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Minister of Health receives commodities towards cholera outbreak

Hon. Minister Dr Obadiah Moyo

First Lady Amai observes slides used for histological diagnosis of cervical cancer in women using a microscope

First Lady Amai Auxillia Mnangagwa

Nurse taking monthly assessments at a clinic

Government rolls out Oral Cholera Vaccine

Dr Gerald Gwinji, Secretary for Health and Child Care

Officially launching the National Infection and Prevention Control Guidelines.

Lets go zero on Cholera

Government  receives 500 000 cholera vaccine doses . For more information. Click Here

EU avails additional €20.6 million to health

The European Union (EU) has committed an additional €20.6 million to the Ministry of Health and Child Care. click the EU donation for more



100 day plan

Click here to view the 100 day plan

Cholera Outbreak in Harare

MEMORANDUM BY THE MINISTER OF HEALTH AND CHILD CARE DR OBADIAH MOYO ON CHOLERA OUTBREAK SITUATION IN HARARE CITY AS OF 14 SEPTEMBER 2018

 

  1. New Cholera Outbreak in Harare

      A cholera outbreak was reported on 6th of September 2018 from Harare City in Glen View and Budiriro Suburbs. This followed investigations by the Harare City Health Department of the rumours of deaths in the community.

      From the start of the outbreak on the 1st of September 2018 to date a total of 5328 suspected cholera cases, 45 confirmed cases and 30 deaths have been reported from Harare City suburbs of Glen View, Budiriro  and Beatrice Infectious Diseases Hospital. Of the deaths 22 institutional and 8 community deaths. 

 

 

 

       Cases linked to Harare city outbreak have been detected from other provinces: Buhera (4) in Manicaland, Murehwa (1) and Marondera (2) in Mashonaland East, Gokwe North (9) in Midlands, Shamva (1) in Mashonaland Central and Masvingo General Hospital 1 death.

 

  1. Typhoid Situation in Gweru and Harare

 

2.1        A total of 22 new suspected typhoid cases and no deaths were reported on 6 September 2018 in Gweru City. As of 0800hrs on 6 September a cumulative total of 1,928 suspected typhoid cases, 16 confirmed cases and 8 deaths have been reported in Gweru since the start of the outbreak on 6 August 2018.

 

2.2        In Harare City a total of 33 new suspected typhoid cases and no deaths were reported during week ending 26 August 2018. The cumulative typhoid cases for Harare is 4,773 suspected cases, 165 confirmed cases and 3 deaths.

 

2.3        This brings to a national cumulative figure for typhoid cases to 6,675 suspected cases, 181 confirmed cases and 11 deaths. This is an ongoing typhoid outbreak which started on the 1st of October 2017 in Harare City and 6th August 2018 in Gweru City.

 

 

  1. Drivers of the Cholera  Outbreak in Harare City  

 

3.1        The absence of adequate safe water from Harare City, the contamination of ground water table by burst sewer pipes and the belief that borehole water in Harare City is safe has fueled the cholera outbreak in Harare City.

3.2        Rampant food vending in undesignated points, garbage being left uncollected for days or weeks and the high mobility of the population has fueled these outbreaks in Harare.    

 

  1. Measures taken to contain the outbreak

4.1        The national rapid response teams and the inter agency coordination committee on Health (IACCH) has been activated to respond to cholera outbreak in Harare.

 

4.2        Thematic committees handling special areas have been activated namely coordination, WASH, Surveillance and Laboratory, Case Management, Health Promotion and Logistics. These are duplicated at District, Province and national level. Meetings in these committees are done on a daily basis deploying outbreak response mechanism to stop the outbreak.

4.3        Distribution of non-food items (NFI), water treatment chemicals and water guard at the point of use, health education and health promotion is being done.

4.4        Treatment centers have been set up in Glen View, Budiriro and BRIDH. Teams are conducting door-to-door follow up of contacts and campaigns.

4.5        An oversight inter-ministerial committee has been established supported by Officials to coordinate the response.

4.6        With the declaration of a localized emergency the Civil Protection Department supported by the Ministry of Health and Child Care as the lead health sector technical entity now coordinates government and various partnerships in the response.

4.7        A team of Officials supported by The Ministry of Finance and Economic Development has come up with a comprehensive two scenarios budget.  Requirements to address immediate needs of 10 000 patients and water sanitation and hygiene (WASH) comes to US$25,415,567.00. Requirements to address immediate needs of 50 000 patients and water sanitation and hygiene (WASH) comes to US$34,924,892.00.

4.8        The primary underlying factors of collapsed sections of sewerage pipelines in the Tichagarika area of Glenview have been fixed. However supply of uninterrupted Municipal water as promised by The City has been problematic.

 

 

 

  1. Resources supported by Partners

5.1        Prepositioned and ready to deploy commodities supported by the World Health Organisation, UNICEF and MSF allowed us to mount the initial response. These commodities include tents, cholera beds, medicines as well non-medical commodities like buckets to use at cholera treatment centres as well containers distributed with soap and waterguard/aquatabs for safe water collection and storage.

5.2        The support from local individuals and corporates has been quite substantial.

5.3        Econet Zimbabwe has pledged up to US10, 000,000 to be used to respond to the outbreak in a holistic manner including addressing the underlying determinants.

Corporates, organizations, groups of individuals like Delta, Schweppes, OK, Spar, ZIMNAT, First Mutual Medical, NetOne, Hihgerlife Foundation, Medsure, National Oil Infrastructure Compnay (NOIC), Avenues Hospital, Nemchem, Jumbo Legal Practitioners, Messers Matambo

MEMORANDUM BY THE MINISTER OF HEALTH AND CHILD CARE DR OBADIAH MOYO ON CHOLERA OUTBREAK SITUATION IN HARARE CITY AS OF 14 SEPTEMBER 2018

 

 

  1. New Cholera Outbreak in Harare

 

1.1        A cholera outbreak was reported on 6th of September 2018 from Harare City in Glen View and Budiriro Suburbs. This followed investigations by the Harare City Health Department of the rumours of deaths in the community.

 

1.2        From the start of the outbreak on the 1st of September 2018 to date a total of 5328 suspected cholera cases, 45 confirmed cases and 30 deaths have been reported from Harare City suburbs of Glen View, Budiriro  and Beatrice Infectious Diseases Hospital. Of the deaths 22 institutional and 8 community deaths. 

 

1.3        Cases linked to Harare city outbreak have been detected from other provinces: Buhera (4) in Manicaland, Murehwa (1) and Marondera (2) in Mashonaland East, Gokwe North (9) in Midlands, Shamva (1) in Mashonaland Central and Masvingo General Hospital 1 death.

 

  1. Typhoid Situation in Gweru and Harare

 

2.1        A total of 22 new suspected typhoid cases and no deaths were reported on 6 September 2018 in Gweru City. As of 0800hrs on 6 September a cumulative total of 1,928 suspected typhoid cases, 16 confirmed cases and 8 deaths have been reported in Gweru since the start of the outbreak on 6 August 2018.

 

2.2        In Harare City a total of 33 new suspected typhoid cases and no deaths were reported during week ending 26 August 2018. The cumulative typhoid cases for Harare is 4,773 suspected cases, 165 confirmed cases and 3 deaths.

 

2.3        This brings to a national cumulative figure for typhoid cases to 6,675 suspected cases, 181 confirmed cases and 11 deaths. This is an ongoing typhoid outbreak which started on the 1st of October 2017 in Harare City and 6th August 2018 in Gweru City.

 

 

  1. Drivers of the Cholera  Outbreak in Harare City  

 

3.1        The absence of adequate safe water from Harare City, the contamination of ground water table by burst sewer pipes and the belief that borehole water in Harare City is safe has fueled the cholera outbreak in Harare City.

3.2        Rampant food vending in undesignated points, garbage being left uncollected for days or weeks and the high mobility of the population has fueled these outbreaks in Harare.    

 

  1. Measures taken to contain the outbreak

4.1        The national rapid response teams and the inter agency coordination committee on Health (IACCH) has been activated to respond to cholera outbreak in Harare.

 

4.2        Thematic committees handling special areas have been activated namely coordination, WASH, Surveillance and Laboratory, Case Management, Health Promotion and Logistics. These are duplicated at District, Province and national level. Meetings in these committees are done on a daily basis deploying outbreak response mechanism to stop the outbreak.

4.3        Distribution of non-food items (NFI), water treatment chemicals and water guard at the point of use, health education and health promotion is being done.

4.4        Treatment centers have been set up in Glen View, Budiriro and BRIDH. Teams are conducting door-to-door follow up of contacts and campaigns.

4.5        An oversight inter-ministerial committee has been established supported by Officials to coordinate the response.

4.6        With the declaration of a localized emergency the Civil Protection Department supported by the Ministry of Health and Child Care as the lead health sector technical entity now coordinates government and various partnerships in the response.

4.7        A team of Officials supported by The Ministry of Finance and Economic Development has come up with a comprehensive two scenarios budget.  Requirements to address immediate needs of 10 000 patients and water sanitation and hygiene (WASH) comes to US$25,415,567.00. Requirements to address immediate needs of 50 000 patients and water sanitation and hygiene (WASH) comes to US$34,924,892.00.

4.8        The primary underlying factors of collapsed sections of sewerage pipelines in the Tichagarika area of Glenview have been fixed. However supply of uninterrupted Municipal water as promised by The City has been problematic.

 

 

 

  1. Resources supported by Partners

5.1        Prepositioned and ready to deploy commodities supported by the World Health Organisation, UNICEF and MSF allowed us to mount the initial response. These commodities include tents, cholera beds, medicines as well non-medical commodities like buckets to use at cholera treatment centres as well containers distributed with soap and waterguard/aquatabs for safe water collection and storage.

5.2        The support from local individuals and corporates has been quite substantial.

5.3        Econet Zimbabwe has pledged up to US10, 000,000 to be used to respond to the outbreak in a holistic manner including addressing the underlying determinants.

Corporates, organizations, groups of individuals like Delta, Schweppes, OK, Spar, ZIMNAT, First Mutual Medical, NetOne, Hihgerlife Foundation, Medsure, National Oil Infrastructure Compnay (NOIC), Avenues Hospital, Nemchem, Jumbo Legal Practitioners, Messers Matambo  

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DISEASES / CONDITIONS

DEFINITIONS

Cholera

Suspected Case

Any patient age 5 years or more with severe dehydration or death from acute watery diarrhoea

If There Is A Cholera Epidemic: any person age 2 years or more with acute watery diarrhoea, with or without vomiting

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