Cholera hotspots Circled around Nairobi, Kisumu, Garissa
Nairobi, Kisumu, Machakos and Garissa counties have been marked as cholera hotspots based on the abnormal number of cases reported and deaths triggered by the bacterial disease.
Nairobi leads the top ranked counties which are struggling to keep good hygiene and sanitation.
Health PS Julius Korir said the capital has six trouble spots - the highest per county in Kenya - including Mukuru Kwa Njenga, Mukuru Kwa Rueben, Huruma and Mathare.
“In Nairobi alone, we have been forced to open up six treatment centres to try and mitigate the situation,” he said on Thursday.
The government said it has taken various measures to contain the death toll.
An inter-institutional committee meets every morning to asses the situation and alerts have been issued to all counties.
Mobility is high and therefore other counties that have recorded zero cases are more vulnerable.
"We are telling all the other county governments to be on high alert so we don't have the disease spreading," the PS said.
In the last week, however, no case has been reported in Garissa.
Korir said a major outbreak was first reported in the capital in April at Weston Hotel, which is liked to Deputy President William Ruto.
The Health ministry said in a tweet that the Weston case was as a result of suppliers.
Korir said the cases are declining after concerted effort by both governments.
Last week a record 160 cases were reported in the some of the four troubled counties, he said.
“This week we have only recorded 20 of such. We got a notification yesterday that few patients in Kangundo and Kodiaga prison were identified,” he said.
“For Kisumu case, a prisoner who was being taken from hospital to the prison contracted the disease,” he said.
His remarks contradict the prison's confirmation that an inmate at the facility did not die from cholera.
Regional prisons commander Amos Misik said the person died from "totally unrelated causes" and that he had been sick for a while.
But the PS said isolation of patients in Kisumu is top class because of the county's history of having frequent cases of cholera.
“Kisumu situation is only confined to the prison alone. It is manageable,” he said.
The PS said the the state, World Health Organisation, UNICEF and Red Cross have put up an elaborate programme to end the epidemic.
Community health workers have been dispatched to the residential area to train on good hygiene.
KMTC director Peter Tum said the institution has graduated heath workers who will be key in mitigating the disease.
“There is concerted effort by the ministry and the training arm of the government - KMTC - to ensure the problem is tackled from all angle,” he said.
Tum said programmes have expanded nationwide to offer medical assistance.
“Equalisation funds have been focused on KMTC to tackle issues health,” he said.
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