General Overview
Completeness for weekly reporting in week 40 of 2015 was 78%, which is lower when compared to 92% in week 39 of 2015 and 92% in week 40 of 2014.
In week 40 of 2015, malaria was the top cause of morbidity among IDPs and registered a proportionate morbidity of 39.7%, which represents a slight increase when compared to 38.9% in week 39 of 2015. The malaria incidence in week 40 of 2015 was the highest in Bentiu PoC followed by Malakal PoC and Renk. The malaria incidence in Bentiu PoC in week 40 of 2015 is consistent with a malaria upsurge that has reached epidemic proportions. The malaria incidence in Malakal, Renk, and UN House PoC shows decline trend.
A measles outbreak was confirmed in UN House PoC on 1st October 2015 after three measles cases were laboratory confirmed IgM positive. An integrated Polio, measles, and vitamin A campaign started on 7 October 2015 targeting 7350 children (6 – 59mths).
Cholera cases have risen to 1,814 including 47 deaths [CFR 2.59%] from three counties namely Juba, Kajo-keji and Bor. The cholera 2015 evaluation meeting took place on 6-7 October 2015 in Juba. Findings are expected to guide better preparedness and response in the future and update the Cholera Preparedness and Response Guidelines.
In week 40 of 2015, Bentiu PoC reported 55 new HEV cases. The cumulative for HEV is 1,571cases including 14 deaths (CFR 0.89%) in Bentiu; 153 cases including seven deaths (CFR 4.6%) in Mingkaman; and 37 HEV cases including one death (CFR 2.7%) in Lankien.
The nutrition situation in Bentiu PoC remains critical, results of the SMART Survey conducted in August 2015 revealed a GAM of 34.% and SAM of 10.5%
In week 40 of 2015, the under-5 mortality rate for Bentiu PoC was 0.60 deaths per 10,000 per day, which is below the U5MR emergency threshold of 2 deaths per 10,000 per day. The notable causes of death in children <5 years in Bentiu included malaria, and pneumonia.