Humanitarian partners have stepped up response to the outbreak...Projections of 15,000 severe and 60,000 moderate cases over the coming months have led to plans for a significant and rapid scale up of the response. To help stabilize and contain the outbreak, the CERF rapid response grant of $2 million will strengthen and complement response activities already underway by WASH and Health partners. (OCHA, 30 May 2016)
Since the beginning of , a total of 14165 case of AWD and 497 deaths have been reported in different parts of Somalia. Of these 47.7% are female while 57.9% are children below 5 years. [...] there has been a gradual reduction in number of cases from the peak 1,853 cases and 187 deaths (CFR 10.0%) in week 15 to 194 cases and 0 death in week 46. (WHO, 20 Nov 2016)
Drought conditions have increased the spread of epidemic-prone diseases such as acute watery diarrhoea, cholera and measles. In the first 7 weeks of 2017, over 6000 cases and 65 deaths by acute watery diarrhoea/ cholera have been reported. (WHO, 27 Feb 2017)
A cumulative 13,126 suspected AWD/cholera cases and 302 deaths (CFR–2.4%) were recorded in 46 districts across 12 regions since the beginning of the year. However, the trend of cholera cases recorded in the last ten weeks has increased significantly as compared to the cases reported in the same period in 2016...The AWD/cholera epidemic in Hiraan, Nugal, Mudug and Bari and Banadir region has been controlled and the cholera treatment centre in Beletweyne has been closed. The current AWD/cholera outbreak affecting 46 districts in 11 regions were a spill-over from last year’s major cholera outbreak, which recorded 15,619 cases and 548 deaths. Last year’s outbreak was one of the worst and longest in which the country has experienced in the last five years. (WHO, 5 Mar 2017)
On 15 March 2017, the Government of Somalia, together with humanitarian partners, launched an Oral Cholera Vaccination campaign, the first of its kind in Somalia, targeting over 450,000 people in seven high-risk areas around the country...WASH partners have furthermore scaled up response to AWD/Cholera, reaching 316,000 people in southern and central Somalia through distribution of hygiene kits, chlorination of water points and hygiene promotion campaigns as of end of February. In total, some 568,600 people were assisted with temporary and/or sustainable access to safe water, 36,000 people with safe sanitation and 498,000 people with hygiene promotion activities. (OCHA, 24 Mar 2017)
A total of 37930 suspected AWD/ cholera cases and 683 deaths (CFR–1.8%) were recorded from 52 districts across 14 regions since the beginning of 2017. However, the trend of cholera cases recorded in the past 18 weeks has increased significantly compared to the cases reported during the same period last year. (WHO, 7 May 2017)
History of the appeal:
• The Somalia Drought Emergency Appeal was initially launched on 25 March 2016 for CHF 1,290,936 to support the Somali Red Crescent Society (SRCS) in assisting 78,990 drought's affected people for six months. A DREF loan of CHF 129,394 had been processed at the beginning of the appeal to support the start-up activities by SRCS. At the end of the initial appeal period, the appeal timeframe was extended by six months to a total of 12 months.
May rainfall supports crop development, but below-average Gu production still likely
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 21 May - 27 May 2017 and includes updates on influenza, hepatitis A, cholera, Ebola virus disease and Legionnaires' disease.
Despite the onset of rain in some parts of Somalia, the food security and nutrition situation continues to deteriorate rapidly and an elevated risk of famine persists. Although moderate rains were recorded in parts of northwest and southern Somalia in late March and early April, pasture and water resources are not expected to recover soon. (FSNAU/ FEWS NET, May 2017).
KEY HIGHLIGHTS HUMANITARIAN SITUATION OVERVIEW
Vulnerable populations in Somalia, southeastern Ethiopia, and northern Kenya continue to face life-threatening acute food insecurity, following delayed and erratic seasonal rains across the Horn of Africa, according to the Famine Early Warning Systems Network (FEWS NET).
• Despite the onset of rain in some parts of Somalia, the food security and nutrition situation continues to deteriorate rapidly and an elevated risk of famine persists. Although moderate rains were recorded in parts of northwest and southern Somalia in late March and early April, pasture and water resources are not expected to recover soon. (FSNAU/ FEWS NET, May 2017).
FAO Somalia Water and Land Information Management (SWALIM) reports that heavy rainfall and flooding along the middle and lower reaches of Shabelle River have destroyed crop land and houses, resulting in the displacement of some households in Mahaday Jowhar and Cali Fool Dheere districts.
Failure to recognise Somaliland’s independence means aid that could save lives of people hit by drought and cholera is too slow to arrive, says foreign minister
Wednesday 24 May 2017 12.57 BST
Somaliland’s foreign minister has said that the international community’s refusal to recognise the republic 26 years after it declared independence means aid is taking far longer to reach people on the brink of famine.
FEWS NET projects elevated risk of Famine in Somalia, despite mitigating impact of humanitarian assistance
UN releases revised 2017 HRP for Somalia, requesting $1.5 billion to respond to humanitarian needs through December
USG announces more than $64 million in new humanitarian assistance for Somalia and Somali refugees in the Horn of Africa
The U.S. is deeply concerned about the famine in South Sudan, as well as the risk of famine in northeastern Nigeria, Somalia and Yemen. We are one of the largest donors of humanitarian assistance for the people of these countries and will continue to work with other international donors to provide the life-saving aid needed to avert famine and help people in need.
In April 2017, Somalia had witnessed a significant upsurge of suspected cholera cases, with new cases reaching to 16 612 including 249 related deaths (CFR 1.5%) for the month of April.
During the month, 28 out of 30 stool samples collected from suspected patients tested positive for Vibrio cholerae 01 (Serotype Ogawa).
Since the beginning of the 2017, the cumulative number of suspected cases of cholera reported stands at 36 066 including 697 deaths with a case fatality rate of 1.9%.
23rd May, 2017: Results from the post-Jilaal assessment and recent SMART surveys indicate that Crisis (IPC Phase 3) and Emergency (IPC Phase 4) levels of acute food insecurity persist in many areas of Somalia. In addition, a severe AWD/cholera outbreak is ongoing. While large-scale humanitarian assistance has reduced household food consumption gaps and contributed to reduced staple food prices, there remains an elevated risk of Famine (IPC Phase 5) due to the combination of severe food consumption gaps, high acute malnutrition, high disease burden, and reliance on humanitarian assistance.
An estimated four million children are in urgent need of humanitarian assistance in Somalia. Despite the large scale humanitarian assistance delivered, the FSNAU-FEWSNET post Jilal assessment indicates an elevated risk of famine (IPC 5) due to a combination of severe food insecurity, high acute malnutrition, and high disease burden. The number of people in need has increased to 6.7 million, including 3.2 million people in crisis.
Current major event:
Thirty-two-year-old Shukri Abdinasir* is a mother of 11 children aged between 4 months and 13 years old. Shukri arrived in Baidoa, in Somalia’s Bay Region, in mid-March after her husband died at home from complications with acute watery diarrhea (AWD)—an illness that has claimed the lives of nearly 700 people since January 2017.
Shukri needed to talk to someone about her fears, her new reality as a widow and her new role as the family’s breadwinner, so she confided in an aid worker who was part of a nutrition assessment mission.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 14 May - 20 May 2017 and includes updates on influenza, measles, hepatitis A, cholera, polio, Ebola virus disease and Legionnaires' disease.
The humanitarian situation in Somalia is on the verge of catastrophe, and concern is growing that the trajectory is worryingly similar to Somalia’s 2011 famine disaster, when an estimated 260,000 people died. Today an estimated 6.2 million, more than half the country’s population, face acute food shortage and the number of severely malnourished children is on the rise. This desperate situation comes against a backdrop of protracted conflict that has disrupted livelihoods and vital services such as health and water, sinking the country deeper into crisis.
A total of 2,691 AWD/ cholera cases and 22 deaths (CFR– 0.8%) were reported during week 18 (1st– 7th May 2017) in 44 districts in 15 regions. Of these, 520 cases were reported from Buhodle district, Ayn region, which represents 19% of the total cases.
There is a decrease in the number of new AWD/ cholera cases and deaths reported from 3,475 cases/ 43 deaths in week 17 to 2,691 cases/ 22 deaths recorded in week 18.
2,691 AWD/Cholera cases and 22 deaths were reported from 44 districts in 15 regions during the week ending 7th May.
WHO Representative for Somalia Dr Ghulam Popal and Somalia’s Minister of Health and Social Services H.E. Dr Fawziya Abikar conducted a visit to Baidoa to assess the AWD/Cholera situation and outbreak response in South West State.
Health, WASH and Nutrition clusters, in collaboration with Federal and State Ministries of Health (FMoH), developed operational guidelines for 34 Integrated Emergency Response Teams.