Ten out of the 21 countries in Eastern and Southern Africa Region (ESAR) have reported more than 35,727 cholera / AWD cases and 423 deaths (Case Fatality Rate, 1.2%), since the beginning of 2018. These countries include; Angola, Kenya, Malawi, Mozambique, Rwanda, Somalia, Tanzania, Uganda, Zambia and Zimbabwe. Zimbabwe accounts for 28.2 % (10,086) of the total case load reported this year, followed by Somalia at 17.2% (6,132).
Out of the 10 countries with reported cholera/ AWD outbreaks this year in ESAR, 3 (Zimbabwe, Tanzania and Kenya) have ongoing cholera outbreaks. During the week under review, Zimbabwe reported the highest number of new cases (59 cases). Of the three countries with active transmission, Tanzania has recorded the highest CFR (at 1.9%) in 2018.
Zimbabwe: The weekly case incidence has been on a downward trend in the past 6 weeks (From week 39 to week 44). For instance, during week 44 (week ending 4 November 2018), 59 new cases were reported compared to 199 cases reported in week 43 (week ending 28 October 2018). All new cases emerged from Harare. Cumulatively, a total of 10,086 cases including 61 deaths have been reported in 2018. Majority of these cases (98%, 9,909) and deaths (90%. 55) have been reported since the beginning of the new wave of the outbreak on 5 September 2018.
Tanzania: An increase in the epidemic trend has been noted. During week 43, 43 new cases were reported compared to 28 cases reported in week 42 (week ending 21 October 2018). All new cases emerged from Ngorongoro district in Arusha region. Cumulatively a total of 32,933 cases including 548 deaths have been reported in Tanzania mainland, as from August 2015. Of these, a total of 4,302 (13%) cases and 82 (15%) deaths have been reported since the beginning of 2018.
Kenya: During week 42, 7 new cases were reported from Isiolo County. Last case was reported in Turkana County on 18 September 2018, while Embu County reported 3 cases during week 40. Cumulatively a total of 26,591 cases including 421 deaths have been reported, as from October 2016. Of these, a total of 5,781 (21.7%) cases and 78 (18.5%) deaths have been reported since the beginning of 2018