‘Children face acute risk for cholera outbreak’
By Saeed Kamali Dehghan & Charles Pensulo:
With more than 50,000 cases of cholera detected so far, children face an acute risk of the disease, authorities say.
“Malawi is experiencing the deadliest cholera outbreak in its recorded history. The country is also struggling to respond to a polio outbreak and ongoing Covid-19 cases across the nation,” Rudolf Schwenk, the country representative for the UN children’s fund, Unicef, said in a press briefing on Wednesday.
“Resources are limited, the health system is overburdened, and health workers are stretched to their limits,” he added.
On Wednesday, Unicef and the WHO began a vaccination campaign in earthquake-hit areas in north-west Syria, with 1.7m doses expected to be delivered to people above the age of one.
Half the children are in need of humanitarian aid. Almost a quarter of a million children under five are expected to be acutely malnourished, and more than 60,000 severely malnourished, by the end of the month, Schwenk said.
“As a severely malnourished child is 11 times more likely to die from cholera than a well-nourished child, a bout of cholera may amount to a death sentence for thousands of children in Malawi,” he said.
Last week, the UN World Meteorological Organization said that Malawi could see heavy rains in the south of the country as cyclone Freddy hits the region in the coming days, aggravating the situation.
Cholera, transmitted by taking in contaminated food or water, is often a mild infection, but can kill within hours if left untreated. It can be treated with intravenous fluids and antibiotics in severe cases.
A spokesperson for the Society of Medical Doctors in Malawi, Zaziwe Fatsani Gunda, said unsafe drinking water and poor sanitation were big problems in cities like Lilongwe and Blantyre, both of which have high numbers of cholera cases. The current economic crisis in the country is also a factor.
“People would rather opt for cheaper sources of water than using piped water, which comes at a cost,” Gunda said.
Last month, the World Health Organization said 22 countries are fighting outbreaks of cholera currently, including Syria and Haiti. But the health agency warned that only 37 million doses of vaccine were believed to be available this year.
In October, the WHO was forced to ration vaccine doses.
George Jobe, health rights activist and executive director at Malawi Health Equity Network, praised a campaign launched last month to help curb the outbreak.
The initiative aims to increase access to treatment for cholera, increase access to safe water and promote food hygiene and raise awareness of the disease among health workers, traditional and religious leaders.
But, Jobe added: “The fight is still on and we need more resources to raise awareness.”
Cholera has been endemic in Malawi since the late 1990s, but a phenomenon that is usually seasonal, limited to between November and May, has this time persisted and spread to all of Malawi’s 28 districts.— The Guardian UK
