A resurgence of cholera has killed 200 people since October 2021 in Cameroon, where more than 10,300 cases of the disease have been reported, the health minister said on Thursday (August 4).

Cholera, an acute diarrhoeal disease that can kill within hours if left untreated, periodically appears in Cameroon, a central African country with a population of more than 25 million.

Since the start of the cholera epidemic in late October 2021, 200 people have died out of a total of 10,322 cases, Cameroon’s health minister, Manaouda Malachie, announced in a tweet.

Five of Cameroon’s ten regions, including the Littoral, which includes the economic capital Douala, and the Centre region, which includes the capital Yaoundé, are affected by the epidemic, according to the health minister.

“Beware!!! Let us observe hygiene measures,” Malachie urged.

The previous outbreak of cholera killed 66 people in Cameroon between January and August 2020.

In early 2021, the WHO estimated that there were 1.3 to 4 million cases of cholera and 21,000 to 143,000 deaths from the disease worldwide each year.

Source: AFP

Charity group Médecins Sans Frontières (MSF) on Monday announced its withdrawal from two towns in Cameroon’s English-speaking South-West region.

It said the decision follows the arrest of four members of its local team and the suspension of its activities by the government.

The charity said a small team and adequate resources will still be maintained in Kumba and Mamfe towns.

MSF said it would also continue to work for the release of its staff and engage with the authorities for a safe and secure environment for its operations.

The demand for medical care is high in the Anglophone regions of Cameroon, which have been plagued by a separatist conflict since 2017.

Several hospitals have been burned there – depriving locals of proper healthcare.

In December 2021, the spokesperson of the defence ministry, Colonel Cyrille Atonfack accused MSF of supporting the separatists after they helped a wounded rebel leader.

MSF denied the accusation, saying it treats people regardless of their ethnic, political or religious background.

Source: BBC

After suspending activities in March 2022 to focus on securing the release of four detained staff members, MSF will close projects in Kumba and Mamfe on August 1.

Doctors Without Borders/Médecins Sans Frontières (MSF) has made the difficult decision to close our projects—which were suspended in March— in Kumba and Mamfe, in the South-West region of Cameroon.

This closure will take effect on August 1, 2022, and will result in the termination of contracts of the majority of MSF’s staff. The closure follows the suspension of MSF activities in the region three months ago.

MSF has been working to secure the release of four colleagues who were unjustly detained in December 2021 and January 2022 while carrying out medical humanitarian activities in in the South-West region. While two of our four colleagues were conditionally released in May, two remain in prison, and all are set to face trial.

A small team will remain in the South-West region to support the release and resolution of the cases, as well as to continue dialogue with the authorities as MSF seeks to re-establish conditions that will enable our teams to carry out medical activities in a safe environment. MSF made this decision as are unable to indefinitely maintain our teams with no clear vision of when we may be able to restart our activities, or when our staff will be able to work without being prosecuted for providing medical assistance to those in need.

MSF will consider reviewing this decision following the trial and based on our exchanges with Cameroon’s government. We continue to seek to improve the humanitarian notification system, so that staff can hopefully return to their jobs in confidence that their lifesaving work will not put them at risk of legal prosecution. MSF remains hopeful that we will be able to find an understanding with the authorities that could enable MSF to support the local health system and deliver medical assistance to local people.

As an international medical humanitarian organization, MSF provides impartial medical support to every patient in need, in line with medical ethics and international humanitarian law.

For almost five years, South-West Cameroon has been impacted by violence between separatist armed groups and state armed forces. MSF provided free health care to people in the region until March 29, 2022, when we made the difficult decision to focus on obtaining the safe release of our colleagues. MSF has specified that, as a neutral and impartial medical organization, it has supported wounded patients from both sides of the conflict in South-West Cameroon, including those from the state armed forces. MSF always provides free medical to those who need it most, based solely on need.

Culled from MSF

A World Health Organization committee of experts will meet on Thursday to discuss the monkeypox outbreak for the first time and decide whether it constitutes a global health emergency.

The one-day meeting, being held in private, was due to start at 1000 GMT, with a statement on the outcome likely to be issued on Friday.

A surge of monkeypox cases has been detected since May outside of the West and Central African countries where the disease has long been endemic. Most of the new cases have been in Western Europe.

WHO chief Tedros Adhanom Ghebreyesus has convened an emergency committee to assess whether the outbreak constitutes a public health emergency of international concern.

A PHEIC is the highest alarm that the WHO can sound, under the International Health Regulations — the legally-binding framework agreed by 196 countries on handling public health events that could cross borders.

Besides providing a PHEIC assessment, the committee members are set to give the WHO and its member states advice on how to better prevent the spread of the disease and manage their response.

“The emergency committee will provide a recommendation to the director-general based on scientific principles, and an assessment of the risk to human health, the risk of international spread and the risk of interference with international traffic,” the WHO said.

Tedros then makes the final determination on whether a PHEIC should be declared, based on their advice.

There have been six PHEIC declarations since 2009, the last being for Covid-19 in 2020 — though the sluggish global response to the alarm bell still rankles at the WHO’s Geneva headquarters.

Emergency committee meetings on the new coronavirus outbreak were held on January 22 and 23, 2020 but the panel could not agree at that time that the PHEIC threshold had been reached.

A PHEIC was declared after a third meeting on January 30. But it was only after March 11, when Tedros described the rapidly-worsening situation as a pandemic, that many countries seemed to wake up to the danger.

More than 2,000 cases

This year, as of June 15, some 2,103 laboratory-confirmed cases and one probable case of monkeypox, including one death, have been reported to the WHO from 42 countries.

But the WHO’s Europe office and the EU health agency ECDC said that 2,746 cases had been recorded in Europe alone as of Tuesday.

“The outbreak of monkeypox continues to primarily affect men who have sex with men who have reported recent sex with new or multiple partners,” the WHO said.

Some 84 percent of the cases have been found in Europe, with the most cases being reported from Britain, Spain, Germany, Portugal, Canada and France.

The WHO says there may have been undetected transmission for some time before its unexpected appearance in multiple countries.

The UN health agency currently assesses the global risk level as moderate, considering the low mortality rate.

Tedros announced on June 14 that he would convene an emergency committee, describing the outbreak as “unusual and concerning”.

Source: AFP

Videos of Manyu women crying in Yaoundé following the burning down of the Mamfe General hospital by unknown arsonists have been trending online and many people have been asking very serious questions about the rationale behind such an action when many in the Division need more than tears. 

 Crying is not always a bad thing. It is an expression of a feeling which could be positive or negative. That is why a famous philosopher said that “crying is the noble language of the eye.” The Manyu women in Yaoundé were, for sure, demonstrating their frustration and anger with whoever undertook the ignoble action of robbing more than 100,000 people of quality healthcare in a region which is already in the grip of multiple issues. 

Mamfe has no lights. Its water system clearly belongs to the distant past. It is still a miracle that water-related illnesses have not yet popped up in the town, especially cholera which has wreaked havoc in Limbe and Buea, two towns whose water supply systems are by far better than what passes for a water system in Mamfe. 

There is no doubt that Manyu women in Yaoundé and indeed across the world love their native Manyu whose capital is Mamfe but converging on a small town hall in Yaoundé to shed tears because of a massive disaster that needs more financial resources than tears is indeed mind-boggling. 

The crowd in Yaoundé a few days ago was impressive. Many of the women showed up with some of the finest worsted fabric the world could boast of. The heels of their shoes were so long and beautiful that you could think they were designed for a purpose and by the goddess of beauty. Their expensive eyewear spoke volumes of their love for earthly things. There was no symptom of poverty on any of the women. The occasion seemed to have been an opportunity for some of them to display their wealth and their love for material things. Indeed, that was not the right attire for mourning women. 

A lot of tears were shed, but what is baffling to many minds is the real objective of those tears. But since no human being is a god, these women can be given the benefit of the doubt. The world can cut them some slack, especially if they transform those tears into real concrete actions. The walls of the cultural center on which they converged had been transformed into wailing walls and many of the women wept and cursed those responsible for the heinous crime.

Their coming together clearly demonstrated that there was power in numbers and these women can use their numbers to breathe faith and hope into the desperate people of Mamfe. The Mamfe population needs help and tears alone will not solve their mounting health issues that are staring them in the face.

Manyu women across the globe can use their numbers to mobilize resources which could be used to alleviate the pain of their fellow women in Manyu Division. The damaged hospital was where many women were delivered of their babies. With this facility up in smoke, the future looks very bleak for young women who look forward to having their own families in Mamfe.

While rebuilding the damaged hospital may not be the responsibility of the people of Manyu Division, it must be remembered that the primary beneficiaries of the quality healthcare that was provided by the General Hospital was the local Manyu population. It certainly will take a lot of time for the burned hospital to be rebuilt, but the women of Manyu can come up with the finances that will help local women have access to healthcare – not by wearing expensive clothes and crying, but by make huge sacrifices.

They could mobilize resources to enhance the capacity of the Preventive hospital which has now been transformed into a full-fledged hospital without proper equipment. Arrangements could be made with the two local clinics in the town for pregnant women and nursing mothers to receive the care they need at affordable prices in those two clinics. This is not an impossibility, and it will not cost anybody an arm and a leg.

Manyu women organizations such as MOHWA, which have brought together thousands of women, could depart from their original goal of promoting the culture of the region to raising funds for a cause that will put smiles on many faces. It is always a pleasure to see women leaving the United Kingdom to the United States to attend a MOHWA occasion, but it is also disheartening to know that ever since the Mamfe General Hospital went up in smoke, MOHWA has not issued a statement, nor has it even tried to raise funds for other women whose future is in danger because of the disaster brought onto the population by some lawless and devilish persons.

MOHWA should not only be a place to show off. It should be a medium through which women can help other women, especially those who need medical attention in Manyu Division.  In this unfortunate situation, every bit will go a long way in alleviating the pain of the residents of Mamfe. The Manyu women in Yaoundé just like their sisters in the Diaspora should be leading key resource mobilization efforts to reduce the pain brought about by the burning of the Mamfe General Hospital.

This is the time for Manyu women to demonstrate their sense of purpose. They can at least skip some of the parties organized by their groups just to help those who are at home. They can also forget about the long heels they want to buy and the expensive clothes and hairpieces just to bring joy to other people. They can cry if they so wish, but the ultimate way of demonstrating love and concern in this context will be to participate in fundraising efforts which will reduce the pain of those whose lives hang in the balance due to the massive fire which gutted the Mamfe General Hospital. Manyu women have to act now, if not, theirs will be the kingdom of tears for many years. 

By Joachim Arrey, PhD

Cameroon on Wednesday effectively started charging for polymerase chain reaction COVID-19 test, according to the country’s Minister of Public Health Malachie Manaouda.

Manaouda said Tuesday that the test will now cost 30,000 xaf (approximately 48 U.S. dollars).

Payment will be effected through a platform for the dematerialization of public receipts, but also on physical sites allowing the generation of a unique code and a receipt, he said.

The officials did not explain why the test that was previously free of charge will now be paid for.

As of May 11, Cameroon had 119,947 confirmed COVID-19 cases, with 1,930 deaths. And 11 percent of the target population had received at least one vaccine dose, according to the Ministry of Public Health.

Source: Xinhuanet

The United Nations has approved the allocation of 1.7 million U.S. dollars from the Central Emergency Response Fund (CERF) to support the urgent response to the cholera outbreak in Cameroon, UN officials in Cameroon said in a statement on Tuesday.

“This CERF grant will enable the humanitarian partners to contribute to reducing cholera-related mortality and curb the spread of the disease, saving numerous lives,” said Olivier Beer, the Humanitarian Coordinator ad interim for Cameroon.

“The humanitarian actors are mobilized to support the cholera response. However, access to remote areas remains challenging as violence, movements impediments and poor condition of roads continue to hamper the humanitarian assistance in the region,” added Karen Perrin, the Head of the Office for the Coordination of Humanitarian Affairs (OCHA) in Cameroon.

The project will provide emergency assistance in case management, water, hygiene, and sanitation to communities affected by the cholera epidemic in the Southwest and Littoral regions of the country, according to the UN.

As of May 29, Cameroon’s Ministry of Public Health had recorded 8,241 cases and 154 deaths in seven regions.

The Southwest region, which is already facing acute humanitarian needs due to violence, remains the most affected by the cholera outbreak with 5,628 cases and 90 deaths, followed by the Littoral with 2,208 cases and 58 deaths, the UN said.

Source: Xinhuanet

More than 150 people have died during a resurgence of cholera in Cameroon over the last eight months, the United Nations said on Monday.

“The health ministry registered 8,241 cases and 154 deaths,” to the end of May, the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) said.

Seven of the West African nation’s 10 regions have reported cholera cases.

The worst-hit is the English-speaking Southwest with 5,628 cases and 90 deaths, followed by the Littoral with 2,208 cases and 58 deaths, OCHA said.

Access to the Southwest “remains difficult” after years of violence between anglophone separatists and the army, said OCHA’s Cameroon office head Karen Perrin.

Cholera is an acute diarrhoeal disease that is treatable with antibiotics and hydration but can kill within hours if left untreated.

Outbreaks occur periodically in Cameroon, which has a population of more than 25 million. The last epidemic occurred between January and August 2020, when 66 people died.

According ot the World Health Organization, researchers estimate that each year there are between 1.3 million and 4.0 million cases of cholera worldwide, leading to between 21 000-143 000 deaths.

Source: AFP