Starting in January 2013, measles outbreaks were reported in several regions of the Central African Republic, notably in the towns of Ngaoundaye, Abba and Carnot, Begoua and Mbaiki, in suburbs of the capital city, Bangui. From January to April, 63 cases were reported in Bangui alone. Large population movements from rural areas to Bangui due to insecurity increased the risk of a large-scale outbreak. (IFRC, 16 May 2013). Humanitarian partners carried out a vaccination campaign in Bangui in May, followed by another campaign in the interior of the country in July (UNICEF, 22 Jul 2013). By October, measles outbreaks had been reported almost everywhere in the country, with at least 600 confirmed cases. According to the Health cluster, 15 out of the 22 health districts were affected. A vaccination campaign started on 4 Oct. By the end of November, UNICEF and its partners had vaccinated over 500,000 children between 6 and 59 months, 68 per cent of the targeted number (740,000). (OCHA, 29 Nov 2013)
BANGUI/DAKAR/GENEVA/NEW YORK – A year after extreme violence tore through the Central African Republic, two out of five children in urgent need of UNICEF’s support are without vital humanitarian aid – according to the agency.
UNICEF says a critical lack of funding and insecurity – such as road barricades, looting and attacks against aid workers – have left children they expected to help this year without access to essential health services, water, education and protection.
Snapshot 10–16 December
Iraq: 700,000 IDPs, mostly in Dahuk and Anbar governorates, are living in shelters that are not adapted for winter temperatures. 945,000 IDPs are in dire need of kerosene for heating.
Afghanistan: Kabul has been hit by at least 12 suicide attacks since early November, with more attacks also carried out elsewhere, fuelling concerns about the protection of civilians.
• In Bangui, the security situation remains volatile with ex-Seleka elements in Beal camp in Bangui threatening to detonate the site if their demands are not met by the transitional Government.
• On 28 November, transitional President Samba-Panza presided over the official ceremonies at Ngaraba School to commemorate the reopening of schools in CAR.
The security situation countrywide remains volatile. Ex-Seleka elements living in Bangui’s Beal camp threaten to detonate the site if their demands are not met.
An eruption of violence started on 5 November in Zémio, Haut Mbomou Province, an area affected by the LRA, but that had not been impacted by the crisis so far.
Fourteen cholera cases have been confirmed following a cholera outbreak on 1 November along the CAR-Cameroon border.
509 Global progress towards regional measles elimination, worldwide, 2000–2013
509 Progrès dans le monde en vue de l’élimination de la rougeole dans les Régions, 2000-2013
In Bangui, renewed violence began 7 October, targeting the civilian population, aid agency staff, and MINUSCA peacekeepers. As a result, two UN peacekeeping troops lost their lives and 13 others were injured. Eleven civilians including 6 children were reportedly killed and 229 people including 22 children were injured.
The UN Secretary-General’s Special Representative (SRSG) and head of the United Nations Multidimensional Integrated Stabilization Mission in the Central African Republic (MINUSCA), Mr. Babacar Gaye, requested that all concerned parties ensure the implementation of the Brazzaville agreement as he believes that the recent crisis in Bangui is partly due to its non-application. Mr. Gaye believes that enforcement of the agreement, signed on 23 July 2014, would lead to the end of the crisis and provide a way to return to constitutional order.
Renewed violence in Bangui town increases the number of Displaced people and Also hindering humanitarian access to the people affected. Other violent clashes on 4 august further deteriorated the humanitarian situation. Accurate displacement figures for the rest of the country are being compiled to update the IDP figures outside Bangui. The CAR crisis has pushed 424,268 Central African refugees into neighbouring countries since December 2013.
Situation humanitaire préoccupante à Batangafo et Boda. Une tension forte entre les différents groupes armés et les forces Internationales persiste, entravant l'accès humanitaire avec retrait partiel de MSF.
Elaboration et le suivi de la mise en oeuvre du plan de Prévention et la Préparation d’une éventuelle Riposte à la Maladie à virus Ebola.
Validation du Plan de transition de Cluster santé le 16 septembre 2014.
On 15 September MINUSCA officially took over from MISCA;
On 22 September, five Muslims were killed by anti-Balaka in the Sibut area while accompanying a truck of cattle to Bangui;
CAR government’s decision to prevent the entry to people from Ebola affected countries (Liberia, Sierra Leone, Guinea and Nigeria) remains effective;
WHO assessment sheds light on Central African Republic’s shattered health system
Tumult in this landlocked country was so extensive in the spring of 2014 that officials were not sure how much of its health system was actually functioning.
UNICEF continues to be engaged in providing humanitarian assistance in four regions of Cameroon – the Far North, North, Adamawa and the East – which have been facing recurring emergencies.
UNICEF Response highlights
• Nearly 70% of the targeted affected population has received WASH supplies and hand-washing materials.
• 61% of targeted children under 5 with severe acute malnutrition have been admitted for therapeutic care, with an estimated recovery rate of 81% (SPHERE standard >75%).
• More than 80% of children under 5 targeted by UNICEF have been vaccinated against measles.
• 69% of the targeted affected population has access to basic health services and medicines in affected areas.
Ebola in Liberia, Sierra Leone, and Guinea: As a three-day countrywide shutdown came to an end in Sierra Leone, the UN Security Council set up a special mission to lead the global response to the Ebola outbreak. More than 5,800 cases have been reported since the beginning of the outbreak, including 2,800 deaths, and more than 13.5 million people are now considered in need of assistance as the impact of the epidemic spreads.
It is very early in the morning when a car leaves the Doctors Without Borders/Médecins Sans Frontières (MSF) base in Bambari, Ouaka region, in the center of Central African Republic (CAR), a country burning itself up with violence. The MSF team is heading to Yamale, a small village in the bush some 19 miles from Bambari. It isn’t far, but the trip takes two hours in the rainy season, as the road is thick with mud.
Il est très tôt le matin lorsqu’une voiture quitte la base MSF de Bambari dans la région de l’Ouaka en République centrafricaine (RCA), un pays récemment dévasté par la violence. L’équipe MSF se dirige vers Yamale, un petit village situé en brousse, à 30 kilomètres de Bambari. La distance n’est pas très importante, mais pendant la saison des pluies, la route devient boueuse et le voyage prend deux heures.
Les acteurs humanitaires ont répondu aux besoins de plus de 6 000 retournés de la RCA qui ont été déplacés sur le nouveau site de Kobiteye (Logone Oriental), suite à une décision Gouvernementale de fermer soudainement le site de transit de Doba le 8 Aout.
The crisis in the Central African Republic has been graded at Level 3 since 11 December 2014. Health partners have scaled up their interventions but have not reached all the population in need due to security and financial challenges.
The security situation in the Central African Republic remains volatile and unpredictable, which continues to hinder humanitarian access. Since January, more than 890 security incidents have been recorded.