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South Sudan steps up vaccination, response measures to curb cholera

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Juba ‒ Nyaboth Gai, a 28-year-old resident of Rubkona, county within the north of South Sudan, is grateful to be alive after her household was severely affected by cholera, an infectious illness that may rapidly result in dying if it’s not detected and handled early. “All 4 members of my household obtained contaminated and I thank God for giving me one other likelihood to reside,” she says. “I’m grateful for the remedy we have now been receiving within the well being facility.”

The cholera outbreak in South Sudan, which the federal government declared in October 2024, continues to worsen. Round 21 000 suspected and confirmed instances and round 367 deaths have been reported as far as of 15 January 2025, with greater than 1 / 4 of those reported within the final week of December. The case fatality ratio is at the moment 1.8%, which exceeds World Well being Group (WHO)’s goal threshold of lower than 1%.

Whereas cholera instances have been reported in 31 out of 80 counties throughout seven states and one administrative space, Rubkona county accounts for 47% of complete instances, adopted by Juba county at round 10%. The continuing inflow of refugees and returnees fleeing the battle in Sudan will increase the danger of infectious illness outbreaks like cholera and continues to exert stress on an already fragile well being system. Renk county, the first entry level for a lot of the returnees and refugees from Sudan, has reported round 550 confirmed and suspected cholera instances and three deaths. This accounts for nearly 4% of the whole cholera instances reported nationwide.

To handle the rising instances of cholera, the Ministry of Well being, with help from WHO and companions , in January 2025 rolled out a number of oral cholera vaccination campaigns in 4 high-risk counties – Malakal, Juba, Renk and, Rubkona. With help from Gavi, the Vaccine Alliance, round 4 million doses of the vaccine have been permitted and round 910 000 doses have to this point been administered within the 4 counties, above  90% protection.

“We prolong our heartfelt gratitude to our healthcare employees on the frontlines, who’re devoted to caring for cholera sufferers and curbing the transmission,” says Minister of Well being, Hon Yolanda Awel Deng. “The vaccine is lifesaving, and I encourage the group to get vaccinated and cling to all precautionary measures to attenuate the danger of contracting cholera.”

WHO continues to distribute important medical provides for cholera response to native and nationwide well being authorities and companions. These embrace investigation and remedy kits, cholera beds, standalone fast diagnostic checks and private protecting tools to reinforce cholera preparedness and response efforts. The provides can deal with 4700 cholera instances.

“Whereas oral cholera vaccination is vital, it’s one in every of a number of instruments to curb the continued outbreak,” says Dr Humphrey Karamagi, WHO Consultant in South Sudan, “WHO is supporting well being authorities in all points of the outbreak response to make sure that we deal with complete well being wants and convey this outbreak to an finish.”

WHO has facilitated the institution of a 50-bed cholera remedy centre at Juba Instructing Hospital and is supporting the deployment of 9 fast response groups from nationwide stage to 11 precedence counties to help implementing companions on the bottom present vital case administration.

Gai and her household have since totally recovered and have been vaccinated. “I sincerely thank all of the well being employees and authorities for his or her care,” she says. “The help has been invaluable throughout this troublesome time for my household, and we’re grateful. Now we have now been vaccinated and not frightened.”

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