South Sudan: Measles Outbreak - Sep 2013
A total of 43 suspected cases of measles were reported in Malakal County in South Sudan's Upper Nile State since August 2013, according to the Upper Nile State Ministry of Health and WHO. A mass measles vaccination campaign was launched targeting over 31,300 children. (OCHA, 29 Sep 2013)
The ongoing displacement caused by the violence that broke out on 15 Dec led to an increase in measles cases and deaths. By February 2014, 522 suspected cases and 77 related deaths had been recorded in IDPs camps. (WHO, 4 Feb 2014) By the end of July, 2,054 suspected measles cases were reported from nine states (WHO, 8 Aug 2014).
The measles outbreak peaked at the beginning of 2014 with the highest peak occurring in week 3, followed by a decline with subsequent shorter peaks in week 5 and 13. This trend was attributed to a series of reactive measles vacination campaigns conducted to contain the outbreaks in UN House, Tongping IDP camp, Bor, Yuai, Lankien, Cueibet and in Thol Payam, Nyirol County in Jonglei State. (WHO, 14 Dec 2014)
Dying From Attacks, Hunger, Disease
(Nairobi, May 7, 2015) – The Sudanese government’s persistent indiscriminate air attacks in the Nuba Mountains area of Southern Kordofan are killing and maiming children, Human Rights Watch said today. An aid blockade is causing a health and education crisis in the conflict-affected region.
According to the Humanitarian Requirement Document released in March, 2.9 million people in Ethiopia require emergency food assistance in 2015.
The food security situation has stabilized in most parts of the country in January 2015 with the completion of the Meher harvest season (November – January).
• Following the release of 654 children formerly associated with the Cobra Faction in Lekuangole, part of the Greater Pibor Administrative Area, the total number of released children is now 1,314. Released boys, and now three girls, continue to receive interim care, psychosocial support and family tracing services. Community-based monitoring systems are in place to provide family tracing and post-reunification support for around 200 children who have now returned home; as well as to identify, and help prevent, possible future re-recruitment.
1. Executive Summary
The Kenya refugee operation is often cited as an example of a protracted refugee situation with traditional refugee camps in place for the past 20 or so years. In the last four years, however, the operation has been anything but static in responding to two major influxes from neighbouring countries while undergoing a transition in terms of partnerships and innovations in assistance delivery.
Forced recruitment and other grave child violations continue. Last week, 89 children were forcibly recruited from Wau Shiluk, however, it is believed that the number may be much higher. Some witnesses have noted that at least some of these children are receiving military training. Reports of forced recruitment in other parts of the country were also received this week and UNICEF and partners are now working to verify the number of children who may have been forcibly recruited and to advocate for their release.
The release of children associated with the Cobra Faction is continuing, with a further 298 children released during this reporting period (all boys). UNICEF and partners are supporting the released children with immediate interim care – shelter, education, clothing and basic health care as well as counselling and psychosocial support.
2014 in review
Médecins Sans Frontières’ teams were quick to respond to people’s needs in South Sudan after the onset of fighting in Juba in December 2013. The organization immediately started dispatching medical supplies and personnel to launch emergency response activities in critically affected locations. From 13 regular projects, MSF’s activities soon expanded to more than 20 projects in 9 states, to provide free healthcare to the most vulnerable people affected by the conflict.
44,953 Asylum seekers since influx began in December 2013.
2,719 UAMS in Kakuma Camp.
11 SGBV cases reported in the past week.
18 Litres of water provided per person per day in Kakuma.
7,115 Number of roofed durable shelters in Kakuma 4.
• An estimated 3,000 children associated with the Cobra Faction are being released in Greater Pibor following a peace agreement between the Government of South Sudan and the leader of the Faction. The first group of 249 children was released this week and phased releases of the other children will occur over the coming month. UNICEF and partners are supporting the children with immediate interim care – shelter, clothing, basic health care, education and psychosocial support as well family tracing and reunification.
As at 21st January 2015, Kakuma had received 44,953 asylum seekers from South Sudan. This brings the camp population to 179,714. As at 17th January, 178,977 refugees had been registered by UNHCR and DRA, with South Sudanese making up 49.5% of the registered population.
As at 15th January 2015, Kakuma had received 44,791 asylum seekers from South Sudan. This brings the camp population to 179,552. As at 11th January, 178,230 refugees had been registered by UNHCR and DRA, with South Sudanese making up 49.4% of the registered population.
Domestic violence remains most highly reported as indicated in the recently released quarterly SGBV trend analysis (46 incidents out of 69) across all camps in Upper Nile. A high number of cases remains under reported due to the limited capacity of SGBV partners and cultural traditions.
Polio Vaccination Campaign (round 2) completed in the four Maban refugee camps.
• The social mobilization and mass screening exercise has been on-going for three weeks in Northern Bahr el Ghazal, a high burden state. A total of 22,022 children under five have been screened of which 8.1 per cent had moderate acute malnutrition and 3.7 per cent had severe acute malnutrition. These children were referred for treatment. The social mobilizers also noted that most households visited have already exhausted their food stocks quite early in the year.
Completeness for weekly reporting in week 51 of 2014 was 96% compared to 100% for the corresponding week of 2013.
Malaria, ARI, AWD, ABD, and suspect measles are the top causes of morbidity among IDPs with children under five years being more affected than persons five years and above.
During week 51 of 2014, malaria registered the highest proportionate morbidity of 16.4% and incidence of 44 cases per 10,000 population.
1.5 million people have been internally displaced within South Sudan since December 2013.
As 2014 ended, the humanitarian appeal was 75 per cent funded.
1.8 million children and pregnant/lactating women have been reached with nutrition screening and response activities during 2014.
A second round Short Interval Additional Dose (SIAD) polio vaccination has begun in 10 counties in Unity, Upper Nile, and Jonglei.
Special points of interest:
o WES and Lakes had the highest completeness and timeliness respectively this epi-week 49.
o Total consultations reached 68,966 with 26,696 under 5 years and mortality of 15 recorded across the 10 states with seven (7) cases in the < 5 years age group.
o Thirteen (13) suspected Measles cases occurred in <5 years this week most in Aweriel (6)_LKS.
o No case of suspected Meningitis occurred for <5 yrs this week.
In 2014, with the generous support of our donors, UNICEF and partners have reached 880,000 conflict-affected children with essential, life-saving services. In 2015, UNICEF will appeal for US$ 165.6 million to expand services for 1.7 million children, with a focus on reaching the hardest to reach children and improving the quality and sustainability of services while leveraging opportunities to improve the dire situation for children across the country.
Completenes for wekly reporting decreased from 92% to 89% while timelines decreased from 50% to 3% in wek 49 when compared to wek 48.
During wek 49, ARI surpased malaria as the main cause of morbidity among IDPs with Malakal PoC having the highest ARI incidence folowed by Bentiu, Kodok, Awerial and Ogod.
During wek 49, Malakal PoC had the highest incidence for ARI, malaria, AWD and ABD.
Five suspect measles cases were reported from Lankien during wek 49.
In this issue: The health response to the crises in South Sudan and Pakistan. WHO marks the one year anniversary of super-typhoon Haiyan