SEMAINE / WEEK (15-21 septembre 2014) Date du rapport - Date of report: 6 octobre 2014 ND : Rapports Non Disponibles / Reports Not Available

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1 SITUATION DES EPIDEMIES ET AUTRES URGENCES DE SANTE PUBLIQUE EN AFRIQUE DE L'OUEST / SITUATION OF OUTBREAKS A OTHER PUBLIC HEATH EMERGENCY IN WESTERN AFRICA 1) - Résumé / Summary SEMAINE / WEEK 38 - (15-21 septembre ) Date du rapport - Date of report: 6 octobre : Rapports Non Disponibles / Reports Not Available Eleven countries shared their weekly reports on weeks 38 to WHO. According to these reports : 1) Cholera outbreak has been reported by some countries in West Africa; Ghana has reported 1479 cases with 14 deaths and Niger 233 cases with 7 deaths in the reporting week. 2) Measles outbreaks are under control in affected countries. 3) Meningitis: The epidemic phase was not reached this week in district from West Africa; 4) Ebola virus Disease has reported by three countries in West Africa where transmission is ongoing and Senegal and Nigeria have not reported any cases since several days. 2) - Complétude et promptitude des rapports hebdomadaires reçus à l'ist-wa de la première semaine de l'année à la fin de la semaine de notification / Completeness and timeliness of weekly reporting received at IST-WA from the first week of the year to the end of the reporting week. Pays / Countries Algérie Bénin Burkina Faso Cap vert Côte d'ivoire Gambie Ghana Guinée * Complétude / Completeness (%) Guinée Bissau Liberia Mali Mauritanie Niger Nigeria Sénégal Sierra Leone Togo ** Promptitude / Timeliness (%) * Proportion des rapports hebdomadaires reçus à l'oms (IST-WA) de S1 à S38 : 16 sur 17 pays ont un taux de complétude supérieur à 80% ** Proportion des rapports hebdomadaires reçus à temps à l'oms (IST-WA) de S1 à S 38 : 5 sur 17 pays ont un taux de promptitude supérieur à 70%

2 3) - Cholera Since W1, Number of Suspected and confirmed cases recorded in West Africa : Since W1, Number of deaths recorded in West Africa : 776 Districts / Régions affectés Districts / Regions affected / Week 38 s isolés isolated General Cas/Cases Bénin / Benin Décès/Deaths Investigations, Létalité/CFR(%) #DIV/0! Cas/Cases Côte d'ivoire Décès/Deaths Investigations, Létalité/CFR(%) #DIV/0! #DIV/0! #DIV/0! #DIV/0! 9.09 Cas/Cases Investigations, Ghana Décès/Deaths 14 Yes 90 Surveillance Vibrio cholerae strengthening, community Létalité/CFR(%) 0.95 awareness; Cas/Cases Investigations, 2 Guinée / Guinea Décès/Deaths Surveillance strengthening, community 0 Létalité/CFR(%) #VALUE! awareness; #VALUE! #VALUE! #VALUE! 0.00 So-Ava, Sèmè-Kpodji, Porto Novo, Pobè, Adja- Ouèrè, Abomey-Calavi, Zogbodomey, Zè, Toffo & Allada Adzopé, Yopougon Est, Bangolo, Sassandra, Sikensi, Adzopé, Yamoussokro, Cocody- Bingerville Boké Boké Week 24, Guinée Bissau/ Guinea Bissau Cas/Cases 0 Investigations, Décès/Deaths 0 Surveillance strengthening, community awareness; Létalité/CFR(%) #DIV/0! #DIV/0! #DIV/0! #DIV/0! Tombali Liberia Cas/Cases 39 Investigations, Décès/Deaths 0 and case management Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #DIV/0! 0.00 Central Monrovia, Paynesville, Bomi & Montserrado county Week 1, Niger Tahoua, Madoua, Keita, Bouza, Birni Nkomi, Madarounfa, Guidan Roumdji, Nguigmi, Diffa Cas/Cases Case management training and infection control, Décès/Deaths 7 Health education, Communication in isolation field centre Létalité/CFR(%) Dogon - Doutch (Dosso region), Kollo, Téra (Tillaberi Region), Aiguie, Maradi, Tessaoua (Maradi Region), Magaria, Zinder (Zinder Region), Tahoua, Madoua, Keita, Bouza, Birni Nkomi (Tahoua Region), Diffa, Nguigmi (Diffa Region) Week 1, New districts affected by cholera have reported in Dffa Region close to Lac Chad Nigeria Cas/Cases Case management training and infection control, Décès/Deaths Vibrio cholerae Health education, Communication in Létalité/CFR(%) #VALUE! isolation field centre #VALUE! 1.84 FCT, Bauchi, Nassarawa, Kano, Adamawa, Benue, Ebonyi, Kogi, Kaduna, Lagos, Taraba and Zanfara States Week 1, Togo Cas/Cases Case management training 46 and infection control, Décès/Deaths Health education, 5 Communication in Létalité/CFR(%) #VALUE! isolation field centre #VALUE! #VALUE! #VALUE! District des Lacs, District 2, 3 & 5 de Lomé, District du Golfe Week 1,

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4 4) - Meningite / Meningitis (Ne considérez que les districts ou localités ayant franchi le seuil d'alerte ou épidémique / Take only districts or Areas which reached alert or epidemic thresholds) Since W1, Number of Suspected and confirmed cases recorded in West Africa : Since W1, Number of deaths recorded in West Africa : 632 Bénin / Benin Districts in Alert Districts in Epidemic Cobly / Week 38 Létalité/CFR(%) Cas/Cases Décès/Deaths tested investigations, Case 2 management, Surveillance (1Diplo-, strengthening, 1Cocci+) Districts en épidémie ou en alerte depuis le début de l'année / districts in epidemic or in epidemic since the District en Alert / District in alert Cobly, Tanguiéta, Materi Districts en épidémie / Districts in epidemic Tanguiéta (S25); Cobly (S38) General Seven out of the ten specimen collected from patients reported in Benin during Week 38 came from Cobly District and two were tested Cas/Cases Burkina Faso Investigations ongoing, Décès/Deaths 1 Case management, Houndé, Boussé, Nanoro Létalité/CFR(%) Côte d'ivoire Cas/Cases 1 Investigations ongoing, Décès/Deaths 0 Case management, Létalité/CFR(%) 0.00 #DIV/0! Oume (Gôh Region) Guinée Cas/Cases Sous préfectures 560 de Niadankoro, Décès/Deaths Doko (District de Sous préfectures de Investigations ongoing, Siguiri), Doko (District de Case management, 52 Sanguiana, Siguiri), Sanguiana Komola (District de Kouroussa) Commune urbaine (District Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! 9.29 de Kouroussa) Ghana - Cas/Cases Jirapa, Daffiama- 428 Bussie-issa, Wa Décès/Deaths (Upper West Investigations ongoing, Case management, Region), Yendi Jirapa (Upper West 31 (Northen Region) Region), Pusiga, Létalité/CFR(%) #VALUE! Nabdam (Upper East) No cases have been reported from Jirapa District which where in alert phase during Week 36 Nigeria Cas/Cases Décès/Deaths Investigations ongoing, Case management, State) Létalité/CFR(%) #VALUE! #VALUE! 7.22 Aliero, Gwandu (Kebbi State), Gummi (Zamfara Aliero, Augie, Gwandu from Kebbi State

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6 5) - Rougeole /Measles Since W1, Number of Suspected and confirmed cases recorded in West Africa : Since W1, Number of deaths recorded in West Africa : 110 Districts in Alert Districts in Epidemic / Week 38 s isolés s isolated General Cas/Cases Bénin / Benin Décès/Deaths Létalité/CFR(%) Matéri, Natitingou, Boukoumbé (Atacora), Djougou (Donga), Porto- Novo, Adjohoum, Akpro- Missrété (Ouémé), Adjaouèrè (Plateau), Zakpota, Zagnanado, Bohicon, Abomey (Zou), So-Ava, Allada, Kpoomassè, Zè (Atlantique), Parakou, Sinendé, Bembèrèkè, Nikki (Borgou), Kandi, Gogounou (Alibori), Lokossa (Mono) Since December 2013, Measles Outbreaks occurred in Benin. No new affected district was reported Cas/Cases 5 Investigations ongoing, Burkina Faso? Décès/Deaths 0 Case, Reactive mass campaign Létalité/CFR(%) 0.00 Vaccination conducted Diapaga (Région de l'est) Diapaga has reported measlses since week 45, 2013 Cas/Cases 10 nvestigations ongoing, Côte d'ivoire Décès/Deaths 0 Case, Reactive mass campaign Létalité/CFR(%) 0.00 Vaccination conducted Guinée Cas/Cases Décès/Deaths and Reactive mass campaign 12 Vaccination conducted Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! 0.21 Matoto, Ratoma, Dixim, Coyah, Kindia, Pita, Boffa, Labé, Forecariah, Kissidougou, Kaloum, Siguiri, Dubréka, & Mamou Week 1, Measles Outbreak and reactive mass campaigis are ongoing in Guinea. Reactive mass campaign launched on 8 February will end on 22 February. 61.3% of targeted population received vaccines. Mali Niger Cas/Cases and the plan Décès/Deaths of action for the response to has Létalité/CFR(%) #VALUE! approved #VALUE! 0.00 Cas/Cases 0 and the plan Décès/Deaths 0 of action for the response to has Létalité/CFR(%) #DIV/0! approved Ansongo (Gao Region) Filingué Nigeria Cas/Cases and the plan Décès/Deaths of action for the response to has Létalité/CFR(%) #VALUE! approved #VALUE! 0.58 Adamawa, Bauchi, Kano, Katsina, Gombe, Yobe, Kebbi, Kaduna, Gombe, Borno,

7 6) - Fievre Jaune / Yellow fever / Week 38 General Sénégal / Senegal Cas/Cases Décès/Deaths 0 Investigations is ongoing, Virus Fièvre Case management, jaune Létalité/CFR(%) #DIV/0! #DIV/0! #DIV/0! Bakel 03 /11/13 (Week 44) Senegal conducted in 2002 and 2007 mass campaign against Y Fever. Specimen collected in November 2013 were tested on 6 January 7) - Fievre de Lassa / Lassa Fever Liberia Nigeria / Week 38 Cas/Cases? Décès/Deaths management, Surveillance? strengthening Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! Cas/Cases Décès/Deaths management, Surveillance strengthening Létalité/CFR(%) #VALUE! #VALUE! 3.73 Kakata District Bauchi State (Bauchi, Dass, Tafawa-Balewa and Toro LGA), Nassarawa State (Lafia, Obi LGA), Edo State (Esan Central), Jos North (Plateau State), Wukari (Taraba State), Delta State General Week 9, Week 1, Since Week 9, 14 confirmed cases have been reported and 100 contacts to the confirmed cases were identified for the follow up Sierra Leone Cas/Cases 132 Décès/Deaths management, Surveillance 6 strengthening Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! Bo, Kaliahun, Kenema, Tonkolili 1 Moyamba Districts Week 1, The 58 onfirmed cases were reported in Kenema 25, Kailahun 6, Bo 21, Tonkolili 2. Kenema reported 3 deaths and Tonkolili 1.

8 8) - Fièvre Hémorragque Congo Crimée Mauritanie / Mauritania 9) - Fievre Dengue / Dengue Fever Cape Verde / Cap Vert Cas/Cases Décès/Deaths 0 management, Surveillance Kiffa strengthening Létalité/CFR(%) #DIV/0! #DIV/0! #DIV/0! #DIV/0! 0.00 / Week 38 / Week 38 Cas/Cases 0 1 Décès/Deaths management, Surveillance 0 0 strengthening Létalité/CFR(%) #DIV/0! #DIV/0! #DIV/0! #DIV/0! #VALUE! General 13/1/ (Week 03) General Investigation ongoing, Outbreak in animal has been confirmed Burkina Faso 10) - Hépatite E / Cas/Cases? Décès/Deaths? Dengue type 3 Investigations ongoing Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! Specimen were sent to IP Dakar for confirmation on 18 Nov 2013 & Dengue virus type 3 was mentionned dans the Laboratory results. Sénégal / Senegal / Week 38 Cas/Cases Investigations are Décès/Deaths ongoing, Case Létalité/CFR(%) #VALUE! #DIV/0! #DIV/0! #DIV/0! 6 Saraya (Region of (Kédougou) General Since the the year, hepatitis E cases have been reported in Saraya District 11) - Corona Virus du Syndrome Respiratoire du Moyen Orient / / Week 38 Cas/Cases Investigations are Algérie / Algeria Décès/Deaths ongoing, Case Létalité/CFR(%) #VALUE! #DIV/0! #DIV/0! #DIV/0! 0 General

9 12) - Dracunculose/ Dracunculiasis Pays / Countries Nombre de cas notifiés en 2013 / Number of cases reported in 2013 Janvier / January Notification mensuelle des cas de Dracunculose par pays en Afrique de l'ouest / Monthly reporting of Dracunculiasis cases by country in West Africa Février / February Mars / March Nombre de nouveaux cas notifiés en / Number of new cases reported in Avril / April Mai / May Juin / June Juillet / July Août / August Ghana Nigeria Mali Togo Niger Burkina Faso Côte d Ivoire Bénin Mauritanie Septembre / September Octobre / October Novembre / November Décembre / December Cas cumulés / cases TOTAL NP : Rapports Non Parvenus / Reports not received 13) - Exposition à la rage par morsures de chien ou Rage/Exposure to Rabies by dog bite or Rabies / Week 38 Cas/Cases Bénin Décès/Deaths Létalité/CFR(%) #DIV/0! #DIV/0! #DIV/0! #DIV/0! 100 Cas/Cases? 356 Kassena-Nankana West, Wa, Builsa, East Mamprusi, Gambie Décès/Deaths? 0 New Juaben, Lower Manya- Week 1, Data reported quaterly Krobo, Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! 0 Ghana Liberia Sénégal / Senegal Situation de la semaine en cours / Situation of current week : 38 Nombre de localités Number of affected Fatick, Gossas, passy, Dakar Nord, Dakar Centre & Mbour Total since W1 Cas/Cases Décès/Deaths Létalité/CFR(%) #VALUE! #VALUE! 52 Cas/Cases 40 Décès/Deaths 0 Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! 0 Cas/Cases Décès/Deaths 0 No Létalité/CFR(%) #DIV/0! 0 Districts en épidémie depuis le début de l'année / districts in epidemic since the Nombre / Number Abomey-Calavy, Ouidah Kassena-Nankana West, Wa, Builsa, East Mamprusi, New Juaben, Lower Manya- Krobo, Accra, Asante-Akim South Montserrado, Margibi, Bong Counties Darou Mousty, Fatick, Keur Massar, Linguère, Richard Toll, Matam, Niakhar, Bambey, Foundiougne, Guédiawaye, Goudomp, Kédougou, Tambacounda, Thilogne, Salémata, Touba, Mbao, Pickine General Week 15, Week 1, Week 1, Week 1, Togo Cas/Cases 23 Décès/Deaths 21 Létalité/CFR(%) #VALUE! #VALUE! #VALUE! #VALUE! 91 District des Lacs, Bas Mono, Anié, Vo, Blitta, bas Mono Week 1, 14) - Décès maternels / Maternel deaths

10 Pays / Countries Population Notification des cas au cours de la semaine actuelle / Reporting of cases in current week : 38 Nombre de décès cumulés de la 1 à la semaine de notification en / Cummulative number of deaths from week 1 to the reporting week in Algérie / Algeria Bénin / Benin Burkina Faso Cap Vert Côte d'ivoire Gambie / Gambia Ghana Guinée / Guinea Guinée Bissau / Guinea Bissau Liberia Mali Mauritanie / Mauritania Niger Nigeria Sénégal / Senegal Sierra Leone Togo

11 15) - Malnutrition Aïgue au Niger / Régions Situation cumulée dans le Pays en / situation in the Country in Malnutrition Aigüe modérée Malnutrition aigüe Sévère Total Malnutrition Aigüe modérée Malnutrition aigüe Sévère Cas / Cases Décès / Deaths Létalité / CFR Cas / Cases Décès / Deaths Létalité / CFR Cas / Cases Décès / Deaths / [CFR (%)] Cas / Cases Décès / Deaths Létalité / CFR Cas / Cases Décès / Deaths Létalité / CFR Agadèz % Diffa % Dosso % Maradi % Niamey % Tahoua % Tillabéri % Zinder % Niger %