“If we calculate the case fatality rate as of today is 3.4% which is above the average because normally it has to be less than 1% to keep it.” There are suspected cases of cholera outbreak in other States; Jonglei, Lakes, and Upper Nile but there is no “confirmation” yet, Abdinaisir said, adding they are still investigating on the cases.
The United Nations Mission in South Sudan (UNMISS) said its working on decongesting some of its camps in the country as a move forward to minimize further outbreak of the disease. “The sides need to be emptied since February we were looking on how to decongest the sites.
Brief on Cholera
Cholera is an acute diarrhoeal infection caused by eating of food or water contaminated with the bacterium Vibrio cholera. The main risk factors for cholera in Juba are: drinking of unboiled or untreated river water supplied by water tankers, poor latrine use, and eating foods sold on the roadside and at makeshift markets.
Poor personal and community hygiene are a major barrier to public health. Open defecation and the consumption of water from unsafe sources (surface water-river and ponds) according to the World Health Organisation (WHO) remains high. Cholera was last reported in South Sudan in 2009. These factors all continue to increase the susceptibility of the Juba community to contracting cholera.
The usual intervention strategy, in an outbreak, is to reduce deaths by ensuring prompt access to adequate treatment, and to control the spread of the disease by providing safe water, proper sanitation, and health education for improved hygiene and safe food handling practices by the community.