FW: PRO/EDR> Cholera - Haiti (24): update, WHO

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Campbell, Dan

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Nov 26, 2010, 8:58:00 AM11/26/10
to cholera...@googlegroups.com, Harvey, Mary(AFR/SD), ksal...@usaid.gov, Brandes, Neal(GH/HIDN/NUT), Borrazzo, John, Campbell, D., Campbell, Dan, Gavin, John, Hafner, Craig, Jay, Kolb, Anthony, Rainey, Rochelle, Weinger, Merri, ip, Peter Nsubuga, RD

CHOLERA - HAITI (24): UPDATE, WHO
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In this update:
[1] Latest morbidity and mortality
[2] WHO update

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[1] Latest morbidity and mortality
Date: Thu 25 Nov 2010
Source: Global News, Agence France-Presse (AFP) report [edited] <http://www.globalnews.ca/story.html?id=3883275>


The death toll from Haiti's cholera epidemic rose to 1523 on Thursday [25 Nov 2010], up from 1415 over 2 days, officials said. The outbreak has sent
27 933 people into hospitals for treatment in just over a month.

To date, 140 have died of the virulent diarrheal disease in the destroyed capital of Port-au-Prince, where more than a million people are living in sprawling tent cities since a January 2010 earthquake. Officials fear the disease could spread quickly there because residents have little access to proper sanitation.

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[2] WHO update
Date: Wed 24 Nov 2010
Source: WHO Global Alert and Response (GAR) [edited]
<http://www.who.int/csr/don/2010_11_24/en/index.html>


Cholera in Haiti
----------------
As of 20 Nov 2010, the Haitian Ministry of Public Health and Population
(MSPP) had reported 60 240 cumulative cholera cases including 1415 deaths
at the national level. The case fatality rate in hospitals at the national
level is 2.3 per cent, with 67 per cent of the deaths occurring at health
services level and 33 per cent at community level.

In Port-au-Prince and metropolitan area (Carrefour, Cite Soleil, Delmas,
Kenscoff, Petion Ville, Tabarre, and Croix des Bouquets), 5778 cases,
including 95 deaths have been reported.

On 19 Nov 2010, the Ministry of Health of the Dominican Republic reported 2
cases tested positive for cholera. One person is hospitalized and the other
is receiving treatment at his residence in the province of Santo Domingo.

WHO/PAHO and partners, including the GOARN (Global Outbreak Alert and
Response Network) continue to support the Haitian MSPP in the response to
the outbreak. Civil unrest since 15 Nov 2010 has slowed down several
activities, including delivery of supplies for prevention and treatment of
patients, particularly in the Northern city of Cap Haitian. Trainings on
cholera treatment and initiatives to chlorinate water for 300 000 people
had to be postponed.

The National Cholera Response Plan identifies the need to urgently scale-up
Oral Rehydration Centres at the community level to provide services to
non-life threatening cases and serve as a contact point for referring non
severe patients to Cholera Treatment Units (CTUs) and severe patients to
Cholera Treatment Centres (CTCs). The plan states the essential need to
scale-up CTUs, which are attached to or near existing health centres, to
provide essential treatment and triage patients with severe symptoms to
CTCs. Nationwide, CTCs with a total capacity of 2830 beds have been
established in Haiti.

WHO does not recommend restrictions to international travel or trade due to
the cholera outbreak in Haiti. For further information, please refer to the
"WHO statement relating to international travel and trade to and from
countries experiencing outbreaks of cholera" below.

--
communicated by:
ProMED-mail rapporteur Marianne Hopp

[The previous updates have appeared to list total cases as those
hospitalized and now total cases and total hospitalized cases have been
reported in parallel.

The epidemic continues to increase in number and scope. - Mod.LL

A continually updated interactive map of the cholera situation in Haiti is
available from HealthMap at <http://www.healthmap.org/haiti/>. - Sr.Tech.Ed.MJ]

[see also:
Cholera - Haiti (23): update 20101122.4224
Cholera - Haiti (22): update 20101120.4204
Cholera - Haiti (21): USA (FL) 20101117.4171
Cholera - Haiti (20): update, Dom. Rep. conf. alert 20101117.4167
Cholera - Haiti (19): update 20101116.4161
Cholera - Haiti (18): update 20101115.4145
Cholera - Haiti (17): update 20101112.4116
Cholera - Haiti (16): update 20101111.4100
Cholera - Haiti (15): (AR) 20101111.4090
Cholera - Haiti (14): update, susp Dominican Rep spread 20101110.4073
Cholera - Haiti (13): Port-au-Prince, confirmed 20101109.4059
Cholera - Haiti (12): further spread 20101108.4052
Cholera - Haiti (11): update pre-tropical storm 20101107.4036
Cholera - Haiti (10): increased cases 20101103.3986
Cholera - Haiti (09): PAHO 20101102.3968
Cholera - Haiti (08): south Asia origin 20101101.3962
Cholera - Haiti (07): strain analysis 20101030.3938
Cholera - Haiti (06): WHO 20101029.3927
Cholera - Haiti (05): (AR) 20101027 .3899
Cholera - Haiti (04): (AR) 20101026.3876
Cholera - Haiti (03): (AR) Port-au-Prince, O1 20101024.3856
Cholera - Haiti (02): (AR) confirmed 20101022.3821
Cholera - Haiti: suspected, RFI 20101021.3818
Disease situation, post-earthquake - Haiti (02) 20100307.0750
Disease situation, post-earthquake - Haiti 20100207.0411]

.................ll/mj/sh

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