UPDATE ON CHOLERA OUTBREAK IN GHANA AS AT 31.08.2014 Prepared by James ADDO Data Manager, DSD Summary-1/3 • The Cholera outbreak which started in June this year is still raging on • The outbreak started slowly experienced a sharp increase from week 31 to 32 • There has been just a slight decline in the number of cases from week 34 to week 35 • A total of 10, 256 including 92 deaths (CFR= 0.9%) have been reported from 7 regions Summary-2/3 • Fifty-two districts are affected. • Most of the cases come from Accra metro (46%) and La-Dade Kotopon • The spread is mostly along the coastal districts and on the Accra-Kumasi road • Treatment guidelines available in all health facilities • Radio & TV discussions are ongoing Summary-3/3 • Posters and flyers distributed to all regions • Trend and spread of outbreak being monitored at district, regional and national levels Cholera Cases and Deaths by District, Ghana 31.08.14 District Adansi South Ahafo-Ano South Amansie Central Asante-Akim Central Asante-Akim North Asante-Akim South Atwima-Kwanwoma Bekwai Bosome Freho Bosomtwe Ejisu-Juaben Kumasi Kwabre Obuasi Sekyere South Region Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Ashanti Nkoranza South Abura-Asebu-Kwamankese Agona West Awutu-Senya East Awutu-Senya West Brong Ahafo Central Central Central Central Cases 5 1 5 3 2 2 2 3 1 2 1 13 3 2 1 Deaths 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 31 163 174 27 0 2 3 3 0 CFR (%) 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 6.5 1.8 1.7 0.0 Cholera Cases and Deaths by District, Ghana 31.08.14 District Cape Coast Efutu Gomoa East Gomoa West Mfantseman Asikuma-Odoben-Brakwa Komenda-Edina-Eguafo-Abirem Akwapim North Denkyembour Fanteakwa Kwahu East Kwahu West Lower Manya-Krobo New Juaben Nsawam-Adoagyiri Upper Manya-Krobo West Akim Accra Ada East Ada West Region Central Central Central Central Central Central Central Eastern Eastern Eastern Eastern Eastern Eastern Eastern Eastern Eastern Eastern Greater Accra Greater Accra Greater Accra Cases 36 39 13 6 40 8 3 114 1 10 1 30 22 41 238 5 29 4,734 11 0 Deaths 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 CFR (%) 0.0 2.6 7.7 16.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.8 0.0 0.0 Cholera Cases and Deaths by District, Ghana 31.08.14 Adentan Ashaiman Ga Central Ga East Ga South Ga West Kpone-Katamanso La-Dadekotopon La-Nkwatanang-Madina Ledzokuku-Krowor Ningo-Prampram Shai-Osudoku Tema Ho Ketu South Nkwanta Ahanta West Axim Ellembelle Sekondi-Takoradi Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Greater Accra Volta Volta Volta Western Western Western Western 7 35 81 131 739 491 63 1,191 381 475 9 179 497 0 0 0 0 5 1 0 12 6 4 0 1 8 2 75 41 1 4 3 25 0 3 3 0 0 0 0 0.0 0.0 0.0 0.0 0.7 0.2 0.0 1.0 1.6 0.8 0.0 0.6 1.6 0.0 4.0 7.3 0.0 0.0 0.0 0.0 Cholera Cases and Deaths by Region, Ghana 31.08.14 Region Ashanti Brong-Ahafo Central Eastern Greater Accra Northern Upper East Upper West Volta Western Ghana Cases 46 4 540 491 9,024 0 0 0 118 33 10,256 Deaths 1 0 11 0 74 0 0 0 6 0 92 No.of Districts CFR (%) reporting 2.2 15 0.0 1 2.0 11 0.0 8 0.8 15 0.0 0 0.0 0 0.0 0 5.1 4 0.0 4 0.9 58 Cholera Cases by District 31.08.14 Spot Map of Cholera Cases in Greater Accra Region, as at 31.08.14 Cholera Cases and Deaths, Ghana, Week 1-35, 2014 Cases Deaths 2,500 2,000 Cases 1,500 1,000 500 35 34 33 32 31 30 29 28 Epid Weeks 27 26 25 24 23 22 21 20 0 Cholera Cases and Deaths, Greater Accra Region, as at Week 35, 2014 2,000 1,800 Cases Deaths 1,600 Cases/Deaths 1,400 1,200 1,000 800 600 400 200 0 Epid Weeks Cholera Cases and Deaths, Central Region, as at Week 35, 2014 180 156 160 156 148 140 Cases/Deaths 120 100 Cases 80 Deaths 60 49 40 22 20 0 0 0 6 0 2 0 3 1 3 3 1 26 27 28 29 30 31 32 33 34 35 0 Epid Week Cholera Cases and Deaths, Eastern Region, as at week 34, 2014 Cases 160 140 140 113 Cases 120 100 89 94 80 60 39 40 16 20 0 0 0 26 27 28 0 29 30 Epid Weeks 31 32 33 34