Somalia: Measles Outbreak - Dec 2016Ongoing
Since September, 419 measles cases have been officially recorded, 302 of which are children under five. (UNICEF, 13 Dec 2016)
This week IOM...launched a mass public health campaign to contain an ongoing measles outbreak in Kismayo...Through TV and radio, IOM, the Somali government and health partners are disseminating a series of public messages about measles...The six-day campaign is estimated to reach over 2,000 people in the most affected communities, as well as surrounding areas. (IOM, 16 Dec 2016.)
UNICEF and partners are aiming to vaccinate 54,000 children under 10 in Kismayo...There have been over 704 cases of fever and rashes in Kismayo, the majority of them children...Most were not vaccinated against measles although there are 16 free vaccination posts in Kismayo. (UNICEF, 16 Dec 2016.)
Drought conditions have increased the spread of epidemic-prone diseases such as acute watery diarrhoea, cholera and measles. In the first 7 weeks of 2017, over 6000 cases and 65 deaths by acute watery diarrhoea/ cholera have been reported, and a total of 2578 cases of suspected measles were reported as of September 2016. (WHO, 27 Feb 2017)
Cases of suspected measles continue to rise across Somalia. A total of 7,694 cases have been reported nationwide, far exceeding the 5, 657 total cases recorded for all last year. The need for non-essential life-saving health services have increased and more affected areas are in dire need of urgent assistance. (OCHA, 16 May 2017)
Somalia is also facing its worst measles outbreak in 4 years, with over 14,823 suspected cases reported in 2017 (as of 31 July), compared to 5,000-10,000 cases per year since 2014. The situation is especially critical for millions of under-vaccinated, weak and hungry children who are more susceptible to contracting infectious diseases. More than 80% of those affected by the current outbreak are children under 10 year of age. In early 2017, WHO and partners, in collaboration with national health authorities, vaccinated almost 600,000 children aged 6 months to 5 years for measles in hard-to-reach and hotspot areas across the country. (WHO, 15 Aug 2017)
The numbers of cases of measles remain at epidemic levels with more than 1,491 cases being recorded in August. A nationwide campaign to vaccinate all 4.2 million children in the country between the ages of 6 months and 10 years will begin in November/December 2017. During August, the Somalia Humanitarian Fund committed $1 million to financing of the campaign. (Health Cluster, 29 Sep 2017)
This briefing has been been put together by a significant number of international non-governmental organisations (NGOs) under the leadership of Bond’s Humanitarian and Conflict Policy groups. These NGOs are either actively operational in these contexts or working to raise awareness in the UK of the challenges faced by people experiencing humanitarian disasters, conflict and upheaval.
This publication reports on measles based on surveillance data from 1 January 2016 to 30 June 2017 and epidemic intelligence up to the first week of September 2017. For rubella, the report covers surveillance data from 1 July 2016 to 30 June 2017.
• EU/EEA countries reported more than 14 000 measles cases including 34 deaths attributed to measles from 1 January 2016 to end of June 2017 (source: the European Surveillance System - TESSy and the National Institute of Public Health in Romania).
Nearly one million people displaced in Somalia from January to August, more than 800,000 primarily due to drought conditions
Clashes in Ethiopia’s Oromiya and Somali regions displace populations, exacerbate humanitarian needs
USG provided more than $1 billion in humanitarian funding for the Horn of Africa regional response in FY 2017
On the 13th of August, a national event was held by the government in Mogadishu to celebrate 3-years Polio Free Somalia. The President of the Federal Government of Somalia, Cabinet ministers, WHO Regional Director, DSRSG/UNRC/HC and others attended this national celebration of this event.
1,355,764 refugees are being hosted by Uganda as of end August. 61 percent of the refugees are children under 18 years of age and 82 percent are women and children. Of the total, 1,021,903 people are refugees from South Sudan.
The second rainy season reached its peak in the month of September in most parts of the country causing destructive flooding, landslides, wind and hailstorms affecting plantations, crops and displacing people in the 13 affected districts.
Considering the scale of internal displacement (IDPs) and extent of needs, UNICEF is prioritising the delivery of life-saving services across the different sites.
99,649 severely malnourished children received therapeutic nutrition treatment in districts that host IDP sites. This figure represents 52 percent of SAM admissions countrywide with over half of them reported from Mogadishu, Kismayo and Baidoa.
The risk of famine persists in parts of Somalia. While the number of people in need of humanitarian assistance declined to 6.2 million people from 6.7 million reported early in the year, the levels of vulnerability worsened. The number of people in Emergency (IPC 4) doubled to 800,000 from 439,000 people reported in February. Malnutrition rates remain high with an estimated 388,000 children under the age of five acutely malnourished, 87,000 of them severely and at risk of death without urgent intervention.
THE SOMALI CONTEXT
One third of the Somali population are pastoralists (UNFPA 2014) and 1.6 million are internally displaced persons (IDPs) - an increase from 1.1 million before the drought in November 2016 (IOM DTM).
IOM has been operational in Somalia since 2006 and in 2015 relocated the majority of operations to Mogadishu. IOM Somalia has an annual operating budget of USD 55 million per year with plans for continued expansion with existing and new partners in 2017.
Displaced persons among worst affected by drought.
Over 100,000 displaced people evicted from settlements in 2017, according to the Norwegian Refuge Council.
AWD/Cholera cases have declined from a peak of over 5,300 cases in June to 93 cases in August.
Strengthening localization of humanitarian response.
Displaced populations hard hit by drought
Beneficiary reach counting methodology
Save the Children’s methodology and process for beneficiary counting of children and adults reached is in line with Save the Children international definition of people reached directly (i.e. those individuals that receive inputs, participate in activities or access services provided by Save the Children, its partners or individuals/institutions to whom Save the Children or its partners have provided sustained support)