1. UPDATE ON CHOLERA OUTBREAK IN GHANA AS AT 31.08.2014 Prepared by James ADDO Data Manager, DSD

2. Summary-1/3 The Cholera outbreak which started in June this year is still raging on The outbreak started slowly experienced a sharp increase from week 31 to 32 There has been just a slight decline in the number of cases from week 34 to week 35 A total of 10, 256 including 92 deaths (CFR= 0.9%) have been reported from 7 regions

3. Summary-2/3 Fifty-two districts are affected. Most of the cases come from Accra metro (46%) and La-Dade Kotopon The spread is mostly along the coastal districts and on the Accra-Kumasi road Treatment guidelines available in all health facilities Radio & TV discussions are ongoing

4. Summary-3/3 Posters and flyers distributed to all regions Trend and spread of outbreak being monitored at district, regional and national levels

5. Cholera Cases and Deaths by District, Ghana 31.08.14 DistrictRegionCasesDeathsCFR (%) Adansi SouthAshanti51 20.0 Ahafo-Ano SouthAshanti10 0.0 Amansie CentralAshanti50 0.0 Asante-Akim CentralAshanti30 0.0 Asante-Akim NorthAshanti20 0.0 Asante-Akim SouthAshanti20 0.0 Atwima-KwanwomaAshanti20 0.0 BekwaiAshanti30 0.0 Bosome FrehoAshanti10 0.0 BosomtweAshanti20 0.0 Ejisu-JuabenAshanti10 0.0 KumasiAshanti130 0.0 KwabreAshanti30 0.0 ObuasiAshanti20 0.0 Sekyere SouthAshanti10 0.0 Nkoranza SouthBrong Ahafo400.0 Abura-Asebu-KwamankeseCentral 312 6.5 Agona WestCentral 1633 1.8 Awutu-Senya EastCentral 1743 1.7 Awutu-Senya WestCentral 270 0.0

6. Cholera Cases and Deaths by District, Ghana 31.08.14 DistrictRegionCasesDeathsCFR (%) Cape CoastCentral 360 0.0 EfutuCentral 391 2.6 Gomoa EastCentral 131 7.7 Gomoa WestCentral 61 16.7 MfantsemanCentral 400 0.0 Asikuma-Odoben-BrakwaCentral 80 0.0 Komenda-Edina-Eguafo-AbiremCentral 30 0.0 Akwapim NorthEastern11400.0 DenkyembourEastern100.0 FanteakwaEastern1000.0 Kwahu EastEastern100.0 Kwahu WestEastern3000.0 Lower Manya-KroboEastern2200.0 New JuabenEastern4100.0 Nsawam-AdoagyiriEastern23800.0 Upper Manya-KroboEastern500.0 West AkimEastern2900.0 AccraGreater Accra 4,73437 0.8 Ada EastGreater Accra 110 0.0 Ada WestGreater Accra 00 0.0

7. Cholera Cases and Deaths by District, Ghana 31.08.14 AdentanGreater Accra 70 0.0 AshaimanGreater Accra 350 0.0 Ga CentralGreater Accra 810 0.0 Ga EastGreater Accra 1310 0.0 Ga SouthGreater Accra 7395 0.7 Ga WestGreater Accra 4911 0.2 Kpone-KatamansoGreater Accra 630 0.0 La-DadekotoponGreater Accra 1,19112 1.0 La-Nkwatanang-MadinaGreater Accra 3816 1.6 Ledzokuku-KroworGreater Accra 4754 0.8 Ningo-PrampramGreater Accra 90 0.0 Shai-OsudokuGreater Accra 1791 0.6 TemaGreater Accra 4978 1.6 HoVolta200.0 Ketu SouthVolta7534.0 NkwantaVolta4137.3 Ahanta WestWestern100.0 AximWestern400.0 EllembelleWestern300.0 Sekondi-TakoradiWestern2500.0

8. Cholera Cases and Deaths by Region, Ghana 31.08.14 Region CasesDeathsCFR (%) No.of Districts reporting Ashanti4612.215 Brong-Ahafo400.01 Central540112.011 Eastern49100.08 Greater Accra9,024740.815 Northern000.00 Upper East000.00 Upper West000.00 Volta1186 5.1 4 Western3300.04 Ghana 10,256920.958

9. Cholera Cases by District 31.08.14

10. Spot Map of Cholera Cases in Greater Accra Region, as at 31.08.14

11. Cholera Cases and Deaths, Ghana, Week 1-35, 2014

12. Cholera Cases and Deaths, Greater Accra Region, as at Week 35, 2014

13. Cholera Cases and Deaths, Central Region, as at Week 35, 2014

14. Cholera Cases and Deaths, Eastern Region, as at week 34, 2014