S. Sudan: MSF reducing risk of cholera in remote refugee camps

February 25, 2013 (JUBA) – The international medical charity (MSF)
said it teams have just completed a preventive cholera vaccination
campaign in and around the refugee camps in Maban County, South
Sudan’s Upper Nile state.
Sudanese refugees in Maban County (UNHCR photo)
MSF, in a statement, said 105,000 refugees in four camps and 27,500
residents of the area were vaccinated, with the aim of preventing
possible cholera cases.

The campaign it launched in cooperation with South Sudan’s health
ministry is reportedly part of a cholera preparedness and prevention
plan in the country.

“The key for preventing cholera is to ensure sufficient access to
clean drinking water, and to have appropriate sanitation and hygiene
facilities,” said Paul Critchley, MSF emergency coordinator in Maban.

He added, “We are currently tackling an escalating hepatitis E
outbreak in the camps, so we know that sanitation conditions here are
not yet adequate. Hepatitis E is spread in similar ways to cholera,
and this reinforces the need to do all we can to prevent cholera
breaking out too”.

The organisation, however, said remoteness of the area, has hindered
efforts by its team, who had already set up and pre-stocked cholera
treatment facilities, to access some camp locations with severe cases.

About 110,000 refugees from neighbouring Sudan’s Blue Nile and South
Kordofan states are living in various camps within South Sudan, having
fled ongoing conflict in the region. Those displaced entirely depend
on assistance provided by humanitarian agencies.

However, despite the logistical challenges, MSF says the innovative
approach to cholera-prevention is justified in a situation where a
population is exceptionally vulnerable and where the consequences of
an outbreak would be particularly devastating.

“The logistical difficulty of this vaccination campaign highlights the
need for further development of more field-adapted vaccines,” says
Jennifer Cohn, the medical director for MSF’s access campaign.

Barley two weeks back, MSF medical team also provided services to
people in the aftermath of an attack in Akobo West county of South
Sudan’s Jonglei state, in which more than 100 people died.

At least 13 patients, MSF said, received treatment in two health
facilities in neighbouring Upper Nile state, most of who were women
and children injured in the incident. State officials largely blamed
armed Murle youth and militias fighting in the troubled region for
carrying out the attack.
(ST).

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