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)
As of 23 October, 31 cases of cholera have been confirmed, in Amant Al Asimah, Aden, Lahj, Al Bayda, Sana’a and Hajjah governorates. At least 7.6 million people are estimated to be living in affected and at-risk areas. (UNICEF, 24 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. For the Shelter/NFI/CCCM Cluster partners, involvement revolves around cholera prevention activities: namely spreading cholera prevention messaging through distribution of IEC materials as well as coupling of Shelter activities with WASH activities. The Cluster Coordination Team shared the approved IEC materials by the WASH Cluster and ensured that partners with funds could intervene in a joint Shelter and WASH response in IDPs spontaneous settlements, collective centers and small shelter units. (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. The integrated support package financed by the new grant will include; the training of 7,500 health workers, strengthening the local capacity to treat and manage cholera cases; a provision of bulk chlorination of water supplies; the rehabilitation of critical wastewater treatment plants; support for mass communication and social mobilization campaigns; and support for one the largest ever cholera vaccine campaigns aiming to reach millions of Yemenis. (World Bank, 25 Aug 2017)
As of 26 November, the cumulative total from 27 April 2017 to 26 Nov 2017 is 959,810 suspected cholera cases and 2,219 associated deaths, (CFR 0.23%), 1049 have been confirmed by culture. The national attack rate is 348.51 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain Amran (814), Al Mahwit (773), Al Dhale’e (642), Abyan (492) and Sana’a (465). (WHO, 27 Nov 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 number of suspected cholera cases reported since 27 April 2017 reached 1,005,207 as of 24 December 2017, with 2,229 associated deaths reported across the country. The overall case fatality rate was 0.22%. The major challenges include a weakened health system caused by the ongoing conflict, access issues because of security incidents and bureaucratic impediments, and border blockages stopping the delivery of humanitarian aid. (WHO, UNICEF, 24 Dec 2017)
Maps & Infographics
Most read (last 30 days)
- Global Early Warning – Early Action Report on Food Security and Agriculture: January - March 2018
- Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator Mark Lowcock – Statement on the humanitarian situation in Yemen, 5 January 2018 [EN/AR]
- Born into War - 1,000 Days of Lost Childhood [EN/AR]
- UNICEF Yemen Humanitarian Situation Report (November 2017) [EN/AR]
- WHO, WFP and UNICEF: Yemen’s families cannot withstand another day of war, let alone another 1,000
During the month of November 2017, the Ministry of Public Health and Population of Yemen reported a total 73,086 cholera cases including 33 associated deaths (CFR-0.05%).
Regional Mixed Migration Secretariat (RMMS) summary for November 2017 covering mixed migration events, trends and data for Djibouti, Eritrea, South Sudan, Sudan, Ethiopia, Kenya, Uganda, Somalia/Somaliland and Yemen.
Red Sea ports re-open, but sustained imports needed to mitigate Famine risk
Large populations in Yemen continue to face Crisis (IPC Phase 3) or Emergency (IPC Phase 4) acute food insecurity, the latter of which is associated with increased acute malnutrition and an increased risk of excess mortality. IDP populations, poor households in conflict zones, and poor households in areas with very high levels of acute malnutrition are likely facing the most severe outcomes.
Joint Statement on Yemen
WHO, WFP and UNICEF appeal for humanitarian access and an end to conflict, as 75 per cent of population now in need of urgent assistance
NEW YORK, 29 December 2017 – “We have passed the grim milestone of 1,000 days of war in Yemen. As violence has escalated in recent days, children and families are yet again being killed in attacks and bombardments.
- Population of Yemen: 27.4 million
- People in need of WASH assistance: 15.7 million
- People in need of food assistance: 17 million
- People in need of health care: 14.8 million
- IDPs & returnees: 2.9 million
- People in need of humanitarian aid: 20.7 million
- People in acute need: 9.8 million
- People in need of protection: 11.3 million
- Women in need of protection: 5.54 million
- Oxfam funding aim: £28 million
- Secured funding: £26.6 million
- Targeted beneficiaries: 1.2 million
26 December 2017 – Children in Yemen could not have a worse year than 2017, according to a senior official from the UN Children’s Fund (UNICEF).
“2017 was a horrible year for the children of Yemen,” UNICEF Representative in the country, Meritxell Relaño, told UN News by telephone from the capital, Sana’a.
More than 80 children were killed or injured in December alone, while millions face a cholera epidemic, looming famine, a disruption in health services and a blockade hampering delivery of much-needed supplies.
As host to some of the world’s biggest emergencies, the Eastern Mediterranean Region carries the largest burden of people in need of aid, with more than 76 million people directly or indirectly affected by political conflict, environmental threats, and natural disasters.
A blockade of Yemen’s ports since 6 November has been preventing the import of much needed commercial and humanitarian supplies. The humanitarian situation is further compounded by a price inflation of basic commodities, impacting the purchasing power and increasing food insecurity.
Further escalation of the conflict during the reporting month has resulted in a worsening situation for children with 31 cases of children (27 boys; 4 girls) killed and 56 children (41 boys; 15 girls) maimed, both verified.
2017 was unprecedented in terms of the scale of events that affected millions of people
January: Record number of people in need
At the beginning of 2017, more than 128 million people needed humanitarian assistance in 33 countries. OCHA appealed for US$22.2 billion – the largest humanitarian appeal ever launched.