Published Date: 2007-10-18 17:00:09
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2007 (49)
Archive Number: 20071018.3405

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2007 (49)
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In this update:
Asia
[1] Cholera - Iraq
[2] Diarrhea, fatal - India (Assam)
[3] Diarrhea - India (Orissa)
Africa
[4] Cholera - Somalia
[5] Cholera - Angola (Kwanza Sul)
[6] Cholera, diarrhea - Nigeria (Bauchi)

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[1] Cholera - Iraq
Date: Tue 16 Oct 2007
Source: Relief Web [edited]
<http://www.reliefweb.int/rw/fullMaps_Sa.nsf/luFullMap/8FD81B41C7F88E4085257376004F6B67/$File/who_EP_irq071012.pdf?OpenElement>

[A well captioned map of Iraq showing the location of the cholera
cases through 5 Oct 2007 can be found at the URL above. - Mod.LL]

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*****
[2] Diarrhea, fatal - India (Assam)
Date: Sun 14 Oct 2007
Source: Assam Tribune [edited]
<http://www.assamtribune.com/scripts/details.asp?id=oct1507/at07>


Unofficial records have put the death toll in Golaghat district at
70. The worst affected areas of the district are Chakiting TE,
Kakatibari, Senduriting, Halmara, Hautali, Thuramukh, Thurajan,
Rangajan, Avoyjan, and Jamuguri TE.

The 1st case of diarrhea was detected in Chakiting TE, where 10
people died of the disease. Later, cases were detected at Kakatibari
of Negheriting TE, where more than 7 people died of the disease.
Following the deaths, 2 teams from UNICEF had visited the affected
areas.

At present, a 3-member team is investigating the area and collecting
different samples. According to sources, it was found that the main
cause of the outbreak are water sources.

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[Assam state is in northeastern India and can be found on a map at
<http://www.nationsonline.org/bilder/map_of_india50.jpg>.
Documented cases of cholera have been occurring in the state. - Mod.LL]

*****
[3] Diarrhea - India (Orissa)
Date: Mon 15 Oct 2007
Source: New India Press [edited]
<http://www.newindpress.com/NewsItems.asp?ID=IEQ20071015020949&Page=Q&Headline=Water-borne+diseases+grip+Balasore&Title=ORISSA&Topic=0>


With floods affecting about 1.5 million people in all the 12 blocks
of Balasore district, the fear of an epidemic outbreak is looming
large over the flood-affected villages.

Water-borne diseases in the deluge-hit region have become a cause of
concern for the district administration. Three persons, including a
child, have died of diarrhea in Oupada block within the past 2 days,
and hundreds of people are suffering from the disease. Cases of
diarrhea have also been reported from the worst-hit blocks of
Nilagiri, Basta, Bhogarai, Remuna, Baliapal and Sadar.

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[A map of India showing the location of the northeastern state of
Orissa, bordering the Bay of Bengal, can be found at:
<http://www.travelagent-india.com/gifs/map-india.gif>.
Cases of cholera were previously reported there earlier in 2007. - Mod.LL]

*****
[4] Cholera - Somalia
Date: Mon 15 Oct 2007
Source: United Nations [edited]
<http://www.un.org/apps/news/story.asp?NewsID=24283&Cr=&Cr1=>


The United Nations World Health Organization (WHO) has warned of an
imminent risk of cholera in southern Somalia. Seven new cases have
been confirmed so far in the capital, Mogadishu, as well as in
Berdale and Burhakaba.

WHO says the new cases represent an even more serious threat than the
outbreak that occurred 3 months ago and which affected more than 37
000 people and led to over 1100 deaths. The UN Children's Fund
(UNICEF) has begun delivering cholera kits and oral re-hydration
therapy supplies to the area.

The UN Office for the Coordination of Humanitarian Affairs (OCHA)
reports that the flood alert was raised from moderate to high on the
Shabelle and Juba rivers following significant rainfall in South
Somalia and the Ethiopian highlands where the 2 rivers originate. An
inter-agency mission to assess the situation and possible
interventions are being planned. Meanwhile, the UN High Commissioner
for Refugees (UNHCR) reports that, in a 2-way flow of displaced
persons, nearly 31 000 people have fled ongoing insecurity, sporadic
violence and looting in Mogadishu since the beginning of September
2007, while nearly 800 internally displaced persons (IDPs) returned
to the Somali capital. In addition, nearly 7300 residents and IDPs
have been evicted from their homes in government and public buildings
since June 2007, according to UNHCR's Population Movement Tracking.

Somalia, which has had no functioning central government since the
regime of Muhammad Siad Barre was toppled in 1991, has seen renewed
fighting since the beginning of 2007, after the Ethiopian-backed
Transitional Federal Government (TFG) drove the Union of the Islamic
Courts (UIC) out of Mogadishu and most of the rest of the country in
December 2006. Since the onset of fighting in January 2007, UNHCR
reports that between February and May 2007, about 400 000 IDPs moved
from Mogadishu, with about 125 000 returning between April and June
2007. Since June 2007, nearly 85 000 people have moved from the
capital.

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[A map of Somalia can be found at:
<http://www.un.org/Depts/Cartographic/map/profile/somalia.pdf>.
Mogadishu, the national capital, can be found on the eastern coast.
Burhakaba is located in the Bay region, north and west of Mogadishu,
and Berdale (Berdaale on the map) is in the more northern region of
Mudug. - Mod.LL]

*****
[5] Cholera - Angola (Kwanza Sul)
Date: Mon 15 Oct 2007
Source: AllAfrica.com and Angola Press Agency (Luanda) [edited]
<http://allafrica.com/stories/200710151840.html>


34 cases of cholera, resulting in 10 deaths were reported over the
last 10 days in Wako-Kungo region, Cela district, in the coastal
Kwanza Sul province. According to the balance report of the municipal
health division, made available to ANGOP this Mon 15 Oct 2007, the
cases were registered in the outskirts of Wako-Kungo city.

The note also stated that local health officials are actively engaged
in tracking down cholera cases in the region, conducting house to
house distribution of calcium hypochlorite, sensitizing the
communities on the dangers of the epidemic disease, as well as
holding some upgrading courses to benefit technicians, chieftains and
religious authorities, among others.

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[A map of the west African country of Angola showing Kwanza Sul
(spelled Cuanza Sul on the map) can be found at:
<http://www.un.org/Depts/Cartographic/map/profile/angola.pdf>.
- Mod.LL]

******
[6] Cholera, diarrhea - Nigeria (Bauchi)
Date: Wed 17 Oct 2007
Source: The Vanguard [edited]
<http://www.vanguardngr.com/index.php?option=com_content&task=view&id=467&Itemid=47>


About 7 people have died in Bauchi State owing to a gastroenteritis
outbreak, while over 60 people are currently infected with the
disease in the state. This was disclosed by the Secretary of Nigeria
Red Cross Society Bauchi State Chapter, Alhaji Adamu Abubakar. He
stated further that those infected with the deadly disease are
receiving treatment in various health institutions in the state as a
result, a development which, according to him, can degenerate into
cholera if not taken care of quickly [Does this imply that it is
already cholera? - Mod.LL].

The secretary further warned the Bauchi state government to stand
against the spread of cholera in the state in order to avoid the 2005
experience that led to the loss of many people in the state and much
suffering.

[Byline: Patience Ogbodo]

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[ProMED (in update 48) has already posted on the spread of cholera in
Bauchi state. Whether the 7 deaths include the 5 previously noted is
not clear.

A map of Nigeria showing the state and city of Bauchi in the
northeast can be found at
<http://www.un.org/Depts/Cartographic/map/profile/nigeria.pdf>.
- Mod.LL]

See Also

Cholera, diarrhea & dysentery update 2007 (48) 20071015.3377
Cholera, diarrhea & dysentery update 2007 (47) 20071011.3340
Cholera, diarrhea & dysentery update 2007 (46) 20071009.3316
Cholera, diarrhea & dysentery update 2007 (45) 20071008.3309
Cholera, diarrhea & dysentery update 2007 (44) 20071006.3300
Cholera, diarrhea & dysentery update 2007 (43) 20071004.3286
Cholera, diarrhea & dysentery update 2007 (42) 20071002.3254
Cholera, diarrhea & dysentery update 2007 (41) 20070925.3175
Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (30) 20070830.2856
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
Cholera, diarrhea & dysentery update 2007 (10) 20070302.0737
Cholera, diarrhea & dysentery update 2007 (01) 20070105.0047
2006
----
Cholera, diarrhea & dysentery update 2006 (52) 20061229.3646
Cholera, diarrhea & dysentery update 2006 (50) 20061215.3528
Cholera, diarrhea & dysentery update 2006 (40) 20061006.2862
Cholera, diarrhea & dysentery update 2006 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (20) 20060512.1352
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040
.................................................ll/msp/lm

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