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)
In multiple situations of armed conflict throughout the world, parties to the conflict routinely deny civilians access to humanitarian aid as a tactic of war. For example, in Yemen, the Saudi Arabia-led coalition has maintained a de facto aerial and naval blockade since March 2015. Because Yemen imported 90 percent of its food and medicine and 70 percent of its fuel before the start of the conflict, the impacts of the blockade have been devastating.
As South Sudan is grappling with a hunger crisis, volatility and violence, Cordaid constantly adapts its response to levels of insecurity and seasonal challenges. “When violence forces thousands to move to the middle of nowhere, we move with them”, Enkas Chau, Cordaid Emergency Program Manager, explains.
From famine to severe food emergency
Being a humanitarian worker in South Sudan might prove more challenging on different fronts. All ranging from lack of access, poor attitude from communities and their leaders, insecurity, and so on. Despite all this, vulnerable populations affected by conflict, epidemics and other natural calamities still need to be served or supported.
Notable decrease of new arrivals with the onset of the rainy season across many states.
Ongoing response to cases of suspected acute watery diarrhea affecting Sudanese and refugee communities in many states.
Approvals granted for expansion of White Nile refugee camps to ease congestion.
160,082 Total new arrivals in 2017
8,162 New arrivals in June 2017
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. WHO AFRO is currently monitoring 37 events: three Grade 3, six Grade 2, seven Grade 1, and 21 ungraded events.
Food insecurity reached unprecedented levels in South Sudan in June, with an estimated 6 million people (50 per cent of the population) projected to be severely food insecure, including 1.7 million on the brink of famine. Although the mobilization of a large-scale multi-sectoral humanitarian response was able to halt the localized famine declared in Leer and Mayendit in Unity in February, 45,000 people were estimated to be facing Catastrophic (IPC Level 5) food insecurity. June saw an overall reduction in armed clashes compared to May.
As of 15th July 2017, 81,298 South Sudanese refugees were registered or pre-registered in the Democratic Republic of the Congo (DRC).
During the first half of July 2017, 523 South Sudanese refugees were biometrically registered in the DRC. The number of new arrivals remained similar compared to the second half of June (561).
The Congolese Government allowed the use of the former refugee site “Kaka” in the Dungu territory (Haut-Uélé province) for the relocation of refugees from the border areas.
• Thousands of civilians have been displaced in Longochuk and Maiwut counties, following fighting.
• One hundred humanitarian access incidents were reported in South Sudan in June, the highest number recorded in any month so far in 2017.
• Deaths caused by malaria represent 76.9 per cent of all disease-related deaths recorded so far in 2017.
• Humanitarians are striving to improve the situation of nearly 60,000 internally displaced persons who are living in the protected area and other collective sites in Wau, in extrem
Africa’s biggest refugee crisis
The situation in South Sudan is critical. What began as a political crisis in December 2013 fast escalated into in a large-scale civil war, resulting in the loss of over 50,000 lives, one million people on the brink of famine and the displacement of over 1.8 million people.
This is now the largest refugee crisis in Africa and the third largest in the world after Syria and Afghanistan.
Almost one million people have fled to Uganda, over 400,000 to Sudan and over 300,000 to Ethiopia.
To help people living in some of the world’s most dire emergency situations, WHO relies on funding from Member States. In 2017, WHO has asked for US$ 547 million to deliver health services to more than 66 million people in 28 countries. However, to date, WHO has received less than a quarter of the funds required. Without a significant increase in funding, the health of millions of people will be neglected and many will die needlessly.
Cholera contributes substantially to the disease burden in South Sudan, where outbreaks have been confirmed every year since 2014. Thus, cholera is endemic in South Sudan and requires an integrated and comprehensive approach that entails surveillance, patient care, optimal access to safe drinking water, sanitation, and hygiene (WASH); social mobilization and complementary use of oral cholera vaccines.
Total South Sudanese refugees in the region as of 15 June (pre and post Dec 2013 caseload)
South Sudanese refugee arrivals in 2017, based on field reports as of 15 June
Refugees in South Sudan and 2 million IDPs as of 31 May 2017
Deteriorating security situation: Currently there are 2 million individuals internally displaced and 1.9 million are seeking refuge in other countries (3.9 million in total). World Vision asks that all stakeholders work together more than ever before to facilitate peace and security throughout the country and to allow urgent and unimpeded access to humanitarian and development actors in the country.
Displacement trends, population needs and humanitarian access have all been negatively affected by the insecurity resulting from the ongoing conflict in Unity State, which began in July 2016.
To inform humanitarian actors working outside formal settlement sites, REACH is conducting assessments of hard-to-reach areas in South Sudan since December 2015. The data is being collected through interviews on a monthly basis from communities across the Greater Upper Nile region, Greater Equatoria region and Western Bahr el Ghazal.
Dire food insecurity persists despite UN removal of Famine designation in Unity
Approximately 6 million people projected to be severely food insecure in July
USG announces $199 million in additional humanitarian assistance for the South Sudan response
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.
Safe water to combat cholera
Millions of people suffer from the lack of clean water in South Sudan. Coupled with the unsanitary environment that accompanies the rainy season, the lack of clean water leads to outbreaks of waterborne diseases, such as cholera, which remains endemic in South Sudan.
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.