General Situation Update in Sudan


The following information is courtesy of World Health Organization (WHO) and reflects the current situation in South Sudan:

  • Insecurity remains the main threat and as such continues to affect delivery of the much needed life saving services in key states. The general security situation remained calm in most parts of the country, with some clashes being reported in Nassir, Upper Nile State and Ayod in Jonglei State.
  • Warnings of an impending famine pose a further health risk to an already vulnerable population. Exceptional levels of malnutrition, morbidity, livelihood collapse, and possible significant increases in mortality are significant determinants of possible famine
  •  No significant movement of internally displaced persons (IDP) was reported in the past week although the congested living conditions and inadequate access to clean water coupled with constrained sanitation facilities continue to predispose the population to public health threats such as communicable diseases including cholera. Continued rains and subsequent floods also made some areas inaccessible and worsened living conditions.
  •  Cholera cases outside Juba continued to be reported, resulting from constrained water access and poor sanitation and hygiene practices, which are worsened by flood waters/surface floods due to heavy rains. As of 01 August 2014, a total of 5,499 cholera cases including 119 deaths (CFR 2.2%) had been reported in South Sudan. Of concern however, is the continued increase in cases outside Juba where 3,363 cases and 80 deaths have so far been reported. Eastern Equatoria State continues to account for most of the cases, with 1,293 of the cumulative cases being reported from Torit Hospital. WHO partners continue to respond to treat cases while encouraging continued efforts to enhance WASH standards in all camps
  • Four new Acute Flaccid Paralysis (AFP) cases were identified during the reporting period, bringing the cumulative total to 143 since January 2014. The cases were reported from Eastern Equatoria State, Jonglei and Northern Bahr El Ghazal States.
  • One Guinea Worm case was detected in Yepic area of Mingkaman in the reporting week.
  • Jonglei State: WHO facilitated at a training organized by SMOH in Bor during which the teams provided information on the effective handling and management of suspected cholera cases, dead management at health facility and community level.
  • Acute Respiratory Infection (ARI), Acute Watery Diarrhoea (AWD) and malaria continue to account for the highest proportion of the disease burden among IDPs. In week 30, ARI had the highest proportionate morbidity and incidence. The proportionate morbidity for malaria, AWD and acute bloody diarrhea (ABD) increased in week 30 as opposed the previous week.
  •  Children under 5 age accounts for more than half – 51% - of deaths reported among IDPs since the crisis began, the main causes of death being Acute Watery Diarrhoea (AWD), measles, severe pneumonia and malnutrition.