Ministry of Health and Child Welfare Email: cholera_taskforce@zw.afro.who.int http://ochaonline.un.org/zimbabwe Toll free numbers for cholera alert are ( Econet only) 08089001 or 08089002 or 08089000 Mobile number for cholera alerts and SMS is 0912 104 257 Water and Sanitation alert numbers 04 703 941-2 (during working hours) 2 917 710 (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. 98 591 deaths 4 288 of which 2 631 are community deaths 100.0 % 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
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
D. Epidemiological Data Province Harare City Bulawayo Mashonaland Central Mashonaland East Today's update CFR Chitungwiza 0 0 0.0 0 3809 170 4.5 120 70.6 7/9/2009 0 BRIDH 0 0 0.0 0 6657 279 4.2 92 33.0 7/9/2009 0 Budiriro 0 0 0.0 0 9116 206 2.3 113 54.9 7/9/2009 0 Bulawayo 18 0 0 0.0 0 445 Urban 4.0 11 61.1 7/9/2009 0 Bindura 0 0 0.0 0 2364 47 2.0 29 61.7 7/9/2009 0 Centenary 0 0 0.0 0 277 23 8.3 15 65.2 7/9/2009 0 Guruve 0 0 0.0 0 1043 44 4.2 32 72.7 7/9/2009 0 Mazowe 0 0 0.0 0 578 20 3.5 11 55.0 7/9/2009 0 Mbire 0 0 0.0 0 722 29 4.0 22 0.0 7/9/2009 0 Mt Darwin 0 0 0.0 0 3541 80 2.3 47 58.8 7/9/2009 0 Rushinga 0 0 0.0 0 358 19 5.3 12 63.2 7/9/2009 0 Shamva 0 0 0.0 0 1507 35 2.3 30 85.7 7/9/2009 0 Chikomba 0 0 0.0 0 274 21 7.7 16 76.2 7/9/2009 0 Hwedza 0 0 0.0 0 119 5 4.2 4 80.0 7/9/2009 0 Makumbe 26 (Goromonzi) 0 0 0.0 0 461 5.6 19 73.1 7/9/2009 0 Marondera 0 0 0.0 0 150 9 6.0 7 77.8 7/9/2009 0 Mudzi 0 0 0.0 0 2827 170 6.0 90 52.9 7/9/2009 0 Murehwa 0 0 0.0 0 188 38 20.2 29 76.3 7/9/2009 0 Mutoko 0 0 0.0 0 381 80 21.0 70 87.5 7/9/2009 0 Ruwa 17 (Goromonzi) 0 0 0.0 0 681 2.5 12 70.6 7/9/2009 0 Seke 0 0 0.0 0 871 33 3.8 21 63.6 7/9/2009 0 UMP 0 0 0.0 0 573 54 9.4 27 50.0 7/9/2009 0 Mashonaland Chegutu 0 0 0.0 0 3127 157 5.0 33 21.0 7/9/2009 0 West Hurungwe 0 0 0.0 0 3069 133 4.3 87 65.4 7/9/2009 0 Source: Ministry of Health and Child Welfare Rapid Disease Notification System 3
Province Manicaland Matabeleland North Matabeleland South Masvingo Midlands Today's update CFR Kadoma 0 0 0.0 0 6961 255 3.7 137 53.7 7/9/2009 0 Kariba Rural 0 0 0.0 0 470 41 8.7 31 75.6 7/9/2009 0 Kariba Urban 0 0 0.0 0 154 8 5.2 1 12.5 7/9/2009 0 Makonde 0 0 0.0 0 6426 208 3.2 139 66.8 7/9/2009 0 Norton 0 0 0.0 0 1277 50 3.9 16 32.0 7/9/2009 0 Zvimba 0 0 0.0 0 1269 94 7.4 60 63.8 7/9/2009 0 Buhera 0 0 0.0 0 3598 92 2.6 68 73.9 7/9/2009 0 Chimanimani 0 0 0.0 0 1467 91 6.2 38 41.8 7/9/2009 0 Chipinge 0 0 0.0 0 3368 83 2.5 32 38.6 7/9/2009 0 Makoni 0 0 0.0 0 634 66 10.4 55 83.3 7/9/2009 0 Mutare 0 0 0.0 0 3454 236 6.8 225 95.3 7/9/2009 0 Mutasa 0 0 0.0 0 70 16 22.9 15 93.8 7/9/2009 0 Nyanga 0 0 0.0 0 871 75 8.6 44 58.7 7/9/2009 0 Mutare City 0 0 0.0 0 211 8 3.8 5 62.5 7/9/2009 0 Binga 0 0 0.0 0 1130 62 5.5 54 87.1 7/9/2009 0 Lupane 0 0 0.0 0 2 0 0.0 0 0.0 7/9/2009 0 Nkayi 0 0 0.0 0 34 9 26.5 7 77.8 7/9/2009 0 Beitbridge 0 0 0.0 0 5150 149 2.9 48 32.2 7/9/2009 0 Gwanda 0 0 0.0 0 74 9 12.2 6 66.7 7/9/2009 0 Umzingwane 0 0 0.0 0 1 0 0.0 0-7/9/2009 0 Plumtree 0 0 0.0 0 32 1 3.1 1 0.0 7/9/2009 0 Bikita 0 0 0.0 0 2653 178 6.7 138 77.5 7/9/2009 0 Chiredzi 0 0 0.0 0 4463 166 3.7 87 52.4 7/9/2009 0 Chivi 0 0 0.0 0 1584 138 8.7 106 76.8 7/9/2009 0 Gutu 0 0 0.0 0 329 14 4.3 6 42.9 7/9/2009 0 Masvingo 0 0 0.0 0 962 65 6.8 31 47.7 7/9/2009 0 Mwenezi 0 0 0.0 0 801 68 8.5 52 76.5 7/9/2009 0 Zaka 0 0 0.0 0 853 62 7.3 53 85.5 7/9/2009 0 Chirumhanzu 0 0 0.0 0 58 2 3.4 2 100.0 7/9/2009 0 Gokwe North 0 0 0.0 0 2658 133 5.0 104 78.2 7/9/2009 0 Gokwe 75 0 0 0.0 0 1859 South 4.0 48 64.0 7/9/2009 0 Source: Ministry of Health and Child Welfare Rapid Disease Notification System 4
Province Gweru City (Mkoba) Today's update 0 0 0.0 0 247 5 CFR 2.0 2 40.0 7/9/2009 0 Kwekwe 0 0 0.0 0 934 46 4.9 19 41.3 7/9/2009 0 Mberengwa 0 0 0.0 0 424 34 8.0 30 88.2 7/9/2009 0 Shurugwi 0 0 0.0 0 34 8 23.5 7 87.5 7/9/2009 0 Zvishavane 0 0 0.0 0 941 28 3.0 15 53.6 7/9/2009 0 Total 0 0 0.0 0 98591 4288 4.3 2631 61.4 - : No, - Flagged for follow up -Report received after more than 1 day Source: Ministry of Health and Child Welfare Rapid Disease Notification System 5