The epidemiological tendency of cholera has followed the anticipated course beginning with localized outbreaks in highly populated urban areas and then spreading to rural zones.

Health Cluster Bulletin #28 – Cholera and Post-Earthquake Response in Haiti

In Haiti, the national number of cases and hospitalizations has decreased in the past three weeks, following the increase which occurred between EW 20 and 25. At the local level two departments, Nord and Nord Ouest, recorded an increase in the number of new cholera cases and new hospitalizations since EW 22. Meanwhile, Port-au-Prince and the Centre, Grand Anse and Nippes departments which had recorded an increase in cases between EW 22 and 23, have recorded a decline for the past three weeks.

While in Dominican Republic, the Ministry of Public Health reported that since the beginning of the outbreak up to EW 29 of 2011 they recorded a total of 13,200 suspected cholera cases and confirmed 87 deaths due to cholera. The Distrito Nacional and the provinces of Elías Piña, San Cristóbal, San Juan, San Pedro de Macoris, Santiago and Santo Domingo Este and Oueste registered the highest rates of cholera transmission.

 Epidemiological Alert: Update on the Cholera situation in Haiti and the Dominican Republic (26 July 2011)

In the North department, new outbreak of cholera was seen in almost all communes of the department, potentially due to recent increase in rainfall. MSPP has increased sensibilization activities with a focus at the community level and PAHO/WHO, MSPP, and MSF-CH in the department have reinforced case management at the community level and the departmental level.

PAHO/WHO continues to improve access to clean water by distributing WASH materials and medicines to partners, including plastic sheets, soap, buckets, tents, and aquatabs provided by UNICEF.

• EOC Situation Report #20 – Cholera Outbreak