Field visits to Ibb and Hudaydah: Summary of immediate action points and recommendations, 20 September 2017
2 October 2017
:: As of 1 of October 2017, the cumulative total of suspected cholera cases reached 777,229 and 2134 associated deaths in 22 out of 23 governorates across the country.
:: The overall case fatality rate shows a noticeable decrease recording 0.27%. Raymah governorate continues to report the highest case fatality rate (0.93%).
:: Children under the age of 5 years represent 25.45% of the cases and 16.93% of deaths. Children under the age of 18 represent 60% of suspected cases.
:: People over the age of 60 continue to report the highest numbers of deaths (668 cases, 31.3%).
:: The trend at country level over the past 3 weeks is considered stable.
:: At governorate level, the trend decreased in 11 governorates ( Amarn -11%), (Al Dhalea -11%), ( Abyan -12%), ( Sana’a -22%), (Hajja, -10), ( Aden, -15%), ( Taiz,-10%), (Al Mahrah, -72%), ( shabwa, -58%), (Moklla, -21%) and ( Say’on, -100). The trend has increased in two governorates (Marib, +12 % and Sa’adah +25%).
UN: More Should Have Been Done to Fight Cholera in Yemen
GENEVA — The World Health Organization’s emergencies chief says the agency could have acted faster and sent more vaccines to fight a massive, deadly surge of cholera cases in war-battered Yemen this year.
Dr. Peter Salama still expressed optimism that “we are turning (the) corner” on the preventable, water-borne disease that has topped 700,000 suspected cases and caused more than 2,000 deaths this year.
Salama spoke to reporters Tuesday as the U.N. agency and its partners laid out ambitious projects to reduce the number of annual cholera deaths by 90 percent by 2030…
In Yemen, the country’s 2-1/2 war has devastated the health system and public services and put the country on the brink of famine. Yemen had been set to receive a million doses of cholera vaccine over the summer but the government opted not to take them.
Salama said the Yemen government said it didn’t believe that would be enough.
“Could WHO and the cholera-specific partners have scaled up more quickly the case-management work, and could we have tried to mobilize more doses for cholera vaccine given the very limited supply globally of cholera vaccine? I think so — yes,” Salama said…
Ending Cholera – A Global Roadmap to 2030
Global Task Force on Cholera Control
3 October 2017 :: 32 poges
:: Summary: Ending Cholera – A Global Roadmap to  2030 pdf, 3.07Mb
:: Ending Cholera – A Global Roadmap to 2030 pdf, 6.20Mb
Ending Cholera—A Global Roadmap to 2030 operationalises the new global strategy for cholera control at the country level and provides a concrete path toward a world in which cholera is no longer a threat to public health. By implementing the strategy between now and 2030, the Global Task Force on Cholera Control (GTFCC) partners will support countries to reduce cholera deaths by 90 percent. With the commitment of cholera-affected countries, technical partners, and donors, as many as 20 countries could eliminate disease transmission by 2030.
With input and support from the following partners: the Bill & Melinda Gates Foundation; the Centers for Disease Control and Prevention (CDC); Global Health Visions; Gavi, the Vaccine Alliance; International Federation of the Red Cross (IFRC); Johns Hopkins University; Medecins Sans Frontières (MSF); The Mérieux Foundation; the Task Force for Global Health; UNICEF; the Veolia Foundation; WaterAid; and from the WHO Health Emergencies Programme (WHE); Immunization, Vaccines and Biologicals (IVB); and Public Health, Environmental and Social Determinants (PHE) departments as well as the regional offices at the World Health Organization.
Video Press Conference
Launch of Global Roadmap to End Cholera – Press Conference (Geneva, 4 October 2017)
[Video: 1:19:39]
:: Dr Peter Salama, Director, WHO Health Emergencies
:: Julie Hall, Chief of Staff and Special Advisor on Health, IFRC
:: Seth Berkley, Chief Executive Officer, GAVI
:: Tim Wainwright, Chief Executive Officer, WaterAid
:: Benoit Miribel, Director General, Foundation Merieux
Media Release
Partners commit to reduce cholera deaths by 90 per cent by 2030
Joint press release – UNICEF, WHO and others join in renewed push on deadly disease

Geneva, 03 October 2017 – An ambitious new strategy to reduce deaths from cholera by 90 per cent by 2030 will be launched tomorrow by the Global Task Force on Cholera Control (GTFCC), a diverse network of more than 50 UN and international agencies, academic institutions, and NGOs that supports countries affected by the disease.
Cholera kills an estimated 95 000 people and affects 2.9 million more every year. Urgent action is needed to protect communities, prevent transmission and control outbreaks.
The GTFCC’s new plan, Ending Cholera: A Global Roadmap to 2030, recognizes that cholera spreads in endemic “hotspots” where predictable outbreaks of the disease occur year after year.
The Global Roadmap aims to align resources, share best practice and strengthen partnerships between affected countries, donors and international agencies. It underscores the need for a coordinated approach to cholera control with country-level planning for early detection and response to outbreaks. By implementing the Roadmap, up to 20 affected countries could eliminate cholera by 2030.

“The World Health Organization is proud to be part of this new joint initiative to stop deaths from cholera. The disease takes its greatest toll on the poor and the vulnerable – this is quite unacceptable. This roadmap is the best way we have to bring this to an end,” said Dr Tedros Adhanom Ghebreyesus, Director General of the World Health Organization.
“Every death from cholera is preventable with the tools available today, including use of the Oral Cholera Vaccine and improved access to basic safe water, sanitation and hygiene as set out in the Roadmap,” said Dr Tedros Adhanom Gebreyesus, Director General of the World Health Organization. “This is a disease of inequity that affects the poorest and most vulnerable. It is unacceptable that nearly two decades into the 21st century, cholera continues to destroy livelihoods and cripple economies. We must act together. And we must act now.”
Advances in the provision of water sanitation and hygiene (WASH) services have made Europe and North America cholera-free for several decades.  Today, although access to WASH is recognized as a basic human right by the United Nations, over 2 billion people worldwide still lack access to safe water and are potentially at risk of cholera. Weak health systems and low early detection capacity further contribute to the rapid spread of outbreaks.

“It is intolerable that so many of the world’s poorest and most vulnerable children should die as a result of cholera,” said Ted Chaiban, Director of UNICEF’s global programmes.  “We know how to prevent it. This requires the commitment and action from all sides, including investment in safe water and sanitation, key health interventions and engaging communities on basic health and hygiene behaviours. We can make a difference.”

Cholera disproportionally impacts communities already burdened by conflict, lack of infrastructure, poor health systems, and malnutrition. Protecting these communities before cholera strikes is significantly more cost-effective than continually responding to outbreaks.
The introduction of the oral cholera vaccine has been a game-changer in the battle to control cholera, bridging the gap between emergency response and longer-term control. Two WHO-approved oral cholera vaccines are now available and individuals can be fully vaccinated for just US$6 per person, protecting them from the disease for up to three years.
The Global Roadmap provides an effective mechanism to synchronize the efforts of countries, donors, and technical partners. It underscores the need for a multi-sectoral approach to cholera control with country-level planning for early detection and response to outbreaks.
By strengthening WASH in endemic “hotspots”, cholera outbreaks can be prevented. By detecting cholera outbreaks early, and responding immediately, large-scale uncontrolled outbreaks like the one observed in Yemen can be avoided – even in crisis situations.