Sudan/South Sudan: Measles Outbreak - Mar 2015
Measles outbreak started in December 2014, and affected 11 localities of Kassala and Gedaref States by January 2015. In April, the outbreak was reported in additional 28 localities in Kassala, Sennar, the Red Sea, West, East, and North Darfur states. Sudan Red Crescent Society (SRCS) in collaboration with MoH, UNICEF and WHO are conducting vaccination campaigns across the targeted States as appropriate (IFRC, 22 Dec 2016)
In October 2016 over 21,000 people vaccinated against measles in Abyei, following an outbreak declared by the Ministry of Health in September. (OCHA, 23 Oct 2016)
By the end of 2016, a total of 2,294 suspected measles cases including at least 28 deaths (CFR 1.22%) hade been reported countrywide (WHO/Govt. South Sudan, 1 Jan 2017)
Cumulatively, in 2017 a total of least 573 suspect measles cases including 4 deaths (CFR 0.70%) have been reported from 19 counties. Most of the cases have been reported from Wau, Gogrial East, Gogrial West and Yambio counties (WHO/Govt. South Sudan, 2 May 2017)
Juba, 15 December 2017: the World Health Organization (WHO) is expanding on its partners’ engagement mechanisms to address critical barriers in reaching vulnerable persons including women and children with life-saving interventions in besieged and hard-to-reach areas, where access and restrictions on movement severely hinder the ability of populations to get health services.
Escalated conflict and security restrictions have significantly affected UNICEF’s ability to reach many areas with critical assistance in 2017. In response, the Rapid Response Mechanism (RRM) was scaled up at the beginning of the year in an effort to reach the most vulnerable populations in hard to reach locations. Since January, 27 RRM missions have taken place reaching 498,461 people with live-saving support.
Appeal History and Background
• Disaster Relief Emergency Fund (DREF): on May 20, 2015, 178,980 Swiss francs were initially allocated from IFRC’s DREF to support the National Society set up the operations in five states.
• An Emergency Appeal was launched on 10 July 2015 for 3,934,859 Swiss francs to assist 389,930 beneficiaries for 12 months.
JUBA, 8 July 2017 – Ahead of the sixth anniversary of South Sudan’s independence, the hopes and dreams for the children of this fledgling nation have not materialised, UNICEF said today. Calling the situation in South Sudan, a catastrophe for children, the UN Children’s Fund said children continue to bear the brunt of conflict and collapsing essential services.
I. EXECUTIVE SUMMARY
An updated Integrated Food Security Phase Classification (IPC) was released in June, highlighting that food security has deteriorated further in South Sudan. The severely food insecure population has grown to 6 million (from 4.9 million in February) and accounts for about 50 per cent of the total population. An estimated 1.1 million children are estimated to be acutely malnourished.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: three Grade 3, seven Grade 2, six Grade 1, and twenty five ungraded events.
The South Sudan Humanitarian Fund allocated $81.3 million during 2016 to 211 top priority projects under the Humanitarian Response Plan (HRP), agreed on through rigorous collective prioritization.
The SSHF continued to be an important provider of timely funding to address the most urgent priorities within the HRP:
84 per cent of funds ($67.9 million) were allocated through two standard allocation rounds, and 16 per cent ($13.4 million) through the reserve window.
• UNICEF and partners supported the treatment of 7,342 cases of Acute Watery Diarrhoea (AWD) (853 of these were children under the age of 18) in the hardest hit White Nile state.
- At the start of the year, IOM was conducting an average of 1,000 consultations per week. At the height of the latest escalation in fighting in April, that number more than doubled. IOM responded by recruiting more clinical staff and mobilizing resources to cover the increased needs.
In East Africa, DEC aid agencies are working around the clock to respond to the deepening crisis caused by ongoing conflict and drought. While lives are being saved, the number of those in need of humanitarian assistance is increasing due the severity of the crisis – from 22 million people across South Sudan, Somalia, Kenya and Ethiopia three months ago when the DEC appeal launched to 23 million today.
• One year on from the declaration of the cholera outbreak in South Sudan on 18 June 2016, new cases continue to be reported.
• Early warning and mobilization of a large-scale, multi-sectoral humanitarian response have eased famine in Leer and Mayendit counties. However, an unprecedented 6 million people are now severely food insecure.
• Humanitarians continue to ramp-up their response to the needs of tens of thousands of civilians displaced in northern and central Jonglei.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 40 events: three Grade 3, seven Grade 2, five Grade 1, and twenty five ungraded events.
IOM SOUTH SUDAN
IOM began operations in southern Sudan in 2005, establishing the IOM South Sudan Mission after the country’s independence in 2011. The mission is now one of IOM’s largest globally in terms of annual programme expenditures, with 450 staff across nine locations. After the December 2013 crisis, the mission consolidated support to thousands of vulnerable populations and internally displaced persons (IDPs), including those seeking shelter in United Nations Mission in South Sudan (UNMISS) Protection of Civilian (PoC) sites.
Access and Utilisation
Slide 2 Map 1 Map of consultations by county (2017)
Slide 3 Figure 1 Proportional mortality
Slide 4 Figure 2 Proportional morbidity
Slide 5 Figure 3 Trend in consultations and key diseases
Disease trends and maps
Slide 6 Trend in malaria cases over time
Slide 7 Malaria maps and alert management
Highlights W25 2017
Completeness for IDSR reporting at county level was 73% . Completeness for EWARS reporting from IDP sites was 78%.
Alert A total of 32 alerts were reported, of which 44% have been verified. 6 alerts were risk assessed and 3 required a response.
Response A total of 37 new cholera cases and 1 death (CFR 2.6% ) were reported. The cumulative total since the start of the current outbreak on 18 June 2016 is 11,700 cases and 194 deaths (CFR 1.6% )*
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 18 June - 24 June 2017 and includes updates on measles, rubella, Ebola virus disease, influenza A(H7N9), Legionnaires' disease, poliomyelitis and West Nile fever.
Julie Reversé was the Doctors Without Borders/Médecins Sans Frontières (MSF) deputy head of mission for South Sudan in 2016 and 2017. Here she describes the situation in Wau, and the challenges of providing medical to the backdrop of ongoing violence.