Highlights
• Over 1,000 households were visited with hygiene and cholera prevention messages in urban Juba and UN House on 22 August.
• 15,595 children and 3,522 caregivers have been reached with lifesaving messages, including mine risk education, prevention of family separation, appropriate care for children, and cholera prevention since the start of the response.
• School attendance is high in POC3, however, physical space is likely to become a concern as additional families are relocated from Tomping.
Humanitarian Overview
As of 21 August, the total number of cumulative cholera cases is 1,327; the case fatality rate is of 1.73%, with 23 deaths. Transmission in Juba has somewhat stabilised over the last three weeks, but alerts have been reported in other areas (Kajo-Keji, Nimule, Mingkaman, and Fangak). While investigations are ongoing, this suggests the possibility of geographic spread beyond areas of the current outbreak.
Upon the request of UNICEF and other protection agencies, UNMISS has recently begun foot patrols around UN House, an area that remains high-risk for sexual violence. Protection partners continue to dialogue with the IDP population and provide feedback to UNMISS, to better understand patterns of movement and associated risks, and to enhance patrols effectiveness to the extent possible to protect civilians, particularly women and girls.
Summary Analysis of Programme Response
CHOLERA RESPONSE: 13 new cases were admitted to the UNICEF-supported Oral Rehydration Points (ORPs) in Juba on 22 August, with two referrals to the Cholera Treatment Centre (CTC). UNICEF continues to support the in-patient management of cholera through provision of supplies to the CTCs and cholera treatment units. Including the referrals from ORPs, on 22 August, 18 new patients were admitted at the CTC in Juba Teaching Hospital, and one in UN House.
987 households (5,439 people) were visited in Juba on 22 August with hygiene messages, demonstrations of appropriate household water treatment, and cholera prevention message. A total of 723 chlorine tablets, 1,201 water purification tablets, 195 soaps and 1,553 oral rehydration salts were distributed to the most vulnerable families. An additional 105 households were visited with hygiene messages in UN House and seventy-six hygiene promoters in UN House received refresher training for optimal hygiene promotion.
Construction of 25 new latrines in UN House is underway; all 1,184 latrines were cleaned and disinfected again on 22 August. Garbage and sewage continue to be disposed of safely outside the POC. One full truck of medical solid waste from the CTC was also disposed of safely. Foot spraying and hand washing with chlorinated water is ongoing in all entry and exit point of POC1 and 3 and at CTC and ORPs. About 900,000 litres of water is supplied daily to POC 1 and POC 3, with enhanced chlorination.
As of 22 August, 140 hours of public addresses were conducted in 14 hotspots in greater Juba. The 16 radio channels have now aired cholera messages 6,140 times, covering the whole country and reaching up to two million people daily. All of them are also airing “hotline” information 10 times a day.