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Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, EgyptFor Correspondence: Tel + 20-2-22765604, Fax + 20-2-2765456. E-mail: [email protected]
December 2018CHOLERA SITUATION IN YEMEN
Cumulative key figures, October 2016 – December 2018
Last 4 weeks key figures, December 2018
47 310Suspectedcases
0.18%CFR
86Relateddeaths
Distribution of suspected cholera cases in Yemen,January 2017 – December 2018
Cholera cases and Case fatality rates by governoratein Yemen, 27 April 2017 – 31 December 2018 (second wave)
Cholera cases reported in Yemen by epidemic wave,October 2016 – December 2018 (n= 1 417 156)
2%
98%
First wave
Second wave
Cholera cases and deaths reported during the secondwave by governorate, 27 April 2017 – 31 December 2018
Governorate Cases Deaths CFR (%)
Abyan Aden Al Bayda Al Dhale'e Al Hudaydah Al Jawf Al Maharah Al Mahwit Amanat Al Asimah Amran Dhamar Hajjah Ibb Lahj Marib Moklla Raymah Sa'ada Sana'a Say'on Shabwah TaizzTotal
28394228394767048511
207328181271172
8057814349614691214366613608795693255837350574
2189019372
11606630
140178590
1 391 329
42716386
343261
1811042161934723712682
14015
15703
2212 741
Cumulative attackrate (per 10 000)
491.60242.86622.84652.50632.01310.1777.26
1087.47494.47
1258.21704.00569.13320.07250.98201.9112.83
355.87206.58781.53
0.7922.91
259.39493.95
0.150.310.130.180.170.140.090.220.070.150.130.350.390.100.110.350.640.080.14
-0.210.280.20
Number of cholera cases
0 1 10 ,000 20 ,000 50 ,000
Al Jawf
Saada
Marib
Shabwah
Abyan
Lahj
Taizz
Ibb
Baymah Dhaman
Sana’aAl Mahwit
HajjahAmran
Al Hudaydah
Al Bayda
Aden
Amanat Al Aslma
Epidemic curve of cholera cases in Yemen,October 2016 - 26 April 2017 (First wave)
Epidemic curve of cholera cases in Yemen,27 April 2017 – 31 December 2018 (Second wave) 1 417 156
Suspectedcases
2 870Relateddeaths
0.20%CFR
50%Female
50%Male
29.0%Children < 5 years
0
500
1000
1500
2000
2500
444546474849505152 1 2 3 4 5 6 7 8 9 10111213141516
2016 2017
Num
ber o
f sus
pect
ed c
ases
Epi weeks
In December 2018, the Ministry of Public Health and Population of Yemen reported a total 47 310 suspected cholera cases including 86 related deaths (case fatality rate: 0.18%), from 20 governorates.The cumulative number of suspected cholera cases reported in Yemen since October 2016 to December 2018 is 1 417 156 including 2 870 related deaths with a case fatality rate of 0.20%. The country experienced a second wave of this outbreak from 27 April 2017. The total number of suspected cholera cases reported during the second wave were 1 391 329 including 2 741 related deaths with a case fatality rate of 0.19%.Since 27 April 2017, a total of 12 937 stool specimens were tested. Out of these, 4 319 were laboratory confirmed for Vibrio cholerae.The 5 governorates with the highest cumulative attack rate per 10 000 are Amran (1 258.21), Al Mahwit (1087.47), Sana’a (781.53), Dahamar (704) and Al Dhale’e (652.50). The national attack rate is 493.95 per 10 000. The Governorate with high numbers of deaths are Hajjah (472), Ibb (371), Al Hudaydah (343) and Taizz (221).
Governorate
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
Cas
e Fa
talit
y R
ate
(%)
0
5000
10000
150000
150000
250000
Num
ber o
f sus
pect
ed c
ases
17 20 24 28 32 36 40 44 48 521 5 9 13 17 21 26 30 35 39 43 45 48 52
Epi weeks2017 2018
Num
ber o
f sus
pect
ed c
ases
0
10000
20000
30000
40000
50000
60000
WHO-EM/CSR/200/E
