Total Cases CFR (%)

0.000.50

1.001.502.002.503.003.504.004.505.00

0

2000

4000

6000

8000

10000

12000

14000

16000

Bay Togdher Banadir Bari Gedo Lower shabelle

Galgadud Bakol Sool lower Jubba

Nugal Mudug Middle Shabelle

Awdal Sanaag M.Jeex Hiiran Middle Juba

Cas

e F

atal

ity

Rat

e (

%)

Nu

mb

er

of

cho

lera

cas

es

Region

Highlights

Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, EgyptFor Correspondence: Tel + 20-2-22765273, Fax + 20-2-2765456. E-mail: emrgoped@who.int

September 2017CHOLERA SITUATION IN SOMALIA

During the month of September 2017, 650 cholera cases, with no death, were reported across the country as compared to 917 cases, with no death, reported in August 2017.

The cumulative number of cholera cases reported from January to September 2017 is 77 783 including 1 159 associated deaths with a case fatality rate of 1.49% reported in 52 districts of the country.

Cholera cases and deaths have declined significantly during the month of September 2017 with less districts reporting cases as compared to previous months.

The overall case fatality rate has declined remarkably during the last two months. No death was recorded during the months of August and September 2017.

Cholera cases in Somalia, January-September 2017 Cumulative key figures, January-September 2017

Cholera cases and case fatality rates byregion in Somalia: January-September 2017

Region Cases in September Deaths in September Cumulative case fatality rate (%)

Awdal

Bakol

Banadir

Bari

Bay

Galgadud

Gedo

Hiiran

Lower Jubba

Lower Shabelle

M.Jeex

Middle Juba

Middle Shabelle

Mudug

Nugal

Sanaag

Sool

Togdher

Total

138

0

197

75

0

1

0

0

7

19

11

8

6

10

4

0

12

162

650

Cumulative cases

1756

3975

6939

5775

14941

4011

5603

374

2936

5586

729

8

2497

2671

2743

1638

3653

11948

77 783

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Cumulative deaths

10

171

122

104

214

22

53

3

15

63

5

0

23

17

27

28

56

226

1 159

0.57

4.30

1.76

1.80

1.43

0.55

0.95

0.80

0.51

1.13

0.69

0.00

0.92

0.64

0.98

1.71

1.53

1.89

1.49

13 regions reported suspectedcholera cases in September 2017

8 out of 18 regions have case-fatality rate (CFR) above 1% Distribution of cholera cases in Somalia, January-September 2017

Last 4 weeks key figures, September 2017

77 783Reportedcases

1 159Relateddeaths

1.49%CFR

650Reportedcases

-CFR

0Relateddeaths

53.7%Children < 5 years

Distribution of cholera casesand CFR by month, January-September 2017

Total Cases CFR(%)

CumulativeCases: Week 1-38

0 Data not available

1- 500 Cases

501- 2000 Cases

2001- 13000 Cases

LEGEND

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

0

1000

2000

3000

4000

5000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39

Cas

e Fa

talit

y R

ate

(%)

Num

ber

of

cho

lera

cas

es

Epi week

Cumulative Deaths: Week 1-38

Somalia coastline

Inaccessible areas

Regional boundaries

Somalia major rivers

Cas

e fa

talit

y ra

te (%

)

Nu

mb

er o

f ch

ole

ra c

ases

Cases CFR (%)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

02000

40006000

8000

10000

12000

1400016000

1800020000

Jan Feb Mar Apr May Jun Jul Aug SepMonth