655,000 Rohingya arrived from Myanmar into Cox's Bazar in Bangladesh between 25 August and 17 December. The influx has placed immense strain on basic services in the area. The population density is extremely high and there is a lack of adequate WASH facilities. There is therefore a high risk of the quick spread of disease. Over 1,300 suspected cases of diphtheria have been reported between 8 November and 15 December.
2 million children under five are suffering from severe acute malnutrition (SAM) across the country. DRC accounts for 12% of the world's total SAM caseload. The Greater Kasai region is of particular concern with 400,000 children severely malnourished. The destruction of health facilities during armed conflict, as well as physical access constraints, complicate the provision of treatment.
The humanitarian conditions in besieged Eastern Ghouta have further deteriorated since November, with over 1,000 casualties reported. Food prices are up to 1000% higher than the national average, and severely limited access has led to depletion of food reserves resulting in rising malnutrition. In November, global acute malnutrition (GAM) rates increased to almost 12% compared to 2.1% in January. Health services remain severely limited with most of the basic medicine and health equipment unavailable. Humanitarian conditions are critical and show no sign of improvement.