On 15 May 2014, South Sudan's Ministry of Health declared a cholera outbreak in Juba, Central Equatoria State, after 18 suspected cholera cases and one death had been reported (Govt, 15 May 2014).
The National Cholera Task Force was mobilized, with UNICEF leading the WASH and Social Mobilization and Health Education working groups, while WHO is the lead for Case Management and Surveillance (UNICEF, 19 May 2014).
By 25 May, 586 cases including 22 deaths had been reported since the onset of the outbreak on 24 Apr (WHO, 25 May 2014).
By 11 Aug, the number of cases had increased to 5,697, including 123 deaths. Overall new cholera cases reduced from 825 in week 28 to 121 in week 32. (WHO, 15 Aug 2014)
By 12 Oct, a total of 6,141 cholera cases including 139 deaths had been reported. Overall, cholera was on the decline countrywide, with only two new cases reported in week 41. (WHO, 12 Oct 2014)
By the end of October, cholera had resurfaced in Eastern Equatoria's Lopa-Lafon County where new cases and deaths were reported, raising the cumulative number to 6,260 cases and 157 deaths (WHO, 31 Oct 2014).
- The present report is submitted pursuant to Security Council resolution 2155 (2014), by which the Council extended the mandate of the United Nations Mission in South Sudan (UNMISS) until 30 November and requested that I report on the implementation of the Mission’s mandate every 60 days. The report provides an update to my previous report (S/2014/708), dated 30 September 2014, covering developments from 24 September to 24 November.
UN Assistant Secretary-General for Humanitarian Affairs, Kyung-wha Kang, concluded a three-day mission to South Sudan, calling on all parties to the conflict to respect their ceasefire commitments, and urged for more international support to enable humanitarians to scale-up and expand critical aid operations.
The security situation in the Protection of Civilians (PoC) sites in Malakal remained relatively calm, as community elders engaged the warring youth in a bid to defuse the tensions.
An immunisation campaign targeting more than 3.2 million children in all 10 states has been successfully completed in seven states. Efforts are underway to immunise children in the three conflict-affected states of Jonglei, Unity and Upper Nile.
Clashes in Malakal, raise concerns as gunshot wounds and other weapon-related injuries are the leading cause of mortality, accounting for 23% of deaths in the Protection of Civilian (PoC) site.
The deteriorating situation in Malakal Protection of Civilian (PoC) site is of great concern with the provision of humanitarian assistance significantly disrupted. Over the past weeks, insecurity has increased, with humanitarian staff threatened and assaulted when delivering services in the PoC, greatly affecting the provision of WASH, education and child protection services in the site.
Snapshot 12–18 November
Ethiopia: Waters have begun to recede from Leitchuor refugee camp in Gambella, but few refugees have returned to the camps so far, where alarming rates of severe malnutrition persist: 5.7% in Leitchuor, 7.8% in Kule, and 10% in Tierkidi. In SNNPR, flooding was reported, while in Oromia, water trucking has begun for populations affected by drought.
On 9 November, the Inter-Governmental Authority on Development (IGAD) facilitated the recommitment to the implementation of the Cessation of Hostilities Agreement of 23 January.
Escalating inter-communal tensions between the youth in the Protection of Civilians (PoC) sites in Malakal, Upper Nile State, continued to disrupt humanitarian operations.
The activities proposed hereafter are still subject to the adoption of the financing decision ECHO/WWD/ BUD/2015/01000
AMOUNT: EUR 82 000 000
Given the continued links between the crises in Sudan and South Sudan, the European Commission's Directorate-General for Humanitarian Aid and Civil Protection (ECHO) considers that one regional HIP covering the two countries will help to ensure that interventions are relevant and consistent in both of them.
Sporadic fighting was reported in Jonglei, Unity and Upper Nile states. Aid workers have restricted movement due to the insecurity.
Humanitarian operations in Malakal, Upper Nile, were disrupted, following a dispute between youth in PoC 1 and 2, and those in the new PoC site.
About 35,000 people were displaced by heavy fighting in Khorfulus area, Jonglei State, and are sheltering in Ayod and New Fangak areas. Aid agencies are assessing the impact and required response.
Insecurity in Bentiu, Rumbek and Malakal is affecting critical health service delivery and has prompted partners to temporarily halt rapid response missions to those areas.
Two vaccine derived polio virus (VDPV) cases have been confirmed in Bentiu Protection of Civilians (PoC) site.
New Cholera cases have been reported in Central and Eastern Equatoria State where 47 new cases and two deaths have been reported, bringing the cumulative since May to 6,297 cases and 160 deaths (CFR2.26%).
The security situation across country is deteriorating, seriously disrupting programme activities. Unity State was the most affected with severe clashes that resulted in humanitarian access to vulnerable populations in Rubkona and Bentiu being drastically reduced.
Snapshot 29 October – 4 November
Yemen: As a government was agreed by Houthi and other opposition parties, the Southern Movement announced a merger to represent all southerners in the campaign for independence. Houthi insurgents attacked the Sunni opposition Al Islah party headquarters in Ibb, while Al Qaeda killed 18 Yemeni troops during an attack in Hudaydah.
Cholera resurfaced in Lopa-Lafon County where new cases and deaths were reported, raising the cumulative number to 6,260 cases and 157 deaths (CFR 2.6%).
Visceral Leishmaniasis (kala-azar) cases and deaths rose to 5,713 and 163 (CFR2.9%) respectively since May 2014.
Altogether 13 Hepatis E Virus (HEV) cases have ben reported in Mingkaman.
To date health partners have conducted 3,412,049 medical interventions since December 2013.
By Afrhill Rances, IFRC
Six months since the outset of a cholera outbreak in Torit County, the South Sudan Red Cross and the International Federation of Red Cross and Red Crescent Societies (IFRC) continue efforts to curb the disease. The Red Cross response is following a dual-pronged approach with three main fronts; ensuring access to safe drinking water, organizing disease prevention education sessions, and promoting hygiene awareness in affected communities with the view of instilling behaviour change.
Central African Republic: In Ouaka prefecture, fighting among rival militias persists. Attacks on a number locations, including Bambari, have left dozens of people dead, and civilians have been executed. 3,000 people remain displaced from Bangui after violence began in the middle of the month.
As of October, aid organizations had reached 3.5 million of the 3.8 million people to be assisted in 2014, though the response needed to be sustained.
Heavy rains in the past two weeks have caused flooding in the displacement sites in Mingkaman, Lakes State.
Biometric registration was underway in Malakal, Upper Nile State, with 10,000 people in the new and improved Protection of Civilians site register
The present report is submitted pursuant to Security Council resolution 2155 (2014), by which the Council extended the mandate of the United Nations Mission in South Sudan (UNMISS) until 30 November and requested that I report on the implementation of the Mission’s mandate every 60 days.
DRC: A resurgence of ADF-NALU attacks in North Kivu are thought to have displaced 100,000 people, and killed at least 80. In South Kivu, there has been a significant increase in IDPs, mainly due to insecurity in Shabunda and Fizi territories. 7.3 million people across the country are estimated to be food insecure.
Central African Republic: 5,600 people have fled Bangui after a new wave of violence killed at least eight and injured 56. WASH and health are priority needs among the IDPs. A UN peacekeeper was ambushed and killed on the outskirts of the capital. In Kemo, IDPs have been slow to return as tensions have increased: ex-Seleka attacked Dekoa market on 11 October.