Sudan: Cholera outbreak Flash Update No. 4, As of 4 December 2023 [EN/AR]

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HIGHLIGHTS

• Sudan declared a cholera outbreak in Gedaref on 26 September. At least 5,178 suspected cholera cases, including 161 associated deaths, have been reported.

• Cholera has spread to 46 localities in Aj Jazirah, Blue Nile, Gedaref, Kassala, Khartoum, Red Sea,
Sennar, South Kordofan, and White Nile states as of 28 November.

• Humanitarian agencies are scaling up the response to the outbreak, supporting the detection and treatment of cases. They are also addressing water, sanitation and hygiene issues, conducting water quality monitoring and chlorination, and risk communication and community engagement.

• Surveillance is ongoing in affected and high-risk areas to identify and address risk factors.

• Oral cholera vaccination campaigns have been organised in Gedaref and Aj Jazirah states reaching 98 per cent of the targeted 2.2 million people.

SITUATION OVERVIEW

As of 2 December 2023, at least 5,178 suspected cases of cholera, including 161 associated deaths (case fatality rate of 3.1 per cent), were reported from 46 localities of nine states, according to the Federal Ministry of Health (FMoH) and the World Health Organization (WHO) Sudan Outbreaks Dashboard. To date, there are 1,808 suspected cases of cholera and 48 associated deaths in Gedaref; 1,345 suspected cases and 23 associated deaths in Aj Jazirah; 684 suspected cases and 28 associated deaths in Red Sea; 463 suspected cases and 26 associated deaths in Khartoum; 346 suspected cases and eight associated deaths in South Kordofan; 399 suspected cases and 22 associated deaths in White Nile; 69 suspected cases and three associated deaths in Sennar; 63 suspected cases and three associated deaths in Kassala; and one suspected case in Blue Nile.

Oral Cholera Vaccine (OCV) Vaccination Campaign

The Oral Cholera Vaccine (OCV) stock is managed globally by the International Coordination Group (ICG). Currently, the global stockpile is critically low. Despite this, Sudan received approval for around 2.9 million OCV doses for Gedaref, Aj Jazirah and Khartoum states, which is 35 per cent of the global stockpile, of which 2.2 million doses have already been used in campaigns in Gedaref and Aj Jazirah.
WHO and UNICEF coordinated with the authorities to manage the preparation and implementation of the campaign. Vaccine doses for Khartoum are expected to arrive in early December for the planned vaccination campaign in the same month.