Yemen: Diphtheria Outbreak - Nov 2017Ongoing
Diphtheria is making an alarming comeback in the war torn country, with 189 clinically diagnosed cases and 20 deaths – mostly children and young adults – in the last three months. Most diphtheria cases and deaths have been reported in Ibb governorate but the outbreak is spreading fast, already affecting 13 governorates. The closest points of entry to Ibb are in Sana’a and Hodeida, making it crucial that Sana’a airport and the port of Hodeida remain open. (WHO, 27 Nov 2017)
By 4 December, 318 suspected cases of diphtheria and 28 deaths had been reported in 15 of Yemen’s 20 governorates. Half the suspected cases are children between the ages of 5 and 14, and nearly 95% of deaths are children under 15. Nearly 70% of all suspected cases are in Ibb governorate. (MSF, 12 Dec 2017)
312 suspected cases of diphtheria have been reported in Yemen between mid-August and 20 December. The outbreak has resulted in 35 deaths reported. At 11%, the case fatality rate (CFR) is high. 18 out of Yemen’s 22 governorates are affected, with Ibb having the majority of cases. (ACAPS, 22 Dec 2017)
As of 28 January 2018, Yemen is grappling with a spike in diphtheria, which has claimed 48 lives in the last two months. WHO reported on 11 January 2018 that diphtheria-related deaths had been recorded in 19 governorates. Across the country, 610 suspected cases have been reported. The diphtheria outbreak occurs against the backdrop of a cholera epidemic accounting for more than 2,200 lives lost and more than one million suspected cases reported, since April 2017. (OCHA, 28 Jan 2018)
WHO reports that, as of 15 February 2018, the cumulative number of suspected diphteria cases is 1,085 with 66 associated deaths. 20 governorates and 162 districts have reported suspected cases. Ibb and Al Hudaydah are the most affected governorates. Children under the age of five years account for 30 per cent of suspected cases and for 47 per cent of dipheria associated deaths. (OCHA, 18 Feb 2018)
As of 14 April 2018, the local health authorities reported a total of 1,584 suspected diphtheria cases including 85 associated deaths (CFR=5.4%). The diphtheria outbreak has affected 195 districts from 20 governorates. At governorate level, Ibb and Sana'a are the most affected governorates. Children (<5 years of age) represent 20% of suspected diphtheria cases and 38% of associated deaths. The most affected age group is 5-15 years old representing 44 % of the cases. A cumulative total of 6,842 diphtheria contacts have been given preventative antibiotics, 142 during week 15. (WHO/Gov't of Yemen, 14 Apr 2018)
As of 24 June 2018, local health authorities confirmed a cumulative total of 1,907 suspected diphtheria cases, included 98 associated deaths with Ibb and Sana’a among the most affected governorates. Children between 5-15 years old are the most affected, representing 44% of all cases. (UNICEF, 30 Jun 2018)
The weekly number of probable diphtheria cases identified has remained generally stable over the past several weeks, according to the Yemen Ministry of Public Health and Population (MOPHP). Less than five new probable cases were confirmed during the last week of December 2018, according to the MOPHP. These levels are slightly lower than those reported over the previous month and are significantly lower than those observed since the peak of the outbreak in January 2018, when the number of probable cases identified approached or exceeded 100 cases per week. In terms of cumulative numbers, the governorates worst affected by the diphtheria outbreak include Ibb, Sana’a, Hajjah, and Al Hudaydah governorates. (FEWS NET, 17 Jan 2019)
A total cumulative of probable diphtheria cases has reached 3,543 cases, with 203 associated deaths (a CFR rate of 5.7 per cent). As of 31 March, 22 governorates and 233 districts are reportedly affected by the diphtheria outbreak. Given the onset of diseases such as cholera, diphtheria and measles, UNICEF has continued to prioritize and expand on its immunization activities in Yemen. (UNICEF, 31 Mar 2019)
As of the end of June, there have been over 3,800 probable cases, with 214 associated deaths. (UNICEF, 30 Jun 2019)
Maps & Infographics
Most read reports
- WHO: WHO EMRO Weekly Epidemiological Monitor: Volume 12, Issue 44 (03 November 2019). 11 Nov 2019
- ACAPS: Access to Basic Needs in Yemen: Scenarios - Possible developments affecting Yemenis' access to basic needs and services in 2020. 7 Nov 2019
- OCHA: 2019 Yemen Humanitarian Response Plan (January-December 2019) [EN/AR]. 19 Feb 2019
- OCHA: Yemen: Humanitarian Response Plan January-December 2018 [EN/AR]. 20 Jan 2018
- OCHA: Yemen Humanitarian Update Covering 7 - 21 March 2019 | Issue 5 [EN/AR]. 24 Mar 2019
Current major event
Oral cholera vaccine (OCV) campaign in Yemen
As the scale up of response to the ongoing cholera outbreak in Yemen continues, the Ministry of Public Health (MoPHP) and partners with the support of WHO and other partners conducted the first round of cholera vaccination campaigns in seven districts between February and April 2019.
A total of 1,721,291 people were targeted by the campaigns in southern and northern governorates of Yemen.
Staple food prices remain generally stable, but increased conflict reported in Hajjah and Ad-Dali
The conflict-driven humanitarian crisis in Yemen is the largest emergency globally, with more than 24.1 million people in need of humanitarian assistance. Conflict has led to internal displacement of 3.6 million people, including 2 million children, left millions of public sector workers without salaries for years and undermined humanitarian access to many vulnerable populations. An estimated 12 million Yemenis, including 7 million children, will depend on food assistance in 2019.
Current major event
Cholera preparedness in Northern Syria
As a part of cholera preparedness activities, the WHO Country office, Turkey, in collaboration with the WHO EMRO and EURO, three-day workshop on surveillance and response to water borne diseases (WBD) was held in Gaziantep, Turkey from 8 - 10 April 2019.
Finn Church Aid (FCA) has granted 100 000 euros from its relief fund to Yemen. After years of ongoing conflict, the water supply in the country has collapsed, and different waterborne diseases, including cholera, torment especially the vulnerable children and elderly.
FCA’s emergency assistance is channelled through a local partner to strengthen the water supply in Dhamar governorate, where the conflict has left over 200 000 people without water.
Years of indiscriminate conflict in Yemen have shattered the country’s health system and fueled a humanitarian crisis. As the war approaches its fourth year, Doctors Without Borders/Médecins Sans Frontières (MSF) repeats its call to all parties to the conflict to ensure the protection of civilians, including medical facilities and staff, and to allow the sick and wounded unhindered access to humanitarian aid and health care.
New York, 15 April 2019
As delivered via VTC
Thank you very much, Mr. President.
While the ceasefire in Hudaydah has, as Martin has just said, largely held, we have seen, as he has also indicated, a pronounced escalation of violence in other parts of the country.
In Hajjah, just north of Hudaydah, conflict has intensified in several areas.
Current major event
Rapid Response Teams trainings in Pakistan
Rapid Response Team (RRT) is a technical, multi- disciplinary team that is readily available for quick mobilization and deployment in case of emergencies. The RRTs are at the frontline of the global health security and it is vital to reinforce their capacity and skills.
Current major event
Pandemic influenza preparedness (PIP) framework
PIP is an international agreement to improve global pandemic preparedness and response.
It brings countries, industry, and society together. It includes a benefit-sharing mechanism called Partnership Contribution (PIPPC) to improve pandemic preparedness and response. Currently 7 countries in the Eastern Mediterranean Region (EMR) are benefiting for PIP-PC.
• The first payment cycle for the Education Teachers' Incentives (ETI), started on 28 February and ended on 9 March, targeting 109,456 teachers and school staff across 11 governorates. A total of 97,710 teachers and school staff (89 per cent) have collected their incentives. The ETI aims to provide incentives to those teachers and school staff who are not in receipt of salary but who report to work, in order to keep education accessible to children throughout Yemen.
• Suspected cholera and acute watery diarrhea cases increased; 108,889 suspected cases were reported between 1 January and 17 March.
• According to local authorities, more than 9,700 families were recently displaced to 18 districts in Hajjah Governorate; most live in open spaces and public buildings.
• Yemen’s economic situation continues to disintegrate due to the ongoing conflict; GDP has contracted by an estimated 39 per cent since 2014.
Continued conflict expected to prolong Famine risk in Yemen in 2019
Many health facilities are running at reduced capacity because of the conflict in Yemen. Groups like Yemen Aid are working to provide healthcare where patients are.
By Dan Hovey
Armed conflict continues in Yemen, where more than half of the country’s healthcare facilities are running at reduced capacity due to a shortage of staff and medical supplies. That means that front line and mobile providers are a critical source of healthcare for many Yemenis.
Current major event
Knowledge gaps: Multiple drug-resistant typhoid fever in Pakistan
Cases of multiple drug-resistant Salmonella typhoid (MDR S. Typhi) fever continue to report from Pakistan. Between November 2016 to February 2019, a total of 5 853 MDR typhoid fever cases were reported from different districts of Sindh province. Currently, there are a number of knowledge gaps which is hindering effective control of this out-break.
THE HUMANITARIAN RESPONSE PLAN AT A GLANCE
STRATEGIC OBJECTIVE 1
Helping millions of destitute Yemenis overcome hunger
STRATEGIC OBJECTIVE 2
Reducing outbreaks of cholera and infectious diseases
STRATEGIC OBJECTIVE 3
Promoting the dignity of displaced families living in emergency and IDP settlements
STRATEGIC OBJECTIVE 4
WHAT: High-Level Pledging Event for the Humanitarian Crisis in Yemen hosted by the United Nations and the governments of Switzerland and Sweden.
WHEN: 26 February 2019, 10.00 – 17.00. Press briefing scheduled at 13.00 (all times CET)
WHERE: Room XVIII at the Palais des Nations, United Nations Office at Geneva, Switzerland On 26 February, in Geneva, the UN will convene a high-level pledging event for the humanitarian crisis in Yemen co-hosted by the governments of Switzerland and Sweden.
MERS cluster in Oman
During the month of January 2019, the Ministry of Health, Sultanate of Oman reported a cluster of five cases of Middle East respiratory syndrome (MERS) infection from the North Batinah Governorate. Two cases from this cluster were fatal.
Current major event
Dengue fever in Oman
The Ministry of Health, Sultanate of Oman reported an outbreak of dengue fever, which started during second week of December 2018, and till 12th January 2019, a total of 48 dengue fever cases were reported and these cases are probably the first locally-acquired dengue fever cases ever reported from Oman.