Summary of major revisions made to emergency plan of action: The Revised Emergency Appeal seeks an extension to the end of July 2016 for the appeal to be a total of 9 months instead of the original 6 months, in order to ensure that all the activities are completed. Delay in implementation is attributed to the fact that the geographical areas that need to be covered are vast, causing a time lag in the implementation of various activities. The communities live in remote and distant areas and thus a significant amount of time is spent on transportation (by road, ferry and boat). In addition, some of the activities had to be approved by the Tanzania Ministry of Health to include community based surveillance and Child Hygiene and Sanitation Transformation before implementation, causing a further delay.
There are no alterations to budget.
A. Situation analysis
Description of the disaster
15 August, 2015: First cholera outbreak case was reported in Dar es Salaam’s Kinondoni district before spreading throughout the Dar es Salaam region and the following twelve other regions of the country:
Morogoro, Kigoma, Dodoma, Geita, Mwanza, Mara, Arusha, Tabora, Tanga, Shinyanga, Singida and Coast, and the island of Zanzibar.May, 2015: Cholera outbreak declared in Nyarugusu refugee camp on the Tanzanian/Burundi border, home to around 175,000 Burundian refugees with 4,833 cases and 40 deaths reported. The outbreak was contained through a vaccination campaign, provision of safe water and health education.
3 November, 2015: A total of 7,155 cumulative cholera cases reported, with 96 deaths. Although the figures of the outbreak are lower than those of previous years, the rapid increase of cases (from 5,973 on 31 October to 7,155 on 3 November), with almost 20% of overall cases occurring in just 4 days, indicates that a sharp and rapid increase in cases is highly likely.
11 November, 2015: IFRC launches Emergency Appeal seeking 941,146 Swiss francs for 226,000 people, with 188,505 Swiss francs allocated from the IFRC’s Disaster Relief Emergency Fund (DREF) as start-up support.
18 December, 2015: IFRC revised Emergency Appeal to seek 1,290,421 Swiss francs (increased from 941,146 Swiss francs) to support the Tanzania Red Cross Society (TRCS) scale-up the response n to the growing cholera outbreak for some 226,000 people.
January - March 2016: New regions began to experience cholera transmission, include Iringa, Manyara and Mbeya. There was an increase in new cholera cases in Morogoro, Mwanza, Mara, Dodoma, Singida, Arusha and Simiyu. The Ministry of Health, Community Development Gender Elderly and Children (MoHCDGEC), sent rapid response and assessment teams to these regions to support the Council Health Management Teams in implementing cholera response interventions.
April-May 2016: Currently new Cholera cases are still being reported in regions across Tanzania mainland, there is a reduction in the new cholera cases and deaths in the hot spot regions.