Somalia: Measles Outbreak - Dec 2016Ongoing
Since September, 419 measles cases have been officially recorded, 302 of which are children under five. (UNICEF, 13 Dec 2016)
This week IOM...launched a mass public health campaign to contain an ongoing measles outbreak in Kismayo...Through TV and radio, IOM, the Somali government and health partners are disseminating a series of public messages about measles...The six-day campaign is estimated to reach over 2,000 people in the most affected communities, as well as surrounding areas. (IOM, 16 Dec 2016.)
UNICEF and partners are aiming to vaccinate 54,000 children under 10 in Kismayo...There have been over 704 cases of fever and rashes in Kismayo, the majority of them children...Most were not vaccinated against measles although there are 16 free vaccination posts in Kismayo. (UNICEF, 16 Dec 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, and a total of 2578 cases of suspected measles were reported as of September 2016. (WHO, 27 Feb 2017)
Cases of suspected measles continue to rise across Somalia. A total of 7,694 cases have been reported nationwide, far exceeding the 5, 657 total cases recorded for all last year. The need for non-essential life-saving health services have increased and more affected areas are in dire need of urgent assistance. (OCHA, 16 May 2017)
UNICEF Kenya is working with the Government and partners to strengthen immunization against measles.
Nairobi/Mogadishu, 2 June 2017 – The generous contribution of £20 million from the United Kingdom has made a significant impact on the lives of Somali women and children caught in the prolonged drought, UNICEF said today.
Since the beginning of this year, through UNICEF’s relief efforts, more than 76,000 children have been treated for life-threatening severe acute malnutrition; 556,000 women and children received emergency health services; and 1.5 million people had temporary access to safe drinking water. The UKaid funding has contributed greatly to these results.
6.7 million people in need of humanitarian aid
5.5 million people lacking access to basic health care services
3.3 million people living in ‘Emergency’ or ‘Crisis’ phase
683 000 people internally displaced by drought since November 2016
363 000 children acutely malnourished
Since January 2017
40 402 suspected AWD/cholera cases
693 suspected AWD/cholera deaths
8 390 suspected measles cases
Over 6.7 million Somalis need humanitarian assistance
Some 1.4 million children projected to be malnourished in 2017
Disease outbreaks not slowing down
# of people in humanitarian emergency and crisis 2.9 m
# of people in food security stress 3.3 m
# of acutely malnourished children under age 5 363,000 Source: www.fsnau.org (February 2017)
According to the UNHCR-led Protection and Return Monitoring Network (PRMN), intense fighting in Marka and Afgooye districts has led to displacement of more than 15,200 people between 21 and 24 May in Lower Shabelle region.
The FAO-managed Somalia Water and Land Information Management (SWALIM) rainfall forecast of 25 May, points to dry periods in most of Somalia. A few areas in Puntland, parts of Somaliland and coastal areas of Central and South Somalia will experience light to moderate rains.
The regional consensus climate outlook for the June to September 2017 rainfall season indicates that most of Somalia, Kenya, and southern Ethiopia will remain dry. Ethiopia’s Afar region and southwestern Uganda will likely experience near normal to below normal rains. Normal to above normal rainfall is expected across central and western Ethiopia, northern Kenya and central Uganda; while northern Ethiopia, parts of northern Uganda, coastal Somalia, coastal and western Kenya will likely experience above normal rainfall and floods.
Since January, UNICEF and partners have treated 84,967 severely malnourished children (SAM), with a recovery rate of 92.9 per cent. UNICEF and nutrition partners have also continued to scale up SAM treatment services, and increased the number of nutrition facilities supported in 2017 from 538 to 758, with the set-up of services in hard-to-reach areas such as Middle Juba.
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.
Somali region is disproportionately affected by the current acute watery diarrhea (AWD) outbreak, accounting for about 91 per cent of the cases reported in Ethiopia since the beginning of the year.
UNICEF support has enabled 794,150 people to access safe water. This includes 149,150 people in Oromia, Southern Nations, Nationalities and Peoples (SNNP) and Tigray regions, reached during the reporting period, through construction of new water supply schemes, rehabilitation of non-functional water systems and expansion works.
Six per cent of the 42,017 children screened during the reporting period were identified as severely malnourished and over 29.4 per cent as moderately malnourished, in Turkana, Marsabit, Wajir, Isiolo, Kilifi and Laikipia counties.
From January to April, a total of 23,700 children with SAM and 51,537 children with MAM have been admitted for life-saving nutrition treatment.
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.
21 May 2017 – The World Health Organization with the Federal Government of Somalia and UNICEF launched a preventative measles vaccination campaign yesterday targeting 125 000 children aged 6 to 59 months from communities of internally displaced persons (IDPs) in Banadir and Afgoye.
The campaign was launched by the Deputy Mayor of Mogadishu, Director-General for Federal Ministry of Health and other government officials, in attendance with officials from WHO and UNICEF at the Banadir region meeting hall.
SITUATION IN NUMBERS
7,400 Children with measles in drought affected areas of Ethiopia, Kenya and Somalia (Source: WHO and UNICEF Ethiopia, Kenya and Somalia)
3.4 million Children (under five years) at high risk of measles in drought affected areas of Ethiopia, Kenya and Somalia (Source: UNICEF Ethiopia, Kenya, Somalia)
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.