CHOLERA SITUATION IN YEMEN

December 2020
2500
Cumulative key figures, October 2016 – November 2020
Highlights Epidemic curve of cholera cases in Yemen
2000 October 2016 - 26 April 2017 (First wave)
2 510 806 3 981
2500
• I n December 2020, the Ministry of Public Health and Population of Yemen
reported a total 8 684 suspected cholera cases including 4 related deaths (case
fatality rate: 0.05%) from 16 governorates.
2000
Suspected cases Related deaths
1500

suspected cases
• T he cumulative number of suspected cholera cases reported in Yemen from 500

Number of
October 2016 to December 2020 is 2 510 806 including 3981 related deaths
with a case fatality ratio of 0.16%. During the second wave of this outbreak that
started on 27 April 2017, the total number of suspected cholera cases were 2
1000 500 26.5% 0.16%
484 979 including 3852 related deaths with a case fatality ratio of 0.16%. Children < 5 years CFR
500
• D
 uring year 2020, a total of 1347 stool specimens were tested. Out of these, 130 500
were laboratory confirmed for Vibrio cholerae. 0
44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Last 4 weeks key figures, November 2020
• T he 5 governorates with the highest cumulative attack rate per 10 000 were 2016 2017
0
8 684 4
Amran (1780.86), Sana’a (1718.64), Al Mahwit (1661.80), Al Bayda (1524.79) Epidemiological weeks
and Al Hudaydah (1172.77). The national attack rate is 882.22 per 10 000. The 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
governorates with a high number of deaths are Hajjah (585), Ibb (515), Al 2016 2017 Suspected cases Related deaths
Hudaydah (409) and Taizz (339).
60000
Epidemic curve of cholera cases in Yemen,

Number of suspected cases

27 April 2017 – 30 December 2020 (Second wave)
50000

40000 27% 0.05%

Cholera cases reported in Yemen by epidemic Children < 5 years CFR
30000
wave, October 2016 – December 2020 (n= 2 510 806)
20000

10000
1%
0 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53
Distribution of suspected cholera cases in Yemen
2017 2018 2019 2020 April 2017 – December 2020
Epidemiological weeks

First wave Cholera cases and deaths reported during the second wave by governorate
Second wave 27 April 2017 – 31 December 2020 Saada

Amanat Al Aslma
Cumulative attack Al Jawf

Governorate Cases Deaths )%( CFR rate (per 10 000)

Abyan 32508 68 0.21 562.82 Amran
Aden 29200 105 0.36 310.50 Hajjah

Al Bayda 116701 115 0.10 1524.79

Al Dhale’e 62973 117 0.19 847.02 Marib
Al Mahwit
Cholera cases and case fatality rates by Al Hudaydah 384722 409 0.11 1172.77 Sana’a
Al Jawf 38135 53 0.14 652.52
governorate in Yemen Al Maharah 1740 2 0.11 114.71 Al Hudaydah
Shabwah
27 April 2017 – 30 December 2020 (second wave) Al Mahwit 123134 222 0.18 1661.80 Raymah Dhamar
Amanat Al Asimah 270267 184 0.07 931.31
450000 5.00
Amran 207938 265 0.13 1780.86 Al Bayda
400000 4.50
Dhamar 226338 292 0.13 1109.11 Ibb
4.00
350000
Hajjah 229702 585 0.25 960.64
Number of suspected cases

Al Dhale'e
Case Fatality Rate (%)

3.50
300000
Ibb 194146 515 0.27 649.38 Abyan
3.00
250000
Lahj 34363 57 0.17 337.11 Taizz
2.50
200000
2.00
Marib 10511 16 0.15 288.74 Lahj
150000
1.50
Moklla 1417 9 0.64 31.68
100000
1.00
Raymah 36658 195 0.53 595.95 Aden
Sa’ada 61874 38 0.06 659.82
WHO-EM/CSR/314/E

50000 0.50

0 0.00
Sana’a 255237 247 0.10 1718.64
Say’on 88 4 4.55 2.30
Number of cholera cases
Shabwah 2902 15 0.52 47.46
Governorate
Taizz 164425 339 0.21 542.69 0 1 10 000 20 000 50 000 10 0 000
Total 2484979 3852 0.16 882.22

© World Health Organization 2020. Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, Egypt.
Some rights reserved. This work is available under the Creative Commons Attribution-Non Commercial-Share Alike 3.0 IGO license (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). For Correspondence: Tel + 22765492-2-20, Fax + 2765456-2-20. E-mail: emrgohspoutbreak@who.int
Permission must be sought from the Ministry of Public Health and Population Yemen and WHO Representative of Yemen to use this data.