Thursday, November 02, 2023

Conflict in Sudan is world’s largest displacement crisis

ABOUT 19 MILLION SUDANESE CHILDREN are awaiting schools to re-open. For children, education is about more than the right to learn. Schools can protect children from the physical dangers around them – including abuse, exploitation, and recruitment into armed groups. Should the conflict result in schools remaining closed, this will have devastating impacts on children’s development and psychosocial well-being. Read more.


News and Press Release 

Source OCHA 

Posted 2 Nov 2023 

Originally published 2 Nov 2023


Sudan: Humanitarian Key Messages (November 2023)


● More than six months since fighting erupted on 15 April, Sudan is experiencing a humanitarian crisis of epic proportions. Civilians are paying the price of the ongoing fighting. About half of the population – 24.7 million people, including 14 million children – needs humanitarian aid and protection assistance.
About 5.8 million people are displaced inside Sudan or have fled to neighbouring countries, half of whom are children. Women make up 69 per cent of the internally displaced persons (IDPs), including those in war zones, and data from Chad indicates that 90 per cent of the refugees crossing the borders are women and girls. Similarly in Egypt, the UN Refugee Agency (UNHCR) has recorded that most of the registered households upon crossing the borders were female-headed ones. The conflict – and surging hunger, disease and displacement – threatens to consume the entire country. It is time to silence the guns.


● Millions of people – especially in Khartoum, Darfur and Kordofan – lack access to food, water, shelter, electricity, education, health care and nutrition. As the humanitarian situation deteriorates, the communities’ coping capacity has weakened. Hunger and malnutrition were already at record levels before the fighting, now, an estimated 20.3 million people – 42 per cent of the population – face acute food insecurity. Of these, 6.3 million people are at emergency levels of hunger, only one step away from famine. Over 18 million people lack access to improved sanitation and around 8 million people practice open defecation. About 3.5 million children under five years are acutely malnourished, of whom 700,000 suffer from severe acute malnourishment and are at 11 times higher risk of death compared with their healthy peers. This adds to the burden of care on women and girls and exposes them to multiple risks in the context of the armed conflict.


● Parties to the conflict must put an end to harming civilians and respect international humanitarian law, as agreed under the Jeddah Declaration of Commitment to Protect the Civilians of Sudan. The parties must allow civilians safe passage. People fleeing conflict – especially women, children and those with special needs – must be able to do so safely. Attacks on hospitals, schools and other essential civilian infrastructure must stop. Access to critical items and services must be guaranteed. All health facilities occupied by parties to the conflict must be vacated. De-escalation, dialogue and a cessation of hostilities are essential to resolve the crisis.


● The spread and escalation of fighting is deeply concerning, especially as the conflict reaches new areas. Hostilities have started to spill over into Aj Jazirah State, Sudan’s breadbasket, which could have grave consequences for the harvest season and agricultural productivity. Shortages of critical inputs like seeds and fertilizers coupled with erratic weather patterns threaten both planting and harvesting. A below average harvest in the coming months would push more people into hunger and others into more severe levels of hunger.


● Protection remains an urgent priority, with an increasing number of reports of sexual and genderbased violence, enforced disappearance, arbitrary detention, and grave violations of human and children’s rights. Parties to the conflict should not use rape as a weapon of war and those accused of it should be held accountable. As inter-communal tensions mount, the ability to access protection services and support systems reduces. Civilians are at risk of explosive hazards, though the extent and level of new contamination is unknown. Parties to the conflict must protect civilians, including children, from grave violations of their rights.


● The war in Sudan is now the world’s largest displacement crisis. As more refugees flee across Sudan’s borders, host communities in neighbouring countries are struggling. A protracted conflict in Sudan could tip the entire region into a humanitarian catastrophe. Humanitarian partners are working closely with governments in neighbouring countries to respond. New arrivals need protection and assistance.
Moreover, host communities in remote border areas, where services and infrastructure are scarce or non-existent, were already suffering due to climate shocks and food scarcity.


● Outbreaks of diseases pose a growing threat, particularly in overcrowded shelter sites and sites with poor water, sanitation and hygiene. Sudan is already facing outbreaks of cholera, dengue, measles, and malaria. Even in relatively safe locations hosting displaced populations, living conditions are deteriorating. Displacement sites have been flooded during the rainy season, raising the risk of further spread of deadly diseases. Partners must step up to contain ongoing disease outbreaks and mitigate the risks of potential outbreaks. Projections based on Johns Hopkins’ Lives Saved Tool modelling indicate that at least 10,000 children under five years may die by the end of 2023 due to an increase in food insecurity, and disruptions to essential services.


● About 19 million children are awaiting schools to re-open. For children, education is about more than the right to learn. Schools can protect children from the physical dangers around them – including abuse, exploitation, and recruitment into armed groups. Schools serve as centres for multiple services. Children can be reached with life-saving information, food, water, immunizations, healthcare, and hygiene supplies. Teachers and other education personnel can support children’s mental health, providing children with stability and structure to help them cope with the trauma they experience every day and referring children for any necessary additional support. Should the conflict result in schools remaining closed, this will have devastating impacts on children’s development and psychosocial well-being.


● Humanitarians continue to face immense obstacles to assist people in need. Bureaucratic and administrative impediments must be lifted so that aid workers can move supplies more swiftly. Visas, travel permits, and other procedures required to move staff and assistance inside the country delay the delivery of assistance. Looting and attacks against humanitarian personnel, facilities and supplies further compromise the ability of partners to deliver aid and services. The parties to the conflict must adhere to international humanitarian law and guarantee unhindered access for humanitarian personnel and supplies. Aid convoys face threats, roadblocks, restrictions and bureaucratic impediments, while intensified airstrikes and shelling in Khartoum make safe access almost impossible.


● Despite the challenges, humanitarian agencies in Sudan have made strides in accessing people across Sudan, including in hard-to-reach areas. Through both crossline and cross-border movements, convoys have reached East Darfur, North Darfur, South Darfur, West Darfur, North Kordofan states, Jabal Awlia in Khartoum, and other areas. More than 3.7 million people have received lifesaving food, emergency shelter, health, nutrition, protection, water, sanitation and hygiene (WASH) and other assistance since 15 April. An estimated 5.2 million people received livelihood assistance. Aid must be scaled up and sustained to reach more people in desperate need. To expand assistance to people in hard-to-reach areas, innovative approaches to working with communities are critical.


● Additional resources are urgently required to support a humanitarian response that was already significantly underfunded prior to the current conflict. Humanitarian actors require US$2.6 billion to provide life-saving multi-cluster assistance and protection services to 18.1 million people through the end of this year. So far, only 33.6 per cent has been received. Additional funds are urgently needed to meet immense needs, including critical funding to national NGOs on the frontlines of the response.


Disclaimer

UN Office for the Coordination of Humanitarian Affairs (OCHA)

To learn more about OCHA's activities, please visit https://www.unocha.org/


View full story and map: https://reliefweb.int/report/sudan/sudan-humanitarian-key-messages-november-2023


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Infographic: Sudan Key Figures (1 November 2023)

Source OCHA 

Posted 2 Nov 2023 

Originally published 2 Nov 2023

Download Infographic(PDF | 518.65 KB)


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OCHA SUDAN: Humanitarian Update (2 Nov 2023)

ANALYSIS from OCHA
Sudan Humanitarian Update (2 November 2023)
SITUATION OVERVIEW

HIGHLIGHTS

• An estimated 5.8 million people have been displaced within and outside Sudan since mid-April 2023.
 

• A least 85,800 people fled Sudan over the past month seeking safety and protection in neighbouring countries.
 

• At least 17 people were killed and 17,500 people displaced due to renewed clashes between SAF and RSF in Nyala Town, South Darfur.
 

• Over 140 people were reportedly killed due to inter-communal fighting in As Sunta and Buram localities in South Darfur.
 

• Conflict has severely affected agriculture in many parts of the country raising concerns on food security in the coming months.
 

• The revised 2023 Sudan Humanitarian Response Plan appeal is only 33.6 per cent funded as of 2 November.

For previous humanitarian updates:

View full analysis and map: 

https://reports.unocha.org/en/country/sudan/card/1TLaNU0UWB

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Sudan: Humanitarian Key Messages (November 2023):


News and Press Release 

Source OCHA 

Posted 2 Nov 2023 

Originally published 2 Nov 2023

Download Report (PDF | 153.62 KB)

View original: https://reliefweb.int/report/sudan/sudan-humanitarian-key-messages-november-2023


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Wednesday, November 01, 2023

OCHA Sudan: Humanitarian Access Situation Report

TWENTY aid workers have been killed in Sudan this year. Violence against humanitarians and assets continues, including looting of aid trucks, offices and drivers that curtail the capacity of humanitarian organisations. More than 200 visas were pending for international staff in Aug and Sep. More:

Sudan Humanitarian Access Situation Report (August - September 2023)
Source OCHA via ReliefWeb
Dated Monday, 30 October 2023 - here is a copy of the report summary:


This report is produced by OCHA Sudan in collaboration with humanitarian partners. It covers the period from 1 August to 30 September 2023. The next report will be issued in November 2023.


HIGHLIGHTS

  • Since fighting erupted on 15 April, Sudan is experiencing a large-scale humanitarian crisis, with half the population – 24.7 million people in need of humanitarian aid and protection. Around 5.3 million people have been displaced within Sudan and to neighbouring countries.
  • Millions of people particularly in Khartoum, Darfur and Kordofan lack access to basic services, such as food, water, shelter, health, and education.
  • Reaching those in need in partially accessible and hard-to-reach areas, remains extremely difficult due to ongoing insecurity, and lack of commitment by the parties to the conflict to provide safe passage.
  • Relief operations through cross-border and across Sudan are scaling up.
  • Access and civil-military negotiations have led to a number of successful interventions, resulting in the delivery of 62,546 MT (1,381 trucks) of relief items in August and an additional 36,988 MT (840 trucks) in September targeting displaced communities. The planned movement of 786 MT (21 trucks) to Kordofan and Darfur states has been cancelled due to insecurity.
  • The cross-border response from Chad complements the in-country response in Sudan by providing additional assistance to people in need in Darfur. At the end of September, the movement of 47 trucks carrying a total of 1,217 metric tons of critical humanitarian supplies had been successfully facilitated.
  • However, a number of operational obstacles remain that impede a rapid scale-up of aid from reaching those in need, including: operating in Sudan poses a high risk, as seen through the 20 aid workers killed this year. Violence against humanitarian personnel and assets continues, including looting of aid trucks, offices and drivers that curtail the capacity of the humanitarian organizations.
  • Bureaucratic and administrative impediments (BAIs) prevent the UN and INGOs from delivering aid effectively to the affected population. BAIs impact hiring of international staff, deployment of technical teams, and delivering supplies into and across Sudan. More than 200 visas were pending for international staff in August and September.
  • Lack of funding is another impediment to the response. A total of US$2.6 billion is required to deliver lifesaving assistance and protection services to 18.1 million people this year. The Humanitarian Response Plan (HRP) is 31.7 per cent funded. Additional funds are urgently needed, including for the Sudan Humanitarian Fund (SHF), which supports national NGOs on the frontline of the response

Download Report
(PDF | 1.3 MB)


UN Office for the Coordination of Humanitarian Affairs

To learn more about OCHA's activities, please visit https://www.unocha.org/.


View full report: https://reliefweb.int/report/sudan/sudan-humanitarian-access-situation-report-august-september-2023


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Tuesday, October 31, 2023

Chad's first dengue outbreak: what you should know

Report from EconoTimes - https://www.econotimes.com/

By Dr. Eunice Anyango Owino*

Dated Monday, 30 October 2023, 10:56 AM UTC - here is a copy in full:


Chad's first dengue fever outbreak: what you should know


Chad has reported its first dengue outbreak, according to the World Health Organization (WHO). The country’s health ministry declared an outbreak on 15 August and so far 1,342 suspected cases have been reported, 41 of them confirmed in the laboratory. One death was reported among the patients with lab-confirmed cases. The outbreak started in Ouaddaï province in eastern Chad, currently the outbreak epicentre. Illnesses have also been reported in three other provinces. Godfred Akoto Boafo spoke to medical entomologist Eunice Anyango Owino about the disease.

Mosquitoes are the primary medium for contracting dengue. Oregon State University/Flickr


What causes dengue fever and how does it affect people?

Dengue fever is a mosquito-borne viral disease caused by one of the four dengue virus serotypes. It is primarily transmitted by the Aedes aegypti mosquito and to a lesser extent the Aedes albopictus mosquito, mainly in the tropical and sub-tropical areas of the world.


Infection with one serotype provides long-term immunity to that particular serotype, but not the others. That means that, after recovery, a person can still be infected by the other three serotypes. Serotypes are groups within a single species of microorganisms, such as bacteria or viruses, which share distinctive surface structures.


Most infections produce only mild flu-like illness; 80% of cases are asymptomatic. But getting infected with different serotypes one after the other puts a person at a greater risk of severe dengue, also known as dengue hemorrhagic fever. It is characterised by serious internal bleeding and organ damage, and a sudden drop in blood pressure that causes shock which can be fatal.


How widespread is it in the Sahel? Why is this first outbreak in Chad significant?

Dengue fever has been endemic in Sudan, with outbreaks documented in 2010, 2013, 2017 and 2019. Unfortunately, due to years of political and civil conflicts, the control and response capacity of the public health sector in Sudan has been limited.


The risk of spread in the Sahel region, which includes Niger, Mali and Chad, has always been high. This is because these countries all host the suitable mosquito vectors (Aedes). They also share the same tropical climate with seasonal heavy rains and floods.


To add to the problem, countries like Chad are grappling with a massive influx of refugees and returnees from Sudan who might be carrying the disease. The epicentre of the current outbreak, the province of Ouaddai at the eastern border with Sudan, hosts more than 400,000 refugees.


The cities at the border with Sudan are densely populated and have poor sanitation. This provides a favourable environment for the vectors to breed.


In addition, Chad lacks effective disease control programmes. This is its first dengue outbreak. It doesn’t have the necessary public health preparedness and response capacities. So the risk posed by this outbreak is high.


The movement of the returning refugees has the potential to spread the outbreak in Chad and even across the border to other countries in the Sahel, the rest of Africa, and the world at large.


What treatment is available?

There’s currently no available treatment for dengue in the world. Timely detection and case management, especially treatment of dehydration and plasma leakage by oral or intravenous rehydration, are key in preventing severe illness and death.


There is an approved dengue vaccine (Dengvaxia) for use in people aged 9-45 years. But for it to be effective they must have had one infection of dengue by any of the four serotype viruses, which must be confirmed by a laboratory test.


The vaccine is given in three doses within 12 months and protects against all the four dengue virus serotypes with an efficacy of 80%. However, its availability in developing countries in Africa isn’t assured, although it has been licensed by several national regulatory authorities.


Apart from the vaccine, the only other guard against dengue fever is prevention of mosquito bites and vector control.


What is the way forward in controlling the disease?

More investment should be put on expanding clinical and laboratory capabilities to deal with the disease. 


Given that this is Chad’s first outbreak, it needs to:


• put in place standard operating procedures for clinical management of suspected and confirmed dengue cases


• expand the capacity for early detection of cases – this could be done by procurement of rapid diagnostic tests and by alerting communities


• strengthen disease surveillance and coordinate the response by actively finding cases. Cases within the community are likely to be underreported as dengue is unknown to the public. Also, clinicians might not be familiar with the disease presentation. It could be confused with other common fevers.


• put in place effective vector control measures, like draining stagnant water around residential areas, cleaning and replenishing water storage containers on a weekly basis, distributing insecticide-treated nets, spraying indoors and using window and door screens.


• strengthen surveillance to assess the vector breeding potential in containers and to monitor insecticide resistance. This is critical for selecting the most effective insecticides.


• make communities aware of the risks of infection and how to protect themselves. Engaged communities can take ownership of the vector control strategy and adopt healthy behaviours.


• strengthen cross-border collaboration. The current outbreak most likely spread from Sudan. The focus should be on prevention and vector control measures in border areas.


• mobilise resources for a national contingency plan for dengue preparedness and response. And seek help from experienced organisations like the WHO.


View original: https://www.econotimes.com/Chads-first-dengue-fever-outbreak-what-you-should-know-1665123


*About Author: Eunice Anyango Owino
Dr. Eunice Anyango Owino is a Medical Entomologist based at the School of Biological Sciences, the University of Nairobi, specialising on arthropod borne diseases. 
Medical Entomologist at the School of Biological Sciences, University of Nairobi 
Source: https://www.econotimes.com/contributors/17080

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Over 100 dead from cholera, dengue in Sudan

Report from Medical X press - medicalxpress.com 

By AFP

Dated Sunday, 29 October 2023 - here is a copy in full:


Over 100 dead from cholera, dengue in war-torn Sudan


Scanning electron microscope image of Vibrio cholerae. Credit: Wikipedia


Outbreaks of cholera and dengue fever in war-torn Sudan have left more than 100 people dead since August, the health ministry said on Saturday.


A total of 1,049 cases of cholera, 73 of them fatal, were recorded in Khartoum, Al-Jazira state to its south and Gedaref state to the its west, the ministry said.


Khartoum has been one of the main battlegrounds in the fighting between rival generals that has gripped the country since April.


Hundreds of thousands of residents of greater Khartoum have fled to calmer areas of Gedaref and Al-Jazira, overwhelming the supply of clean water.


Nine Sudanese states have recorded cases of mosquito-borne dengue, with 49 deaths from a total of 3,316 cases, the ministry said.


Gedaref state, which borders Ethiopia, reported 2,152 of the cases and 33 of the deaths.


Even before the fighting broke out in April, Sudan's health care system struggled to contain the disease outbreaks that accompany the country's rainy season which begins in June.


Now—with hospitals bombed, medicines running low and many doctors fleeing the country—the health care system has been pushed to the brink.


The health ministry report said 70 percent of hospitals in war-torn areas are out of service.

© 2023 AFP


View original:  https://medicalxpress.com/news/2023-10-dead-cholera-dengue-war-torn-sudan.html


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