Humanitarian Health Action

South Sudan health situation reports

2014

  • 19 November 2014

    WHO, in collaboration with the MOH and partners, completed the third round of the nationwide polio immunization campaign targeting over 3.2 children in all 10 states. A polio immunization campaign is planned in the three conflict-affected states of Jonglei, Unity and Upper Nile as soon as the security situation approves. No new cholera cases or deaths because of cholera were reported in the past week. In Malakal gunshot wounds and other weapon-related injuries, because the ongoing fighting, are the leading causes of mortality. According the Protection of Civilian (PoC) site 23% of deaths are caused by weapon-related injuries

  • 14 November 2014

    Poliovirus in South Sudan and Madagascar

    In South Sudan, 2 cases due to cVDPV type 2 (cVDPV2) have been confirmed. The strains were isolated from 2 acute flaccid paralysis (AFP) cases in Unity state, with onset of paralysis on 9 September and 12 September 2014, respectively. In Unity state, as many as 33% of children remain under-immunized against poliovirus. Both cases are from an internally-displaced persons camp in Unity state. Unity state has been affected by civil unrest, leading to population displacements and declining vaccination coverage in most of the areas.

  • 3 November 2014

    Most of South Sudan remained calm. However, fighting was reported in Bentiu and Rubkona in Unity State and clashes in Doleib Hill, Malakal in Upper Nile State. Because of the fighting movement if restricted and some health clinics closed, the critical health services delivery is disrupted. The flooding in Northern Bahr El Ghazal State is posing new health risks to the community. Health partners are helping the flood victims in Bentui to access health facilities. First case of Hepatitis E Virus (HEV) has been reported by Bentiu Protection of Civilians (PoC).

  • 31 October 2014

    In Lopa-Lafon County, South Sudan there has been 6260 new cases of cholera and 157 deaths were reported. Since May there has also been 5713 Visceral Leishmaniasis (kala-azar) cases and 163 deaths. In Mingkaman 113 cases of Hepatitis E (HEV) virus has been reported. The health cluster partners have conducted about 3.5 million medical interventions since December 2013.

  • 19 October 2014

    WHO continued to support partners with various interventions. At national level, the emergency support team conducted training for 37 health workers in Nimule border post, on basic principles of case management and infection control as well as surveillance, case detection of potential Viral Haemorrhagic Fever (VHF). The WHO WASH team, in collaboration with Juba Teaching Hospital, conducted training for health workers on infection control in hospital settings in the context of Ebola

  • 8 October 2014

    The security situation in South Sudan remainscalm, except some pockets in Central Equatoria, Lakes and Unity states where there were some clashes. Visceral Leishmaniasis (kala-azar) cases have more than trebled compared to the same period in 2013, to date there are 4880 reported cases. Cholera cases have reduced significantly, with no new deaths since 7 September 2014. To date health partners have conducted almost 3 million medical interventions since January 2014.

  • 30 September 2014

    Malaria cases continue to increase among the internally displaced persons (IDP’s) and it is one of the top causes of death. Visceral Leishmaniasis (kala-azar) cases are on the rise in the endemic states of Jonglei, Unity and Upper Nile. The number of cholera cases continues to decline and no new deaths have been reported since 7 September 2014. The health partners have conducted almost 3 million medical interventions since December 2013.

  • 25 September 2014

    The security situation in South Sudan remains calm. Cases of malaria, which is among the top causes of death among internally displaced persons (IDP), continue to increase. Visceral Leishmaniasis (kala-azar) cases are on the rise in the endemic states of Jonglei, Unity and Upper Nile. The cholera outbreak continues on a declining trend with few cases being reported in parts of Central and Eastern Equatoria states. To date health partners have conducted 2,7 million medical interventions since January 2014.

  • 17 September 2014

    The security situation remained calm in most parts of the country though a tribal clash with over 30 fatalities was recorded in Tonj East County, Warrap State. The cholera outbreak continues to decline with fewer cases being reported weekly. Cases of visceral leishmaniasis (kala-azar) continue to increase, mostly in Jonglei, Unity and Upper Nile States. Health partners have carried out about 2.5 million medical interventions since January 2014.

  • 16 September 2014

    The current Kala azar (VL) outbreak has been ongoing to date, since Government’s formally declaration in September 2009. Kala azar is endemic in four states in South Sudan namely: Upper Nile, Unity, Jonglei and Eastern Equatoria, where 2.7 million people are considered to be at risk in 28 counties. The disease is also endemic in neighboring countries bordering with South Sudan including Ethiopia, Kenya and Sudan.

  • 6 September 2014

    Following the ongoing Ebola outbreaks in West Africa and in the Democratic Republic of Congo, partners have stepped up preparedness plans in the event that the disease is reported in South Sudan. The number of cholera cases has significantly reduced across all three states that reported confirmed cases. Approximately 2.5 million medical interventions have been conducted by health cluster partners since the start of the crisis in December 2013.

  • 27 August 2014

    The security situation was calm in most parts of the country. Over 1.3 Million people remain displaced across the 10 states. Flooding worsened living conditions in Bentiu, Unity State. Partners continued to improve access to clean water as well as sanitation and the drainage system in. The cholera outbreak continues on a downward trend with less cases being reported in the 13 affected counties with reported 5981 cases with 132 deaths.

  • 15 August 2014

    Health partners are supporting the Ministry of Health by providing the materials and supplies to detect the Ebola virus disease. There has been a decline in new cholera cases and deaths; a total of 5697 cholera cases and 123 deaths (CFR 2.16%) have been reported since April 2014. Health partners have conducted over 2 million medical interventions since the beginning of the crises.

  • 13 August 2014

    The security situation remained stable in most of the country, although clashes were reported in Nassir, Upper Nile State. WHO and health partners are supporting the Ministry of Health with preparedness activities for any potential case of Viral Haemorrhagic Fever (HVF). Health partners have reported a decline in both cholera cases and deaths. By 11 August there has been 5697 cholera cases and 123 deaths (CFR 2.16%). Health partners have reached over 2 million people with various interventions since January 2014.

  • 8 August 2014

    The security situation remained stable in most parts of the country. However, in Maban County, Upper Nile State violence has led to the death of some aid workers. Health partners continue to battle the cholera outbreak and by 6 August there were 5621 cases and 123 deaths (CFR 2.2%). The under-5 mortality for Bentiu declined to 0.529 deaths per 10 000 per day in week 31 from 1.41 per 10 000 per day in week 30. Since January 2014, health partners have provided health services for over 2 million people.

  • 3 August 2014

    The Cholera outbreak remains a public health concern. As of 2 August 2014 there has been 5536 cholera cases including 121 deaths in South Sudan. The Torit Hospital cholera treatment centre has reported an increase of cholera cases outside Juba, mainly Eastern Equatoria State. The Health Cluster partners has conducted community mobilization campaigns; case management and surveillance; and encouraged to improve water, hygiene and sanitation (WASH) conditions in all the four states. The efforts has resulted to declination of cholera cases in Wau Shiluk from 100 to 0 in just two weeks (from week 27 to 30).

  • 2 August 2014

    Children under 5 account for more than half – 51% - of deaths reported among IDPs since the crisis began, the main causes of death being Acute Watery Diarrhoea (AWD), measles, severe pneumonia and malnutrition.

  • 25 July 2014

    General security situation remained calm in most parts of the country, with isolated incidents and clashes in Upper Nile, Jonglei and Unity states. No new significant displacements have been reported. Efforts to contain the cholera outbreak continue. Health facilities had recorded 5 141 (CFR 2.2%) cases by 21 July 2014. Acute Watery Diarrhoea (AWD) is the leading cause of morbidity among Internally Displaced People (IDP). The under-five Mortality rate remains below the emergency thresholds across the PoCs . Insecurity affects to the delivery of health services. Health partners have reached 1 844 985 people with medical interventions since January 2014.

  • 19 July 2014

    There is a risk of cholera spreading further to new sites in areas of Upper Nile, Central Equatoria and Eastern Equatoria States as suspected cases continue to be reported. Since the start of the outbreak cholera have been confirmed in 14 locations and suspected cholera cases have been reported from 36 different locations in South Sudan. The first public health laboratory, specialised laboratory in Wau, national and regional blood transfusion services, Kiir Mayardit Women’s Hospital in Rumbek and Wau maternity theatre and waiting home were all launched during this reporting period by the President of South Sudan Salva Kiir Mayardit.

  • 16 July 2014

    The Cholera outbreak remains a public health concern. The risk is heightened by heavy rains and floods, coupled with limited access to potable water and poor sanitation and hygiene, which expose the population to cholera and other waterborne disease outbreaks. Hepatitis E cases in Mingkaman remain a public health concern that needs urgent action. The continued influx of displaced persons into Bentiu is straining existing health services. Limited funding continues to impede the full implementation of the emergency response by health partners.

  • 12 July 2014

  • 8 July 2014

    An estimated 1.5 million South Sudanese are currently internally displaced and there are over 367 260 refugees outside of the South Sudan. About 1.58 million people have been reached with medical interventions since January 2014. The cholera outbreak has spread to new areas and by 8 July there has been 3152 cholera cases, including 70 deaths (CFR 2.3%). The cholera cases in new areas has prompted partners to step up preparedness in high risk areas. Increasing cases of Hepatitis E affecting mostly women in Mingkaman, Awerial County, Lakes State have intensified the need for the declaration of an outbreak.

  • 5 July 2014

    Health Cluster bulletin

    The ongoing outbreak of cholera in parts of Central Equatoria State and Eastern Equatoria State, the rising number of suspected cholera cases in Upper Nile and Unity States and the possible spread to new areas remain a public health concern for health partners. In Torit Hospital, cases increased from 46 to 599 within one week. New alerts of suspected cholera cases have been reported from 37 different locations in South Sudan. WHO, in collaboration with Ministry of Health at National and State level continue to investigate and verify all the alerts.

  • 4 July 2014

  • 2 July 2014

    Cholera in Juba

  • 27 June 2014

  • 28 June 2014

    Cholera in Juba

  • 20 June 2014

  • 13 June 2014

    Since the cholera outbreak started 23 April 2014 a total of 1 628 cases of cholera have been recorded in South Sudan. The second round of oral cholera vaccine started in Bentiu IDP camps and 23 351 persons has been vaccinated. Health Cluster partners has conducted 1 440 897 medical interventions since 15 December 2013.

  • 12 June 2014

  • 6 June 2014

  • 5 June 2014

  • 31 May 2014

  • 29 May 2014

  • 24 May 2014

  • 21 May 2014

  • 16 May 2014

    The Ministry of Health has declared an outbreak of cholera in Juba, South Sudan. The 1st round of the oral cholera vaccination campaign ended in Bor Protection of Civilian (PoC) area. A total of 2 862 people were vaccinated. The security situation in Bentiu and other parts of Unity state remains tense as fears of possible attacks are high from both sides area and access is restricted. Medical supplies donated to health partners to support health response to the internally displaced persons (IDPs).

  • 15 May 2014

    The Ministry of Health declares an outbreak of cholera in South Sudan. Forty three suspected cases and one confirmed case of cholera during the week. A total of 2 862 people were vaccinated in the first round of the oral cholera vaccination campaign in Bor Protection of Civilian (PoC) area. Since 15 December 2013 a total of 1 123 259 people have been reached with various medical interventions by health cluster partners.

  • 8 May 2014

    The 6th May 2014 a cholera case was confirmed in UN House Juba III IDP camp following tests conducted by the AMREF laboratory in Nairobi. The cholera vaccination campaign has started in Bor Protection of Civilian (PoC) area targeting 4 275 people, by today 2 767 people have been vaccinated. A total of 1 075 448 people have been reached with various medical interventions by health cluster partners since 15 December 2013.

  • 7 May 2014

    WHO provided emergency medical supplies to partners in Wau, Bentiu, Malakal and Juba to support health service deliveries. The security situation in Bentiu and Nasir remained tense, as the State capital and city changed hands twice within 24 hours on 4 and 5 May 2014. Following the escalating insecurity in different parts of the country, the number of internally displaced persons (IDPs) in South Sudan has risen to 959 000 persons. The evacuation of 23 gunshot wound patients from Bor Protection of Civilian (POC) area to Lankien was coordinated through the health cluster.

  • 1 May 2014

    A total of 32 494 children were vaccinated with measles, polio and Vitamin A during the integrated vaccination campaign in Mingkaman by the end of April. UNFPA has distributed to various states 620 reproductive health, since the beginning of the crisis. Plans for the mass Oral Cholera Vaccination (OCV) campaign in Bor POC will 7th May 2014. Some parts of South Sudan are still endemic of Guinea worm disease. Since the start of the year, six cases have been reported.

  • 30 April 2014

    Tensions are still high in some parts of the country following the brutal massacre of civilians in Bor and Bentiu in last week’s attacks. The number of people displaced within South Sudan is up to 923 000 people, the highest increase of internnaly dispalced people is reported from Upper Nile State. A mass measles, polio vaccination and vitamin A supplementation campaign was conducted targeting 2.4 million children below 5 years of age. More than 60% of funding (for US$ 61 million for the health sector) is still needed for the health response.

  • 24 April 2014

  • 23 April 2014

  • April 2014

  • 17 April 2014

    A total of 16 055 people received the Oral Cholera Vaccine (OCV) in round one of the vaccination campaign at Malakal PoC. The health cluster has delivered 999 004 medical interventions to internally displaced persons and host populations across the country. New displacements are being reported in conflict affected areas

  • 16 April 2014

    The security situation remains relatively calm in most parts of the country, except Bentiu where troop movements has been reported. The numbers of internally displaced people continues to increase. New updates estimate that 1.1 million people has been displaced since December 2013. The rainy season may deteriorate the humanitarian situation. Funding of the humanitarian response plan remains a concern.

  • 10 April 2014

    The third round of the Oral Cholera Vaccine (OCV) campaign conducted by Medair started in Tongping on 9 April 2014 targeting persons and a total of 452 people were vaccinated. HIV/AIDs and TB services have been initiated in UN House in Juba III by IMC, Juba Teaching Hospital, and MSF-B with the support from MoH, WHO and UNAIDS. The Health Cluster has delivered 965 099 medical interventions to internally displaced persons and host populations across the country.

  • 9 April 2014

    The general security situation remais largely calm. However, about 47 people were reportedly killed in Bieh Payam in Mayom County, Unity State when youths from Warrap State attempted to raid cattle in the community. The number of dispalced people continue to be rising, as a couse of the ongoing armed conflict. Health cluster partners are prearing of potential flooding in low lying communities. Lack of funding remains a concern.

  • 3 April 2014

    The second round of the cholera vaccination campaign started on 31 March 2014 at the IDP camp UN Juba. Up to date 5 819 people have been vaccinated, 695 for the first time. A total of 23 030 dozes of Oral Cholera Vaccines (OCV) have been transported to Malakal. This is to prepare for the first round of the OCV mass vaccination campaign starting 7 April 2014, in the area scheduled by Protection of Civilian (PoC). The health cluster partners has delivered 917 450 medical interventions to IDPs and host populations across the country.

  • 2 April 2014

    The security situation remains relatively calm in most parts of the country but fluid. The second round of OCV vaccination commenced in Juba III on 31 March 2014. Over one million people have been forced from their homes by the conflict, including 803,200 displaced within South Sudan and 254,600 who have fled to neighbouring countries. There is still a huge funding gap in the emergency response to reach a large proportion of the targeted population.

  • 27 March 2014

    Health Cluster partners has delivered 699 420 medical interventions to IDPs and host population, which is 36.7% of its target. In response to threats of diarrhoeal disease outbreaks, they have also stepped up health promotion efforts.The oral cholera vaccination campaign has reached 54 208 people in the second round in Tongping and Mingkaman IDP camps. In the Mingkaman IDP camp 33 244 people has received meningitis vaccination.

  • 20 - 26 March 2014

    The security situation remains relatively calm in most parts of the country but unstable. Four suspected cholera cases were reported to WHO from the MSF clinic in Thongpiny IDP camp in Juba. Case investigation results showed the cases were negative for Vibrio Cholerae or any other pathogen. The Inter-Agency Standing Committee (IASC) Emergency Directors from eight humanitarian agencies including WHO visited South Sudan from 19- 23 March 2014. Approximately US$50 million is urgently needed to deliver critical lifesaving health assistance to more than 1.9 million vulnerable persons including women and children, the elderly and the injured.

  • 20 March 2014

    The oral cholera vaccination campaign second round reached 10 330 in Thongpiny and Awerial. A total of 5066 people received meningitis vaccination in Minkaman IDP camp. Health services provided by the health cluster partners has reached 589 984 people in IDP camps and host communities (31% of its target).

  • 19 March 2014

    The security situation remains calm but unstable in the whole country, clashes were reported in Jonglei, Unity and Upper Nile states. Estimated 4.2 Million people are in need of health assistance, but lack of funding remains a problem. The health cluster partners has reached 29.3% of the targeted population (1.9 Million) since December 2013. The Inter-Agency Standing Committee (IASC) Emergency Directors arrived in the country to assess the humanitarian emergency response and remaining needs. WHO Country Office Emergency Response Team (ERT) visited the field offices in Bor and Minkaman to assess progress and challenges to strengthen response to the crisis.

  • 8 - 13 March 2014

    Insecurity continues to hamper delivery of health services in conflicted affected areas. The lack of skilled human resources for health is another challenge affecting health staff and the delivery of health services. The oral Cholera vaccine (OCV) campaign vaccinated 7342 persons in UN Juba III internally displaced people’s camp this week. The health cluster partners have reached 29% of the targeted population with health services, as set out in the Health Cluster response plan.

  • 12 March 2014

    The general security situation in the country remains calm but volatile. WHO in collaboration with other health cluster partners continue to provide the required technical, logistical and other emergency support to the affected populations. 25% (479 723) of total targeted population reached.

  • March 2014

    The recent clashes have led to the displacement of over 908 000 people including 705 800 within South Sudan. Displaced people are living in crowded camps lacking in sanitation facilities. South Sudan has some of the worst health indicators in the world and is experiencing a severe shortage of health professionals.

  • 7 March 2014

  • 27 February - 5 March 2014

  • 26 February 2014

  • 21 February 2014

  • 19 February 2014

  • 12 February 2014

  • 29 January - 4 February 2014

  • January 2014

    Health Cluster Response Plan

    The respnse plan health priorities are: 1) Provide emergency primary health care services for vulnerable people with limited or no access to health services. 2)Provide emergency response capacity for surgeries, including emergency obstetric care. 3) Respond to health-related emergencies, including controlling the spread of communicable diseases, reproductive health care and medical services to survivors of gender-based violence including mainstreaming of gender and protection in health response.

  • 28 January 2014

  • 21 January 2014

  • 18 January 2014

  • 15 January 2014

  • January 2014

    Insecurity in South Sudan is hampering the delivery of humanitarian medical assistance

    The delivery of humanitarian medical assistance is hampered because of the insecurity in South Sudan. Many humanitarian health agencies has relocated their staff to Juba, taken refuge in the UN bases or evacuated out of the country. Around 194 000 people has been displaced and 57 500 people has taken refuge in the UN bases. A total of 2 227 surgical cases have been treated at Bor, Malakal, Unity UNMISS clinics and other referral hospitals the last two weeks. A total of 5 662 patients has been treated in the camps.

2013

2010

  • December 2010

    Contingency planning to meet the challenges of the upcoming referendum

    The situation is relatively stable despite the imminence of the referendum. WHO, the Ministry of Health/ Government of Southern Sudan (MoH/GoSS) and health partners are observing the situation for possible health events – whether disease outbreaks or trauma events.

  • 25 - 31 October 2010

  • 8 October 2010

    Upsurge of kala-azar cases in Southern Sudan requires rapid response

    Juba, Sudan -- Recurrent outbreaks of visceral leishmaniasis, a parasitic disease also known as kala-azar, have been reported in Southern Sudan, with 6363 cases and 303 deaths (case fatality rate of 4.7%) recorded since outbreaks began in September 2009. The number of cases is more than six times higher than the same period starting in 2007 (when 758 cases were recorded) and 2008 (582 cases). Most affected patients (70%) are children aged under 15 years who already suffer from concurrent malnutrition and other secondary illnesses.

2009