Ethiopia: Acute Watery Diarrhoea (AWD) Outbreak - May 2016Ongoing
AWD outbreak is still ongoing in 10 woredas in six zones of Oromia and Somali regions. By week 20, a total of 1,884 AWD cases and 19 deaths had been reported. During the same week, a new area, Dolo Bay woreda in Somali region was affected. (WHO, 27 May 2016)
Since the Federal Ministry of Health confirmed the first two AWD cases on 9 June, the number of confirmed cases are increasing. The Ethiopian Public Health Institute reported about 2,145 (nationally) and 25 (in Addis Ababa) suspected AWD cases as of 12 June 2016. The Addis Ababa Health Bureau and partners launched an AWD response plan to curb the spread of the outbreak. OCHA, 20 Jun 2016
In week 15 (week ending 16 April 2017), a total of 2,388 suspected cases of AWD/cholera were reported in Afar, Amhara and Somali regions of the country. While some decline has been observed in the trend in the last weeks [4,200 cases in week 14; 4,104 cases in week 13; 4,358 cases in week 12], it is still premature to deduce overall improvement in the situation on the ground, especially with the weak surveillance system. Somali region remains the most affected, accounting for 99% of the new cases reported in the reporting week. On 20 April 2017, WHO elevated the outbreak of AWD/cholera and the humanitarian crisis in Ethiopia to grade 3 emergency. This new grading enables the organization to leverage its global capacity and scale up the response to the outbreak and the humanitarian crisis. (WHO, 21 Apr 2017)
There was a decrease in the number of AWD cases reported in week 24 (week ending 18 June 2017): a total of 661 cases were reported from the three regions compared to 1,080 cases reported in week 23 (week ending 11 June 2017). Since the beginning of 2017, a total of 37,459 cases including 784 deaths (case fatality rate 2.1%) have been reported from six regions of Somali, Oromia, Amhara, Afar, SNNP and Tigray. Eighty-nine percent of the reported cases and 96% of the deaths were reported in Somali Region alone. (WHO, 23 Jun 2017)
The AWD outbreak situation continues to improve. During week 27 (week ending 9 July 2017), 275 new AWD cases were reported from the three regions of Somali (149), Oromia (68) and Amhara (58). Since the beginning of 2017, 38,715 cases including 797 deaths (case fatality rate 2.1%) have been reported from the seven regions of Somali, Oromia, Amhara, Afar, SNNP, Tigray, and Benshangul Gumuz. Eighty-eight percent of the cases and 94% of the deaths were reported in Somali Region alone. (WHO, 17 Jul 2017)
A 27 per cent increase in the number of [AWD] cases was reported nationwide last week, mainly due to spikes in new cases reported in Amhara and Tigray regions and a resurgence of the outbreak in Afar region where community transmission of the disease is widespread. Currently, the major risk factors for the spread of the outbreak are holy water sites where large numbers of Christian pilgrims congregate from around the country, especially in Amhara and Tigray, and seasonal mobility of daily laborers to commercial farms. The high risk for further spread of the AWD outbreak continues due to the degradation of health determinants on the back drop of overburdened local health systems, including inadequate access to safe drinking water and internal and cross-border movements. (OCHA, 03 Sep 2017)
[AWD] cases continue to be reported from Afar, Amhara, Tigray and Oromia regions mainly from religious sites and commercial farms that have poor sanitation facilities and limited access to clean water. Somali region also continues to report AWD cases although at a reduced rate. With the ongoing rains, increased numbers of AWD cases are expected in the coming weeks; particularly in Amhara, Benishangul-Gumuz, Oromia and SNNP regions. (UNICEF, 20 Sep 2017)
The outbreak is showing a downward trend. Only 61 new cases have been reported this week from 4 regions, and the majority of new cases are from Amhara and Somali regions. As of now, 9 regions in Ethiopia have been affected, and 73.6% of the total cases are from Somali region. (WHO, 09 Dec 2017)
Only 11 new cases have been reported this week from 4 regions: Amhara, Somali, Diri Dawa and B.Gumuz regions. Nine regions in Ethiopia have been affected, and 73.6% of the total cases are from Somali region. (WHO, 05 Jan 2018)
Between January and December 2017, a cumulative total of 48 814 cases and 880 deaths (CFR 1.8%), have been reported from 9 regions. In 2018 only, a total of 98 cases have been reported from two regions, Somali and Dire Dawa regions. (WHO, 02 Mar 2018)
In most parts of the country, the situation has stabilized, however, Afar region is experiencing an increase in cases which began since week 18. In week 23, 233 cases were reported, all of which are from Afar region. From week 1 to 23 2018, a total of 728 cases with 18 deaths (CFR-2.5%) has been reported from the following regions: Somali (136 cases), Afar (537 cases with 18 deaths), Tigray (38 cases), and Dire Dawa City Administration (17 cases). (WHO, 29 Jun 2018)
A total of 1407 cases of [AWD] have been reported since June 2018 in Tigray region, affecting some 34 woredas. Currently the number woredas reporting AWD cases is reduced to 16 and 80 per cent of the cases are from four woredas. Central zone and Mekelle have the majority of cases but now it is shifting to Western zone. This week there were 64 patients of which 43 per cent are from Western zone, 35 per cent in Mekelle. Risk factors are mainly due to untreated water consumption which accounts to 70 per cent of the total factors. Government and partners are distributing water treatment chemicals and health supplies, but needs surpass resources being availed. High operational cost for response, low involvement of sectors and low level of response by most partners are among the critical challenges to AWD response in the region. Meanwhile trend of AWD cases is decreasing in all Woredas of Afar region. However, the regional AWD command post identified that provision of safe drinking water remains a major gap in all affected woredas. .(OCHA, 19 Sep 2018)
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The Eastern and Southern Africa region continues to face multiple and more frequent humanitarian crises, including conflict and insecurity, economic shocks, climate change, natural hazards and disease outbreaks.1 More than 17 million people (45 per cent children) remain food insecure throughout the region.
15.8M People facing food insecurity
4.1M People displaced
16.3M People affected by drought in the region
1M People affected by floods
Ethiopia is host to the second largest refugee population in Africa, sheltering 905,831 registered refugees and asylum seekers as of 31 August 2018.
So far in 2018, 36,185 refugees arrived in Ethiopia, including 1,626 in August. They are mostly from South Sudan and Eritrea.
▪ Renewed inter communal violence in Gedeo-West Guji since 3 June has displaced 1,010,934 people.
▪ The government and humanitarian partners have launched a multisector response plan for Gedeo-West Guji with a funding requirement of US$ 117.7 million.
▪ With UNICEF’s support, 140,720 children under five have received treatment for Severe Acute Malnutrition (SAM) between January and May 2018.
▪ The current number of internally displaced people in Ethiopia has increased to 2.4 million from 1.6 million at the beginning of the year. Seasonal flooding from July to September is expected to affect 2.5 million people.
▪ With UNICEF support, more than 111,000 children under five have received treatment for severe acute malnutrition since January.
▪ UNICEF-supported Mobile Health and Nutrition Teams have provided medical consultations to 231,529 people, including 89,798 under five children.
Food security improves significantly in southeastern areas, but continued assistance is needed
Ethiopia: Conflict between ethnic Oromos from West Gujji and Gedeos from SNNP region resulted in large scale displacement from both sides, leaving people in dire need of food and non-food assistance. Currently, the government and partners are assessing the needs and will continue to provide coordinated support. Meanwhile, the regional governments of Oromia and SNNP are working jointly to return displaced people to their place of origin and restore peace and security in the area.
16.3 million people in need of humanitarian services
8.2 million children in need of humanitarian services
667,948 children under-five in need of SAM treatment
14.8 million people are in need of water
At least 6.2 million children are at risk of dropping out of school
Over 582,000 people have been affected by the flash and river floodingin Bakool, Banadir, Bay, Hiraan, Lower Juba, Middle Juba and Middle Shabelle regions, including 200,000 people displaced.
According to FEWSNET, the ongoing La Niña is forecast to drive poor performance of the Gu rains over much of the Horn of Africa, especially in pastoral areas of Somali Region and Southern Oromia. International, regional, and national forecasts indicate below-average rainfall is likely between March and May 2018 in South Eastern Ethiopia, and Kenya following three poor rainy seasons.
▪ The Government of Ethiopia and UNOCHA launched the Humanitarian and Disaster Resilience Plan (HDRP) for Ethiopia appealing for US$1.66 billion to provide support for 7.9 million people in need.
▪ In January 2018, 26,004 children were treated for severe acute malnutrition, with 94.9 per cent cured.
With below average rains experienced across the region, some locations in the Horn of Africa are expected to continue to drive humanitarian needs for the next six months. A weak La Niña will likely persist into the second quarter of 2018, which is historically associated with below average rainfall.
According to experts who spoke in the 48th Greater Horn of Africa Climate Outlook Forum, La Niña could trigger severe hunger and lack of water for both humans and livestock, potentially increase conflict between communities over scarce resources and could increased migrations.
To scale up its response to conflict induced displacement, UNICEF Ethiopia has finalized a comprehensive, multi-sectoral-strategy to meet the immediate lifesaving needs of 500,000 internally displaced persons (IDPs) in the Oromia and Somali regions.
UNICEF provided access to safe water to 176,000 conflict-affected IDPs in densely populated IDP sites in East and West Hararghe and Bale zones in Oromia region.
17.8 million people in need of humanitarian services
8.3 million children in need of humanitarian services
656,614 children under-five in need of SAM treatment
14.9 million people are in need of water
At least 5.6 million children are at risk of dropping out of school
The Horn of Africa has been hotter and drier than normal in January following an early cessation of seasonal rains around mid-December. This is likely to result in further deterioration of pasture and water resources, most notably in pastoral and marginal agricultural areas of Somalia, Ethiopia and parts of northern Kenya. Humanitarian needs are expected to remain significant, an estimated 7.4 million (latest figure) in Ethiopia, 6.2 million in Somalia and 3.4 million in Kenya will require food assistance in the first half of 2018.
The Horn and East Africa region has been affected by yet another drought with hardly any reprieve from the 2016 El Nino induced crisis. By end of March 2017 the UN estimated that 22.9 million people in the greater Horn were food insecure, a figure expected to rise as the crisis worsens. The number of people affected in the three countries is 8.5 million people in Ethiopia, 3.2 million in Somalia and 3.4 million in Kenya.
22.9M People affected by drought in the region
15M Food insecure people in Ethiopia, Kenya and Somalia
1.8 M People displaced in Kenya, Somalia and Ethiopia by drought conditions
$1.5 billion Horn of Africa Drought Response funding gap
New national policy helps refugees legally document life events, including births, deaths, marriages and divorces.
73,857 South Sudanese refugees have been registered in Ethiopia since 1 January. The majority have reportedly fled conflicts.
Refugees in Addis Ababa continue to be L3 registered. This will allow them to better access rights in line with the NY Declaration.
Update On Achievements