[01] Hamid Yahya Hussain, Department of Health Affairs, Primary Health Care, Dubai Health Authority, Dubai, UAE. [02] Abdillahi Yusuf, National Surveillance Department, Ministry of Health (MOH), Hargeisa, Somaliland.

Background: Cholera remains a global threat to public health and a key indicator of lack of social development, it has a more severe impact in areas where basic environmental infrastructures are disrupted or have been destroyed. There is no surprise that morbidities and mortalities rates are upraising significantly Objectives: To study AWD/Cholera outbreak course in Somaliland, to study containment strategies applied, Identify Gaps, opportunities and lessons learned Methodology: Reviewing and revising National and international AWD/Cholera outbreak progress and s Surveillance data in Somaliland for the period of January to August 2017, field data collections, household interviewing of victims and populations in affected areas. Meeting international and national officials and technical officers. Revising international nongovernmental organizations technical reports and Specialized UN technical reports. Systematic review of the literature of similar outbreak context using engine search with relevant Key words and selection criteria Results: The study showed that the overall number of AWD/Cholera outbreak cases in Somaliland were reached up to 16668 cases between the period of January 2017 and August 2017 as reported over 6 main territories all over the country, the highest incidence rate were found to be in Togdher area (11753) cases and the lowest in Sahil were 3 cases of AWD/Cholera cases only were reported, overall case fatality rate was (1.8%) about 595) AWD/Chorea cases were died in all outbreak regions and during outbreak time. The study revealed that the outbreak started beginning of 2017, and started to increase significantly from march 2017 and reached its highest peak during June and July 2017 where reporting almost more than 100 cases per week, and started declining during August 2017 reached down to(20) cases per week. about 52% of the AWD/cholera outbreak cases in Somaliland during 2017 were <5 years old and about 48% above than 5 Years old, while 33% of AWD cases were male gender and 47% were female. Conclusion: The Somaliland AWD/Cholera outbreak was significantly challenging comparing to quality and quantity of health care system response, major gaps were identified and addressed by WHO led in collaboration with national health authority and other international organization response in containment plan Recommendations: Building capacity of national health care system in terms of manpower, logistics & infrastructure, surveillance and health information, social mobilization and stewardship are highly recommended on long term.

Containment Strategies, AWD/Cholera, Somaliland, Epidemic

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