Starting in early February 2014, measles outbreaks were confirmed in several regions of Somalia (OCHA, 20 May 2014). In March and April, there were over 1,350 suspected cases – four times the number seen during the same period in 2013. Nearly 1,000 cases were reported in May alone. (WHO/UNICEF, 10 Jun 2014) By June, the cumulative number of cases stood at around 4,000. On 14 Jul, the UN Central Emergency Response Fund (CERF) allocated US$1.4 million for an emergency campaign to vaccinate 520,000 children under 5 years in the worst affected areas of Banadir, Lower Juba and Puntland. (OCHA, 14 Jul 2014) By September, more than 7,700 suspected measles cases had been reported and vaccination campaigns were ongoing (UNICEF, 30 Sep 2014). By November, the number of cases had increased to 9,000, more than twice the number of cases in the same period in 2013. (OCHA, 24 Nov 2014)
A measles outbreak has been reported in Buhodle in Togdheer region by the Ministry of Health. Some 29 cases of measles were confirmed in rural villages around Buhodle, according to the local authorities. These include 18 cases among children under age 5. Local officials also reported that the cases are spreading in the area.
Unconfirmed reports indicate that most of the affected people had not been vaccinated. A number of nomadic pastoralist families affected by the drought in parts of Puntland and Somaliland have recently moved into these villages, according to authorities.
In 2015, some 7,500 suspected cases of measles were detected mostly among children under age 5 in southern and central Somalia. Emergency vaccination against measles remains a priority for 2016.
In November 2015, humanitarian partners in collaboration with the Federal Government launched a measles campaign targeting nearly 4 million children under age 10 in Somalia. Over 3.5 million children were vaccinated against measles since November 2015. This represents an administrative coverage of 90 per cent in accessible districts of Somalia. Plans are underway to begin an immunization campaign in Bakool region following the recent suspected cases of measles in the area.[(OCHA, 23 Mar 2016)]
Overview of Health facility based nutrition surveillance (Jan-Mar 2016)
FSNAU compiles and analyses health facility based nutrition surveillance data and field reports which are reported through the Nutrition Update. The current Nutrition Update covers data from health facilities and field reports for the period January to March 2016.
Access to health services deteriorates
Emergency funds to ramp up response to drought
New cases of measles reported
CHF is now Somalia Humanitarian Fund
No. of people in humanitarian emergency and crisis 1m
No. of people in food security stress 3.7m
No. of acutely malnourished children under age 5 : 305,000
Source: www.fsnau.org (July-December 2016 projection)
The 2016 Humanitarian Response Plan (HRP) for Somalia was launched on 19 January 2016 in Mogadishu. The HRP is seeking to reach 3.5 million people with urgent life-saving assistance by the end of 2016. In line with the HRP, UNICEF is requesting US$82 million to meet the humanitarian needs of children in 2016.
IDP assessment in Mogadishu
• UNICEF and partners continue to respond to flooding and AWD/cholera outbreaks.
• The round five of the Polio National Immunization Day conducted in Central and Southern Somalia, as well as in Puntland. A measles campaign also took place in Somaliland during the reporting period.
Situation Overview and Humanitarian Needs
In 2015, acute humanitarian needs persisted in Somalia and require urgent attention to avert millions of vulnerable people from sliding back into crisis. An estimated 4.9 million people are in need of lifesaving and livelihoods support. In spite of the challenging operating environment, partners reached nearly 2.5 million people with urgent life-saving assistance. More than $605 million was received for humanitarian response in Somalia in 2015. This includes $374 million (43 per cent) of the $863 million requested for the 2015 HRP.
Somalia Total affected population: 4.9 million
Total affected children (under 18): 2 million
Total people to be reached in 2016: 3.6 million
Total children to be reached in 2016: 1.5 million 2016 programme targets
•110,000 children under 5 years suffering from SAM admitted to therapeutic treatment programmes
•2.3 million people in high-risk areas accessed basic health services
•445,000 children under 1 year immunized against measles
Burundi: As the security situation continues to deteriorate, the UN Security Council has expressed concern over possible mass atrocities and ethnic violence. Clashes continues in several areas of the country. Burundian refugees in DRC expressed fears over possible cross-border attacks by government forces.
Nigeria: An outbreak of Lassa viral haemorrhagic fever was announced in Nigeria on 8 January. At least 140 suspected cases and 30 confirmed cases, including 53 deaths, have been reported in 14 states. The indicated case fatality rate stands at 37.9%.
Gambia: Almost 182,000 people (9% of the population) are severely food insecure after erratic rains caused drought and crop failure. Most affected regions are Upper River, West Coast, and Northern Bank.
Flooding affects 132,000 people and displaces 60,000 - UNICEF and partners scale up response interventions. 2,055,618 children under-10 in Central and Northeast Somalia are vaccinated against measles during National Immunization Day campaigns. Additional campaigns planned for December. Somalia launches the inactivated polio vaccine.
Against an appeal of US$ 111,705,413 to meet the humanitarian needs of women and children in Somalia in 2015, as at 15 December UNICEF is 45 per cent funded.
DRC: Violence between Hutu and Nande, in Miriki, Lubero, Nord-Kivu, allegedly over land, has left 17 dead and over 20,000 displaced. The displaced urgently need food and drinking water.
Iraq: In Ramadi and Hawija, Islamic State has stalled civilians’ attempts to escape conflict zones and persecution. People from Hawija must trek for two days across mountainous terrain to reach safety: 60 people were reported to have died on the journey between November 2015 and January 2016.
Zimbabwe: A poor 2014/2015 harvest coupled with delayed onset of rains this cropping season have left 1.5 million people facing food insecurity from January through March 2016. Government maize stocks are dangerously low and humanitarian food assistance plans underfunded. Over 850,000 people urgently require assistance.
Snapshot 16–22 December 2015
Cameroon: 2.9 million people are in need of humanitarian assistance. 2.4 million are in need of protection assistance, predominantly in the Far North Region. The government has reportedly urged men to join self-defence groups in the northern areas affected by Boko Haram. The same reports suggest the government has made provisions in its 2016 budget to support the self-defence groups.
Snapshot 9–15 December 2015
The Crisis Overview 2015: Humanitarian Trends and Risks for 2016, outlines the countries considered to be in greatest humanitarian need as we approach the end of 2015.
Snapshot 2-8 December 2015
Jordan: 11,400 Syrian asylum seekers are currently stranded at the border with Jordan, after a recent surge in violence has driven new displacement, doubling the number at the border since October. They face urgent humanitarian and protection needs. The Jordanian Government has increasingly restricted movement across the border since 2013.
Snapshot 25 November–1 December 2015
Cameroon: New data indicate that 158,316 people are internally displaced – this is 65,000 more than the previous estimate. The vast majority have been displaced by Boko Haram-related violence, with fewer than 15% displaced by flooding and other natural disasters. Movement stays within Far North region, and Logone-et-Chari hosts around 60% of all IDPs.
NEEDS & KEY FIGURES
While the country has made modest gains, high levels of humanitarian needs persist. About 4.9 million people are in need of life-saving and livelihoods support and 1.1 million remain internally displaced.
Somalia: Flooding has affected 132,000 people and displaced an estimated 60,000 as low-lying areas of Mogadishu have now been inundated, as well as areas of Middle Shabelle and Lower Juba. Main supply roads are impassable and some airstrips unusable The middle and lower reaches of the Shabelle River remain at high risk of flooding.
Yemen: 14.4 million people are now food insecure: two million more than in June and four million more than before the escalation of conflict in March. 7.6 million people are severely food insecure. Heavy fighting continues, in particular in Al Dhalee and Taizz governorates. Peace talks between Houthi and government representatives, which were expected to begin mid-November, are yet to take place.