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)
Since April 2017, more than 1.1 million suspected cholera cases and 2,310 associated deaths have been reported in Yemen. Twenty-one of the 22 governorates (305 out of 333 districts) have been affected. In the last three weeks, 209 districts have reported suspected cholera cases, including Shada District in Sa’ada Governorate which reported its first ever case. The outbreak is the most serious on record. (OCHA, 26 Aug 2018)
The cumulative total number of suspected cholera cases from 27 April 2017 to 23 September 2018 is 1207596 and 2510 associated deaths (CFR 0.21%)...Children under 5 years of age represent 30.5% of the total suspected cases. So far, the cholera outbreak has affected 22 out of 23 governorates and 306 out of 333 districts in Yemen....At the country level, there has been an upward trend for 15 consecutive weeks and from week 35 to week 37 the trend of suspected cases is increasing by 16%. Eight governorates are presenting an increase of suspected cases which include Aden (+65%), Amran (+45%), Al Hudaydah (+27%) and Taizz (+22%). (WHO, 11 Oct 2018.)
As of 7 October 2018, the cumulative total number of suspected cholera cases since 27 April 2017 is is 1, 236,028, with 2556 associated deaths (CFR 0.21%). During epidemiological week 40 (1–7 October) in 2018, the governorates reporting the highest number of suspected cases are Al Hudaydah (2475), Amran (2194), Dhamar (1824), Amanat Al Asimah (1467), and Sana’a (1389). (WHO, 25 Oct 2018)
Appeals & Response Plans
Maps & Infographics
Most read reports
- On-the-record update on the situation in Hodeidah, Yemen, 9 November 2018
- Yemen: Al Hudaydah Update Situation Report No. 14, Reporting period: 16 October - 13 November 2018
- Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mr. Mark Lowcock, Remarks to the Security Council on the Humanitarian Situation in Yemen
- Yemen Humanitarian Update Covering 22 October – 6 November 2018 | Issue 31
- Dispatch from Yemen - Tackling the world’s largest humanitarian crisis
In response to the statement from the US Secretary of State Mike Pompeo calling for a ceasefire in Yemen in 30 days last night, Naser Haghamed, CEO of Islamic Relief Worldwide, said:
“Tuesday’s statement from the US Secretary of State Mike Pompeo calling for a ceasefire in 30 days is welcome but the people of Yemen need far more. We need a ceasefire today – not tomorrow, next week or next month.
GENEVA/ NEW YORK, 30 October 2018 - This month, partners of the Global Task Force on Cholera Control (GTFCC) mark one year since the launch of Ending Cholera: A Global Roadmap to 2030, which targets a 90% reduction in cholera deaths by 2030 and the elimination of cholera in at least 20 countries out of the 47 currently affected.
Following a rapid increase in cholera cases in Yemen, ACTED is distributing cholera-prevention hygiene kits and hygiene promotion trainings in remote communities in Sa’ada governorate.
Current major event
Rapid Response Team training for MERS
Deputy Prime Minister and Minister for Development Cooperation Alexander De Croo provides € 5,5 million extra humanitarian aid for Yemen. Minister De Croo takes this decision following the demand from UN emergency aid coordinator Mark Lowcock in the UN Security Council in New York yesterday. He called for a humanitarian truce and additional humanitarian aid for the biggest humanitarian crisis in the world.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period from 14-20 October 2018 and includes updates on cholera, West Nile virus, Ebola virus disease and influenza.
25 October 2018 - The Ministry of Public Health and Population of Yemen has reported 13403 suspected cases and 26 associated deaths during epidemiological week 40 (1–7 October) in 2018. 11% are severe cases. The cumulative total number of suspected cholera cases from 27 April 2017 to 7 October 2018 is 1236028 and 2556 associated deaths (CFR 0.21%).
One civilian has been killed every three hours in fighting in Yemen since the beginning of August, with many more people succumbing to disease and hunger, Oxfam said today. The Saudi-led coalition and the internationally recognised government are battling with the Houthis to control key ports and cities in the country.
• Up to 14 million people at risk of severe food insecurity
• Civilians bear the brunt of the conflict; Al Hudaydah Governorate records 78 civilian casualties in just one week
• Suspected cases of cholera increase while access issues continue to obstruct response efforts
• Logistics Cluster airlifts 447 metric tons of humanitarian cargo in October
MILLIONS MORE COULD SUFFER FROM HUNGER AS YEMEN SLIPS CLOSER TO FAMINE
8379TH MEETING (PM)
Permanent Representative Says Houthi Must Return to Negotiating Table, Abide by Resolutions to End Suffering
To stem the growing threat of famine in Yemen, the international community must act urgently to unblock imports, ensure distribution of aid and counteract a lack of foreign exchange in the war-torn gulf nation, the United Nations top humanitarian affairs official told the Security Council this afternoon.
New York, 23 October 2018
Thank you, Mr. President.
On 21 September, I warned you we were losing the fight against famine in Yemen.
Since then, the situation has got worse.
That is why, as required in Security Council resolution 2417, which you adopted in May this year, we issued the White Note circulated late last week. In line with our obligations under your resolution, my briefing today focuses on the risk of famine.
“Cholera hits malnourished children easily”
HODEIDAH/Yemen, 23 October 2018
The doctors and nurses at Hodeidah city’s al-Salakhanah Hospital know what a cholera outbreak looks like: they’ve seen the influx of patients complaining of diarrhoea before, the crying children afraid of needles and intravenous drips, the nervous family members at bedsides.
Read the full story on IRIN.
Current major event
EWARN in humanitarian emergencies
As many as seven countries– Afghanistan, Iraq, Libya, Somalia, Sudan and Syria in the WHO Eastern Mediterranean Region have established an early warning system for disease outbreaks with a view to early detecting and rapidly investigating any public health event of potential concern. Such a system, in the absence of a routine disease surveillance system, needs continuous monitoring and assessment using a set of performance benchmarks.
• The Emergency Telecommunications Cluster (ETC) conducted a successful inter-agency ICT capacity building training in Aden.
• The ETC has recruited a second IT assistant to be based in the UN Common Accommodation Facility (UNCAF) in Sana’a to cope with the increasing demand for ETC Internet connectivity services and support.
- Ongoing insecurity in Al Hudaydah limits humanitarian access, results in civilian casualties and infrastructure damage
- Deteriorating economic conditions contribute to worsening household vulnerability, civil unrest in Aden
- Tropical Cyclone Luban makes landfall in southeastern Yemen, results in at least three deaths
This report is produced by OCHA in collaboration with humanitarian partners. It is issued by the OCHA Yemen office. The next report will be issued when additional information on the emergency becomes available.
I. Situation Overview
ESCALATED ARMED CONFLICT IN AL HUDAYDAH GOVERNORATE
Heavy rains have caused widespread flooding since the beginning of October, affecting over 64,560 people in La Guajira department with the majority in Uribia municipality.
More than 90% of the population is indigenous and live in informal settlements. Flooding has led to crop damage and restricted access to food.
Waterborne disease are likely to spread as basic hygiene facilities are disrupted.
Urgent food, shelter and WASH needs have been reported.