Since the emergence of cholera in Haiti in October 2010, the Ministry of Public Health and Population recorded 719,377 suspected cases and 8,767 cholera-related deaths as of 30 Nov 2014. Despite severe infrastructure and financial constraints, concerted Haitian and international efforts have succeeded in drastically reducing the number of reported cholera cases in Haiti – down from a peak of over 350,000 reported cases for 2011, to 21,916 reported cases for 2014, from 1 January to 30 November. The persistence of cholera in Haiti is mainly due to the lack of access to clean water and appropriate sanitation facilities, and although considerable improvements have been made in this regard, Haiti continues to host the largest cholera epidemic in the Western Hemisphere. Structural issues such as weak water, sanitation and health systems enable cholera, acute diarrhoea and other waterborne diseases to persist. (UNCT, 31 Dec 2014)
At the beginning of 2015, the number of suspected cases was 75 per cent higher than originally expected in the mid-term review of the 2014 Humanitarian Action Plan (i.e. 15,000). From 8 Nov to 31 Dec 2014, the total number of reported suspected cholera cases was 11 324, with 133 fatalities. This is an increase of 20 per cent compared to the same period in 2013. In the first half of 2014, cholera outbreaks were only reported in the northern departments whereas by the end of 2014, the epidemic had spread to nine (out of a total of ten) departments. The upwards trend continued at the beginning of 2015, with the number of cases being 50 per cent higher than during the same period last year. (ECHO, 16 Jan 2015)
Suspected cholera cases reported for January to March 2015 were above those observed in early 2012 (but lower than those reported in the first quarter of 2013). This was predominately due to large outbreaks in the metropolitan region of Port-au-Prince which then spread to other high-risk regions. According to the national authorities, 4,321 suspected cholera cases and 36 deaths were reported in January, 4,055 suspected cases and 46 deaths in February ,and 3,014 cases and 22 deaths in March. (UNCT, 31 Mar 2015)
For the period between Jan-Jun 2015, OCHA reported 17,949 new cases - a 273% increase compared with the same period last year. As of June 2015, cholera has caused 8,992 deaths since the outbreak in Oct 2010. (OCHA, 27 Jul 2015)
July 2015 saw the rise of cholera cases in the West, Centre, Artibonite and North departments. (OCHA, 31 Jul 2015)
Overall, the epidemic is following a positive trend since its start in October 2010. This notwithstanding, the weekly incidence rate in July 2015 is twice 2014's, and the first half of the year has registered triple the number of cases and deaths than the same period in 2014. (OCHA, 12 Aug 2015)
With the heavy rains of October, the health actors have observed a resurgence of cholera cases in several communes, notably in the departments of Artibonite, West, South East, South and North. Fifteen municipalities are in red alert. (OCHA, 31 Oct 2015)
Concern is growing about the rising numbers of cases in the department of Anse-à-Pitres, where the epidemic is spreading due to poor sanitary facilities in the south-eastern region. (GARR, 26 Nov 2015)
The health authorities reported an increase in the number of cholera cases for the month of November. Indeed, from November 22 to 28 (48th week), 1093 new cases and 13 institutional deaths were reported against only 268 new cases and 1 death in the 38th week (from Sept. 13 to 19). (OCHA, 30 Nov 2015)
The number of cases in 2015 up to epidemiological week 48 (30,080) exceeds the total number of cases registered in 2014, mainly due to an increase in cases registered during the first trimester of 2015. The rapid and timely response to this situation led to a decrease in cases in October and November of 2015. (PAHO, 23 Dec 2015)
According to the cholera figures released by the Minister of Public Health and Population (MSPP), 36,045 cholera cases and 322 deaths were recorded from January to December 2015. This represents, in comparison to 2014, an increase of 24% in the number of cases. In the last three months (October, November, December 2015), the upward trend of cholera persisted in the North and West departments. (OCHA, 31 Dec 2015)
During the first two months of 2016, the cholera epidemic has had a stable development in relation to the outbreak recorded at the end of 2015. The number of cases increased slightly compared to the same period in 2015, but the trend is downward since mid February. Nevertheless the return of the rain could be an important risk factor. In addition, the number of deaths has increased alarmingly: 15% more compared to 2015. (OCHA, 18 Apr 2016)
As of July 2016, health officials have observed a resurgence of cholera cases in several towns, including in the departments of Artibonite, Center, Nippes, North and West. According to a report of MSPP, more than 823 alerts were recorded during the week of 17-23 July 2016, and about twenty towns are on red alert. The situation is reported to be more critical in the towns of Carrefour (109 cases), Port-au-Prince (83 cases), Tabarre (75 cases), Mirebalais (45 cases) and Verrettes (39 cases). (OCHA, 31 Jul 2016)
In August 2016, the government presented its plan to eliminate cholera in the medium term. (Gov't of Haiti, 25 Aug 2016)
In October 2016, Hurricane Matthew devastated Haiti which saw an increase of cases in Grand’Anse (148 cases) , Sud (53), and North-Ouest (6 cases) , and Artibonite (28) in the aftermath. (WHO/PAHO, 11 Oct 2016)
On 14 October, the UN Secretary-General established the Haiti Cholera Response Multi-Partner Trust Fund to finance critical priorities of the new UN system approach to cholera in Haiti designed to support the country in overcoming the epidemic and building sound water, sanitation and health systems. (UN, 14 Oct 2016)
As of 24 October, 3,500 suspected cholera cases were reported to OCHA. UNICEF is working with Ministry of Health and PAHO to organize vaccination of 900,000 people in the most affected areas. (UNICEF, 1 Nov 2016)
The Ministry of Health, supported by UNICEF and PAHO/WHO delivered a cholera vaccination campaign in the South and Grand’Anse departments in November 2016, immunizing 807,395 individuals, including over 309,213 children aged 1–14 years. (UNICEF, 10 Jan 2017)
A new approach to cholera in Haiti was laid out in the report by the UN Secretary-General (A/71/620) published on 12 December 2016. The UN General Assembly welcomed and committed to this new approach on 16 Dec 2016.
On 6 February, the Government of Haiti and the Humanitarian Country Team (formed by the United Nations and humanitarian partners) launched an appeal for funds of US$ 291.5 million to cover the critical humanitarian needs of 2.4 million people, US$ 34.7 million of which would only be for cholera. (OCHA, 6 Feb 2017)
The latest data for cholera shows that the epidemic is still high: there were 41,421 cases registered and 447 deaths between January and 31 December 2016 (OCHA, 8 Feb 2017)
On 22 February, the Government of Japan donated US$2.6 million to UNICEF to help strengthen the epidemiological coordination and surveillance, support conducting timely surveys, as well as improving and increasing awareness of cholera-related hygiene. The targeted departments for such actions are those of the Center, North, West, Grand'Anse, Sud (South), and Artibonite. (UN News, 22 Feb 2017)
22 février 2017 – Le gouvernement du Japon a accordé mardi un don de 2.6 millions de dollars au Fonds des Nations Unies pour l'enfance (UNICEF) pour lui permettre de combattre le choléra en Haïti.
Ce don du Japon appuiera directement le 'Projet de renforcement de la prévention et de la réponse au choléra' dont le principal objectif est de contribuer à réduire la morbidité et la mortalité liées au choléra en Haïti en 2017 et 2018.
22 February 2017 – A new grant from the Government of Japan will allow the United Nations Children’s Fund (UNICEF) to help reduce cholera-related morbidity and mortality in Haiti in 2017 and 2018, the UN agency said in a news release.
“With this gift from the Japanese people, we will strengthen the axes of the fight againstcholera in the protection of the Haitian population, especially children,” said Marc Vincent, UNICEF Representative in Haiti, welcoming the contribution.
LA COMMISSION EUROPÉENNE, vu le traité sur le fonctionnement de l’Union européenne, vu le règlement (UE) 2015/322 du Conseil du 2 mars 2015 relatif à la mise en œuvre du 11e Fonds européen de développement1 , et notamment son article 9, paragraphe 3, vu le règlement (UE) 2015/323 du Conseil du 2 mars 2015 portant règlement financier applicable au 11e Fonds européen de développement2 , et notamment son article 26, considérant ce qui suit:
THE EUROPEAN COMMISSION,
Having regard to the Treaty on the Functioning of the European Union,
Having regard to Council Regulation (EU) 2015/322 of 2 March 2015 on the implementation of the 11th European Development Fund1 and in particular Article 9(3) thereof,
Having regard to Council Regulation (EU) 2015/323 of 2 March 2015 on the financial regulation applicable to the 11th European Development Fund2 and in particular Article 26 thereof Whereas:
• 2016 cerró con 10.7 millones de personas afectadas, 10 % más que en 2015.
• Las inundaciones ocupan el primer lugar en tipo de desastre en la región, aunque la sequía genera el mayor número de personas afectadas.
• La temporada de huracanes en el Atlántico fue la más activa desde 2012 y las más mortal desde 2005.
• Durante 2016, Naciones Unidas solicitó fondos por US$339 millones en la región.
• 2016 marcó el 25 aniversario de la Resolución 46/182 de la ONU.
• 2016 closed with 10.7 million people affected, 10 per cent more than in 2015.
• Floods are the most frequent type of disaster in the region, although drought affected more people.
• The Atlantic hurricane season was more active than 2012 and more deadly than 2005.
• The United Nations requested funding for US$339 million for emergencies in the region.
• 2016 marked the 25th anniversary of UN Resolution 46/182.
More than 10 million people affected by disaster in 2016
€ 19 755 000 humanitarian assistance:
• €255 000 IFRC (WASH)
• €1 500 000 UNICEF (WASH)
• €2 000 000 CARE FR (food security and livelihoods, education, shelters) • € 16 000 000 (food security and livelihoods, nutrition, education, shelter, protection, WASH)
ECHO office: 4 Humanitarian experts and 1 logistics / security expert also supporting the CP Team.
The humanitarian context in Haiti has been worsened by the hurricane Matthew, which violently struck Haiti on 4 October causing widespread damage, flooding and displacement. Nearly 2.1 million people were affected throughout the country (mainly in Grand’Anse, Sud and Nippes departments). It was estimated that 1.4 million people need humanitarian assistance. Cholera epidemic is still high with 41,421 cases registered between January and 31 December 2016.
A. Situation analysis
Description of the disaster
Hurricane Matthew struck Haiti on 4 October 2016 as a Category 4 hurricane, causing massive destruction mainly in the departments of Grand’Anse, Sud, Nippes, and Nord-Ouest and to a lesser extent in Sud-Ouest and Ouest departments.
The government reported 546 deaths and 439 injuries as a consequence of the hurricane. About 2.1 million people were affected, including 806,000 people in need of urgent food assistance.
Food security improves substantially in hurricane-affected areas, WFP reports
USAID/OFDA partners assist more than 15,000 displaced people to return home
USAID/OFDA provides additional $2.5 million for hurricane-affected families
Number of suspected cholera cases continues to decline
-Le Plan de Réponse Humanitaire 2017-2018 vise à sauver des vies tout en renforçant la résilience de la population et des institutions nationales face aux crises et aux catastrophes naturelles, et en ouvrant la voie vers le développement durable
-The Humanitarian Response Plan 2017-2018 aims to save lives while strengthening the resilience of the population and national institutions in the face of crises and natural disasters, and by paving the way towards sustainable development
LE PLAN DE REPONSE HUMANITAIRE EN BREF
OBJECTIF STRATEGIQUE 1
Renforcer la résilience des personnes affectées à travers une assistance vitale à temps, la protection, un meilleur accès aux services de base et à la restauration immédiate des moyens de subsistance.
OBJECTIF STRATEGIQUE 2
Assurer une réponse rapide et effective (eau, hygiène et assainissement, santé) aux flambées de choléra et autres maladies d'origine hydrique.
OBJECTIF STRATEGIQUE 3
HUMANITARIAN NEEDS & KEY FIGURES
THE HUMANITARIAN RESPONSE PLAN AT A GLANCE
STRATEGIC OBJECTIVE 1
Strengthen affected people’s resilience through timely life-saving assistance, improved access to basic services and immediate livelihood restoration.
STRATEGIC OBJECTIVE 2
Ensure a rapid and effective response to cholera outbreaks and other waterborne diseases
STRATEGIC OBJECTIVE 3