cholera situation in yemen
TRANSCRIPT
Highlights
Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, EgyptFor Correspondence: Tel + 20-2-22765604, Fax + 20-2-2765456. E-mail: [email protected]
July 2018CHOLERA SITUATION IN YEMEN
Cumulative key figures, October 2016 – July 2018
Last 4 weeks key figures, July 2018
15 118Suspectedcases
0.17%CFR
27Relateddeaths
Distribution of suspected cholera cases in Yemen,January 2017 – July 2018
Cholera cases and Case fatality rates by governoratein Yemen, 27 April 2017 – 31 July 2018 (second wave)
Cholera cases reported in Yemen by epidemic wave,October 2016 – July 2018 (n= 1 156 246)
2%
98%
First wave
Second wave
Cholera cases and deaths reported during the secondwave by governorate, 27 April 2017 – 31 July 2018
Governorate Cases Deaths CFR (%)
Abyan
Aden
Al Bayda
Al Dhale'e
Al Hudaydah
Al Jawf
Al Maharah
Al Mahwit
Amanat Al Asimah
Amran
Dhamar
Hajjah
Ibb
Lahj
Marib
Moklla
Raymah
Sa'ada
Sana'a
Say'on
Shabwah
Taizz
Total
28251
21121
37561
47724
166183
16295
1169
67918
112308
111572
111220
121785
72104
24499
7296
568
19207
10767
83954
24
1399
67494
1 130 419
37
63
41
86
293
22
1
153
74
184
166
429
310
22
7
2
125
8
123
0
3
190
2 339
Cumulative attackrate (per 10 000)
491.48
226.31
492.34
646.19
509.28
279.97
77.74
922.11
391.11
957.93
548.14
514.75
242.26
241.36
201.67
12.77
314.00
116.91
567.62
0.63
22.99
223.72
403.90
0.13
0.30
0.11
0.18
0.18
0.14
0.09
0.23
0.07
0.16
0.15
0.35
0.43
0.09
0.10
0.35
0.65
0.07
0.15
-
0.21
0.28
0.21
Number of cholera cases
0 1 10,000 20,000 50,000
Al Jawf
Saada
Marib
Shabwah
Abyan
Lahj
Taizz
Ibb
Baymah Dhaman
Saha’aAl Mahwit
HajjahAmran
Al Hudaydah
Al Bayda
Aden
Amanat Al Aslma
Epidemic curve of cholera cases in Yemen,October 2016 - 26 April 2017 (First wave)
Epidemic curve of cholera cases in Yemen,27 April 2017 – 31 July 2018 (Second wave)
Governorate
1 156 246Suspectedcases
2 468Relateddeaths
0.21%CFR
50%Female
50%Male
28.5%Children < 5 years
0
500
1000
1500
2000
2500
44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 1415 16
2016 2017
Nu
mb
er
of
susp
ect
ed
cas
es
Epi weeks Epi weeks
In July 2018, the Ministry of Public Health and Population of Yemen reported a total 15 118 suspected cholera cases including 27 associated deaths (case fatality rate: 0.17%), from 17 governorates.
The cumulative number of suspected cholera cases reported in Yemen since October 2016 is 1 156 246 including 2 468 related deaths with a case fatality rate of 0.21%. The country experienced a second wave of this outbreak from 27 April 2017. As of 31 July 2018, total number of reported cases of suspected cholera is 1 130 419 including 2 339 related deaths with a case fatality rate of 0.21%.
Since 27 April 2017, a total of 5 028 stool specimens tested to date, out of these total 1 404 have been laboratory confirmed for Vibrio Cholerae.
The 5 governorates with the highest cumulative attack rates per 10 000 are Amran (957.9), Al Mahwit (922.1), Al Dhale’e (646.1), Sana’a (567.6) and Dahamar (548.1). The national attack rate is 403.9 per 10 000. The Governorate with high numbers of deaths are Al Hajjah (429), Ibb (310), Al Hudaydah (293) and Taizz (190).
Nu
mb
er
of
susp
ect
ed
cas
es
0
10000
20000
30000
40000
50000
60000
17 20 24 28 32 36 40 44 48 52 1 5 9 13 17 21 26 30
2017 2018
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
Cas
e F
atal
ity
Rat
e (%
)
Num
ber
of s
usp
ecte
d c
ases
WHO-EM/CSR/184/E