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)
Tens of millions of children caught up in armed conflict must be protected from life-threatening attacks and violence.
Around the world, conflict is exacting a devastating toll on millions of children. With increasing frequency, children are being deliberately and indiscriminately attacked and denied life-saving humanitarian assistance in breach of international humanitarian law. On World Humanitarian Day on 19 August, join the United Nations and its partners in standing together to demand that children are #NotATarget.
17 August 2017 – In the midst of the cholera outbreak in Yemen, where an average 5,000 people fall sick every day, the United Nations population agency is warning about the dangers to pregnant and breastfeeding women.
“Pregnant and breastfeeding women, especially those who are malnourished], are particularly vulnerable. An estimated 1.1 million malnourished pregnant women are at risk, requiring immediate care,” the UN Population Fund (UNFPA) recently said.
POLITICS AND SECURITY
Instability and violence have continued across the country following escalation of conflict in March 2015. As of 30 April 2017, at least 8,053 civillians have been killed and over 45,000 injured, although it is likely that the actual toll is much higher. All parties to the conflict have committed serious human rights and humanitarian law violations.
With 20 million women, children and men struggling to find food and safe drinking water in parts of Africa and Yemen, Canadians donated more than $8 million to the Humanitarian Coalition and its member agencies during the Stop Famine Together joint campaign.
Thanks to the Government of Canada’s Famine Relief Fund, which matched eligible donations, even more relief aid is available to those in need.
A cholera epidemic is exploding in war-torn Yemen. At its current pace this easily treatable disease could soon kill more people than the Ebola epidemic of 2013-2015 in Guinea. Roughly four weeks from now, if left unchecked, cholera in Yemen could claim more than 2,544 lives. That’s how many Guinean lives were lost to Ebola in the West Africa outbreak that escalated to pandemic levels. In 12 weeks cholera deaths in Yemen could surpass the nearly 4,000 killed by Ebola in Sierra Leone.
- As of 13 August, the number of suspected cases reached the dramatic level of half a million with 503 484 reported cases and 1 975 related deaths. The number of cases might have slowed in some areas over the past couple of weeks but it is still increasing in 81 districts, notably in Lahj, Hajjah, Amran provinces showing an active epidemic throughout the country.
- A national cholera campaign started yesterday, covering 22 governorates.
- 20 000 teams are delivering hygiene and health messages to communities.
Since the end of April 2017, Yemen has been experiencing its worst recorded outbreak of suspected cholera in a single year. By mid-August, more than 500,000 cases were recorded. More than two years of war have devastated large parts of Yemen’s infrastructure and left the majority of the population lacking basic services such as clean water or enough to eat. Levels of food insecurity and malnutrition are high, and make people even more vulnerable and susceptible to disease. Governorates with high levels of food insecurity are among those worst affected by cholera.
People in need
People in acute need
People lack access to basic health services
People internally displaced
Women and girls of reproductive age
Malnourished pregnant women at risk of contracting cholera
Women & girls at risk of gender-based violence
By Bassam Ghabr and Bismarck Swangin
SANA’A, Yemen, 11 August 2017 – Twelve-year-old Hameed is lying on a bed at the Thula Public Hospital north of Sana'a. This is the second time he has been hospitalized in the last few weeks, both times to receive treatment for cholera.
Doctors are giving him oral rehydration solution at the UNICEF-supported cholera treatment unit, while Hameed and his father both hope that this bout of cholera will be his last.
This report presents findings from a survey conducted by Save the Children (SC) in Taiz Governorate from 18 to 30 March 2017. The Standardized Monitoring & Assessments of Reliefs & Transitions (SMART) methodology was used. The survey was conducted in 7 accessible districts in Taiz Highland (THL) zone.
Surveyed districts were AL-Mawaset, Samea, Al-Selw, Al-Misrakh, Saber Al-Mawadem, Khadeer and Al-Maafer.
14 AUGUST 2017 | GENEVA - The total number of suspected cholera cases in Yemen this year hit the half a million mark on Sunday, and nearly 2000 people have died since the outbreak began to spread rapidly at the end of April.
The overall caseload nationwide has declined since early July, particularly in the worst affected areas. But suspected cases of the deadly waterborne disease continue to rage across the country, infecting an estimated 5000 people per day.
Original 2017 Yemen Humanitarian Response Plan
The 2017 Yemen Humanitarian Response Plan (YHRP) released in February 2017 sought US$2.1 billion to reach 12 million people with life-saving and protection services across the country. The strategic focus of the YHRP revolved around the following strategic objectives:
Provide life-saving assistance to the most vulnerable people in Yemen through an effective, targeted response.