UNICEF and its partners continued to respond to the cholera outbreak in the regions of Sila and Salamat. At the end of October 2017, 708 cases of which 23 deaths (death rate of 3.82%) were reported.
OIM released preliminary results of the updated Displacement Tracking Matrix (DTM) for the Lac region which show an increase of the number displaced persons (from 133,000 to 174,205). This increase results from the identification of new sites and the new movements which occurred since the publication of previous figures in January 2017.
UNICEF Chad’s HAC is 56% funded as of end of October. $1.7 million were received from the Central Emergency Response Fund (CERF) under the underfunded envelope. The Central African crisis, largely unfunded in 2017, benefited from this allocation
Situation Overview & Humanitarian Needs
In an effort by the Camp Coordination and Camp Management Cluster to have reliable data for 2018 planning, IOM updated its Displacement Tracking Matrix (DTM) for the Lac region providing a new picture of the situation since last publication were done in January 2017. Preliminary results show an increase in the number of displaced persons (from 133,000 to 174,204) mainly imputable to identification of new sites and the flux of new movements of populations which occurred in the region. The new figure include 152,905 IDPs (against 90,911 before), 20,047 Chadian returnees (against 14,810 previously), and 1,252 third-country nationals (against 323 before). 9,148 Nigerian refugees1 have also been registered by UNHCR as of end of August, as well as 4,634 people registered in the site of Dar el Kher but whose status is yet to be determined. Thus the total directly affected by displacement is 188,030.
At the same time, a joint effort by IOM, WFP, UNHCR and UNICEF to update the registration and profiling of Central African refugees and returnees in the South concluded in early October and will allow to update actual number of people in refugee and returnee camps in the South of Chad. The trend seems to show a net decrease, and validation of the results for public use is expected to take place towards the end of November. 72,249 returnees2 are believed to live in the 5 sites in the South (excluding Gaoui in Ndjamena), while UNHCR’s latest number of Central African refugees as per the 30 September bulletin is 76,129 (some of which are in Ndjamena).
The cholera outbreak in the region of Salamat, Southeastern Chad, continued to spread in October due to factors such as poor community and individual hygiene and sanitation practices, low access to safe drinking water, and nonrespect by the population of prevention measures promoted technical authorities, largely due to religious beliefs linked to the use of water treatment chemicals. At the end of October 2017, 708 cases were reported (658 new cases during the month of October) of which 23 resulted in death (death rate of 3.2%). The Ministry of Public Health deployed five technical staff to the affected area in order to support the local crisis management group organising the response. As has been the case since the beginning of the emergency response, UNICEF maintained a field presence with roving staff to support strong coordination on the ground, while also providing technical assistance to refocus the response strategy of local authorities on community level social mobilisation. Five cholera treatment centers are operational in the region run by MSF and health authorities.
On the other hand, in the region of Sila, where the outbreak first started, the stabilisation of the situation were consolidated as a result of the joint efforts of UNICEF and its partners. Only four new cases were reported in October and the response is now focused on epidemiological surveillance, prevention and social mobilisation activities particularly along the border with Sudan. A total of 436 cases with 52 death (death rate of 11.9%) have been reported since the beginning of the epidemic in August in this region.