The upsurge, according to the UN Office for the Coordination of Humanitarian Affairs in a January Humanitarian update for Uganda, could be attributed to relaxed control interventions, weak oversight and poor surveillance and case management at the health unit level. Some 9,395 cases and 144 deaths have been recorded since November 2007.
In Gulu and Amuru, a 30 percent increase in malaria incidence has been registered, while increased cases of dysentery were reported in Gulu Municipality and Nwoya County, due largely to breaks in urban water supply and persistent scarcity of safe water after village sources dried up.
The update also noted an outbreak of meningitis in the West Nile sub-region and surrounding districts. First detected in Arua District at the end of 2008, the disease has spread, with cases reported in Adjumani, Moyo, Masindi and Hoima Districts.
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