Central African Republic: Monkey Pox Outbreak - Dec 2015
On 4 December 2015, two children aged 9 and 5 from a hunter family in Lengo village, 15 kilometres from Bakouma in the Mbomou Province, eastern Central African Republic (CAR), were taken to the Bakouma Health Centre suffering from an unidentified disease with rashes all over their bodies. On the 10 December 2015, in response to the outbreak in Bangassou, the WHO facilitated an initial assessment carried out by the Ministry of Health (MoH) in the affected province and a joint mission was undertaken by the health district and Médecins Sans Frontières (MSF) Belgium. On 17 December 2015, the children were transferred to the Bangassou Regional Hospital, run by an international NGO and MSF. While at the hospital, the children’s condition got worse. Samples were taken and sent to the Pasteur Institute of Bangui for laboratory testing. On 29 December 2015, following the testing of samples and diagnosis, the Minister of Health declared a Monkey-pox outbreak and requested World Health Organization (WHO)’s support in carrying out further analysis and immediate response. (IFRC, 19 Feb 2016)
UNICEF also continued monitoring the monkey pox outbreak in Bangassou district. To date, 17 cases have been reported with three deaths. The results of the last three suspected cases of monkey pox reported in Bakouma in March were negative. The current response include disease surveillance, case management including containment and contact tracing, and communication for development focusing on behaviour change activities. (UNICEF, 31 Mar 2016)
On 17 February 2016, IFRC released CHF 55,848 from the Disaster Relief Emergency Fund (DREF) to support the Central African Republic Red Cross (CARC) reduce the immediate risk of the Monkey-pox outbreak to 164,000 people (indirectly) and 64,000 people (directly), living in the Bakouma, Gambo, Ouango and Rafaï sub-prefectures of the Mbomou Province, through support social mobilization and community communication activities, for a period of two months. (IFRC, 21 Apr 2016)
At the end of the IFRC operations in April 2016, the number of cases was 13 (2 deaths). Assistance reached 164,000 people indirectly and 64,000 people directly. (IFRC, 28 Sep 2016)
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. WHO AFRO is currently monitoring 39 events: three Grade 3, six Grade 2, six Grade 1, and 24 ungraded events.
This week’s edition covers key ongoing events in the region, including the grade 3 humanitarian crises in South Sudan and Ethiopia and outbreaks of hepatitis E in the Lake Chad Basin (Chad, Niger and Nigeria), malaria in Burundi, dengue fever in Côte d’Ivoire, and visceral leishmaniasis in Kenya.
At the sixty-eighth session of the World Health Assembly in May 2015, WHO Director-General Margaret Chan committed the Organization to creating a single, all-hazards emergency programme; to establishing a global health emergency workforce; and to raising a US$ 100 million contingency fund to enable rapid emergency response.
On 17 February 2016, the International Federation of Red Cross and Red Crescent Societies (IFRC) released CHF 55,848 from the Disaster Relief Emergency Fund (DREF) to support the Central African Republic Red Cross (CARC) reduce the immediate risk of a Monkey-pox outbreak to 164,000 people (indirectly) and 64,000 people (directly), living in the Bakouma, Gambo, Ouango and Rafaï sub-prefectures of the Mbomou Province, through support in social mobilization and community communication activities, for a period of two months.
On 17 February 2016, the International Federation of Red Cross and Red Crescent Societies (IFRC) released CHF 55,848 from the Disaster Relief Emergency Fund (DREF) to support the Central African Republic Red Cross (CARC) reduce the immediate risk of a Monkey-pox outbreak to 164,000 people (indirectly) and 64,000 people (directly), living in the Bakouma, Gambo, Ouango and Rafaï subprefectures of the Mbomou Province, through support in social mobilization and community communication activities, for a period of two months.
LES FAITS SAILLANTS
Three years of instability substantially deteriorated the health system and health needs remain acute for much of the population
More than 10,000 people displaced in Koui area following clashes between armed groups
A return intention survey shows 73% of refugees do not intend to return to CAR
Alarming deterioration of food security situation over the past year according to Food Security cluster recent assessment.
Facing a chronic healthcare crisis
A. Situation analysis
Description of the disaster
Newly elected Central African President Faustin Archange Touadera was officially sworn into office on March 30, and named his former campaign director as his Prime Minister. The second round of legislative elections was conducted peacefully on March 31 with only a few minor incidents reported across the country.
The Population Movement Commission (CMP) set the total number of IDPs at 421,283 at the end of February 2016 as compared to 435,165 the previous month, or a decrease of 13,882 people (3%).
Snapshot 31 March–5 April 2016
Syria: The most serious violation of the cessation of hostilities occurred on 2 April around Aleppo, when fighting broke out between government forces and non-government forces. In addition, eight of 18 besieged areas were not reached by humanitarian assistance in February and March, including around 250,000 people in Darayya and Eastern Ghouta in Rural Damascus.
Snapshot 23–30 March 2016
South Sudan: Between 20,000 and 50,000 people are now reported to have been displaced in Wau county, Western Bahr el Ghazal, since fighting escalated in February. Houses have been looted and burned and there are reports of killings and rape in the area around Wau town. At least 8,000 people are sheltering in public buildings or with host communities in Mboro town: food, water and shelter are priority needs.
Snapshot 16 – 22 March
Somalia: On 15 March Al Shabaab moved into Puntland and seized control of Garad, a port town. In the following days Al Shabaab captured another coastal town in Nugaal region and attacked a security checkpoint near Bosaso. Most of the residents are reported to have fled the area. Al Shabaab has previously been active in Puntland, but generally around its base of the Galgala Mountains, west of Bosaso, and it has not attempted to take territory.
CONTEXTE GENERAL DU PAYS
La situation sécuritaire et socio-politique
Snapshot 9 – 15 March
Yemen: Insecurity in Aden is increasing, with attacks carried out on civilian targets. At least 150 people have been reported killed in the past three months, including at least 50 in March. Humanitarian actors have increasing difficulty to carry out operations. In Taizz, the west of the city has been taken by pro-Hadi forces after heavy fighting: fighting for the east continues.
Snapshot 2–8 March 2016
Malawi and Mozambique: Flooding and drought have led to the most severe food crisis Malawi has faced in a decade: 2.8 million people face acute food insecurity, including 900,000 facing Crisis (IPC Phase 3) food security outcomes. In Mozambique, an estimated 600,000 people are in Crisis due to drought. In addition, 9,300 Mozambicans in Malawi who fled armed conflict need WASH, health and shelter assistance.
Cameroon, Chad, Niger and Nigeria seek US$531 million to assist 5.2 million people.
El Niño limited impact to date in West and Central Africa, but region remains at risk.
Rising food insecurity and new LRA-related displacement in CAR.
Lassa fever outbreak kills 120 in Nigeria and Benin.
Upcoming elections in West and Central Africa.
Lake Chad Basin: nine million people need assistance
A. Situation analysis
Description of the disaster
Central African Republic's constitutional court has certified results from the first round of the country's long-awaited presidential vote, confirming that two former prime ministers will compete in a runoff. On 26 January, the constitutional court ruled that December’s parliamentary elections must be re-run due to irregularities.
CENTRAL AFRICAN REPUBLIC
MONKEYPOX ERUPTS IN MBOMOU
On 11 January, 11 cases of Monkeypox, an extremely contagious viral disease, were confirmed in Bangassou area in the southern Mbomou Province. Health authorities and humanitarian partners are implementing control measures that include isolation of suspected patients, public sensitization and activation of a regional taskforce on outbreaks. The first cases were diagnosed on 4 December 2015 when two children with symptoms of the disease were taken ill at a health centre.