From 1 September 2016 until 13 January 2017, a total of 693 cases including 11 deaths of acute jaundice syndrome (AJS) have been reported from Am Timan, Chad. Based on the available information, there appears to be a plateau in the number of cases reported in the past 5 weeks from the affected area with an average of 70 cases reported weekly where only a minor proportion (7.2%) requires hospitalization. The infectious risk seems confined to Am Timan and immediate surroundings. However, the event remains under close monitoring at all levels of WHO. (WHO, 24 Jan 2017)
As part of the UNICEF response to the Hepatitis E suspected epidemic, WASH supplies for disinfection and water treatment were made available to the Amtiman Health District. (UNICEF, 31 Dec 2016) MSF, in addition to providing medical care, has also implemented hygiene and sanitation activities since this virus is primarily transmitted from one person to another through contaminated water and in areas where access to quality water is limited. More than 600 MSF staff have been working to test for new cases, treat patients and improve water supplies and sanitation in the city of Am Timan, including chlorination of the city’s water towers. (MSF, 9 Feb 2017)
As of 31 January, UNICEF updated the number of cases reported since the beginning of the year to 265, out of which 18 of them have been confirmed. In total, since September 2016, 817 cases have been registered and 67 confirmed, with a death toll of 11 people. (UNICEF, 31 Jan 2017)
On 14 February 2017, the Ministry of Public Health officially declared an epidemic of Hepatitis E in Salamat region. (OCHA, 21 Feb 2017)
After three years of assistance at the Gaoui site, the humanitarian community advocates for durable solutions to facilitate the reintegration of returnees.
The Oslo Humanitarian Conference allowed the countries of the Lake Chad Basin to receive pledges of US $ 672 million, including US $ 458 million in 2017.
Toward sustainable solutions for Gaoui returnees
Decreasing humanitarian response in the site
Chad’s pipeline of Ready to Use Therapeutic Food (RUTF) is facing an alarming strain. The current pipeline covers up to June 2017. Chad is a landlocked country and new supplies take four months to arrive in country - unless new funds are received by end of March, the country will be facing an RUTF shortage.
Après trois ans d’assistance sur le site de Gaoui, la communauté humanitaire plaide des solutions durables pour faciliter la réinsertion des retournés.
La Conférence humanitaire d’Oslo a permis aux pays du Bassin du Lac Tchad de recevoir des promesses de dons à hauteur de 672 millions de dollars américains, dont 458 millions en 2017.
Vers des solutions durables pour les retournés de Gaoui
No new major population movements have been reported. As of January 2017, there are 124,683 displaced persons, including IDPs, Chadian returnees from Nigeria and Niger, refugees and third-country nationals.
A suspected Hepatitis E epidemic continues to affect the Salamat Region, With 265 new cases reported in January 2017, out of which 18 cases have been confirmed. In total, since September 2016, 817 cases have been registered and 67 confirmed, with a death toll of 11 people.
N’Djamena le 16 février 2017 - Notre pays connait depuis le dernier trimestre de l'année 2016 une flambée d’ictère aiguë dans la Région du Salamat. Le District le plus affecté est celui d’Amtiman avec cinq (5) zones de responsabilité touchées sur Quinze (15). Il s’agit de : Amtiman Nord, Amtiman Sud, Ab-lelaye, Mina et Goz Djarat.
La date du 8 février 2017, le total cumulé donne 899 cas pour 45 hospitalisés ; les autres sont suivis de manière ambulatoire. On note malheureusement 11 décès dont 4 femmes enceintes.
Chad - Hepatitis E epidemic (OCHA, Ministry of Public Health, ECHO)
The Ministry of Public Health of Chad has officially declared an epidemic of Hepatitis E in the region of Salamat, south-eastern Chad. The epidemic has already claimed the life of 12 people, including 4 pregnant women. A total of 956 cases have been identified so far. MSF and UNICEF are currently working with the authorities to provide a response, in a context of insufficient epidemiological surveillance, very limited presence of medical actors and lack of safe access to water and sanitation.
L’épidémie a été déclarée dans le district sanitaire d'Am-Timan qui connait une flambée du virus de l'hépatite E (VHE), depuis septembre 2016
Plus d’1,5 million de personnes ont été assistées par la communauté humanitaire au Tchad en 2016.
Près de 600 000 personnes, étaient en situation de déplacement à l’ouest, au sud et à l’est du Tchad à la fin 2016.
En 2016, plus de 3,7 millions de personnes ont été touchées par l’insécurité alimentaire dont plus d’un million en insécurité alimentaire sévère.
Malgré de multiples défis, plus d’1,5 million de personnes assistées en 2016
L’AIDE ALIMENTAIRE AUX RÉFUGIÉS MENACÉE PAR UN MANQUE DE FINANCEMENT
FUNDING GAP THREATENS FOOD ASSISTANCE TO CAR REFUGEES
Lack of financial resources is jeopardizing WFP and partners’ ability to provide livesaving food assistance to the refugees in eastern Cameroon, leaving a US$16 million gap in funding. A complete gap is expected from June onwards, pending new food consignments. Since last October, a decline in funding had already forced WFP to cut food and cash assistance by half to some 156,000 CAR refugees, who are now surviving on a minimal food ration.
NEW YORK/N’AJAMENA, CHAD, FEBRUARY 9, 2017—A hepatitis E outbreak is escalating across Am Timan, in the Salamat region of South-Eastern Chad, and more humanitarian actors are urgently needed to treat patients and contain further spread of the virus, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) said today.
No major new displacement has taken place in the Lake region during December. At the end of 2016, there are 129,481 displaced persons, including IDPs, Chadian returnees from Nigeria and Niger, refugees and third-country nationals.
More than 120 sites and displacement locations are scattered around this remote region, making humanitarian assistance a logistical challenge.
From 1 September 2016 until 13 January 2017, a total of 693 cases including 11 deaths of acute jaundice syndrome (AJS) have been reported from Am Timan, Chad.
Entre le 1er septembre 2016 et le 13 janvier 2017, 693 cas au total, parmi lesquels 11 cas mortels d’ictère aigu, ont été signalés à Am Timan, au Tchad.
Sur les 50 patients atteints d’ictère aigu qui ont été hospitalisés, 48 ont été soumis au dépistage de l’hépatite E par test de diagnostic rapide de l’hépatite E et 27 (56,3%) ont eu un résultat positif. Au total, à la fin de la semaine épidémiologique 2 en 2017, 126 tests de diagnostic rapide de l’hépatite E avaient été effectués, 57 (45,2%) étant positifs et 69 (54,8%) étant négatifs.
Despite incidents reported in Kaiga-Kindjiria area, the security situation remains relatively calm in the Lake region. A decrease in incidents has coincided with the surrender of elements associated with armed groups in recent weeks.
Results from the most recent national SMART survey indicate an 11.2% prevalence of global acute malnutrition (GAM). 153,738 children with severe acute malnutrition (SAM) have been admitted and treated in nutritional units so far in 2016, reaching 79% of the annual target.
Heavily pregnant, Miriam rests on the bed as an MSF gynaecologist performs an ultrasound of her growing belly. She seems surprised when, unexpectedly, the outline of a baby appears on the monitor, and her expression quickly turns to relief as the translator confirms that Miriam’s unborn child is progressing well.
Miriam is one of 44 patients with hepatitis E who have been admitted to Am Timan hospital in Chad since September. More than 320 other potential cases have been identified.
En 2017, plus de 4,7 millions de personnes auront besoin d’assistance humanitaire au Tchad.
Selon l’enquête nutritionnelle SMART de novembre 2016, 10 régions ont enregistré des taux de malnutrition aigüe sévère (MAS) au-dessus du seuil d’urgence de l’OMS (2%).
Le Tchad perd chaque année environ 9,5 pour cent de son Produit intérieur brut (PIB), soit plus de 578 milliards de FCFA à cause de la sous-nutrition.
PROLONGED STRIKE HURTING EDUCATION
A teachers strike since September due to non-payment of salaries continues to affect access to education throughout the country. In the eastern Ouaddai region, for instance, only around a quarter of the 365 schools are currently functioning. However, 90 per cent of them are private. As a result, parents in some localities have mobilized to recruit community teachers, but there are concerns about the quality of education provided by these teachers.
LA GRÈVE PROLONGÉE NUIT À L’ÉDUCATION
31 October 2016
• As of end of October 2016, there are 123,293 people displaced by the Nigerian crisis in Chad’s Lac region. Three additional sites were discovered this month.
• A Hepatitis E outbreak has been reported in the Salamat Region. A total of 128 cases, including 20 positive cases (16% positivity rate) and 2 deaths (1.6% case-fatality) were registered in Amtiman, the main city of Salamat Region.