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The Zimbabwean government has banned large gatherings in parts of the country and increased surveillance at ports of entry in an effort to contain a rise in cholera cases.
With 100 suspected deaths, most of them in September, and nearly 5,000 possible cases of the water-borne disease in more than 41 districts, including Harare, authorities fear a repeat of the 2008 epidemic where 4,000 people died. The government public health adviser Agnes Mahomva said last week:
<blockquote>
 We are concerned that there is an outbreak. We need to step up our action. We continue to encourage the public to watch out and follow procedures to maintain their hygiene.
</blockquote>
As of last week, the province of Manicaland had the highest number of cholera cases in Zimbabwe, with over 1,000 reported. The government has increased surveillance at ports of entry to detect imported infections. Places like Bikita and Buhera have been declared high-risk zones, with restrictions on large gatherings and funerals.
The public has been advised to avoid open markets, social gatherings, and outdoor church camps without proper sanitation. Zimbabwe’s water shortages and poor sanitation contribute to cholera outbreaks, as people resort to unsafe water sources. In Chitungwiza, the stench of sewage raises health concerns, and the situation is similar in other areas like Harare and Bulawayo.
Residents in Harare told the <a href="https://www.theguardian.com/global-development/2023/oct/12/zimbabwe-bans-large-gatherings-as-threat-of-cholera-outbreak-grows">Guardian</a> that they are frustrated with recurring issues of sewage bursts, which pose health risks to their families. The sewage problem has persisted for a long time, and people are concerned about their children falling ill. Budiriro and Glen View townships are designated as high-risk areas due to the cholera outbreak.
According to Prosper Chonzi, the health director of Harare city council, there has been an increase in suspected cases, mostly related to diarrhoea, in the western suburbs. Only one death has been reported. Chonzi acknowledged that the water quality in Harare is poor, and contaminated with fecal matter and other substances. He emphasized the need to address these issues to prevent future cholera outbreaks in the city.
Minister of Health Dr Douglas Mombeshora led a delegation on Saturday to investigate a cholera outbreak in Buhera District. They visited Murambinda Hospital, Mudanda Clinic, and Betera Clinic. They established that the outbreak was caused by inadequate sanitation and unhealthy habits. To prevent further cases, the Ministry of Health and Child Care plans to drill eight boreholes in the affected areas. They will also collaborate with religious leaders to promote seeking medical care among their congregations. The delegation included representatives from the World Health Organisation, UNICEF, MSF, Mercy Corps, Zimbabwe Red Cross, and World Vision Zimbabwe, among others.
<h3><a href="https://www.pindula.co.zw/">More Pindula News</a></h3>

Pindula News

Zimbabwe Bans Large Gatherings In Some Areas To Contain Cholera Cases

President Emmerson Mnangagwa has appointed Dr. Agnes Mahomva as Public Health Advisor to the President and Cabinet, which is a newly created post.
In 2019, Mnangagwa appointed Mahomva as the Permanent Secretary for the Ministry of Health and Child Care and later created a new post for her, Chief Coordinator of COVID-19 Response in the Office of the President and Cabinet (OPC).
In a statement, the Chief Secretary to the President and Cabinet Martin Rushwaya said:
<blockquote>
His Excellency the President has appointed Dr. Agnes Mahomva to the newly created post of Public Health Advisor to the President and Cabinet, with immediate effect.
Dr. Mahomva played a critical advisory and coordinating role during the COVID-19 Pandemic where she ensured that there was an evidence-based and well-coordinated division of labour between and among Government Ministries, Departments and Agencies (MDAS) and other significant entities including communities and the private sector.
This resulted in the successful management and containment of the national COVID-19 pandemic as documented in the 2021 and 2022 National COVID-19 pandemic response Intra Action Review (IAR) reports and the 2023 comprehensive National COVID-19 pandemic response video documentary.
The decision has been necessitated by the need to strengthen public health promotion efforts and enhance the country’s response to public health emergencies in view of the fact that public health issues span beyond the mandate of the Ministry responsible for health.
</blockquote>
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Mnangagwa Creates Another New Post For Agnes Mahomva

Dr Agnes Mahomva the permanent secretary in the Ministry of Health and Child Care (MOHCC) has said that it would be unfair to argue that the mobile airtime levy has not aided in the supply of medicines.
She was responding to a question during an interview with Sunday Mail reporter, Debra Matabvu last week. Her remarks come at a time when the health sector is currently facing a lot of challenges, from shortages of mainline drugs to broken down medical equipment in public health facilities. Below are excerpts from the interview:
<blockquote>Q: In 2014, Government put a 5 percent mobile airtime levy, which was ringfenced for the procurement of drugs and medicines. How much has been collected over the years? And how much has been collected this year alone. Why has it been insufficient to boost medical supplies over the years?
A: The mobile airtime levy, also known as the health levy, has been in place since (circa) 2017 and has to date collected about $63 million (RTGS).
Indeed, this levy was ringfenced for procurement of medicines and, yes, the MOHCC has managed to procure medicines using this fund.
I do not think it is fair to say it has not augmented supplies. This innovative way of fundraising has saved us a lot. It has really helped us.
Unfortunately, the current harsh economic situation has seen the foreign currency from this local fund slowly go down.
This has, in turn, made it difficult for us to import the quantities of medicines we had hoped for.
This has, however, not dampened our drive at all.
We are confident we can, and in fact are still able, to reasonably stock up all our health facilities through innovative partnerships such as the recent partnership with India, China, Global Fund and others as highlighted earlier.
We will therefore continue to work on such partnerships.</blockquote>
More: <a href="https://www.sundaymail.co.zw/we-have-been-very-successful-in-attracting-investors" rel="noopener noreferrer" target="_blank">Sunday Mail</a>

"Why Has Mobile Airtime Levy Been Insufficient To Boost Medical Supplies?"

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