Over 3,360 refugees from the Democratic Republic of Congo (DRC) fled into Zambia between 30 August and 3 October 2017. The refugees have been fleeing inter-ethnic conflicts as well as clashes between government forces and armed militias in HautKatanga province. Several of them have reported extreme brutality committed by all parties against civilians.
The plague outbreak continues to evolve, with 387 suspected cases including 45 deaths (CFR: 11.6%) between 1 August and 8 October.
In contrast to past outbreaks, the 2017 outbreak has affected densely populated areas including the capital Antananarivo and Toamasina, and 277 cases have been identified as highly transmissible pneumonic plague. WHO estimates the overall risk of further spread to be very high.
The country’s weak health system requires support, especially isolation and treatment capacity, in order to respond effectively.
Estimates of persons-in-need are a key result expected of humanitarian needs assessments. However, they are challenging. Some are not informative, because of the methods chosen, missing and unreliable data or the way the humanitarian partners collaborate. In the absence of satisfactory PiN figures, substitutes are needed to inform prioritization and response planning. Other types of information may still be available in adequate scope, coverage and reliability.
Heavy clashes between government forces and the opposition have been ongoing in Idlib and Hama as of 19 September causing increased displacement. Civilians, the majority women and children, are being targeted by airstrikes in Idlib, leading to 30,000 people displaced in a week according to local sources. Damage to residential areas, hospitals, and schools limits access to shelter, education, and health with at least three hospitals out of service.
Between 27 April and 25 September the number of suspected cholera cases has surpassed 738,700 including 2,118 associated deaths. The number of new cases per week at the country level has stabilised since the last week of August, but the waterborne disease continues to infect an estimated 5000 people per day. The five most affected governorates as of mid-September are al Hudaydah, Amanat al Asimah (Sana'a city), Hajjah, Amran, and Dhamar.
Hurricane Irma first made landfall on the northeast Caribbean islands during the early hours local time of 6 September. Antigua and Barbuda, Anguilla, Bahamas, British Virgin Islands, Cuba, Dominican Republic, Haiti, Puerto Rico, St Barthélemy, St. Martin, Sint Maarten, Turks and Caicos, and the US Virgin Islands were all affected. 169,000 people and 75,000 buildings were exposed to wind speeds higher than 252km/h. 5.5 million people lived in areas exposed to winds in excess of 120km/h. At least 37 people have been reported dead.
As of 18 September, the number of suspected cholera cases has surpassed 2,000, with 44 deaths reported. The case fatality rate is more than double the emergency threshold of 1%.
The majority of cases are in three main areas in Borno state: 1,177 in the Muna corridor, 570 in Dikwa, and over 338 in Monguno. The areas affected have high levels of IDPs and their already limited health capacity will be further strained.
Humanitarian assistance is interrupted for at least 28,000 people in Bataganfo, Ouham, following the suspension of the activities of an NGO that was attacked on 7 September. Only MSF is now providing emergency care in the area.
Humanitarian space has severely shrunk in Batangafo since clashes between ex-seleka and anti-balaka resumed at the end of July, and several humanitarian organisations have suspended their operations.
On 7 September, an 8.1 magnitude earthquake struck Mexico’s southern Pacific Coast, about 8km southwest of Pijijiapan in Chiapas state. A related 7.6 earthquake occurred in Guatemala the same evening. Aftershocks were still being reported in Mexico as of 10 September.
Hurricane Irma made landfall on northeast Caribbean islands during the early hours local time of 6 September, affecting Antigua and Barbuda, Anguilla, British Virgin Islands, St Barthélemy, St. Martin, the Virgin Islands, Puerto Rico, Dominican Republic, Haiti, and other islands in the eastern Caribbean Sea. The hurricane is passing over Turks and Caicos, southern Bahamas, northern Dominican Republic and northern Haiti on 8 September.
Up to 7 million people in Bangladesh need humanitarian assistance due to flooding since August. Priority needs are WASH, food, shelter, and nutrition.
In Cox's Bazar, in the southeast of the country, almost 90,000 Rohingya refugees have arrived from Myanmar following violence in Rakhine state, increasing cross-sectoral needs.
As a result of these developments, Bangladesh is now considered a situation of concern according to the ACAPS classification.
The conflict in Rakhine state has escalated following a coordinated attack on police and military posts by the Arakan Rohingya Salvation Army on 25 August.
Over 5,200 Rohingya have fled violence to Bangladesh but only the most vulnerable where allowed to cross the border while an unknown number have been turned away. The government has evacuated 4,000 non-Muslim ethnic Rakhine villagers from the area due to insecurity. Non-essential UN staff are also being evacuated.
Over half a million cholera cases were reported between 27 April and 22 August in Yemen. The total number of cases is likely to exceed the 600,000 prediction by the end of 2017. Food security also continues to deteriorate in previously less affected eastern areas of the country. In Hadramut governorate, the share of the population with poor food consumption increased from 3% in May to 14% in July, and food assistance is limited.
Violence is likely to escalate and spread in central regions of Mali over the next six months. The Malian state is likely to keep retreating, and grievances among local communities will deepen.
People are likely to be displaced to neighbouring regions within Mali. It is also likely that people will move south, and to neighbouring countries such as Mauritania, Burkina Faso or Niger.
Rains in Freetown started on Sunday 13 August and have continued since. At least 400 people, including at least 60 children, were killed following the collapse of a hillside in the Regent area near the capital, in Greater Freetown early on Monday morning, as many people were asleep. Since 1 July, Freetown has received triple the usual amount of rain. Most affected areas are within an area known as Regent. Three other communities were inundated, at Lumley in the west of Freetown as well as Kissy Brook and Dworzak Farm.
Ethiopia is now ranked as a Severe Humanitarian Crisis following the mid-year review in which an increased number of people were identified as needing humanitarian assistance, particularly in the food security and WASH sectors.