WEEKLY BULLETIN ON OUTBREAKS

1
WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
WEEK 45: 4 TO 10 NOVEMBER 2024

AND OTHER EMERGENCIES

Week 45: 4 to 10 November 2024
Data as reported by: 17:00; 10 November 2024

New events
2 153
Ongoing events
117
Outbreaks
38
Humanitarian crises

1 0 1 0
7 0

180 000
Mauritania
2 384 4

1 0
4 605 4

769 0
Algeria

39 768 22
115 28

421 12

4 300 000
14 176 3 268 256
222 0

11 5
¤
124 0 Niger 181 6
2 100 000 2 0
Mali
88 0 4 656 320
Cape Verde 3 0 4 439 20 Chad Eritrea
Senegal 353 000 217 3446 11
5 631 20 33 6
992 0 Gambia 252 0 4 773 900 918
93 3 5 500 000
8 800 000 6 597 171 72 0
Guinea-Bissau 902 09
Burkina Faso
484 46 321 8 935 588,825
2 0 Guinea 27 504 211
1 1 306 7 70 0 2 669 240
1 Benin Nigeria 45 0 9,000,000 6 984 69
12 1 4758 Ethiopia
Sierra Leone 28 1 Togo 1 951 7 9 0 28 101 21 54 276 679
Ghana 196 7 49 03 16 0 710 000 23 23
Côte d'Ivoire 8 300 000 66 1
08
Liberia 435 872 South Sudan
4 517 105
Central African Republic 11 0 3 156 41
1830 645 104 15 515 249
479 45
4 050 2
174 -5 951 176 3 400 000
Cameroon 139 6
133 3
2 802 1 789 848
199 1 6 100 000
17 249 02 11 0
15 1
428 09 24 05 19 0 16 03 328 35
54 4 57 04
643 1 166 8 0 1 0
25 629 Equatorial Guinea 23 887 316 Uganda
Legend 02 0 84 4 471,000 300 10
Kenya
Food Poisoning 13 711 95 1Sao Tome and Principe 15 0
19 3 12 624 208

Dysentery (Acute SARS-CoV-2 Gabon Congo 118 0 1 543 11

bloody diarrhea) SA 501Y.V2 4 0
Rwanda
Measles Humanitarian crisis 28 3
1 0
1 210 11 Democratic Republic of the Congo
Burundi
Meningitis Monkeypox 26 6 1 890 11 1 670 22 3 0
72 274 1 786 Seychelles
Lassa fever Leishmaniasis
7 100 000 United Republic of Tanzania
Cyclone 107 0
Cholera
3 244 27 4 742 79
Impact of Sudan Tropical Storm Fillipo
Crisis
WPV1 13 0
cVDPV2
4 259 0
Crimean-Congo haemorrhagic fever Comoros
Zika Angola Malawi
Anthrax Chikungunya 10 142 147
1 0 48 181 174
111 0 Zambia
Dengue fever cVDPV1 Mozambique
23 238 740
Malaria Malnutrition crisis 1 531 902 212
2 0 506
Hepatitis E Acute Food Insecurity 2 000 000
Zimbabwe 1 0
39 0 Madagascar
Drought Rift Valley fever
784 1
Mauritius
Floods Diphteria
9328 05
Yellow fever Skin injury from unknown chemical exposure 283 18
Namibia
Marburg Botswana 95 391 19
Food-borne illness
Plague
Unknown disease
Leptospirosis Suspected heavy metal poisoning
Eswatini
22
Landslide Countries reported in the document
South Africa
Hepatitis A Countries outside WHO African Region
WHO Member States with no reported events Lesotho
Cases
Deaths Not applicable
22 3 Graded events †
“The boundaries and names shown and the designations used on this map do not imply the expression of any (2)

opinion whatsoever on the part of the World Health Organization concerning the legal status of any country,
territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and
dashed lines on maps represent approximate borderlines for which there may not yet be full agreement.” 0 410 820 Kilometers

8 5 0
Grade 3 events Grade 2 events Grade 1 events 69
21 events
Protracted
Protracted33events
60 events
Protracted 2 events
0
1 event
Protracted 11events
Protracted
Ungraded events

Health Emergency Information and Risk Assessment Health Emergency Information and Risk Assessment
 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

Overview

Contents This Weekly Bulletin focuses on public health emergencies occurring in the WHO African
region. This week’s articles cover:

 Humanitarian Crisis in Burundi

1 Overview
 Mpox in Kenya
For each of these events, a brief description, followed by public health measures implemented
2 - 5 Ongoing events and an interpretation of the situation, is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public
6 IDSR Report health events currently being monitored in the region, as well as recent events that have been
controlled and closed.

7 All events currently Major issues include

being monitored
 Burundi remains one of the most vulnerable countries in the world, facing recurrent
crises that result in humanitarian situations. The country’s vulnerabilities are linked
to climatic shocks and high levels of chronic and acute malnutrition. The economic
situation is marked by worsening inflation and recurrent fuel shortages. The price of food
commodities continues to rise, preventing vulnerable households’ access to nutritious
and sufficient food. Meanwhile, multiple infectious disease outbreaks, including mpox,
cholera, measles, continue to affect the country alongside the displacement caused by
natural diseases, including floods.

Health Emergency Information and Risk Assessment

 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

Burundi
Floods
EVENT DESCRIPTION confirmation of three cases by the National Reference
Laboratory. A total of 1 804 cases have been reported
Since independence in 1962, Burundi has experienced
between 1 Jan and 7 November 2024. The country
chronic conflicts with successive periods of violence,
faces cholera outbreaks almost every year in some
which have slowed its socio-economic development and
areas. The ongoing cholera outbreak was officially
exacerbated vulnerabilities. The cyclical occurrence
declared on 1 January 2023. As of 7 November 2024,
of natural disasters, the significant return of Burundian
2 201 cases and 12 deaths (CFR 0.5%) have been
refugees from neighbouring countries since 2020, the
reported. Furthermore, on 14 February 2024, Burundi’s
resurgence of certain epidemics, such as malaria, polio,
Ministry of Health reported a measles outbreak, with 20
cholera, and measles, and the socioeconomic impact of
of the country’s 49 health districts experiencing active
the COVID-19 pandemic have exacerbated the existing
outbreaks. The 2022 National Vaccination Coverage
humanitarian needs.
Survey identified these districts as having unvaccinated
children. Regarding malaria, as of 30 September 2024,
Since the beginning of the rainy season in September
80 488 malaria cases were reported, representing a
2023, Burundi has been affected by heavy rains, floods
20% increase compared to the same period last year.
and landslides, exacerbated by the El niño phenomenon.
The most affected health districts are located in the
western part, including Cibitoke, Bubanza, Rumonge,
PUBLIC HEALTH ACTIONS
Makamba and Bujumbura. Due to the intense rainfall
associated with the El Niño phenomenon, the water  For 2024, humanitarian response is focusing on providing
level of Lake Tanganyika surged and the other rivers vulnerable people with food, shelter, and social and
that constitute its tributaries, such as the Rusizi River, protection services through in-kind and cash assistance.
leading to flooding. The floods along Lake Tanganyika Humanitarian Partners prioritise those who are food
have begun receding slowly, providing some relief for insecure, returnees and people affected by extreme
communities living along the lake. weather events, including internally displaced people
and those affected by or at risk of outbreaks. Priority
Burundi has one of the highest stunting rates in the areas are the northern, eastern and western provinces of
world. According to the April 2024 IPC survey, 18.0% Burundi and all zones bordering Lake Tanganyika.
of the population (2.2 million) experienced acute food
insecurity and required immediate food assistance. Of  WHO and health partners are supporting the country’s
these, 229 000 people were in emergency phase 4 of authorities to respond to the ongoing disease outbreaks
IPC, the highest peak of needs since 2017. According including Mpox which was recently declared as a public
to the 2024 national nutrition survey, malnutrition remains health event of international concern.
a critical public health issue in the country, with 53.0%
of children under five suffering from stunting (highest in
the world), 8.0% wasted, and 59.0% anaemic. Provinces SITUATION INTERPRETATION
affected by El Niño showed the highest prevalence For a country already dealing with existing man-made
of wasting, contributing to increased morbidity and crises and outbreaks, this recurrent and severe flooding
mortality among children. has compounded existing humanitarian crises, pushing
vulnerable communities to the edge and plunging the
On the population displacement side, as of 30 September country further into economic crisis. The immediate
2024, 103 000 people have been internally displaced, response so far, led by humanitarian organisations like
7 000 people due to conflict and 95 000 people due to IMC and UN agencies, has addressed critical health,
natural disasters including flooding. The country host nutrition, and psychosocial support needs to the best of
also 90 000 refugees and asylum seekers. Nearly all their collective capacities. However, persistent gaps in
refugees in Burundi (99%) are from the Democratic aid due to access challenges, like impassable roads and
Republic of Congo fleeing violence. Since 2017, more overwhelmed facilities, highlight the pressing need for
than 200 000 Burundians have been repatriated, sustainable infrastructure improvements. Progressively,
adding strain on scarce resources in vulnerable host scaling up preventative measures like dyke
communities. construction, enhancing transport logistics, and more
hands on the ground to support healthcare services will
Regarding the ongoing infectious disease outbreak be essential to prevent further displacement, manage
situation, on 25 July 2024, the Ministry of Health of disease outbreaks, and support affected communities
Burundi declared an outbreak of Mpox following the in rebuilding their lives.
Go to overview Go to map of the outbreaks
Health Emergency Information and Risk Assessment
 BURUNDI

3
El Niño Floods - flash update
WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
WEEK 45: 4 TO 10 NOVEMBER 2024as of 30 September 2024

Breakdown ofNumber
displaced persons
of displaced persons by September
by commune in Burundi, commune
2024 @UNHCR

,000
g of
ed

Kirundo
RWANDA
e
oyed
ooms Cibitoke
1 Muyinga
Ngozi
111
12
3
10
Kayanza
Bubanza
6
Karuzi
Cankuzo
2
Muramvya
26
DR OF THE CONGO

1
10 Bujumbura
3 Mairie Gitega Ruyigi
Bujumbura Mwaro
13 Rural
6
16 UNITED
220
REPUBLIC OF
Rumonge
TANZANIA
Bururi Rutana
Tanganyika
Lake
eas,
Number of people
displaced

Makamba 0 - 20
21 - 500
501 - 1,500
1,501 - 3,000
3,001 - 5,000
15 km 5,001 - 9,000

er Prepared by: Felix Ndama, [email protected], Information Management Officer Sources: UNHCR, IOM-DTM, OCHA

Health Emergency Information and Risk Assessment

 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

17 1 5.7%
Kenya Cases Deaths CFR

Mpox
EVENT DESCRIPTION  Risk communication plan finalised and over 196 154
persons, including travellers, truck drivers and POE
Kenya is one of 20 countries currently affected by the
officers have been sensitized on Mpox
mpox outbreak in the African region since the start of
2024. The country has so far recorded 17 mpox cases,  To enhance diagnostic capacity, WHO has supported
with one death out of the 270 reported suspected cases the Ministry of Health with procurement of laboratory
since 31 July 2024. Of the confirmed cases, 13 fully supplies. This includes more PCR diagnostic kits as well
recovered, while three received treatment. Genomic as equipment to collect, preserve and transport viral
sequencing of 13 confirmed cases identified the specimens from the field to the laboratory.
circulating strain as a Clade 1b virus, a more severe and
transmissible virus variant.
SITUATION INTERPRETATION
The cases were reported from 11 counties: Nakuru (3),
For a country already dealing with existing man-made
Bungoma (2), Kericho Kajiado (2), Nairobi (2), Mombasa
crises and outbreaks, this recurrent and severe flooding
(2), Taitataveta (1), Busia (1), Makueni (1), (1), Kilifi (1),
has compounded existing humanitarian crises, pushing
Uasin Gishu (1). The majority, seven (41.0%) of the cases
vulnerable communities to the edge and plunging the
are truck drivers. The 35-39 age group has been most
country further into economic crisis. The immediate
affected.
response so far, led by humanitarian organisations like
IMC and UN agencies, has addressed critical health,
A total of 89 contacts were listed, and 80 had completed
nutrition, and psychosocial support needs to the best of
followups. Three of the contacts developed symptoms
their collective capacities. However, persistent gaps in
and tested positive for Mpox, and six were still under
aid due to access challenges, like impassable roads and
follow-up.
overwhelmed facilities, highlight the pressing need for
.
sustainable infrastructure improvements. Progressively,
PUBLIC HEALTH ACTIONS
scaling up preventative measures like dyke
 Kenyan health authorities have implemented several construction, enhancing transport logistics, and more
preparedness and response measures to swiftly detect hands on the ground to support healthcare services will
and halt the spread of mpox in the Country. be essential to prevent further displacement, manage
disease outbreaks, and support affected communities
 The Ministry of Health of Kenya officially declared the in rebuilding their lives.
mpox outbreak on 31 July 2024. An incident management
system was activated and regular coordination meetings
are being held at national and sub-national levels.

 Ministry of Health Kenya, with support from WHO and

partners, developed an mpox national preparedness
and response plan that identified 14 high risk counties
along the Northern Corridor, a busy route connecting the
Kenya-Uganda border to the port city of Mombasa.

 Surveillance has also been heightened by contact tracing

and screening of travellers at points of entry. More than 1
749 442 travellers have been screened so far for mpox at
26 of Kenya’s 35 points of entry.

 Health workers and staff at two of the country’s main

airports in the capital Nairobi were trained on how to
identify symptoms, as well infection prevention and
control measures.

 Response teams are focusing on provision of appropriate

messages on prevention and control of mpox by
engaging communities and schools in the at-risk areas.
Risk communication messages have been developed
© WHO
and distributed to the public and POEs

Health Emergency Information and Risk Assessment

 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

Distribution of mpox cases and deaths in Kenya, 31 July – 8 November 2024

Weekly trend of mpox cases and deaths in Kenya, 31 July – 8 November 2024

Health Emergency Information and Risk Assessment

 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

Integrated Disease Surveillance and Response

Weekly data submission report

Health Emergency Information Management & Risk Assessment Programme

Update on Reporting - Epidemiological Week 45: 04 – 10 November, 2024

36 Countries Point du rapportage hebdomadaire – Semaine 45: 04 – 10 novembre 2024

out of 47,
reported for
week 45
77 %   
2024
Completeness 
60 % for weekly
Su b r e g i o n a n d c o u n t r y 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 As of week 45

Timeliness reporting
Central and Eastern Africa E R C T
45 45 100 100
for weekly
Burundi
Cameroon 45 44 98 84

reporting
Central African Republic 45 45 100 53
Chad 45 45 100 100
Congo 45 45 100 78
Democratic Republic of Congo 45 45 100 0
Equatorial Guinea 45 45 100 22
Overall situation of reporting up to week 45 Eritrea 45 43 96 2
Ethiopia 45 45 100 0
Completeness : 95 % | Timeliness : 62 % Gabon 45 45 100 78
Kenya 45 45 100 49
Rwanda 45 44 98 96
2024 Summary of Reporting - Frequency of Sao Tome and Principe 45 45 100 64
weekly reports received at AFRO South Sudan 45 45 100 87
Uganda 45 45 100 31
United Republic of Tanzania 45 45 100 82
Southern Africa
Angola 45 45 100 69
Botswana 45 43 96 0
Comoros 45 4 9 0
Eswatini 45 44 98 71
Lesotho 45 44 98 69
Madagascar 45 45 100 84
Malawi 45 45 100 96
Mauritius 45 40 89 47
Mozambique 45 45 100 100
Namibia 45 45 100 91
Seychelles 45 45 100 36
South Africa 45 45 100 44
Zambia 45 45 100 98
Zimbabwe 45 44 98 0
Western Africa
Algeria 45 0 0 0
 Benin
Burkina Faso
45
45
45
45
100
100
100
100

Please, refer to the calendar below to submit

Cabo Verde 45 44 98 0
Côte d'Ivoire ` ` ` 45 45 100 40
your IDSR data on a weekly basis : Gambia 45 45 100 80
Ghana 45 45 100 22
Guinea 45 40 89 60
Veuillez-vous référer au calendrier ci-dessous Guinea-Bissau 45 45 100 44
pour soumettre vos données de la SIMR sur Liberia 45 45 100 67
une base hebdomadaire :
Mali 45 45 100 89
Mauritania 45 45 100 100
Niger 45 45 100 98
Nigeria 45 45 100 82
Senegal 45 45 100 91
[email protected] Sierra Leone 45 45 100 93
[email protected] Togo 45 45 100 96

E R C T
Received Received Not Not # expected reports # Received Completeness rate (%) Timeliness rate (%)

To be
on time late checked Received applicable 

 All the correspondences related to this Reminder : Upcoming deadlines for weekly data submission
document should be directed to/ Toutes les Rappel : Dates limites prochaines de soumission des données hebdomadaires
correspondances relatives à ce document
doivent être adressées à:
Week 45 Week 46 Week 47 Week 48

Dr Etien Luc Koua, HIR Programme Area Start date 04-Nov.-2024 11-Nov.-2024 18-Nov.-2024 25-Nov.-2024
Manager ([email protected])
Emergency Preparedness and Response, WHO End date 10-Nov.-2024 17-Nov.-2024 24-Nov.-2024 01-Dec.-2024
Regional Office for Africa Deadline /
13-Nov.-2024 20-Nov.-2024 27-Nov.-2024 04-Dec.-2024
Date limite


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WEEK 45: 4 TO 10 NOVEMBER 2024

All events currently being monitored

by WHO AFRO
Start of End of
Date notified Cases
Country Event Grade reporting reporting Total cases Deaths CFR
to WCO Confirmed
period period
New Events
Rift Valley
Senegal Ungraded 4-Nov-24 26-Oct-24 4-Nov-24 1 1 0,00%
Fever (RVF)
One RVF case was confirmed by serology (IgM positive) on 4 November 2024 at Institut Pasteur of Dakar in a 28-year-old male herder resident of Pikine Department with
date of symptom onset on 26 October 2024. The patient is alive and further investigations are ongoing.
South Sudan Malaria Grade 3 8-Nov-24 1-Jan-24 20-Oct-24 - -
In South Sudan, malaria is endemic, however this year upsurges in cases and deaths are observed in most states. Disaggregation of data by state level, shows that the
number of malaria cases in Upper Nile, Central Equatoria, Western Equatoria, Northern Bahr el Ghazal, and Unity states, consistently exceeded the state-specific alert and
epidemic thresholds for most of the periods examined from week 1 to week 39 of 2024. In week 42 of 2024, Malaria maintained its position as the primary cause of illness,
reporting 121 364 cases and 51 suspected fatalities, representing 48% of the overall morbidity
Ongoing
Events
Algeria Diphtheria Ungraded 28-Aug-24 1-Oct-24 4-Oct-24 115 115 28 24,30%
An outbreak of diphtheria has been recorded in Tinzaouatine, In Guezam, Timiaouine, Bordj Badji Mokhtar which started in 28 August 2024. As at 30 September, 115 cases
with 28 deaths have been recorded. 27 (96.4%) of the deaths were reported from Tinzaouatine only
Algeria Malaria Ungraded 28-Aug-24 1-Oct-24 4-Oct-24 421 421 12 2,90%
Dozens of deaths have been reported in southern Algeria due to outbreaks of malaria with cases imported from endemic countries. The spread is linked to the region's
proximity to African countries with high migration and recent floods that worsened the situation
Drought/food
Angola Ungraded 1-May-24 1-May-24 9-Sep-24 -
insecurity
Crisis (IPC Phase 3) outcomes are expected in Angola’s drought-affected southern and eastern provinces (Cunene, Cuando Cubango, Moxico, and Huila). Households in
these areas have low food stocks and reduced agricultural labor opportunities which have led to a significant decrease in purchasing power among poor households at a
time when they are increasingly reliant on markets to meet their food needs. An estimated 1.0 to 1.5 million people in Angola will likely need humanitarian food assistance by
January 2025, primarily in south and east Angola, which have experienced repeated droughts, particularly in the provinces of Cunene, Cuando Cubango, Moxico, and parts of
Namibe and Huila. Crisis (IPC Phase 3) outcomes are likely in these.
Poliomyelitis
Angola Grade 2 15-May-24 15-May-24 4-Sep-24 13 13 0 0,00%
(cVDPV2)
On 3 May, 2024, Angolan health authorities announced the detection of polio in Chitato Municipality, Lunda Norte province, which borders the Democratic Republic of Congo.
Currently a total of 10 laboratory confirmed poliovirus were notified in the provinces of Luanda, Huambo, Lunda Norte and Moxico. Of these, four were detected in children
under five and six in the environment.
Benin Measles Ungraded 3-Jul-24 1-Jan-24 23-Jun-24 728 321 0 0,00%
A measles outbreak has been ongoing in Benin, from week 1 through week 25, 2024 (ending 23 June), with a total of 728 suspected cases of measles, including 288
confirmed IgM+ cases, 33 clinically compatible cases are reported with the incidence rate of 24.9 per 1 million population
Drought/food
Botswana Ungraded 24-May-24 20-Aug-24 9-Sep-24 -
insecurity
2023 marked the third consecutive year of severe drought in Botswana, with conditions showing no signs of improvement in 2024 because of El Niño. On 24 May 2024, the
Rural Development Secretariat under the Ministry of Local Government and Rural Development issued a report urging support due to the devastating impact of drought on
food security drivers, nutrition, water supplies, and food production.
Humanitarian
Burkina Faso crisis (Sahel Protracted 2 1-Jan-19 1-Jan-19 5-Nov-24 5 5 - -
Region)
Since 2015, the security situation in the Sahel and Eastern Burkina Faso has gradually deteriorated due to attacks by armed groups. Access to healthcare services remains
a major challenge for the affected population. As of October 2024, 6.3 million people needed humanitarian assistance, 3.4 million of which are children and over 2.1 million
IDPs registered, and 5 478 schools closed since the end of March 2024. A total of 17 883 people, including 16 627 children (with 9 238 girls and 7 389 boys), received
community-based psychosocial support services. Additionally, 34 979 people, including 20 489 children, accessed safe water through the repair of 13 water points and water
trucking efforts in Boulsa, Pissila, and Djibo in the Centre-Nord and Sahel regions.
Burkina Faso Hepatitis E Ungraded 6-Jun-24 4-Jan-24 1-Jun-24 93 8 3 3,20%
From 4 January to 1 June 2024, a total of 93 suspected cases of hepatitis E were reported from Kaya health district of the North central region. Eight out of 63 samples
tested positive for hepatitis E by PCR. The median age of the cases is 22 and women represent 47.4% of the cases. Fourty-six (48.5%) of the 93 suspected cases are
internally displaced persons.
Burkina Faso Measles Ungraded 6-Feb-24 14-Jan-24 28-May-24 9904 484 46 0,50%
Burkina Faso is experiencing a decrease in measles cases. Between week 1 and week 21 of 2024, a total of 9 904 suspected measles cases, resulting in 46 deaths, were
recorded. This downward trend is observed in all nine health districts that conducted the anticipated reactive campaign. Currently, only four health districts have active
outbreaks of measles.
Humanitarian
Burundi Ungraded 1-Sep-23 1-Jan-24 31-Oct-24 - - -
crisis

Go to overview Go to map of the outbreaks

Health Emergency Information and Risk Assessment
 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

Burundi continues to bear the brunt of climate-change-related natural disasters. The El Niño phenomenon has intensified the effects of human-induced climate change across
the country, floods and landslides along the length of Lake Tanganyika hit hardest. The impact has been most severe since early 2024, affecting over 298 222 people and
forcing more than 47 915 people to flee their homes due to flooding and landslides. The 2024 National Nutrition Survey (SMART) confirmed that malnutrition remains a
critical public health issue in Burundi, with 53% of children under five suffering from stunting, 8% wasted, and 59% anemic. Meanwhile, multiple outbreaks ( Mpox, measles,
cholera) continue to affect the country alongside the displacement caused by floods
Burundi Cholera Grade 3 1-Jan-23 14-Dec-22 1-Jun-24 1890 11 0,60%
Burundi faces cholera outbreaks almost every year in some areas. The ongoing cholera outbreak was officially declared on 1 January 2023. As of 1 June 2024, a total of 1
890 cases, 11 deaths (CFR 0.6%), have been reported since the start of the outbreak.
Burundi Measles Ungraded 15-Feb-24 1-Jan-23 12-Feb-24 1670 1 22 1,30%
On 14 February 2024, Burundi's Ministry of Health reported a measles outbreak, with 20 of the country's 49 health districts experiencing active outbreaks. These districts
were identified as having unvaccinated children in the 2022 National Vaccination Coverage Survey. In 2023, there were 1 670 confirmed cases resulting in 22 deaths,
representing a case fatality rate of 1.3%. Among the confirmed cases, 55% were aged 6-59 months, and 82% were under 15 years old. From 1 January to 12 February 2024,
34 deaths were reported in five health districts.
Burundi Mpox Grade 3 25-Jul-24 25-Jul-24 25-Jul-24 3 3 0 0,00%
On 25 July 2024, the Ministry of Health of Burundi declared an outbreak of Mpox following confirmation of three cases by the National Reference Laboratory. These cases
were identified on 22 July at Kamenge University Hospital, Kamenge Military Hospital, and Isare Health District. They presented with symptoms including fever, joint pain,
and a widespread rash. Samples collected during a multidisciplinary investigation tested positive for mpox on 25 July.
Cameroon Floods Grade 2 120
Heavy rainfall in Cameroon's Far North Region since mid-August has affected 120 000 people, caused 3700 houses to collapse, and destroyed 2000 hectares of crops. With
continued severe weather expected, 350 000 people are at risk from flooding, according to UNOSAT.
Humanitarian
crisis (Noth-
Cameroon Protracted 2 1-Oct-16 27-Jun-18 5-Nov-24 3 - -
West &
South-West )
In the North-West and South-West regions, the unstable security situation and persistent violence are exacerbating humanitarian needs. Affected people continue to flee
their homes to neighbouring villages and communities. By November 2024, the following observations were made: 3.4M people in need and affected, 2.3M people targeted,
816k women of reproductive age, 88 600 estimated pregnant women, 594 000 targeted with GBV Programmes, 1M IDPs, 658k Returnees and 489K Refugees and Asylum
Seekers.
Humanitarian
Cameroon crisis (Sahel Protracted 2 31-Dec-13 27-Jun-17 14-Nov-24 - - - -
Region)
The Far North region of Cameroon is still facing humanitarian crisis. The region bordering Nigeria and Chad and Lake Chad remains the most affected. Between August and
September 2023, nearly 6 000 newly displaced people were registered in Mokolo district following repeated attacks by non-state armed groups. More than 2 200 new asylum
seekers/refugees were registered for the same period at Gourenguel transit site, in Mokolo district of Mayo-Tsanaga department.
Cameroon Measles Ungraded 2-Apr-19 1-Jan-24 5-Aug-24 1359 232 49 3,60%
From Week 1 to Week 13 (ending 31 March 2024), 645 suspected measles cases, including 104 deaths (CFR 16%), were reported in Cameroon. A cumulative total of 232
cases were confirmed, including 129 IgM positive, 88 epidemiologically linked, and 15 clinically compatible. In 2023, 6 088 confirmed measles cases and at least 75 related
deaths were reported in Cameroon.
Cameroon Mpox Grade 3 24-Feb-22 1-Jan-24 4-Apr-24 15 2 1 6,70%
From 1 January to 4 April 2024, 15 suspected cases of Mpox including 2 laboratory-confirmed and 1 death have been reported. From 1 January to 28 December 2023, 113
suspected cases of Mpox, including 27 laboratory-confirmed and no death were reported. In 2022, 18 confirmed cases and three deaths were reported in the country.
Cameroon Yellow Fever Ungraded 20-Nov-23 23-Jan-23 14-Jul-24 11 5 0 0,00%
From week 1 to week 28 of 2024, Cameroon reported 11 plaque reduction neutralization test (PRNT) positive yellow fever cases across seven regions. Among these PRNT
positive cases, five have been classified as confirmed cases in four regions: Adamawa, Centre, Littoral, and Nord Regions. Additionally, 11 cases are currently awaiting PRNT
results.
Cape Verde Dengue Grade 3 6-Nov-23 6-Nov-23 5-Nov-24 7864 5 0 0,00%
On 6 November 2023, the Ministry of Health Surveillance Service reported two confirmed cases of Dengue through Polymerase Chain Reaction testing and one borderline
case in Praia City, Santiago Island, Cabo Verde. The same day three more suspected cases were reported from the Central Hospital. As of October 2024, a total of 7 864
suspected cases, including 5 144 confirmed cases and no deaths, were reported.
Central African Humanitarian
Protracted 2 11-Dec-13 11-Dec-13 14-Nov-24 6 - -
Republic crisis
The Central African Republic has been facing a humanitarian crisis for more than a decade following military-political conflicts. Of the country's 6.1 million inhabitants, 2.8
million will need humanitarian assistance in 2024. More than 522 000 people are currently internally displaced, 2.5 million suffer from food insecurity, and 756 000 are CAR
refugees.
Central Impact of
African Sudan crisis Grade 3 1-May-23 1-May-23 31-Jul-24 - - -
Republic in CAR
CAR is the least affected among the four AFRO countries regarding the ongoing Sudan conflict As of 06 May 2024, there were 71, 000 forcibly displaced people from Sudan
who arrived in CAR since 15 April 2023. Out of this number, 6 158 are returnees and 23 286 Sudanese refugees\asylum seekers.
Central
African Dengue Grade 3 10-Sep-24 13-Jul-24 7-Sep-24 16 16 0 0,00%
Republic
On 10 September 2024, WHO was informed of a confirmed dengue outbreak in Central African Republic. The first case was confirmed on 13 July 2024 in a 29-year-old
woman from SICA I commune of Bangui. From 13 July to 7 September 2024, a total of 13 cases (7 females and 6 males) were laboratory-confirmed for dengue serotype 2
(DEN 2) at Institut Pasteur of Bangui. The 13 confirmed cases were from Bangui 1, Bangui 2 and Bimbo health districts. Three cases were evacuated and diagnosed out of
the country. Investigations are ongoing.

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WEEK 45: 4 TO 10 NOVEMBER 2024

Central
African Hepatitis E Ungraded 13-Jun-24 14-Apr-24 6-Jul-24 49 6 3 12,20%
Republic
As of July 6, 2024, 49 suspected cases were recorded including six confirmed cases and three deaths (CFR 6.0%). Of nine samples analyzed at the viral hepatitis laboratory
of the Pasteur Institute in Bangui, six were positive for acute hepatitis E virus infection. Seven (7) new samples are being analyzed at the Pasteur Institute in Bangui.
Central
African Measles Ungraded 13-Mar-22 1-Jan-23 26-Aug-24 802 1 0,10%
Republic
At the end of epi-week 24, 2024, the country recorded 802 suspected cases and one death. Since the start of 2024 in January to June 23, CAR has been responding to
measles outbreak.
Central
African Mpox Grade 3 3-Mar-22 4-Mar-22 26-Aug-24 66 66 1 1,50%
Republic
In the Central African Republic (CAR), there were 19 reported laboratory-confirmed cases of mpox from January to April 2024. However, no deaths were recorded. Since
2022, CAR has reported 66 laboratory-confirmed cases and 1 death (CFR = 1.5%).
Central
Poliomyelitis
African Grade 2 24-May-19 24-May-19 1-Sep-24 45 45 0 0,00%
(cVDPV2)
Republic
A total of 14 AFP cases were reported in the country in 2023. Six AFP cases were reported in 2022. There were no new case reported in the country as of week 35 of 2024.
last date of detection is 07 October 2023.
Central
African Yellow Fever Ungraded 12-Jun-23 1-Jan-23 21-Apr-24 11 5 0 0,00%
Republic
Chad has recorded one new probable yellow fever case, which tested positive using the plaque reduction neutralization test (PRNT) in week 15, in the Vakaga health district,
bringing the total number of probable cases in 2024 to six. Other probable cases for the year have been reported in the Mbaïki and Kémo health districts. In 2023, five
confirmed cases of yellow fever were recorded for the following districts: Sangha-Mbaéré (1), Berbérati (1), Bambari (2), and Bossembélé (1). The number of confirmed
cases this year has been reviewed.
Chad Floods Grade 2 26-Aug-24 15-Jul-24 1-Sep-24
Since late July, floods have impacted all 23 provinces of Chad, affecting 964 068 people, causing 145 deaths, and destroying 70 000 homes, with 58 804 people affected
in N'Djaména alone. Over 5 000 displaced people are sheltering in schools, and 749 households still need relocation. The Government, with support from humanitarian
agencies, launched a USD 64 million response plan, but only USD 7 million has been secured, leaving a USD 57 million funding gap. The risk of a cholera outbreak remains
high due to limited access to water, sanitation, and hygiene services.
Humanitarian
Chad crisis (Sahel Protracted 2 11-Feb-22 1-Mar-16 28-Jun-24 2 - - -
region)
Since the beginning of the conflict in Sudan on 15 April 2023 and as of 28 June 2024, Chad have registered 617,013 Sudanese refugees and 128,726 Chadian returnees
from Sudan. 63 per cent of the refugees and 66 per cent of the returnees are children under 18. The refugees are arriving in the provinces of Ouaddaï, Sila, Wadi Fira, and
Ennedi Est. According to the Chadian Government, 910,000 refugees and returnees could arrive in Chad by the end of 2024. Chad is already hosting approximately 410,000
Sudanese refugees from the previous Darfur crisis in the same provinces
Impact of
Chad Sudan crisis Grade 3 15-Apr-23 15-Apr-23 31-Oct-24 - - - -
in Chad
Chad is the AFRO country most affected by the armed conflict in Sudan, hosting about 1 million refugees. These Sudanese refugees are mainly hosted in the refugee’s camps
across Ennedi Est, Wadi Fira, Ouaddai and Sila provinces. From 15 April 2023 to 3 May 2024, about 588 825 Sudanese refugees have been listed including 96 181 that have
crossed the border since January 2024. Most new arrivals are women and children (88%), and 14% are persons with special needs,
Chad Hepatitis E Ungraded 17-Feb-24 2-Jan-24 25-Aug-24 3446 177 11 0,40%
As of 25 August 2024, a total of 3 446 suspected cases including 11 deaths (CFR 0.4%) were reported from 11 refugee camps and sites in eight health districts of four
provinces (Ouaddaï, Sila, Wadi-fira and Ennedi-Est provinces). A total of 177 cases were laboratory-confirmed by RT-PCR. Fifty-eight cases were recorded among pregnant
women including 5 deaths (CFR 8.6%).
Chad Measles Ungraded 24-May-18 1-Jan-24 5-May-24 5631 20 0,40%
From 1 January to 5 May 2024, 5 631 suspected measles cases, including 20 deaths, were recorded in the health districts of Moissala, Guelo, Dono Manga, Kouloudia,
Arada, N'Djamena Centre, N'Djamena East, Gagal, Gore, N'Djamena North, Amtiman, Pala, Kouno, Massakory, and Koukou Angarana. Between Week 1 and Week 18 of 2024,
182 suspected cases were recorded in the crisis-affected provinces of the East, with no deaths reported.
Poliomyelitis
Chad Grade 2 18-Oct-19 9-Sep-19 28-Aug-24 222 222 0 0,00%
(cVDPV2)
Eight cases were reported in 2024. In 2023, a total of 55 cVDPV2 cases were reported. In 2022, 44 cVDPV2 cases were reported. In 2020, 106 cVDPV2 cases were reported
from three different outbreaks. Nine cases were reported in 2019. The last date of detection was 13 July 2024.
Comoros Cholera Grade 3 2-Feb-24 2-Feb-24 25-Jun-24 10142 147 1,40%
The cholera outbreak has been ongoing in Comoros since the first case was reported on 2 February 2024. As of 30 June 2024, a cumulative total of 10 142 cases had been
reported, with the majority of cases reported from Ndzuwani (8 942 cases), followed by Ngazidja (625 cases) and Mwali (575 cases); 147 deaths (CFR 1.4%) were also
reported.
Congo Measles Ungraded 15-May-24 1-Jan-24 18-Aug-24 372 84 4 1,10%
From week 1 to week 33 (ending 18 August 2024), 372 suspected cases were reported including 4 deaths (CFR 1.1%). A total of 272 samples were tested at the National
Public Health Laboratory of which 84 returned positive for measles.
Congo Mpox Grade 3 23-May-22 1-Jan-24 10-Sep-24 166 21 0 0,00%

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WEEK 45: 4 TO 10 NOVEMBER 2024

For the week ending 11 August 2024, the country reported six suspected cases, including two new confirmed cases. During the period from 26 August to 1 September 2024,
10 additional suspected cases were reported across several districts: Bacongo (1), Abala (1), Lumumba (3), Mvou-Mvou (1), Itoumbi (2), and Talangai (2). This brings the
total number of suspected cases to 166, along with 13 probable cases. Out of 114 samples collected, 91 have been tested, with 21 cases confirmed between epidemiological
weeks 2 and 35.
Poliomyelitis
Congo Grade 2 21-Mar-23 1-Mar-23 28-Aug-24 1 1 - 0,00%
(cVDPV1)
The last circulating vaccine-derived poliovirus type 1 (cVDPV1) case was detected on 15 October 2022. As of 28 August 2024, only one case was reported.
Côte d'Ivoire Dengue Grade 3 10-Jul-23 19-Jun-23 11-May-24 4050 332 2 0,00%
An outbreak of Dengue fever is ongoing in Ivory Coast. A total of 4 050 cases have been reported from 1 January 2023 to 11 May 2024, with 325 confirmed cases and 2
deaths (CFR 0.0%).
Côte d'Ivoire Measles Ungraded 3-Jul-24 1-Jan-24 23-Jun-24 5617 4 0 0,00%
The measles outbreak has been ongoing in Cote d’Ivoire; from week 1 through week 25, 2024 (ending 23 June), a total of 5 617 suspected cases of measles were reported,
including 678 confirmed IgM+ cases and 4 080 clinically compatible cases. The incidence rate is 146 per 1 million population.
Côte d'Ivoire Mpox Grade 3 5-Jul-24 5-Jul-24 5-Jul-24 36 28 1 4,00%
A case of Mpox was confirmed on 4 July 2024 in Côte d'Ivoire, in the San Pedro region (Tabou). The patient is a male in his 40s. As of 18 August, Cote d'Ivoire has reported
a total of 24 confirmed cases, including one death (CFR: 4%)
Democratic
Republic of Floods Grade 2 9-Jan-24 9-Jan-24 3-Jun-24 471 000 300
the Congo
Heavy rainfall between January and April triggered significant flooding in South Kivu and Tanganyika provinces, placing approximately 471 000 people at risk of increased
humanitarian needs. The floods inundated around 1.1 million acres of land, including nearly 52,000 acres of cropland, in areas surrounding Lake Tanganyika and upstream
from the Congo River basin. The ongoing El Niño season is expected to bring heavy rainfall, particularly to the central and northern regions, with forecasts indicating that the
water level in Lake Tanganyika will continue to rise, peaking in late June.
Democratic
Humanitarian
Republic of Grade 3 20-Dec-16 17-Apr-17 11-May-24 7 - - -
crisis
the Congo
The humanitarian crisis in the Democratic Republic of Congo has affected about six provinces, namely, North Kivu, South Kivu, Ituri, Tshopo and Tanganyika provinces.
Currently, 7 100 000 people have been displaced since its onset. There are currently 522 410 new refugees. There have been various levels of security threats, widespread
instability, and gang violence. At present, there are multiple outbreaks like, cholera, measles and Mpox.
Democratic
Republic of Cholera Grade 3 16-Jan-15 1-Jan-24 1-Sep-24 23887 2 316 1,30%
the Congo
From week 1 to week 35, 2024 (ending 1 September 2024), 23 887 suspected cholera cases, including 316 deaths (CFR 1.3%), were reported from 109 health zones in
16/26 affected provinces compared to 35 935 cases and 303 deaths (CFR 0.7%) reported during the same period in 2023. North Kivu, Haut Katanga, South Kivu, and Haut
Lomami are the most affected provinces, accounting for more than 80% of the cases. The majority of deaths (n=152, 48%) have been reported from the Haut Katanga
province. In 2023, more than 62 000 cases and more than 700 deaths were reported.
Democratic
Republic of Measles Ungraded 12-Oct-21 1-Jan-24 11-Aug-24 72274 1 1786 2,50%
the Congo
In 2023, over 311 000 suspected measles cases and over 5 700 deaths were reported. In 2024, from week 1 through week 32 (ending 11 August 2024), a total of 72 274
cases and 1 786 deaths were reported from 470 of the 519 health zones across the country.
Democratic
Republic of Mpox Grade 3 30-Mar-19 1-Jan-24 18-Aug-24 3244 3 25 0,80%
the Congo
From 1 January 2022 to 18 August 2024, a total of 4 489 cases and 27 deaths (CFR 0.6%) were reported. From 1 January to 18 August 2024, a total of 3 244 confirmed
cases and 25 deaths ( CFR 0.8%) were reported. Clades Ia and Ib have been detected in country.
Democratic
Poliomyelitis
Republic of Grade 2 27-Aug-22 1-Jan-23 15-May-24 107 107 0 0,00%
(cVDPV1)
the Congo
As per the Global Polio Eradication Initiative (GPEI), no cVDPV1 case was reported this week. There is one case reported this year and 106 cases in 2023.
Democratic
Poliomyelitis
Republic of Grade 2 26-Feb-21 1-Jan-23 15-May-24 118 118 0 0,00%
(cVDPV2)
the Congo
As per the Global Polio Eradication Initiative (GPEI), no cVDPV2 cases were reported this week. The number of 2023 cases remains 118.
Ethiopia Floods Grade 2 15-May-24 1-May-24 22-Sep-24 - - - 0,00%
Many parts of the country are affected by flooding as a result of heavy rains. In Gambella, the Baro and Gilo rivers overflowed, displacing over 21 000 people in Anywaa and
Nuer zones, and damaging two health centres, 10 health posts and two water schemes. Health partners are continuing to deliver life-saving health services to flood- and
landslide- affected populations throughout the country
Humanitarian
crisis
Ethiopia Grade 3 4-Nov-20 4-Nov-20 1-Oct-24 - - -
(Northern
Ethiopia)
In Oromia region, violence continued during the week in Oromia region, with violence targeting civilians in several locations reported. In Amhara region, fighting between
Fano militias and the Ethiopian National Defense Force (ENDF) was reported last week in East Gojam, North Wello, North Shewa, West Gojam, and North Gondar zones
Impact of
Ethiopia Sudan crisis Grade 3 1-May-23 1-May-23 10-Oct-24 - - -
in Ethiopia

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 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES
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WEEK 45: 4 TO 10 NOVEMBER 2024

Following the outbreak of armed conflict in Sudan on 15 April 2023, Ethiopia is receiving thousands of forcibly displaced people at two main points of entry (Metema and
Kurmuk) along the land border between Sudan and Ethiopia. As of 30 September 2024 , over 176 927 refugees and returnees crossed the border from Sudan to Ethiopia
Ethiopia Cholera Grade 3 17-Sep-22 1-Aug-22 10-Oct-24 56426 697 1,20%
The ongoing cholera outbreak in Ethiopia started on 27 August 2022. As of 10 October 2024, a total of 56 426 cases, 697 deaths (CFR 1.2%) are reported. In 2024, from
January a total of 25 344 cases and 244 deaths are reported
Ethiopia Dengue Grade 3 16-May-23 10-May-23 30-Sep-24 28731 28 21 0,00%
Ethiopia continues to experience Dengue outbreak since April 2023. As of 31 July 2024, a total of 28 731 cases with 21 deaths are reported. In 2024, 2 792 cases and zero
death are reported.
Ethiopia Malaria Grade 3 20-Jun-24 1-Jan-24 20-Oct-24 7000000 1157 0,00%
Between 1 January and 20 October 2024, over 7.3 million malaria cases and 1157 deaths (CFR 0.02%) were reported in Ethiopia. Malaria poses a significant public health
challenge in Ethiopia, where approximately 75% of the land mass is considered to be endemic to malaria.
Ethiopia Measles Ungraded 13-Apr-17 1-Jan-24 27-Oct-24 29636 27 210 0,70%
Measles outbreak is still ongoing in Ethiopia. In 2024, from 1 January through 27 October , a total of 29 636 cases including 1 519 lab-confirmed,26 075 epi-linked and 29
measles compatible cases with 210 deaths were reported
Gabon Diphtheria Ungraded 23-Jan-24 1-Dec-23 19-Mar-24 28 2 3 10,70%
On 23 January 2024, Cameroon reported a confirmed case of Diphtheria. The affected individual is a 9-year-old male from Bitam Health District in Gabon. The onset of
symptoms occurred on 1 December 2023, and he sought medical consultation on 3 December 2023 in the Enongal health area, Ebolowa health district in Cameroon. The
person died on 7 December 2023. The sample tested positive for Diphtheria on 23 January 2024. As of 19 March 2024, a total of 28 suspected cases, including 2 laboratory
confirmed cases, 8 clinically compatible cases and three deaths (CFR: 10%) were notified.
Gabon Mpox Grade 3 23-Aug-24 22-Aug-24 5-Nov-24 15 2 0 0,00%
On 22 August 2024, the Government of Gabon reported its first confirmed Mpox case. As of November 2024, 15 suspected cases have been recorded, including two
confirmed cases in the Libreville-Owendo health district — one male and one female.
Ghana Drought Ungraded 27-Aug-24 27-Aug-24 1-Sep-24 435 435 0 0,00%
Severe drought has significantly impacted eight regions in Ghana, particularly in the northern and transitional areas, affecting key crops like maize, rice, groundnut, soybean,
sorghum, millet, and yam. This situation threatens 928 523 farmers and could result in losses of GHS 22.2 billion, equivalent to 10% of the agriculture GDP. To prevent a
food security crisis and potential socio-economic instability, the Ghanaian agricultural authorities recommend urgent interventions, including a grain export ban, increased
imports, cash transfers, and input support.
Ghana Cholera Grade 3 31-Aug-24 31-Aug-24 31-Aug-24 24 2 0 0,00%
On 21 August 2024, an epidemiological alert was issued in Ada District, Greater Accra region, after 24 suspected cholera cases were reported. As of 23 August, two cases
were confirmed by the National Public Health and Reference Laboratory, with no deaths. The District Health Directorate has activated emergency management structures to
investigate and control the outbreak.
Ghana Dengue Grade 3 16-Jul-24 14-Jul-24 20-Jul-24 70 70 0 0%
On 14 July, the Ministry of Health of Ghana notified WHO of the confirmation of nine cases of Dengue in three districts of the Eastern Region. As of 20 July, 574 suspected
cases including 70 confirmed cases of Dengue have been reported from seven districts.
Ghana Measles Ungraded 1-Apr-24 1-Jan-24 19-Apr-24 1830 350 0,00%
From January 2024 to April 2024, Ghana reported 350 confirmed measles cases across 14 of its 16 regions, with the highest number in the Northeast Region (61 cases). The
majority of cases (61.4%) were in children aged 5 years or younger. Laboratory testing revealed various IgM positive cases, including 40 in Ashanti and 20 in Greater Accra.
Males constituted 54% of the cases. Despite the widespread distribution, no measles-related deaths occurred.
Ghana Mpox Grade 3 1-Oct-24 23-Sep-24 1-Oct-24 1 1 0,00%
On 1 October 2024, WHO was notified of a confirmed mpox case in a 15-year-old boy in the Bia West district of the Western North region. The case-patient presented to
a health facility on 26 September 2024 with fever, general body pains, sore throat and maculopapular rash with symptom onset on 23 September 2024. The patient had a
History of bush meat consumption 03 weeks before symptom onset, with no travel history. Samples sent on 26 September 2024 to the National Public Health Reference
Laboratory for PCR testing returned positive for mpox on 27 September 2024. Ghana recorded its first mpox case in May 2022. A total of 128 mpox confirmed cases
including 4 deaths (CFR 3.1%) were recorded between May 2022 and October 2023.
Guinea Floods Grade 2 28-Aug-24 27-Aug-24 1-Sep-24 17 17 2 0,00%
On 24 August, heavy rainfall severely impacted Conakry city in the Conakry Region of western Guinea, resulting in significant casualties and damage. As of 27 August,
reports indicate two fatalities, one missing person, and 17 249 people affected across the localities of Sangoyah, Kissosso, Lambanyi, Tannerie, Matoto, and Kobayah.
Additionally, at least seven houses were destroyed. Further heavy rainfall is forecast for 28-29 August across most of Guinea. In response to the devastating floods in the
Seguiri area in July, DG ECHO allocated EUR 150 000 in humanitarian aid to support 1900 of the most affected families, totalling 13 300 people.
Guinea Dengue Grade 3 15-Jul-24 8-Jul-24 20-Jul-24 12 3 1 0,90%
There was one new confirmed case reported on 11 July 2024 giving a cumulative of 12 dengue cases (three confirmed) and one death reported in 2014.

Guinea Diphtheria Grade 2 21-Aug-23 4-Jul-23 9-Apr-24 4517 4 105 2,30%

An outbreak of diphtheria has been reported in the Kankan region of Guinea since 4 July 2023. As of 9 April 2024, 4 517 suspected cases were reported from the Kankan,
Faranah, Labé, Mamou, Conakry and N'Nzérékoré regions, including 4 307 confirmed cases and 105 deaths. Of the confirmed cases, 29 were laboratory-confirmed, 4 173
were clinically compatible and 105 were epidemiologically linked. The Siguiri health district in the Kankan region is the epicenter of the outbreak, with 98.4% of suspected
cases reported.
Guinea Lassa Fever Ungraded 3-Oct-24 19-Sep-24 3-Oct-24 1 1 1 100,00%
On 03 October 2024, WHO was notified of a confirmed Lassa fever case in a 63-year-old man, resident of the Guéckédou prefecture in southern Guinea. The case-patient
presented with fever, headache, asthenia, and anorexia at the Guéckédou health center on 19 September 2024 where he was hospitalized in the general medicine ward. He
was transferred to the Guéckédou epidemic treatment center on 22 September 2024. Samples tested for Viral haemorrhagic fevers (VHF) at the Guéckédou VHF Laboratory
returned positive for Lassa fever on 22 September 2024. The case-patient died on 23 September 2024 at the Guéckédou epidemic treatment center and a safe and dignified
burial was conducted.
Guinea Measles Ungraded 3-Jul-24 1-Jan-24 28-Aug-24 769 306 7 0,90%

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WEEK 45: 4 TO 10 NOVEMBER 2024

From W1 to W32, 2024 the country reported 769 suspected cases of measles including 306 confirmed IgM+ cases, no case by epidemiological link, 27 compatible cases, No
case pending laboratory results . Rate of no-measles febrile rashes reached with 2.5. The incidence rate of measles is 19.33 per 1 million population.
Guinea Mpox Grade 3 2-Sep-24 2-Sep-24 9-Sep-24 6 1 0 0,00%
On 2 September 2024, WHO was informed of a mpox confirmed case in a 7-year-old schoolgirl of Koyamah locality in the southern Macenta health district of Guinea. From
2 to 9 September 2024, a total of 6 suspected cases with no death were reported of which one was confirmed for Mpox virus Clade IIB. Seventy-three contacts are under
follow-up.
Guinea Yellow fever Ungraded 11-Oct-24 11-Oct-24 11-Oct-24 2 2 0,00%
A notification of a yellow fever outbreak has been received from Guinea, involving two females: a 15-year-old and a 24-year-old, one of whom is pregnant. Both cases are
from the Labé region—Balaya and Korbé, respectively—with symptoms starting on September 19 and September 16, 2024. Blood samples were collected and tested at the
reference laboratory in Conakry on October 5, 2024. The cases either tested positive for PCR or IgM, and both were confirmed as yellow fever cases on October 8, 2024.
Samples were sent to the Institute Pasteur in Dakar for further confirmation on the October 10, 2024.
Kenya Cholera Grade 3 19-Oct-22 5-Oct-22 23-Jun-24 12624 208 1,60%
This is the second wave since the beginning of 2024 - where there have been 392 cumulative cases and 3 deahs in 2024. Overall since the start of the outbreak, there have
been 12,624 cases and 208 deaths with a CFR of 1.6%. The outbreak is affecting three counties: Tana River (60), Lamu (18) and Siaya (1). A total of 79 cases with one (1)
death have been reported. Eight (8) cases have been confirmed by culture, and 76 RDT positive. Tana River County attack rate is 18.0 per 100,000, and the Garsen sub-
county attack rate is 40.7 per 100,000.
Kenya Hepatitis A Ungraded 23-Jul-24 1-Jan-24 23-Jul-24 19 19 3 15,80%
Since January 2024, confirmed cases of hepatitis A through PCR (polymerase chain reaction) are reported from Uasin Gishu county. As of 23 July 2024, a total of 19 cases
with three deaths (CFR 15.8%) are reported. The cases were reported from five sub counties: Kapsaret, Kesses, Moiben, Soy and Turbo. Among the 19 total cases reported,
14 cases are students (74%).
Kenya Measles Ungraded 29-Jun-22 1-Jan-23 31-Oct-24 2553 199 11 0,40%
Since January 2024, 15 counties have reported an outbreak, with eight counties currently experiencing active outbreaks across twelve affected sub-counties. A total of 2,553
cases have been reported, of which 272 have been confirmed as of 14 October 2024, and there have been 17 deaths, resulting in a case fatality rate (CFR) of 0.7%. In the
past week alone, 29 new cases were reported, including 3 in Laikipia West, 3 in Garsen, 17 in Dadaab, 1 in Loima, 3 in Turkana West, and 3 in Turkana Central.
Kenya Mpox Grade 3 3-Aug-24 22-Jul-24 3-Aug-24 1 1 0 0,00%
Kenya has confirmed one mpox case in a 42-year-old truck driver from Taita Taveta County, detected on 22 July 2024. The patient, showing symptoms since 9 July 2024,
had traveled through Uganda and Kenya. Initially tested negative, mpox was later confirmed. The patient was treated and released, and on 3 August 2024, was en route to
Rwanda via Tanzania. Contact tracing is ongoing. The Ministry of Health has issued advisories and is actively managing the situation.
Poliomyelitis
Kenya Grade 2 6-Jul-23 26-May-23 29-May-24 8 8 0 0,00%
(cVDPV2)
According to Global Polio Eradication Initiative, no cVDPV2 cases were reported this week. There have been eight cases reported in 2023.
Visceral
Kenya Ungraded 1-Aug-24 1-Jan-24 30-Jul-24 54 4 7,40%
Leishmania
Since January 2024, Visceral Leishmaniasis cases have been reported in Kitui and Mandera Counties. As of 30 July 2024, 54 cases with four deaths (CFR 7.4%) have been
reported. The cases are reported from the following countries: Mandera 48 cases and Kitui six cases. Males account for 82% of all positive cases
Drought/food
Lesotho Ungraded 22-Jul-24 12-Jul-24 9-Sep-24 293 293 - -
insecurity
Prolonged dry spells, high temperatures, and economic challenges have left approximately 293 000 people in rural Lesotho (19 percent of the population) facing severe food
insecurity, classified as IPC Phase 3 (Crisis) or worse, from May to September 2024. The most affected districts include Maseru and Qacha’s Nek, where 30 percent of the
population is in Crisis (IPC Phase 3), followed by Mohale’s Hoek and Quthing.
Liberia Lassa Fever Ungraded 3-Mar-22 6-Jan-22 14-Nov-24 533 176 55 33,00%
From 6 January 2022 to November 2024, a cumulative total of 533 cases of Lassa Fever have been reported with 176 confirmed and 55 deaths (CFR 31%).
Liberia Measles Ungraded 3-Feb-22 13-Dec-21 14-Nov-24 13711 13 95 0,70%
Since the measles outbreak started on 13 December 2021, there have been 13 711 suspected cases, 13 291 confirmed cases, and 95 deaths with CFR 0.7%, as of June 2,
2024. The highest affected counties are Montserrado with 5 373 confirmed cases, Nimba with 1 407 confirmed cases and Grand Bassa with 950 confirmed cases
Liberia Mpox Grade 3 31-Aug-24 31-Aug-24 14-Nov-24 273 22 0 0,00%
A confirmed Mpox case was reported on 31 August 2024, from Doodwicken Clinic in Jedepo Health District, Sinoe County. This case, involving a 7-year-old girl, marks the
beginning of the outbreak in the region. So far, eight suspected cases have been reported, with one confirmed case, and four negative, while two results are pending, and one
case was discarded. Since the onset, 30 contacts have been identified and monitored daily. The district rapid response team has been activated. Investigations, along with
active case searches, are ongoing.
Malnutrition
Madagascar Protracted 2 1-Jul-21 1-Jan-21 30-Oct-24 - -
crisis
The humanitarian situation in the Grand Sud remained fragile and is expected to deteriorate further, thus reversing the marginal gains made in 2023. From May to September
2024, about 1.22 million people (12% of the rural population) in Madagascar are experiencing acute food insecurity (IPC3+), with the highest levels in Ambovombe Androy
and Amboasary Atsimo districts. This number is expected to rise to 1.32 million (13%) from October to December 2024, and to 1.78 million (17%) from January to April
2025, indicating a worsening food security situation.
Madagascar Malaria Ungraded 28-Feb-24 1-Jan-24 12-May-24 1531902 212 0,00%
Madagascar has been experiencing a malaria outbreak since last year and the same trend continues in 2024. From week 1 to week 19, 2024, a total of 1 531 902 cases and
212 deaths are reported.
Malawi Drought Ungraded 26-Mar-24 28-Mar-24 30-Oct-24 - - - -
Malawi formally declared a state of disaster on 23 March 2024 due to drought in 23 out of its 28 districts. From October 2024 to May 2025, Southern Malawi, particularly
Nsanje district in the Lower Shire livelihood zone, remains the area of highest concern for food security. More than half of Nsanje’s population is experiencing Crisis (IPC
Phase 3) food insecurity due to an El Niño-induced drought, compounded by inadequate recovery from previous flooding and waterlogging in 2023. From October 2024 to
January 2025, Crisis (IPC Phase 3) food security conditions are also expected to persist in Mangochi district in the south and Nkhotakota and Lilongwe districts in central
Malawi.

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Malawi Cholera Grade 3 12-Sep-24 12-Sep-24 10 2 0 0,00%

On 10 September 2024, Chitipa has reported 10 suspected cases at Kapenda Health Centre, with 3 cRDT positive, 1 culture positive, and 1 sample pending. The cases are
sporadic, initially coming from the Songwe River area, but current cases are from other regions. None had travel history prior to the onset of diarrhoea. All suspected cases
are being followed by the District Rapid Response Team, with control measures like water chlorination in place, and the situation is under close national monitoring.
Malawi Measles Ungraded 12-Sep-24 12-Sep-24 12-Sep-24 3 3 0 0,00%
On 29 August 2024, Mangochi District Heath Office was alerted on a cluster of suspected measles cases in a village under Mkuchinga Jwambone Health Center. Six samples
were collected for laboratory investigation at Kamuzu Central Hospital in Lilongwe. Three samples were confirmed positive for Measles on 9 September, 2024. The ages of
the confirmed measles cases are seven months, five and seven years old.
Mali Floods Grade 2 21-Aug-24 23-Aug-24 23-Aug-24 39 39 22
Since the beginning of July 2024, Mali has faced severe flooding across several regions, causing significant human and material losses. By 18 August 2024, over 39 768
people were affected, including 16 639 children, 10 695 women, and 12 434 men. The floods resulted in 22 deaths and 104 injuries. Additionally, eight healthcare facilities
were damaged. The crisis has exacerbated public health issues, particularly with contaminated water sources, increasing the risk of cholera and other waterborne diseases.
Urgent needs include healthcare, shelter, and access to clean water.
Humanitarian
Mali crisis (Sahel Protracted 2 11-Sep-17 11-Sep-17 14-Nov-24 8 8 0 0,00%
region)
Since 2011, Mali has been facing a security crisis and currently, six regions are affected particularly in Segou, Mopti, Timbuktu, Gao, Kidal and Menaka as of September
3 2024. Among them, As of August 25, the The main ones are particularly affected: Ségou, Mopti, Timbuktu, Gao, Kidal and Menaka. As of August 30, 2024, flooding has
affected a total of 131,581 people, approximately 70% of whom are women and children. The most impacted regions include Segou, Gao, Mopti, Bamako, and Sikasso.
Mali Dengue Grade 3 12-Sep-23 1-Jan-24 26-May-24 4605 614 4 0,10%
From 1 January to 26 May 2024, Mali reported 4 605 suspected cases of dengue including 614 confirmed cases and four deaths.
Mali Measles Ungraded 20-Feb-18 1-Jan-24 4-Sep-24 769 306 0 0,00%
From W1 to W32, 2024 the country reported 769 suspected cases of measles including 306 confirmed IgM+ cases, no case by epidemiological link, 27 compatible cases, No
case pending laboratory results o Rate of no-measles febrile rashes reached with 2.5 o The incidence rate of measles is 19.33 per 1 million population.
Influx of
refugees from
Mauritania Protracted 2 11-Mar-24 14-Mar-24 19-Mar-24 180 - - -%
Mali (Sahel
region)
The humanitarian situation in the Hodh Chargui region (HEC) of Mauritania is becoming critical with the massive arrival of thousands of Malian refugees fleeing insecurity
and violence. It is estimated that over 180 000 refugees and returnees are registered or awaiting registration in the Bassiknou district. According to UNHCR data, over 40%
are outside the formal camp system, many with livestock, putting pressure on natural resources (such as water and grazing land) and basic social services. Both displaced
populations and host communities require protection, shelter, clean water, hygiene and sanitation facilities, as well as healthcare for their well-being.
Mauritania Measles Ungraded 7-Mar-23 1-Jan-24 12-May-24 2384 280 4 0,20%
Between 1 January and 12 May 2024, Mauritania reported 2 384 suspected measles cases across 49 districts, with 280 confirmed cases — 81 through epidemiological links
and 199 via laboratory tests. In response, a vaccination campaign is scheduled from 28 May to 6 June 2024, targeting 1 943 636 children aged nine months to 14 years. This
campaign will also incorporate the administration of vitamin A and mebendazole.
Rift Valley
Mauritania Ungraded 21-Oct-24 20-Oct-24 28-Oct-24 1 1 0,00%
Fever (RVF)
One RVF case confirmed in a 20-year-old male herder, living in a nomadic camp located 6 km from the Amedrame village and 80 km northwest of Tidjikja commune, Tagant
region. He presented at the Tidjikja Regional Hospital with fever, vomiting, epistaxis which started a week before hospital admission on 20 October 2024. Samples collected
by the mobile Virology laboratory team of the National Public health Research Institute and tested on 21 October 2024 by RT-PCR returned positive for RVF. A second test
conducted on 25 October returned negative for RVF. The patient was discharged on 28 October 2024. Active case search is ongoing.
Mauritius Dengue Grade 3 17-Dec-23 17-Dec-23 20-Oct-24 9361 9361 5 0,10%
The index case for the ongoing dengue outbreak in Mauritius was reported on 27 August 2024, as of 20 October 2024, a total of 9 361 cases and five deaths have been
reported
Mauritius Mpox Grade 3 28-Oct-24 28-Oct-24 28-Oct-24 1 1 0,00%
An imported case of Mpox was confirmed on 26 October 2024 in Mauritius. The patient, a 49-year-old Nigerian, was isolated at a Hospital in Port-Louis, where a
multidisciplinary team of doctors is monitoring him.
Drought/food
Mozambique Ungraded 5-Sep-24 20-Aug-24 4-Sep-24 3 - - 0,00%
insecurity
The Mozambique authorities have launched a humanitarian appeal to combat drought and food insecurity in the Country. El Nino-induced rainfall shortage and above-average
temperatures have resulted in drought in the central and southern provinces of Mozambique, impacting agricultural production for vulnerable communities. As a result,
around 2.8 million people face food insecurity (IPC3+), including 510 151 people in IPC4 (emergency level of food protection) between April and September 2024. During
the lean season (Oct-24/Mar-25), the situation will further deteriorate, with around 3.3 million people projected to face food insecurity, of which 390 886 are in IPC4 in the
affected provinces.
Humanitarian
Mozambique crisis in Cabo Protracted 2 1-Jan-20 31-Oct-24 31-Oct-24 - -
Delgado
The conflict in northern Mozambique has escalated in early 2024, causing widespread displacement and a severe humanitarian crisis. The latest IOM report identifies 709,529
IDPs and 632,408 returnees across 364 locations, with 76% of IDPs in Cabo Delgado. Health infrastructure is strained, with 18 fully damaged and 27 partially damaged
facilities out of 144 in Cabo Delgado, particularly in districts like Macomia and Mocimboa da Praia. Conflict and climate events continue to impact the region's fragile health
system
Mozambique Cholera Grade 3 18-Apr-24 12-Oct-23 23-Jun-24 48181 48 174 0,00%
The current cholera outbreak in the country began in Niassa province on 14 September 2022. As of 23 June 2024, there have been 8,024 cumulative cases in 2024 alone,
including 18 deaths (CFR 0.2%). Epi week 25 saw a 33% decrease in cases and 0 deaths, with 3 out of 11 provinces (Maputo, Nampula, Sofala) reporting active outbreaks in
the past month. However, all 3 of these provinces are experiencing downward trends in recent weeks.
Mozambique Measles Ungraded 20-Aug-24 28-Aug-24 1-Sep-24 283 283 18 6,40%

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Between 9 July and 21 August 2024, there have been 283 measles cases reported, with 215 in Cabo Delgado (Chiure, Montepuez, and Namuno districts) and 68 in Niassa
(Sanga and Cuamba districts). The outbreak led to 18 deaths, all occurring within the communities, with 17 in Cabo Delgado and 1 in Niassa. Most cases (90%) were among
children under 15 years old, with 54 cases in infants under 1 year, 75 cases in children aged 1–4, 45 cases in those aged 5–9, and 24 cases in the 10–14 age group.
Namibia Drought Ungraded 31-May-24 22-May-24 9-Sep-24 1 1 - -
From July to September 2024, 1.15 million people in Namibia (38% of the population) face high levels of acute food insecurity (IPC Phase 3 or above) and require urgent
action to reduce food gaps and protect livelihoods; all the 14 affected areas are classified in IPC Phase 3 (Crisis). In the first projection period (October 2024 – March 2025),
the food security situation is expected to worsen due to the start of the lean season, and seasonal price increases, where 1.26 million people (41 percent of the analysed
population) are expected to be in IPC Phase 3 or above. Most of the areas are likely to remain classified in Crisis (IPC Phase 3).
Namibia Measles Ungraded 7-Jun-24 1-Jan-24 5-Jun-24 39 6 0 0,00%
The Ministry of Health and Social Services (MoHSS) has reported a confirmed outbreak of Measles in Omaruru health district of Erongo Region,. Between 1 January and 5
June 2024, 39 suspected cases, including six confirmed cases, have been reported from the same health facility. All six confirmed cases have been reported among learners
attending the same primary school
Niger Floods Grade 2 12-Jun-24 10-Jun-24 13-Jun-24 353 - 217 0,10%
As of 30 August, the heavy rains that have hit Niger since the beginning of the season (in May) across the entire national territory have resulted in the following: Four out
of the eight regions in the country are affected, encompassing 18 departments, with the Maradi region being the most affected. A total of over 353 000 people have been
displaced . There have been 217 deaths, including 11 due to house collapses (a total of 329 households have collapsed). and 200 injuries have been recorded.
Humanitarian
Niger crisis (Sahel Protracted 2 1-Feb-15 1-Feb-15 18-Apr-24 4 4 0 0,00%
region)
Niger is contending with a severe humanitarian crisis due to regional instability in the Tillaberi, Maradi, Diffa, and Tahoua regions. The instability stems from conflicts spilling
over from Mali, Burkina Faso, and Nigeria, compounded by the country's internal political turmoil following a military coup on 28 July 2023 — the third such coup in the
Sahel in under three years. International sanctions, environmental challenges, deep-seated poverty, and frail social support have further strained the relief efforts. Despite
these adversities, there has been a slight decrease in refugee and asylum seeker figures, although new arrivals from Chad, Mali, Burkina Faso, and Nigeria persist post-21
March 2024. Concurrently, Niger has seen the internally displaced population escalate dramatically, from 1.9 million in 2017 to 4.3 million individuals, which is 15% of the
population in 2024, significantly amplifying the demand for humanitarian aid. Acute food insecurity currently afflicts 3.3 million residents, with an alarming 7.3 million more
at risk of deteriorating conditions amid the ongoing turmoil.
Niger Cholera Grade 3 9-Sep-24 27-Aug-24 12-Sep-24 181 12 6 3,30%
181 suspected cholera cases including 6 deaths (CFR 3.3%) reported from Bouza (81 cases; 2 deaths), Birni Koni (64 cases), and Madaoua (36 cases; 4 deaths) health
districts of Tahoua region in Southern Niger between 27 August and 12 September 2024. Of the 37 samples tested, 12 tested positive for Vibrio cholerae O1 Ogawa by
culture at the Centre for Medical Research and Health of Niamey.
Niger Dengue Grade 3 30-Oct-24 16-Oct-24 30-Oct-24 4 1 1 25%
On 30 October 2024, WHO was notified of a confirmed dengue fever case in a 34-year-old male wood seller who presented at the National Hospital of Niamey on 16 October
2024 with fever, headache, vomiting, hiccups, cough, epigastralgia, epistaxis, myalgia, and arthralgia. Samples tested on 23 October 2024 by RT-PCR at the Center for
Medical Research and Health (CERMES) of Niamey returned positive for dengue. Three suspected dengue cases from the same family as the confirmed case tested negative
for dengue. Active case search and entomological investigations are ongoing.
Niger Diphtheria Ungraded 28-Aug-23 4-Jul-23 19-Jun-24 5367 4 320 6,00%
An outbreak of diphtheria has been confirmed in Matameye health district, Zinder region. The first case was reported on 17 July 2023. As of week number 24 of 2024, 5367
suspected cases, including 320 deaths (CFR 6 %) were reported. Public health response activities are ongoing in affected districts.
Niger Measles Ungraded 5-Apr-22 1-Jan-24 10-Aug-24 4439 604 20 0,50%
As of epidemiological week 32, a total of 4429 suspected cases of measles were reported, including 604 confirmed cases and 20 deaths (case fatality rate: 0.5%), across 65
health districts in epidemic areas
Niger Meningitis Ungraded 7-Dec-22 1-Jan-24 20-Jul-24 3268 1 256 7,80%
Niger continues to notify meningitis cases. From epidemiological week 1 to week 28, 2024 , a total of 3 268 suspected cases including 1 300 confirmed cases and 256 deaths
(CFR 7.3%) were notified in eight regions, namely Agadez, Diffa, Dosso, Maradi, Niamey, Tahoua, Tilaberi and Zinder. Agadez and Niamey regions are the most affected.
Rift Valley
Niger Ungraded 30-Oct-24 14-Oct-24 30-Oct-24 1 1 0,00%
Fever (RVF)
On 30 October 2024, WHO was notified of a confirmed Rift Valley fever case in a 25-year-old male farmer admitted on 14 October 2024 at the N’wagar health center of
Tchintabaraden health district in southwest Niger with fever, jaundice, epistaxis and hematemesis. Blood samples collected and tested by RT-PCR on 14 October 2024 at
the Center for Medical Research and Health (CERMES) of Niamey returned positive for Rift Valley fever. Several deaths and abortions have also been reported in the same
farmer’s livestock (especially among goats and camelids). Investigations are ongoing.
Suspected
Niger heavy metal Ungraded 12-Jun-24 27-May-24 12-Jun-24 14 176
poisoning
A mysterious illness has been reported in Niger as of 27 May 2024 , cases present with symptoms like ascites, abdominal pain, weight loss, and vomiting. The index case
began experiencing symptoms on 15 May . The patient's family of six has also been affected. All are suspected to have contracted the illness from an unknown source,
potentially linked to drinking water from boreholes. Cases have been reported in four regions: Tahoua (2), Dosso (5), Maradi (6), and Tillaberry (1). No laboratory results
are available. A multidisciplinary team has been deployed. Samples have been sent to CERMES, with results pending. Insecurity and population mobility are hindering the
response. A lack of laboratory facilities for heavy metal testing is also a challenge.
Nigeria Floods Grade 2 19-Aug-24 20-Aug-24 3-Sep-24 1 1 7 0,40%
Jigawa State has been heavily affected by flooding since Week 29 of 2024, impacting 14 Local Government Areas(LGAs), 45 wards, and 139 settlements. So far, 3 843
houses have been damaged, and there are 31 IDP camps across 5 LGAs, with 1 951 displaced individuals. 7 fatalities have been reported, and farmlands, highways, and
some health facilities have been submerged. Immediate needs include healthcare, food, shelter, and logistical support, while an Incident Action Plan (IAP) is in place with
support from WHO and key stakeholders.
Humanitarian
Nigeria crisis (Sahel Protracted 2 10-Oct-16 10-Oct-16 21-Mar-24 8 8 0,00%
region)
People face emergency levels of food insecurity, with very high rates of severe acute malnutrition that could lead to death in Borno, Adamawa and Yobe states. As of week 11,
2024, over 6 million people are targeted for humanitarian aid, 8.3 million people need humanitarian assistance, 2.2 million IDPs, and 4.3 million people need food security
aid. Due to the fluidity of the situation, the numbers are constantly changing.

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Nigeria Cholera Grade 3 1-Jan-24 11-Aug-24 5951 176 3,00%

From 1 January to 11 August 2024, there were 5 951 suspected cholera cases reported in Nigeria, including 176 deaths (CFR: 3%). Reports came from 36 states.
Nigeria Dengue Grade 3 1-Nov-23 1-Jan-23 24-Mar-24 72 14 0 0,00%
Nigeria is responding to Dengue outbreak that started in 2023. As of 3 March 2024, there has been 72 suspected cases reported with 14 confirmed and zero deaths since 19
December 2023.
Nigeria Lassa Fever Ungraded 8-Jan-23 1-Jan-24 21-Jul-24 6 1 171 16,90%
Cumulatively from week 1 to 29, 2024, 163 deaths have been reported with a case fatality rate (CFR) of 17.1% which is marginally higher than the CFR for the same period in
2023 (16.9%). In total for 2024, 28 States have recorded at least one confirmed case across 125 Local Government Areas.
Nigeria Measles Ungraded 1-Apr-24 1-Jan-24 12-May-24 8935 4 0,00%
Between 1 January and 12 May 2024, in Nigeria, 8 935 suspected measles cases were reported, with 1 141 confirmed cases, 3 373 confirmed through epidemiological link,
and 119 classified as compatible. Additionally, there were 280 IgM positive rubella cases. The measles incidence rate is 18.4 per 1 000 000 population. Notably, 302 out of
774 districts (39%) have reached the epidemic threshold, indicating a significant outbreak.
Nigeria Meningitis Ungraded 29-Jan-24 8-Oct-23 29-Jun-24 2669 135 240 9,00%
Between 1 October 2023 and 29 June 2024, a total of 2 669 suspected cases including 1135 confirmed cases and 240 deaths (CFR: 9 %) were reported from 22 out of 33
states.
Nigeria Mpox Grade 3 31-Jan-22 1-Jan-22 25-Aug-24 902 9 1,00%
Nigeria continues to report cases of Mpox. From January 2022 to 25 August 2024, a total of 901 cases including nine deaths were reported. In 2024, the country reported
210 cases.
Poliomyelitis
Nigeria Grade 2 1-Jun-18 1-Jan-22 21-Aug-24 174 174 0 0,00%
(cVDPV2)
One cVDPV2 case was reported in Sokoto this week. There were 39 cases reported in 2024, 87 cVDPV2 cases reported in 2023 and 48 cases in 2022.
Uknown
Nigeria Ungraded 20-Mar-24 20-Mar-24 22-Apr-24 196 7 3,60%
disease
On 20 March 2024, NCDC notified of the outbreak of an unknown illness through IDSR by the Sokoto State Ministry of Health. The iIndex case presented is a 6-year-old girl
from Isa LGA, who presented with symptoms including abdominal pain and distension, and vomiting on 6 February 2024. Cumulatively, from weeks 6 to week 15, a total of
196 cases with 7 deaths (CFR 3.6%) were reported. 70% are aged 0 – 10 years, followed by 11 – 20 years (20%), >30 years (6%), and 21 – 30 years (4%). 55.1% of the
cases are female. Cases initially reported from Isa LGA, Sokoto State, with reports extending to Sabon Birni LGA (7 cases) in Sokoto State
Marburg Virus
Rwanda disease (MVD) Grade 3 27-Sep-24 27-Sep-24 3-Nov-24 66 66 15 22,70%
outbreak
On 27 September 2024, the Rwandan Ministry of Health announced the confirmation of Marburg virus disease (MVD) in a few patients in health facilities in the country. As of
3 November 2024, a total of 66 confirmed cases and 15 deaths (CFR 22.7 %) are reported. Currently two cases are in isolation and receiving treatment and 49 patients have
recovered.
Rwanda MPox Grade 3 24-Jul-24 24-Jul-24 30-Oct-24 26 26 0 0,00%
Rwanda confirmed its first two cases of Mpox on 24 July 2024. As of 30 October 2024 , a total of 26 confirmed cases have been reported . To date, 21 cases are under
treatment, while 5 have been discharged from follow up. All patients are in stable condition and showing improvement with oral medications, with no cases reported as
critical
Senegal Floods Ungraded 4-Oct-24 16-Oct-24 21-Oct-24 -
Several regions of the country are experiencing floods. Management is done at the regional level in a One Health approach under the coordination of Governors. A
teleconference on this subject was convened by the COUS for October 17, 2024. More information on the presentation to be made.
Senegal Chikungunya Ungraded 8-Jun-23 1-Jan-24 26-May-24 7 7 0 0,00%
Between 1 January and 26 May 2024, Senegal reported seven new Chikungunya cases. The cases ranged from eight to 30 years old, with a median age of 21 years. Matam
had the highest number of cases with three, followed by Tambacounda with two, and Dakar and Kolda each with one. The last reported case had an onset of symptoms on 26
April 2024.
Crimean-
Congo
Senegal Ungraded 26-Mar-24 22-Mar-24 26-Apr-24 3 3 0 0,00%
haemorrhagic
fever (CCHF)
On 22 March 2024, the Institut Pasteur in Dakar (IPD) confirmed a case of Crimean-Congo Haemorrhagic fever (CCHF) in a 25-year-old male farmer. The patient, originally
from the Guinguinéo district, probably contracted the disease while working in the Ndoffane district. Investigations are ongoing in all the areas visited by the patient. So far
11 samples collected from contacts at the Dakar hospital have tested negative. On 26 April 2024, WHO was informed of the confirmation of two additional CCHF cases in a
40-year-old male and a 25-year-old male from Pikine and Yeumbeul districts of Dakar respectively. Blood samples collected from the two male cases on 17 and 19 April 2024
respectively returned positive for CCHF on PCR on 25 April 2024. PCR testing returned negative for yellow fever, dengue, RVF, west nile, chikungunya, and zika. Both cases
are alive. In-depth investigations are ongoing.
Senegal cVDPV2 Grade 2 29-Oct-24 20-Sep-24 29-Oct-24 1 0,00%
One cVDPV2 case was reported in Kédougou commune of South-eastern Kédougou region of Senegal with date of acute flaccid paralysis onset on 20 September 2024 and
laboratory confirmation on 29 October 2024. cVDPV2 was also isolated from an environmental sample from Tambacounda city in Eastern Senegal on 22 October 2024.
Investigations are ongoing.
Senegal Dengue Grade 3 14-Nov-22 31-Jan-23 15-Nov-24 1200 88 0 0,00%
Senegal reported 100 Dengue confirmed cases in week 46, taking the number of cumulative cases to 1 200. The number of confirmed cases within less than twice the
maximum incubation period is 65, distributed across 13 districts classified as "active epidemic." These districts are Louga (25), Pikine (9), Gossas (8), Richard Toll (5),
Yeumbeul (5), Fatick (4), Tambacounda (2), Thiès (2), Dakar-North (1), Guédiawaye (1), Kédougou (1), Mbao (1), and Touba (1).
Senegal Measles Ungraded 4-Jul-22 1-Jan-24 26-May-24 252 252 0 0,00%

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Between 1 January and 26 May 2024, Senegal reported 252 confirmed measles cases, with the highest numbers in Louga (56), Matam (41), and Kaffrine (33). The cases
were evenly split between females (125) and males (127), ranging from 0.4 to 42 years old, with a median age of 6 years. Most cases (70%) were among children aged nine
months to five years. Among these cases, 69% were unvaccinated. Twenty-three districts have reached the epidemic threshold in 2024, with the onset of symptoms of the
last case on 29 April 2024 in Saint Louis.
South Africa Mpox Grade 3 15-May-24 15-May-24 29-Sep-24 25 25 3 12,00%
Through IHR notification from South Africa, WHO received a report of one laboratory confirmed mpox case from Johannesburg. This case was confirmed after initial testing
by Lancet Laboratory on 9 May 2024. As of 29 September 2024, 25 cases with three deaths have been reported in South Africa.
South Sudan Floods Ungraded 4-Sep-24 29-Aug-24 25-Sep-24 735 - - -
Since May, flooding has affected more than 735,000 people across 38 counties and the Abyei Administrative Area. The floods have destroyed homes, crops and
infrastructure, disrupting health and education services and heightening disease risks. IOM reports 76 230 displaced people.
Humanitarian
South Sudan Protracted 3 15-Aug-16 15-Aug-16 10-Oct-24 9 - 0 0,00%
crisis
The humanitarian situation in South Sudan remains concerning with increasing needs and the number of people requiring assistance. This year, it is estimated that nine
million people need humanitarian assistance including 6.3 million for health needs and two million people are internally displaced persons. In 2024, the humanitarian
response plan needs US $ 1.8 billion to reach six million of the most vulnerable people, however, as of August 2024, 56 % of the needed funding has been covered
Impact of
South Sudan Sudan crisis in Grade 3 15-Apr-23 1-May-23 10-Oct-24 813 - 0
South Sudan
As of 30 September 2024, at least 813 141 individuals have crossed from 18 different nationalities. Of this number, 75.8% (616 492) are South Sudanese returnees and
23.5% are Sudanese refugees. Currently, 21 port of entries (PoEs) are being monitored, with Joda-Renk accounting for 68% of the reported influx figures.
South Sudan Anthrax Grade 2 1-Aug-24 1-Jan-24 27-Oct-24 162 3 1,90%
The total number of anthrax human cases in 2024 is 162 Anthrax cases, including three deaths. Jur River in Western Bar-El Gazal State has the highest recorded 87 cases,
representing an attack rate of 35.4 per 100,000 population, followed by Gogrial West County in Warrap State with an attack rate of 11.7 per 100,000 population. Wau in
Western Bar-El Gazal has an attack rate of 2.9 per 100,000 population, and Gogrial East in Warrap State has an attack rate of 0.5 per 100 000 population
South Sudan Cholera Grade 3 11-Oct-24 25-Oct-24 31-Oct-24 52 16 0,00%
There is currently a cumulative total of 52 suspected and confirmed cholera cases in Renk County, with 30 confirmed positive by RDT with 16 confirmed by Culture at the
National Public Health Laboratory. On 28 October 2024, the National Ministry of Health declared a cholera outbreak in Renk County, Upper Nile State, and the National
Incident Management System for a coordinated response has been activated.
South Sudan Hepatitis E Ungraded 3-Jan-18 1-Jan-19 27-Oct-24 7325 93 1,30%
The Hepatitis E outbreak in South Sudan is still active. in Rukoba county (Bentiu IDPs camp), Unity State ( 5 979 cases and 33 deaths) since December 2018; in Fangak
county ( 701 cases, 28 deaths ) , Jonglei State since week 1 2023; in Abyei( 57 cases and six deaths ) since week 21, 2024; in Twic county ( 32 cases ), Warrap State since
February 2024 ; In Western Bahr EL-Ghazal State, a total of 556 including 26 deaths were reported. As of 27 October 2024, a total of 7 325 cases and 93 (CFR 1.3%) deaths
are reported in the country
South Sudan Measles Ungraded 23-Feb-22 1-Jan-24 27-Oct-24 3219 41 1,30%
The measles epidemiological situation remains unchanged from week 41, with no new cases reported in the last two weeks. As of Epi Week 43, 3 219 suspected cases,
including 201 laboratory-confirmed cases, have been reported nationwide. The cumulative number of measles-related deaths stands at 41 ( CFR:1.3%). In 2024, confirmed
outbreaks have been recorded in 22 counties
Poliomyelitis
South Sudan Grade 2 26-Feb-24 1-Jan-23 27-Oct-24 12 12 0 0,00%
(cVDPV2)
The total number of confirmed cases remains 12, since the beginning of this year. The polio-affected areas remain eight counties across four states: Western Equatoria,
Central Equatoria, Upper Nile, and Jonglei. The most recent cVDPV2 isolate is reported from an AFP case in Juba, with the date onset of paralysis as 2 September 2024
South Sudan Yellow fever Ungraded 24-Dec-23 24-Dec-23 27-Oct-24 139 3 6 4,30%
No new suspected cases of Yellow Fever were reported in the last seven days, keeping the total number of cases at 139, which includes 136 suspected cases and three
laboratory-confirmed cases. These cases have been reported across nine counties in Western Equatoria state: Yambio (69), Tambura (28), Ezo (17), Nzara (11), Mvolo (5),
Ibba (4), Maridi (3), Mundari East (1), and Mundari West (1). The outbreak has resulted in six deaths, with no recent fatalities, leading to a case-fatality ratio of 4.3%.
Tanzania,
United Cholera Grade 3 3-Oct-23 5-Sep-23 29-Oct-24 7608 117 1,50%
Republic of
Since 1 January 2024 cholera outbreaks have been reported in 23 regions (Mara, Kigoma, Kagera, Singida, Simiyu, Shinyanga, Tabora, Ruvuma, Mwanza, Geita, Rukwa,
Dodoma, Manyara, Morogoro, Katavi, Pwani, Mtwara, Tanga, Arusha, Songwe, Lindi, Mbeya and Dar es Salaam) in Tanzania Mainland, where a total of 7 608 cases and 117
deaths (CFR 1.5%) were reported. Out of 23 regions, Cholera outbreak was declared over in 10 regions (Mtwara, Arusha, Geita, Kagera, Ruvuma, Dar es Salaam, Manyara,
Mbeya, Mara and Tanga).
Togo Cholera Grade 3 13-Aug-24 12-Aug-24 27-Oct-24 103 32 10 9,70%
From 12 August to 21 October 2024, a total of 103 suspected cases including 10 deaths (CFR 9.7%) were reported from four health districts (Golfe, Lacs, Agoè-Nyivé, Bas-
Mono). A total of 32 cases were confirmed by RDT and 29 by culture for V. Cholerae O1.
Togo Dengue Grade 3 28-Jun-24 28-Jun-24 26-Aug-24 643 55 1 1,80%
In week 28, 89 out of 203 suspected dengue cases were confirmed, bringing the total to 643 cases. Patients ranged from 3 to 79 years old. To manage the dengue epidemic,
an incident management system and a one-month action plan have been implemented, and a webinar for healthcare providers was conducted on July 22nd.
Togo Measles Ungraded 14-Mar-24 14-Mar-24 16-Jun-24 628 199 1 0,20%
In Togo there is an ongoing measles outbreak since week 5 of 2024 with 13 districts affected. As at week 23 in 2024, there are a total of 628 suspected cases reported, 199
confirmed measles cases, 1 death reported among the confirmed cases in Oti South district
Uganda Anthrax Grade 2 13-Jun-24 17-Jun-24 27-Oct-24 109 12 7 6,40%
There is an ongoing anthrax outbreak reported in Uganda affecting five districts districts. A total of 12 confirmed cases have been recorded, with seven deaths.

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Crimean-
Congo
Uganda Ungraded 12-Feb-24 24-Apr-24 27-Oct-24 16 16 0 0,00%
haemorrhagic
fever
Cumulatively, from week 1-43, 2024, 16 samples tested positive for CCHF from eight districts: Kampala (4), Lyantonde (3), Kiruhura (3), Kasese (2), Mbarara (1), Hoima (1),
and Kiboga (1) and Wakiso (1).
Uganda Measles Ungraded 4-Oct-23 5-Mar-24 19-Aug-24 466 84 9 1,90%
As of week 43, a measles outbreak was ongoing seven districts. Cumulatively, 466 cases, 84 confirmed cases and nine deaths have been reported.
Uganda Mpox Grade 3 26-Jul-24 29-Jul-24 16-Nov-24 521 521 1 0,20%
As of 16 November 2024, Uganda has reported 521 confirmed mpox cases across 19 districts, with one death. The most affected districts include Kampala (227 cases),
Wakiso (78), Nakasongola (59 cases), Mayuge (24), Mukono (23), and Namayingo (12).
Rift Valley
Uganda Ungraded 24-May-24 23-Feb-24 27-Oct-24 321 24 1 0,30%
Fever (RVF)
As of week 43, 2024, Rift Valley Fever outbreaks have been recorded with a cumulative number of 321 suspected cases, 24 confirmed, and one deaths since week 1, 2024.
Undiagnosed
Uganda Ungraded 8-Jul-24 8-Jul-24 8-Jul-24 16 3 18,80%
disease
An undiagnosed illness was reported in Uganda, in Kawempe, resulting in 16 cases and three deaths as of 8 July. So far, the samples tested negative for all VHFs, and now
waiting for more results for other requested tests. The sick children were taken to health facilities, and they are improving. During case investigation, there was no epi link
among those who died.
Drought/food
Zambia Ungraded 8-Mar-24 15-Jan-24 9-Sep-24 - - 0 -
insecurity
Zambia is grappling with the aftermath of severe, prolonged drought. This El Niño-induced dry spell has devastated agriculture and pushed millions of Zambians into
food insecurity. Government reports indicate that nearly half of the 2.2 million hectares of maize have been destroyed. According to the Integrated Food Security Phase
Classification (IPC) analysis. Between October 2023 and March 2024, 58 000 people were in Emergency (IPC Phase 4) and 1.9 million people were in Crisis (IPC Phase 3).
Zambia Measles Ungraded 13-Jun-22 13-Jun-22 4-Aug-24 4259 179 0 0,00%
As of 4 August, 2024, Zambia recorded a cumulative total of 4 259 suspected measles cases with 179 confirmed since the start of 2024.
Zambia Mpox Grade 3 8-Oct-24 8-Oct-24 10-Oct-24 1 1 0,00%
An IHR notification of an MPox case was reported by Zambia on 9 October 2024. The patient, a 32-year-old male truck driver, presented with muscle aches, fatigue, sore
throat, and a rash starting on the face and spreading. He traveled from Tanzania to Chitambo District, Zambia, and reported to Mukando Health Post. Blood samples collected
on 4 October 2024 were confirmed positive for MPox on 8 October 2024
Drought/food
Zimbabwe Ungraded 5-Apr-24 5-Apr-24 9-Sep-24 70 0 0,00%
insecurity
The Famine Early Warning Systems Network forecasts that areas in the Mashonaland Provinces, currently experiencing Stressed (IPC Phase 2) conditions, will soon shift to
Crisis (IPC Phase 3). This change is due to increasing food consumption gaps and coping strategies. From September 2024 through January 2025, all regions in the country
are anticipated to face Crisis (IPC Phase 3) conditions, indicating widespread severe food insecurity.
Zimbabwe Anthrax Grade 2 13-Nov-23 14-Nov-23 5-May-24 784 1 0,10%
As of 5 May 2024, there have been a total of 784 cases reported in Zimbabawe. Ten districts have reported cases since beginning of 2023 with the majority of cases coming
from Gokwe North (63.5%) and Gokwe South (32.6%). The confirmed death was reported in 2023, from Gokwe South.
Zimbabwe Mpox Grade 3 13-Oct-24 13-Oct-24 14-Oct-24 2 2 0,00%
As of 13 October 2024, Zimbabwe has confirmed two cases of Mpox: one in Harare and another in Mberengwa. Both individuals are in home isolation, stable, and recovering.
Case 1 in Zimbabwe involves an 11-year-old male who travelled to South Africa in August 2024, returning on 10 September and developed symptoms on 23 September. The
individual was isolated at home and no longer infectious, with seven contacts identified and monitored. Case 2 involves a 24-year-old male who travelled to Tanzania on 14
September and returned on 21 September, developing symptoms on 29 September. He is also isolated at home and no longer infectious, with contact tracing and monitoring
ongoing.
Suspected
Zimbabwe dysentery Ungraded 5-Aug-24 1-Sep-24 506 0 0,00%
outbreak
Between week 32 and week 35 (ending 1 September 2024), an increase in dysentery cases was recorded in Manicaland (252 cases) and Masvingo (254 cases) provinces.
Investigations are ongoing.
Zimbabwe Mpox Grade 3 13-Oct-24 13-Oct-24 14-Oct-24 2 2 0.0%
As of 13 October 2024, Zimbabwe has confirmed two cases of Mpox: one in Harare and another in Mberengwa. Both individuals are in home isolation, stable, and recovering.
Case 1 in Zimbabwe involves an 11-year-old male who travelled to South Africa in August 2024, returning on 10 September and developed symptoms on 23 September. The
individual was isolated at home and no longer infectious, with seven contacts identified and monitored. Case 2 involves a 24-year-old male who travelled to Tanzania on 14
September and returned on 21 September, developing symptoms on 29 September. He is also isolated at home and no longer infectious, with contact tracing and monitoring
ongoing.
Suspected
Zimbabwe dysentery Ungraded 5-Aug-24 1-Sep-24 506 0 0.0%
outbreak
Between week 32 and week 35 (ending 1 September 2024), an increase in dysentery cases was recorded in Manicaland (252 cases) and Masvingo (254 cases) provinces.
Investigations are ongoing.

†Grading is an internal WHO process, based on the Emergency Response Framework. For further information, please see the Emergency Response
Framework: http://www.who.int/hac/about/erf/en/.
Data are taken from the most recently available situation reports sent to WHO AFRO. Numbers are subject to change as the situations are dynamic.

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© WHO Regional Office for Africa

This is not an official publication of the World Health Organization.

Correspondence on this publication may be directed to:

Dr Etien Luc Koua
Programme Area Manager, Health Emergency Information and Risk Assessment Programme.
WHO Emergency Preparedness and Response
WHO Regional Office for Africa
P O Box. 06 Cité du Djoué, Brazzaville, Congo
Email: [email protected]

Requests for permission to reproduce or translate this publication – whether for sale or for non-
commercial distribution – should be sent to the same address.

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WCO Contributors AFRO Contributors Editorial Advisory Group

• DIALLO Issa (Burundi) G. Sie Williams Dr Salam Gueye, Regional Emergency

• NIKOYANDEMYE Benoit (Burundi) J. Nguna Director
• CHIBUEZE, Martins (Kenya) D. Ntabozuko E. Koua
• MUANGE, Ann (Kenya) K. Freddy Kavoga D. Chamla
F. Sarah F. Braka
D. Gianni-Ferrari
K. Emerencienne
C. Mildred
R. Mangosa Zaza
G. Akpan
C. Okot

Data sources
Data and information is provided by Member States through WHO Country Offices via regular situation reports, teleconferences
and email exchanges. Situations are evolving and dynamic therefore numbers stated are subject to change.

Health Emergency Information and Risk Assessment

Health Emergency Information and Risk Assessment