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Yemen

Yemen: Dengue Fever - Outbreak Operation Update Report (DREF n° MDRYE008)

Attachments

Summary of major revisions made to emergency plan of action:
The DREF operation is extended by two months until 30 June 2020, to enable completion of activities which have been delayed or suspended following COVID-19 pandemic restriction measures by the Yemen authorities since March 2020. The movement restrictions measures of the authorities that has been affecting field trips and implementation of community activities in the target governorates which are essential for the completion of all planned activities; especially related to community awareness and hygiene promotion. The Yemen Red Crescent Society (YRCS) will keep monitoring the situation and adapting their response accordingly, never-the-less if restrictions continue, this might cause further delays and possible cancellation of activities.

A. SITUATION ANALYSIS

Description of the disaster

A significant increase in dengue cases was observed in the last three weeks of epidemiological reporting (Weeks 47,48,49) in the country and this was furtherly confirmed on the 18th December during the Health Cluster meeting, with 22,003 cases and 60 deaths reported. Children below five years old are 11% of the total caseload and 30% of the total death cases. Dengue outbreaks have affected 174 of 333 total districts (54%) in 22 of 23 governorates of the country. The highest governorates with suspected dengue cases are from Hodeiadah, Taiz, Aden, Hajja and Lahj and death cases reported from Hudaidah, Aden, Hajja, Lahj, Shabwa, Marib and Rayma. Most reported cases are concentrated in urban areas. The number of affected governorates increased due to the collapse of the health system in Yemen resulting from ongoing complex and protracted conflict, the poor water and hygiene condition in the most affected areas, with limited access to humanitarian support to the most vulnerable and affected populations.

From January to December 2019, 59,486 dengue suspected cases and 219 death cases with case fatality rate (CFR) of 0.4% were reported. Comparing to the same reporting period in 2018, the number of dengue cases has doubled, and death cases has increased with an attack rate of 19.8 per 10,000 population in 2019. During the last three weeks, spike of dengue cases was noted with a total of 22,003 suspected cases and 60 deaths. In view of the dengue outbreak in the country, the Ministry of Public Health and Population (MoPHP) requested the support of Yemen Red Crescent Society (YRCS) and other humanitarian partners to participate in the prevention and control of dengue outbreaks. YRCS was requested to respond to the Dengue outbreak from MoPHP offices in the governorates of Shabwa and Hajja where maximum cases were reported during weeks 47, 48 and 49. In addition, WHO and MoPHP during the last Health Cluster meeting conducted on 18 December 2019 have reiterated the request for support from humanitarian actors to intervene in the response to Dengue.