on 19-Feb-2015 aected Payams in Juba County Vaccination campaign underway 6 months to 15 years Kala azar 2,342 Cases 79 Deaths Unity, Upper Nile, Jonglei,Eastern Equatoria States Ongoing transmission in endemic areas precipitated by poor living conditions, displacement !Renk of non immune individuals to endemic locations, malnutrition, poor access to treatment , , , , , , CHOLERA , 139 Health Care MORTALITY TRENDS AMONG IDP's Training Workers Children Under Jan - Mar Apr - Jun Jul - Sep Oct - Dec EBOLA TOTAL 314(43%) 5 Years Health Care !Melut 40 Workers 722 DEATHS DISEASE TRENDS AMONG IDPs 310(43%) Females !Kodok Acute respiratory infections (ARI), malaria, acute ! Malnutrition, TBHIVAIDS, acute watery diarrhoea, and malaria being Ogod! Lul watery diarrhea (AWD), and acute bloody diarrhea ! Malakal UPPER NILE the most frequent causes of death. Most deaths occurred in Bentiu (ABD) were the leading cause of morbidity in the IDPs ! Mayom ! !Bentiu Akoka PoC and deaths occurred in children under ve years . ! The crude and under ve mortality rates were below the emergency ! Man-Anguei Man-Awan UNITY threshold in all IDP sites. !Nasir NORTHERN BAHR EL Lankien GHAZAL Wau Shilluk ! Mayendit ! ! (107,058) ! Ayod Nyirol 20 WARRAP ! Leer ! IDP Site Yuai ! Akobo ARI ! DUK ! WESTERN BAHR EL GHAZAL Panyijiar Jaundice Acute Syndrome Acute watery diarrhoea Cancer Gunshot wound disease Heart Hypertension Kala-Azar Malaria Maternal death Measles Perinatal death Pneumonia SAM Septicemia TB/HIV/AIDS Trauma E Hepatitis Others Grand Total ! Bentiu 6 35 8 8 3 1 27 5 10 25 36 14 19 1 4 171 373 Twic East (105,023) ! Bor 1 4 1 1 7 19 Outbreaks Reported Location Juba 3 9 1 1 4 8 1 15 5 7 1 16 33 101 JONGLEI Malaria DP Site LAKES Malakal 2 1 8 4 3 10 7 14 12 52 113 (274,735) CUMULATIVE CONSULTATIONS Melut 1 3 1 1 1 7 4 18 BY IDP SITE Bor Mingkaman 3 1 2 3 1 1 15 26 50 ! 244 - 1445 Other Disease Awerial ! Akobo 3 2 3 3 1 2 1 1 7 23 1446 - 3998 Wau Shiluk 4 4 2 8 1 2 40 61 10(55,143) 3999 - 14,595 Grand Total 7 56 10 12 15 6 11 50 2 6 41 42 61 15 59 1 5 323 722 AWD 14,596 - 44,465 1(7,089) WESTERN EQUATORIA DISEASE SURVEILLANCE AND ABD 44,466 - 144,234 Juba 0(422) EASTERN EQUATORIA RESPONSE ACTIVITIES Measles !UN HOUSE * Size of circle proportional to number of . Cholera outbreak investigation missions on May June and July at Cumulative Consultations by IDP Site CENTRAL EQUATORIA respectively Juba, Torit, Kajo-Keji and Bor . IDSR Support supervision on June at Torit and Magwi including all Ikotos EWARN SURVEILLANCE the states 57 Reporting sites 21 IDP camps 14 Number of partners 881,650 Catchment population Completeness for weekly reporting during the rst two quarters of 2015 exceeded the target of 80%. However, completeness for weekly reporting in the rst six weeks of the third quarter of 2015 remains below the target of 80% Creation date: 20 Agust 2015 , WHO South Sudan Data Sources: Early Warning Alert and Response Network (EWARN). Contact More Info: Dr. Wamala Joseph Francis, Email: : [email protected].
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