Cholera-Epidemie in Simbabwe

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Alexander
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Cholera-Epidemie in Simbabwe

Beitrag von Alexander »

IRIN hat geschrieben: ZIMBABWE: Diarrhoea outbreak claims 34

HARARE, 9 July 2007 (IRIN) - A diarrhoea outbreak has claimed the lives of 29 children and five adults in the last two weeks in Zimbabwe, which has been experiencing water shortages as a result of frequent disruptions of supplies, according to a UN official.

"The problem [diarrhoea outbreak] is related to the water pumping capacity in the affected areas, and we are aware that it is something that can happen again and again," said James Elder, spokesman for the United Nations Children's Agency (UNICEF) in Zimbabwe. Most of the deaths have occurred in Kadoma, a mining town in Mashonaland West Province in the north.

"We are taking the situation seriously and we are on the ground, together with WHO [World Health Organisation] and the Ministry of Health and Child Welfare. We have managed to contain the outbreak, but we will continue monitoring the situation so that lives are not lost again," he added.

Water and power cuts are frequent in Zimbabwe, which is grappling with an economy hit by an annual inflation rate of around 4,000 percent, shortages of foreign currency and a steep increase in the cost of essential services such as health, water and electricity.

A severe shortage of foreign currency means service providers cannot maintain or replace ageing water purification and distribution equipment, or import power from neighbouring countries to keep waterworks functioning.

Urban residents are being forced to use water from streams into which raw sewage and industrial effluent are being discharged. A lack of potable water is among the root causes of the outbreak.

According to the WHO, cholera is an acute intestinal infection caused by ingesting food or water contaminated with the vibrio cholerae bacterium. It has a short incubation period, from less than a day to five days, and causes a copious, painless, watery diarrhoea that can quickly lead to severe dehydration and death without prompt treatment.

Last week the official daily newspaper, The Herald, quoted Wenselaus Nyamayaro, a provincial medical director, as saying that 20 people had died in the mining town of Kadoma, which has a population of about 80,000 people.

"The town has been hit by an outbreak of diarrhoea over the past two weeks, but we worked hard to isolate ... [the bacteria] and we can now safely say the situation is under control," he said.

Unhygienic conditions

Richard Mbaleni, who lives in the populous, poor suburb of Rimuka in Kadoma, said deaths resulting from suspected diarrhoea and cholera were "something we live with every week".

"For years, we have seen many people die because of the unhygienic conditions under which we live. There are several sections of the suburb that have gone without water for more than eight months, and residents are forced to use the bucket system when relieving themselves, thereby getting exposed to communicable diseases," he said.

"To make matters worse, the sewer system is always breaking down and children often come into contact with flowing waste. It therefore comes as no surprise to have so many deaths."

UNICEF is installing water tanks in Kadoma's high-density suburbs and providing disinfectants in its fight to suppress further outbreaks.

Following reports of the deaths, residents elsewhere fear that they could also face an outbreak.

"These deaths should send a clear warning to the government and other stakeholders, because the conditions that have led to the diarrhoea outbreaks in those areas are also present in our own communities," said Cecilia Mauto of Waterfalls, a residential area southwest of the capital, Harare, which often goes without water for long periods.

"There is need to make sure that water supplies improve, even if it means having to dispatch water bowsers to areas that suffer ... water shortages," she added. "Public toilets are pathetic, as they usually are overflowing and there is no running water ... if this is not attended to we are bound for a national tragedy."
Quelle: http://www.irinnews.org

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Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

In Simbabwe hat sich die grassierende Cholera-Epidemie ausgeweitet. Nach jüngsten Angaben der Weltgesundheitsorganisation (WHO) sind seit Ausbruch der Seuche im August 484 Menschen gestorben.

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Cholera auch in Südafrika

Beitrag von Robert »

Zimbabwe, Südafrika: Cholera
25-11-2008
Rubrik : Epidemiologische Aktualitäten

Am 24. November sind in Zimbabwe 53 Cholera-Todesfälle registriert worden. Damit ist die Zahl der Opfer aufgrund der im Land seit August 2008 bestehenden Epidemie auf 366 angestiegen. Die Anzahl landesweit gemeldeter Fälle beträgt 8'887. Die meisten Todesfälle werden aus Beitbridge an der Grenze zu Südafrika gemeldet.
Aus der gegenüberliegenden südafrikanischen Grenzstadt Messina werden 168 an Cholera erkrankte Patienten mit bislang drei Todesfällen gemeldet.

Quelle: ProMedMail
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

Simbabwe ruft den Cholera-Notstand aus

Simbabwe hat angesichts der sich stetig ausweitenden Cholera-Epidemie den nationalen Notstand ausgerufen. Nach Angaben der Weltgesundheitsorganisation (WHO) sind seit Beginn der Epidemie im August mehr als 560 Menschen gestorben, 12.500 sind infiziert. Das Gesundheitsministerium in Harare teilte mit, internationalen Hilfsorganisationen solle die Möglichkeit zu einer groß angelegten Hilfsaktion gegeben werden....

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Re: Cholera-Epidemie in Simbabwe

Beitrag von Birgitt »

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2008 (49)
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
Africa
[1] Cholera - Zimbabwe: River water contamination
[2] Cholera - Zimbabwe: Further spread in and outside Zimbabwe
[3] Cholera - South Africa (Eastern Cape) ex Zimbabwe


*****
[1] Cholera - Zimbabwe: River water contamination
Date: Wed 3 Dec 2008
Source: UN Integrated Regional Information Networks (IRIN) [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SI ... c=1&cc=zwe>


The Limpopo River, which delineates the border between Zimbabwe and
South Africa before flowing through Mozambique into the Indian Ocean,
has tested positive for cholera, according to local media reports.

According to the UN, Zimbabwe's "unprecedented cholera outbreak" has
claimed 565 lives from the 12 546 recorded cases since August 2008,
and "is worsening and is becoming difficult to contain as it spreads
from cities." Zimbabwe Doctors for Human Rights, a non-governmental
organization, said the death toll could be in excess of 1000 people.

The UN children's agency, UNICEF, said in a statement: "The onset of
the rainy season threatens to make the waterborne disease endemic, as
the spread of cholera becomes increasingly unpredictable and the
response is outpaced by the outbreaks. Harare (the capital), where
the highest numbers of cholera cases have been reported, continues to
experience serious water outages."

The provincial health department spokesperson for South Africa's
Limpopo Province, which borders Zimbabwe, told a local radio station
that all the cholera cases detected in South Africa were linked to
the Zimbabwe outbreak. There have been 6 known deaths from cholera in
South Africa, 2 South Africans and 4 Zimbabweans.

UNICEF said it had provided the Harare authorities with a month's
supply of water treatment chemicals for the city and was distributing
about 360 000 litres of drinking water daily. Fuel, also in short
supply, was being provided to assist in the cholera emergency; 40 000
liters of intravenous fluids had been distributed, as well as
thousands of hygiene kits, water treatment tablets and body bags.
Reticulated water was reportedly restored to Harare on 3 Dec 2008
after all water supplies had been cut off for the past few days.

The cholera epidemic is now affecting 42 of Zimbabwe's 62 districts.

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[The number of cases of cholera in Zimbabwe continues to rise
dramatically, underscoring the need for rapid intervention. In one
day, there were 811 more cases reported, with 81 more deaths.

A map of Zimbabwe can be found at
<http://www.un.org/Depts/Cartographic/ma ... mbabwe.pdf>.
The HealthMap/ProMED-mail interactive map of Zimbabwe is available at
<http://healthmap.org/promed/en?v=-19,29.9,6>.
- Mod.LL]

******
[2] Cholera - Zimbabwe: Further spread in and outside Zimbabwe
Date: Tue 2 Dec 2008
Source: World Health Organization (WHO) [edited]
<http://www.who.int/csr/don/2008_12_02/en/index.html>


As of 1 Dec 2008, the Ministry of Health in Zimbabwe has reported a
total of 11 735 cholera cases with 484 deaths since August 2008,
affecting all provinces in the country. The overall case fatality
rate is 4 percent but has reached up to 20-30 percent in remote
areas. Out of the total number of cases, 50 percent have been
reported from Budiriro, a high density suburb of the capital city,
Harare. Beitbridge, a town bordering South Africa, has reported 26
percent of all cases. In the last 2 days, 2 additional areas have
been affected: Chegutu (in Mashonaland West province) and Mvuma (in
Midlands province). Reports have also been received from the
Ministries of Health in neighboring countries confirming that cholera
cases have occurred in Musina (South Africa), Palm Tree (Botswana)
and Guro district (Mozambique).

Cholera outbreaks have become more frequent in Zimbabwe since the
early 1990s. However, with the exception of the large outbreaks that
occurred in 1999 and 2002, the disease has been kept under control
through intensified prevention and preparedness activities.

Communities are being encouraged to protect themselves against
cholera by adhering to proper food safety practices as well as to
good personal hygiene. Early rehydration at home by using oral
rehydration salts is paramount to diminishing mortality.

Mass chemoprophylaxis with antibiotics is strongly discouraged, as it
has no effect on the spread of cholera, can have adverse effects by
increasing antimicrobial resistance and provides a false sense of
security.

Once an outbreak has started, WHO does not recommend the use of the
current internationally available WHO prequalified oral cholera
vaccine. This is due to its 2-dose regimen, the time required to
reach protective efficacy and the high cost and heavy logistics
associated with its use. The use of the parenteral cholera vaccine
has never been recommended by WHO due to its low protective efficacy
and the occurrence of severe adverse events.

In controlling the spread of cholera, WHO does not recommend any
special restrictions to travel or trade to or from affected areas.
However, neighboring countries are encouraged to strengthen their
active surveillance and preparedness systems.

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[Little information is available regarding the spread of cholera into
Botswana and Mozambique. A map showing the geographical relationship
between the countries can be seen at:
<http://www.un.org/Depts/Cartographic/ma ... africa.pdf>.
- Mod.LL]

******
[3] Cholera - South Africa (Eastern Cape) ex Zimbabwe
Date: Wed 3 Dec 2008
Source: Independent Online [edited]
<http://www.iol.co.za/index.php?set_id=1 ... 282C930008>


An Ethiopian who arrived in East London from Zimbabwe on Sunday [30
Nov 2008] is being treated for cholera, the Eastern Cape Health
Department said on Wednesday [3 Dec 2008].

Department spokesperson Sizwe Kupelo said: "He arrived on Sunday and
got sick on Monday [1 Dec 2008]. A team has since been sent out to
test the 2 people he stayed with on his arrival," he said.

International Federation Red Cross (IFRC) has confirmed that the
cholera outbreak which began in Zimbabwe has already affected over 12
500 people, and at least 500 people have died. The outbreak has also
been posing serious health risks across the border in South Africa's
Limpopo province, where approximately 6 deaths and 400 cases have
been reported so far.

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[Limpopo
<http://en.wikipedia.org/wiki/Limpopo>
was previously known as the Northern province.

A map of South Africa showing the mentioned areas can be found at
<http://www.un.org/Depts/Cartographic/ma ... uthafr.pdf>.
As can be seen on the map, Eastern Cape province does not border
Zimbabwe and represents the furthermost southerly spread of cholera
in South Africa.

The HealthMap/ProMED-mail interactive map of South Africa is available at
<http://healthmap.org/promed/en?g=1085597&v=-24,29.5,5>.
- Mod.LL]
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

"Höchste Eile beim Kampf gegen Cholera geboten"

Johannesburg (AZ) - Beim Kampf gegen die Cholera-Epidemie in Simbabwe ist nach Rotkreuz-Angaben wegen der nahenden Regenzeit höchste Eile geboten. mehr...


Quelle:augsburger-allgemeine
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

Simbabwe bittet Ausland um Hilfe gegen Cholera

"Jeder zehnte Patient kann sterben"


Selten räumt Simbabwes Regime Probleme ein. Doch die Cholera-Epidemie im Land ist so dramatisch, dass die Regierung in Harare den Notstand ausrufen musste. Die Krankenhäuser sind überfordert, das Gesundheitssystem marode - nun werden 1000 Tote befürchtet.....
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Quelle:tagesschau.de
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

Cholera bedroht mehr als 300 000 Menschen

Die Cholera-Epidemie in Simbabwe bedroht nach Angaben der Hilfsorganisation Oxfam Hunderttausende Menschen. Ein Hilfsprogramm in Millionenhöhe soll Besserung bringen.
mehr....

Quelle:focus.de
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Birgitt »

Simbabwe - Darminfektionen
04.12.2008

Risiko für Durchfallerkrankungen landesweit. Der seit August anhaltende Cholera-Ausbruch hat sich weiter ausgebreitet. Betroffen sind v.a. Harare, Nyamapanda, Chinhoyi und Kariba. Bis Anfang Dezember erkrankten mehr als 12.000 Personen, wovon 565 verstarben. Simbabwe hat inzwischen den nationalen Notstand ausgerufen. Aufgrund der anhaltenden Sommerregenfälle ist mit einer weiteren Ausweitung der Epidemie zu rechnen. Hygiene beachten. Risikoreisende sollten geimpft werden. / Quelle: crm
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

Cholera-Epidemie stürzt Zimbabwe in Krise
06. Dezember 2008 Angesichts der sich ausbreitenden Cholera-Epidemie in Zimbabwe und der Unfähigkeit der Behörden, ihrer Herr zu werden, mehren sich die Stimmen, die einen Rücktritt von Präsident Robert Mugabe fordern. Die amerikanische Außenministerin Condoleezza Rice sagte am Freitag in Kopenhagen, es sei „Zeit für Robert Mugabe, zu gehen“. Zuvor hatte der kenianische Ministerpräsident Raila Odinga Mugabes Rücktritt gefordert. „Es ist an der Zeit, dass die afrikanischen Regierungen Maßnahmen ergreifen, um ihn zu entmachten“, sagte Odinga der BBC.

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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

:shock: EU-Sanktionen für Cholera-Ausbruch verantwortlich gemacht

Staatliche Zeitung: "Ausbruch der Cholera ist ein anschauliches Beispiel für die Auswirkungen von Sanktionen auf unschuldige Menschen"
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Birgitt »

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2008 (50)
**********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
Africa
[1] Cholera - Zimbabwe
[2] Cholera - South Africa, Mozambique, Zambia, Botswana (all ex Zimbabwe)


******
[1] Cholera - Zimbabwe
Date: Fri 5 Dec 2008
Source: UN Office for the Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, WHO report [edited]
<http://reliefweb.int/rw/rwb.nsf/db900SI ... c=1&cc=zwe>


As of 5 Dec 2008, 13 960 cases of cholera had been reported in 9 of
Zimbabwe's 10 provinces (44 out of 59 districts), with 589 deaths (case
fatality rate (CFR) 4.2 per cent). Most cases were in Harare/Budiriro (7563
cases and 189 deaths; CFR 2.5 per cent), followed by Beitbridge (3245 cases
and 86 deaths; CFR 2.7 per cent), Mudzi (1234 cases and 57 deaths; CFR 4.6
per cent), and Chitungwiza (315 cases and 78 deaths; CFR 28.8 per cent.
Higher CFRs have been reported in a number of other areas.

Major causes for the current outbreak are: lack of clean drinking water and
sanitation, weak health services, and health staff strike, mainly by
nurses. Health staff are unable to obtain salaries from banks due to the
acute shortage of banknotes, making it too burdensome and expensive to
travel to work.

--
communicated by:
ProMED-mail
<promed@promedmail.org>

[The number of cases of cholera in Zimbabwe continues to rise dramatically,
underscoring the need for rapid intervention. Since the last posting on 3
Dec through 5 Dec 2008 (2 days), there were 1414 more cases reported, with
24 more deaths.

A map of Zimbabwe can be found at
<http://www.un.org/Depts/Cartographic/ma ... mbabwe.pdf>. The
HealthMap/ProMED-mail interactive map of Zimbabwe is available at
<http://healthmap.org/promed/en?v=-19,29.9,6>. - Mod.LL]

******
[2] Cholera - South Africa, Mozambique, Zambia, Botswana (all ex Zimbabwe)
Date: Sun 7 Dec 2008
Source: The Telegraph (UK) [edited]
<http://www.telegraph.co.uk/news/worldne ... break.html>


South Africa
------------
Around 500 cases and 8 deaths have been reported, most of them Zimbabweans
crossing the border to seek treatment. The South African town of Musina is
just over the frontier from Beitbridge, the 2nd worst affected area in
Zimbabwe. Army medics are being sent to reinforce a treatment centre in
Musina and environmental health officers are going to towns near the frontier.

Mozambique
----------
One of Zimbabwe's worst affected districts is Mudzi, on the country's
eastern border with Mozambique. That country's health authorities are on
"maximum alert" against the spread of cholera, said Ivo Garrido, the health
minister. Specialists have been sent to the border areas, with a newspaper
reporting 169 cases of cholera in Changara district, most of them
Zimbabweans. None has died.

Zambia
------
Zimbabwe's northern neighbor has imposed health controls at all 3 of their
shared border posts. A Zimbabwean has died at a cholera centre at the
Chirundu crossing. There is a ban on importing uncertified food and anyone
entering or leaving Zambia is screened for cholera symptoms. Mwendoi
Akakandelwa, the deputy health minister, said Zambia was on high alert but
he ruled out closing the border.

Botswana
--------
At least one Zimbabwean has been treated for cholera in Botswana. Teams
have been sent to the border town of Matsiloje, where illegal immigrants
live in crowded conditions, to investigate possible infections. The
government says it has sufficient medical supplies.

[byline: Sebastien Berger]

--
communicated by:
ProMED-mail
<promed@promedmail.org>

[It appears, so far, that most if not all of the cholera reported in
Zimbabwe's neighbors has been acquired in Zimbabwe.

A map showing the geographical relationship between these 4 countries and
Zimbabwe can be seen at
<http://www.un.org/Depts/Cartographic/ma ... africa.pdf>. - Mod.LL]
Birgitt
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Birgitt »

Simbabwe - Darminfektionen
10.12.2008

Risiko für Durchfallerkrankungen landesweit. Der seit August anhaltende Cholera-Ausbruch hat sich weiter ausgebreitet. Betroffen sind 9 der 10 Provinzen v.a. Harare, Beitbridge, Mudzi und Chitungwiza. Bis Anfang Dezember erkrankten fast 14.000 Personen, wovon 589 verstarben. Simbabwe hat inzwischen den nationalen Notstand ausgerufen. Auf Grund der anhaltenden Sommerregenfälle ist mit einer weiteren Ausweitung der Epidemie zu rechnen. Hygiene beachten. Risikoreisende sollten geimpft werden. / Quelle: crm
christian aus Freiburg
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Südafrika erklärt Grenzregion zu Katastrophengebiet

Beitrag von christian aus Freiburg »

Jürgen
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Re: Cholera-Epidemie in Simbabwe

Beitrag von Jürgen »

Mugabe erklärt Cholera-Epidemie für beendet

11. Dezember 2008 Angesichts der sich ausbreitenden Cholera-Epidemie in Zimbabwe hat die südafrikanische Regierung Teile der Grenzprovinz Limpopo am Donnerstag zum Katastrophengebiet erklärt. Davon betroffen ist in erster Linie der Vhembe-Distrikt, zu dem sowohl der große Grenzposten Beitbridge als auch die Regionalstadt Musina gehört...



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