HAITI

Cholera figures
As of 31 January 2019

The year 2018 was marked by a stable situation of low transmission throughout the country; it was as a result of
effective medical case management, epidemiological surveillance, laboratory capacity and community response 700 Suspected 250
activities. The lowest numbers of annual suspected cholera cases and deaths have been recorded since the cholera cases
200
beginning of the epidemic in 2010. The annual total numbers are 3,786 suspected cases and 41 deaths, which 525 Precipitation
represents a respective decrease of 72% and 74% compared to 2017. An incidence rate of 0.03% was reached at 150
the end of the year, exceeding the target of less than 0.1% set for end of 2018 according to the medium-term phase 350
of the National Plan for the Elimination of Cholera in Haiti (2013-2022). 100
This significant progress so far is to be considered with great caution. As long as cholera is circulating on the 175
50
Haitian territory, an upsurge and expansion of the epidemic is possible. Therefore, a well-functioning surveillance
system, medical case management and rapid response capacity remain essential. All associated strengthening and 0 0
response activities need to remain funded in order to reach the elimination of the epidemic. Jan’18 Dec’18

SUSPECTED CHOLERA CASES (DELR data available) 1

1 JANUARY - 31 DECEMBER 2018 CUBA OCT

OCTOBER
2010 -2010
AVRIL
- DECEMBER
2018 2018
NEW SUSPECTED
CHOLERA CASES NEW DEATHS CUMULATIVE CASES CUMULATIVE DEATHS

3,786 41 100k
819K
2k
9,789
COMPARISON WITH COMPARISON WITH
1 JAN - 31 DEC 2017 1 JAN - 31 DEC 2017

-72% -74% 0 0
2011 2012 2013 2014 2015 2016 2017 2018 2011 2012 2013 2014 2015 2016 2017 2018

WHERE (1 January to 31 December 2018) FUNDING

REVISED 2017-2018 HUMANITARIAN RESPONSE PLAN
323 Nord-Ouest
301
Nord 9
$21.7M
REQUESTED BY CHOLERA SECTOR
Nord-Est
Suspected cholera cases 1 ,169
per department Through the revised 2017-2018 Humanitarian Response Plan (HRP) launched in
Artibonite January 2018, the cholera sector requested US$21.7M to respond to cholera cases
1 ,094
projected for that year and to also to reach the medium-term objective of less than
Centre 11,000 cases in 2018.
Port-au-Prince PAHO/WHO had $2M for cholera response in 2018 ($600,000 remaining from the
6 841 funding received in 2017 from MPTF2, World Bank and Canada and $1.4M from the
Grand’Anse Nippes Ouest recently accepted CERF3 UFE4). UNICEF had about $11M, including $3M from the
20 Sud 2 Sud-Est World Bank since July 2018, in addition to contributions from Japan, Japan - MPTF,
Canada, CERF UFE, UNICEF national committees, and UNICEF's own funds. These
contributions secured the financing of the community response teams throughout
2018. However, the amount currently available will not be enough to maintain the
teams throughout 2019, as a gap of around $2M persists.
RESPONSE
Medical case management (CTDAs ) 5

# of CTDAs # of human # of CTDAs # of CTDAs supported People trained

Participating NGOs
renovated resources mobilized supported in equipment, in terms of formative (including formative
(WASH supplies and medicines)
6
supervision supervision)

ARTIBONITE 11 143 17 16 485 MdM7, FRC8, PAHO/WHO

CENTRE 7 90 10 14 524 MdM, FRC, PAHO/WHO
GRAND’ANSE 14 - 12 13 73 MdM, PAHO/WHO

NIPPES - - - 1 - PAHO/WHO
NORD - - - 2 28 PAHO/WHO
NORD-OUEST 3 3 12 14 26 MdM, FRC, PAHO/WHO
OUEST 7 35 14 12 9 MdM, FRC, PAHO/WHO
SUD - - 11 2 62 MdM, PAHO/WHO
SUD-EST 1 - - 1 30 PAHO/WHO
RESPONSE (continued)
Epidemiological surveillance Laboratory Capacity (Artibonite, Centre, Nord, Vaccination
Nord-Est, Nord-Ouest, Ouest)
Type of activity Number Where Org. Type of activity Number Org. Type of activity Where Org.
Training 88 Artibonite DSA, MSPP/EMIRA, PAHO/WHO Transport of samples to 3,575 MSPP/LNSP Post-campaign Centre DELR
on epidemiologi- Centre DSC, MSPP/EMIRA, PAHO/WHO laboratories or drop-off points samples PAHO/WHO survey of the PAHO/WHO
cal surveillance Grand’Anse DSGA, MSPP/EMIRA, PAHO/WHO by lab-motorcycle nurses CDC coverage of the
tools in CTDAs Nord DSN, MSPP/EMIRA, PAHO/WHO
Oral Cholera Vaccine
Nord’Ouest DSNO, MSPP/EMIRA, PAHO/WHO
Ouest DSO, MSPP/EMIRA, PAHO/WHO (OCV)
Sud DSS, MSPP/EMIRA, PAHO/WHO
Sud’Est DSSE, MSPP/EMIRA, PAHO/WHO

92 Artibonite DSA, PAHO/WHO, ACF Sampling in CTDAs MSPP/CTDA Finalization and Artibonite DPEV/MSPP
Investigation of
Centre DSC, PAHO/WHO, ACTED among: MSPP/EMIRA transmission of Centre PAHO/WHO
cholera outbreaks 80%
Grand’Anse DSGA, PAHO/WHO, ACTED - suspected cases PAHO/WHO request for Ouest
Nord DSN, PAHO/WHO - non-suspected cases 11% 3,600,132 doses
Nord-Ouest DSNO, PAHO/WHO, ACF for vaccination
Ouest DSO, CIDO Visits made by lab-motorcycle 2,446 PAHO/WHO
Sud DSS, PAHO/WHO, ACTED nurses to CTDAs
Sud-Est DSSE, PAHO/WHO, SI
Investigation of 6 Artibonite DSA, PAHO/WHO Training of staff by 1,063 PAHO/WHO
institutional Centre DSC, PAHO/WHO, ZL lab-motorcycle nurses staff trained
deaths in CTDAs Ouest DSO, CIDO, MDMC
Provision of Cary Blair to 2,586 PAHO/WHO
institutions by lab-motorcycle DSA DSN
Investigation 8 Artibonite DSA, MSPP/EMIRA,
nurses DSC DSNE
of community PAHO/WHO, ACTED
DSO DSNO
deaths Centre DSC, MSPP/EMIRA,
PAHO/WHO, ACTED Maintenance of sufficient Cary 100% PAHO/WHO
Ouest DSO, CIDO DSA DSN
Blair stock in CTDAs
DSC DSNE
DSO DSNO

Community response - by EMIRAs9 supported by NGO10 mobile teams in partnership with UNICEF
EMIRA NGO MOBILE TEAMS

13 55
These teams
PARTICIPATING NGOs carried out:

ARTIBONITE 2 20 ACF, ACTED

CENTRE 1 8 ACTED
11,763
rapid response and
GRAND’ANSE 1 0.5 (team shared with Sud) ACTED preventive actions,
NIPPES 1 0.5 (team shared with Sud-Est) Solidarités International (SI)
including...

NORD 1 3 MSPP teams supported by UNICEF 6,217

NORD-EST 1 1 MSPP teams supported by UNICEF rapid responses by
partner NGOs, with...
NORD-OUEST 1 2 ACF

OUEST 2 19 ACTED, SI
96%
SUD 1 0.5 (team shared with Grand’Anse) ACTED of the joint responses
SUD-EST 2 0.5 (team shared with Nippes) SI
with EMIRA (MSPP)

Community response activities - 1 January to 31 December 2018 (52 epidemiological weeks)

Rapid Response Sensitization Water Protection

5,686 1,177,892 315,383

suspected cases responded to by response people sensitized during rapid responses and households received at least one home water
teams (including cases of acute diarrhea) and prevention activities treatment product

86%
of suspected cholera
94%of responses
128,786
Number of people sensitized by sending
425
Number of chlorination points installed
cases responded within 48 hours targeted SMS

1
Directorate of Epidemiology, Laboratory, and Research 2Multi-partner trust fund 3Central Emergency Response Fund - Underfunded Emergencies 4Contributions of Canada, Japan, UNICEF France and Spain Committees and UNICEF
Internal Fund 5Centre for Treatment of Acute Diarrhoea 6
Water, Sanitation and Hygiene 7Médecins du Monde 8French Red Cross 9MSPP Rapid Mobile Intervention Team 10Non-governmental organization
The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations.

Updated: 31 January 2019 Sources: NASA, MSPP, PAHO/WHO, UNICEF Feedback: [email protected] http://haiti.humanitarianresponse.info www.reliefweb.int