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Mozambique: WHO AFRO Outbreaks and Other Emergencies, Week 20: 13 – 19 May 2019; Data as reported by 17:00; 19 May 2019

Source: World Health Organization
Country: Angola, Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 71 events in the region. This week’s edition covers key new and ongoing events, including:

  • Cyclone Kenneth in Mozambique and Comoros
  • Ebola virus disease in Democratic Republic of the Congo
  • Crimean Congo Haemorrhagic fever in Namibia - Humanitarian crisis in South Sudan.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • Three weeks after cyclone Kenneth made landfall in northern Mozambique and the Comoros Islands, the affected population continue to suffer from consequences of the cyclone, although the humanitarian conditions continue to improve. Damage caused to agriculture and livestock has contributed to a worsening of living conditions for affected populations, triggering malnutrition among children, due to food insecurity. Humanitarian access remains a challenge in affected areas, especially in Mozambique, with many areas remaining inaccessible by road and requiring access via air or river transport. Humanitarian agencies in Mozambique and Comoros have to continue to monitor and respond to health challenges – including the spread of vector-borne and water-borne diseases in affected areas.

  • The Ebola virus disease (EVD) outbreak in Democratic Republic of the Congo continues, with increasing incidence. This recent rise in the number of new cases could be partly attributed to the disruption of response interventions following the latest spate of insecurity, and continuing pockets of community mistrust. The transmission remains most intense in seven main hotspot areas: Katwa, Mabalako, Mandima, Butembo, Musienene, Kalunguta, and Beni. A new case was also reported in the health zone of Alimbongo this week, with links to cases deriving from Katwa. Responses activities are ongoing in EVD affected provinces.

Mozambique: WHO AFRO Outbreaks and Other Emergencies, Week 19: 6 – 12 May 2019; Data as reported by 17:00; 12 May 2019

Source: World Health Organization
Country: Angola, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 68 events in the region. This week’s edition covers key ongoing events, including:

  • Cyclone Idai in Zimbabwe, Malawi and Mozambique
  • Ebola virus disease in Democratic Republic of the Congo
  • Dengue fever in Mauritius
  • Measles in Chad
  • Humanitarian crisis in Ethiopia.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • Challenges associated with insecurity and pockets of community mistrust continue to characterize the response to the Ebola virus disease outbreak in Democratic Republic of the Congo. Several major security incidents occurred in Butembo and its neighbouring health zones during the reporting week, leading to momentary suspension of response activities in the area. While response operations have resumed, we expect that the disruption of activities due to restricted access will result in a further rise in the number of cases in the coming days. In addition to the insecurity and complex socio-political environment, the response activities continue to suffer from funding gaps. The implementation of proven public health measures must continue, while a major surge in political and financial support from all national and international actors is urgently needed in order to bring this outbreak to end. The national and local authorities, WHO and partners remain committed to this cause.

  • While good efforts have been made in response to the effects of the Tropical Cyclone Idai that hit Malawi, Mozambique and Zimbabwe early in March 2019, more humanitarian assistance is needed. All the three affected countries are still facing challenges around access to affected populations, risks of communicable diseases, limited access to healthcare services, and resettlement of displaced persons in the light of the massive destruction of homes, infrastructure and crops at a crucial time of the year. The national authorities, partners and donors need to step up provision of aid assistance in order to prevent long-term humanitarian crises in a large area of southern Africa.

Uganda: Uganda Refugees & Asylum Seekers as of 30-April-2019

Source: Government of Uganda
Country: Burundi, Central African Republic, Chad, Congo, Democratic Republic of the Congo, Egypt, Eritrea, Ethiopia, India, Iran (Islamic Republic of), Kenya, Liberia, Malawi, Mali, Nigeria, occupied Palestinian territory, ...

Mozambique: WHO AFRO Outbreaks and Other Emergencies, Week 18: 29 April – 5 May 2019; Data as reported by 17:00; 5 May 2019

Source: World Health Organization
Country: Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 67 events in the region. This week’s edition covers key ongoing events, including:

  • Cyclone Kenneth in Comoros and Mozambique
  • Ebola virus disease in Democratic Republic of the Congo
  • Humanitarian crisis in Burkina Faso
  • Humanitarian crisis in Democratic Republic of the Congo

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.
A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • The current trend of intensified transmission of Ebola virus infections across multiple hotspots in North Kivu Province, Democratic Republic of the Congo increases the already high risk of further spread of the disease to other provinces and to surrounding countries. The situation is likely to worsen in the coming days as the operating environment has increasingly become more insecure and socio-politically complex. Additionally, the existing funding gap could lead to WHO and partners rolling back some activities precisely when they are most needed. There is an urgent need to increase both technical and financial support from all national and international actors in order to arrest this situation. WHO urges the international community to step up support to the ongoing response to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo.

  • Tropical Cyclone Kenneth has caused serious devastation in the Comoros Islands and northern part of Mozambique. The number of people impacted has risen as further information becomes available from affected areas. Immediate humanitarian assistance is beginning to reach the affected communities as access is gradually improving. The risk of water- and vector-borne diseases is high due to water contamination and water shortages, calling for accelerated establishment of preventive and preparedness measures. There is a need to step up provision of humanitarian assistance as well as planning for early recovery of the affected communities.

World: Global Weather Hazards Summary: May 03 – 09, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Angola, Belize, Burundi, Costa Rica, Democratic Republic of the Congo, Dominican Republic, El Salvador, Ethiopia, Guatemala, Haiti, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Moza...

Mozambique: WHO AFRO Outbreaks and Other Emergencies, Week 17: 22 – 28 April 2019; Data as reported by 17:00; 28 April 2019

Source: World Health Organization
Country: Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 68 events in the region. This week’s edition covers key ongoing events, including:

  • Cyclone Kenneth in Comoros and Mozambique
  • Ebola virus disease in Democratic Republic of the Congo
  • Measles in Nigeria
  • Humanitarian crisis in Mali.

For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

  • Tropical Cyclone Kenneth has hit the Comoros Islands and parts of Mozambique, barely weeks after tropical Cyclone Idai devastated Mozambique, as well as Malawi and Zimbabwe. While the death toll and injuries have been relatively low, damage to physical infrastructure, crops and livestock were significant, impacting on the livelihoods of the affected communities. The immediate humanitarian needs include ensuring access to the affected people, relocation of displaced families and provision of shelter, food, potable water and healthcare services, as well as restoration of electricity and communication.

  • The Ebola virus disease (EVD) outbreak in Democratic Republic of the Congo continues, with increasing incidence. This recent rise in the number of new cases could be partly attributed to the disruption of response interventions following the latest spate of insecurity, including the attacks on the response teams, and continuing pockets of community mistrust. The response teams are beginning to restore full operations in all outbreak affected areas and hope to halt this trend.

World: Global Weather Hazards Summary: April 26 – May 2, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Angola, Belize, Burundi, Costa Rica, Democratic Republic of the Congo, Dominican Republic, El Salvador, Ethiopia, Guatemala, Haiti, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Liberia, Moza...

South Sudan: WHO AFRO Outbreaks and Other Emergencies, Week 16: 15 – 21 April 2019; Data as reported by 17:00; 21 April 2019

Source: World Health Organization
Country: Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Togo, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

  • This Weekly Bulletin focuses on selected acute public health emergencies
    occurring in the WHO African Region. The WHO Health Emergencies Programme
    is currently monitoring 66 events in the region. This week’s edition covers key
    ongoing events, including:

  • Cyclone in Mozambique

  • Ebola virus disease outbreak in the Democratic Republic of the Congo

  • Lassa fever in Nigeria

  • Hepatitis E in Namibia

  • Chikungunya in the Republic of Congo.

  • For each of these events, a brief description, followed by public health measures
    implemented and an interpretation of the situation is provided.

  • A table at the end of the bulletin gives detailed information on all new and ongoing
    public health events currently being monitored in the region, as well as recent
    events that have been controlled and thus closed.

  • Major issues and challenges include:

  • Although the situation in Mozambique in the aftermath of tropical cyclone
    Idai is improving amidst the massive response efforts, the effects remain
    including isolated communities that still require air or boat operations for
    mobile clinics. The risk of communicable diseases including an ongoing
    outbreak of cholera and rise in the number of malaria cases is being raised
    by the presence of stagnant flood water, continued limited access to safe
    water and overcrowding at accommodation centres. The recent launch of the
    oral cholera vaccine (OCV) campaign in the most affected districts with a
    coverage of 98.6% is expected to provide short-term relief. Expansion of the
    Early Warning and Alert Response System (EWARS) across more areas with
    support from WHO and partners is expected to enhance quick and timely
    response to outbreaks in order to mitigate their impact. However, with only
    6.6% of the funds requested provided so far, there is a dire need to breach
    this funding gap in order to prevent a full-scale humanitarian crisis and help
    restore the health system to normality.

Challenges associated with insecurity and community resistance continue
to characterize the response to the outbreak of Ebola virus disease in
the Democratic Republic of Congo with two recent incidences of attack
against healthcare facilities which resulted to the loss of life of one of WHO
Epidemiologist and injury to several other Ministry of Health staff. The
outbreak is still restricted to two provinces, North Kivu and Ituri, with Katwa
health zone in North Kivu reporting about 52% of the cases in the past 21 days.
WHO and partners continue to support the government to scale-up response
to the outbreak including strengthening case investigation, contact tracing,
infection prevention and control, vaccination, and other response activities.
Following the recommendations of the International Health Regulations (IHR)
Emergency Committee meeting, community awareness and mobilization
activities have been intensified particularly in areas with resistance at the
epicentre of the outbreak. However, the ongoing gap in funding needs urgently
to be filled to ensure unhindered implementation of response measures.

Mozambique: WHO AFRO Outbreaks and Other Emergencies, Week 16: 15 – 21 April 2019; Data as reported by 17:00; 21 April 2019

Source: World Health Organization
Country: Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Togo, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

Overview

  • This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 66 events in the region. This week’s edition covers key ongoing events, including:

  • Cyclone in Mozambique

  • Ebola virus disease outbreak in the Democratic Republic of the Congo

  • Lassa fever in Nigeria

  • Hepatitis E in Namibia

  • Chikungunya in the Republic of Congo.

  • For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

  • A table at the end of the bulletin gives detailed information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have been controlled and thus closed.

  • Major issues and challenges include:

  • Although the situation in Mozambique in the aftermath of tropical cyclone Idai is improving amidst the massive response efforts, the effects remain including isolated communities that still require air or boat operations for mobile clinics. The risk of communicable diseases including an ongoing outbreak of cholera and rise in the number of malaria cases is being raised by the presence of stagnant flood water, continued limited access to safe water and overcrowding at accommodation centres. The recent launch of the oral cholera vaccine (OCV) campaign in the most affected districts with a coverage of 98.6% is expected to provide short-term relief. Expansion of the Early Warning and Alert Response System (EWARS) across more areas with support from WHO and partners is expected to enhance quick and timely response to outbreaks in order to mitigate their impact. However, with only 6.6% of the funds requested provided so far, there is a dire need to breach this funding gap in order to prevent a full-scale humanitarian crisis and help restore the health system to normality.

Challenges associated with insecurity and community resistance continue to characterize the response to the outbreak of Ebola virus disease in the Democratic Republic of Congo with two recent incidences of attack against healthcare facilities which resulted to the loss of life of one of WHO Epidemiologist and injury to several other Ministry of Health staff. The outbreak is still restricted to two provinces, North Kivu and Ituri, with Katwa health zone in North Kivu reporting about 52% of the cases in the past 21 days.
WHO and partners continue to support the government to scale-up response to the outbreak including strengthening case investigation, contact tracing, infection prevention and control, vaccination, and other response activities.
Following the recommendations of the International Health Regulations (IHR)
Emergency Committee meeting, community awareness and mobilization activities have been intensified particularly in areas with resistance at the epicentre of the outbreak. However, the ongoing gap in funding needs urgently to be filled to ensure unhindered implementation of response measures.

World: Global Weather Hazards Summary: April 19 – 25, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Angola, Belize, Benin, Burundi, Costa Rica, Côte d'Ivoire, Dominican Republic, El Salvador, Ethiopia, Ghana, Guatemala, Haiti, Honduras, Kazakhstan, Kenya, Liberia, Namibia, Nicaragua, Nigeria, Panama, Rwanda, Somalia, South Sudan, Tajikistan, Turkmenistan, Uganda, United Republic of Tanzania, Uzbekistan, World, Zambia, Zimbabwe

Seasonal rainfall deficits continue to strengthen across the Greater Horn of Africa

  1. Seasonal rainfall deficits since October have resulted in significant dryness across Angola, Namibia, Zambia, and Zimbabwe.

  2. Continued below-average rainfall and high temperatures have strengthened moisture deficits in South Sudan, Ethiopia, Uganda, Kenya, Somalia, and Tanzania.

South Sudan: Weekly Bulletin on Outbreaks and Other Emergencies in the African Region (Week 15: 08 – 14 April 2019)

Source: World Health Organization
Country: Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sao Tome and Principe, Sierra Leone, South Sudan, Togo, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

The WHO Health Emergencies Programme is currently monitoring 67 events in the region. This week’s edition covers key ongoing events, including:

  • Humanitarian crises in South Sudan

  • Humanitarian crises in North East Nigeria

  • Ebola virus disease outbreak in the Democratic Republic of the Congo

  • Cholera outbreak in Kenya

  • Measles outbreak in Madagascar.

For more information, please contact us at afrooutbreak@who.int. Please click here to subscribe to receive this bulletin via email.

Uganda: Uganda Refugees & Asylum Seekers as of 31-March-2019

Source: Government of Uganda
Country: Burundi, Central African Republic, Chad, Congo, Democratic Republic of the Congo, Egypt, Eritrea, Ethiopia, India, Iran (Islamic Republic of), Kenya, Liberia, Malawi, Mali, Nigeria, occupied Palestinian territory, ...

World: Alert Spring 2019 | Vol. 20 No. 1 – No Health Without Mental Health – Providing Psychological Care in Emergencies Around the World

Source: Médecins Sans Frontières
Country: Afghanistan, Democratic Republic of the Congo, Greece, Guatemala, Honduras, Iraq, Liberia, Mexico, South Sudan, Syrian Arab Republic, Uganda, World

lert is a quarterly magazine published by Doctors Without Borders/Médecins Sans Frontières (MSF-USA) that features compelling stories and photography from our work in the field. Below is an excerpt from MSF-USA Board President John P. Lawrence's introduction to the Spring 2019 issue (Vol 20. No. 1.), No Health Without Mental Health.

Dear Friends,

I will never forget the experience of helping to respond to the devastating earthquake in Haiti in 2010. As a surgeon working with Doctors Without Borders/ Médecins Sans Frontières (MSF), I was particularly impressed by the integration of mental health care within our programs. As our surgical team made the morning rounds in the hospital wards, we would be followed by colleagues with expertise in delivering mental health services.

In Haiti, I saw that the devastating physical wounds patients were recovering from had clear psychological counterparts—whether a person was coping with the prospect of life after amputation, the loss of family members or friends, or reliving the horrors of the earthquake with each nerve-shattering aftershock.
While the surgical care we provided was a critical aspect of the healing process for survivors, their longterm well-being was entirely dependent on therapy directed to the emotional and psychological traumas they had endured.

This issue of Alert focuses on MSF’s varied responses to mental health needs. While mental health is gaining recognition as a unique medical field requiring greater attention, it remains insufficiently resourced.
As a medical humanitarian organization, MSF has had a longstanding commitment to addressing mental health needs, both as an independent service as well as part of more comprehensive care.

The importance of providing mental health support was also apparent while I was working with MSF in North Kivu province in the eastern part of Democratic Republic of Congo (DRC). This region—which is currently in the grips of an Ebola epidemic—has suffered from chronic conflict for decades, including extreme violence directed against civilians by various armed groups.
A feature of this pervasive violence is a high incidence of rape and sexual assault.

A separate unit in the hospital where I worked was devoted to caring for pregnant women who had been raped. This unit closely integrated prenatal maternal physical care with psychological supportive care.
MSF recognized the duality of health needs for both the mind and body and provided a comprehensive approach to caring for these women and preparing them to return home.

In this issue, we share the stories of survivors from a surge of conflict in DRC’s Kasai region. Over the course of a year and a half—between May 2017 and September 2018—our teams treated 2,600 victims of sexual violence at the Kananga provincial hospital. The vast majority of the victims were women. They describe horrific acts of violence, and the difficulties of healing after the attacks.
Mental health services are also often the central focus of the medical care our projects provide. For people traversing migration routes from Central America through Mexico, medical clinics supported by MSF are resourced to provide supportive mental health services and psychological first aid to help people cope with both the violence they fled in their home countries and that which they face during their journeys.

I hope you will appreciate the story about our innovative program to support community-based mental health care and outreach services in Liberia, a country whose health system is still recovering from the devastating Ebola epidemic that struck West Africa in 2014. Our last Ebola-related projects in Liberia were survivor clinics that offered care for people who continued to have physical and psychosocial issues after recovering from the disease.

When the mental health team began looking for services where they could refer patients, they learned that there was only one practicing psychiatrist in Liberia—a country with more than 4.7 million people.
This is what prompted MSF to conduct an assessment of the mental health needs in Liberia and ultimately partner with the Ministry of Health to improve and grow their services.

Finally, as explored in these pages, mental health care is not only critical for our patients, but also for our staff members. The stress of providing humanitarian care is well recognized. As an institution, MSF appreciates that we have an obligation not only to protect our employees’ physical health and security as best we can, but to ensure that their mental well-being is also prioritized.
Thank you for all that you do to support our work to provide comprehensive care for people in extreme situations.

Sincerely,

John P. Lawrence,
MD President, MSF-USA Board of Directors

Libya: Libya: Registration Fact Sheet (March 2019)

Source: UN High Commissioner for Refugees
Country: Chad, Democratic Republic of the Congo, Eritrea, Ethiopia, Iraq, Liberia, Libya, occupied Palestinian territory, Somalia, South Sudan, Sudan, Syrian Arab Republic, World, Yemen

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