DAILY CHOLERA UPDATE AND ALERTS 28 th January, 2009

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Phoebe Paul
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Ministry of Health and Child Welfare Email: cholera_taskforce@zw.afro.who.int http://ochaline.un.

1 Ministry of Health and Child Welfare Toll free numbers for cholera alert are ( Ecet ly) or or Mobile number for cholera alerts and SMS is Water and Sanitati alert numbers (during working hours) (after hours) Office of the WHO Representative in Zimbabwe Date of issue:28 th January, 2008 DAILY CHOLERA UPDATE AND ALERTS 28 th January, 2009 * Please note that daily informati collecti is a challenge due to communicati and staff cstraints. On-going data cleaning may result in an increase or decrease in the numbers. Any change will then be explained. ** Daily informati new deaths should not imply that these deaths occurred in cases reported that day. Therefore daily CFRs >100% may occasially result A. Highlights of the day: 1291 cases and 67 deaths (in comparis 1579 cases and 57 deaths yesterday) 55.2% of the districts affected have reported (32 out of 58 affected districts) 88.7 % of districts reported to be affected (55 districts/62) Beitbridge district updated retrospect data which was not captured in the system (319 Cases). Chikomba District Sadza CTC reported data for the first time (105 Cases). Mbire updated deaths ly which were not captured when cases were reported. Institutial Case Fatality Rate 2.1% Daily Institutial Case Fatality Rate 1.7% B. High priority districts to be investigated Districts reported high number of cases (cases > BRIDH 2. Budiriro 3. Chikomba 4. Kadoma 5. Makombe 6. Mutare 7. Beitbridge 8. Chiredzi 9. Gokwe North Districts with a daily CFR > 5% : 1. Budiriro 2. Bulawayo 3. Chikomba 4. Chikomba 5. Chegutu 6. Hurungwe 7. Zvimba 8. Mutare 9. Zaka Districts with high number of deaths outside health facility/ CTC > 3 1. Mutare 2. Mbire 3. Chikomba 4. Hurungwe Districts with cases reoccurring after more than 14 days Nil Districts which have not reported for more than 3 days: 1. Hwedza 2. Makumbe (Goromzi) 3. Mardera 4. Chipinge 5. Masvingo Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 1

2 C. Follow up actis Province District/Area Flagged as a priority Cause for flagging, Acti taken to be taken (when and who will be doing what) Respsible for Following up Follow up with HARARE BRIDH (High number 47 cases reported NPO-EHA CITY DIRECTORATE On-going 139 cases reported Budiriro (High number 33 cases and 3 deaths reported NPO-EHA CITY DIRECTORATE On-going Bulawayo (High CFR) 2 cases and 2 deaths NPO-EHA CITY DIRECTORATE On-going MASH Mbire 187 cases reported NPO-EHA/MOH PMD Office On-going CENTRAL Shamva 21/01/09; (High number f cases) Bindura 16/01/09 (High number of cases, CTC setup) 19/01/09; 22/01/09 (High number 81 cases reported cases reported To follow up with PMD the discrepancy between the figures purpoted to be supplied by the Governor and the PMDs office 51 cases reported cases reported 179 cases reported Rushinga (High CFR) 4 cases and 4 deaths reported NPO-EHA/MOH PMD Office Case management experts Provincial team 28.01/09 NPO-EHA/MOH PMD office Case management experts Provincial team 28.01/09 NPO-EHA/MOH PMD office Case management experts Provincial team 28.01/09 Mt Darwin ; ; (High number MASVINGO Bikita ; ; ; ; (High number of cases & community deaths, High CFR) 126 cases reported cases reported cases and 8 deaths (4 community) reported cases reported Case management experts to provide training to the Provincial team 28.01/ cases reported 22/01/09 Minister to visit the province the 29 th deaths (17 community) and 111 cases were reported cases reported What needs to be procured for the Province has been identified. Waiting for the supplies to be delivered NPO-EHA/MOH PMD office Case management experts Provincial team 28.01/09 NPO-EHA/MOH PMD office Minister of Health to visit the Province Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 2

3 Province District/Area Flagged as a priority Masvingo ; ; (n Chivi 19/01/09 (High CFR) 20/01/09 (>3 community deaths) (High community deaths) Chiredzi 22/01/09; (High number of cases and CFR) MASH EAST Mwenezi 15/01/09; 16/01/09; 18/01/09 (High number 20/01/09 (High CFR & community deaths >3) Mudzi (High number Seke (High number Hwedza ; ; (n UMP (> 3 community deaths) Mardera Chikomba Makumbe (Goromzi) Ruwa (Goromzi) ; (n (High number ; (n of cases & CFR; community > 3) Cause for flagging, Acti taken to be Respsible for Follow up with taken (when and who will be doing what) Following up N reporting Data Manager PMD office On-going 47 cases reported community deaths reported cases and 23 (15 community deaths) cases were reported 13 deaths and 215 cases reported 22/01/ cases reported 173 cases reported deaths and 15 cases reported 20/01/09 NPO-EHA/MOH PMD office On-going NPO-EHA/MOH PMD office On-going MOH/MOH PMD office On-going 31 cases reported cases reported (last reported ) MOH PMD office On-going 5 deaths and 39 cases reported MOH PMD office On-going Data Manager PMD office On-going More than 3 community deaths reported cases and 4 deaths reported NPO-EHA PMD office Ongoing Data Manager PMD office On-going 120 cases and 10 deaths reported NPO-EHA PMD office Sadza CTC reported batched cases for the first time Data Manager PMD office On-going 46 cases and 7 deaths reported 21/01/09 Frequent visits to be made to some districts which are nearby the MOH PMD office Visit to the district for investigati and assessment being arranged most likely to take place Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 3

4 Province District/Area Flagged as a priority MASH WEST MIDLANDS Zvimba 22/01/09 (High number Makde ; ; (High number Kadoma Hurungwe (High number (High CFR) Gokwe South (High number of cases and High CFR) 21/01/09; 22/01/09 (High number Gokwe North 22/01/09; (High number of cases & CFR) Cause for flagging, Acti taken to be taken (when and who will be doing what) command centre 23/01/09 37 cases reported 22/01/09 Water problems still not solved in Kamhde, (Borehole needs repair, leaking tank which needs replacement) Dzivarasekwa and Banket Hospital. Zvimba reported 63 cases 63 cases and 7 deaths reported More than 3 community deaths reported cases and 4 deaths reported 95 cases reported cases reported cases reported cases and 9 deaths reported 85 cases reported cases reported 21/01/09 Case management experts to visit the district 21/01/ cases reported cases reported 25 cases and 15 deaths reported A team from the Province ge out to make some investigatis 23/01/ cases reported Strategise how to handle the situati during floods To find out if there are enough supplies and predict what might be required 23/01/09 9 deaths (7 community) and 85 cases 23/01/ cases and 5 deaths reported Respsible for Following up Follow up with NPO-EHA PMD office On-going NPO-EHA PMD office Visit to the district for investigati and assessment being arranged NPO-EHA PMD office Case management Educati has been cducted. NPO-EHA PMD office Case management Educati has been cducted MOH (Dr Midzi) follow up with MSF Spain, IFRC and Zimbabwe Red Cross, CONCERN PMD office On going EHA PMD Office On-going Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 4

5 Province District/Area Flagged as a priority Cause for flagging, Acti taken to be Respsible for Follow up with taken (when and who will be doing what) Following up 106 cases reported 63 cases reported Mberengwa (N Not reporting Data Manager PMD office On-going Kwekwe (High number NPO-EHA PMD Office On-going 60 cases reported Manicaland Nyanga (High CFR) 13 cases and 11 deaths reported NPO-EHA PMD office On-going Chipinge 19/01/09 (High number NPO-EHA PMD office On-going ; ; ; ; (n Maki ; (n 38 cases and 6 deaths reported Data Manager PMD office cases for more than 3 days reported (High CFR) Maki reported 17 cases and 5 Mutare 12/01/09; 15/01/09 (High number 19/01/09; 22/01/09 (High number of cases and High CFR) Chimanimani ; (High number deaths cases reported 22/01/09 PMD, Minister and Governor to visit the district 91 cases and 7 deaths reported 69 cases reported cases and 12 deaths reported cases reported MOH PMD office On-going MOH PMD office On-going MAT SOUTH Beitbridge 20/01/09 (High number (High CFR) MAT NORTH Binga ; (High number 10 cases and 6 deaths reported 334 cases reported cases reported cases reported NPO-EHA PMD office On-going NPO-EHA PMD office Case management experts visted Binga and managed to provide some training. There are currently 5 CTCs in Binga. Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 5

6 D. Epidemiological Data Province District/area affected Cases Death s Today's update CFR of cases (%) (included in the total) Cases CFR (%) (included in the total) Proporti (%) Date last updated Number of days since previous report Harare Chitungwiza /01/ BRIDH /01/ Budiriro /01/ Bulawayo Bulawayo urban /01/ Mashaland Shamva /01/ Central Mashaland East Mashaland West Manicaland Centenary /01/ Mazowe /01/ Guruve /01/ Mbire /01/ Mt Darwin /01/ Bindura /01/ Rushinga /01/ Chikomba /01/ Hwedza /01/ Makumbe (Goromzi) /01/ Mardera /01/ Mudzi /01/ Murehwa /01/ Mutoko /01/ Ruwa (Goromzi) /01/ Seke /01/ UMP /01/ Chegutu /01/ Hurungwe /01/ Kadoma /01/ Kariba Rural /01/ Kariba Urban /01/ Makde /01/ Nort /01/ Zvimba /01/ Buhera /01/ Chimanimani /01/ Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 6

7 Province District/area affected Cases Death s Today's update CFR of cases (%) (included in the total) Cases CFR (%) (included in the total) Proporti (%) Date last updated Number of days since previous report Chipinge /01/ Maki /01/ Mutare /01/ Mutare City /01/ Mutasa /01/ Nyanga /01/ Lupane /01/ Matebeleland North Binga /01/ Matabeleland Gwanda /01/ South Masvingo Midlands Plumtree /01/ Beitbridge /01/ Masvingo /01/ Gutu /01/ Chivi /01/ Bikita /01/ Chiredzi /01/ Mwenezi /01/ Zaka /01/ Chirumhanzu /01/ Gokwe North /01/ Gokwe South /01/ Gweru City (Mkoba) /01/ Kwekwe /01/ Mberengwa /01/ Shurugwi /01/ Zvishavane /01/ Total : No report, - Flagged for follow up -Report received after more than 1 day Source: Ministry of Health and Child Welfare Rapid Disease Notificati System 7

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