5. Alert by disease county in week 45, 2017
Acute Watery Diarrhoea
AFP
Bloody Diarrhoea
Cholera
Guinea Worm
Malaria
Measles
Total Alerts
Ayod 1
Duk
Ezo 2
Magwi
Mundri East
Rubkona
Rumbek Centre
Rumbek East
Rumbek North
Yirol East 4 12
During week 45 a total of 12 alerts were triggered
Ezo and Magwi reported two alerts each
Bloody diarrhoea and malaria had the highest number of alerts in week 45

7. Most malaria cases are occurring in counties in IPC crisis phase
Two counties with high malaria cases are in IPC emergency phase - Wau & Fashoda
Many of the counties in Jonglei are in IPC crisis phase but malaria surveillance data is not available for those locations

8. Malaria trends by county and rainfall patterns
At least 15 countries - Awerial, Cueibet, Rumbek East, Rumbek North, Wulu, Yirol East, Yirol West, Aweil Center, Aweil East, Aweil North, Aweil South, Jur River, Gogrial East, Tonj North, & Tonj South have reported increasing trends at or above the third quartile [see next four slides].
In October 2017; 4 counties [Kapoeta North; Kapoeta South; Kapoeta North; & Budi] received rainfall that exceed the third quartile of the rainfall for period

9. Response| Confirmed epidemics
Ongoing epidemics - Epidemic description - Measles in Panyijiar county
Age (years)
Female (n)
Male (n)
Total cases
Percentage
Cum. %
<1yr 28 20 48
23.8%
1-4yrs 52 59
111
55.0%
78.7%
5-14yrs 13 14 27
13.4%
92.1%
15+yrs 12 4 16
7.9%
100.0%
105 97
202
Transmission still ongoing
204 cases including 4 deaths (CFR 1.96%) have been reported since early July 2017
Most cases 159 (79%) are <5 years of age
Thirteen (13) payams have reported cases with the most affected being Nyal; Kol; Katieth; & Ganyliel
Vaccination target child 6-59 mths completed
Cases managed Ganyliel PHCC and Nyal PHCC by IRC and UNIDO
300 community HCW community surveillance

10. Response| Confirmed epidemics
Ongoing epidemics - Epidemic description - Cholera in South Sudan and Juba County

11. Recommendations, & way forward
Comprehensive response to cases in Juba
Response to cases in New Bongo
Targeted response to other areas with confirmed cases in Juba
Vaccination campaign in Budi from Nov 2017
Securing 737,819 OCV doses - KS, KN, KE, TE, Juba, Aburoc, Malakal Town
Measles response
Active surveillance and case management
Mop up vaccination for areas with transmission and which were not reached
Malaria response - test-treat-vector control
Counties exceeding threshold and in emergency IPC phase
Counties with excessive rains KN, KE, KS, Budi

12. THANKS