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Uganda: Facilities Map - Bidibidi Settlement - Zone 5 (North) - Yumbe District - Uganda, 24 October 2018

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Source: MapAction, UN High Commissioner for Refugees, REACH Initiative
Country: South Sudan, Uganda


Uganda: Facilities Map -Bidibidi Settlement - Zone 5 (Center) - Yumbe - Uganda, 24 October 2018

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Source: MapAction, UN High Commissioner for Refugees, REACH Initiative
Country: South Sudan, Uganda

South Sudan: South Sudan: Physical Access Constraints Map as of 26 October 2018

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Source: World Food Programme, Logistics Cluster
Country: South Sudan

World: EU Funding for Humanitarian Food Assistance and Nutrition 2017 - Response Coordination Centre | DG ECHO Daily Map | 26/10/2018

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Source: European Commission's Directorate-General for European Civil Protection and Humanitarian Aid Operations
Country: Algeria, Bangladesh, Belarus, Cambodia, Central African Republic, Colombia, Congo, Costa Rica, Cuba, Democratic Republic of the Congo, Djibouti, Eswatini, Ethiopia, Guatemala, Haiti, Iraq, Kenya, Libya, Madagascar, Malawi, Myanmar, Nepal, occupied Palestinian territory, Pakistan, Philippines, Serbia, Somalia, South Sudan, Sudan, Syrian Arab Republic, Thailand, Uganda, Ukraine, United Republic of Tanzania, Venezuela (Bolivarian Republic of), World, Yemen, Zimbabwe

Total funding: € 656 million

Democratic Republic of the Congo: Democratic Republic of the Congo UNHCR Operational Update, 1 - 30 September 2018

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Source: UN High Commissioner for Refugees
Country: Burundi, Central African Republic, Democratic Republic of the Congo, Rwanda, South Sudan, Zambia

The security situation and human rights environment in Beni Territory, North Kivu Province, significantly deteriorated. UNHCR is trying to ensure continuous presence in Beni through missions from Goma and other offices.

New arrivals of South Sudanese refugees are creating growing shelter and space needs.

The capacity of Meri settlement is of 20,000 people, but 33,517 refugees currently reside there. 24,371 refugees at Lusenda site received biomass briquettes; the first distribution of this scale for Burundian refugees in South Kivu Province. Biomass briquettes provide an environmentally-friendly solution for cooking.

Refugees

Burundian refugees

As of the end of September, 310 refugees at Lusenda site were registered as candidates for voluntary repatriation. On 18 September, 10 voluntarily returned to Burundi from Uvira, South Kivu Province.
UNHCR provided transport and repatriation kits. 3 non-registered family members were also transported.

■ Between 31 August and 7 September, 305 refugees at Mulongwe settlement received cash transfers through mobile money. US$21,178 was transferred to cover school fees for the third trimester and construction costs for shelters, showers and latrines.

■ UNHCR relocated 1,232 Burundian refugees from transit centres to Mulongwe settlement between 1 and 17 September. Upon arrival, they were given non-food item (NFI) kits, and were temporarily hosted in common dormitories. They will be allocated plots of land and given cash and shelter kits. The relocation, which had been on hold due to funding constraints, eased the situation in overcrowded transit centres.

■ UNHCR is in talks with its partner CNR to renew the refugee certificates and ID cards of 1,165 Burundian refugees residing in Tanganyika Province. The refugees’ documents expired in May.

■ UNHCR’s partner ADES vaccinated 7,618 refugee children against poliomyelitis in Lusenda and Mulongwe.

■ 24,371 refugees at Lusenda site received biomass briquettes, totalling 66,430 kg distributed, in the first distribution of this scale for Burundian refugees in South Kivu Province. Biomass briquettes are produced by refugees and locals, and provide an alternative and environmentally-friendly solution for cooking. The distribution was organised by UNHCR’s partner AIDES.

■ A 5,000-liter tank and 14 water taps were finalised at Mulongwe settlement to improve access to drinking water, bringing the total of functioning water taps to 44. The ratio is therefore of 148 people per water tap, well within the humanitarian standard of 200.

■ UNHCR and its partner War Child launched professional training courses in basket-making, beekeeping and mushroom-growing for 90 Burundian refugees selected in Lusenda and Mulongwe.

As part of Ebola and cholera prevention measures, UNHCR’s partner ADES installed additional handwashing stations in all Burundian refugee sites, with regular sensitization campaigns carried out.

■ UNHCR’s Regional Refugee Coordinator for the Burundian refugee situation, Ms. Catherine Wiesner, visited Lusenda and Mulongwe in South Kivu Province.

Uganda: UNDP Uganda: Annual Report 2017

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Source: UN Development Programme
Country: South Sudan, Uganda

This 2017 UNDP Uganda Annual Report gives an account of some of our most important results and shares our stories of success as we worked with our various partners including Government and local communities in Uganda’s journey towards sustainable and inclusive development.

Sudan: Sudan: Humanitarian Dashboard (Apr - Jun 2018)

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

Situation overview

Sudan is still one of the world’s largest protracted humanitarian situations with needs mainly generated by the impact of conflict and related displacement, malnutrition, food insecurity and more recently macro-economic adjustments. There are almost 2 million IDPs and according to UNHCR, Sudan hosts 1.2 million refugees; and recent clashes in parts of Jebel Marra have led to new displacement. Acute malnutrition in children under the age of five is above emergency thresholds in various areas across the country and 4.8 million people are food insecure. Despite operational challenges and funding constraints, some 87 humanitarian partners have reached 1.8 million people with some form of assistance in the second quarter of the year; in the first quarter, partners were able to reach 2 million people.

South Sudan: Women in Eastern Lakes want fair compensation for their role in struggle for South Sudan’ independence

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Source: UN Mission in South Sudan
Country: South Sudan

PETER RING KUOL

When women in Yirol in the Eastern Lakes area get together to discuss their concerns and priorities, they have to settle for sitting down in the shade of an admittedly exuberant mango tree. Not good enough, they say, arguing that their significant role in South Sudan’s battle for independence should result in a proportionate improvement of their living conditions.

Their first demand, given the vulnerable nature of encounters not shielded from the elements, is to get a decent meeting place where they can periodically gather to ponder issues they find particularly important.

“On behalf of women in Yirol, I am urging UNMISS [the United Nations Mission in South Sudan] to construct a centre for us that will offer us opportunities to get together, to learn from each other and to discuss social, economic and political issues that affect us,” the women’s representative Hellena Achut Momol said when a patrol from the peacekeeping mission visited the area.

The local Minister of Gender and Social Welfare, Joselito Yoc Kulang, strongly believes that their request is justified and fair.

“During the liberation war, our women participated immensely, and now they need to be rewarded for their heroic sacrifices,” he said.

According to the Eastern Lakes Women’s Association, such a meeting place, which could also be used for capacity building activities, would serve as a precious resource for women in the entire area.

“We will look into the matters you have raised, including the construction of a women’s centre,” UNMISS Human Rights Officer Elizabeth Thandizo Mwambala said.

In South Sudan, women are significantly worse off economically, socially and politically than men.


Uganda: OPM and UNHCR complete countrywide biometric refugee verification exercise

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Source: World Food Programme, UN High Commissioner for Refugees
Country: South Sudan, Uganda

KAMPALA: The Office of the Prime Minister (OPM) and UNHCR, the UN Refugee Agency have concluded the countrywide biometric verification exercise of all asylum-seekers and refugees in Uganda.

The exercise was concluded on Wednesday October 24th 2018, in the last two remaining locations – Bidibidi refugee settlement and Kampala.

The verification exercise commenced in March 2018 following a joint announcement and commitment by the Prime Minister of Uganda Dr Ruhakana Rugunda and the UN High Commissioner for Refugees Mr Filipo Grandi to undertake an audit to establish the number of refugees and asylum seekers in the country.

Over the past eight months, OPM and UNHCR conducted the verification exercise with six teams operating simultaneously in refugee settlements in Uganda. Over 400 staff were involved in the exercise and moved across more than 68 verification sites set up by World Food Programme (WFP) and UNHCR.

In total, close to 1.1 million refugees were verified and biometrically enrolled from the target population of 1.4 million refugees. This represents 75% of the population that had sought asylum in Uganda prior to the verification start date in March 2018. An additional number of cases were closed upon verification due to death or spontaneous return to their countries of origin.

More detailed results, analysis and updated population figures of asylum-seekers and refugees in Uganda will be made available soon.

Verification exercises conducted in any refugee situation usually result in reductions in numbers. Many factors contribute to these reductions, including movement around the country or beyond, or simply no- shows. In the Ugandan context, these factors played a role. There were also some cases of multiple registrations by refugees at the height of the emergency influxes of South Sudanese refugees between mid-2016 and mid-2017, when registration systems were sometimes overwhelmed by the sheer number and speed of arrivals. These cases were identified and removed from the database.

This exercise was made possible through solid collaboration between all parties, including settlement administration, government and NGO partners, as well as the close partnership between OPM, UNHCR and WFP.

As importantly, refugees were key supporters of the verification exercise and helped spread messages across communities, ensuring a good turn-out.

Progressively, as the verification was completed in settlements, new food assistance collection procedures were rolled out by WFP, UNHCR and OPM. Under the new system, each person receiving assistance is confirmed against biometric data collection in the verification exercise. These procedures mitigate the risk of fraud, ensuring that assistance is well managed and provided only to verified, eligible refugees and asylum-seekers.

The new registration systems will be comprehensively deployed for registration of new arrivals and to update refugee population changes in Uganda by the end of the year, strengthening management of the refugee response by OPM and UNHCR, and enabling WFP and other partners to improve planning and implementation of essential protection and assistance activities.

Media Contacts:

Joel Boutroue, UNHCR Representative boutroue@unhcr.org Tel: 0771 000 023

Julius Mucunguzi, Advisor and Head Communications, OPM julius.mucunguzi@gmail.com; Tel: 0776 210307

Lydia Wamala, Communications Officer, WFP Lydia.wamala@wfp.org; Tel: 0772 287034

South Sudan: South Sudan: Humanitarian Dashboard (as of 30 September 2018)

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

SITUATION OVERVIEW

In September, renewed fighting continued between armed elements in Yei County and Kajo-keji County, Central Equatoria; Baggari area in Western Bahr el Ghazal; and Mirmir, Ngony and Kuoh in Koch County, Unity. In Yei, despite the fighting, humanitarian partners resumed normal movement and activities in the town. Access beyond the town remained constrained, and in some locations many civilians fled their homes due to fighting. An Integrated Rapid Response Mechanism mission to Baggari in September, provided nearly 13,300 people with a one-month food ration. Other aid responses including nutrition, WASH, NFI, health, and livelihoods were also conducted. As a response to a security crisis, nearly 3,500 people were relocated to an informal site in Juba from Juba PoC site. Malaria remains the top cause of morbidity and mortality, with at least 15 counties in Northern Bahr el Ghazal, Lakes, Warrap, Unity and Central Equatoria having trends that exceed the expected levels. Health partners intensified preparedness activities against Ebola in South Sudan following the outbreak in the Democratic Republic of Congo.

As of 30 September, aid agencies in South Sudan had assisted some 4.7 million people; about 78 per cent of the 6.0 million people targeted across the country. The assistance provided includes: nearly 4.3 million people reached by food assistance and emergency livelihoods support; more than 995,000 people provided with access to improved water sources; over 622,000 people assisted with vital non-food items and emergency shelter, including blankets and mosquito nets; about 652,000 children and pregnant and lactating mothers provided with emergency nutritional assistance; more than 616,000 children provided with access to education in emergencies; over 1.7 million people who received health care and nearly 2.8 million people who received services related to gender-based violence, child protection, mine awareness education and general protection services.

Uganda: East, Horn of Africa and the Great Lakes region - Refugees and asylum-seekers by country of asylum | as of 30 September 2018

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Source: UN High Commissioner for Refugees
Country: Burundi, Congo, Democratic Republic of the Congo, Djibouti, Eritrea, Ethiopia, Kenya, Rwanda, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania

Uganda: OPM-UNHCR Verification Exercise: Update, 24 October 2018

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Source: Government of Uganda, UN High Commissioner for Refugees
Country: Burundi, Democratic Republic of the Congo, Rwanda, Somalia, South Sudan, Uganda

HIGHLIGHTS

The countrywide verification exercise that started on 1st March 2018 was completed on 24th October 2018. The total population of asylum-seekers and refugees verified was 1,091,024 individuals. This represents 75.5% of the estimated target of 1.4 million registered persons. More detailed results and updated population figures of asylumseekers and refugees in Uganda will be made available soon.

The two remaining verification teams completed the exercise on Wednesday in Bidibidi settlement and in Kampala, for the urban population. On the last days, the turnout reduced to a trickle an indication that the verification can be concluded which was jointly agreed by OPM and UNHCR.

In Bidibidi, a total of 223,939 individuals were verified since the exercise started on 4th April 2018 in the five zones of the settlement. This represents 78% of the initial target. The last three days were reserved to absentees who missed the verification on their allocated days. Towards the end of the exercise, fraud attempts by persons attempting to be verified were on the rise leading to additional scrutiny at all stages of the process. In the last three days alone, 418 persons (in 90 households) presented genuine refugee documents that do not belong to them and were denied verification. The majority were nationals.

In Kampala, a total of 47,485 individuals were verified since the exercise started on 10th September for the urban population of asylum-seekers and refugees. This represents 46% of the initial target, including a wide variety of nationalities and a number of protection cases that were addressed by UNHCR and partners on the ground. Fraud attempts in Kampala were mostly presentation of fraudulent documents and middlemen who were found to be collecting money from persons of concern claiming they could provide access to verification and documentation.

Antifraud messaging was reinforced towards the end to address these concerns.
OPM and UNHCR appreciates the contribution of all those who made the verification possible, including settlement administrations, partners on the ground and refugees who supported the exercise.

World: Logistics Cluster Global ConOps Map (November 2018)

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Source: Logistics Cluster
Country: Bangladesh, Central African Republic, Democratic Republic of the Congo, Djibouti, Fiji, Haiti, Indonesia, Iraq, Jordan, Lebanon, Madagascar, Nigeria, Samoa, Solomon Islands, Somalia, South Sudan, Tonga, Turkey, Vanuatu, World, Yemen

South Sudan: South Sudan: Burundi,Democratic Republic of Congo, Rwanda, South Sudan & Uganda, Logistics Overview - October 2018

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

World: 5 ways flexible funding was pivotal to OCHA’s ability to respond to massive humanitarian needs in 2017

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Bangladesh, Myanmar, Nigeria, Somalia, South Sudan, World, Yemen

In 2017, OCHA received 46 per cent of its income in unearmarked contributions, which was critical to OCHA’s ability to help bring life-saving relief to millions of people at a time of record humanitarian need due to protracted complex crises, escalation of conflict in several countries, climate change-induced vulnerability and a series of natural disasters.

“This would not have been possible without timely, predictable and, especially, unrestricted contributions from our donors”, said UN Humanitarian Chief Mark Lowcock presenting “OCHA’s use of flexible funding 2017”, a report that explains how OCHA used US$106 million in unearmarked contributions and $24 million in softly earmarked contributions to its programme budget to coordinate the global humanitarian response last year, and deliver aid for millions of people facing the consequences of natural disasters and conflict.

Read more on OCHA


South Sudan: UNMISS launches series of joint cultural outreach for peace activities in torit

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Source: UN Mission in South Sudan
Country: South Sudan

Okello James

Communities in Torit have reiterated their commitment to unite and foster peaceful existence among the different ethnic groups in the area.

“My advice as a leader of the Pari community is to be united. Whatever we are doing or work we need to do, let us do it together with happiness,” said Dario Ukello Pari.

Mr. Ukello spoke at the launch of a series of joint cultural outreach activities to take place in different locations within the Torit Municipal Council over the next three weeks. Four cultural groups from the communities of Pari, Ketebo, Iyire and Horiyok were dressed in traditional attire to highlight social cohesion and diversity, as well as a common national identity.

The assistant chairperson of the Iyire community, Ongodok Fangarasio, appealed to those in attendance to shun division and build trust among themselves to pave the way for reconciliation.

“The good way of handling peace is by acceptance, by accepting the mistakes we have committed [against each other]. Let us come together and say, look we are here, able to unite and forgive each other,” Mr. Fangarasio said.

The series of events, focusing on cultural performances, dramas and messages of peace, is a joint initiative by the United Nations Mission in South Sudan and the local Ministry of Information and Culture.

Margret Idwa, Minister of Information and Culture, advised the communities to hail cultural differences to live together in harmony.

“From today we have started celebrating peace, and everything will be peaceful. Our tribes should embrace each other so that South Sudan can have a lasting peace,“ she said.

A total of sixteen cultural groups, religious leaders, artists and youth peace ambassadors have been engaged to showcase educational activities aimed at fostering peaceful coexistence, diversity, inclusivity and national identity.

Democratic Republic of the Congo: Burundi, Democratic Republic of Congo, Rwanda, South Sudan & Uganda: Logistics Overview, Ebola Hot Spots and High Risk Areas - October 2018

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

World: OCHA's Use of Flexible Funding 2017

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Bangladesh, Myanmar, Nigeria, Somalia, South Sudan, World, Yemen

The importance of flexible funding

More than any other form of support, flexible funding is critical to OCHA’s ability to help humanitarian partners save and protect lives anywhere in the world, whenever needs arise.

In delivering its coordination mandate, OCHA relies primarily on almost 2,000 staff members who work with thousands of United Nations (UN), national and international non-governmental organizations (NGOs), Governments and regional organization partners in some 60 countries.

A high degree of predictability and flexibility in funding is critical to maintaining a stable workforce that can build and maintain relationships and deliver coordination services, especially in challenging and often dangerous environments.

EARMARKED VS. UNEARMARKED

Using the Grand Bargain funding categories (see box), OCHA defines contributions as flexible when they are unearmarked or softly earmarked by the donor.

Funds are considered unearmarked when they are not restricted for specific use, such as a particular field office or project. With unearmarked funds, OCHA has the flexibility to decide how a contribution is used. Softly earmarked contributions are typically reserved by donors for use in a geographic region, such as in response to a regional crisis. Earmarked contributions are assigned to a specific field office, headquarters or thematic project. OCHA does not accept tightly earmarked funding for specific activities or staff positions, because management and reporting costs for such contributions are too high.

AGILITY AND VALUE FOR MONEY

Flexible contributions allow OCHA to plan more strategically across its operations and to manage its resources efficiently and effectively. For instance, without unearmarked funding, it would be impossible for OCHA to operate at a global scale (see map overleaf), or to rapidly open and close offices or scale up or draw down operations according to coordination needs on the ground.

The bulk of flexible funding goes to operations in the field, but all OCHA offices and projects benefit from these contributions to some degree. Crucially, flexible contributions can be used numerous times across OCHA’s field and headquarters locations according to need and priority, multiplying operational impact and value for money. For example, unearmarked funds can be used to rapidly scale up operations in a field location when a crisis deteriorates. If earmarked funding is received later, the unearmarked funds can be moved to fund other critical operations or activities. As such, flexible funding allows OCHA to respond more quickly to sudden-onset emergencies. It also allows OCHA to respond impartially to all needs, including to overlooked or forgotten emergencies that may not attract much donor interest.

Unearmarked and softly earmarked funds are important to facilitate the financial management of OCHA. Flexible funds reduce transaction costs associated with having to deal with overlapping and/or cumulative restrictions and thereby enhance OCHA’s administrative efficiency. For example, when multiple donors want to earmark contributions for the same project, OCHA may need to negotiate to find a mutually agreeable use of earmarked funds.

The Grand Bargain

The Grand Bargain (GB) is a set of reforms to improve the humanitarian financing system that was agreed during the 2016 World Humanitarian Summit. Since the summit, more than 50 aid organizations and donors signed on to the agreement.

GB commitments include providing more unearmarked money and increasing multi-year funding to ensure greater predictability and continuity in humanitarian response.

Under GB Workstream 8, Reducing Earmarks, donors commit to “progressively reduce the earmarking of their humanitarian contributions. The aim is to aspire to achieve a global target of 30 per cent of humanitarian contributions that is non-earmarked or softly earmarked by 2020.

Democratic Republic of the Congo: Democratic Republic of Congo: Ebola Virus Disease - External Situation Report 13

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Source: World Health Organization
Country: Burundi, Democratic Republic of the Congo, Gambia, Rwanda, South Sudan, Uganda, United Republic of Tanzania

Situation Update

The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of the Congo continues to be closely monitored by the Ministry of Health (MoH), WHO and partners. Of concern is the increased incidence of confirmed cases reported in the past four weeks, most notably in the city of Beni and communities around Butembo. Security remains the biggest challenge faced by the response teams in Beni and Butembo, undermining the response activities. Continued security incidents severely impact both civilians and frontline workers, forcing suspension of EVD response activities and increasing the risk that the virus will continue to spread. Moreover, with heightened transmission of the virus in outbreak affected areas, the risk of exportation of cases to neighbouring provinces and countries is increased. Neighbouring countries need to be ready in case the outbreak spreads beyond the Democratic Republic of the Congo.

Since WHO’s last situation report issued on 23 October 2018 (External Situation Report 12), an additional 36 new confirmed EVD cases and 19 new deaths have been reported. As of 28 October 2018, a total of 274 confirmed and probable EVD cases, including 174 deaths, have been reported – a case fatality ratio (CFR) of 63.5%. Among the 274 cases, 239 are confirmed and 35 are probable cases. Of the 174 deaths reported since the beginning of the outbreak, 139 were among confirmed cases and 35 among probable cases. The proportion of deaths among confirmed cases is 58.2% (139/239). On 28 October, 32 new suspected cases were under investigation in Beni (22), Mabalako (3), Butembo (3), Mandima (2), Masereka (1) and Kalunguta (1).

As of 28 October 2018, 73 cases have recovered, been discharged from Ebola treatment centres (ETCs), and reintegrated into their communities. On 28 October, 32 new patients were admitted to ETCs, bringing the total of hospitalized patients to 77 (45 suspected cases and 32 confirmed cases). On that day, the ETCs in Beni and Butembo recorded a bed occupancy rate of 85% (51/60) and 70% (13/30), respectively.

Among the 271 cases with known age and sex, 56% (n=153) are female, and adults aged 15-44 account for 57% (n=155) (Figure 2). Four new confirmed cases have been reported among healthcare providers (one doctor and 3 nurses) working at various community health centres around Beni, bringing the total health workers affected to 25, including 24 confirmed and three deaths.

The confirmed cases were reported from six health zones in North Kivu Province: Beni (124), Mabalako (71), Butembo (24), Masereka (4), Kalunguta (2), and Oicha (2); and three health zones in Ituri Province: Mandima (9), Tchomia (2) and Komanda (1). Beni has surpassed Mabalako in terms of cumulative number of confirmed cases.

The MoH, WHO and partners are monitoring and investigating all alerts in affected areas, in other provinces in the Democratic Republic of the Congo and in neighbouring countries. Since the last report was published, alerts were investigated in several provinces of the Democratic Republic of the Congo as well as in the Gambia, South Sudan, Tanzania, and Uganda. To date, EVD has been ruled out in all alerts from neighbouring provinces and countries.

World: Global Task Force on Cholera Control marks a year of progress toward ending cholera worldwide

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Source: World Health Organization, UN Children's Fund
Country: Ghana, Malawi, Nigeria, Rwanda, South Sudan, Uganda, World, Yemen, Zambia

GENEVA/ NEW YORK, 30 October 2018 - This month, partners of the Global Task Force on Cholera Control (GTFCC) mark one year since the launch of Ending Cholera: A Global Roadmap to 2030, which targets a 90% reduction in cholera deaths by 2030 and the elimination of cholera in at least 20 countries out of the 47 currently affected.

At the 4 October 2017 launch of the Global Roadmap in Annecy, France, 35 global health and WASH organizations leading the fight against cholera signed the Declaration on Ending Cholera, committing their financial and human resources in support of its implementation in countries.

One year later, the movement to end cholera has made exceptional progress. At least 10 countries are now taking active measures towards cholera control plans in alignment with the Global Roadmap: Bangladesh, Haiti, Kenya, Malawi, Nigeria, South Sudan, Uganda, Zambia, the United Republic of Tanzania, and Zimbabwe. In addition, 47 African countries adopted the Regional Framework for the Implementation of the Global Strategy for Cholera Prevention and Control on 28 August at the 68th session of the WHO Regional Committee for Africa.

In May 2018, at the 71st World Health Assembly (WHA), WHO Member States took the extraordinary step of passing a resolution—introduced by the Governments of Zambia and Haiti—committing to implementation of the Global Roadmap, calling for the resources and policy changes necessary to meet the goal.

In line with the Global Roadmap, the Africa Regional Framework and the WHA resolution commit countries to implement evidence-based measures including:

  • mapping of cholera hotspots.
  • significant investment in safe water, sanitation, and hygiene (WASH)
  • use of oral cholera vaccine.
  • enhanced epidemiological and laboratory surveillance.
  • improving access to timely treatment.
  • promoting community engagement.
  • Cholera-affected countries demonstrate strong leadership and determination to stop cholera outbreaks.

Examples include:

The end of the longest cholera outbreak in South Sudan in February 2018 shows it is possible to stop persistent cholera outbreaks in endemic settings, achieving high vaccine coverage even in the context of conflict and instability. The outbreak, which started in June 2016, resulted in 20,000 cases and 436 deaths. South Sudan conducted 38 vaccination campaigns, using a flexible data-driven approach to allocate 2.8 million doses to people living in hotspots as conditions made it possible to reach them. Yemen, the location of the world’s most severe cholera outbreak, saw its first use of Oral Cholera Vaccine in 2018 – a critical step in fighting cholera there. Nearly 700,000 people have already been vaccinated and, another 1.4 million people are expected to receive vaccines in the coming weeks. However, widespread malnutrition, and destruction of water and sanitation infrastructure will require additional efforts to bring cholera under control in Yemen.
Cholera-affected countries plan a future without cholera by developing multi-sectoral cholera control plans

The Government of Zanzibar, a semi-autonomous part of the United Republic of Tanzania, is ready to the Zanzibar Comprehensive Cholera Elimination Plan (ZACCEP), a costed multi-sectoral cholera elimination plan in alignment with the Global Roadmap, which aims to end cholera by 2027.
The Government of Bangladesh revised its National Program on Diarrheal Diseases Prevention, Management & Control to align it with the Global Roadmap, working with national WASH partners to collectively implement a plan to target elimination by 2030. Introduction of a phased large scale OCV campaign is planned to start in 2019. Professor Abul Kalam Azad, Director General of Health Services, Ministry of Health & Family Welfare, noted that cholera has no place in a country like Bangladesh, which is striving toward middle-income status: “Bangladesh has made huge strides in health outcomes in recent years. It is now time to commit the resources to ensure cholera will no longer be a threat to the people of Bangladesh.”

The Government of Zambia is launching a national multi-sectoral plan, aligned with the Global Roadmap strategy, targeting elimination of cholera by 2025. The response to the October 2017 outbreak triggered strong political engagement. Honorable Chitalu Chilufya, Minister of Health, observed “the government of Zambia has provided exemplary leadership in halting last year’s outbreak, bringing together a well-resourced, multi-sectoral response. With this strong political will and a sound national plan, I am confident that Zambia will be free from cholera by 2025.”

Unprecedented use of Oral Cholera Vaccine in 2018, including the largest cholera vaccination drive in history

As countries voted to pass the WHA resolution, five countries were already preparing for the largest cholera vaccination drive in history. The oral cholera vaccines were sourced from the global stockpile, funded by Gavi, the Vaccine Alliance, for five major campaigns in Zambia, Uganda, Malawi, South Sudan and Nigeria. The campaign protected over two million people from the threat of cholera. To date, over 12 million doses of oral cholera vaccine have been delivered in 2018 in 11 countries, on top of nearly 10 million doses delivered in 2017. This compares to just 200,000 doses delivered in 2013, when the stockpile was created. OCV is just one tool in a much larger toolbox that includes sustainable safe water, sanitation, and hygiene (WASH), but it serves as a critical bridge to these longer-term efforts.

An energized GTFCC partnership supports countries in the fight to #EndCholera

GTFCC partners are taking action on their commitment from October 2017, by aligning their programs with the Global Roadmap and by increasing resources to concretely support cholera control efforts. In partnership with WHO, UNICEF brings strong leadership to the GTFCC working group on Water Sanitation and Hygiene (WASH). In 2018, the International Federation of Red Cross and Red Crescent Societies (IFRC) launched the One WASH program, an integrated approach that will support more than 20 cholera-affected countries. Projects are already in start-up phase in Uganda, Ghana, Malawi and Rwanda with an initial commitment of US$2.5 million. The Wellcome Trust and the UK Department for International Development (DFID) issued a call for proposals to support the cholera research agenda. The US Centers for Disease Control and Prevention (CDC) is providing technical experts in-country upon request, which is a critical allocation of human and other resources in the fight against cholera.

Multimedia Resources

A call to end cholera, a WHO film created in partnership with Gavi, the Vaccine Alliance, the Ministry of Health Zambia, the Expanded Programme on Immunisation in Zambia, the GTFCC, WaterAid, and UNICEF.

National Geographic photographer Karen Kasmauski recently traveled to Zambia for the Johns Hopkins University DOVE (Delivering Oral Vaccine Effectively) project, which conducts research on the most appropriate and effective ways to deliver oral cholera vaccine. In the photo essay Not a Safe Drop to Drink, she documents the challenging conditions faced by fishing communities in Zambia and the government’s effort to protect them from the threat of cholera. Together we can #EndCholera, a GTFCC film.

About GTFCC: The Global Task Force on Cholera Control (GTFCC) is a global network of organizations that brings together partners involved in the fight against cholera across all sectors, offering an effective country-driven platform that promotes a multi-sectoral, well-coordinated approach. The GTFCC provides a strong framework to support countries in intensifying efforts to control cholera.

Media Contacts.
Yemi Lufadeju.
Communication Specialist. UNICEF. Tel: +1 917 213 4034. Tel: + 1 212 326 7029. Email:
glufadeju@unicef.org. Christian Lindmeier. WHO. Tel: +4179 500 6552. Email:
lindmeierch@who.int.

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