A. Situation analysis
Description of the disaster
An estimated 2.7 million people in the Central African Republic (CAR) remain in great need of basic necessities of food, shelter, clean water and access to health care. The situation has been worsened by a Cholera outbreak which was confirmed on the 10 August 2016 by the Pasteur Institute of Bangui and the Minister of Health of the CAR. According to the World Health Organisation’s (WHO) emergency situation report N° 8 of 19 August 2016, from the 5 July to the 19 August 2016 at least 161 affected cases have been registered with 19 deaths (fatality rate: 11.8%). From 07 July to 05 August 2016, the Ministry of Health (MoH) and the WHO reported 36 cases of acute watery diarrhoea with severe dehydration including 8 deaths which were recorded in the village Mourou-river, sub-prefecture of Ndjoukou in the Kemo Province of the country. According to the same report, nine cases of acute watery diarrhoea with severe dehydration including 5 deaths were recorded between 05 and 10 August 2016 in villages Zawara, Danga and Massamba in Damara sub-prefecture and one case at the Bruxelles quarter / Bangui. On August 10, the Pasteur Institute Bangui confirmed the presence of Vibrio cholerae in the stools of cases from Zawara. The Minister of Health during a press conference declared the state of emergency for the cholera epidemic and outbreak in the CAR on the 10th of August 2016. The risk of spread of cholera is very high and the situation will most likely worsen due to the high mobility of the population as well as the on-going rainy season which will last until late October into November 2016.