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The health ministry reported this week that five cholera cases – the first reported this summer – were confirmed in Baghdad and the southern province of Maysan. </p> <p>In August last year, Iraq’s worst cholera outbreak in decades began in Kirkuk before spreading nationwide for weeks, killing more than 20. </p> <p>Kirkuk had the highest number of cases. Over 3,000 people there caught the disease, which causes potentially life-threatening dehydration from diarrhoea if not treated quickly. </p> <p>Although Kirkuk health officials say they have done what they can to prevent cholera from re-emerging in the province, they admit there could still be an epidemic. </p> <p>While Kirkuk has received international and Iraqi aid to fight cholera, health experts say that the main causes of cholera – decrepit water and sewage systems and inadequate healthcare – have not improved.</p> <p><span id="more-4739"></span></p> <p>“The poor services and lack of healthcare put people’s lives at risk,” said Sabah Amin Ahmed, the director of healthcare for Kirkuk province. “Most Kirkuk residents cannot easily access clean drinking water or a good sewage system.” </p> <p>According to the Iraqi health ministry and the World Health Organisation, WHO, over 30 per cent of water samples taken in Kirkuk have tested positive for bacterial contamination this year. This compares badly with the average contamination rate for Iraq, under ten per cent. </p> <p>Jabbar Hassan al-Rubai, a manager in Ahmed’s regional healthcare department, said some of the pipes in Kikuk’s mains water system were broken, jeopardising the quality of drinking water. </p> <p>Iraq’s water and sewage systems, which are decades old and have not been maintained, are badly in need of repair. However, restoring infrastructure has taken a back seat to dealing with security problems since the fall of Saddam Hussein’s regime in 2003. </p> <p>Health officials say that because they cannot solve the infrastructure problem or control the water supply, they are instead mitigating the risk of illness by distributing chloride tablets to treat drinking water. </p> <p>Rubai acknowledged that the chloride had given some people diarrhoea, but maintained that “it was the only solution to avoid an outbreak of the disease”. </p> <p>The local government has also set up isolation wards in hospitals to handle any cholera cases, supplied hospitals with oral rehydration tablets and launched a public education campaign about cholera prevention. </p> <p>“We try our best to educate [the public] through our [health] teams and pamphlets which we distribute to health centres and schools,” said Rubai. “A few of them follow our health guidelines, but they strictly adhere to them when they’re afraid of the disease outbreak.” </p> <p>According to experts in Kirkuk, impoverished areas are most at risk. Health teams are being dispatched to areas outside the city inhabited by displaced families, who have few health services at their disposal. </p> <p>Water there is also being tested twice a month, said Rubai. </p> <p>According to a July report by the United States’ Special Inspector General for Iraq Reconstruction, just under half of rural residents in Iraq are connected to the water system and only 20 per cent of families outside Baghdad have sewage systems. </p> <p>With the return of Kurds and other people forced out of Kirkuk under Saddam’s rule, the province’s population has jumped an estimated 35 per cent since 2003. </p> <p>The population increase has put additional pressure on the already weak infrastructure, and people outside the city who live without sewage, electricity and potable water are digging their own wells. </p> <p>“These wells do not meet health standards,” said Rubai. “They’re another reason that [cholera] could spread”. </p> <p>The United States has already spent 2.4 billion of the 2.7 billion US dollar budget it has assigned to water projects, according to the inspector general’s. This comes as US lawmakers warn that funding for Iraq will soon dry up. </p> <p>In Kirkuk, the US government’s provincial reconstruction team arranged a virtual conference with international on infectious disease to support and educate local health officials. </p> <p>While international agencies have provided medicine and other aid, they have limited reach on the ground because of the ongoing security problems. </p> <p>Saad Karim, an environmental advocate in Kirkuk, said that while local government and health officials had managed to control cholera in the province, the Iraqi government needed to make cholera prevention a higher priority. </p> <p>“There are a lot of unnecessary projects that cost a lot,” said Karim. “They could repair the water supply network and create a new sewage system instead.” </p> <p>Source: <a href="https://web.archive.org/web/20081017150740/http://www.iwpr.net/index.php?apc_state=hen&s=o&o=l=EN&p=icr&s=f&o=346537" target="_blank">Kirkuk Officials Warn of Cholera Risks</a> By <a title="Institute of War and Peace Reporting" href="https://web.archive.org/web/20081017150740/http://www.iwpr.net/" target="_blank">IWPR</a> staff Kirkuk (ICR No. 269, 05-Sep-08)</p> Indexed under: <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/cholera/" title="Cholera" rel="tag">Cholera</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/drought/" title="drought" rel="tag">drought</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/iwpr/" title="IWPR" rel="tag">IWPR</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/kirkuk/" title="Kirkuk" rel="tag">Kirkuk</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/water-borne-disease/" title="Water Borne Disease" rel="tag">Water Borne Disease</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/water-contamination-in-schools/" title="Water Contamination in schools" rel="tag">Water Contamination in schools</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/water-crisis-iraq/" title="Water Crisis (Iraq)" rel="tag">Water Crisis (Iraq)</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/world-health-organisation/" title="World Health Organisation" rel="tag">World Health Organisation</a><br/> <p class="postmetadata">Posted on October 16th, 2008 under <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/cholera/" title="View all posts in Cholera" rel="category tag">Cholera</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/health-crisis-iraq/" title="View all posts in Health" rel="category tag">Health</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/iraq/" title="View all posts in Iraq" rel="category tag">Iraq</a>. Tags: <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/cholera/" rel="tag">Cholera</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/drought/" rel="tag">drought</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/iwpr/" rel="tag">IWPR</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/kirkuk/" rel="tag">Kirkuk</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/water-borne-disease/" rel="tag">Water Borne Disease</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/water-contamination-in-schools/" rel="tag">Water Contamination in schools</a>, <a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/water-crisis-iraq/" rel="tag">Water Crisis (Iraq)</a>, <a 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title="Al Zaman’s English language articles" target="_blank">Al Zaman (English Language)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.alertnet.org/db/crisisprofiles/571273.htm" title="“Iraq in Turmoil”" target="_blank">Alert Net (Reuters - Irak)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.aswataliraq.info/look/english/section_pol.tpl?IdLanguage=1&IdPublication=4&NrIssue=2&NrSection=1" title="The Independent Iraki News Agency" target="_blank">Aswat Al Iraq — Politics and Security</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://doctorc.blogspot.com/" title="“A Curmudgeon Doc on the Eastern Shore of Maryland wondering what has happened to my country.”" target="_blank">Dr.C</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://ipsnews.net/" title="Independent journalists covering people excluded or marginalised byglobalisation" target="_blank">IPS network</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.iraqoilreport.com/" title="News In English" target="_blank">Iraq Oil Report</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.irinnews.org/ME-Country.aspx?Country=IQ" title="Humanitarian news and analysis" target="_blank">IRIN Iraq</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://lespolitiques.blogspot.com/" title="Sophia’s daily quest for the Truth with a Focus on the Middle East." target="_blank">Les Politiques (Web Log)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.mainandcentral.org/" title="Thoughtful grunt’s eye view" target="_blank">Main & Central (Web Log)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://arablinks.blogspot.com/" title="News items from the Arabic-language press to help fill in the gaps" target="_blank">Missing Links (Web Log)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://turcopolier.typepad.com/sic_semper_tyrannis/" title="Colonel Patrick Lang’s site." target="_blank">Sic Semper Tyrannis (Weblog)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://saroujah.blogspot.com/" title="Sasa is always worth reading especially when you disagree with him." target="_blank">The Syria News Wire (Web log)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.rickwrites.blogspot.com/" title="Richard’s voice is one for old-fashioned decency" target="_blank">This Old Brit (Weblog)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.unhcr.org/news.html" title="UNHCR’s news service on refugee matters" target="_blank">UNHCR News</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://www.xinhuanet.com/english/07ylk/index.htm" title="Xinhua use good local journalists" target="_blank">Xinhuanet</a></li> </ul> </div> </div> <div class="clear-columns"></div> </div> <div id="right-column"> <div class="inside"> <h3 class="widgettitle">Categories</h3> <ul> <li class="cat-item cat-item-205"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/analysis-briefings-commentary/" title="View all posts filed under Analysis Briefings Commentary">Analysis Briefings Commentary</a> </li> <li class="cat-item cat-item-20"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/children/" title="View all posts filed under Children">Children</a> </li> <li class="cat-item cat-item-131"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/cholera/" title="View all posts filed under Cholera">Cholera</a> </li> <li class="cat-item cat-item-408"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/early-warning/" title="View all posts filed under Early Warning">Early Warning</a> </li> <li class="cat-item cat-item-14"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/features/" title="View all posts filed under Features">Features</a> </li> <li class="cat-item cat-item-43"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/guides/" title="View all posts filed under Guides">Guides</a> </li> <li class="cat-item cat-item-91"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/health-crisis-iraq/" title="View all posts filed under Health">Health</a> </li> <li class="cat-item cat-item-18"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/human-rights/" title="View all posts filed under Human Rights">Human Rights</a> </li> <li class="cat-item cat-item-8"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/humour/" title="View all posts filed under Humour">Humour</a> </li> <li class="cat-item cat-item-3"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/iraq/" title="View all posts filed under Iraq">Iraq</a> </li> <li class="cat-item cat-item-208"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/middle-east/" title="View all posts filed under Middle East">Middle East</a> </li> <li class="cat-item cat-item-53"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/photos/" title="View all posts filed under Photos">Photos</a> </li> <li class="cat-item cat-item-142"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/politics-security/" title="View all posts filed under Politics and Security">Politics and Security</a> </li> <li class="cat-item cat-item-54"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/postcards-from-iraq/" title="View all posts filed under Postcards from Iraq">Postcards from Iraq</a> </li> <li class="cat-item cat-item-11"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/previous-site/" title="View all posts filed under Previous Site">Previous Site</a> </li> <li class="cat-item cat-item-143"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/religion/" title="View all posts filed under Religion">Religion</a> </li> <li class="cat-item cat-item-75"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/series/" title="View all posts filed under Series">Series</a> </li> <li class="cat-item cat-item-12"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/site-news/" title="View all posts filed under Site News">Site News</a> </li> <li class="cat-item cat-item-771"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/society-and-economy/" title="View all posts filed under Society And Economy">Society And Economy</a> </li> <li class="cat-item cat-item-1204"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/south-asia/" title="View all posts filed under South Asia">South Asia</a> </li> <li class="cat-item cat-item-413"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/sports/" title="View all posts filed under Sports">Sports</a> </li> <li class="cat-item cat-item-34"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/team-members/" title="View all posts filed under Team Members">Team Members</a> </li> <li class="cat-item cat-item-1"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/uncategorized/" title="View all posts filed under Uncategorized">Uncategorized</a> </li> <li class="cat-item cat-item-80"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/video-reports/" title="View all posts filed under Video Reports">Video Reports</a> </li> <li class="cat-item cat-item-35"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/war-crimes/" title="View all posts filed under War Crimes">War Crimes</a> </li> <li class="cat-item cat-item-42"><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/category/women/" title="View all posts filed under Women and Children">Women and Children</a> </li> </ul> <h3 class="widgettitle">Recent Posts</h3> <ul> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/2008/10/17/qaeda-not-involved-in-forcing-christians-to-leave-mosul-government-says/" title="Qaeda not involved in forcing Christians to leave Mosul, government says">Qaeda not involved in forcing Christians to leave Mosul, government says</a></li> <li><a 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topics" rel="tag" style="font-size: 10.8857142857pt;">Al Anbar (Governorate)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/american-assault-on-sadr-city/" class="tag-link-643" title="107 topics" rel="tag" style="font-size: 8.57142857143pt;">American Assault on Sadr City</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/awakening-councils/" class="tag-link-317" title="96 topics" rel="tag" style="font-size: 8.25714285714pt;">Awakening Councils</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/babil-governorate/" class="tag-link-68" title="114 topics" rel="tag" style="font-size: 8.77142857143pt;">Babil (Governorate)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/baghdad/" class="tag-link-5" title="577 topics" rel="tag" style="font-size: 22pt;">Baghdad</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/baqubah/" class="tag-link-30" title="161 topics" rel="tag" style="font-size: 10.1142857143pt;">Baqubah</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/basrah/" class="tag-link-377" title="309 topics" rel="tag" style="font-size: 14.3428571429pt;">Basrah</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/basrah-surge/" class="tag-link-624" title="110 topics" rel="tag" style="font-size: 8.65714285714pt;">Basrah "surge"</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/bombings/" class="tag-link-52" title="275 topics" rel="tag" style="font-size: 13.3714285714pt;">Bombings</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/child-poverty/" class="tag-link-112" title="157 topics" rel="tag" style="font-size: 10pt;">Child Poverty</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/children/" class="tag-link-20" title="362 topics" rel="tag" style="font-size: 15.8571428571pt;">Children</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/cholera/" class="tag-link-131" title="95 topics" rel="tag" style="font-size: 8.22857142857pt;">Cholera</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/death-squads/" class="tag-link-114" title="146 topics" rel="tag" style="font-size: 9.68571428571pt;">Death Squads</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/disputed-areas/" class="tag-link-1075" title="209 topics" rel="tag" style="font-size: 11.4857142857pt;">Disputed Areas</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/diyala/" class="tag-link-1006" title="320 topics" rel="tag" style="font-size: 14.6571428571pt;">Diyala</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/ethnic-cleansing/" class="tag-link-134" title="88 topics" rel="tag" style="font-size: 8.02857142857pt;">Ethnic Cleansing</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/fallujah/" class="tag-link-26" title="112 topics" rel="tag" style="font-size: 8.71428571429pt;">Fallujah</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/follow-up/" class="tag-link-21" title="190 topics" rel="tag" style="font-size: 10.9428571429pt;">Follow Up</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/irin/" class="tag-link-311" title="201 topics" rel="tag" style="font-size: 11.2571428571pt;">IRIN</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/islam/" class="tag-link-44" title="110 topics" rel="tag" style="font-size: 8.65714285714pt;">Islam</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/jaish-al-mahdi/" class="tag-link-211" title="106 topics" rel="tag" style="font-size: 8.54285714286pt;">Jaish al-Mahdi</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/journalists-attacked/" class="tag-link-17" title="91 topics" rel="tag" style="font-size: 8.11428571429pt;">Journalists Attacked</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/karbala/" class="tag-link-806" title="165 topics" rel="tag" style="font-size: 10.2285714286pt;">Karbala</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/kirkuk/" class="tag-link-28" title="234 topics" rel="tag" style="font-size: 12.2pt;">Kirkuk</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/kirkuk-at-tamim-governorate/" class="tag-link-214" title="99 topics" rel="tag" style="font-size: 8.34285714286pt;">Kirkuk (At-Ta'mim) Governorate</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/mahdi-army/" class="tag-link-9" title="175 topics" rel="tag" style="font-size: 10.5142857143pt;">Mahdi Army</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/maysan-governorate/" class="tag-link-222" title="122 topics" rel="tag" style="font-size: 9pt;">Maysan (Governorate)</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/militia/" class="tag-link-330" title="97 topics" rel="tag" style="font-size: 8.28571428571pt;">Militia</a></li> <li><a href="https://web.archive.org/web/20081017150740/http://gorillasguides.com/tag/mosul/" class="tag-link-78" title="245 topics" rel="tag" style="font-size: 12.5142857143pt;">Mosul</a></li> <li><a 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