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
22.2 million people in need
2,014,026 Internally Displaced Persons (IDPs)
89 per cent of IDPs displaced for more than a year
956,076 IDP returnees
1,015,375 recipients of CRIs since March 2015
280,692 refugees and asylum seekers
USD 198.7 M requested in 2018
SANA’A, YEMEN, 16 March 2018 -- The World Health Organization (WHO), UNICEF and national health authorities have completed a large-scale vaccination campaign to control the spread of diphtheria in Yemen.
The campaign targeted nearly 2.7 million children aged 6 weeks to 15 years in 11 governorates. It focused on locations reporting suspected cases of diphtheria and areas at high risk of spread of the infectious respiratory disease. More than 6000 health workers were mobilized during the campaign, including for community engagement and the administration of the vaccine.
As of 10 March 2018, the local health authorities reported a total of 1,294 suspected diphtheria cases including 73 associated deaths (CFR=5.6%).
The diphtheria outbreak has affected 179 districts from 20 governorates. Ibb and Al Hudaydah governorates are the most affected governorates.
Children (<5 years of age) represent 20 % of probable diphtheria cases and 40% of associated deaths.
Regional Mixed Migration Secretariat (RMMS ) summary for January 2018 covering mixed migration events, trends and data for Djibouti, Eritrea, South Sudan, Sudan, Ethiopia, Kenya, Uganda, Somalia / Somaliland and Yemen.
• Al Hudaydah Port remains open to humanitarian and commercial shipments
• Violence displaces more than 4,100 households within and from Al Hudaydah
• Risk of Famine persists amid ongoing conflict, limited food and fuel imports
• KSA and GoUAE pledge $930 million to UN response plan
1.1 Diphtheria Highlights
• According to MoPHP (24 February 2018), there are 1,172 probable diphtheria cases, including 72 associated deaths, in 168 districts among 20 governorates.
• The most affected governorates are Ibb (433 cases) and Al Hudaydah (145) Case Fatality Ratio (CFR) is 6.1 %. Children under the 5 years of age represent 20 % of probable cases and 36% of deaths.
• Contacts traced by district RRTs in 10 governorates: 517 (up to week 52), and 2,882 (weeks 1-7).
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