South Sudan: Cholera Outbreak - Jul 2016Ongoing
As of 5 May 2017, cholera outbreaks have been confirmed in 19 counties in South Sudan. The most affected counties are located along the River Nile. This suggests vehicle-borne transmission from contaminated water in affected counties.
Cumulatively, 7,735 cholera cases, including 246 deaths (76 facilities and 170 community) (CFR 3.23%), have been reported in South Sudan since the initial case was reported on 18 June 2016. Nine out of 19 counties ever affected since June 2016 are considered to have active transmission, having reported cholera cases in the past four weeks. (WHO, Govt. South Sudan, 5 May 2017)
Highlights W31 2017
Completeness for IDSR reporting at county level was 56% . Completeness for EWARS reporting from IDP sites was 77% .
A total of 15 alerts were reported, of which 27% have been verified. 0 alerts were risk assessed and 0 required a response.
A total of 102 new cholera cases and 1 death (CFR 1.0% ) were reported.
The cumulative total since the start of the current outbreak on 18 June 2016 is 19,742 cases and 355 deaths (CFR 1.8% )*.
Since the current cholera outbreak began in South Sudan in June 2016, IOM health and water, sanitation and hygiene (WASH) teams, as well as Rapid Response Fund (RRF)* partners, have responded in outbreak areas in close coordination with partner agencies. IOM and RRF teams have worked in multiple locations across 16 counties, providing case management care and conducting preventive measures, such as hygiene promotion, improving access to safe drinking water and conducting oral cholera vaccine (OCV) campaigns.
One million South Sudanese have fled for their lives across Uganda’s border seeking safety since the start of the war in 2013. About a third of this number arrived since January 2017, highlighting that conflict continues to rage in South Sudan.
16 August 2017, Juba, South Sudan – The first round of an Oral Cholera Vaccination (OCV) campaign in four priority counties of South Sudan with active transmission of cholera, has successfully concluded despite security and access challenges in some areas. The vaccination campaign started on the 29 July, 2017 to 4 August, 2017 in the Kapoeta state including Kapoeta South, Kapoeta North, and Kapoeta East while in Tonj East the campaign started on 5 August, 2017 and ended on 12 August, 2017.
Increased influx of new arrivals to South Darfur observed in July.
Acute watery diarrhea outbreaks in East Darfur refugee camps have been contained.
Inter-agency mission visited Al Lait, North Darfur to monitor response, verify new arrivals and identify remaining gaps and needs.
16,172 Total new arrivals in July 2017
176,524 Total new arrivals in 2017 so far
Juba, 7 July 2017 – South Sudan has historically faced a double burden of natural and man-made hazards. The majority of which have been biological hazards like the Ebola outbreaks of 1976, 1979 and 2004, Yellow fever, Cholera, Measles, Meningitis, Visceral Leishmaniasis and Guinea Worm. Natural hazards including perennial floods, occasional droughts and famine affecting both human and animal health.
$28.1 million approved for the 2017 second standard allocation to support most critical and time-sensitive life-saving activities in the second half of 2017
The Head of the United Nations Mission in South Sudan, David Shearer, has expressed his gratitude to Germany’s Federal Minister for Foreign Affairs for the country’s contribution to the protection of civilians and building of durable peace in South Sudan.
Speaking during a visit by the Foreign Affairs Minister, Sigmar Gabriel, to UNMISS in the capital, Juba, David Shearer acknowledged the doubling of Germany’s humanitarian aid contribution to US$90 million.
In response to continuous outbreaks of cholera, IOM has conducted a first round of an oral cholera vaccination (OCV) campaign in Bentiu and Rubkona towns from 19 to 23 June 2017. These OCV campaigns successfully reached 90% of the target population. The second round of the OCV campaign will be conducted in the third week of July.
In South Sudan, IOM is the Logistics Cluster lead and a critical enabler of humanitarian aid across the country. Funded by the Common Humanitarian Fund (CHF), United Nations Central Emergency Response Fund (CERF) and bi-lateral donors, the IOM Common Transport Services (CTS) ensures the rapid delivery of supplies by providing the necessary services linking the humanitarian supply chain. This includes movement of humanitarian cargo from the Juba airport and ports on the Nile River to the common warehouses and distribution points in areas of South Sudan most affected by the conflict.
1,969,344 Total South Sudanese refugees in the region as of 15 July (pre and post Dec 2013 caseload)
536,034 South Sudanese refugee arrivals in 2017, based on field reports as of 15 July
274,920 Refugees in South Sudan and 2 million IDPs as of 30 June
63% of the South Sudanese refugee population are children (under the age of 18 years old)
Juba – As the rainy season progresses in South Sudan, rapid responses are critical to stemming the cholera outbreak that has affected the country for over a year. The outbreak has compounded already dire humanitarian needs. Approximately four million people have been displaced by the conflict that erupted in December 2013.
In July, fighting in the Greater Equatoria region and Upper Nile drove further population displacement. In Central Equatoria, government forces allegedly attacked a civilian settlement on the outskirts of Yei town, leaving many dead. More clashes were reported about five kilometres outside Yei town. Heavy fighting was also reported between opposition and government forces in Jalei, Kajo-keji County. In Western Equatoria, fighting between opposition and government forces was reported in Lanyi, Mundri West County, leaving dozens dead, including civilians.
373 Refugees and IDP benefited from basic livelihoods training across South Sudan during the reporting period.
16,612 Refugees and IDPs received aid items from UNHCR across South Sudan during the reporting period.
4,500 Persons reached with awareness on environment protection and tree planting via JamJang radio during the reporting period
INSIDE SOUTH SUDAN 274,920 Refugees in South Sudan as of 30 June 2017.
2 million IDPs in South Sudan including 216,956 in UNMISS Protection of Civilian sites.
As a humanitarian at what point does one start to think the unthinkable? To question the impact of the aid provided, or perhaps even wonder if it’s doing more harm than good? Having served as an aid worker for over 20 years, deploying to countless emergencies, I’ve rarely had cause to question the primacy of humanitarian aid.
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Increased attacks on humanitarian personnel and property hinder humanitarian access
UN registers nearly 1 million South Sudanese refugees in Uganda
WFP provides emergency food assistance to 3.4 million people in South Sudan
Emergency (IPC Phase 4) persists as insecurity disrupts assistance and trade flows
A large-scale food security Emergency continues across South Sudan. Over half of the total population is in need of humanitarian assistance. Conflict continues to disrupt typical livelihood activities in all regions of the country, and already extremely poor macroeconomic conditions have further deteriorated, forcing staple food prices to climb above levels observed last year.