1. South Sudan Surveillance Highlights – IDSR & EWARN
Epidemiology update Week 42 of 2016
Bulletin available at:
CSR - DDC AFRO

2. Highlights week 42 of 2016 IDSR EWARN
System Performance
37% (20 counties attached target completeness of 80%)
Top Causes of Morbidity
Malaria (17%)
AWD (6%)
Top cause of mortality
S. Malaria 5/10 (50%)
EWARN
System Performance
78%
Top Causes of Morbidity
Malaria (27%)
ARI (24%)
AWD (6%)
Top causes of mortality
TB/HIV/AIDS - from Bentiu & Juba 3 PoC

3. IDSR completeness by week 2014 to 2016

4. EWARN reporting performance by partner in week 42 of 2016

5. Highlights Preparedness and response actions
Malaria
Malaria accounted for 17% and 27% of consultations in nonconflict-affected and IDP areas
Analysis of malaria trends at state hub level showed that malaria cases were within expected levels.
In the 26 (33%) affected counties; the malaria trends have either returned to normal or are slowly returning to normal
Malaria accounted for 50% of mortality in the non conflict affected areas.
There were no malaria deaths reported from the IDP sites that submitted data

6. Malaria trends for 2014 to 2016

7. Malaria trends by state as of week 42 of 2016

8. Malaria trends in the IDP sites as of week 42 of 2016

9. Cholera
Cholera confirmed in eight states [Jubek, Terekeka, Jonglei, Imatong, Eastern Lakes; Western Bieh, Northern Liech; and Southern Liech states].
Response to alerts in Mayendit; Leer; and Ayod - delayed due to security
Cumulatively, 2,727 cholera cases including 38 deaths (24 facilities and 14 community) (CFR 1.39%) have been reported in South Sudan
Cumulatively 112 (34%) of the samples tested positive for Vibrio Cholerae in the NPHL
National and state level cholera taskforce committees are coordinating preparedness and response activities
Unconfirmed cases in Ayod; Pigi; Mayendit -
Comprehensive response pending in Leer; Ayod; Mayendit; Leer

10. Epidemic curve for cholera cases in South Sudan, from 18 June - 31October 2016

11. Cholera cases in South Sudan,18 June - 31 Oct 2016

12. Cholera Bentiu PoC - week 43, 2016
Most cases are <10 years [and in 2yrs)
<10 yrs - 64%
<2yrs - 36%
Most cases in sectors
Sect 3: 27%
Sect 2: 24%
Sect 1: 9%
Oral cholera vaccination
41 (91%) did not receive OCV

13. Laboratory Updates as of 31 Oct 2016
112 confirmed cases in 8 states
Nine confirmed cases in Northern Liech - (six confirmed in Bentiu PoC)
New confirmed case in Jubek - on 31 Oct 16

14. Measles
New suspect measles cases reported in Kajo Keji (2 cases) and Twic (5 cases)
There are no new confirmed measles outbreaks
Update on the measles campaign in Gogrial West - IOM/EPI
Since the beginning of 2016, a total of 1,792 suspect measles cases including at least 19 deaths (CFR 1.06%) have been reported countrywide
Continued vigilance - detect and test suspect measles cases

15. Preparedness and response actions
Enhance cholera response
Integrated Approach including targeted vaccination with OCV in neighborhoods in Jubek with positive cases
Case centered approach proposed for Bentiu PoC [RDTs for rapid case detection; single dose ABX for household contacts within 24 hours of case detection; WASH and social mobilization within a radius of 200 meters of case household
Negotiated access to allow comprehensive and sustained response by partners to interrupt transmission in Leer and Mayendit
Cholera evaluation: document current response (reports awaited); tentative date for evaluation meeting Nov 16
Other issues: improve reporting; vigilance for measles surveillance; Kala azar response;

16. THANKS