Angola

Angola: Cholera Crisis Revised Emergency Appeal No. MDRAO001

Attachments

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In Brief

THIS REVISED EMERGENCY APPEAL SEEKS CHF 1,392,404 (USD 950,000 OR EUR 740,000) IN CASH, KIND OR SERVICES TO ASSIST 1,000,000 BENEFICIARIES FOR 6 MONTHS

Appeal history

- Preliminary Emergency Appeal was launched on 18 May 2006 for CHF 1,206,656 (USD 957,284 or EUR 764,190) for 6 months to assist 30,000 beneficiaries.

- With this revision of the Emergency Appeal, the Preliminary Appeal is now considered a full Appeal. The Appeal budget has been adjusted to reflect operational realities.

- CHF 200,165 was allocated from the Federation's Disaster Relief Emergency Fund (DREF) to enable the Angola Red Cross1 to begin conducting social mobilization in 11 provinces.

Global Agenda Goals:

- Reduce the numbers of deaths, injuries and impact from disasters.

- Reduce the number of deaths, illnesses and impact from diseases and public health emergencies.

- Increase local community, civil society and Red Cross Red Crescent capacity to address the most urgent situations of vulnerability.

- Reduce intolerance, discrimination and social exclusion and promote respect for diversity and human dignity.

The situation

Since 19 February 2006, Angola has been battling with its worst ever cholera epidemic, with over 500 new cases per day reported during the peak of the outbreak (April mid-May). The origin and epicentre of the epidemic was the capital Luanda where around 90% of the city's total population (estimated at 5 million) live in slums with limited and or no access to clean water and sanitation, drainage and waste disposal. Overcrowding and appalling sanitation in these slums fuelled the waterborne disease to spread quickly. With the ending of the civil war in 2002 and the resulting access of the population to rural areas, cholera has spread to other provinces. As of 14 June 2006, Angola has reported a total of 45,678 cases of cholera with 1,838 deaths; a case fatality rate (CFR) of 4% in 14 out of the total 18 provinces. Control activities have been a challenge in view of the precarious water and sanitation (WatSan) situation, particularly in poor communities in urban areas. Heavy rains at the beginning of the year compounded the situation where living conditions are poor, sanitation facilities are depleted and supply of clean water is insufficient.

Of the total cases, 51% have occurred in Luanda Province (with a CFR of 1%), 5% in Bengo (CFR of 4%), 21% in Benguela Province (CFR of 7%), 10% in Malanje and Kuanza Norte provinces (with CFR of 6% and 5% respectively). Despite efforts by the government, Angola Red Cross (ARC) and other stakeholders to control and prevent the spread of cholera, Angola continues to be affected by the diarrhoeal disease. However with the mid-May being the end of the rainy season, and following the pattern of previous cholera epidemics, the number of new cases has reduced drastically and it is anticipated that the current outbreak could be over by mid July.

Red Cross and Red Crescent action to date

The Angolan Red Cross (ARC) staff and volunteers have been working in the affected areas of Luanda since the beginning of the cholera outbreak (13 February); in Benguela, Bengo and Kwanza Norte provinces since 4 March and in Malanje since 10 April. More than 260 volunteers have been trained on social mobilization, first aid and provision of oral re-hydration solutions (ORS) the beginning of the year. Ministry of Health (MoH) officers facilitated the training. A total of 260 staff and volunteers are working together with provincial health local authorities in Luanda, Benguela, Bengo Kwanza Norte and Malanje in the following activities:

- Educating and mobilizing communities on health, hygiene and cholera prevention (educating community leaders, religious leaders and traditional healers as well as conducting public addresses in markets and schools);

- Identifying cholera cases and referring them to health centres;

- Monitoring the cholera situation in the most-affected communities;

- Distributing non-food items (chlorinated tablets/solutions) as well as information, education and communication (IEC) material to affected communities.

In response to the crisis, the Federation allocated a total of CHF 200,165 from DREF (CHF 50,165 on 24 February and CHF 150,000 on 14 April 2006). The DREF allocation enabled Angola Red Cross to conduct social mobilization in 10 provinces, beginning with Luanda where over 50% of the cases are. With support from the Federation regional delegation in Harare, a Regional Disaster Response Team (RDRT) member from the Mozambique Red Cross Society was deployed to assist ARC. In response to the priority needs for water supply and adequate sanitation, the Federation regional delegation also deployed the regional Watsan officer.

Based on the escalating situation, a Preliminary Appeal was launched on 16 May 2006 for CHF 1,206,656 to expand the operation to 11 provinces. In addition, in response the Federation deployed a Field Assessment Coordination Team (FACT) with health, WatSan and logistics specialists to further assess and support response activities at a larger scale and to reinforce the RDRT already in place. The FACT/RDRT finished their mission on 9 June 2006 and their report provided further information on needs and provided the basis of the operational plan.

Footnotes

1 Angola Red Cross- refer to http://www.ifrc.org/where/country/check.asp?countryid=18

For further information specifically related to this operation please contact:

In Angola: Dr Aleixo Goncalves, Secretary General, Angola Red Cross1, Luanda ; Email: cruzvermelha@netangola.com; Phone: +244.2.33.39.91; Fax: +244.2.39.11.70

In Angola: Martin Acosta, Programme Coordinator, Angola Delegation, Luanda; Email: martin.acosta@ifrc.org; Phone: + 244.222.372.868; Fax: +244.222.372.868

In Zimbabwe: Françoise Le Goff, Federation Head of Southern Africa Regional Delegation, Harare; Email: francoise.legoff@ifrc.org; Phone: +263.4.70.61 55; 263.4.72.03.15; Fax: +263.4.70.87.84

In Geneva: Terry Carney, Federation Regional Officer for Southern Africa, Africa Dept.; Email: terry.carney@ifrc.org; Phone: +41.22.730.42.98; Fax: +41.22.733.03.95 or Flemming Nielson, Operations Coordinator, Operations Support Department; Email: flemming.nielsen@ifrc.org; Phone: +41.22.730.42.33; Mobile: +41.79.217.33.43

All International Federation assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGO's) in Disaster Relief and is committed to the Humanitarian Charter and Minimum Standards in Disaster Response (Sphere) in delivering assistance to the most vulnerable.

For longer-term programmes in this or other countries or regions, please refer to the Federation's Annual Appeal. For support to or for further information concerning Federation programmes or operations in this or other countries, or for national society profiles, please also access the Federation's website at http://www.ifrc.org

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