1. South Sudan Surveillance Highlights – IDSR & EWARN
Epidemiology update Week 36 of 2016
16th September, 2016
Bulletin available at:
CSR - DDC AFRO

2. Highlights week 36 of 2016 IDSR EWARN
System Performance
43% (23 counties attached target completeness of 80%)
Top Causes of Morbidity
Malaria (53%)
AWD (6%)
Top cause of mortality
S. Malaria 14/17 (82%)
EWARN
System Performance
55%
Top Causes of Morbidity
Malaria (35%)
ARI (21%)
AWD (7%)
Top causes of mortality
Malaria; perinatal deaths; pneumonia; TB/HIV/AIDS, SAM
70% in Bentiu PoC

3. Highlights Preparedness and response actions
Malaria
Malaria accounted for 53% and 35% of consultations in nonconflict-affected and IDP areas
Malaria cases in five states [Western Lakes, Eastern Lakes, Aweil, Aweil East, and Lol] exceeded expected levels in the week.
A total of 32 (40%) counties countrywide have registered increasing and/or more than expected levels of malaria cases
Malaria accounted for 82% of mortality in the non conflict affected areas

4. Highlights Preparedness and response actions
Malaria

5. Malaria trends in the IDP sites as of week 36 of 2016

6. Cholera
Cholera outbreaks still confined to five states [Jubek, Terekeka, Jonglei, Imatong, and Eastern Lakes].
Active transmission is currently restricted to Jubek and Eastern Lakes states.
Cumulatively, 2,119 cholera cases including 31 deaths (14 facilities and 17 community) (CFR 1.46%) have been reported in South Sudan
Cumulatively 83 (43%) of the samples tested positive for Vibrio Cholerae in the NPHL
National and state level cholera taskforce committees are coordinating preparedness and response activities

7. Epidemic curve for cholera cases in South Sudan, from 18 June - 19 September 2016

8. Measles
A total of 27 new measles cases were reported in from Kajo-keji (1), Jur River (1), and Abyei (25) in week 36 of 2016
A new measles outbreak confirmed in Abyei after 15 of 23 samples were confirmed as measles IgM positive
Plans for reactive measles vaccination in Abyei are underway
Since the beginning of 2016, a total of 1,670 measles cases including at least 19 deaths (CFR 1.14%) have been reported countrywide

11. Preparedness and response actions
Submission of IDSR reports - IDP and nonconflict areas [support to the CHDs to submit weekly IDSR reports]
Malaria response
Malaria taskforce meetings ongoing
Improving access to timely initiation of treatment: static and mobile clinics; ICCM
Monitor and report ACT stock levels at HF level on weekly basis - support the CHDs to monitor ACT stocks to prevent stock-outs
Vector control - LLINs and BCC
Health cluster to convene meeting [involving Abyei partners; EPI program; & HSE] to plan the measles response in Abyei
Continued support to cholera and malnutrition response
Enhance Kala azar response in endemic locations - MoH with support from partners - WHO, IMA, MSF, and HC partners - training; restocking diagnostics & medicines; trends
Rabies: Bentiu PoC and Aweil - improve access to lifesaving post-exposure vaccination; one health response - Public Health and Veterinarians

12. THANKS