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 December 2018, The Ministry of Public Health and Population of Yemen has reported 12 289 suspected cases and 10 associated deaths during epidemiological week 45 (5 – 11 November) in 2018. From week 42 to week 44, the trend of weekly reported suspected cholera cases is decreasing by 14% at country level. However, there are five governorates (Al Mahwit, Ibb, Hajjah, Al Jawf, and Aden) reporting an increase in suspected cholera cases. This week, the governorates reporting the highest number of suspected cases are Sana’a (1835), Amran (1799), Ibb (1697) Dhamar (1737) and Amanat Al Asimah (1539). (WHO, 7 Dec 2018)
Cholera outbreaks in Yemen has been one of the worst cholera epidemics in recent history. This has resulted in more than 1.3 million cases and over 2 500 deaths by the end of year. (WHO 30 Dec 2018)
The cumulative total number of suspected cholera cases from 1 January 2018 to 6 January 2019 is 387 860, with 526 associated deaths (CFR 0.14%). Children under five represent 32.0% of all suspected cases. Twenty-two of 23 governorates and 312 of 333 districts in Yemen have been affected by the outbreak. (WHO 7 Feb 2019)
Appeals & Response Plans
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Most read reports
- Safeguarding Health in Conflict: Impunity Remains: Attacks on Health Care in 23 Countries in Conflict in 2018. 15 May 2019
- World Bank: New US$400 Million Grant for Yemen to Address Food Security and Sustain Health, Water and Sanitation Services [EN/AR]. 14 May 2019
- OCHA: Middle East and North Africa: Regional Humanitarian Snapshot (As of 30 April 2019) [EN/AR]. 16 May 2019
- OCHA: Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mark Lowcock Briefing to the Security Council on the humanitarian situation in Yemen - New York, 15 May 2019. 15 May 2019
- OCHA: Yemen Humanitarian Update Covering 18 April – 6 May 2019 | Issue 7. 14 May 2019
23 March 2019 - I have just returned from Yemen, where I witnessed firsthand the suffering, illness and death of innocent civilians caught up in this crisis.
In my visits to hospitals in Aden and Sana’a, I saw newborn babies and children, sometimes 2-3 to a bed, suffering from severe acute malnutrition, heart and renal failure, pneumonia and other life-threatening conditions. Doctors told me that some would not survive the week.
Continued conflict expected to prolong Famine risk in Yemen in 2019
Les enfants pris dans des conflits prolongés sont trois fois plus susceptibles de mourir d’une maladie transmise par l’eau que de la violence
NEW YORK, le 22 mars 2019 – Les enfants de moins de 15 ans vivant dans des pays touchés par des conflits prolongés sont, en moyenne, près de trois fois plus susceptibles de mourir d’une maladie diarrhéique provoquée par un manque d’eau salubre, d’assainissement et d’hygiène que des effets directs de la violence, affirme l’UNICEF dans un nouveau rapport paru aujourd’hui.
Children living in protracted conflicts are three times more likely to die from water-related diseases than from violence – UNICEF
NEW YORK, 22 March 2019 – Children under the age of 15 living in countries affected by protracted conflict are, on average, almost three times more likely to die from diarrhoeal diseases caused by a lack of safe water, sanitation and hygiene than by direct violence, UNICEF said in a new report today.
UN Assistant Secretary General
UNDP Regional Director for Arab States
General Assembly of the Arab Water Council
Opening Plenary - 14:00-15:00 March 16, 2019
Intercontinental Hotel, City Star, Heliopolis, Cairo
Many health facilities are running at reduced capacity because of the conflict in Yemen. Groups like Yemen Aid are working to provide healthcare where patients are.
By Dan Hovey
Armed conflict continues in Yemen, where more than half of the country’s healthcare facilities are running at reduced capacity due to a shortage of staff and medical supplies. That means that front line and mobile providers are a critical source of healthcare for many Yemenis.
Yemeni civilians across the country are facing the threat of intensive attacks with some areas claiming more than double the amount of victims compared to the pre-ceasefire average.
Norwegian Refugee Council's (NRC) analysis of attacks on civilians over the last three months reveals that civilian casualties in Hajjah and Taiz alone have more than doubled since the Hodeidah ceasefire and Stockholm Agreement came into effect, with 164 and 184 people killed respectively.
International non-government organisations (INGOs) in Yemen strongly condemn the horrific attacks in Hajjah governorate on Sunday which according to the UN killed 22 people – twelve women and ten children – and injured many more. Hajjah has seen an increase in tensions and fighting in recent weeks; thousands of people have been displaced from their homes and are in need of humanitarian aid and many more are reportedly trapped by the fighting and cannot flee to safety or reach help.
Statement by UNICEF Executive Director Henrietta Fore
SANA'A/NEW YORK, 13 March 2019 - "The most recent attack in Hajjah, north of Hudaydah, on 9 March, took yet another devastating toll on the children of Yemen: 12 were killed while at home and another 14 injured.
Sana’a, 11 March 2019 – Reports from Hajjah Governorate indicate that scores of civilians have been killed by strikes on houses in Kushar District during the past two days. Medical sources report that 22 people have died, including 12 children and 10 women. As many as 30 people have been reportedly injured, including 14 children aged between 1 and 18. Many of the injured children have been sent to hospitals in Abs district and in Sana’a for treatment and several require possible evacuation to survive.
The World Bank has supported development in Yemen for over 45 years. The long history and close working relationship has helped the World Bank to continue supporting the Yemeni people and key institutions during the current crisis. This update offers an overview of our projects in Yemen until March 2019.
• Donors pledge US$2.62 billion for humanitarian response in 2019.
• 2019 YHRP seeks $4.2 billion to deliver assistance to 21.4 million people in dire need.
• Humanitarian partners are scaling up responses to escalated needs in Hajjah Governorate.
• WFP accesses Red Sea Mills in Al Hudaydah City for the first time in six months.
• Increased efforts to contain the spread of communicable diseases.
Donors pledge US$2.6 billion for 2019 humanitarian response
1. Executive Summary
This needs assessment was designed to be impartial, unbiased, comprehensive, context-sensitive, timely, and up-to-date. It provides sound evidence based on the existing WASH situation in Wusab Al Ali district of Dhamar Governorate in order to plan and prioritize the needs and adopt the appropriate and suitable methodology of intervention.
7 March 2019 - The Ministry of Public Health and Population of Yemen reported 6718 suspected cases of cholera with eight associated deaths during epidemiological week 7 (11 – 17 February ) of 2019. Severe cases constitute 12 percent the total. The cumulative total number of suspected cholera cases from 1 January 2018 to 17 February 2019 is 428 317, with 560 associated deaths (CFR 0.13%). Children under five represent 31.0% of total suspected cases. The outbreak has affected 22 of 23 governorates and 311 of 333 districts in Yemen.
28 February 2019 - The Ministry of Public Health and Population of Yemen reported 7419 suspected cases of cholera with eight associated deaths during epidemiological week 5 (28 January – 3 February ) of 2019. Ten percent of cases are severe. The cumulative total number of suspected cholera cases from 1 January 2018 to 3 February 2019 is 413 770, with 543 associated deaths (CFR 0.13%). Children under five represent 32.0% of all suspected cases. The outbreak has affected 22 of 23 governorates and 311 of 333 districts in Yemen.
• The Yemen Humanitarian Needs Overview indicates 24 million Yemenis will need some form of humanitarian assistance in 2019.
• Scale-up of the humanitarian operation in 2018 saved millions of lives.
• 2019 Yemen Humanitarian Response Plan released - humanitarian partners aim to assist over 21.4 million people this year.
• Weekly trend of suspected cholera cases remains stable at the country level.
THE HUMANITARIAN CRISIS IN YEMEN REMAINS THE WORST IN THE WORLD
• The Global ETC Coordinator conducted a high-level mission to Yemen where he met with ETC partners locally and visited Al Hudaydah, the port city where a UNbrokered ceasefire is currently in process.
• The ETC in Yemen is looking to recruit four new national staff to support the scale-up activities that are planned in various locations across the country.
In 2018, the humanitarian crisis in Yemen hit a new low. The man-made food security crisis, pushed many communities to the brink of famine. At the end of 2018, it was estimated that 80%of the population is in need of humanitarian response.