Heath organisations and local authorities launched an emergency plan on 20 September to tackle an outbreak of cholera that has killed more than 10 people countrywide.
About 29,000 cases of acute watery diarrhoea have been recorded in Iraq over the past month, including some 1,500 that were caused by cholera, mainly in the northeastern provinces of Sulaimaniyah, Erbil and Kirkuk, according to the World Health Organisation (WHO).
Naeema al-Gasseer, WHO's representative for Iraq, said they are treating the situation as an “outbreak” rather than an epidemic and that having just 10 deaths shows the disease is not getting out of hand. However, she warned that the disease might spread if sanitation and water purification are not improved.
We believe the situation is now controlled but we have raised serious concerns about the general infrastructure situation in Iraq. |
“A campaign has been developed countrywide to bring awareness to Iraqi families," she added.
Need for chlorine
The Iraqi Ministry of Health has asked the Ministry of Defence for security support in the transportation to Iraq of 100,000 tons of chlorine that has been held up at the Jordanian border because the liquid was used in past terrorist attacks.
“We urgently need chlorine as many governorates have run out of it and water is being distributed without purification. This can lead to an outbreak [of cholera] in other provinces in central and southern Iraq [where sanitation is already poor],” Adel Muhsin, the health ministry's inspector-general in Baghdad, said.
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A map of Iraq highlighting Sulaimaniyah, Arbil and Kirkuk provinces in the north, where the bulk of cholera cases were confirmed |
Scores of suspected cholera cases have also been reported in Diyala province in the northeast where there has been intense fighting between US forces and militants.
Zryan Osman, health minister for the Kurdistan Regional Government, said that if urgent action is not taken, the outbreak will soon spread countrywide.
“The water problem should be fixed. Chlorine should be supplied on a daily basis rather than weekly or less frequently than that. Sanitation should be improved and displaced families should be given more hygienic areas for living,” Osman said.
“This outbreak just shows how bad the infrastructure in Iraq is and the government should boost its efforts to battle this problem,” he added.
Cholera endemic in Iraq
Cholera is a gastrointestinal disease typically spread by drinking contaminated water. It can cause severe diarrhoea that in extreme cases can lead to dehydration and death. It broke out in Iraq in mid-August, but until this week was limited to three northern provinces before the confirmed cases in Baghdad and Basra. Cholera is endemic in Iraq, where about 30 cases are registered each year. The last epidemic was in 1999, when 20 cases were discovered in one day, said Muhsin.
This outbreak just shows how bad the infrastructure in Iraq is and the government should boost its efforts to battle this problem. |
Taking precautions
As a result, teachers in many Baghdad and Basra schools have started to boil water before giving it to students.
“Before they were allowed to drink from any source, even from the tap water in the bathroom. But now we are boiling water for their drinking and writing notes to their parents to take the same measures. I’m not sure if it will help but at least we are trying to prevent the cholera outbreak,” Zahira Ahmed, headmistress at Baghdad’s Kahr Primary School, said.
“Last month we reported many students missing classes due to diarrhoea but now they are back and maybe only two or three are suffering from the illness, showing that maybe our initiative is working,” Zahira added.
WHO is offering medicines to treat cholera and watery diarrhoea in Iraq as well as water purification tablets and is working closely with the Ministry of Health to tackle the outbreak.
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This article was produced by IRIN News while it was part of the United Nations Office for the Coordination of Humanitarian Affairs. Please send queries on copyright or liability to the UN. For more information: https://shop.un.org/rights-permissions