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South Sudan: WHO AFRO Outbreaks and Other Emergencies, Week 16: 15 – 21 April 2019; Data as reported by 17:00; 21 April 2019

Source: World Health Organization
Country: Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Togo, Uganda, United Republic of Tanzania, Zambia, Zimbabwe


  • This Weekly Bulletin focuses on selected acute public health emergencies
    occurring in the WHO African Region. The WHO Health Emergencies Programme
    is currently monitoring 66 events in the region. This week’s edition covers key
    ongoing events, including:

  • Cyclone in Mozambique

  • Ebola virus disease outbreak in the Democratic Republic of the Congo

  • Lassa fever in Nigeria

  • Hepatitis E in Namibia

  • Chikungunya in the Republic of Congo.

  • For each of these events, a brief description, followed by public health measures
    implemented and an interpretation of the situation is provided.

  • A table at the end of the bulletin gives detailed information on all new and ongoing
    public health events currently being monitored in the region, as well as recent
    events that have been controlled and thus closed.

  • Major issues and challenges include:

  • Although the situation in Mozambique in the aftermath of tropical cyclone
    Idai is improving amidst the massive response efforts, the effects remain
    including isolated communities that still require air or boat operations for
    mobile clinics. The risk of communicable diseases including an ongoing
    outbreak of cholera and rise in the number of malaria cases is being raised
    by the presence of stagnant flood water, continued limited access to safe
    water and overcrowding at accommodation centres. The recent launch of the
    oral cholera vaccine (OCV) campaign in the most affected districts with a
    coverage of 98.6% is expected to provide short-term relief. Expansion of the
    Early Warning and Alert Response System (EWARS) across more areas with
    support from WHO and partners is expected to enhance quick and timely
    response to outbreaks in order to mitigate their impact. However, with only
    6.6% of the funds requested provided so far, there is a dire need to breach
    this funding gap in order to prevent a full-scale humanitarian crisis and help
    restore the health system to normality.

READ:  Ethiopia: UNHCR Ethiopia Fact Sheet November 2018

Challenges associated with insecurity and community resistance continue
to characterize the response to the outbreak of Ebola virus disease in
the Democratic Republic of Congo with two recent incidences of attack
against healthcare facilities which resulted to the loss of life of one of WHO
Epidemiologist and injury to several other Ministry of Health staff. The
outbreak is still restricted to two provinces, North Kivu and Ituri, with Katwa
health zone in North Kivu reporting about 52% of the cases in the past 21 days.
WHO and partners continue to support the government to scale-up response
to the outbreak including strengthening case investigation, contact tracing,
infection prevention and control, vaccination, and other response activities.
Following the recommendations of the International Health Regulations (IHR)
Emergency Committee meeting, community awareness and mobilization
activities have been intensified particularly in areas with resistance at the
epicentre of the outbreak. However, the ongoing gap in funding needs urgently
to be filled to ensure unhindered implementation of response measures.

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