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South Sudan: Situation report on Yellow Fever disease outbreak in in Sakure, Nzara County, Gbudue State, South Sudan, Issue # 1 - Date: 6 December 2018

Source: Government of the Republic of South Sudan Country: Democratic Republic of the Congo, South Sudan
1. Highlights On the 23 November 2018, the State Ministry of Health was notified of a suspected case of Ebola at the Sekure Payam, Nzara County. The suspect is a 25 years old farmer, who resides at “Hai Network” but travelled to Bangadi in the Democratic Republic of Congo on the 16 November 2018. He felt unwell on the 18 November 2018 with complains of fever, joint pain, vomiting of blood and diarrhoea. On Wednesday 28 November 2018, the police department also notified the State Ministry of Health (SMOH) of another case of an unexplained death that occurred in a market area at the centre of Yambio town. The third suspected case was also reported on the 30 November 2018. The suspect did not meet case definition and sample was not taken. (False alert). The fourth alert was reported on the 4 December case investigated, sample collected and result pending. The distribution of the cases is as follows : Yambio County (3) : Nzara County (1). The State Rapid Response Teams carried out case investigations. 2. Situation update As of 4 December 2018, a total of 4 suspected cases have been reported. Of which 1 is confirmed and 2 are probable cases. No death has been reported. The preliminary and confirmatory results tested negative for all species of Ebola for the first case. Further investigations however confirmed polymerase chain reaction (PCR) positive for Yellow Fever. The Minster of Health declared the outbreak of Yellow Fever on 29 November 2018 in Sakure, South Sudan. The second alert was negative for Ebola and Yellow Fever but tested positive for Pneumococci and Malaria falciparum. The third suspect did not meet case definition so sample was not collected. Sample for the fourth suspect is pending.

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