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Highlights

Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, EgyptFor Correspondence: Tel  + 20-2-22765604, Fax + 20-2-2765456. E-mail: emrgohspoutbreak@who.int

December 2018CHOLERA SITUATION IN YEMEN

Cumulative key figures, October 2016 – December 2018

Last 4 weeks key figures, December 2018

47 310Suspectedcases

0.18%CFR

86Relateddeaths

Distribution of suspected cholera cases in Yemen,January 2017 – December 2018

Cholera cases and Case fatality rates by governoratein Yemen, 27 April 2017 – 31 December 2018 (second wave)

Cholera cases reported in Yemen by epidemic wave,October 2016 – December 2018 (n= 1 417 156)

2%

98%

First wave

Second wave

Cholera cases and deaths reported during the secondwave by governorate, 27 April 2017 – 31 December 2018

Governorate Cases Deaths CFR (%)

Abyan Aden Al Bayda Al Dhale'e Al Hudaydah Al Jawf Al Maharah Al Mahwit Amanat Al Asimah Amran Dhamar Hajjah Ibb Lahj Marib Moklla Raymah Sa'ada Sana'a Say'on Shabwah TaizzTotal

28394228394767048511

207328181271172

8057814349614691214366613608795693255837350574

2189019372

11606630

140178590

1 391 329

42716386

343261

1811042161934723712682

14015

15703

2212 741

Cumulative attackrate (per 10 000)

491.60242.86622.84652.50632.01310.1777.26

1087.47494.47

1258.21704.00569.13320.07250.98201.9112.83

355.87206.58781.53

0.7922.91

259.39493.95

0.150.310.130.180.170.140.090.220.070.150.130.350.390.100.110.350.640.080.14

-0.210.280.20

Number of cholera cases

0 1 10 ,000 20 ,000 50 ,000

Al Jawf

Saada

Marib

Shabwah

Abyan

Lahj

Taizz

Ibb

Baymah Dhaman

Sana’aAl Mahwit

HajjahAmran

Al Hudaydah

Al Bayda

Aden

Amanat Al Aslma

Epidemic curve of cholera cases in Yemen,October 2016 - 26 April 2017 (First wave)

Epidemic curve of cholera cases in Yemen,27 April 2017 – 31 December 2018 (Second wave) 1 417 156

Suspectedcases

2 870Relateddeaths

0.20%CFR

50%Female

50%Male

29.0%Children < 5 years

0

500

1000

1500

2000

2500

444546474849505152 1 2 3 4 5 6 7 8 9 10111213141516

2016 2017

Num

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ases

Epi weeks

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 2 870 related deaths with a case fatality rate of 0.20%. The country experienced a second wave of this outbreak from 27 April 2017. The total number of suspected cholera cases reported during the second wave were 1 391 329 including 2 741 related deaths with a case fatality rate of 0.19%.Since 27 April 2017, a total of 12 937 stool specimens were tested. Out of these, 4 319 were laboratory confirmed for Vibrio cholerae.The 5 governorates with the highest cumulative attack rate per 10 000 are Amran (1 258.21), 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 Governorate with high numbers of deaths are Hajjah (472), Ibb (371), Al Hudaydah (343) and Taizz (221).

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17 20 24 28 32 36 40 44 48 521 5 9 13 17 21 26 30 35 39 43 45 48 52

Epi weeks2017 2018

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WHO-EM/CSR/200/E