Sudan: Yellow fever outbreak in West Kordofan

[Ronan Kelly]

Sudan

Yellow fever outbreak in West Kordofan


Sudan’s Federal Ministry of Health has notified the World Health Organization (WHO) of a yellow fever outbreak in El-Reif El-Shargi and Lagawa localities in West Kordofan state.

A technical committee has been established in Khartoum to follow up on the outbreak. Analysis of the data so far received from the field suggests that this is a focal or localized outbreak of yellow fever in an area endemic for the disease.
Initial investigation of more than 10 blood specimens was conducted at the National Public Health Laboratory in Khartoum. These samples were taken from the suspected cases in El-Reif El-Shargi locality in West Kordofan state. Of those tested, three samples tested positive for yellow fever.
WHO is assisting the Federal Ministry of Health in reconfirming the outbreak by sending all yellow fever positive samples to WHO Collaborating Centre for Yellow Fever, the Pasteur Institute in Dakar, Senegal.

Between 3 October and 2 November 2013, a total of 20 suspected cases of yellow fever were reported, including seven deaths, presenting a case fatality rate of 35%. Patients were from Al-behara camp, Tabag and Alarda in Lagawa locality. Al-Behara is a camp for seasonal workers for gum arabic plantation. In addition, patients were originally from east Sudan who travelled a month ago to Kordofan and have started residing at Al-Behara camp. The workers usually travel in groups from east Sudan. Currently, an estimated number of 200 people are residing in the camp.

Immediate priority during this outbreak is to strengthen case management, control the vector and reinforce the disease surveillance system in Kordofan as well as in Kassala and Gedarif states. WHO through the Federal Ministry of Health has sent supplies to the State Ministry of Health comprising of medical equipment, life-saving medicines, laboratory tools, cleaning tools and disinfectant, mosquito nets and insecticides to the affected area.

Late last year, there was an outbreak of yellow fever in Darfur region. The total number of suspected yellow fever cases has reached 849, including 171 deaths (case–fatality rate 20.1%). Three emergency vaccination campaigns were conducted with timely support from donors and active involvement of nongovernmental organizations working in the affected localities. Around five million people were vaccinated in the five states of Darfur.

http://www.emro.who.int/sdn/sudan-news/yellowfever-kordofan-2013.html

Link to thread on 2012-2013 outbreak thread - Sudan: Yellow fever outbreak - 171 fatalities; 849 total suspected cases

[Ronan Kelly]

Re: Sudan: Yellow fever outbreak in West Kordofan

Yellow fever outbreak in West Kordofan: Sudan Health Ministry

KHARTOUM (7 Nov.)
Sudan?s Federal Ministry of Health has notified the World Health Organisation (WHO) of a yellow fever outbreak in El Reif El Shargi and Lagawa localities in West Kordofan state. Between 3 October and 2 November 2013, a total of 20 suspected cases of yellow fever were reported, including seven deaths, presenting a case fatality rate of 35%.

Patients were from El Behara camp, Tabag and Alarda in Lagawa locality. El Behara is a camp for seasonal workers for gum arabic plantation. In addition, patients were originally from east Sudan who travelled a month ago to Kordofan and have started residing at El Behara camp, WHO reports on 4 November.

The workers usually travel in groups from east Sudan. Currently, an estimated number of 200 people are residing in the camp. Immediate priority during this outbreak is to strengthen case management, control the vector and reinforce the disease surveillance system in Kordofan as well as in Kassala and Gedarif states.
...

https://radiotamazuj.org/en/article/yellow-fever-outbreak-west-kordofan-sudan-health-ministry

Situation Report No 1
Yellow fever outbreak in Sudan
7 November 2013

Highlights
- Sudan?s Federal Ministry of Health (FMoH) has notified the World Health Organization (WHO) of a yellow fever outbreak in West Kordofan.
- Between 3 October and 6 November 2013, a total of 22 suspected cases of yellow fever were reported, including eight deaths, presenting a case fatality rate of 36.3%
- YF positive samples will arrive to Institute Pasteur in Dakar, WHO Collaborating Centre for Yellow Fever on Friday 8 November 2013 for re-confirmation procedures.
- WHO through the FMoH has sent supplies to the State Ministry of Health (SMoH) comprising of medical equipment, life-saving medicines, laboratory tools, cleaning tools and disinfectant, mosquito nets and insecticides to the affected areas.
- Communicable disease surveillance system is strengthened in the states of White Nile, Gezira, Kassala, Gedarif and Khartoum.

Details at; http://reliefweb.int/sites/reliefweb...2C%20Sudan.pdf

[Ronan Kelly]

Re: Sudan: Yellow fever outbreak in West Kordofan

Ten deaths from yellow fever in Sudan: WHO
KHARTOUM
(17 Nov.) -

Between 3 October and 13 November, 36 cases of suspected yellow fever were recorded in West and South Kordofan. Ten people died.

At least ten localities are affected by the disease. A small scale vaccination campaign began in the capital of South Kordofan, Kadugli, as well as in Elreef Alshargi, Lagawa and Keilak, targeting 100,000 people, the World Health Organisation (WHO) reports.

According to the WHO report, new cases were recorded in the localities of Talodi, Abu Gibaiha, Habila, Ghadir, Kadugli , Altadamon and Elreef Alshargi in the government-controlled areas of South Kordofan, and Lagawa, Kailak, and Almuglad in West Kordofan.
...

https://www.radiodabanga.org/node/59304

[sharon sanders]

Re: Sudan: Yellow fever outbreak in West Kordofan

Do you think this could be related?


Sudan - Unknown disease kills at least three, many children reported dead in South Darfur

[Ronan Kelly]

Re: Sudan: Yellow fever outbreak in West Kordofan

Situation Report No 3
Yellow fever in Sudan
19 November 2013

http://reliefweb.int/sites/reliefweb.int/files/resources/Situation%20Report%20No%203%20-%20Yellow%20fever%20outbreak%20in%20Sudan.pdf

...

[Ronan Kelly]

Re: Sudan: Yellow fever outbreak in West Kordofan

Situation Report No 4 [Edited]
Yellow fever in Sudan
26 November 2013

http://reliefweb.int/sites/reliefweb.int/files/resources/Situation%20Report%20No%204%20-%20Yellow%20Fever%20Outbreak%20in%20Sudan.pdf

...

[Giuseppe]

Re: Sudan: Yellow fever outbreak in West Kordofan

[Source: World Health Organization, full page: (LINK).]


Yellow fever in Sudan ? update

D.O.N. / 3 December 2013


The Federal Ministry of Health (FMOH) in Sudan has notified WHO of a yellow fever (YF) outbreak affecting twelve localities in West and South Kordofan states.

The affected localities are Lagawa, Kailak, Muglad and Abyei localities in West Kordofan and Elreef Alshargi, Abu Gibaiha, Ghadir, Habila, Kadugli, Altadamon, Talodi and Aliri in South Kordofan.

Between 3 October and 24 November 2013, a total of 44 suspected cases of yellow fever including 14 deaths (CFR: 31.8% ) were reported from this outbreak.

The field investigation carried out by the FMOH team revealed that the initial suspected cases were reported among the seasonal workers coming from the eastern states of Sudan who traveled to the state of West Kordofan for gum Arabic plantation during the month of October.

Subsequently suspected cases were also reported amongst the locally residing population of both West and South Kordofan states.

The blood samples collected by the field investigation team of the FMOH from the suspected cases were positive for YF by IgM ELISA Assay at the National Public Health Laboratory of the FMOH in Khartoum. The blood samples were later re-confirmed at the Institute of Pasteur of Senegal, a WHO reference laboratory for yellow fever by IgM ELISA test followed by the seroneutralizing test (PRNT) for yellow fever. The entomological survey carried out by the field investigation team also found Aedes aegepty mosquitoes in the areas, the vector that can sustain transmission of YF.

WHO is assisting the Federal Ministry of Health to strengthen surveillance and conduct active case search, particularly in the neighbouuring areas of Darfur, South Sudan as well as in those areas where the seasonal workers have started to return following completion of their work.

So far no suspected cases have been reported from any of these areas.

The FMOH is planning to organize a reactive mass vaccination campaign against YF in the affected areas covering the at-risk population in order to prevent the occurrence of new cases. The WHO country office is currently working with the FMOH to launch a formal request to the International Coordinating Group on Yellow Fever Vaccine Provision (YF-ICG) to provide support for a reactive mass vaccination campaign against YF.

Late last year, an outbreak of yellow fever in Darfur region of Sudan resulted in 849 suspected cases including 171 deaths (case fatality rate 20%). Around five million people were vaccinated against YF in the five states of Darfur in response to this outbreak. In 2005, a yellow fever outbreak was also reported from the South-Kordofan state, a place with high nomadic population. During that outbreak, 615 suspected cases including 183 death (CFR: 30%) were reported and a reactive mass vaccination campaign targeting around 1.6 million people in the state was launched to contain the outbreak.


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