Identifier
Created
Classification
Origin
06LILONGWE237
2006-03-14 13:23:00
UNCLASSIFIED
Embassy Lilongwe
Cable title:  

CHOLERA OUTBREAK IN MALAWI

Tags:  PGOV KDEM MI 
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VZCZCXRO8087
RR RUEHDU RUEHJO RUEHMR
DE RUEHLG #0237 0731323
ZNR UUUUU ZZH
R 141323Z MAR 06
FM AMEMBASSY LILONGWE
TO RUEHC/SECSTATE WASHDC 2493
INFO RUCNSAD/SOUTHERN AFRICAN DEVELOPMENT COMMUNITY
RUEAIIA/CIA WASHDC
UNCLAS LILONGWE 000237 

SIPDIS

SIPDIS

STATE FOR AF/S GABRIELLE MALLORY
STATE FOR INR/AA
USAID FOR AFR/SD, HOPE SUKIN AND AYANNA TOURE

E.O. 12958: N/A
TAGS: PGOV, KDEM, MI
SUBJ: CHOLERA OUTBREAK IN MALAWI


UNCLAS LILONGWE 000237



SIPDIS



SIPDIS



STATE FOR AF/S GABRIELLE MALLORY

STATE FOR INR/AA

USAID FOR AFR/SD, HOPE SUKIN AND AYANNA TOURE



E.O. 12958: N/A

TAGS: PGOV, KDEM, MI

SUBJ: CHOLERA OUTBREAK IN MALAWI





1. Heavy and continuous rainfall has led to an increase in

the number of cholera cases this season, affecting 18 of

Malawi's regional districts and over 3,800 people since

October 2005. While these numbers are noteworthy, they

follow a region-wide trend, as seasonal excess rainwater has

mixed with waste water to fuel the epidemic. Both UNICEF

and WHO act as the point-organizations on Cholera in Malawi.

USAID is launching a point-of-use water project that will

greatly reduce infections in the future.



2. While 46 deaths due to Cholera have been reported since

mid-October, both fatalities and infections have been on the

decrease for the past three weeks. 323 cases were reported

in the week of February 27 - March 5, a decrease of almost

150 from the previous week.



3. The numbers reported are much larger than last year's

(724 cases had been reported at the same time last year,

versus 3,852 this year). However, last year was an

abnormally dry year, as rainfall stopped much earlier than

usual.



4. In Malawi a clear delineation of responsibility exists

in the response to cholera. UNICEF leads the efforts in

prevention activities, as well as supply procurement and

training for control. WHO is primarily heading the efforts

in capacity building and surveillance.



5. As a follow-on to Population Services International's

(PSI) successful provision of Waterguard (a water

purification liquid) to the general population, particularly

in cholera stricken areas, USAID is submitting a proposal to

the Global Development Alliance (GDA) for an initiative

supported by PSI/Malawi, along with Procter & Gamble and

Chemical & Marketing, a Malawian company. The proposed

activity will leverage investment in planned point-of-use

water treatment. It is anticipated that this project will

increase access to safe water for those populations most

effected by the recurrent cholera outbreaks seen in the

country. The proposed activity will target children under

the age of five years, however it is anticipated the entire

household will benefit as the water-borne diseases,

including cholera, are reduced.



6. Comment: What is clear is that better sanitation and

treatment of water is needed before Malawi will free itself

from the loss of lives from cholera. End Comment.



EASTHAM

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