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)
A peak of cholera suspected cases was observed during the epidemiological week 26, subsequently, the weekly number of cases has decreased from then until epidemiological week 32. For the first time during the last 6 weeks, the weekly number of cases increased slightly from epi week 32 to epi week 33. (WHO, 31 Aug 2017)
Between 27 April 2017 and 8 September 2017, 635,752 suspected cholera cases and 2,062 associated deaths have been reported across the country. In total, 22 out of 23 (96%) governorates and 300 out of 333 districts (90%) are affected by the outbreak. The outbreak is far from over. During the past three weeks, a significant increase in the number of suspected cholera cases has been reported in select districts of seven governorates. The most concerning increase is in three governorates: Al-Hudaydah (which has seen a 40% increase over the last three weeks), Ibb and Aden. (WHO/UNICEF, 9 Sep 2017)
• The world’s worst Acute Watery Diarrhea (AWD)/cholera outbreak continues spreading in Yemen. Between late-April and July, 436,625 suspected cases and 1,915 deaths had been reported in 21 of 22 governorates. Health, water and sanitation systems struggling to function as a result of the ongoing conflict, and lack of regular salary payments for many public sector workers have created the ideal conditions for the disease to spread.
SANA’A – As efforts intensify to avert famine in Yemen, the United Kingdom has stepped up its support to the World Food Programme (WFP) by providing a contribution which will deliver life-saving food assistance for more than two million people in the country.
Children living in fragile situations are four times more likely to lack access to basic drinking water
NEW YORK/STOCKHOLM, 29 August 2017 – More than 180 million people do not have access to basic drinking water in countries affected by conflict, violence and instability* around the world, UNICEF warned today, as World Water Week gets under way.
WASHINGTON, August 25, 2017 – The World Bank announced today an emergency US$200 million grant to support Yemen as it struggles to contain one of the world’s largest cholera outbreaks. This will strengthen the country's health, water and sanitation systems, addressing the source of the epidemic and improving systems to prevent future outbreaks.
20.7 million people in need [Source: OCHA 31 April 2017]
1,980,510 Internally Displaced Persons (IDPs)
81 percentage of IDPs displaced for more than a year
946,044 IDP returnees
865,121 recipients of NFIs since March 2015
280,421 refugees and asylum seekers
USD 114.6 M requested in 2017
Weekly number of reported new cases has declined by one third since June
AMMAN/SANA’A, 28 August, 2017 – The Yemeni people continue to be hit by an unprecedented and mostly man-made humanitarian crisis. Amid the suffering, ordinary Yemenis are leading a heroic daily fight against acute watery diarrhoea and cholera which is now paying off.
Thanks to an unparalleled response effort from local workers with the support of international NGOs and UN organisations, the weekly number of reported new cases has declined by one third since late June.
Ongoing conflict has damaged critical water, sanitation, and health infrastructure and disrupted access to food, leading to increasing rates of malnutrition and also contributing to the outbreak of cholera in Yemen. Cholera - an acute diarrheal illness that can spread rapidly through contaminated food and water - is suspected to have infected more than 540,000 people in Yemen since late April 2017. Children suffering from acute malnutrition are especially susceptible to cholera; more than one million children in Yemen suffer from acute malnutrition, according to Save the Children.
477 Cholera vaccines: WHO position paper – August 2017
498 Monthly report on dracunculiasis cases, January-June 2017
477 Vaccins anticholériques: Note de synthèse de l’OMS – août 2017
498 Rapport mensuel des cas de dracunculose, janvier-juin 2017
Ongoing conflicts continue to give rise to serious protection challenges in northeast Nigeria, Somalia, South Sudan, and Yemen. Conflicts in all four countries have created humanitarian crises of monumental proportions. They have triggered wide scale displacement, civilian casualties, and severely eroded coping mechanisms of the civilian population as well as threatened the lives of more than 20 million people.