Yemen: Cholera Outbreak - Oct 2016Ongoing
Health authorities in Yemen confirmed a cholera outbreak on 6 October 2016, posing an increased health risk to the population especially children. The Ministry of Public Health and Population (MoPHP) announced that a total of 11 out of 25 suspected diarrhea cases have been confirmed as Cholera cases in the capital, Sana’a. As per the Inter-Agency joint response plan, UNICEF additional fund requirements for the cholera outbreak response stands at US$3.2 million. (UNICEF, 11 Oct 2016)
On 27 October, [WHO] released approximately US$1 million from its internal emergency funds to support the ongoing response to the cholera outbreak in Yemen. (WHO, 27 Oct 2016)
As of 11 January , 15,658 suspected cholera cases have been reported in 156 districts. A total of 180 out of 841 cases tested positive for Vibrio Cholera, serotype Ogawa. Overall, the epidemic curve shows a declining trend from week 51 onwards, while the attack rate remains high in some high-risk districts. Health response is underway through 26 Diarrhea Treatment Centres (DTC) in 24 districts, while WASH partners are undertaking response in 29 districts. An additional $3 million is being allocated through the 2017 HPF reserve allocation to address outstanding gaps. (OCHA, 15 Jan 2017)
The Yemen Pooled Fund has begun 2017 by launching a First Reserve Allocation for the Cholera response worth $2.7 million. (OCHA, 31 Jan 2017)
Since 27 April 2017, a second wave of [AWD]/ cholera outbreak began in several Yemeni governorates, which had seen a decrease...(WHO, 9 May 2017)
The number of [AWD]/ suspected cholera cases has increased dramatically and the outbreak expanded to 18 out of 22 governorates. Sana’a City is the most affected area, with more than 7 000 suspected cholera cases...Out of the total reported cases, as of 18 May, 131 deaths were confirmed and 36 resulted in death. (WHO, 18 May 2017)
As per the Integrated Response Plan released in June 2017, a total of $254 million is required to implement activities outlined for 6 months from May to December 2017...In the 286 high risk districts where suspected cholera cases were reported since the onset of the outbreak, an additional 280,358 cases are projected during the coming six months till end of 2017, out of an estimated 26 million at risk population (at actual attack rate + 110% increase in number of cases). A total of 280,358 cases are, therefore, projected from the risky areas in the coming six months, in addition to the cumulative 254,871 suspected cholera cases since the onset of the outbreak (WHO, 29 Jun 2017)
Over 120 humanitarian partners in Yemen are delivering coordinated assistance out of five hubs in Aden, Hudaydah, Ibb, Sa’ada, and Sana’a. From January to April this year, humanitarian partners reached 4.3 million people. However, at a time when the Yemen Humanitarian Response Plan is only 33 per cent funded ($688 million of $2.1 billion), humanitarians have had to use resources programmed for food security or malnutrition to combat the unprecedented cholera outbreak which has surged beyond initial estimates. (OCHA, 12 July 2017)
On 3 July 2017, the Humanitarian Country Team (HCT) determined that the outbreak has surpassed the capacity of WASH and Health partners and there is a need for a system wide response. Thus, the HCT has called on other clusters to mobilize partners from across all sectors for engagement in the response. (UNHCR, 31 July 2017)
An emergency US$200 million grant announced by the World Bank aims to expand the scope of the ongoing Emergency Health and Nutrition Project (EHNP) to reach a total of 13 million Yemenis with essential health and nutrition services and 4.5 million Yemenis with access to water and sanitation services. (World Bank, 25 Aug 2017)
978,129 suspected cholera cases and 2, 224 associated deaths have been reported across the country between 27 April and 6 December 2017. At this pace, the number of cholera cases will reach one million before the end of the year. With the rainy season coming up (March-June), there are fears that the cholera outbreak might again spiral out of control. (ECHO, 8 Dec 2017)
The cumulative total from 27 April 2017 to 28 Jan 2018 is 1,051,789 suspected cholera cases and 2,252 associated deaths, (CFR 0.21%), 1102 have been confirmed by culture. 59.3 % of death were severe cases at admission - The total proportion of severe cases among the suspected cases is 16.2% - The national attack rate is 379.75 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain Amran (889), Al Mahwit (848), Al Dhale’e (644), Hajjah (520) and Sana’a (511). (WHO, 28 Jan 2018)
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The Responsibility to Protect (R2P) is a global norm, unanimously adopted by heads of state and government at the 2005 UN World Summit, aimed at preventing and halting Genocide, War Crimes, Ethnic Cleansing and Crimes Against Humanity. R2P stipulates that:
Every State has the Responsibility to Protect its populations from the four mass atrocity crimes (Pillar I).
The wider international community has the responsibility to encourage and assist individual States in meeting that responsibility (Pillar II).
As of 10 March 2018, the local health authorities reported a total of 1,294 suspected diphtheria cases including 73 associated deaths (CFR=5.6%).
The diphtheria outbreak has affected 179 districts from 20 governorates. Ibb and Al Hudaydah governorates are the most affected governorates.
Children (<5 years of age) represent 20 % of probable diphtheria cases and 40% of associated deaths.
Since July 2014 it has been my privilege to hold the position of Executive Director with MSF in the UAE. As I reach the end of my tenure, I find myself reflecting on our work in recent months and years – on the projects that may come to define us as a medical humanitarian movement.
Last year, I was on a mission to Hajjah in northern Yemen where Save the Children is providing healthcare, water and food to the most vulnerable families.
I accompanied one of our health teams who travel to remote areas to provide life-saving services where people have no access to doctors.
As Yemen is in the throes of the world’s worst cholera outbreak, children are paying the highest price of a health system in ruins.
Our mobile clinics are a life-line to the most vulnerable children.
DEVELOPMENT IN REVERSE
Regional Mixed Migration Secretariat (RMMS ) summary for January 2018 covering mixed migration events, trends and data for Djibouti, Eritrea, South Sudan, Sudan, Ethiopia, Kenya, Uganda, Somalia / Somaliland and Yemen.
• Al Hudaydah Port remains open to humanitarian and commercial shipments
• Violence displaces more than 4,100 households within and from Al Hudaydah
• Risk of Famine persists amid ongoing conflict, limited food and fuel imports
• KSA and GoUAE pledge $930 million to UN response plan