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Angola: Emergency appeal: Epidemic (Yellow Fever) Operations revision n° 3 (MDRAO006)

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Situation Report
Source
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A. Appeal History

  • This Emergency Appeal (EA) was launched on 23 February 2016 for CHF 1,443,961 to enable the IFRC to support Cruz Vermelha de Angola (CVA) to reach 9 million people with Social Mobilization, health, and hygiene promotion (4 million to be assisted directly and a further 5 million through Social Mobilization) to address the devastating effects of the Yellow Fever outbreak.

  • Disaster Relief Emergency Fund (DREF): CHF 173,653 was allocated from the Federation’s DREF to support the National Society to begin operations and meet the immediate needs of the affected populations. The DREF was distributed to the National Society in three tranches over a five-month period to allow for scaling up of activities and the development of the Emergency Appeal.

  • Operations Update 1 was issued on 28 July 2016

  • Operations Update 2 was issued on 1 August 2016

  • Operations Update 3 is issued on April 13, 2016 extending the timeframe to June 30, 2017

This Operations Update presents the progress on the implementation of the operation to date. In addition, it is meant to apply an extension of the operation until June 30, 2017 to allow the NS to complete the part of the planned activities concerning vector control and environmental sanitation activities in the target population. Although these activities were originally intended for completion in 2016, there were delays in implementation of activities due to access challenges that related to difficulties in obtaining visas for staff overseeing the Operation. It is therefore prudent to extend the Appeal on the upcoming rainy season that has the potential to increase breeding sites for mosquitoes in addition to the cholera season as to observed cases of the disease. To ensure strengthened community-based prevention efforts to avert further incidences of water borne diseases and it is now of the utmost importance that the NS continues implementation.

B. Situation analysis

Description of the disaster

The largest outbreak of yellow fever in 30 years in Angola affected the country late 2015. The outbreak was detected in the Municipality of Viana, in Luanda, Angola, in late December 2015, with the first cases being lab confirmed on 19 January 2016. An immediate response was launched by the Angolan Ministry of Health and its partners. Despite initial efforts, the outbreak rapidly increased in size and scale, spread across the country and resulted in exportation of cases to at least four other countries. This exportation resulted in confirmed local transmission in Democratic Republic of Congo (DRC), including the capital city of Kinshasa. The response to the yellow fever outbreak in Angola was complicated by both the limited vaccine supply and the outbreaks in DRC, and a concurrent but separate outbreak that occurred in Uganda. The risk for further cross border transmission, extension of the outbreak in Angola and DRC, as well as the potential spread of yellow fever to other countries increases the complexity and urgency of the response to the outbreak in Angola and the surrounding countries.

The Yellow Fever outbreak diminished in intensity as result of massive vaccination campaign with the last confirmed case reported on 23 June 2016, according to WHO Situation Report. Two new probable cases without a history of yellow fever vaccination were reported from Kwanza Sul province in the mid October 2016.

As of the 20th October 2016 and according to the Ministry of Health, there have been 4,599 notified suspected cases, with 384 cumulative deaths (General Lethality Rate: 8.3%); 884 cases have been laboratory confirmed (19%) out of which 121 have resulted in deaths (Case Fatality Rate: 13.6%). Since the start of the outbreak, suspected cases have been reported in all 18 provinces while confirmed cases have been reported from 80 districts in 16 provinces. The health provinces of Luanda, Benguela, Huambo and Huila were the most affected