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
Current major event
First EMARIS Conference and Fourth Meeting in Jordan
KSA-led Coalition-imposed port closures interrupt commercial and humanitarian imports, resulting in food and fuel shortages, sharp price increases
Many areas of Yemen likely to experience Famine levels of acute food insecurity within three to four months
2018 Yemen HNO identifies 22.2 million people in need of humanitarian assistance
Today, the United States is announcing nearly $130 million in emergency food assistance to Yemen. This brings total U.S. humanitarian assistance to the people of Yemen to nearly $768 million since October 2016.
The United States remains gravely concerned about the worsening humanitarian situation in Yemen, where protracted conflict has led to the world's largest food security emergency and the world's worst cholera outbreak. More than 17 million people are at risk of severe hunger or starvation.
Tuesday, December 12, 2017 — Cases of cholera may have declined in Yemen, but the ongoing war and blockade are now creating a new threat to public health, as a suspected diphtheria outbreak takes hold.
By 4 December, 318 suspected cases of diphtheria and 28 deaths had been reported in 15 of Yemen’s 20 governorates. Half the suspected cases are children between the ages of 5 and 14, and nearly 95% of deaths are children under 15. Nearly 70% of all suspected cases are in Ibb governorate.
A savage war has been raging across Yemen for more than two years; much of the country’s infrastructure has been destroyed; and almost 15 million people do not have access to basic healthcare. The country is now gripped by the worst cholera epidemic ever recorded. More than 2,000 people have died since late April from the highly contagious bacterial infection, which can kill within hours if left untreated. There are more than half a million suspected cases of cholera in Yemen and on average 5,000 new cases are recorded a day.
Sana’a, 11 December 2017: The violence that engulfed Sana’a city over the last weeks has subsided,but the suffering continues. Famine still threatens millions; preventable diseases continually strike a weakened population in all parts of Yemen. The continuing blockade of ports, is limiting supplies of fuel, food and medicines; dramatically increasing the number of vulnerable people who need help.
17 million people are food insecure, a staggering seven million of whom are at risk of famine.
Acute food insecurity is expected to deteriorate further without continued, scaled up emergency food and livelihood assistance programmes. Air, sea, land blockade further exacerbating the availability and prices of fuel and basic food commodities.
The Yemen Humanitarian Fund (YHF) mobilises and channels resources to humanitarian partners to respond to the critical needs of millions of people affected by the devastating humanitarian crisis in Yemen. The YHF operates within the parameters of the Humanitarian Response Plan (HRP), with the objective to expand the delivery of humanitarian assistance in partnership with national and international NGOs and UN agencies.
There were 6,552 suspected cholera cases and 1 associated deaths in week 49. No governorate reported a CFR higher than 1%.
Cumulative (27 April to 10 December 2017) total of 983,484 suspected cholera cases 2,225 associated deaths, and CFR of 0.23 %.
The national attack rate is 357.10 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 are Amran, Al Mahwit , Al Dhale’e , Abyan , and Hajjah .
Children under 5 years old represent 28 % of total suspected cases.
GENEVA / SANA'A – As reports of intense fighting along Yemen's Red Sea Coast continue to emerge, the International Committee of the Red Cross (ICRC) urges all parties to the conflict in Yemen to respect the lives of civilians.
Diphtheria is making an alarming comeback in Yemen, with 318 clinically-diagnosed cases and 21 deaths reported in 15 governorates in the last three months (3 December). Ibb remains the most affected governorate (67% of reported cases). A vaccination campaign started in the two worst-affected sub-districts, targeting 8500 children.