DAILY CHOLERA UPDATE AND ALERTS 9 th July, 2009

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1 Ministry of Health and Child Welfare Toll free numbers for cholera alert are ( Econet only) or or Mobile number for cholera alerts and SMS is Water and Sanitation alert numbers (during working hours) (after hours) DAILY CHOLERA UPDATE AND ALERTS 9 th July, 2009 Office of the WHO Representative in Zimbabwe Date of issue: 9 th July, 2009 * Please note that daily information collection is a challenge due to communication and staff constraints. On-going data cleaning may result in an increase or decrease in the numbers. Any change will then be explained. ** Daily information on new deaths should not imply that these deaths occurred in ed that day. Therefore daily CFRs >100% may occasionally result A. Highlights of the day: 0 and 0 deaths (in comparison with 0 and 0 deaths yesterday deaths of which are community deaths % of the ing centres have ed 60 out of 60 ing centres) Institutional Case Fatality Rate = 1.7% Daily Institutional CFR = 0.0 %. Source: Ministry of Health and Child Welfare Rapid Disease Notification System 1

2 B. High priority districts to be investigated Districts ed high number of ( > 30 Districts with a daily CFR > 5% : Districts with high number of deaths outside health facility/ CTC > 3 Districts with reoccurring after more than 14 days Districts which have not ed for more than 3 days: C. Follow up actions Province District/Area Flagged as a priority on Cause for flagging, Action taken to be taken (when and who will be doing what) Responsible for Following up Follow up with Follow up Status Source: Ministry of Health and Child Welfare Rapid Disease Notification System 2

3 D. Epidemiological Data Province Harare City Bulawayo Mashonaland Central Mashonaland East Today's update CFR Chitungwiza /9/ BRIDH /9/ Budiriro /9/ Bulawayo Urban /9/ Bindura /9/ Centenary /9/ Guruve /9/ Mazowe /9/ Mbire /9/ Mt Darwin /9/ Rushinga /9/ Shamva /9/ Chikomba /9/ Hwedza /9/ Makumbe 26 (Goromonzi) /9/ Marondera /9/ Mudzi /9/ Murehwa /9/ Mutoko /9/ Ruwa 17 (Goromonzi) /9/ Seke /9/ UMP /9/ Mashonaland Chegutu /9/ West Hurungwe /9/ Source: Ministry of Health and Child Welfare Rapid Disease Notification System 3

4 Province Manicaland Matabeleland North Matabeleland South Masvingo Midlands Today's update CFR Kadoma /9/ Kariba Rural /9/ Kariba Urban /9/ Makonde /9/ Norton /9/ Zvimba /9/ Buhera /9/ Chimanimani /9/ Chipinge /9/ Makoni /9/ Mutare /9/ Mutasa /9/ Nyanga /9/ Mutare City /9/ Binga /9/ Lupane /9/ Nkayi /9/ Beitbridge /9/ Gwanda /9/ Umzingwane /9/ Plumtree /9/ Bikita /9/ Chiredzi /9/ Chivi /9/ Gutu /9/ Masvingo /9/ Mwenezi /9/ Zaka /9/ Chirumhanzu /9/ Gokwe North /9/ Gokwe South /9/ Source: Ministry of Health and Child Welfare Rapid Disease Notification System 4

5 Province Gweru City (Mkoba) Today's update CFR /9/ Kwekwe /9/ Mberengwa /9/ Shurugwi /9/ Zvishavane /9/ Total : No, - Flagged for follow up -Report received after more than 1 day Source: Ministry of Health and Child Welfare Rapid Disease Notification System 5