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NASYONZINI AN

AYITI

FightingWaterBorneDiseases

CholeraResponseFactSheet APRIL
2016 (DATA FROM 1

ST

nd

JANUARY TO 2 APRIL)

13.859SUSPECTEDCHOLERACASESFROM1JANUARYTO2APRIL2016INHAITI
118.000PEOPLETARGETEDFORTHEVACCINATIONINARCHAHIEINAPRILANDMAY
THERAPIDRESPONSEMECHANISMISFUNDEDONLYUNTILSEPTEMBERANDNEEDS9.8M
Currentsituation
TheMinistryofPublicHealthandPopulationinHaiti(MSPP)hasreported13.859suspectedcholeracasesand150
cholera related deaths from 1st January to 30 April 2016. Even though a downward trend was observed starting
from early February, the United Nations in Haiti strongly encourages all parties to remain vigilant. According to
PAHO/WHO and UNICEFs experts, extreme vulnerability to cholera persists in many areas of the country and
outbreaks can spark in any department, often due to internal displacements of people moving from the most
affected areas, as well as other external factors, such as
accentuated water scarcity due to 3 years of drought (which can
forcepeopletousenonpotablewater),localizedandshortheavy
rainfall,andthepoliticalsituation,sinceinstabilitymayhinderlocal
responseandreduceGovernmentcapacity.
PAHOandUNICEFsupportedacholeravaccination.L. ABASSI
Urgencytomaintaintherapidresponse
The United Nations encourages all partners and donors to
THEUNINHAITISUPPORTSHAITISEFFORTSTO
maintainthealertandrapidresponsesystemtocholera.Inthis
STRENGTHENWASHINFRASTRUCTURES,HEALTH
SERVICESANDHUMANCAPACITIESASA
regard,theUNalertsaboutthefactthatthecurrentmechanism
PRIORITYTOPREVENTALLWATERBORNE
isonlyadequatelyfundeduntilSeptember,havingagapofUSD
DISSEASESANDTOADVANCETHESUSTAINABLE
9.8M. Failure to maintain the rapid response mechanismcould
DEVELOPMENT GOALS
resultinlongerormoresevereoutbreaks,suchaswitnessedin
Marigot,PilateandtheNorthEastrecently,andanincreaseinsuspectedcases.
Year

Suspectedcholeracases

TotalDeaths

2010(OctDec)
185,351
3,951
2011
351,839
2,918
2012
101,503
908
2013
58,574
581
2014
29,078
297
2015
36,045
322
2016
11.464
128
Source:DELR/UADSMinistryofPublicHealthandPopulation,Haiti

Incidencerate (per1.000)

18.36
34.33
9.73
5.57
2.71
3.9
0.92

Fatalityrateinhospitals

2.43%
1.04%
0.96%
1.05%
1.01%
0.75%
0.90%

Theresponsehascontributedtodecreasethenumberofsuspectedcasesby90%since2011

Haiti Cholera Response

SincethebeginningoftheoutbreakinOctober2010,theMinistryofPublicHealthandPopulationinHaiti(MSPP)
hasrecorded776,302ofcholerasuspectedcasesupto30April2016.Followingapeakofover350,000reported
casesfor2011,concertedHaitianandinternationaleffortshavesucceededindrasticallyreducingthesenumbersby
approximately90%.However,forasignificantpartoftheHaitianpopulation,theriskofcholeraandotherwater
bornediarrhealdiseasesremainsthesameasin2010.Thelocalisedepicentresofcholeraoutbreakscontinuetobe
characterized by a low access to potable water and adequate sanitation, insufficient social and health services,
overpopulationandthehighmobilityofpopulations.Hence,inadditiontotheemergencyresponse,theUNinHaiti
strongly supports the Haitian Government as well as the national and international partners and donors in their
efforts to address the root causes of the epidemic; strengthening water, sanitation and hygiene (WASH)
infrastructures,qualityaccessiblehealthservices,andcapacitydevelopment.Thisisapriorityforthepreventionof
all waterborne and infectious diseases, including cholera and to advance the agenda of the Sustainable
DevelopmentGoals(SDGs).

GlobaloverviewofthefundingsituationforthecholeraresponseinHaiti.
USD

NationalPlan(20132022)

Surveillancerapid2016

Totalrequirement

2,220,192,500

20,300,000

Pledgesagainstrequirement

526,658,354

Disbursementagainstrequirement

307,618,760 (13.8%)

10,500,000 (51.7%)

118.000peopletargetedtobevaccinatedinArcahieinAprilMay
The Pan American Health OrganizationWorld Health Organization
(PAHO/WHO) and UNICEF accompanied the Haitian Ministry of
HealthtolaunchinArchaiethefirstphaseofacholeravaccination
campaignthattargets400.000personsin2016.Theorigin
al budget proposal for this campaign to be implemented in 2016
goesbeyondUS$3.6million.Theobjectiveofthisfirstphasewasto
provide the two dose of the oral vaccine to estimated 118.000
personsbetweenAprilandMay.Thevaccinegivesbetween3and5
years of protection and has a tested efficacy of about
65%.However,inordertoproduceincreasedprotectiveeffectson
the population, activities are dealt in the same area to increase
access to safe water, since increasing water and sanitation in the
exposed areas remains the key to eliminate cholera on the long
term.
A second phase of this vaccination campaign is planned for the
secondsemesteroftheyear,althoughdiscussionsaboutthedetails
of this action are still ongoing. However, to complete this second
phase in 2016, there is a need for 563,785 additional doses in the
second half of 2016. Cholera vaccination campaigns have so far
reached285,534people,102,250in2013and183,284in2014.

Washingherhandsduringthecampaign. PAHO
PAHOPAHO/WHO iUNICEFUNICEF i

VaccinationsupportedbyPAHO/WHOandUNICEF.

Forfurtherinformation,pleasecontact:JosIgnacioMartnGaln martingalan@un.org
OfficeoftheDSRSG/RC/HCandUnitedNationsCommunicationGroupinHaiti.Tel.50937010336

United Nations in Haiti