• Conflict and port status: Military operations in Al Hudaydah have lessened recently, while sporadic shelling and airstrikes hit some districts, including Zabid and Bait Al Faqih. Clashes are raging in AlTohaita District. Several main roads in the city remain blocked, whereas the port is still operational.
• Hospital-based casualty data: Based on hospital-based figures of casualties in Al Hudaydah, 46 people were killed and 328 others injured. The actual number of casualties including those flighting is much higher but not reported.
• Movement of IDPs: According to the National Authority for the Management and coordination of Humanitarian Affairs (NAMCHA), over 12,000 displaced families, who fled from Al Hudaydah, have been registered in Sana’a. Other IDPs also fled from Al Hudaydah to Dhamar and Ibb governorates.
Humanitarian partners have registered over 17,000 displaced families.
• Hospital and health facilities situation: Although the recent Health Resources Availability Monitoring System (HeRAMS) data shows that 91% of health facilities in Al Hudaydah are functioning, many of those facilities are struggling to cope with the increasing health needs and they are at increased risk of damage if the fighting continues to progress towards the city. Reports continue to be received of limited health services due to a lack of staff. Interrupted electricity constitutes a major challenge to hospitals in Al Hudaydah, especially the main two hospitals (Al-Thawra and Al-Olofi).
Impacts on public health and WHO operations:
• The conflict in Al Hudaydah is impacting WHO’s ability to respond to the needs of hospitals and health facilities, affecting the delivery of medical supplies, including complete trauma kits, which are much-needed to meet the needs of patients requiring surgical/trauma care.
• The rainy season, compounded with the ongoing conflict in Al Hudaydah, results in limited access to safe drinking water and damaged sewerage systems increase the risk of cholera transmission.
• Some IDPs fleeing Al Hudaydah are already suffering from chronic diseases such as diabetes, hypertension and cancer and there have been significant shortages in required medicines for the treatment of these and other chronic diseases.
• Low immunization coverage of IDPs in their areas of origin increases their risk of contracting and spreading vaccinepreventable diseases.
• Due to the security conditions, rapid response teams (RRTs) are still unable to travel to the field in 18 subdistricts in the following districts; Al Tohaita (5 subdistricts), Al Dureihimi (2 subdistricts), Hays (2 subdistricts), Zabid (1 subdistrict), Al Jarrahi (2 subdistricts), Bait Al Faqih (3 subdistricts) and Al Khawakhah (1 subdistrict).