Ethiopia: Acute Watery Diarrhoea (AWD) Outbreak - May 2016
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)
In 2018, cases have been reported from five regions, namely; Oromia, Dire Dawa,Somalia, Tigray and Afar. There has been a general decline since the peak in week 33 when more than 500 cases were reported. In week 41(ending 14 October 2018), 48 cases of AWD were reported from two regions: Oromia (7) and Tigray (41). (WHO, 19 Oct 2018)
No new cases of AWD were reported in the existing hotspots on weeks 46 and 47. In total, 3 090 cases have been reported in 2018. (WHO, 30 Nov 2018)
Most read reports
- Greater Horn of Africa Region: Humanitarian Snapshot (September - October 2018)
- WHO AFRO Outbreaks and Other Emergencies, Week 48: 24 - 30 November 2018 Data as reported by 17:00; 30 November 2018
- Ethiopia: Humanitarian Response Situation Report No.19 (November 2018)
- Ethiopia Weekly Humanitarian Bulletin, 8 May 2017
- Southern Africa: An Overlay of Drinking Water Supply Systems and Number of Cholera / AWD Cases and Deaths Reported Between January and September 2017
This report has been prepared under the auspices of the Federal Disaster Risk Management Technical Working Group, co-chaired by the National Disaster Risk Management Commission (NDRMC) and OCHA with participation of cluster co-chairs (Government Line Ministries and Cluster Coordinators). It covers the period from 1 October to 15 November 2018.
The killing of four government officials in late September in Benishangul-Gumuz Region aggravated already existing ethnic tensions resulting in a large-scale intercommunal conflict displacing approximately 200,000 people along the Benishangul-Gumuz-Oromia border.
A polio vaccination campaign was successfully conducted in five zones of the Somali region between 23-26 September, reaching 486,816 children under 5 years of age.
According to FEWSNET, there was an increase in food production due to the continued rainfall experienced in the eastern Horn of Africa. Average to above-average rains are expected to enhance crop and livestock production, increase demand for agricultural labor, and suppress resource-based conflict. Regardless of this, food insecurity persists due to a combination of factors, including conflict, drought recovery, previous and ongoing flooding.
At mid-year, Ethiopia was faced with an unprecedented caseload of 2.6 million internally displaced persons (IDPs) affected by conflict and drought, mainly along the Oromia regional border with Somali and the Southern Nations, Nationalities and Peoples’ Region (SNNPR) with children constituting more than half of the displaced population. In line with these changes, UNICEF has revised its Humanitarian Action for Children (HAC) for 2018 and raised the resource envelope to US$ 123.8 million.
• Approximately 141,410 people were displaced in Somali region after conflict erupted on 4 August. The conflict led to the exodus of government personnel, leaving essential services significantly understaffed. This in turn created pressing and urgent humanitarian needs for children and women in the region.
• Through UNICEF support, 134,446 people in Gedeo-West Guji received essential and life-saving health care services and 30,579 children under 5 years were treated for Severe Acute Malnutrition (SAM).
15.8M People facing food insecurity
4.1M People displaced
16.3M People affected by drought in the region
1M People affected by floods
▪ 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.
The Government of Ethiopia and humanitarian partners released their humanitarian funding priorities for the next six months, asking for US$280.4 million for immediate support in all sectors, prioritizing internally displaced people.
Ethiopia has increased its preparedness level to avoid the importation of the Ebola Virus Disease (EVD) following the outbreak in the Democratic Republic of Congo.
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.
Conflict leads to large scale displacement: 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.
▪ Floods in the Somali region have affected approximately 163,500 people, with much of the affected area now inaccessible. UNICEF is scaling up its health, water, sanitation and hygiene activities to help prevent and quickly respond to disease outbreaks in affected communities.
▪ In Gedeo Zone, SNNPR, and West Guji, Oromia a conflict was re-ignited between ethnic Gedeo and Guji (Oromos) resulting in 300,000 people being displaced (unconfirmed). A joint multi-agency assessment led by Government is yet to be conducted.
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.
More than 165,000 people in Ethiopia are dealing with extensive flash flooding, which was exacerbated when two dams broke. At least two people died and approximately 1,600 families had to be evacuated.
Rising waters washed away homes, livestock and crops and cut off many districts and left main roads impassable. The risk of disease, such as diarrhea and even cholera, have increased as residents have little to no access to safe drinking water.
2017 IN REVIEW
30 April 2018, Addis Ababa: The Government of Sweden has provided US$3 million to UNICEF Ethiopia’s 2018 Humanitarian Action for Children. The funds will be used to meet the needs of internally displaced populations in the Oromia and Somali regions of Ethiopia.
This report has been prepared under the auspices of the Federal Disaster Risk Management Technical Working Group, co-chaired by the National Disaster Risk Management Commission (NDRMC) and OCHA with participation of cluster co-chairs (Government Line Ministries and Cluster Coordinators). It covers the period from 1 March to 31 March 2018.
The HDRP seeks US$1.658 billion to address food needs for 7.88 million people and non-food needs in 2018.
▪ 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.