Ethiopia - Fighting/Djibouti (Massive Influx) Jun 1991 UNDRO Situation Report No. 1

Report
from UN Department of Humanitarian Affairs
Published on 10 Jun 1991
UNDRO 91/0973
ETHIOPIA (FIGHTING)/ DJIBOUTI (MASSIVE INFLUX)
WHO APPEAL
UNDRO SITUATION REPORT NO. 1
10 JUNE 1991

1. UNDRO IS ISSUING THIS APPEAL AT REQUEST OF WORLD HEALTH ORGANIZATION (WHO). APPEAL COVERS HEALTH SECTOR ONLY. IF RESPECTIVE COUNTRIES REQUEST MULTI-SECTORAL EMERGENCY ASSISTANCE, CONCERTED APPEAL WILL BE ISSUED INCORPORATING THIS WHO APPEAL. MEANWHILE, AS HEALTH NEEDS REACHED ALARMING PROPORTION, IT IS IMPERATIVE TO DEAL WITH SITUATION AT THIS STAGE.

ETHIOPIA

2. APPEAL BASED ON IMMEDIATE NEEDS ASSESSED BY TEAM INCLUDING ADDIS ABABA PANAFRICAN EMERGENCY CENTRE, WHO ROME COLLABORATING CENTRE, WHO REPRESENTATIVE OFFICE AND MINISTRY OF HEALTH. TEAM STILL PRESENT IN ADDIS ABABA.

3. QUALITY OF MEDICAL CARE WAS MINIMUM TO INADEQUATE EVEN BEFORE START OF RECENT FIGHTING. EVEN IN ADDIS ABABA, ESSENTIAL AND OTHER MEDICAL SUPPLIES WERE UNAVAILABLE. WITH RECENT FIGHTING AND EXPLOSIONS WHICH KILLED AND INJURED HUNDREDS AND DISPLACED THOUSANDS OF PEOPLE, FEW REMAINING SUPPLIES WERE QUICKLY DEPLETED.

4. THERE IS CURRENTLY ONLY ONE FUNCTIONING CIVILIAN HOSPITAL (BALCHA) IN CAPITAL, RUN BY INTERNATIONAL COMMITTEE OF RED CROSS(ICRC). OTHER MAJOR HOSPITALS HAVE COMPLETELY DEPLETED THEIR STOCKS OF IV FLUIDS, ANTIBIOITICS, ANALGESICS AND WOUND DRESSINGS.

5. MINISTRY OF HEALTH CONTACTS TO OUTSIDE CAPITAL ARE CUT WHERE THERE ARE DROUGHT-AFFECTED PEOPLE (IN ERITREA, TIGRAY, NORTH WOLO AND OGADEN) AND OF 800,000 REFUGEES FROM SOMALIA AND SUDAN. IT IS ASSUMED THAT THOSE AREAS FORMERLY HELD BY GOVERNMENT FORCES ARE NOW IN DISARRAY AS MANY HEALTH STAFF ABANDONNED POSTS. IN OTHER AREAS, THERE IS INFRASTRUCTURE FOR DISTRIBUTION OF VERY LIMITED SUPPLIES AND MEDICINES.

6. CO-OPERATING WITH GOVERNMENT OF ITALY, WHO SHIPPED THROUGH DJIBOUTI ESSENTIAL DRUGS AND BASIC HEALTH EQUIPEMENT FOR 420,000 PEOPLE TO LAST ONE MONTH AT COST OF USD 155,000.

7. IMMEDIATE NEEDS USD
ESSENTAIL DRUGS AND VACCINES: 499,800
MEDICAL AND SURGICAL SUPPLIES: 125,000
TECHNICAL ASSISTANCE: 97,500
TRANSPORT AND STORAGE: 80,000
OPERATIONAL EXPEDITURE: 105,000
TOTAL: 907,300

(WATER AND SANITATION: NO IMMEDIATE PROBLEM IN ADDIS ABABA BUT SITUATION UNKNOWN IN OTHER REGIONS.)

DJIBOUTI

8. SITUATION IN ETHIOPIA IS FORCING PEOPLE TO FLEE INTO DJIBOUTI. THEY NOW NUMBER OVER 50,000 INCLUDING 5,200 WHO CAME BY BOAT. COUNTRY IS HARD-PRESSED TO MEET NEEDS OF NEW ARRIVALS AS IT IS ALREADY ACCOMMODATING LARGE NUMBER OF REFUGEES.

9. HEALTH SITUATION OF ARRIVALS REPORTED PRECARIOUS AS SEVERAL THOUSAND EVACUEES, INCLUDING 1,500 CHILDREN AND PREGNANT WOMEN, HELD ON BOARD SHIPS AND TUGBOATS IN HARBOUR IN EXTREMELY OVERCROWDED CONDITIONS. WATER AND FOOD ARE LACKING, AND SANITARY CONDITIONS ARE DEPLORABLE WHICH ARE AGGRAVATED BY HOT WEATHER.

10. EVACUEES SUFFER FROM ACUTE DEHYDRATION AND MALNUTRITION, DIARRHEA, RESPIRATORY AND DERMATOLOGICAL DISEASES.

11. OVERLAND EVACUEES ARE UNDER SIMILAR CONDITIONS AND SUFFERING FROM SAME ILLNESSES. IN ADDITION, THERE ARE MANY SUFFERING FROM BULLET WOUNDS. CONVOY-CONGESTED ROADS HAVE ALSO PRODUCED MANY TRAFFIC ACCIDENTS.

12. WHO REPRESENTATIVE IS VISITING CAMPS AND BOATS, AND IS ASSISTING MINISTRY OF HEALTH. USING ITS EMERGENCY FUNDS, EMERGENCY SUPPLIES, DISINFECTANT AND PASTEURIZED MILK ARE PROCURED AND DISTRIBUTED.

13. IMMEDIATE NEEDS USD
ESSENTIAL DRUGS: 315,000
INTENSIVE AND SURGICAL SUPPLIES: 150,000
NUTRITIONAL SUPPLEMENTS: 100,000
WATER AND SANITATION: 70,000
TECHNICAL ASSISTANCE: 60,000
OPERATIONAL EXPENDITURE: 88,400
TOTAL: 783,400

SUDAN

14. GOVERNMENT REPORTS NEW LARGE INFLUX OF EVACUEES. WHO DISPATCHED EMERGENCY RELIEF OPERATIONS DIRECTOR TO ASSESS SITUATION AND TO DETERMINE NEEDS.

ESSAAFI UNDRO GENEVA

WHO CONTACT: EMERGENCY PREPAREDNESS AND RESPONSE DIVISION
WHO TELEPHONE NO: +41-22-791-2777
WHO FAX: +41-22-788-2036

DPR 310 ETH/DJI