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)
During the month of September 2017, the Ministry of Public Health and Population of Yemen reported a total 176 563 cholera cases including 94 associated deaths (CFR-0.05%).
The cumulative number of cholera cases reported in Yemen since October 2016 is 797 772 including 2 261 related deaths with a case fatality rate of 0.28%. The country experienced a second wave of this outbreak during the month of April and from 27 April to 30 September 2017, the total number of reported cases of cholera is 771 945 including 2 132 related deaths with a case fatality rate of 0.28%.
In September 2017, an increase in the number of suspected cholera cases was reported in Al Hudaydah governorate during week 37 and 38. In response to this continued increase, WHO is strengthening rapid diagnostic tests (RDT) use in DTC’s and daily surveillance of cases in this governorate.
The five governorates with the highest cumulative attack rates per 10,000 are Amran (666), Al Mahwit (611), Al Dhale’e (580), Abyan (466) and Sanaa (392); the national attack rate is 274.41 per 10,000. The districts with higher numbers of deaths are Al qafr (4), As Sabrah (4), Hazm al Udayn (3) and Hubaysh (3). (WHO, 31 Sep 2017)
During the month of August 2017, the Ministry of Public Health and Population of Yemen reported a total 152 216 cholera cases including 117 associated deaths (CFR-0.1%).
Supply and availability of food commodities further improved in many governorates in August 2017. Better food availability during the past few months is attributed to the good level of imports during the first half of the year. However, availability of fuel remained unchanged or deteriorated from previous month.
Prices of basic food items slightly declined but prices of fuel commodities rose in August compared to July 2017, while all persisted to be higher than in precrisis period.
Poor dietary diversity and high levels of negative food-based coping strategies continue to erode household food security.
Displaced households are increasingly reliant on food assistance as their primary source of food.
Respondents report major concerns over shortages of food and money and the spread of diseases.
Extreme levels of food insecurity persist across South Sudan as conflict continues to limit access to typical food sources and, in some areas, the delivery of humanitarian assistance. Emergency (IPC Phase 4) or Crisis (IPC Phase 3) outcomes exist in all states, despite the start of the harvest. Some households on isolated islands along the White Nile in Leer of Unity and Ayod of Jonglei could be in Catastrophe (IPC Phase 5) in the event they are unable to move in search of assistance.
The cumulative total from 27 April 2017 to 10 September 2017 is 652,089 suspected cases and 2,066 associated deaths (CFR 0.32%). 32,364 suspected cases and 12 associated deaths were reported in W35.
The national attack rate is 229.15 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain Amran (578.15), Al Mahwit (531.12), Al Dhale’e (512.62), Abyan (411.07) and Hajjah (313.67).
ADEN, 11th September, 2017 (WAM) -- An Emirates Red Crescent, ERC, aid ship carrying ten containers stocked with cholera medication has arrived in the Port of Aden.
The shipment, a contribution to the World Health Organisation, WHO, was received by Yemen’s Minister of Public Health and Population, Dr. Nasir Baoum, Mohammed Saeed Al Ketbi, Director of the ERC office in Aden, and Emmanuel Tacconi, the WHO's Representative in Yemen.
One in five children across the Middle East and North Africa needs humanitarian aid
Over 90 per cent are in conflict-affected countries- UNICEF New Analysis
AMMAN, 11 September 2017 – Nearly one in five children across the Middle East and North Africa need immediate humanitarian assistance, according to latest data and analysis. Over 90 per cent of these children live in countries affected by conflict.
Current major event
Dengue fever in Pakistan
The Ministry of National Health Services, Regulations and Coordination in Pakistan has recently reported a high number of dengue fever cases in the province of Khyber Pakhtunkhwa (KPK). A total of 1,279 laboratory confirmed cases were reported during the months of July and August 2017.
Cholera outbreak exceeds 629,000 suspected cases as of September 7
Bureaucratic impediments and insecurity-related access constraints hinder humanitarian response throughout Yemen
USAID/FFP partner WFP reaches more than 7 million people with emergency food assistance in August
On 14 August, suspected cholera cases in Yemen surpassed 500,000 in 22 governorates and 298 districts. To support the cholera response, during this period, WFP supported the National and governorate level Emergency Operations Centre through supply chain management and IT upgrades and through increasing storage capacities for cholera response and relief items and construction/rehabilitation of Diarrheal Treatment Centres (DTCs) and launching an air-bridge operation from Djibouti to Yemen using an AN12 aircraft.
521 Cholera, 2016
530 Performance of acute flaccid paralysis (AFP) surveillance and incidence of poliomyelitis, 2017
534 The International Health Regulations (IHR) – 10 years of global public health security
521 Choléra, 2016
530 Fonctionnement de la surveillance de la paralysie flasque aiguë (PFA) et incidence de la poliomyélite, 2017
534 Le Règlement sanitaire international (RSI) – 10 ans de sécurité sanitaire mondiale
Airbridge Djibouti – Sana’a for the cholera response
Country and Governorate level (cumulative)
The cumulative total from 27 April 2017 to 3 September 2017 is 612,009 suspected cases and 2,047 associated deaths (CFR 0.33). 25,883 suspected cases and 11 associated deaths were reported in W35.
The national attack rate is 215 per 10,000. The five governorates with the highest cumulative attack rates per 10,000 remain Amran (540), Al Mahwit (504), Al Dhale’e (482), Abyan (388) and Hajjah (288).