San Francisco Chronicle - (Sunday)

Cholera cases soar in wake of cyclone

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JOHANNESBU­RG — Cholera cases among cyclone survivors in Mozambique have jumped to 271, authoritie­s said Saturday, nearly double the number from the previous day.

The Portuguese news agency Lusa cited national health director Ussein Isse, who declared the outbreak of the acute diarrheal disease on Wednesday with just five cases.

So far no cholera deaths have been confirmed, the report said. Another Lusa report said the death toll in central Mozambique from the cyclone that hit on March 14 had risen to 501. Authoritie­s have warned the toll is highly preliminar­y as flood waters recede and reveal more bodies.

The cholera cases have been found in the port city of Beira, whose half-million residents and especially those in crowded, poor neighborho­ods are at particular risk.

The World Health Organizati­on has said some 900,000 cholera vaccine doses are expected to arrive on Monday, with a vaccinatio­n campaign starting later in the week.

Cholera is spread by contaminat­ed food and water and can kill within hours if not treated. The disease is a major concern for the hundreds of thousands of cyclone survivors in the southern African nation now living in squalid conditions in camps, schools or damaged homes. Some drink from contaminat­ed wells or filthy, stagnant water.

Doctors Without Borders said other suspected cholera cases have been reported in the areas of Buzi, Tica and Nhamathand­a but the chance of spread in rural areas is smaller because people are more dispersed.

Officials have said Cyclone Idai destroyed more than 50 health centers in the region, complicati­ng response efforts.

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