Showing posts with label cholera. Show all posts
Showing posts with label cholera. Show all posts

Tuesday, February 13, 2024

Civilians suffer as ‘perfect storm’ of war, disease and displacement grips Sudan. WHO reports: 10,000 cholera, 5,000 measles, 8,000 dengue, 1.2m malaria

ACCORDING to the World Health Organisation over 10,000 cases of cholera, 5,000 cases of measles, about 8,000 cases of dengue and over 1.2 million clinical cases of malaria, have been reported in Sudan.

The alarming rise comes against the backdrop of over 80 of the 503 health facilities operated by aid organisations either not or only partially functioning due to insecurity and lack of medical supplies or medical personnel.


Read more in UN News report dated Tuesday, 13 Feb 2024 entitled Civilians suffer as ‘perfect storm’ of war, disease and displacement grips Sudan.

© UNICEF/Annadjib Ramadane Maha A Sudanese mother and her children displaced from their home due to the conflict. (file)


Full report: https://news.un.org/en/story/2024/02/1146502


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Tuesday, January 16, 2024

Agencies consider new aid route into Sudan from S. Sudan as humanitarian crisis worsens, cholera spreads

FIGHTING AND RED TAPE have hampered aid access in Sudan. Hunger and diseases including cholera are spreading. Aid agencies are looking at delivering aid to Sudan on a new route from South Sudan as they struggle to access much of the country. 

The war between the army and the paramilitary Rapid Support Forces (RSF) has left nearly half of Sudan's 49 million people requiring aid. More than 7.5 million people have fled their homes, making Sudan the biggest displacement crisis globally, and hunger is rising

Aid supplies have been looted and humanitarian workers attacked, while international agencies and NGOs have long complained about bureaucratic obstacles to get into the army-controlled hub of Port Sudan and obtain travel permits for access to other parts of the country. Read more.

From Reuters

Reporting by Aidan Lewis

Editing by Christina Fincher

Dated Monday, 15 January 2024, 5:51 PM GMT - here is a copy in full:


Agencies consider new aid route into Sudan as humanitarian crisis worsens


Jan 15 (Reuters) - Aid agencies are looking at delivering aid to Sudan on a new route from South Sudan as they struggle to access much of the country, a senior U.N. official said on Monday, nine months into a war that has caused a major humanitarian crisis.


The war between the army and the paramilitary Rapid Support Forces (RSF) has left nearly half of Sudan's 49 million people requiring aid. More than 7.5 million people have fled their homes, making Sudan the biggest displacement crisis globally, and hunger is rising.


Aid supplies have been looted and humanitarian workers attacked, while international agencies and NGOs have long complained about bureaucratic obstacles to get into the army-controlled hub of Port Sudan and obtain travel permits for access to other parts of the country.


"There's a very, very difficult operating environment, very hard," Rick Brennan, regional emergencies director for the World Health Organization (WHO), said in a press briefing in Cairo on Monday.


Aid agencies lost access to Wad Madani, a former aid hub in the important El Gezira agricultural region southeast of Khartoum, after the RSF seized it from the army last month.


The RSF's advance into El Gezira state and fighting that erupted recently involving the army, the RSF and Sudan's third-most powerful military force, the SPLM-North, in South Kordofan, have sparked new displacement.


U.N. and other agencies have been largely restricted to operating out of Port Sudan on the Red Sea coast, and delivering aid from Chad into the western region of Darfur, where there have been waves of ethnically-driven killings.


"We're also looking at establishing cross-border operations from South Sudan into the southern parts of the Kordofan states of Sudan," said Brennan.


DISEASE OUTBREAKS


Health services, already badly weakened when the war broke out in mid-April, have been further eroded.


"We have at least six major disease outbreaks, including cholera," said Brennan.


"We've also got outbreaks of measles and dengue fever, of vaccine-derived polio, of malaria and so on. And hunger levels are soaring as well because of the lack of access of food."


Diplomats and aid workers say that the army and officials aligned with it have hampered humanitarian access as both sides pursue their military campaigns. Activists say neighbourhood volunteers have been targeted.


They say the RSF does little to protect aid supplies and workers, and that its troops have been implicated in cases of looting. Read more.


Both sides have denied impeding aid.


The army and the RSF shared power with civilians after a popular uprising in 2019, staged a coup together in 2021, then came to blows over their status in a planned transition towards elections.


U.N. humanitarian chief Martin Griffiths said in a statement last week that the reasons aid was not getting through were "frankly outrageous".


Customs clearances for supplies coming into the country could take up to 18 days, with further inspections under military supervision that could take even longer, he said.


Photo: A volunteer stirring food to be distributed to people in Omdurman, Sudan, September 3, 2023. REUTERS/El Tayeb Siddig/File Photo


Photo: People hold pots as volunteers distribute food in Omdurman, Sudan, September 3, 2023. REUTERS/El Tayeb Siddig/File Photo


View original: https://www.reuters.com/world/africa/agencies-consider-new-aid-route-into-sudan-humanitarian-crisis-worsens-2024-01-15/


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Sunday, January 14, 2024

Sudan Humanitarian Update (14 January 2024)

HERE is a full copy of an analysis from UN OCHA Sunday, 14 January 2024.

SUDAN Humanitarian Update (14 January 2024)

HIGHLIGHTS


•  More than 7.4 million people have been displaced inside and outside Sudan since fighting broke out between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) on 15 April 2023.
 

•  The number of people displaced in Sudan has increased by about 611,000 over the past month, mainly due to the conflict-induced displacement from parts of Aj Jazirah and other states.
 

•  The expansion of fighting between SAF and the RSF into central and eastern Sudan—the country's most important regions for crop production—has driven a significant increase in humanitarian needs during the harvest season, according to FEWS NET.
 

•  Insecurity, looting, bureaucratic impediments, poor network and phone connectivity, lack of cash, and limited technical and humanitarian staff are affecting the delivery of humanitarian aid in many parts of the country.
 

•  The 2024 Sudan Humanitarian Needs and Response Plan appeal is 3.1 per cent funded as of 14 January 2024.


SITUATION OVERVIEW

Almost nine months after the fighting between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) erupted on 15 April 2023 in the capital Khartoum, more than 7.4 million people have fled their homes, taking refuge inside and outside Sudan, with children representing about half of the people displaced. Sudan is now the country with the largest number of displaced people and the largest child displacement crisis in the world. 

According to the International Organization for Migration Displacement Tracking Matrix (IOM DTM) Sudan Weekly Displacement Snapshot (16), more than 6 million people have been displaced within Sudan, increasing by an estimated 611,000 people over the past month mainly due to new displacements from Aj Jazirah and other states since 15 December 2023. IOM DTM reported in its update on Aj Jazirah State displacement that about 509,800 people were displaced by fighting in Aj Jazirah. About 205,500 of them were displaced in other safe locations within Aj Jazirah, and another 304,336 IDPs fled to other states across Sudan, including Gedaref (64,551 IDPs), Sennar (60,000 IDPs), Red Sea (50,035 IDPs), White Nile (40,750 IDPs), River Nile (30,000 IDPs), Kassala (30,000 IDPs), Blue Nile (15,000 IDPs), and Northern (14,000 IDPs) states. 

The 6 million internally displaced persons (IDPs) are sheltering in 6,282 locations across all of Sudan’s 18 states, an increase of 343 locations over the past month. The highest number of IDPs were observed in South Darfur (12 per cent), East Darfur (11 per cent), River Nile (11 per cent), Aj Jazirah (8 per cent), White Nile (8 per cent), and North Darfur (8 per cent). IOM DTM field teams report that the IDPs were originally displaced from 12 states, the majority of whom (about 3.7 million people or 61 per cent of the total displaced) were reportedly displaced from Khartoum State, followed by South Darfur (15 per cent), North Darfur (8 per cent), Aj Jazirah (5 per cent), Central Darfur (4 per cent), West Darfur (3 per cent), and the rest in other six states. In addition, more than 1.4 million people have crossed into neighbouring countries since 15 April 2023, according to the UN Refugee Agency (UNHCR). 

Expanding conflict and displacement drive even higher needs during the harvest – FEWS NET
The expansion of fighting between the SAF and the RSF into parts of central and eastern Sudan—the country's most important regions for crop production—has driven a significant increase in humanitarian needs during the harvesting season (December and January),reports FEWS NET. This development is expected to lead to considerable deterioration in acute food insecurity in the southeast from what was previously expected, worsening an already dire situation, according to FEWS NET’s Sudan - Food Security Outlook Update. Widespread Crisis (IPC Phase 3) levels of food insecurity are expected across much of the country, with Emergency (IPC Phase 4) outcomes expected in the heavily conflict-affected urban areas of Khartoum, greater Darfur, greater Kordofan, and parts of Blue Nile states. Of highest concern are populations in parts of Khartoum, Ag Geneina, Nyala, Wad Madani, and among the displaced due to the impact of intensive fighting and disruption to humanitarian assistance.

Impact of conflict on civilians
In South Kordofan State, clashes renewed on 7 January between the Sudanese People’s Liberation Movement-North (Al-Hilu faction) and SAF against the RSF in Abu Zaid and Al Matar neighbourhoods of Dilling town, South Kordofan State. The incident follows previously reported clashes on 9 December 2023.IOM DTM field teams reported that 2,840 people were displaced and sought refuge in Khamis village in Dilling locality following the clashes, while about 320 newly displaced people arrived in Dibebad town in Al Quoz locality in South Kordofan.

In North Kordofan State, tensions rose on 3 January between the RSF and Sudanese People’s Liberation Movement-North Al-Hilu faction in Broka village of Ar Rahad locality, reports IOM DTM. As a result, about 430 people (86 families) were displaced and are taking refuge in Al Huda, Al Safa, and Al Shati’ neighbourhoods in Ar Rahad Town as well as in Aradeba, Tendalti, Umm Habila and As Sawani villages in Ar Rahad locality. The situation remains tense and unpredictable. There are 137,300 IDPs in North Kordofan State post-April 2023, according to IOM DTM.

On 8 January 2024, armed clashes renewed between the SAF and the RSF in El Obeid town, the capital of North Kordofan State. Clashes were reported in southern neighbourhoods of El Obeid town. While no civilian displacement was reported, the situation on the ground remains tense and unpredictable, IOM DTM reported.

In North Darfur State, clashes between SAF and RSF renewed on 9 January at the Melit checkpoint in Al Fasher Town, Al Fasher locality. IOM Field teams reported that approximately 250 people (50 families) were displaced from Abu Shock and Al Salam IDP camps to neighbourhoods in the west of Al Fasher Town. The situation remains tense and unpredictable.

Almost 9,000 suspected cases of cholera – a 43 per cent increase in one month
Almost 9,000 suspected cases of cholera, including 245 associated deaths, were reported as of 6 January 2024 from 46 localities of nine states, according to the Federal Ministry of Health (FMoH) and the World Health Organization (WHO) Sudan Outbreaks Dashboard. This is an increase of about 43 per cent compared to the number of cases reported on 6 December 2023. However, this indicates a downward trend and a much lower increase compared to previous months. Between 6 November – 6 December the number of cases increased by 143 per cent, and between 6 October and 6 November the increase was 175 per cent. During December 2023, oral cholera vaccination campaigns have been organized in Gedaref and Aj Jazirah states, with about 2.2 million people vaccinated. There are 2,746 suspected cases and 95 associated deaths in Red Sea; 2,036 suspected cases of cholera and 50 associated deaths in Gedaref; 1,860 suspected cases and 26 associated deaths in Aj Jazirah; 1,246 suspected cases and 32 associated deaths in White Nile; 525 suspected cases and 26 associated deaths in Khartoum; 346 suspected cases and eight associated deaths in South Kordofan; 121 suspected cases and four associated deaths in Sennar; 99 suspected cases and four associated deaths in Kassala; and three suspected case in Blue Nile State.

Increase in desert locust groups and small bands in December 2023
During December, the first winter generation of locust hatching finished on Sudan’s Red Sea coast from Eritrea to Egypt, according to the most recent Desert Locust Bulletin of the Food and Agriculture Organization. As a result, there was an increase in the number of desert locust hopper groups and small bands during the month. Hopper groups are forming ground or basking groups, with 20 and more adult locusts per 400 m foot transecting or 500 or more locusts per hectare. According to the FAO, in response to environmental stimuli, dense and highly mobile desert locust swarms can form. They are ravenous eaters who consume their own weight per day, targeting food crops and forage. A single square kilometre of swarm can contain up to 80 million adults, with the capacity to consume the same amount of food in one day as 35,000 people. Large swarms pose a major threat to food security and rural livelihoods. In the second week, fledgling and immature groups formed, while a few mature groups were copulating near Karora and the Eritrea border. Hoppers, adults, and some groups were observed in the northeast subcoastal region from Tomala to Sufiya and the Egypt border. Control operations treated 22,677 hectares of land along the coast, of which 3,550 were by air. Hoppers, adults, groups, and very small bands and swarms will continue during January along the Red Sea coast and subcoastal area. A second generation could occur with hatching and hopper groups and bands from the second half of January and new adult groups appearing in early March.

HUMANITARIAN RESPONSE

Various challenges - insecurity, looting, bureaucratic impediments, poor network and phone connectivity, lack of cash, and limited technical and humanitarian staff on the ground – have been affecting the delivery of humanitarian assistance in many parts of the country. Fuel shortages also affect the movement of humanitarian staff and supplies and the generation of power needed for operations (maintaining cold chain storage, supplying water, etc). Despite all these challenges, humanitarian partners continue to provide life-saving assistance to the vulnerable people they can reach. 
Overall, between 15 April and 30 November 2023, 163 humanitarian partners provided about 5.2 million people across Sudan with life-saving assistance according to the latest Humanitarian Response Dashboard

For more information on cluster-specific response see the latest Sudan Humanitarian Response Dashboard.

HUMANITARIAN RESPONSE PLAN FUNDING OVERVIEW

The 2024 Sudan Humanitarian Needs and Response Plan (HNRP) requires US$2.7 billion to provide life-saving multi-cluster and protection assistance to 14.7 million people across Sudan in 2024. As of 14 January 2024, the appeal is 3.1 per cent funded, with $83.8 million received, according to the Financial Tracking Service. The Sudan Humanitarian Needs and Response Plan for 2023 was 41.8 per cent funded. 

***

See entire digital situation report for Sudan

Previous updates: Sudan Humanitarian Update, 4 January 2024

OCHA coordinates the global emergency response to save lives and protect people in humanitarian crises. We advocate for effective and principled humanitarian action by all, for all. https://www.unocha.org/sudan

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Monday, January 08, 2024

Sudan: UN officials say about 25 million persons across Sudan will need humanitarian aid in 2024

More than 500,000 people have fled fighting in and around the state capital, Wad Medani, long a place of refuge for those uprooted by clashes elsewhere. Ongoing mass displacement could also fuel the rapid spread of a cholera outbreak in the state, with more than 1,800 suspected cases reported there so far.


Nearly 25 million people across Sudan will need humanitarian assistance in 2024, “the bleak reality is that intensifying hostilities are putting most of them beyond our reach,” he [UN's Griffiths] said Thursday. Deliveries across conflict lines have ground to a halt. Read more.


From Asharq Al-Awsat English
By Ali Barada Washington
Dated Saturday, 06 January 2024; 1445 AH - here is a copy in full:

UN Relief Coordinator Calls for Immediate Action to Stop War in Sudan

People displaced by the ongoing conflict in Sudan between the army and paramilitaries, queue to receive aid from a charity organisation in Gedaref on December 30, 2023. (Photo by AFP)

UN Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator Martin Griffiths has called on the international community, especially those whom he said have “influence” on the parties to the conflict in Sudan, to take “decisive and immediate” action to stop the fighting and safeguard humanitarian operations.


Last April, clashes erupted between the Sudanese Armed Forces (SAF) led by Abdulfattah al-Burhan and the Rapid Support Forces headed by Mohammed Hamdan Dagalo following weeks of tension.


Griffiths said in a statement published by the United Nations Office for the Coordination of Humanitarian Action (OCHA) that nearly nine months of war have tipped Sudan into a downward spiral that only grows more ruinous by the day.


He noted that as the “conflict spreads, human suffering is deepening, humanitarian access is shrinking, and hope is dwindling.”


Nearly 25 million people across Sudan will need humanitarian assistance in 2024, “the bleak reality is that intensifying hostilities are putting most of them beyond our reach,” he said Thursday.


- Serious threat 


He said that hostilities reached the “country’s breadbasket” in al-Jazirah State, putting more of the population “at stake.”


More than 500,000 people have fled fighting in and around the state capital, Wad Medani, long a place of refuge for those uprooted by clashes elsewhere.


Ongoing mass displacement could also fuel the rapid spread of a cholera outbreak in the state, with more than 1,800 suspected cases reported there so far.


“The same horrific abuses that have defined this war in other hotspots – Khartoum, Darfur, and Kordofan – are now being reported in Wad Medani.”


Accounts of widespread human rights violations, including sexual violence, “remind us that the parties to this conflict are still failing to uphold their commitments to protect civilians.”


Given Wad Medani’s significance as a hub for relief operations, the fighting there – and looting of humanitarian warehouses and supplies – “is a body blow to our efforts to deliver food, water, health care, and other critical aid,” Griffiths pointed out.


- Regional stability


Top UN officials reported that about 25 million persons across Sudan will need humanitarian aid in 2024. However, the intensified hostilities make it more difficult for them to reach the aid.


Deliveries across conflict lines have ground to a halt. The cross-border aid operation from Chad continues to serve as a lifeline for people in Darfur, and efforts to deliver elsewhere are increasingly under threat.


Griffiths also warned that the escalating violence in Sudan is also imperiling regional stability.


The war has unleashed the world’s largest displacement crisis, uprooting the lives of more than 7 million people, some 1.4 million of whom have crossed into neighboring countries that already host large refugee populations.


View original: 

https://english.aawsat.com/arab-world/4772561-un-relief-coordinator-calls-immediate-action-stop-war-sudan


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Saturday, January 06, 2024

Sudan: Displacement crisis in Sudan deepens

If the fighting further escalates and spreads to Sudan's White Nile State it could significantly impact the work of UNHCR and other humanitarian organizations that provide critical assistance to over 437,000 South Sudanese refugees and some 433,000 internally displaced Sudanese there. 

Read more from UNHCR
Briefing notes 
Dated 19 December 2023 - here is a copy in full:

Displacement crisis in Sudan deepens as fighting spread

This is a summary of what was said by Wiliam Spindler – to whom quoted text may be attributed – at today's press briefing at the Palais des Nations in Geneva.

Refugees from Sudan wait at the Joda border point in South Sudan's Upper Nile State for transportation to the transit centre in Renk. © UNHCR/Ala Kheir


UNHCR, the UN Refugee Agency, is concerned at the deepening forced displacement crisis in Sudan and neighbouring countries as hundreds of thousands more people flee from the latest fighting in Sudan’s central Al Jazirah State, southeast of the capital, Khartoum.


We are also very concerned about reports of an escalation in the conflict in the Darfur Region. On 16 December, renewed fighting in El Fasher, in North Darfur, resulted in civilian casualties, injuries, and further displacement, followed by looting of homes and shops, and arrests of youth. In Nyala, in South Darfur, an aerial attack was reported, causing death, injuries and destruction of civilian homes.


Heavy fighting, including airstrikes and shootings, was reported on the outskirts of Wad Madani, the capital of the Al Jazirah State, on Friday, 15 December. The fighting has now reached the town. After conflict first broke out in Sudan’s capital in April this year, over half a million people, including some 7,000 refugees, fled to Wad Madani from Khartoum. 


With this latest bout of fighting, panic has reportedly spread among the civilian population in Wad Madani and people were seen leaving the town in vehicles and on foot, some for the second time in only a few months. According to IOM, between 250,000 and 300,000 people have fled Wad Madani and surrounding areas since the clashes began.  


UNHCR is working to deliver and distribute urgently needed core relief items to the people newly displaced from Al Jazirah to Sennar and Gedaref States. Despite efforts by national and international humanitarian organizations and local actors to provide assistance, the overall humanitarian situation remains dire.


Since the war broke out in April, more than 7 million people have fled their homes in Sudan, many of them moving repeatedly to find temporary safety. This repeated displacement shows how devastating this conflict has been for the civilian population.


We are very worried that if the fighting further escalates and spreads to White Nile State, it could significantly impact the work of UNHCR and other humanitarian organizations that provide critical assistance to over 437,000 South Sudanese refugees and some 433,000 internally displaced Sudanese there. Since the onset of the conflict in April, UNHCR has provided emergency shelter to approximately 42,000 families and core relief items to nearly 12,000 vulnerable families in White Nile State and, in collaboration with UN and NGO partners, has taken measures to mitigate the high risk of a cholera outbreak in displacement sites. However, a spread of the fighting or any new influx could disrupt health and WASH (water, sanitation and hygiene) services, resulting in severe consequences.


There are also reports of people on the move towards South Sudan, where the border town of Renk is severely overcrowded and lacking enough aid to meet the needs of the people who have already arrived. 


Heavy rains have made the roads impassable, hampering the relocation of refugees. UNHCR and partners are doing what they can to prepare, but resources were already severely overstretched.


We continue to strongly appeal to all parties to end the conflict, to respect the safety of civilians in accordance with international law, and to allow humanitarian access so that critical lifesaving aid and services can reach those in need.


As the scale of the crisis and the potential for it to destabilize the entire region continues to grow, the world must not forget the ongoing situation in Sudan.


We appreciate the funding received already from many donors, but it is just not enough to meet the needs of the families that are facing unimaginable hardship.


The 2023 Sudan Regional Refugee Response Plan, which called for $1 billion to meet the needs of 1.8 million people in Chad, Central African Republic, Egypt, Ethiopia and South Sudan this year, is only 38 per cent funded.


For additional information:

View original: https://www.unhcr.org/news/briefing-notes/displacement-crisis-sudan-deepens-fighting-spreads


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