Date: Mon 25 Mar 2019
Source: AFP [edited]
<http://www.france24.com/en/20190325-suspected-cholera-cases-spikes-yemen-2019-un>

Cholera is a waterborne disease which is endemic to Yemen, and the war-torn country witnessed its worst outbreak in its modern history in 2017. Nearly 110,000 suspected cases of cholera have been reported in war-hit Yemen since the beginning of January 2019, including 190 related deaths, the UN said on Mon 25 Mar 2019.

The UN office for humanitarian affairs (OCHA) said children under the age of 5 make up nearly 1/3rd of 108 889 cases which were reported between 1 Jan 2019 and 17 Mar 2019. OCHA said the spike, which comes 2 years after Yemen suffered its worst cholera outbreak, was concentrated in 6 governorates including in the Red Sea port of Hodeida and the Sanaa province home to the capital.  Early rains could be blamed for the recent increase in suspected cholera cases, it said. "The situation is exacerbated by poor maintenance of sewage disposal systems in many of the affected districts, the use of contaminated water for irrigation, and population movements," OCHA added.

Yemen's brutal conflict, which pits Iran-linked rebels against a regional pro-government alliance led by Saudi Arabia, has left some 10 000 people dead since 2015 and pushed millions to the brink of famine. The war has created the perfect environment for cholera to thrive, as civilians across the country lack access to clean water and health care.
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[This horrific outbreak of cholera has persisted since 2017, but usually the early months of the year have been relatively spared.  Reporting almost 110 000 cases in about 11 weeks suggests that as time goes on, many more cases will occur.  The low case fatality rate overall suggests that although cholera has been documented, the outbreak may be caused by a variety of gastrointestinal pathogens. - ProMED Mod.LL]

[HealthMap/ProMED map available at:
Yemen: <http://healthmap.org/promed/p/126>]
Date: Mon, 25 Mar 2019 11:52:43 +0100

Sanaa, March 25, 2019 (AFP) - Nearly 110,000 suspected cases of cholera have been reported in war-hit Yemen since the beginning of January, including 190 related deaths, the UN said on Monday.   The UN office for humanitarian affairs (OCHA) said children under the age of five make up nearly a third of 108,889 cases which were reported between January 1 and March 17.

OCHA said the spike, which comes two years after Yemen suffered its worst cholera outbreak, was concentrated in six governorates including in the Red Sea port of Hodeida and the Sanaa province home to the capital.   Early rains could be blamed for the recent increase in suspected cholera cases, it said.   "The situation is exacerbated by poor maintenance of sewage disposal systems in many of the affected districts, the use of contaminated water for irrigation, and population movements," OCHA added.   The waterborne disease is endemic to Yemen, which witnessed the worst cholera outbreak in its modern history in 2017.

More than one million suspected cases were reported within an eight-month period that year. More than 2,500 people died of the infection between April and December 2017.    Yemen's brutal conflict, which pits Iran-linked rebels against a regional pro-government alliance led by Saudi Arabia, has left some 10,000 people dead since 2015 and pushed millions to the brink of famine.    The war has created the perfect environment for cholera to thrive, as civilians across the country lack access to clean water and health care.
Date: Thu 28 Feb 2019
Source: WHO/EMRO [edited]
<http://www.emro.who.int/pandemic-epidemic-diseases/cholera/outbreak-update-cholera-in-yemen-28-february-2019.html>

Outbreak update: Cholera in Yemen, 28 Feb 2019
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The Ministry of Public Health and Population of Yemen reported 7419 suspected cases of cholera with 8 associated deaths during epidemiological week 5 of 2019 (28 Jan-3 Feb 2019). Ten percent of cases are severe. The cumulative total number of suspected cholera cases from 1 Jan 2018 to 3 Feb 2019 is 413 770, with 543 associated deaths (CFR 0.13%). Children under 5 represent 32% of all suspected cases. The outbreak has affected 22 of 23 governorates and 311 of 333 districts in Yemen.

From week 2 to week 5 in 2019 [7 Jan-3 Feb 2019], the trend of weekly reported suspected cholera cases was stable at the country level, although 223 districts have reported suspected cholera cases within the last 3 weeks. The governorates reporting the highest number of suspected cases of cholera during this reporting period were Al Hudaydah (1583), Amanat Al Asimah (978), Arman (902), Ibb (882), and Sana'a (850).

Of a total 11 275 samples collected since January 2018, 3492 have been confirmed as cholera-positive by culture at the central public health laboratories in Al Hudaydah, Sana'a, Taizz, and Aden governorates. During this reporting period, 7 stool samples -- from Amanat Al Asimah (4), Al Hudayadah (1), Aden (1), and Ibb (1) -- tested positive.

WHO continues to provide leadership and support for activities with health authorities and partners to respond to this ongoing cholera outbreak, including case management; surveillance; laboratory investigations; water, sanitation, and hygiene (WASH); and risk communication. In partnership with the World Bank, WHO delivered 30 mobile laboratory kits to monitor and test water quality in water networks, wells, and water trucks. To further enhance laboratory capacity, WHO trained 25 laboratory technicians on sample collection, transportation, laboratory diagnosis, and proper reporting of cases.
Date: Thu 7 Feb 2019
Source: WHO/EMRO [edited]
<http://applications.emro.who.int/docs/EMROPub_2018_EN_20790.pdf>

Cholera situation in Yemen, December 2018
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Highlights
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In December 2018, the Ministry of Public Health and Population of Yemen reported a total 47 310 suspected cholera cases including 86 related deaths (case fatality rate: 0.18%), from 20 governorates.

The cumulative number of suspected cholera cases reported in Yemen since October 2016 to December 2018 is 1,417,156 including 2870 related deaths with a case fatality rate of 0.20%. The country experienced a 2nd wave of this outbreak from 27 Apr 2017. The total number of suspected cholera cases reported during the 2nd wave were 1 391,329 including 2 741 related deaths with a case fatality rate of 0.19%.

Since 27 Apr 2017, a total of 12 937 stool specimens were tested. Out of these, 4319 were laboratory confirmed for _Vibrio cholerae_.

The 5 governorates with the highest cumulative attack rate per 10,000 are Amran (1258.21), Al Mahwit (1087.47), Sana'a (781.53), Dahamar (704), and Al Dhale'e (652.50). The national attack rate is 493.95 per 10 000. The governorates with high numbers of deaths are Hajjah (472), Ibb (371), Al Hudaydah (343), and Taizz (221).
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[During the 1st half of 2018, the rate of reported cases of cholera had slowed to fewer than 1000 per month (about 30 per day), but a dramatic upswing has once again occurred, with about 21 000 cases reported in the 1st 2 weeks of September 2018 (about 1500 per day), more than 13,000 in the 1st week of October 2018 (about 1900 cases per day), and about 14,500 in the 3rd week of October (about 2100 cases per day). In December 2018, there were about 12,000 reported cases per week.

The low case fatality rate might suggest that some of the diarrhoea cases may be non-cholera.

[See also, WHO/EMRO at
<http://www.emro.who.int/pandemic-epidemic-diseases/cholera/outbreak-update-cholera-in-yemen-07-february-2019.html>. - ProMED Mod.ML]

[Maps of Yemen:
<https://www.ezilon.com/maps/images/asia/political-map-of-Yemen.gif>
and <http://healthmap.org/promed/p/126>]
Date: Tue, 29 Jan 2019 10:03:28 +0100

Dubai, Jan 29, 2019 (AFP) - A bomb attack in a market killed seven Yemeni civilians including a photographer for a UAE television channel in the government-controlled town of Mokha, medics and military sources said Tuesday.   At least 20 people were wounded in the overnight blast in the Red Sea town, where pro-government forces backed by a Saudi-led coalition battling the Huthi rebels are based.

The improvised explosive device was planted on a motorcycle parked in the middle of the market, an official in the pro-government forces told AFP.   Seven people were killed, the official and a hospital source said.   A photographer for Abu Dhabi TV, Ziad al-Sharabi, was among the dead, the official Saba news agency quoted information minister Moammer al-Eryani as saying.   A correspondent for the same network, Faisal Al-Zabhani, was among the wounded, he said.   There was no immediate claim of responsibility for the attack, but Saba blamed it on the Iran-aligned Huthis.

The city of Mokha has enjoyed relative calm since coalition-backed government forces seized it from the rebels in July 2017.   Yemen's war escalated in March 2015, when President Abedrabbo Mansour Hadi fled to Saudi Arabia and the coalition intervened.   Since then, the conflict has killed nearly 10,000 people and unleashed the world's worst humanitarian crisis, according to the UN.   UN aid officials say 80 percent of the population -- 24 million people -- are in need of aid and nearly 10 million are just one step away from famine.
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