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: Monthly Situation Report No. 7 (October 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
As the Yemeni riyal plummets to its lowest value in history, millions of people already struggling to survive reach tipping point.
The Yemeni riyal was exchanging at 630 to the US dollar in Yemen’s southern city of Aden yesterday, up from 425 in January, and less than 250 at the beginning of the conflict. The depreciation of Yemen’s currency corresponds with dramatic price hikes on basic commodities, leaving millions of people unable buy enough food to meet their daily needs.
SANA’A, 3 September 2018 – The World Health Organization (WHO) airlifted, through several shipments in August, over 500 tons of essential medicines and medical supplies to Sana’a airport, to be distributed to affected governorates including Aden and southern governorates.
• Humanitarian partners are preparing to respond to a possible third wave of cholera as the number of suspected cases increase across Yemen.
• Violence continues in Al Hudaydah and Hajjah governorates with dozens of civilians killed by airstrikes, shelling and clashes in several districts.
• At least 21 children (13 boys; 8 girls) were killed and 82 (51 boys; 31 girls) injured during the conflict in July. Four schools and one hospital were attacked.
Large populations in Yemen continue to face Crisis (IPC Phase 3) or Emergency (IPC Phase 4) levels of acute food insecurity. In a worst-case scenario, significant declines in commercial imports and conflict that cuts populations off from trade and humanitarian assistance for an extended period of time could drive food security outcomes in line with Famine (IPC Phase 5).
Highlights of the Month
• UNICEF Yemen has supported the first round of an oral cholera vaccination campaign in five districts in the northern governorates of al Hudaydah and Ibb to protect an additional 540,595 people (over 1 years of age) against Cholera. This follows the first campaign held in five districts in Aden in May. In total 387,390 (69 per cent) persons have been vaccinated against the total target of 561,002 people.
British aid experts are working with the Met office, to help prevent major outbreaks of cholera and save lives in war-torn Yemen.
Aid experts at the Department for International Development (DFID) have teamed up with the Met Office, NASA and US scientists to use for the first time a world-leading approach to accurately predict where and when cholera will spread.
Yemen: United Nations Experts point to possible war crimes by parties to the conflict
Geneva (28 August 2018) – Information documented by the Group of Regional and International Eminent Experts on Yemen strongly suggests that parties to the armed conflict have perpetrated, and continue to perpetrate, violations and crimes under international law.
• The fighting that erupted in areas in and around Al Hudaydah in May 2018 has continued into July leading to the displacement of 47,230 households as at 24 July. UNICEF continues its emergency WASH response to displaced communities in al Hudaydah and surrounding areas.
• Following the Oral Cholera Vaccine (OCV) vaccination campaign in south Yemen in May, UNICEF Yemen has commenced preparation of a new campaign in the north of Yemen (scheduled for August) to protect an additional 540,595 people (over 1 years of age).
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.
Current major event
GOARN and outbreak response in EMR
The Global Outbreak Alert and Response Network (GOARN) convened its 23rd steering committee meeting in New York, 20-21 June 2018. The aim of the meeting was to review recent deployments, activities and overall achievements of the network since it was established.
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