Measles outbreak started in December 2014, and affected 11 localities of Kassala and Gedaref States by January 2015. In April, the outbreak was reported in additional 28 localities in Kassala, Sennar, the Red Sea, West, East, and North Darfur states. Sudan Red Crescent Society (SRCS) in collaboration with MoH, UNICEF and WHO are conducting vaccination campaigns across the targeted States as appropriate (IFRC, 22 Dec 2016)
In October 2016 over 21,000 people vaccinated against measles in Abyei, following an outbreak declared by the Ministry of Health in September. (OCHA, 23 Oct 2016)
Since the beginning of 2016, a total of 2,294 suspected measles cases including at least 28 deaths (CFR 1.22%) have been reported countrywide (WHO/Govt. South Sudan, 1 Jan 2017)
New cases continue to be reported from various Protection of Civilians (PoC) sites. A countrywide measles vaccination campaign is planned for the second half of March 2017 (WHO/Govt. South Sudan, 22 Jan 2017)
This report has been developed collectively with humanitarian partners in the region to inform preparedness and advocacy efforts to mitigate and manage humanitarian risk in the Horn of Africa and Great Lakes region*. It presents a three-month trend analysis from October to December 2016 and a humanitarian outlook from January to March 2017. It is the sixth report in the series and updates the previous scenario report which was published in October 2016.
Regional Trends: October-December 2016
The rate of new arrivals in to Uganda remains very high, with a total of 9,568 South Sudanese refugees received in Uganda between the 15th and 21st of February, although this is a decrease from the 13,092 new arrivals reported in the previous week. This brings the total new arrivals in February to 56,087.
The average daily rate of new arrivals this week was 1,367.
Facts & Figures
Since fighting erupted in December 2013:
More than 1.7 million internally displaced people according to UN estimates
Over 202 000 people seeking refuge at UN Mission compounds (UNMIS)
Over 1.1 million South Sudanese refugees & asylum seekers in neighbouring countries (UNHCR)
67 aid workers killed by warring parties (UNOCHA)
About 4.8 million people experiencing food insecurity
• Completeness for weekly reporting was 34% IDSR sites and 68% for the IDP sites.
• Malaria remains the leading cause of morbidity in nonconflict areas and IDPs. Transmission in most counties that had experienced upsurge in cases has reduced to expected ranges.
• 10 new measles cases reported from Wau PoC during the week.
Measles IgM positive cases confirmed in Aweil South (4); Gogrial West (4); and Wau PoC (4). 7 Rubella IgM positive cases in Wau PoC.
More than one million children in war-torn South Sudan risk starvation, Save the Children is warning, as a famine is declared in the country’s Unity State.
The latest government and Famine Early Warning Systems figures predict that 4.9 million people (nearly half the country’s population) will be in a food crisis across the country, many of them close to famine level, between now and April. This includes at least one million children. That figure is expected to jump to 5.5 million people at the height of the lean season in July.
• Intense fighting along the west bank of the Nile in Upper Nile has been persistent through the first two weeks of February, resulting in the displacement of the entire population of Wau Shilluk, some 30,000 people. Currently, 16,000 internally displaced persons (IDPs) are in Renk, en route to crossing the border into Sudan.
IOM CONSOLIDATED APPEAL PLAN
The 2017 South Sudan Humanitarian Response Plan (HRP) appeals for USD 1.6 billion to target 5.8 million people for assistance. Developed in line with the HRP and the framework of the IASC Clusters, IOM’s 2017 CAP requests USD 76,852,706. The appeal highlights emergency humanitarian assistance based on IOM’s existing capacity, focusing on the most urgent needs of the affected population.
Humanitarian needs & key figures
Over the past year, the humanitarian crisis in South Sudan has deepened and spread, affecting people in areas previously considered stable and exhausting the coping capacity of those already impacted. Three years on from the outbreak of conflict in December 2013, nearly 7.5 million people are in need of humanitarian assistance and protection across the country as a result of armed conflict, inter-communal violence, economic crisis, disease outbreaks and climatic shocks.
UNICEF’s 2017 Humanitarian Action for Children (HAC) appeal for Sudan launched in January amounted to US$ 110.25 million to respond to children’s humanitarian needs across the country. According to the 2016 Humanitarian Response Plan (HRP) for Sudan, an estimated 5.8 million people are in dire need of humanitarian assistance, including over 3 million children.
Completeness for weekly reporting was 45% IDSR sites and 72% for the IDP sites.
Malaria is a leading cause of morbidity in nonconflict areas and IDPs. Transmission in most counties that had experienced upsurge in cases has reduced to expected ranges.
Measles transmission is ongoing in Wau PoC where at least 59 cases were reported in week 3 of 2017.
Cholera transmission is on the decline in Northern Liech and Southern Liech.
Clashes in Upper Nile prompt IOM to temporarily suspend relief activities
GoRSS lifts government restrictions on humanitarian activities in Panyijiar
Health actors respond to ongoing cholera and measles outbreaks
Displaced populations continue to flee to Uganda and neighboring countries
PEOPLE IN NEED IN 2016 6.1M
PEOPLE TARGETED IN 2016 5.1M
PEOPLE REACHED BY THE END OF Q3 2016 4.2M
Humanitarian access remains highly restricted in Greater Equatoria and southern areas of Unity, affecting the delivery of life-saving humanitarian assistance. There has been an escalation of violence in the last two weeks and heavy fighting has been recorded in the Greater Equatoria region and Upper Nile state, severely affecting civilians.
• Completeness for weekly reporting was 33% for the routine Reporting sites(IDSR) and 75% for the IDP sites(EWARS)
• Malaria is a leading cause of morbidity in nonconflict areas and IDPs. Transmission in most counties that had experienced upsurge in cases has reduced to expected ranges.
• Measles transmission is ongoing in Wau PoC where at least 72 cases were reported in week 2 of 2017.
• Active cholera transmission is ongoing but declining in Northern Liech and Southern Liech; and UN House PoC.
Daily arrival figures from July 2016 are based on manual emergency registration or head-counts/wrist-banding. Confirmed figures will be available as the new arrivals undergo biometric registration.
Figures prior to July are from the Government’s Refugee Information Management System (RIMS).
During December, displacement was reported in Central Equatoria, Western Equatoria, Western Bahr el Ghazal, Upper Nile and Unity. In Central Equatoria, new arrivals, mainly from Yei and Morobo, brought the number of displaced people in Kajo-Keji to more than 30,000 by the end of the month, while clashes in Tindalo area near Terekeka caused the local population to flee. In Western Equatoria, small-scale displacement was reported in and around Mundri East due to clashes in Kediba.
18 January 2017, Juba, South Sudan – WHO South Sudan in partnership with the MoH, UNICEF and other partners including state directors general for health and Expanded Program on Immunization (EPI) officers of all states, gathered from 17 to 21 January 2017 at Juba Grand Hotel to plan on how to reach 2.3 million persons with measles vaccines in the face of a difficult operating environment.
Mobile response teams provide relief aid in Greater Equatoria
Dry season pre-positioning underway across the country
Wau PoC site extension will enable improved conditions for IDPs
11,825 refugees were received in Uganda from South Sudan between the 11th and 17th of January. The arrival rate has continued to increase, with a daily average of 1,689 new arrivals, compared to 1,140 in the previous week.
The majority of South Sudanese refugees arrive in Uganda through informal border points, with 529 refugees arriving in Uganda through the Democratic Republic of Congo (DRC). 5,918 South Sudanese refugees have reached Uganda through the DRC to date.
A total of $781.8 million * requested for the period January ‐ December 2017, including:
- $**9.8 million** for CAR
- $**30.3 million** for the DRC
- $**157.7 million** for Ethiopia
- $**40.5 million** for Kenya
- $**171.7 million** for South Sudan
- $**68 million** for Sudan
- $**283.8 million** for Uganda
- $**476,251** for HQ & Regional Coordination
* All dollar signs in this document denote United States dollars. This total includes support costs (7%)