26mars2017

Cholera Platform

Against cholera

UNICEF Cholera factsheet

Mali Cholera Factsheet

CHOLERA OVERVIEW

Cholera was first reported in Mali in 1970. Since 1990, there have been large outbreaks in 1995–1996, 2000, 2003–2005 and 2011 (Fig. 1). Between 2003 and 2013, epidemiological surveillance reported 8,094 cases with 521 fatalities (high case fatality rate ≈ 6.4%)1. Main outbreaks were reported in the region of Mopti, Tom­bouctou and Ségou along the Niger River and in the region of Kayes at the border with Senegal (Tab. I and Fig. 2). The country is affected by cross-border outbreaks, especially along its southern borders with Niger, Burkina Faso, and towards the west with Mauritania and Senegal.

STRATEGIC RECOMMENDATIONS

High-risk cholera areas along the Niger River and at the border with Senegal and Maurita­nia are located on a corridor where outbreaks spread from and to neighbouring countries — Niger, Burkina Faso, Mauritania and Senegal — highlighting the importance of cross-border activities5 (Fig. 2, Tab. II).In cercles regularly affected, preparedness and response plans should be developed and implemented including: (I) strengthening early detection and rapid response systems of which community based surveillance and cross-border alert; (II) setting up coordination mechanisms across the sectors and borders; (III) building capacity on outbreak management; (IV) targeted pre-positioning of supplies and (V) preparing communications messages and plans (Tab. II).Sustainable Water, Sanitation and Hygiene activities (WASH) should be a priority in cercles regularly affected and with a high incidence (Tab. II, Priority 1). There is a need for multi-disci­plinary studies to identify long-term programma­tic responses in Priority 1 and Priority 2 Hotspots (Tab. II). Yet, information regarding onset area and outbreak duration should be looked at prior conducting a study. Only cercles with a long to medium outbreak duration (>40th quantile) should be eligible for WASH intervention.

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