ZIMBABWE BATTLE READY


ZIMBABWE BATTLE READY.
 Zimbabwe has launched a vaccine to battle the cholera outbreak. A cholera vaccination campaign was launched in Zimbabwe last week, targeting 1.4 million people in the nation’s capital of Harare and in rural areas in an effort to reverse an outbreak that has so far claimed almost 50 lives.
Vaccines were taken from the global stockpile and operational costs have been funded by Gavi the Vaccine Alliance for the campaign, which focuses on the four high-density Harare suburbs most affected by the outbreak, including the epicenters of Glenview and Budiriro.
The vaccination drive will continue through Tuesday at fixed and mobile health facilities, schools and shopping centers. More than 600 health workers have been trained to carry out the campaign under the leadership of the Zimbabwe Ministry of Health and Child Care.
To ensure long-term immunity to the disease, “a second phase of the campaign should follow in the next six months targeting a population of 900,000 covering eight suburbs in Harare and three [suburbs] in other districts,” a Gavi spokesperson told reporters.

MORE ON OUTBREAK:

Since the last Disease Outbreak News was published on 20 September (with data as of 15 September), an additional 4914 cases have been reported including 92 confirmed cases.

The cholera outbreak in Harare was declared by the Ministry of Health and Child Care  of Zimbabwe on 6 September 2018 and notified to WHO on the same day. As of 3 October 2018, 8535 cumulative cases, including 163 laboratory confirmed cases, and 50 deaths have been reported (case fatality rate: 0.6%). Of these 8535 cases, 98% (8341 cases) were reported from the densely populated capital Harare (Figure 1). The most affected suburbs in Harare are Glen View and Budiriro.
Of the 8340 cases for which age is known, the majority (56%) are aged between 5 and 35 years old. Males and females have been equally affected by the outbreak. From 4 September through 3 October, the majority of deaths were reported from health care institutions.
The pathogen is known to be Vibrio cholera 01 serotype Ogawa. Since confirmation on 6 September 2018, a multi-drug resistant strain has been identified and is in circulation; however, this does not affect the treatment of most cases, where supportive care such as rehydration solutions are used. Antibiotics are only recommended for severe cases. Furthermore, the antibiotic which is being used for severe cases in Harare is Azithromycin which remains effective in the majority of cases.

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