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)
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8191ST MEETING (AM)
As catastrophic levels of starvation, disease and violence continued to ravage Yemen, the Secretary-General’s Special Envoy told the Security Council today that a peace agreement had nearly been reached and only the country’s decision makers could stop the war and bloodshed.
New York, 27 February 2018
I provide this update to the Security Council today on behalf of the Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mr. Mark Lowcock.
After three years of conflict, conditions in Yemen are catastrophic. A record 22.2 million people need humanitarian assistance or protection – including 8.4 million people who are severely food insecure.
Access constraints in the northern governorates
Humanitarian organisations continue to confront obstacles to reaching people in need across the northern governorates. In Hajjah and Raymah governorates, in recent weeks, implementing partners have been held up on three separate occasions at checkpoints after returning from humanitarian missions.
RIYADH, Feb 26 (Reuters) - The World Health Organization warned on Monday that a cholera epidemic in Yemen that killed more than 2,000 people could flare up again in the rainy season.
Read more on the Thomson Reuters Foundation
1.1 Diphtheria Highlights
• According to MoPHP (10 February 2018), there are 1,032 probable diphtheria cases, including 64 associated deaths, in 161 districts among 20 governorates.
• The most affected governorates are Ibb (407) and Al Hudaydah (133) Case Fatality Ratio (CFR) is 6.1%. Children under the 5 years of age represent 30 % of probable cases and 47 % of deaths.
IMPACT ON WOMEN AND GIRLS
Yemeni civilians have been bearing the brunt of a conflict that led to the collapse of the economy and social services, and to the severe disruption of livelihoods in the three years since its escalation, making Yemen the largest humanitarian crisis in the world.
Yemenis have bid farewell to 2017 with sad memories of crises and tragedies that happened throughout the year and affected lands and people in Yemen. However, we are receiving 2018 with a glimmer of hope in our hearts that peace will be achieved and all Yemenis will smile again.
UPDATE FROM THE HUMANITARIAN HUBS
Aden: Protracted hostilities on Yemen’s west coast are leading an increasing number of people fleeing their homes towards southern governorates. As of 12 February, humanitarian partners in Aden have recorded over 7,100 households displaced since December 2017.
Approximately 500 newly displaced households were reported having arrived within the last week. Most IDPs originate from the governorates of Al Hudaydah, Taizz and Al Bayda.
• Aden clashes result in 39 deaths, halt humanitarian activities
• 2018 Yemen HRP requests nearly $3 billion • KSA-led Coalition launches relief and development plan for Yemen, pledges $1.5 billion in support
• Four mobile cranes arrive at Al Hudaydah Port to bolster port capacity
6 February, 2018, Sana’a, Yemen – The World Health Organization (WHO) plans to use US$9.1 million from a new UN Central Emergency Response Fund (CERF) grant to provide urgent health assistance to 630,000 vulnerable people in districts around Sana’a and al-Hudayda, including 189,000 internally displaced persons and 441,000 people from host communities.
1.1 Diphtheria Highlights
• According to MoPHP (3 February 2018), there are 943 probable diphtheria cases, including 62 associated deaths, in 157 districts among 20 governorates.
• The most affected governorates are Ibb (384) and Al Hudaydah (124). Case Fatality Ratio (CFR) is 6.5%. Children under the 5 years of age represent 19% of probable cases and 37% of deaths.
• Contacts traced by district RRTs in 10 governorates: 1303 (up to week 52), and 1,457 (weeks 1-4).
22.2 million people in Yemen need assistance in 2018 – one million more than in June 2017.
The 2018 Yemen Humanitarian Response Plan seeks US$2.96 billion to assist 13.1 million people.
Diphtheria has killed 48 Yemenis in 19 governorates.
In 2017, the YHF allocated $129 m to 53 partners to implement 111 projects.
The world’s worst man-made humanitarian crisis
Yemen is experiencing one of the world's largest, most complex humanitarian crises. Almost the entire population—22.2 million people—requires humanitarian assistance. Conflict has led to the internal displacement of over 2 million people, left 1.25 million public sector workers without pay for a year, and undermined access to ports and airports, obstructing essential humanitarian and commercial deliveries. In addition, 16 million people lack access to safe water and there are over 1 million suspected cases of acute watery diarrhoea (AWD) and cholera.
A partial blockade of Yemen’s ports continued for much of December, limiting the import of much needed commercial and humanitarian supplies.
On 20 December, the Saudi-led coalition announced a 30-day window to allow food and fuel into the country via all ports including Al Hudaydah.
1.1 Diphtheria Highlights
• According to MoPHP (27 January 2018), there are 849 probable diphtheria cases, including 56 associated deaths, in 143 districts among 19 governorates.
• The most affected governorates are Ibb (371) and Al Hudaydah (116). Case Fatality Ratio (CFR) is 6.6%. Children under the 5 years of age represent 19% of probable cases and 36% of deaths.
• Contacts traced by district RRTs in 10 governorates: 1303 (up to week 52), and 796 (weeks 1-3). • Weekly admissions to DIUs: 560 (up to week 52), 89 (week 1), and 63 (week 2).
The scarcity of food and fuel commodities further worsened in December 2017 mainly due to the blockade and escalated conflicts and airstrikes. Governorates such as Taiz, Sa’ada, Sana’a, Al Hodieda,
Sana’a City, Hajja, Al Baidha, and Shabwa suffered the most from scarcity of essential commodities.
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FAIRFIELD, Conn. (January 22, 2018)— The death toll from Yemen’s diphtheria outbreak is likely to rise if a Saudi-led naval blockade continues to prevent vital supplies from entering the country, Save the Children is warning.