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 1 July 2018 is 1,115,378 suspected cholera cases and 2,310 associated deaths, (CFR 0.21%), 1157 have been confirmed by culture. The total proportion of severe cases among the suspected cases is 15.7%. The national attack rate is 397.4 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain Amran (936), Al Mahwit (905), Al Dhale’e (641), Sana’a (550), Dhamar (540), - Children under 5 years old represent 28.8% of total suspected cases. In total, 67,862 rapid diagnostic tests (RDT). 4,459 cultures have been performed which represents 26.2% coverage. The last positive culture was on 29 June 2018 in Assafi'yah & Az'zal districts in Amanat Al Asimah. Since 1st of Jan 2018 the districts with highest cumulative suspected cases are Al Hali (5841), Radman Al Awad (2,215), Al Mighlaf (2,150), Al Sabaeen (2102), Maqbanah (2,075).162 districts are still reporting suspected cholera cases since last 3 weeks. 143 districts (out of 305 affected districts) did not report any suspected cases for the last three consecutive weeks(WHO, 1 Jul 2018)
Appeals & Response Plans
Most read reports
- United Nations Emergency Response Fund (CERF) Annual Report 2017
- Yemen Humanitarian Update Covering 9 - 15 August 2018 | Issue 24
- Strikes at Hodeidah’s main hospital result in multiple deaths and injuries [EN/AR]
- Civilians at extreme risk from airstrikes in Hodeidah [EN/AR]
- WHO EMRO Weekly Epidemiological Monitor: Volume 11, Issue 32 (12 August 2018)
Current major event
HLIP I in EMR countries
From 2014 to 2017, seven countries in the Eastern Mediterranean Region of WHO benefited from the Pandemic Influenza Preparedness (PIP) Framework - Partnership Contribution (PC) to enhance their surveillance and laboratory capacities using the High-level Partnership Contribution Implementation Plan I (HLIP I) 2013-2016.
• Fighting is going on in Ad Durayhimi District, south of Al Hudaydah City, with a high number of casualties.
Families are trapped by shelling and airstrikes; ambulances are unable to enter the city.
• Over 50,800 households have been displaced from Al Hudaydah Governorate, of whom 50,100 (98 per cent) have received rapid response assistance including hygiene kits, transit kits and food rations.
Throughout 2017, the Central Emergency Response Fund (CERF) supported relief operations in 36 countries to ensure delivery of urgent aid to millions of people in desperate need.
CERF’s 2017 Annual Report, launched today, provides a detailed account of how, during the year, CERF and its partners ensured strategic use of almost $420 million in donor contributions to deliver the highest priority aid, where and when it was need the most.
Almost three million people living in some of the most remote and dangerous areas of the world will be receiving meat as part of Islamic Relief’s Qurbani distributions, during the Eid Festival.
The international humanitarian and development organisation is distributing quality Qurbani meat in 35 countries across the Middle East, Asia, Africa and Eastern Europe, during Eid al-Adha, which this year is celebrated between 21-23 August.
3.1 million people have been reached with health assistance out of 12.3 million people targeted. Ten million people live in 100 districts prioritized for cholera response. The provision of health assistance continues to be challenged by the fact that only 50 per cent of health facilities are fully functional and the non-payments of salaries to health staff.
“Here our job is human. I can’t leave it, I can’t stop.”
Dr Anisa, a doctor with British Red Cross partner the Yemen Red Crescent, speaks from a battered clinic in Sana’a, Yemen.
Once, she was a hospital specialist. The clinic was a thriving health centre for mothers and babies.
But now, Yemen is caught up in deadly conflict. Dr Anisa is now a GP working in one of the only clinics where people can get free healthcare. Patients travel for hours to see her every day.
Like many doctors in Yemen, she hasn’t been paid in two years.
Airstrikes and insecurity result in civilian deaths, infrastructure damage, and service disruptions
Relief agencies provide humanitarian assistance to more than 283,000 Al Hudaydah IDPs
Health actors commence a cholera vaccination campaign targeting 578,000 people in Al Hudaydah and Ibb governorates
A country at war
Despite so much natural beauty in Yemen there are always reminders that this is a country at war – a war which has been so devastating to 22 million people. There are regular reminders of the conflict at different points in the journey and, while our minds are focused very much on Hodeidah and a potential impending ground attack, it is also with the millions of children directly and indirectly affected by the horrendous conflict across Yemen.
• Violence in several governorates has killed tens of civilian, including children and women, and continues to displace thousands of other people.
• As of 05 August, 50,552 households have been displaced from Al Hudaydah and 47,400 households (93 per cent of caseload) have received assistance through the rapid response mechanism (RRM)
• More than 1.4 million people in need of assistance live in districts with high access constraints. Food and fuel imports declined by 18 and 20 per cent, respectively, in July
GENEVA — More than one-quarter million people in Yemen have been immunized against cholera. But, the three-day oral cholera vaccination campaign, held by the World Health Organization and U.N. children's fund between August 4 and 6, has fallen short of its mark by half.
The World Health Organization reports more than 3,000 local health workers have reached 266,000 people above the age of one with oral cholera vaccine. This is about half of the one-half million people WHO and partners had hoped to immunize against this deadly disease.
Current major event
Emergency risk communication in outbreaks
To provide WHO Member States, partners and stakeholders involved in emergency preparedness and response with the most up-to-date best practices on Emergency Risk Communication, this year WHO published “Communicating risk in public health emergencies - A WHO guideline for emergency risk communication (ERC) policy and practice”.
22.2 million People are in need of humanitarian assistance
2 million People are internally displaced
2.2 million People are aimed to be supported by IOM
IOM initiated kitchens in four schools in Hudaydah where displaced people are currently residing. Through these kitchens and other facilities, over 20,400 hot meals have been served since the current crisis began.
HODEIDAH, Yemen – Escalating violence in Hodeidah, Yemen, threatens the city’s estimated 90,000 pregnant women and girls, UNFPA has announced. Some 14,000 of these women and girls are likely to encounter pregnancy-related complications requiring emergency care, but access to health services has been severely limited by the ongoing crisis.
IOM: USD 45 Million Needed for 2018-2020 Migrant Response in Horn of Africa, Yemen
Nairobi – IOM, the UN Migration Agency, and its partners launched, on 6 August, a Regional Migrant Response Plan (RMRP) for the Horn of Africa and Yemen through which they are appealing to the international community for USD 45 million. The plan details support to migrants on the move in the Horn of Africa and Yemen from 2018 to 2020.
Over a year after cholera broke out in Yemen, killing more than 2,000 people, the disease is back and spreading fast in the Houthi-held port city of Hudaydah; a target of continued air strikes by the Saudi-led coalition to regain control of the city.
• The Emergency Telecommunications Cluster (ETC) Information Management and Communications mission was conducted to Sana’a.
• The ETC is recruiting a second IT assistant to be based in the UN Common Accommodation Facility (UNCAF) in Sana’a to cope with the increasing demand for the ETC Internet connectivity service and support.