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Asia

[2] Cholera - Iraq (Kirkuk)

[3] Cholera - Iraq (Anbar)

[4] Cholera - India (Orissa)

Africa

[5] Cholera - Sierra Leone (Northern, Western Areas)

[6] Cholera - Senegal (Saint-Louis)

[7] Cholera - Angola (Benguela)



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(OCHA), ReliefWeb, WHO report [edited]





New developments

----------

and laboratory scrutiny no secondary cholera confirmed cases were 

reported from Baghdad and Basra following the 2 cases reported 12 days ago.

laboratory confirmed _Vibrio cholerae_ in a 5-year-old female child 

from Bardarash district in Dahuk governorate. It is important to note 

that the 1st index case for the 1999 outbreak (over 900 cases) 

started in the same area, which the WHO requested to visit during the 

last mission to north Iraq; however, the request was denied. The case 

was detected during the routine testing of cases presenting to health 

facilities with watery diarrhea. Further investigation of contacts 

and water supply was negative for the _V. cholerae_ organism.

acute watery diarrhoea in Diala province were received, which is 

south of the original [foci] in Sulaymaniyah and Kirkuk. In this new 

focus, 31 patients presented to Baladruz, Salah ad Din, Hibhib, 

Al-Udhem, and Baquba hospitals with severe dehydrating diarrhea with 

renal failure in one of them. Unfortunately, specimen collection was 

done late after patient had antibiotics in the majority of cases. The 

results of 22 cases tested negative to _V. cholerae_ while 9 are 

still pending. Negative isolates have been sent to the Central Lab in 

Baghdad for further testing. Despite the difficult security situation 

the DoH (Department of Health) surveillance staff were able to visit 

affected areas, supply them with fresh CB (Cary-Blair) transport 

medium, and train them on the correct method of collection and 

shipping of samples.

1143 stool specimens collected, 8 of them were positive for _V. 

cholerae_, 4 were symptomatic, and 4 were healthy carriers.



--



[The full report can be found at 



Sulaymaniyah / 13 / 23 Aug 2007 / 9 / 806

Kirkuk / 5 / 14 Aug 2007 / 2 / 1874

Erbil / 7 / 6 Sep 2007 / 0 / 111

Dahuk / 1 / 23 Sep 2007 / 0 / 1

Tikrit (Salah ad Din) / 3 / 12 Sep 2007 / 0 / 4

Mosul (Ninawa governorate) / 1 / 15 Sep 2007 / 0 / 3

Baghdad / 1 / 19 Sep 2007 / 1 / 2

Wasit / 1 / 20 Sep 2007 / 0 / 1

Basra / 1 / 19 Sep 2007 / 0 / 1





A map of Iraq can be found at 

located between Sulaymaniyah and Baghdad. Dahuk is in the extreme 

north, and Tikrit (in Salah ad Din governorate) is north of Baghdad 

and west of Diala. Wasit, the newest province to report cases is 

located south of Diala. - Mod.LL]



******

[2] Cholera - Iraq (Kirkuk)





More than 500 new cases of cholera have been confirmed since Thu 27 

Sep 2007, in Iraq's northern province of Kirkuk [also called Tamim - 

Mod.LL], bringing the total number across the country to more than 

3000, the health ministry said on Mon 1 Oct 2007. A total of 15 

people have died from the disease.



Kirkuk province, with 2197 cases and 2 deaths, has been the epicenter 

of the outbreak. In neighboring Sulaymaniyah, 11 people have died and 

771 cases have been recorded. In Erbil province there have been 113 

cases, the ministry spokesperson said.



--



[This report gives higher numbers of cases in the northern 

governorates, which increases the total number of confirmed cases as 

compared to the WHO situation report also from 1 Oct 2007. - Mod.LL]



******

[3] Cholera - Iraq (Anbar)





A death from cholera was disclosed on Sun 30 Sep 2007, by health 

authorities in the western Iraqi province of Anbar.



"A 5-year-old child died of cholera on 29 Sep 2007 in Hit Public 

Hospital of Anbar province," Dr. Ahmed al-Hiti from Hit hospital told 

the independent news agency Voices of Iraq (VOI). Al-Hiti added "this 

is the 1st death resulting from the epidemic in Anbar province." Hit 

town is located to the west of Ramadi, capital city of Anbar, which 

lies 110 km (68.4 mi) west of Baghdad.



--



[As seen on the map of Iraq at 

province occupies west central Iraq with eastern borders on Baghdad 

and Salah ad Din (Tikrit) governorates. The western borders of Anbar 

province are with Jordan, Syria, and Saudi Arabia. Hit is slightly 

north and west of the governorate capital of Ramadi. - Mod.LL]



******

[4] Cholera - India (Orissa)





After a brief lull, cholera has come back with a vengeance in 

Padmapur and Ramnaguda blocks in Rayagada district. Reports said 

about 60 people have been affected in different areas of these 2 

blocks while one person of Panasguda village succumbed.



There has been little improvement in the situation after a brief 

government intervention in the area except the fact that the number 

of doctors has marginally gone up in some hospitals.



--



[The location of this ongoing Indian outbreak of cholera, which began 

following a typhoon in Orissa, can be found at

- Mod.LL]



******

[5] Cholera - Sierra Leone (Northern, Western Areas)





At least 20 people have died from cholera in the past 2 weeks in the 

poverty-stricken West African country of Sierra Leone, a government 

health official said Thu 27 Sep 2007.



Alhassan Sesay, director of disease prevention and control in the 

ministry of health, said 15 of the deaths were recorded in the 

northern district of Kambia, near the border with Guinea, while 5 

were registered in a village on the outskirts of the capital Freetown.



Emergency health workers have been drafted to both areas to step up 

treatment and prevention campaigns to stem the outbreak that has 

struck dozens of people, he told reporters.



The last major cholera epidemic hit the war-scarred country in 2006 

killing at least 77 people over a 3-month period between the months 

of August and October.



--



[A map of the country showing the reported areas can be found at 



******

[6] Cholera - Senegal (Saint-Louis)

French, trans. Mod.LL, edited]





Around 15 cases of cholera have been reported since 18 Sep 2007 in 

Saint-Louis, notably in the neighborhoods of Pikine and Balacos, news 

sources have reported. The same source specified that 11 of the cases 

are now recovered.



Administrative and sanitary authorities are trying to sensitize the 

population on the importance to adopt hygienic practices in their 

everyday life. Following a visit on Wed 26 Sep 2007, by the Director 

of Medical Prevention, Pape Coumba Faye, further control plans are 

being formulated.



--

Coulibaly Sidi





[A map of Senegal showing the city and province of Saint-Louis in the 

north can be found at



******

[7] Cholera - Angola (Benguela)





Angola Press has learned 3 cases of cholera were recorded over the 

last 24 hours [27-28 Sep 2007] in Balombo District hospital, raising 

the figure to 90 since the outbreak began.



A source with the mentioned hospital informed that the cases did not 

end up in death. The same source added that 21 patients are still in 

hospital due to this illness and 8 have already been discharged.



--



A map of Angola showing the location of Benguela in the western part 

of the country can be found at 



2007, the number of reports related to cholera from Angola has slowed 

dramatically since May 2007. - Mod.LL]



2006

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