republic of south sudan - who · katta, raja county: a cluster of suspect cholera cases reported in...

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Republic of South Sudan

CHOLERARESPONSEUPDATESASOF1SEPTEMBER2017CoordinationofcholeraresponseTheNational cholera task force is coordinating theoverall cholera response.The task forcemeetingsconveneweeklyonWednesdaysfrom2pmintheWHOconferencehallinJuba.Also,thecholeracoordinationmeetinginJubaTeachinghospitalholdsonMondaystarting11aminthePostgraduateSchool.SurveillanceandcasemanagementupdatesCholeraalertsNyinbouli, Aweil West: On 28 August 2017, six suspect cholera deaths were reported inNyinbouli, AyatWest Payam, AweilWest County. A verificationmission by the CHD on 29August2017showedthatfourofthedeathswereduetomalaria(followingtestsatNyinbouliPHCC),onewasasnakebitedeath,andtheotherwasamaternaldeathduetopostpartumhemorrhage.Boma:The initial cases originated fromMaruo, LabarabPayam,BomaCountyon7August2017.Atleast48suspectcholeracasesincludingthreedeathshavebeenlinelistedasof28August 2017. One sample tested culture negative for Vibrio cholerae on 21 August 2017.Verificationandresponseactivitiesinitiatedinresponsetothealert.CasesarebeingmanagedatBomaCivilHospital.Choleraconfirmationisstillpending.Katta,Rajacounty:AclusterofsuspectcholeracasesreportedinKattaduringtheweekof7August2017byALIMA,an implementingagency.Verification isstillpendingduetosecurityconcerns.Naruscounty:ThreesuspectcholeracasesincludingonecommunitydeathwerereportedfromNarus.Twoofthesuspectcholeracasesinvolvedamotherandher21-monthdaughterfromNarusvillage.TheywerebothtreatedanddischargedfromNarusCDOTCTU.ThethirdalertinvolvedacommunitydeathfromLopuavillage;theverificationisunderway.Kikilai,Lotukei,Budicounty:ThreesuspectcholeracasesfromLotukeipayamwereadmittedinKikilaiPHCCon28August2017;twoofthecaseswereRDTpositiveforcholera.Also,choleraalertshavebeeninvestigatedinLoriyok(Camp15)andKudukBoma.Atleast20choleracasesincludingtwodeathshavebeenlinelistedinKimotongpayamwhile inNgauro,at least153casesincluding6deathshavebeenlinelisted.

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GeneralcholeratrendsCholera transmission is on the decline countrywide A countrywide. In the last four weeks[weeks31-34],choleracaseshavedroppedfromatleast145casesinweek31of2017toatleast39casesinweek34of2017.Duringthelastfourweeks[week31-34,2017],atleastfivecounties[Budi,Juba,KapoetaEast,KapoetaSouth,andNyirol]haveregisteredcholeratransmission.JubaandBudicountiesaccountedforthemajorityofthecholeracasesreportedinweek34of2017.Duringweek34,Budi county reported a total of 29 cases fromKimatongpayam (13cases),Ngauropayamreported13cases(comparedto40casesincludingonedeathinweek33),andLotukeipayamreported3cases.TheoutbreakinBudistartedon28July2017withtheinitial transmission occurring among gold-miners in Ngauro. Budi county has reported acumulativeofatleast159casesincludingeightdeathssince28July2017.CordaidandtheCHDare supporting management in Ngauro CTU, Kimotong CTU, Kimotong PHCC, Vaka ORP,NagishotPHCC,andKakilaiPHCCinBudicounty.InJuba,102caseshavebeenreportedfromthenineHLSSmanagedORPsinthelastfourweeks[week31-34].TheareasactivelyreportingcasesinJubaincludeRejaf,Kator,andJubaTown.Also, sporadic cases continue to be reported from UN House PoC with three cholera RDTpositivecasesreportedinweek34.Atotalof28choleracaseshavebeenlinelistedinUNHousePoCsince4June2017.InKapoetaEastandKapoetaSouth,thenumberofnewcholeracasesreducedfrom14casesinweek32tonocasesinweek34.Theimplementingagency(ARC)hasscaled-downoncasemanagement response activitieswith only KapoetaHospital CTC andNarus CTU remainingopentoreceiveandmanagecholeracases.CholeraresponseupdatesTheweeklyEP&R/cholerataskforcemeetingwasheldinJubaon30August2017toreviewthecholerasituationandresponseupdates.WHO continues to support the overall coordination of cholera preparedness and responseactivitiesasco-chairofthecholerataskforce.WHOisalsocoordinatingthedeploymentoforalcholeravaccinestocomplementthecurrentresponseinSouthSudan.WHOisalsosupportingthesurveillanceandlaboratoryactivitiesthoughcollationofcholeradata,compilationofthecholerasituationreport,andprovisionofcholerainvestigationkits.WHOisalsosupportingthedeploymentofrapidresponseteamstoareaswithactivetransmission.Duringtheweek,alertswereverifiedinNyinbouli,AweilWest;Kimatong,Budi;andLotukei,Budicounty.The investigationswereundertakenbytheCHDsworking incollaborationwithpartnersCORDAID. The cholera suspect cases inNyinbouliwere ruledoutwhile in Lotukei,threecholera(2choleraRDTpositive)wereidentified.InKimatong,atleast13choleracaseshavebeenlinelisted.InKapoetaSouthandKapoetaEast,ARChasscaled-downoncasemanagementactivitieswiththe tworemainingcholera treatment facilities [KapoetaHospitalCTCandNarusCTU]beinghandedovertoSMoH/CHD.Inaddition,theARCteammanagedtotraveltoJieandMogosto

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retrievetheoralcholeravaccinecampaignresultsfromthetwosites.UNICEF continues to provide supplies for medical management of cholera cases at bothcommunity and facility levels in the affected areas. As part of cholera case management,UNICEFsupported46oralrehydrationpoints(ORPs),15choleratreatmentunits(CTUs)andtwocholeratreatmentcenters(CTCs)throughpartnersinkeycholerahotspotsinninecountiesacrossfivestateswith8,764casessofarin2017weretreatedusingthesuppliesprovidedbyUNICEFandmore than30DiarrheaDiseaseKitshavebeendistributed in2017with2DDKdistributedinthereportingperiod.UNICEFhasprepositionedcholerasuppliesinallfieldofficesandsupportedthedevelopmentofcholeracontingencyplansinhotspotcounties.CholeraandLog/WASH consultants have been recruited to strengthen response especially casemanagementandInfectionpreventionandcontrolintreatmentsites.Table1:Dosesoforalcholeravaccinesdeployedin2017bysite

OralcholeravaccinationAspartoftheongoingcholeraresponse,choleravaccineshavebeendeployedtocomplementcholeraresponseinseveralhigh-riskpopulationsandlocations.TheseareasincludeLeer,BorPoC,Malakal Town, Bentiu PoC,Mingkaman IDP settlement, Aburoc IDPs, Bentiu/RubkonaTown,Ayod(Pagil,Tar,Jiech,Karmun,Padek,andKandak),Juba(DonBoscoIDPs),TonjEastand Marial Lou payam, Kapoeta North, Kapoeta South, and Kapoeta North. Out of the1,044,150dosessecuredbyWHOin2017,atotalof835662doseshavebeendeployed(seeTable1).ThereiseithernotransmissionornegligibletransmissioninallthelocationsthathavedeployedOCV.

Novaccinated

%coverage

Novaccinated

%coverage

1 Leer(oneround) 44731 30,772 69% 0% 22/02/2017 MedAir,WHO,UNICEF

2 MalakalTown(oneround)

16500 10,499 64% 0% 18-24Mar2017 MSF-E,WHO,UNICEF

3 BorPoC 2265 1,926 85% 1,885 83% 3-4Apr2017;2ndRnd26-29Apr2017

HLSS,WHO,UNICEF

4 Mingkaman 111,278 68,512 62% 42,296 38%26Apr-5May2017;2ndRnd:12-26May&10-21Jun

MedAir,WHO,UNICEF

5 AyodTar(oneround) 19,400 15,649 81% 0% 9-22May MedAir,WHO,UNICEF6 AyodPagil(oneround) 4,850 3,943 81% 0% 9-22May2017 MedAir,WHO,UNICEF

7 BentiuPoC 112,924 72,514 64% 77,603 69% 5-10May2017 IOM,WHO,Unicef

8 Rubkona&Bentiutowns

35204 31,908 91% 38,388 109% 19-23Jun2017&11-15Jul2017

IOM,WHO,Unicef

9AburojIDPs(oneround)

11,640 10,723 92% 0% 20-22May2017 MSF-E,WHO,UNICEF

10Ayod(Jiech,Karmun,Padek,Kandak)(oneround)

18,550 13,756 74% 9,337 50% 20-26Jun2017&18-23Jul2017

IOM,CMD,WHO,UNICEF

11 JubaDonBoscoIDPs 5,940 4,536 76% 3,309 56% 3-6Jul2017;24-27Jul2017

MSF-CH;WHO,UNICEF,HLSS

12 TonjEast(oneround) 189,058 160,862 85% 6-10Aug2017 IOM,WHO,Unicef

13KapoetaNorth(oneround)

141,520 73,323 52% 29Jul-4Aug2017&17-25Aug2017

SCI,WHO,UNICEF

14 KapoetaSouth(oneround)

97,000 78,863 81% 29Jul-4Aug2017 ARC,WHO,UNICEF

15KapoetaEast(oneround)

97,000 85,058 88% 29Jul-4Aug2017 ARC,WHO,UNICEF

Totaldosesdeployedin2017

907,860 662,844 73% 172,818 19%

Partners

Firsround Secondround

No SiteTarget

population

Dates

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Preparationsareunderwaytodeploy395,940dosesoforalcholeravaccinesforvaccinationinJuba, Lankien,Akoboandotherareas in Jonglei, andPanyijiar. Inaddition, theoral choleravaccineworkinggrouphasgivenago-aheadfortheshipmentof896,360dosestocoversecondroundcampaignsinKapoetaSouth,KapoetaNorth,KapoetaEast,Juba,Akobo/Uror,Lankien,andPanyijiar.Arrangementsareunderway toupdate themicroplans for thesecondroundcampaignsinKapoetaNorth,KapoetaEast,KapoetaSouth,andTonjEastcounties.Communicationfordevelopment(C4D)UNICEF continues tomobilize pastoralist communities in Eastern Lakes, Jonglei, Unity andEasternEquatoriawithcholerapreventionandcontrolmessagesreaching24cattlecampswithacumulativepopulationofmorethan2,500people.SinceendJune2017,totalof1,073trainedsocialmobilizersandhygienepromotershavebeendeployedandhavereachedover72,000households. Mobilizers also reached around 49,000 school children and teachers in 147schools.About17,600peopleincludingcommunityleadersandfoodandwatervendorswerereached with messages through community meetings, water-point and market sessions.UNICEFcontinuestoworkwith11implementingpartnerstoconductcommunityengagementactivitiesincludinghouseholdvisitswithcriticaldemonstrations,communitymeetings,water-pointandmarketawarenessactivitiesandschoolsandcattlecamps interventions inall thecholerahotspotlocations.Duringthisreportingperiod,UNICEFsupportedcholeraawarenesscampaignsthrough21radiostations in Juba, Yei, Kapoeta, Torit, Bentiu, Tonj, Bor and Mingkaman, where activetransmission isongoing.This includes,broadcastingof five to ten radio jingleswithcholeramessagesperday,withatotalof27talkshowsand24interviews,reachingapproximately1.8millionpeople(listenershipdataof21radiostations)withcholerapreventionmessagesduringthereportingperiodWater,sanitationandhygiene(WASH)UNICEF and implementing partners continue to respond to the ongoing cholera epidemicthroughtheprovisionofbasicWASHservices.Theprimaryfocusofthecholeraresponseisonsafe household water treatment and storage through distribution of Aquatabs© or PUR©water treatment products andhygienepromotion so as to interrupt the cycle of infection.Rehabilitationofbrokenhandpumps,anddistributionofWASHNFIs,suchassoap,bucketsandjerrycansforsafewaterstoragearealsoundertakentoensurethecontinuumofWASHservicesintheaffected/atriskcommunities.Atotalof16WASHpartnersthataresupportedby UNICEF and six (6) WASH Cluster partners with the capacity to conduct rapid mobileresponsesarecurrentlyprovidingessentialWASHservicesforthecholeraresponse.UNICEFhasprepositionedWASHcholerasuppliesinmostaffectedareasandissupplyingallWASH partners through the core pipeline to support the ongoing response. UNICEF hasprovidedsafedrinkingwatertoanestimated221,660peopleincholeraaffectedareasthroughtherehabilitationof153boreholeshandpumps,drilling19newboreholes.3,300peoplewereprovidedwithaccess to safe sanitation throughconstructionof66 latrine stances.Throughsurveillanceactivities,10,460householdsreceivedwatertreatmentproductstoensuresafedrinkingwaterincholeraaffectedcommunities.Additional17,252householdsalsobenefitedfromdistributionsofWASHNFIs(soap,buckets,Jerrycansetc.),andadditional20,1965peoplealso reachedwith key hygiene and choleramessages. To strengthen the capacity ofWASH

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partners, UNICEF conducted a training on cholera prevention and containment,whichwasattendedby29participantsfrom19WASHpartnerorganizations.Table2:CholeraculturetestresultsJun2016-21Aug2017

County Positive Negative (blank) TotaltestedAbyei 1 1Akobo 2 2Awerial 55 63 118Ayod 2 6 8Bor 4 4 8Budi 1 1Duk 11 6 17Fangak 28 50 78Fashoda 7 14 21Juba 229 246 475KapoetaEast 8 8Kodok 1 2 3Lankien 3 1 4Leer 9 13 22Magwi 7 1 8Malakal 2 21 23Mayendit 4 6 10Mayom 4 7 11Panyijiar 1 1Pibor 5 5Pigi 2 4 6Renk 2 2Rubkona 30 91 121Terekeka 2 2TonjEast 8 8 16Torit 5 5Uror 2 2Wau 6 6YirolEast 6 8 1 15YirolWest 4 4(blank) 1 1KapoetaSouth 12 12 24Nyirol 3 1 4Adior 4 4 8Totaltested 451 588 1 1,040

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WASHCLUSTERRESPONSEUPDATES

WASH Cluster Key Cholera Response updates Reporting period: 28 August – 3 September 2017

Locations with ongoing outbreak and hot spots

WASH Partners present

Ongoing Action with number of population reached with Cholera interventions

Gaps and recommended action

Kapoeta South, Kapoeta North, Kapoeta East IOM- WASH Focal Point

IOM

IOM reached 3053 beneficiaries by household visits in Lomeyen IOM rehabilitated additional six boreholes in Paringa and Chumakori, IOM and SI withdrawing from the locations across Kapoetas, ongoing handovers and partner meeting’, CMD and INTERSOS preparing the response

Budi SI SI responding in Ngauro INTESOS planning to respond in Kiamatong

Duk Ageer and Payuel

CRS Sensitized communities on hygiene promotion and rehabilitation of boreholes in both Payam of Ageer/Payuel and its villages (Poktap, Weerajack, Garach, Themeropiny, Kiirhom, Thonpiny, Jual, Wutbany and Patuenoi and Payuel) 192 HH (1,727 beneficiaries) were reached with hygiene messages at house to house visiting. 257 beneficiaries were reached with hygiene messages at mass campaign in both Poktap and Payuel 6 latrine stances were disinfected in poktap Boma.

There is need for supply of working gears (Masks, raincoats and aprons).

Padiet, Pagak and Dong-chak Payam

55 HH (459 beneficiaries) received hygiene messages at house to house visiting. 608 beneficiaries were reached with hygiene messages at mass campaign.

There is need for supply of working gears (Masks, Gumboots, raincoats, aprons and gloves)

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Locations with ongoing outbreak and hot spots

WASH Partners present

Ongoing Action with number of population reached with Cholera interventions


Panyang Pajut, Patuet, Turu, Kuergach, Kuerliet, Pamaidiang, Mananyang

237 HH (1,645 beneficiaries) were reached and received hygiene messages through house to house visit. One borehole rehabilitated (Kuerliet borehole)

There is need for supply of working gears (Masks, Gumboots, raincoats, aprons and gloves)

Padiet

PAH

Training of water user's committee (62 participants) Water Quality Monitoring - bacteriological testing (12 samples) Water Storage container distribution (jerry cans, PUR, filet cloth and soap) – 18,296 beneficiaries Distribution of latrine digging tools (10 sets) 6 Hand washing facilities constructed in schools 8 Hand washing facilities constructed in health facilities Hygiene promotion messaging - Household Visits and public campaigns (43,873 beneficiaries reached)

Mayom IOM IOM reached 6947 beneficiaries by household visits in Kuerbone IOM rehabilitated six boreholes in Kuerbone and Wangkei

Yirol PAH 8 Handpumps rehabilitated Distribution (jerry cans, PUR, buckets, filter cloth, soap) – 27,386 beneficiaries Hygiene promotion messaging - Household Visits (29,464 beneficiaries) Latrine construction in Health Facilities (4 stances) Training for community leaders (20 participants) Construction of CTU's shelter at 2 health facilities Distribution of latrine cleaning facilities to 9 institutions 5 Hand washing facilities constructed in schools 5 Hand washing facilities constructed in health facilities Distribution of latrine digging tools (25 sets)

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SOCIALMOBILISATIONUPDATES Social Mobilization, Communication and Hygiene Promotion Reporting Format (28 August-1 September, 2017)

Locations with ongoing outbreak and hot spots (Payam level)

Partners present Ongoing Action with number of population reached with Cholera interventions


TonjEast:MostaffectedMakuac,Paliang,PawengPayam,TonjSouthandMarial-Lou-TonjNorth.(Warrap)

- CCM,THESO,UNICEF,WHOandSMOH

5newsuspectedcholeracaseswereidentifiedinRomicandreferredtothetreatmentsite.Atotalof75communitymobilizerscontinuedtoactivelyworkwiththecommunitiesandhouseholdsinTonjEast(Romic)&TonjNorth(Mariallou)Duringhousetohousevisit,atotalof1760households(7347people)werereachedwithcholeraandimmunizationmessages,Atotalof2421schoolchildrenin7schoolsparticipatedincholerapreventioneducationsession.During9communitymeetings1,131peoplereceivedcholerapreventionandcontrolmessagesAtotalof43peoplein1marketplaceswereexposedwithcholerapreventionandcontrolstrategies.Aspartofcattlecampstrategy,417nomadicpopulationwerereachedin7cattlecampsvisitedbysocialmobilizers.And6water-pointssessionsconductedreaching40watervendorswhowereeducatedoncholerapreventionstrategiesincludingwatertreatmentandhouseholdwatersafetypracticesduringoutreachsessions.Also105assortedcholerapostersweredisplayedinpublicplaces.

Bor,TwicEast,DukandPibor

CDNF UNICEFsupportedpartnerCDNFcontinuewithcommunityengagementactivitieswhichincludehouseholdvisitswithcriticaldemonstrations,communitymeetings,water-point

-

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andmarketawareness,schoolandcattlecampsinterventioninareasofBor,DukandTwicEast.IncountiesofBor,TwiceastandDuk,from24thAug–1stSept2017,CDNFconductedsocialmobilizationactivitiesandreachedthetotal1,675HHsand8,587Individualsthrough70trainedvolunteerssocialmobilizers/homehealthpromoters)educatingcommunityonsocialandbehaviorchangeinterventiononintegratedcholeracontroldiarrhealdiseaseprevention.Anothertotalof9schoolsand1,646pupilsbenefitedfromschool-basedinterventionsonintegratedcholeraawarenesssessionscarryoutbysocialmobilizersatdifferentschools,Bor,TwiceastandDukcounties Inthisperiod,thesocialmobilizersconducted8communitymeetingsatdifferentpayamsofBor,TwiceastandDukcounties,numberofreached388peopleinclusiveofcommunityleaderswhichcompriseoflocalchiefs,religiousleadersandwomenandyouthleaders.

Socialmobilizersconducted7awarenesssessionsatmarketplacesand296individualsthroughmarketsessionsincludingfoodvendorsinthementionedcountiesofDuk,TwiceastandBor.

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InvillagesofBor,TwiceastandDukcounties,CDNFsocialmobilizersconducted4waterpointsessionsandreachedtotalof175peopleincludingwatervendorswithcholeraanddiarrhealdiseasemessages.Massmediaintervention:cholerakeymessagesandradiospotsarebeingbroadcastedonMingkaman100FM,andRadioJonglei95.9FM,6timesdailyinDinka,EnglishandArabicreachingpopulationinremotelocationsandvillageswithlifesavingmessagesoncholerapreventionandcontrolReligiousengagement:TrainedCDNFSocialmobilizersreachedpeoplewitheffectivecholeramessagesinover11churchesduringreligiousprayersservicesinthecountiesofBor,Twiceast,andDuk,PiborCDNFconductedorientationmeetingwithcountyCommunitySocialmobilizersandSupervisoronThursday28thAug2017inBorcounty

Pibor,Lekuangole,Vertethandgumuruk

NileHope,FCDI InPayamofPibor,Lekuangole,VertethandGumuruk,from24Aug–1stSept2017,CDNFconductedsocialmobilizationactivitiesandreachedthetotal428HHsand2,841Individualsthrough23trainedvolunteerssocialmobilizers/homehealthpromoters)educatingcommunityonsocialandbehaviorchangeinterventiononintegratedcholeracontroldiarrhealdiseaseprevention.

-

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Atotalof10schoolsand534pupilsbenefitedfromschool-basedinterventionsonintegratedcholeraawarenesssessionscarryoutbysocialmobilizersatdifferentschools,Pibor,Lekuangole,VertethandGumurukPayamsInthesameperiod,thesocialmobilizersconducted6communitymeetingsatpayamsofPibor,Lekuangole,VertethandGumuruk,reached954peopleinclusiveofcommunityleaderswhichcompriseoflocalchiefs,religiousleadersandwomenandyouthleadersAgainCDNFSocialmobilizers’inPiborconducted5awarenesssessionsandreached794individualsthroughmarketinterventionsincludingfoodvendorsinthementionedcountiesofBoma.InhardtoreachvillagesofPibor,Lekuangole,VertethandGumurukpayams,CDNFsocialmobilizersconducted8waterpointsessionsrandreachedtotalof643peopleincludingwatervendorswithCholeraanddiarrhealdiseasemessages

Akobo,OldFangak,Ayod,Pigi,Nyirol,Uror

FCDI Noreportshared -

JubaGurei,Kator,Lologo,Gumbo,Nesitu

Healthlink,SMoHandCHD

Atotalof43trainedcommunitymobilizershasbeenactivelyworkingGurei,Kator,Lologo,Gumbo,NesituNocasewasreportedandreferredduringthereportingweekDuringthehousetohousevisit,atotalof4,712peoplefrom15,582householdswerereachedwithcholeramessages.

-

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WASHandHealthsuppliesdistributedduringthereportingperiodincludes4,572ORSand604chlorinetapsAspartofMassmedia,atotalof14FMstationscontinuewithairingofradiospotsandtalk-showsinJubaandYei.As of 28 August-1 September, 2017, 840 times radiojingles have been broadcasted reaching over 2millionpeopleacrossthecountry.

Thisweek,streetannouncementofcholeramessageshasbeenongoingthroughFive(5)PublicAddressSystems(PAs)infivemainareasoftheCitynamely;Rajaf,Kator,Juba,MunukiandNyar-kenyi/NorthernBari.ThePAsconducts5hours’announcementsperday

(3hrmorningand2hrsevening)andwillbeongoingforaperiodof60days.

THESOisalsoconductinghygienepromotionandmegaphoneannouncementsinJubaPOC

MinistryofHealth,WHOandUNICEFincollaborationwithVivacellTelecomCompanyhavere-activated

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Cholerahotline(1144)whichcurrentlyrespondtoallcallsaswellaseducatingcallersoncholeraresponseandpreventivemeasures.

Rubkona,BentiutownandPOC

UNIDO,NileHope,IRC,MercyCorps

- Noreportshared -

UpperNile(Maban) MobileTheatreTeam

- Noreportshared -

YirolEast(EasternLakes),AdiorPayam,MalekPayam,LekakeduPayam,YaliPayam,PagarauPayam,Tin-agauPayam,Nyang(Lakes)

- SSRC,CHADO/CHD Noreportshared

Awerial(EasternLakes)Mingkaman, Alel,Dor,Puluk,Bunangok,Nile,Magok,Abuyong

- Noreportshared

YirolWest(EasternLakes),AbangPayam,AnuolPayamYirolCentre(Town),Geng-GengPayam,GeerPayam,AluakLuakPayam,MapuorditPayam

- CHADO,SSRCandCHD

Noreportshared -

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OCV Campaign: MoH, American Refugee Committee (ARC) and WHO team in Mogos cattle Camp 02/AUGUST/2017 –Kapoeta East ContactsDr. Mathew Tut� Director, Emergency Preparedness and Response Ministry of Health, Ministerial Complex�Juba, Republic of South Sudan��Email: [email protected]

Dr. Joseph F. Wamala Epidemiologist��World Health Organization Ministerial Complex Juba, Republic of South Sudan Email: [email protected]

republic of south sudan - who · katta, raja county: a cluster of suspect cholera cases reported in...

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