Ethiopia: Measles Outbreak - May 2017
In Ethiopia, 348 cases had been confirmed and 40 outbreaks reported in Addis Ababa, Afar, Amhara, Oromia, Southern Nations Nationalities and Peoples, Somali and Tigray regions, as of 31 March 2017. The majority of the cases (39 per cent) have occurred among children under five years. Although not yet officially confirmed by the Federal Ministry of Health (FMOH), over 100 cases of measles were additionally reported during the month of April 2017 in Gashamo Woreda, Jarar zone, in Somali region, which would bring total number of cases in 2017 to approximately 450 cases. (UNICEF, 17 May 2017)
The measles outbreak is still persisting. During week 24, a total of 37 new suspected measles cases were reported in the country. Since the beginning of 2017, a total of 2,119 suspected measles cases were reported from across the country. This includes 979 confirmed cases (434 laboratory-confirmed, 490 epidemiologically-linked and 55 clinically compatible cases). Of the reported cases, 18.5% had not received any measles vaccination and 44.1% had an unknown status. Oromia is still the most affected region, with 32% of reported cases, followed by Amhara (28%), Addis Ababa (17%) and SNNPR (11%). (WHO, 23 Jun 2017)
The outbreak of measles is still ongoing but continues to improve. During week 44, 35 cases were reported including 3 lab-confirmed cases. Oromia Region remains the most affected region with 46% of the total reported cases, followed by Amhara 21 %, Addis Ababa 16 %, and Somali 20 %. (WHO, 1 Dec 2017)
The outbreak of measles continues to improve. During week 47, 37 cases were reported from Dollo zone and Jijiga City. Oromia Region remains the most affected region with approximately 46% of the total reported cases, followed by Amhara (21 %), Addis Ababa (16 %) and Somali (20 %). (WHO, 05 Jan 2018)
In 2018, a total of 2 625 suspected measles cases have been reported across the country including 56 new suspected cases reported in week 23. From the total suspected cases reported, 699 are confirmed cases (102 laboratory confirmed, 553 epi-linked and 44 clinically compatible). A total of 18 laboratory confirmed measles outbreaks have been reported up to week 26 and five [Amhara (1) and Somali (4) regions] are currently active. So far, the outbreaks reported are from the regions of Amhara (4), SNNPR (1), Somali (12), and Tigray (1). Between January and December 2017, a cumulative total of 4 011 suspected measles cases have been reported across the country. (WHO, 6 Jul 2018)
In 2018, a total of 3 062 suspected measles cases have been reported across the country. From the total suspected cases reported, 857 were confirmed cases (137 laboratory confirmed, 688 epi-linked and 52 clinically compatible). In week 34 (week ending 26 August 2018), no new suspected or confirmed cases were reported. (WHO, 14 Sep 2018)
Most read reports
- WHO AFRO Outbreaks and Other Emergencies, Week 44: 27 October - 2 November 2018 (Data as reported by 17:00; 2 November 2018)
- Ethiopia Weekly Humanitarian Bulletin, 8 May 2017
- UNICEF Ethiopia Humanitarian Situation Report #8 – Reporting Period: August 2018
- ACAPS Briefing Note - Ethiopia: Somali, Oromia and Tigray Displacement, 31 August 2018
- Ethiopia: West Guji-Gedeo Conflict Displacement Flash Update #5, 29 June 2018
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key new and ongoing events, including:
- 4.6 million people in need and 954,000 children under-5 that are or could be acutely malnourished in the next year.
- The current number of IDPs in Somalia has increased to 2.6 million from 2.1 million in May.
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.
In the second half of the year, Ethiopia has faced with an unprecedented surge of inter- communal conflict in Gedeo zone (SNNP region) and West Guji zone (Oromia region), which at its height, displaced some 818,000 people.
The Ethiopian Humanitarian and Disaster Resilience Plan for 2018, currently estimates that 7.9 million people need food and cash assistance, 6.86 million people need water,sanitation and hygiene support, 6 million are at risk of communicable diseases, an estimated 350,111 children require treatment for severe acute malnutrition, and 340,000 (estimated 90,000 children) vulnerable people require protection from gender based violence and exploitation. Ethiopia has the second largest number of refugees and asylum seekers in Africa, nearly 923,863.
• 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).
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.
Intercommunal conflict in the Somali and Oromia border regions that escalated on 4 August has led to the internal displacement of more than 141,000 people. Shelter and health assistance are among the most urgent needs for the IDPs. The areas most affected by the conflict are Jijiga in Somali region and East Hararghe area in Oromia, where fatalities among the population were reported. With the exception of a reported influx of around 2,000 displaced people into Mekelle Town of Tigray region, there is no other information regarding the impact of the August events on Tigray.
▪ 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.
Government continues peace and reconciliation process to return IDPs in Gedeo and Guji zones
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
The current number of IDPs in Somalia has increased to 2.6 million from 2.1 million in May
3,590 cumulative Cholera/AWD cases resulting in 26 deaths (CFR 0.4) have been reported in 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.
Addis Ababa, 7 August 2018 – The Ethiopian Ministry of Health has launched a preventive measles vaccination campaign to immunize 928 000 children aged 6 months to 15 years among the internally displaced and host communities in Gedeo Zone of the Southern Nations, Nationalities and Peoples Region. The campaign will also involve administering vitamin A to children aged six months to five years and deworming of children aged two to five years. Plans are underway for a similar campaign targeting 516 000 children in West Guji Zone of Oromia Region.
• The Government and partners have taken several measures to enhance response coordination and to boost response capacity at site level. Two Emergency Operation Centres (EOCs) were established in Dilla Town and in Bule Hora Town.
• The response is currently being rapidly scaled-up with diverted resources from life-saving responses to drought, flood and conflict-displacements elsewhere in the country and new resources allocated.
• The number of people displaced by the West Guji (Oromia) – Gedeo (SNNP) inter-communal violence reached 818,000.
• Overall, the security situation in the conflict-affected areas is improving. However, tensions and intermittent, localized incidents continue to be reported and to hinder humanitarian response.
Around 400,000 people have been newly displaced on both sides of the regional borders of Gedeo (SNNP region) and Guji (Oromia region) zones since 1 June (ECHO 19/06/2018). In total, some 700,000 people have been displaced since a new wave of violence between the Gedeo and Guji communities started on 13 April. Insecurity continues to prevent IDPs from returning to their areas of origin (OCHA 14/06/2018; OCHA 22/05/2018; UNICEF 10/05/2018). IDPs are staying in shelters in public buildings and spontaneous IDP sites.