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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.

Somalia: East Africa Seasonal Monitor: May 16, 2019

Source: Famine Early Warning System Network, US Geological Survey
Country: Burundi, Ethiopia, Kenya, Rwanda, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania, Yemen

Late April and early May rainfall unlikely to ease on-going severe dro...

South Sudan: South Sudan Situation Report,17 May 2019

Source: UN Office for the Coordination of Humanitarian Affairs
Country: South Sudan

HIGHLIGHTS

More than 20,000 people displaced in Jur River County
Almost half of displaced people intend to leave Malakal Protection of Civilians site
Measles outbrea...

World: Global Weather Hazards Summary: May 17 – 23, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Angola, Benin, Burkina Faso, Cameroon, Dominican Republic, El Salvador, Ethiopia, Ghana, Guatemala, Haiti, Honduras, Kazakhstan, Kenya, Kyrgyzstan, Namibia, Nigeria, Somalia, South Sudan...

Ethiopia: UNICEF Ethiopia Humanitarian Situation Report #3 – Reporting Period: March 2019

Source: UN Children's Fund
Country: Eritrea, Ethiopia, South Sudan

Highlights

  • The 2019 Ethiopia Humanitarian Needs Overview has identified 8.86 million people in need of humanitarian assistance with 4.66 million being children under 18. Of the 8.86 million people, 8.13 need food assistance and 5.91 need nutrition assistance in 2019.

  • With UNICEF’s support, 24,538 children with Severe Acute Malnutrition (SAM) were admitted for community-based therapeutic care treatment in stabilisation centres and Outpatient Therapeutic Programmes in January 2019.

  • The humanitarian response in the Tuligulled woreda, in the Fafaan Zone of the Somali region will resume after two months of restrictions due to insecurity.

  • There remains a 65 per cent funding gap for this year’s UNICEF Humanitarian Action for Children.

Situation Overview & Humanitarian Needs

The Ethiopia Humanitarian Needs Overview (HNO) and Ethiopia Humanitarian Response Plan (HRP), which were developed by the United Nations Office for Humanitarian Coordination (UNOCHA) in collaboration with the National Disaster Risk Management Commission (NDRMC), were officially launched on 7 March 2019. Due to the increasing number of conflict induced Internally Displaced Persons (IDPs) and adverse effects of consecutive years of severe drought in parts of the country,

8.86 million people were identified as people in need for humanitarian and protection assistance in 2019. Of which, 4.67 are children under 18 and 1.3 are children under five. The relief food requirement continues to be significant with 8.13 million people requiring food assistance and 5.91 million people in need of nutrition assistance. Conflict related displacement significantly affected people’s lives through disrupting their access to livelihoods and education plus exposing them to protection risks. Currently, according to the HNO, there are 3.19 million IDPs in Ethiopia. The Oromia and Somali regions host the largest caseloads of those most in need. The lack of access to safe water and sanitation, coupled with poor hygiene practices, continues to pose disease outbreak risks in parts of the country. There are 3.51 million people in need of assistance in areas affected by disease outbreaks.

The 2019 HRP targets 8.3 million people in need of humanitarian assistance and is appealing for US$1.314 billion. The Plan aims to provide life-saving multi-sector assistance, protection services, as well as livelihoods and basic service support to a wide range of people in need, including through durable solutions for IDPs and returnees. UNICEF will support the humanitarian response through its Humanitarian Action for Children (HAC) which targets 3.7 million people 1 with an integrated response to displacement triggered by conflict and seasonal climatic shocks. This includes preventing disease outbreaks, addressing malnutrition and ensuring the centrality of protection in all programme interventions. UNICEF is appealing for US$ 124.1 million in support of its HAC targets.

According to the Famine Early Warning Systems Network (FEWSNET), the amount and distribution of Belg rains were below average, leading to late and below average land preparation and planting of short-maturing Belg and long cycle Meher crops.

By mid-March 2019, 6 per cent and 46 per cent of Belg season planting was completed in the SNNP and Amhara regions respectively. Additionally, concerns are growing over the March to May 2019 Gu/Gana/Sugum rains in southern, southeastern and eastern pastoral areas that have either not started or have been erratically distributed, leading to largely belowaverage seasonal totals so far. Furthermore, prices of staple crops increased significantly due to early withdrawal of the 2018 Meher rains, trade flow restriction due insecurity, inflation of the Ethiopian Birr and the inadequate performance of the latest Belg season. As a result, most of these households will remain in crisis (IPC Phase 32 ) between March and September 2019. The Belg assessment to be conducted in June 2019 will inform the hot spot classification of households after September 2019.

There were no reported cases of Acute Watery Diarrhoea (AWD) in March 2019. Overall, reports of AWD cases in Ethiopia in 2019 show a significant decline when compared with the same period in 2018. However, poor sanitation practices continue to negatively impact on the health of IDPs and returnees, especially in areas where the infrastructure and sanitation facilities are weak or non-existent. Lack of access to safe water for drinking and cooking is also a concern.

Strengthened AWD preparedness around hotspots where there were outbreaks in the past three years, especially mass gathering areas such as holy water sites and areas of migrant workers, are being prioritized for ongoing C4D interventions.

The United Nations High Commission for Refugees (UNHCR), in collaboration with the Administration for Refugees and Returnees Affairs (ARRA), International Organization for Migration (IOM) and other partners, relocated 77 South Sudanese refugees from Gambella to Gure-Shembola camp in the Benishangul-Gumuz Region on 28 March 2019. The relocation followed extensive discussions and registration of those who were willing to relocate to the camp established in May 2017 to accommodate additional new arrivals from South Sudan and ease the pressure on the Gambella Regional State. UNHCR is also working on comprehensive biometric data registration throughout the country. During the period 16-31 March 2019, an additional 38,826 individuals completed the registration process, bringing the overall total number to 385,297 persons.

The updated population figures are planned to be released by June 2019.
According to UNOCHA, the Dilla Emergency Operations Centre (EOC) now has a permanent representative from the National Disaster Risk Management Commission (NDRMC) to strengthen the coordination of the humanitarian response efforts in the Southern Nations, Nationalities and Peoples’ (SNNP) region. This coordination structure will follow the cluster approach through which responses are driven by joint planning and based on prioritized needs agreed by clusters. The EOC was first established in May 2018.

Democratic Republic of the Congo: UNICEF DRC Humanitarian Situation Report March 2019

Source: UN Children's Fund
Country: Angola, Democratic Republic of the Congo, South Sudan

Highlights

• Executive Director (ED) Henrietta Fore visited the Democratic Republic of the Congo to see first-hand the extent of the ongoing humanitarian crisis. UNICEF’s ED and Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator Mark Lowcock, highlighted the urgent need of funds to meet the needs of children, families, and vulnerable communities. The two officials visited a women’s care center in Goma, displacement camps in Bunia, and Ebola treatment facilities in Beni and Butembo.

• 132,808 Internally Displaced Persons (IDPs), returnees, and vulnerable communities received unconditional cash grant through the Rapid Response to Movements of Population (RRMP) mechanism.

• 49,942 suspect cases and 923 deaths related to the measles outbreak have been reported since January (case fatality rate: 1,85%).

• The latest nutrition surveillance and early warning system factsheet of February 2019, reveals that 58 (12.39%) out of 468 health zones are in nutritional alert. The most affected provinces are Kasai central, Sankuru, Kasai and Kwango.

SITUATION IN NUMBERS

1,260,000*Internally Displaced Persons (IDPs) (HPR 2019) * Estimate for 2019

7,500,000 children in need of humanitarian assistance (OCHA, HRP 2019)

1,400,000 children are suffering from Severe Acute malnutrition (DRC Nutrition Cluster, January 2019)

8,060 cases of cholera reported since January 2019 (Ministry of Health)

49,942 suspect cases of measles reported since January (Ministry of Health)

UNICEF Appeal 2019 US$ 326 Million

Situation Overview & Humanitarian Needs

The latest nutrition surveillance and early warning system factsheet of February 2019, reveals that 58 (12.39%) out of 468 health zones are in nutritional alert. The most affected provinces are Kasai central (12/26 health zones), Sankuru (11/16 health zones), Kasai (8/19 health zones) and Kwango (8/14 health zones).

• In Kasai Central, the Child Protection Working Group participated in a multisectoral evaluation in areas welcoming returnees from Angola. 172 UASC (57 girls and 115 boys) have been identified. They live with spontaneous foster families with limited care capacities.

• By epidemiological week 13, the cholera outbreak has affected 8,060 cholera persons, with a total of 198 registered deaths (case fatality rate: 2.5%). The most affected provinces are Haut Katanga, North Kivu and Tanganyika.

• 49,942 suspect cases and 923 deaths related to the measles outbreak have been reported since January (case fatality rate: 1,85%). The most affected provinces by the measles outbreak are Tshopo, Haut Lomami and Lualaba. The outbreak in Lualaba is alarming since this province has not experienced any epidemic outbreak for ten years.

• The provincial government in Bunia validated the return plan of approximately 62,000 Internally Displaced Persons (IDPs) living in spontaneous sites to Bunia and the provincial government is seeking support from the humanitarian community. According to the IDPs Camp Coordination and Management team, at least 50 per cent of these IDPs will have to return to their area of origin for the next 3 months, the remainder will be grouped in sites notably that of Institut Superieur Pedagogique Bunia to streamline the coordination.

• 23rd March, heavy rains in Lubutu territory led to the complete destruction of 355 houses, 2 health structures, and 10 schools. High risk of an epidemic outbreak is prevalent, and no humanitarian assistance has been provided.

• Ebola outbreak: as of 31 March 2019, 1,089 total cases of Ebola, 1,023 confirmed cases and 613 deaths linked to Ebola have been recorded in the provinces of North Kivu and Ituri.

• In Yumbi: 9,618 persons (1,603 households) have been displaced to neighboring islands, villages, forests, and Equator province since the outbreak of the conflict between the Nunu and Tende ethnic groups between 16 and 18 December 2018. Between January and March 2019, 5,418 returnees (903 households) have returned to Yumbi due to the improved security situation and the presence of humanitarian and government actors. Despite the overall stabilization of the situation, the humanitarian context in Yumbi remains precarious due to the vulnerabilities and needs in food security, Non-Food Items (NFIs), health/nutrition, WASH, protection, and education

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.

South Sudan: South Sudan Situation Report, 18 April 2019

Source: UN Office for the Coordination of Humanitarian Affairs
Country: South Sudan

HIGHLIGHTS

Measles outbreak confirmed in 11 counties in South Sudan, upsurge in cases globally
United Nations allocates $11 million to help displaced people return h...

South Sudan: South Sudan Operation Overview – April 2019

Source: World Food Programme, Logistics Cluster
Country: Democratic Republic of the Congo, South Sudan

Background

The Logistics Cluster facilitates the coordination of the logistics response in support of the humanitarian community. Furthermore, it p...

Sudan: Sudan Humanitarian Bulletin Issue 03 | 25 February – 24 March 2019

Source: UN Office for the Coordination of Humanitarian Affairs
Country: South Sudan, Sudan

HIGHLIGHTS

• Over 8 million people vaccinated against yellow fever in Blue Nile, Sennar and El Gezira states.

• CERF receives $26.4 million to respond to urg...

World: Global Weather Hazards Summary: May 10 – 16, 2019

Source: Famine Early Warning System Network
Country: Afghanistan, Angola, Belize, Benin, Burkina Faso, Cameroon, Dominican Republic, El Salvador, Ethiopia, Ghana, Guatemala, Haiti, Honduras, Iran (Islamic Republic of), Kazakhstan, Kenya, Kyrgyzstan, Na...

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