1. South Sudan Surveillance Highlights – IDSR & EWARN
Epidemiology update Week 38 of 2016
Bulletin available at:
CSR - DDC AFRO

2. Highlights week 38 of 2016 IDSR EWARN
System Performance
43% (29 counties attached target completeness of 80%)
Top Causes of Morbidity
Malaria (49%)
AWD (8%)
Top cause of mortality
S. Malaria 19/33 (58%)
EWARN
System Performance
69%
Top Causes of Morbidity
Malaria (35%)
ARI (26%)
AWD (8%)
Top causes of mortality
Malaria; perinatal deaths; medical complications of SAM
74% in Bentiu PoC

3. IDSR completeness by week 2014 to 2016

4. EWARN reporting performance by partner in week 38 of 2016

5. Highlights Preparedness and response actions
Malaria
Malaria accounted for 49% 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 58% of mortality in the non conflict affected areas and 11% deaths in the IDPs

6. Malaria trends for 2014 to 2016

7. Malaria trends by state in 2016

8. Malaria trends in the IDP sites as of week 38 of 2016

9. Cholera
Cholera confirmed in six states [Jubek, Terekeka, Jonglei, Imatong, Eastern Lakes; and Western Bieh states].
Active transmission is currently restricted to Eastern Lakes and Western Bieh states.
Cumulatively, 2,450 cholera cases including 37 deaths (23 facilities and 14 community) (CFR 1.51%) have been reported in South Sudan
Cumulatively 89 (42%) of the samples tested positive for Vibrio Cholerae in the NPHL
National and state level cholera taskforce committees are coordinating preparedness and response activities
RRT mission to Ayod planned

10. Epidemic curve for cholera cases in South Sudan, from 18 June - 3 October 2016

11. Measles
A total of11 new measles cases were reported in from Mayom (4 cases) and Abyei (7 cases) in week 38 of 2016
New measles outbreaks confirmed in:
Abyei - 15 of 23 samples were confirmed as measles IgM positive
Gogrial West - 5 of 10 samples tested measles IgM positive
Plans for reactive measles vaccination in Abyei slated for 6 Oct 2016
Investigation report has been finalized by state RRT to inform response planning for Gogrial West
Since the beginning of 2016, a total of 1,683 measles cases including at least 19 deaths (CFR 1.13%) have been reported countrywide

13. Measles case distribution by age in Abyei week 1 to 37 of 2016

14. Preparedness and response actions
Submission of IDSR reports - IDP and nonconflict areas [support to the CHDs to submit weekly IDSR reports]
Cholera
Partners mobilized for the community and WASH response in Fangak
RRT mission planned for Ayod
Suspect cases being investigated in Leer - MSF-H and UNIDO (suspect cases reported in Bentiu Town)
Response ongoing in the other affected areas
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
Response to malaria and malnutrition in greater Northern Bahr el Ghazal ongoing - WHO prepositioned additional ACTs in 7 hubs - Awerial, Kuajok, Wau, Torit, Yambio, Rumbek, and Bor
Gogrial West measles investigation report awaited to inform response planning
Enhance Kala azar response in endemic locations - MoH with support from partners - WHO, IMA, MSF, and HC partners - training; restocking diagnostics & medicines; trends

15. THANKS