The Ministry of Health has declared a cholera outbreak in Iraq with 15 confirmed cases in two governorates as of 15 September. Ten cases originated from Najaf and five cases from Baghdad. All cases are reported to be stable and treatment has been provided. The number of unconfirmed suspected cases is increasing. The disease outbreak comes after an uptick in diarrheal cases above the normal threshold was noted in some southern and central governorates in the past weeks. To respond to the unfolding situation, the Ministry of Health and partners have deployed to the affected areas. (OCHA, 15 Sep 2015)
As of 6 October, there have been 1039 confirmed cases of cholera reported in 13 governorates. Ongoing conflict has taken a toll on health services – more than 170 health facilities are non-functional. While a critical funding shortfall disrupted key health projects during July and August, careful reprogramming and an injection of funding saved some 100 health projects from being completely shut down. However, 46 critical WHO and Health Cluster projects are at risk unless further funding is received by the end of the year. (WHO, 13 Oct 2015)
As of end October, 2,171 laboratory-tested cases had been confirmed in 15 of the country’s 18 governorates. WHO informed that pilgrimages in October and December posed an additional transmission risk. (ACAPS, 3 Nov 2015)
As of 22 November, a total of 2,810 laboratory-confirmed cases of Vibrio cholerae 01 Inaba had been confirmed at the Central Public Health Laboratory in Baghdad, and only 2 deaths related to cholera were reported. These cases were reported from 17 Governorates of the country, with the highest number of cases in Baghdad (940) and Babylon (675). (WHO, 26 Nov 2015)
A Cholera Taskforce has been established and responded to this outbreak through Cholera Command and Control Centre (C4) under the leadership of the Ministry of Health. No more cholera cases have been reported from Iraq since December 6, 2015 and the C4 declared the containment of the outbreak. (Gov't of Iraq, WHO, 13 Dec 2015)
At the sixty-eighth session of the World Health Assembly in May 2015, WHO Director-General Margaret Chan committed the Organization to creating a single, all-hazards emergency programme; to establishing a global health emergency workforce; and to raising a US$ 100 million contingency fund to enable rapid emergency response.
Ten million people are estimated to be in need of humanitarian assistance in Iraq, of which approximately 4.7 million are children.
UNICEF and its partners, including through the clusters developed contingency plans for humanitarian response in the case of escalation of military operations in Anbar and Mosul and possible flooding caused by an eventual burst of the Mosul Dam.
USAID/FFP contributes $20 million in additional emergency food assistance to Iraq in February
Italian firm Trevi signs agreement to refurbish Mosul Dam
Insecurity in Iraq results in more than 3,100 civilian deaths and injuries countrywide since January
94,380 Syrian refugees in 10 camps benefit from access to water, sanitation and hygiene services, with 86,195 benefiting from more durable, resilient water supply services
Baghdad, 23 February 2016 – In 2015, a rapid response by government and humanitarian partners in Iraq successfully contained a deadly cholera outbreak, which quickly spread from districts around Baghdad to areas across the country culminating in nearly 3,000 confirmed cases. Efforts continue relentlessly in 2016, to avoid future possible outbreaks.
• The estimate of people in need of humanitarian assistance in Iraq is revised upwards from 8.2 million to 10 million people (OCHA, Humanitarian Needs Overview). Nearly half of these are children under 18 years old.
• In January 2016, over 3.3 million people are displaced across Iraq, up from 3.2 million in December 2015. Approximately 1.5 million IDP children remain in need of protection and assistance. It is estimated that 1.4 million children live in areas outside government control.1
• An estimated 8.2 million people in Iraq remain in need of humanitarian assistance.
• In December 2015, over 3.2 million people are displaced across Iraq, more than a million additional people since the end of 2014.
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.
Number of reporting sites: Seventy-nine (79) reporting sites including thirty-nine (39) in Internally Displaced People’s (IDP) camps, four (4) in refugee camps and thirty-seven (37) mobile clinics submitted their weekly reports timely and completely.
Total number of consultations: 27 472 (Male=13 336 and Female=14 106) marking a decrease of 1 687 (6%) since last week.
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.
Number of reporting sites: Sixty-eight (69) reporting sites including thirty-eight (38) in Internally Displaced People’s (IDP) camps, Six (6) in refugee camps and twenty-five (25) mobile clinics submitted their weekly reports timely and completely.
Total number of consultations: 29 153 (Male=13 970 and Female=15 183) marking a decrease of 2 341 (8%) since last week.
Number of reporting sites: Eighty (80) reporting sites including thirty-eight (38) in Internally Displaced Peo-ple’s (IDP) camps, Six (6) in refugee camps and thirty-six (36) mobile clinics submitted their weekly reports timely and completely.
Total number of consultations: 30 269 (Male=14 543 and Female=15 726) marking a increase of 1 011 (3%) since last week.
WASH sector partners continued to focus on Cholera preparedness and response in Refugee camps, including awareness raising on the Oral Cholera Vaccination (OCV) campaign. The overall trend for the outbreak started and continued to decline over November. Sector partners commemorated World Toilet Day in Refugee Camps on November 19th, raising awareness on the importance of access to and use of toilets and promoting hygiene related messages such as proper handwashing with soap.
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.
On 22 November UNHCR opened the new Nazrawa Camp in Kirkuk Governorate. The camp will shelter 8,400 people, raising the camp capacity in Kirkuk Governorate to more than 16,000 people. The Governor of Kirkuk and the UNHCR Representative in Iraq welcomed the first 350 families to the camp.
During November UNHCR marked the 16 Days of Activism against GenderBased Violence. Events across Iraq were held in collaboration with IDPs, refugees, host communities, local authorities, partners and UN agencies.
• As of 30 November 2015, 3,190,710 people (531,785 families) were displaced across Iraq and 453,318 individuals were reported as returned to their place of origin (IOM).
• In one incident on 26 November, eight children were reportedly killed and six injured near the city of Fallujah. UNICEF remains concerned for the safety of Iraq’s children and urges all parties to the conflict to abide by international principles to protect all civilians, especially children, from violence.
Snapshot 9–15 December 2015