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Democratic Republic of the Congo: Épidémie d`Ebola confirmée en RDC : ALIMA lance une intervention d'urgence

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Source: ALIMA
Country: Democratic Republic of the Congo

Dakar/Kinshasa, le 12 mai 2017. Suite à la confirmation d’un cas de fièvre Ebola dans la province du Bas-Uélé, en République Démocratique du Congo, l’organisation médicale ALIMA (The Alliance For International Medical Action) lance une intervention d’urgence. L’ONG, présente dans le pays depuis 2011, envoie sur place du matériel, des médecins, des infirmiers, des logisticiens et des spécialistes en hygiène et assainissement.

« Nous avons eu la confirmation qu’un prélèvement effectué il y a dix jours par le Ministère de la santé était positif à la souche Zaïre du virus Ebola. Notre équipe d’investigation se rend à Likati avec du matériel de protection et des médicaments pour prendre en charge les cas suspects et confirmés », explique Dr Moumouni Kinda, responsable des programmes pour ALIMA.

Dans la zone de santé de Likati, située dans la province du Bas-Uélé, au moins 9 cas suspects dont trois décès ont été enregistrés. « Nous travaillons en collaboration avec le Ministère de la santé congolais et mettons tout en œuvre pour éviter la propagation de l’épidémie », poursuit Moumouni Kinda. « Il est primordial que tous les acteurs travaillent en coordination pour déployer une assistance médicale d’urgence car les populations vivent dans une zone isolée géographiquement où l’accès aux soins est extrêmement limité ».

Des mesures de contrôle de l’infection appropriées, la recherche active de personnes contacts ainsi qu’une surveillance épidémiologique doivent être mis en place rapidement pour circonscrire l’épidémie.

Une équipe composée de médecins, infirmiers, d’un épidémiologiste, de logisticiens et d’experts en matière d'hygiène et d'assainissement viendront renforcer l'équipe ALIMA présente dans la province du Bas-Uélé dans les 48 heures.

Le soutien de Start Fund a permis à ALIMA de déployer rapidement une assistance médicale d’urgence dans des zones particulièrement difficiles d’accès.

The Alliance For International Medical Action (ALIMA) est une organisation médicale humanitaire qui travaille main dans la main avec un réseau d'organisations médicales locales pour fournir des soins médicaux de qualité aux personnes les plus vulnérables lors de situations d'urgence et de crises récurrentes. ALIMA et ses partenaires effectuent des recherches de pointe pour améliorer la médecine humanitaire.

Basée à Dakar, au Sénégal, ALIMA a traité plus de 2 millions de patients dans 12 pays depuis sa création en 2009 et a lancé 10 projets de recherche axés sur la malnutrition, le paludisme, et le virus Ebola.


Somalia: East Africa Seasonal Monitor, May 12, 2017

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Source: Famine Early Warning System Network
Country: Burundi, Democratic Republic of the Congo, Djibouti, Ethiopia, Kenya, Rwanda, Somalia, South Sudan, Uganda, United Republic of Tanzania, Yemen

Rains intensify across the region in late April, early May

KEY MESSAGES

  • Late season rains intensified across the region during the past several weeks, reducing rainfall deficits across some drought-affected areas of the Eastern Horn. While these rains are likely to contribute to improvements in cropping prospects and pasture and water availability in some areas, flooding has already resulted in damage in localized areas of Kenya, and may affect parts of Ethiopia and southern Somalia in the coming weeks.

  • Recent increases in rainfall have improved cropping prospects in main agricultural production areas of Kenya, Uganda, Rwanda, Burundi,
    DRC, and northern Tanzania. However, in parts of southern Somalia and marginal agricultural zones of southeastern Kenya, the shortened growing period associated with a late onset and likely normal cessation of seasonal rainfall is likely to result in reduced yields.

  • The short- to medium-term rainfall forecasts indicate increased likelihood for continued very heavy rainfall across coastal areas and western and northern areas of East Africa, which is typical during May and early June and contributes to heightened flood risks.

Democratic Republic of the Congo: Ebola virus disease – Democratic Republic of the Congo

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Source: World Health Organization
Country: Democratic Republic of the Congo

On 9 May 2017, WHO was informed of a cluster of undiagnosed illness and deaths including haemorrhagic symptoms in Likati Health Zone, Bas Uele Province in the north of the Democratic Republic of the Congo (DRC), bordering Central African Republic. Since 22 April, nine cases including three deaths have been reported. Six cases are currently hospitalized.

On 11 May 2017, the Ministry of Health (MoH) of DRC informed WHO that of the five samples collected from suspected cases, one tested positive by RT-PCR for Ebola virus subtype Zaire at the Institut National de Recherche Biomédicale (INRB) in Kinshasa. Additional specimens are currently being tested and results, including sequencing, are awaited to describe the outbreak.

On 10 May 2017, a multidisciplinary team led by the MoH and supported by WHO and partners was deployed to the field and are expected to reach the affected area on 12 or 13 May 2017 to conduct an in depth field investigation.

The investigation is currently ongoing and information is available for only three of the suspected cases: The first case (and possibly the index case), a 39-year-old male presented onset of symptoms on 22 April 2017 and deceased on arrival at the health facility. He presented with haematuria, epistaxis, bloody diarrhoea, and haematemesis. Two contacts of this case are being investigated: a person who took care of him during transport to the health care facility (he has since developed similar symptoms) and a moto-taxi driver (deceased) who transported the patient to the health care facility.

Personal Protective Equipment (PPE) for health care workers has been shipped on 12 May 2017 to Kisangani. Additional kits are currently being prepared and will be shipped as soon as available.

Background and epidemiological situation

On 20 November 2014, as per WHO recommendations, the MoH of DRC and WHO declared the end of the EVD outbreak that started on 24 August 2014 and resulted in a total of 38 laboratory confirmed cases and 28 probable case including 49 deaths in Boende, Equateur province. This was the seventh outbreak of EVD since its discovery in 1976 in DRC.

  • 2014: 66 cases of EVD including 49 deaths diagnosed initially in Equateur province (Watsi Kengo, Lokolia, Boende, and Boende Muke).
  • 2012: 36 cases including 13 deaths Orientale province - Isiro (Bundibugyo virus).
  • 2008–2009: 32 cases including 15 deaths in Kasaï-Occidental (Zaire virus).
  • 2007: 264 cases including 187 deaths in Kasaï-Occidental (Zaire virus).
  • 1995: 315 cases and 250 deaths occurred in Kikwit and surrounding area.
  • 1977: 1 case (Zaire virus).
  • 1976: 318 cases including 280 deaths in Yambuku (Zaire virus).

There are five identified subtypes of Ebola virus. The subtypes have been named after the location where they have been first detected. Three of the five subtypes have been associated with large Ebola haemorrhagic fever (EHF) outbreaks in Africa. Ebola–Zaire, Ebola–Sudan and Ebola–Bundibugyo. EHF is a febrile haemorrhagic illness which causes death in 25–90% of all cases.

Public health response

The following public health response measures have been implemented:

The national committee against viral haemorrhagic fever has been reactivated and will continue meeting every day to coordinate the response. Strengthening of surveillance and investigation including contact tracing are ongoing. WHO will provide assistance and technical support. The deployment to DRC of an additional WHO multidisciplinary team is currently considered to support the response of national authorities. The Global Outbreak Alert and Response Network (GOARN) has been activated to provide additional support if required. The need and feasibility of potential Ebola ring vaccination is being discussed.

WHO risk assessment

To date, the outbreak is reported in a remote and hard to reach area and appears to be geographically relatively limited. However, Investigations are ongoing to assess the full extent of the outbreak and therefore high vigilance still needs to be maintained.

WHO does not recommend any restriction of travel and trade to DRC based on the currently available information.

Democratic Republic of the Congo: Ebola virus disease – Democratic Republic of the Congo: Disease outbreak news, 13 May 2017

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Source: World Health Organization
Country: Democratic Republic of the Congo

On 9 May 2017, WHO was informed of a cluster of undiagnosed illness and deaths including haemorrhagic symptoms in Likati Health Zone, Bas Uele Province in the north of the Democratic Republic of the Congo (DRC), bordering Central African Republic. Since 22 April, nine cases including three deaths have been reported. Six cases are currently hospitalized.

On 11 May 2017, the Ministry of Health (MoH) of DRC informed WHO that of the five samples collected from suspected cases, one tested positive by RT-PCR for Ebola virus subtype Zaire at the Institut National de Recherche Biomédicale (INRB) in Kinshasa. Additional specimens are currently being tested and results, including sequencing, are awaited to describe the outbreak.

On 10 May 2017, a multidisciplinary team led by the MoH and supported by WHO and partners was deployed to the field and are expected to reach the affected area on 12 or 13 May 2017 to conduct an in depth field investigation.

The investigation is currently ongoing and information is available for only three of the suspected cases: The first case (and possibly the index case), a 39-year-old male presented onset of symptoms on 22 April 2017 and deceased on arrival at the health facility. He presented with haematuria, epistaxis, bloody diarrhoea, and haematemesis. Two contacts of this case are being investigated: a person who took care of him during transport to the health care facility (he has since developed similar symptoms) and a moto-taxi driver (deceased) who transported the patient to the health care facility.

Personal Protective Equipment (PPE) for health care workers has been shipped on 12 May 2017 to Kisangani. Additional kits are currently being prepared and will be shipped as soon as available.

Background and epidemiological situation

On 20 November 2014, as per WHO recommendations, the MoH of DRC and WHO declared the end of the EVD outbreak that started on 24 August 2014 and resulted in a total of 38 laboratory confirmed cases and 28 probable case including 49 deaths in Boende, Equateur province. This was the seventh outbreak of EVD since its discovery in 1976 in DRC.

  • 2014: 66 cases of EVD including 49 deaths diagnosed initially in Equateur province (Watsi Kengo, Lokolia, Boende, and Boende Muke).
  • 2012: 36 cases including 13 deaths Orientale province - Isiro (Bundibugyo virus).
  • 2008–2009: 32 cases including 15 deaths in Kasaï-Occidental (Zaire virus).
  • 2007: 264 cases including 187 deaths in Kasaï-Occidental (Zaire virus).
  • 1995: 315 cases and 250 deaths occurred in Kikwit and surrounding area.
  • 1977: 1 case (Zaire virus).
  • 1976: 318 cases including 280 deaths in Yambuku (Zaire virus).

There are five identified subtypes of Ebola virus. The subtypes have been named after the location where they have been first detected. Three of the five subtypes have been associated with large Ebola haemorrhagic fever (EHF) outbreaks in Africa. Ebola–Zaire, Ebola–Sudan and Ebola–Bundibugyo. EHF is a febrile haemorrhagic illness which causes death in 25–90% of all cases.

Public health response

The following public health response measures have been implemented:

The national committee against viral haemorrhagic fever has been reactivated and will continue meeting every day to coordinate the response. Strengthening of surveillance and investigation including contact tracing are ongoing. WHO will provide assistance and technical support. The deployment to DRC of an additional WHO multidisciplinary team is currently considered to support the response of national authorities. The Global Outbreak Alert and Response Network (GOARN) has been activated to provide additional support if required. The need and feasibility of potential Ebola ring vaccination is being discussed.

WHO risk assessment

To date, the outbreak is reported in a remote and hard to reach area and appears to be geographically relatively limited. However, Investigations are ongoing to assess the full extent of the outbreak and therefore high vigilance still needs to be maintained.

WHO does not recommend any restriction of travel and trade to DRC based on the currently available information.

Democratic Republic of the Congo: WHO Regional Director for Africa, Dr Matshidiso Moeti arrives in Kinshasa to discuss response to Ebola outbreak

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Source: World Health Organization
Country: Democratic Republic of the Congo

KINSHASA, 13 May 2017 - The WHO Regional Director for Africa, Dr. Matshidiso Moeti today visited Kinshasa (DR Congo) to discuss with national authorities and partners ways to mount a rapid, effective and coherent response in order to stop the ongoing Ebola outbreak.

The visit follows notification by the DRC Government of an outbreak of Ebola virus disease in Likati health zone, Bas Uele Province, in the northern part of the country bordering Central African Republic. The Likati health zone is around 1400 kilometers from the capital. As of today, 11 suspected cases including 3 deaths have been reported.

Speaking at the meeting, Dr Moeti said: “I am here to assure the government of DR Congo that in collaboration with the UN system and other partners, we will work together to respond to this outbreak. WHO has already mobilized technical experts to be deployed on the ground and is ready to provide the leadership and technical expertise required to mount a coordinated and effective response. I encourage to public to work with the health authorities and take the necessary preventive measures to protect their health."

On 10 May 2017, a multidisciplinary team led by the Ministry of Health (MoH) and supported by WHO, under the new WHO Emergency Programme, and partners, was deployed to the Likati health zone, Bas Uele Province to conduct an in-depth field investigation. The health zone is situated in the remote, isolated and hard-to-reach northern part of the country, with limited transport and communication networks - factors that all impeded transmission of information about the suspected outbreak. Currently it takes about 2-3 days to reach the epicenter from Kinshasa.

The Global Outbreak Alert and Response Network (GOARN) has been activated to provide additional support if required. Reinforcement of epidemiological surveillance, contact tracing, case management, and community engagement are under way.

“We are grateful to WHO and other partners for the swift support in carrying out investigations that led to the confirmation of this outbreak," said Dr. Oly Ilunga Kalenga, the Minister of Health of DR Congo. "A strong multi-sectoral response, better coordination, public awareness, community engagement and ade-quate resources will be critical in our efforts to stop the outbreak," he added.

The first case occurred on 22 April in a 45-year-old male. He was transported by taxi to hospital and was dead on arrival. The driver also fell ill and later died. A third person who cared for the first case also be-came ill and has subsequently died. At present, 25 contacts of the second patient who died are being fol-lowed. Of the cases and deaths, 1 has been tested PCR-positive for Ebola

This is the eighth outbreak of Ebola virus disease since its discovery in 1976 in the Democratic Republic of Congo. On 20 November 2014, in line with WHO recommendations, the Ministry of Health of DRC and WHO declared the end of the Ebola Virus disease outbreak that started on 24 August 2014 and resulted in a total of 38 laboratory confirmed cases and 28 probable cases including 49 deaths in Boende, Equateur province.

• 2014: 66 cases of EVD including 49 deaths diagnosed initially in Equateur province (Watsi Kengo, Lokolia, Boende, and Boende Muke)

• 2012: 62 cases including 34 deaths Orientale Province -Isiro (Bundibugyo virus)

• 2008-2009: 32 cases including 15 deaths in Kasaï-Occidental (Zaire virus)

• 2007: 264 cases including 187 deaths in Kasaï-Occidental (Zaire virus)

• 1995: 317 cases including 245 deaths, in Kikwit, Bandundu Province

• 1977: 1 case with 1 death in Tandala, Equateur Province

• 1976: 318 cases including 280 deaths in Yambuku - (Zaire virus)

The full extent of the 2017 outbreak is still not yet clear. Extensive investigation and risk assessments are being conducted and the findings will be communicated accordingly. WHO does not recommend any re-striction of travel and trade to DRC based on the currently available information.

End


For more information, please contact:

Dr Allarangar Yokouidé, WHO Representative, Kinshasa, DR Congo Email: allarangaryo@who.int
Dr François Nguessan, Regional Adviser, Emergency Operations, Tel: +4724139630 Mobile +242065109645, Email: nguessanf@who.int
Dr Ernest Dabiré, Health Cluster Coordinator, DRC, +243 817006416, dabireer@who.int

Eugene Kabambi, Communications Officer Tel: Mobile: +243817151697 -mail: Kabambie@who.int
Collins Boakye-Agyemang, Communications Adviser (Congo), Telephone: +47-241-39420 Mobile: +242 065 20 6565, Email: boakyeagyemangc@who.int

Democratic Republic of the Congo: Ebola Confirmed in DRC, MSF to Launch Emergency Intervention

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Source: Médecins Sans Frontières
Country: Democratic Republic of the Congo

One case of Ebola has been confirmed by the World Health Organization (WHO) in the Likati Health Zone of Bas-Uele Province in the north of the Democratic Republic of Congo (DRC). A total of nine cases, including three deaths so far, are being investigated.

On Saturday, May 13, Doctors Without Borders/Médecins Sans Frontières (MSF) will send a 14-person team comprising doctors, nurses, logisticians, water and sanitation experts, health promoters, and an epidemiologist to Likati to launch an emergency intervention, in coordination with a 10-person team from the Congolese Ministry of Health.

Along with organizations already present in the area, the MSF emergency team will conduct an assessment of the situation and may construct an Ebola treatment center and help care for those suspected or confirmed to be affected by the virus. If required, MSF may also assist local health posts with the triage and referral of suspected Ebola patients.

Fifteen metric tons of medical and logistical supplies will be sent by cargo plane from Kinshasa to allow the team to immediately begin their intervention in Likati.

Democratic Republic of the Congo: The Sentinel Project Launches New Initiative in North Kivu

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Source: The Sentinel Project
Country: Democratic Republic of the Congo

Sentinel has launched a civilian protection pilot project in partnership with at-risk communities in the North Kivu region of the Democratic Republic of the Congo (DRC). Called Kijiji Cha Amani (Swahili for ‘peace village’), the project focuses on establishing safe zones for civilian populations, effective prevention measures, and violence mitigation. Additionally, the project addresses the role that misinformation and propaganda plays in sparking and prolonging violence while implementing peace building, training and inter-communal cooperation activities.

The conflict in North Kivu is extremely complex, owing to the existence of many belligerents, natural resource conflict and violence with spills over from and into other bordering regions, along with sustained human rights abuses committed by nearly all sides. Our efforts will be directed at addressing human security and violence prevention first and foremost in order to help establish the kind of stability that will allow additional community building and inter-communal activities to take place.

The project will be utilizing open source tools developed by Sentinel and is based on the protocols and practices established through our other active field operations, specifically our work in Kenya and Burma (Myanmar). The long term objective will be to expand the project further within the DRC and Great Lakes region after demonstrating the value of the pilot phase.

Democratic Republic of the Congo: ACAPS Briefing Note: DR - Congo: Update on displacement in Kasai-Central and neighbouring provinces

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Source: Assessment Capacities Project
Country: Angola, Democratic Republic of the Congo

Crisis overview - Update since 28 April:

As of 5 May, approximately 1.27 million people are currently displaced by Kamuina Nsapu militia activities in the region since August 2016. This is an increase of 100,000 new IDPs since 28 April, and of 23% (8,000 new IDPs) per day on average since mid-April. As of 8 May, over 20,500 Congolese have fled to Angola since January.

Since August 2016, armed clashes between militia loyal to Kamuina Nsapu (KN) and the Armed Forces of DRC (FARDC) have occurred in Kasai-Central, Kasai Oriental, Kasai, Lomami, and Sankuru. As of mid-April 2017, at least 400 deaths have been recorded, including many civilians, but the number is likely higher. Figures are likely underestimated due to lack of access.

Key findings

Anticipated scope and scale

Clashes are expected to continue in Kasai-Central, Kasai Oriental, Kasai, Lomami, and Sankuru, and to further spread in the neighbouring provinces of Lualaba and Haut-Lomami, driving further displacement. Conflict dynamics are evolving along ethnic lines, which could trigger new displacement.

Priorities

  • Food: Displaced population faces food insecurity as food stock and animals have been looted. Agricultural activities have been disrupted.

  • Health: Update: Vaccination programmes have been disrupted in the province of Kasai-Central.
    One in three health centres are no longer functional. Many health facilities are non-operational or non-accessible and a lack of medicines has been reported as access is limited, hindering supplies.

  • Protection: 2,000 have been recruited by KN militia, and many more are at high risk of recruitment by militia. 4,000 children have been separated from their families due to conflictinduced displacement.
    Humanitarian constraints Humanitarian access has been severely constrained due to conflict. Seven out of 16 territories in the five conflict-affected areas are not accessible due to security constraints.


Democratic Republic of the Congo: Africa Centres for Disease Control and Prevention activates the Emergency Operational Centre to monitor the Ebola Outbreak in the Democratic Republic of Congo

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Source: African Union
Country: Democratic Republic of the Congo

Team of experts on standby for deployment to respond to the emergency

Addis Ababa, 14 May 2017- The Africa Centres for Disease Control and Prevention on Saturday activated the Emergency Operational Centre to monitor the Ebola Outbreak in the Democratic Republic of Congo and developed a concept of operations for the emergency.

‘The Africa Centres for Disease Control and Prevention has activated its Emergency Operation Centre to closely monitor the situation. A team of experts is on standby for deployment to respond to the emergency based on the needs on the ground as we work on the modalities with the government authorities in the DRC and coordinate with the WHO and partners’ said Dr. John Nkengasong, the Director of the Africa CDC.

The Africa Centres for Disease Control and Prevention Surveillance and Response Unit is an Africa wide mechanism to monitor disease outbreaks on the continent. Since 22 April 2017 the ministry of health of the DRC reported 11 suspected Ebola cases in the Likati health zone, Bas Uele Province in the north, bordering the Central Africa Republic. The National Institute of Biomedical Research in Kinshasa on 11 May 2017 confirmed one positive case among the five samples collected. The first suspected case is of a 39-year-old male who presented onset symptoms on 22 April 2017 and died on arrival at a health facility. The DRC has reactivated the inter-agency national committee against Ebola that is meeting every day to coordinate the response. Strengthening of surveillance and investigation including contact tracing are ongoing.

The DRC has experienced Ebola outbreaks since 1976. The previously reported outbreaks in the DRC include in 2014 where 66 cases of Ebola including 49 deaths occurred in the Equateur province; 2012 where 36 cases including 13 deaths were reported in Orientale province; 2008 to 2009 were 32 cases including 15 deaths were reported in Kasai; 2007 where 264 cases including 187 deaths were reported in Kasai; 1995 were 315 cases and 250 deaths occurred in Kikwit and in 1976 where 318 cases including 280 deaths were reported in Yambuku.

The Ebola Virus Disease (EVD) epidemic poses a public health emergency that can affect the whole world and affect the socio-economic and structural transformation of Africa. The first human outbreaks occurred in 1976 in northern DRC in Central Africa, then in South Sudan and recently in 2014 Sierra Leone, Liberia and Guinea faced the most acute Ebola epidemic. Worldwide, more than 28,600 people were infected and 11,300 died. The countries at the epicentre of the epidemic then have all been Ebola-free since at least June of last year. The virus is named after the Ebola River, where the virus was first recognized in 1976, according to the United States Center for Diseases Control (CDC). Humans can be infected by other humans if they come in contact with body fluids from an infected person or contaminated objects from infected persons. Humans can also be exposed to the virus, for example, by butchering infected animals.

About the Africa CDC

The Africa CDC supports all African Countries to improve surveillance, emergency response, and prevention of infectious diseases. This includes addressing outbreaks, man-made and natural disasters, and public health events of regional and international concern. It further seeks to build the capacity to reduce disease burden on the continent.

For media inquiries:

Tawanda Chisango | Advocacy and Partnerships Expert | Department of Social Affairs | African Union Commission I E-mail: chisangot@african-union.org I Tel: +251934167052

Central African Republic: Le Coordonnateur Humanitaire lance une alerte sur les premices d’une nouvelle crise humanitaire en Centrafrique

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Democratic Republic of the Congo

Bangui, le 15 mai 2017 – La ville de Bangassou dans la Préfecture du Mbomou (Sud-Est de la RCA) est le théâtre d’une violence aveugle depuis le 13 mai après un assaut mené par des hommes armés non identifiés. Des attaques ciblées contre le quartier de Tokoyo essentiellement habité par la population musulmane et des déplacements massifs de population s’en sont suivis. En l’espace de quelques heures une violence intense a contraint plus de 3 000 personnes à un déplacement forcé. A l’heure actuelle, près de 1 000 personnes sont prises en otage dans l’enceinte de la Mosquée avec la menace d’une attaque imminente qui pèse sur eux. La Cathédrale de Bangassou accueille environ 1 500 personnes et 500 autres ont trouvé refuge à l’hôpital. Un nombre inconnu de déplacés s’est également réfugié à la paroisse de Tokoyo. Un nombre encore inconnu de personnes a traversé la frontière vers la République démocratique du Congo (RDC) où un foyer de la fièvre à virus Ebola vient d’être déclaré dans une localité située à près de 250 km de la frontière.

« Cette violence est inquiétante au plus haut point dans la mesure où elle renoue avec la stigmatisation communautaire, un des ferments de la crise politique de 2013 qui avait valu à la Centrafrique plus de 800 000 déplacés et une crise humanitaire sans précédent dont les stigmates sont encore frais » a regretté le Coordonnateur humanitaire en République centrafricaine, Najat Rochdi. Bangassou avait jusqu’à présent été épargné par la violence intercommunautaire et était présenté comme un modèle de cohésion sociale. Najat Rochdi a condamné avec la dernière énergie cette stigmatisation d’une communauté et les violations des droits de l’Homme qui en découlent.

La situation de Bangassou est d’autant plus dramatique que le niveau de violence ne permet pas encore de venir en aide aux blessées et de donner une sépulture digne aux défunts. En effet, des hommes armés ont procédé à la destruction de tous les ponts de Bangassou et à l’occupation des axes routiers. « Cette tendance regrettable met à mal les mécanismes de protection des civils ainsi que la capacité des acteurs humanitaires à atteindre les populations affectées et celle des populations touchées à accéder à l’aide » a- déploré Mme Rochdi. La communauté humanitaire est prête à déclencher les premières interventions dès les premiers signes d’accalmie.

L’ONG « Médecins sans Frontières » assure d’ores et déjà des activités vitales à l’hôpital de Bangassou. Dans l’esprit du Stay and Deliver, le Coordonnateur humanitaire a salué le courage des acteurs qui ont maintenu leur présence à Bangassou afin de continuer à sauver des vies même dans un contexte extrêmement instable.

La crise en cours à Bangassou générera inévitablement de nouveaux besoins qui n’étaient pas prévus dans la réponse humanitaire et par conséquent un financement supplémentaire sera nécessaire afin de venir en aide à ceux dont la vulnérabilité sera exacerbée. « Je déplore que la situation humanitaire se dégrade autant à Bangassou alors que les efforts de plaidoyer pour un soutien accru auprès des partenaires techniques et financiers de la République centrafricaine commencent à donner des fruits encourageants » a décrié le Coordonnateur humanitaire. « J’exhorte les auteurs de cette recrudescence de la violence à ne pas perdre de vue qu’en RCA la moitié de la population dépend encore de l’aide » a-t-elle ajouté. A ce jour, le Plan de réponse humanitaire d’un montant de 399,5 millions de dollars n’a reçu qu’un financement de 64,8 millions soit 16% du montant requis.
Pour plus d’informations, veuillez contacter OCHA RCA

Joseph Inganji, Chef de bureau, +236 70 73 87 30, inganji@un.org

Yaye Nabo Séne, Cheffe de section, Information publique + 236 70 08 75 65, seney@un.org

Les communiqués de presses d’OCHA sont disponibles sur www.unocha.org ou www.reliefweb.int

Democratic Republic of the Congo: République Démocratique du Congo : Province du Bas-Uele : General Logistics Planning Map - mai 2017

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

South Sudan: Over US$1.4 billion needed for South Sudan refugees in 2017

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Source: World Food Programme, UN High Commissioner for Refugees
Country: Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, South Sudan, Sudan, Uganda

GENEVA – The UN Refugee Agency and the World Food Programme today urged donors to step up support for desperate refugees fleeing South Sudan. Humanitarian agencies are seeking US$ 1.4 billion to provide life-saving aid to South Sudanese refugees in the six neighbouring countries until the end of 2017 – according to an updated response plan presented in Geneva on Monday.

The South Sudanese refugee response plan so far remains only 14 per cent funded.

“Bitter conflict and deteriorating humanitarian conditions in South Sudan are driving people from their homes in record numbers,” said UN High Commissioner for Refugees Filippo Grandi.

The situation in South Sudan continues to worsen – with a combination of conflict, drought and famine leading to further displacement and a rapid exodus of people fleeing one of the world’s most severe crises.

“The suffering of the South Sudanese people is just unimaginable,” said WFP Executive Director David Beasley. “They are close to the abyss. Violence is at the root of this crisis. Aid workers often cannot reach the most vulnerable hungry people. Many are dying from hunger and disease, many more have fled their homeland for safety abroad.”

South Sudan has now become the world’s fastest-growing refugee crisis, with more than 1.8 million refugees – including one million children – having sought safety in Uganda, Sudan, Ethiopia, Kenya, Democratic Republic of the Congo and Central African Republic.

The current rate of people fleeing South Sudan exceeds the humanitarian community’s already pessimistic estimates. For example, the number of people fleeing to Sudan in March surpassed the expected figure for the entire year. Uganda is also seeing higher than expected arrivals and at this rate is likely to soon host over one million South Sudanese refugees.

“Our funding situation forced us to cut food rations for many refugees in Uganda,” Beasley said. “I find that unacceptable, and I hope you do too. These are families like yours and mine, our brothers and sisters, and the world must help them now – not later. Please help us do the job these people need us to do.”

UNHCR welcomed the outstanding generosity refugees have received in South Sudan’s neighbouring countries, but is alarmed by a situation which is now critical.

“Countries like Uganda have done all one could expect, but won’t be able to sustain support for refugees unless the rest of the world steps up,” warned UNHCR’s Grandi while presenting the revised needs to donors in Geneva.

With acute underfunding, humanitarian agencies are struggling to provide food, water, nutrition support, shelter and health services to refugees.

Communities hosting refugees are among the world’s poorest and are under immense pressure.

“Helping refugees is not just about providing emergency aid,” said UNHCR’s Grandi. “It also means supporting governments and communities in neighbouring countries to shore up services and economies in the areas receiving them.”

UNHCR coordinates the overall response with governments, humanitarian agencies as well as with refugees and host communities. Currently Uganda hosts some 898,000 refugees, with 375,000 in Sudan, 375,000 in Ethiopia, 97,000 in Kenya, 76,000 in the Democratic Republic of the Congo (DRC) and 2,200 in Central African Republic (CAR).

WFP provides food and cash assistance to more than 1.8 million refugees in the neighbouring countries. The updated response plan does not cover humanitarian needs of around two million people displaced internally in South Sudan.

Uganda: Over US$1.4 billion needed for South Sudan refugees in 2017

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Source: World Food Programme, UN High Commissioner for Refugees
Country: Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, South Sudan, Sudan, Uganda

GENEVA – The UN Refugee Agency and the World Food Programme today urged donors to step up support for desperate refugees fleeing South Sudan. Humanitarian agencies are seeking US$ 1.4 billion to provide life-saving aid to South Sudanese refugees in the six neighbouring countries until the end of 2017 – according to an updated response plan presented in Geneva on Monday.

The South Sudanese refugee response plan so far remains only 14 per cent funded.

“Bitter conflict and deteriorating humanitarian conditions in South Sudan are driving people from their homes in record numbers,” said UN High Commissioner for Refugees Filippo Grandi.

The situation in South Sudan continues to worsen – with a combination of conflict, drought and famine leading to further displacement and a rapid exodus of people fleeing one of the world’s most severe crises.

“The suffering of the South Sudanese people is just unimaginable,” said WFP Executive Director David Beasley. “They are close to the abyss. Violence is at the root of this crisis. Aid workers often cannot reach the most vulnerable hungry people. Many are dying from hunger and disease, many more have fled their homeland for safety abroad.”

South Sudan has now become the world’s fastest-growing refugee crisis, with more than 1.8 million refugees – including one million children – having sought safety in Uganda, Sudan, Ethiopia, Kenya, Democratic Republic of the Congo and Central African Republic.

The current rate of people fleeing South Sudan exceeds the humanitarian community’s already pessimistic estimates. For example, the number of people fleeing to Sudan in March surpassed the expected figure for the entire year. Uganda is also seeing higher than expected arrivals and at this rate is likely to soon host over one million South Sudanese refugees.

“Our funding situation forced us to cut food rations for many refugees in Uganda,” Beasley said. “I find that unacceptable, and I hope you do too. These are families like yours and mine, our brothers and sisters, and the world must help them now – not later. Please help us do the job these people need us to do.”

UNHCR welcomed the outstanding generosity refugees have received in South Sudan’s neighbouring countries, but is alarmed by a situation which is now critical.

“Countries like Uganda have done all one could expect, but won’t be able to sustain support for refugees unless the rest of the world steps up,” warned UNHCR’s Grandi while presenting the revised needs to donors in Geneva.

With acute underfunding, humanitarian agencies are struggling to provide food, water, nutrition support, shelter and health services to refugees.

Communities hosting refugees are among the world’s poorest and are under immense pressure.

“Helping refugees is not just about providing emergency aid,” said UNHCR’s Grandi. “It also means supporting governments and communities in neighbouring countries to shore up services and economies in the areas receiving them.”

UNHCR coordinates the overall response with governments, humanitarian agencies as well as with refugees and host communities. Currently Uganda hosts some 898,000 refugees, with 375,000 in Sudan, 375,000 in Ethiopia, 97,000 in Kenya, 76,000 in the Democratic Republic of the Congo (DRC) and 2,200 in Central African Republic (CAR).

WFP provides food and cash assistance to more than 1.8 million refugees in the neighbouring countries.

The updated response plan does not cover humanitarian needs of around two million people displaced internally in South Sudan.

Central African Republic: Le Coordonnateur Humanitaire lance une alerte sur les prémices d’une nouvelle crise humanitaire en Centrafrique

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Democratic Republic of the Congo

Bangui, le 15 mai 2017 – La ville de Bangassou dans la Préfecture du Mbomou (Sud-Est de la RCA) est le théâtre d’une violence aveugle depuis le 13 mai après un assaut mené par des hommes armés non identifiés. Des attaques ciblées contre le quartier de Tokoyo essentiellement habité par la population musulmane et des déplacements massifs de population s’en sont suivis. En l’espace de quelques heures une violence intense a contraint plus de 3 000 personnes à un déplacement forcé. A l’heure actuelle, près de 1 000 personnes sont prises en otage dans l’enceinte de la Mosquée avec la menace d’une attaque imminente qui pèse sur eux. La Cathédrale de Bangassou accueille environ 1 500 personnes et 500 autres ont trouvé refuge à l’hôpital. Un nombre inconnu de déplacés s’est également réfugié à la paroisse de Tokoyo. Un nombre encore inconnu de personnes a traversé la frontière vers la République démocratique du Congo (RDC) où un foyer de la fièvre à virus Ebola vient d’être déclaré dans une localité située à près de 250 km de la frontière.

« Cette violence est inquiétante au plus haut point dans la mesure où elle renoue avec la stigmatisation communautaire, un des ferments de la crise politique de 2013 qui avait valu à la Centrafrique plus de 800 000 déplacés et une crise humanitaire sans précédent dont les stigmates sont encore frais » a regretté le Coordonnateur humanitaire en République centrafricaine, Najat Rochdi. Bangassou avait jusqu’à présent été épargné par la violence intercommunautaire et était présenté comme un modèle de cohésion sociale. Najat Rochdi a condamné avec la dernière énergie cette stigmatisation d’une communauté et les violations des droits de l’Homme qui en découlent.

La situation de Bangassou est d’autant plus dramatique que le niveau de violence ne permet pas encore de venir en aide aux blessées et de donner une sépulture digne aux défunts. En effet, des hommes armés ont procédé à la destruction de tous les ponts de Bangassou et à l’occupation des axes routiers. « Cette tendance regrettable met à mal les mécanismes de protection des civils ainsi que la capacité des acteurs humanitaires à atteindre les populations affectées et celle des populations touchées à accéder à l’aide » a- déploré Mme Rochdi. La communauté humanitaire est prête à déclencher les premières interventions dès les premiers signes d’accalmie.

L’ONG « Médecins sans Frontières » assure d’ores et déjà des activités vitales à l’hôpital de Bangassou. Dans l’esprit du Stay and Deliver, le Coordonnateur humanitaire a salué le courage des acteurs qui ont maintenu leur présence à Bangassou afin de continuer à sauver des vies même dans un contexte extrêmement instable.

La crise en cours à Bangassou générera inévitablement de nouveaux besoins qui n’étaient pas prévus dans la réponse humanitaire et par conséquent un financement supplémentaire sera nécessaire afin de venir en aide à ceux dont la vulnérabilité sera exacerbée. « Je déplore que la situation humanitaire se dégrade autant à Bangassou alors que les efforts de plaidoyer pour un soutien accru auprès des partenaires techniques et financiers de la République centrafricaine commencent à donner des fruits encourageants » a décrié le Coordonnateur humanitaire. « J’exhorte les auteurs de cette recrudescence de la violence à ne pas perdre de vue qu’en RCA la moitié de la population dépend encore de l’aide » a-t-elle ajouté. A ce jour, le Plan de réponse humanitaire d’un montant de 399,5 millions de dollars n’a reçu qu’un financement de 64,8 millions soit 16% du montant requis.

Pour plus d’informations, veuillez contacter OCHA RCA

Joseph Inganji, Chef de bureau, +236 70 73 87 30, inganji@un.org

Yaye Nabo Séne, Cheffe de section, Information publique + 236 70 08 75 65, seney@un.org

Les communiqués de presses d’OCHA sont disponibles sur www.unocha.org ou www.reliefweb.int

Central African Republic: Humanitarian Coordinator Alerts on Early Signs of a New Humanitarian Crisis in Central Africa

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Democratic Republic of the Congo

Bangui, 15 May 2017– The city of Bangassou in the Mbomou Prefecture (South-Eastern CAR) has been the scene of indiscriminate violence since May 13 when an assault was launched by unidentified gunmen on the Tokoyo district, which is mainly inhabited by the Muslim population. Massive displacement of population followed. Within hours, intense violence forced more than 3,000 people to flee their homes. At present, nearly 1,000 people are confined in the Mosque compound following threats of an imminent attack on them. The Cathedral of Bangassou is home to about 1,500 people, while 500 others have taken refuge in the town’s hospital. An unknown number of displaced persons also took refuge in the parish of Tokoyo. Another unknown number of people have crossed the border into the Democratic Republic of Congo, where an outbreak of Ebola virus was recently reported in a town located about 250 km from the border with CAR.

"This violence is of the utmost concern as it returns the country to the stigmatization of communities, which instigated the political crisis in 2013 and resulted in more than 800,000 Internally Displaced People, and an unprecedented humanitarian crisis, "regretted the Humanitarian Coordinator in the Central African Republic, Najat Rochdi. Bangassou had so far been spared by inter-communal violence and was presented as a model of social cohesion. Najat Rochdi forcefully condemned this stigmatization of a community and the ensuing human rights violations.

The situation in Bangassou is all the more dramatic that the level of violence does not yet allow wounded to be attend or to bury the deceased. Indeed, armed men proceeded to the destruction of all the bridges of Bangassou and to the occupation of the road. "This regrettable trend undermines the mechanisms for the protection of civilians and the capacity of humanitarian actors to reach the affected populations and affected populations to access aid," said Ms. Rochdi. The humanitarian community is ready to initiate lifesaving interventions as soon as calm returns. The NGO "Doctors without Borders" is already providing vital assistance at the Bangassou hospital. In the spirit of “Stay and Deliver”, the Humanitarian Coordinator praised the courage of the actors who maintained their presence in Bangassou in order to continue saving lives even in an extremely unstable environment.

The ongoing crisis in Bangassou will inevitably generate new needs that were not foreseen in the humanitarian response. Additional funding will be needed to help those whose vulnerability will be exacerbated. "It is unfortunate that the humanitarian situation is deteriorating in Bangassou while advocacy efforts aimed at increasing donors ‘support to the Central African Republic are beginning to yield encouraging results," said the Humanitarian Coordinator. "I urge the perpetrators of this upsurge of violence not to lose sight of the fact that in CAR half of the population is still dependent on aid," she added. To date, the $ 399.5 million Humanitarian Response Plan has received only $ 64.8 million, or 16% of the required amount

For more information, please contact OCHA CAR
Joseph Inganji, Head of Office, +236 70738730, inganji@un.org
Yaye Nabo Séne, Chief, Public Information + 236 70 08 75 65, seney@un.org
Press releases are available on www.unocha.org or www.reliefweb.int


Democratic Republic of the Congo: WHO AFRO Outbreaks and other Emergencies, Week 19: 06 – 12 May 2017 (Data as reported by 17:00 12 May 2017)

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Source: World Health Organization
Country: Cabo Verde, Cameroon, Central African Republic, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Liberia, Madagascar, Niger, Nigeria, Sao Tome and Principe, Senegal, Sierra Leone, South Sudan, Togo, United Republic of Tanzania, Zimbabwe

Overview

  • This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 47 events: three Grade 3, six Grade 2, two Grade 1, and 36 ungraded events.

  • This week, three new events have been reported: outbreaks of Ebola virus disease in the Democratic Republic of Congo, dengue fever in Côte d’Ivoire and Crimean-Congo haemorrhagic fever in Senegal (imported from Mauritania). The bulletin also focuses on key ongoing events in the region, including the grade 3 humanitarian crises in Nigeria and South Sudan, the grade 2 humanitarian crisis in the Central African Republic and meningitis outbreak in Nigeria as well as the undiagnosed illness in Liberia.

  • 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 public health events currently being monitored in the region.

Major challenges to be addressed include:

  • The unprecedented occurrence of acute public health events in the African Region, calling for full implementation of the IHR and the regional strategy on health security and emergencies in the African Region.

  • There are subtle public health emergencies in the region that require comprehensive response and actions including advocacy and multi-sector engagement

New Events

Ebola Virus Disease Democratic Republic of Congo

11 Cases
3 Deaths
27.3% CFR

Event description

On 11 May 2017, the Ministry of Health of the Democratic Republic of Congo (DRC) notified WHO of an outbreak of Ebola virus dis- ease (EVD) in Likati health zone in Bas Uele province located in the north-eastern part of the country. The index case, a 39-year-old male, presented to the local health facility on 22 April 2017 with acute on- set fever, asthenia, vomiting, bloody diarrhoea, haematuria, epistaxis, and extreme fatigue. He was immediately referred to Likati health district facility but he died in transit. On 24 April 2017, a motorcycle rider (who transported the index case) and another person who supported the index case during transportation developed acute febrile illness. The motor cycle rider subsequently died on 26 April 2017.
Preliminary outbreak investigation carried out by the health team obtained 5 blood samples that were shipped to the Institut National de Recherché Biomédicale (INRB) in Kinshasa. Laboratory results re- leased on 11 May 2017 indicated that one of the five samples tested positive for Ebola virus Zaire subtype by polymerase chain reaction (PCR) assay.
As of 13 May 2017, a total of 11 suspected cases including 3 deaths (case fatality rate of 27.3%) have been reported. Detailed epidemiological investigation and risk assessment are being conducted and the findings will be communicated accordingly.

Public health actions

• The Ministry of Health convened an emergency meeting on 11 May 2017 involving various sectors of government and partners including CDC, MSF, WHO, etc. The meeting aimed to design response strategies, mobilize immediate resources needed and mount an effective response to the EVD outbreak. • The Minister of Health, accompanied by the WHO Representative, held a press conference on 12 May 2017, intended to alert the general public to take necessary preventive measures while allaying anxiety and fear.
Preliminary outbreak investigation is being conducted by the national, provincial and health district teams, with support from WHO and other partners.
• The Provincial Government has mobilized initial funds to facilitate immediate operational activities in the field.
• WHO held a three-level teleconference on 12 May 2017 to review the situation, conduct risk assessment and guide the overall response to the outbreak. The potential risk of this outbreak was ranked as high at national and regional level.
• On 12 May 2017, WHO released a press statement to inform the global community on the EVD outbreak in DRC.
• The Regional Director of WHO AFRO is set to meet the national authorities on 13 May 2017 to reiterate the availability of WHO to closely work with the Ministry of Health and other sectors to rapidly contain the outbreak and avoid unnecessary interference with travel and trade. She will also be meeting with in-country partners to enhance partnership and coordination of response to this highly dangerous pathogen.
• WHO is deploying a surge team following the request from the government.

Situation interpretation

An outbreak of Ebola virus disease has been confirmed in the DRC, coming days after rumours of unexplained clusters of illness and deaths. The affected locality, situated in the north-eastern part of the country, is remote and isolated with limited transport and communication net- works including telephone connectivity. The locality is 350 km from Kisangani and cannot be access by car (has only 20 km of road). The public health infrastructure and health care system in the affected area is weak.

These circumstances, in addition to other factors, impeded the timely transmission of the information on this suspected outbreak. The delay to detect and con rm this outbreak may mean that the disease could have spread in the local communities. This therefore calls for a swift, extensive and rapid response in order to curtail further propagation and mitigate any impact and consequences.

The Ministry of Health has rapidly solicited for support from partners (in particular WHO), a call that we must respond to. Based on the lessons learnt from the West African EVD outbreaks, WHO calls for strong multi-sector collaboration and the support of global stakeholders to quickly bring this outbreak to an end. WHO is ready to provide the leadership and technical expertise required to mount a coordinated and effective response to the outbreak.

Democratic Republic of the Congo: Statement by Commissioner for Humanitarian Aid and Crisis Management and EU Ebola Coordinator Christos Stylianides on the Ebola outbreak in the Northeast of the Democratic Republic of Congo

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Source: European Commission
Country: Democratic Republic of the Congo

Brussels, 15 May 2017

Following the declaration of an Ebola outbreak in the Northeast of the Democratic Republic of Congo, the EU is fully committed to provide all support necessary.

The national authorities, with the support of the World Health Organisation (WHO), and the European Commission's experts in the country as well as international medical NGOs, have set in motion initial measures to respond to the situation.

The European Commission's Emergency response Coordination Centre (ERCC) is taking necessary preparedness measures for a potential EU intervention in case the European Medical Corps and logistical capacities would be needed. In this regard we are in close contact with our Member States.

In these early days of the outbreak our priority must be to maintain close and efficient coordination with the national authorities, the WHO, EU Member States, international partners and NGOs on the ground.

The EU was at the forefront of the response to the Ebola outbreak in Western Africa in 2013-2016. This new outbreak is a stark reminder that we can never let our guard down.

Vigilance, early warning, coordination and preparedness are the best tools to prevent further spread of the outbreak.

STATEMENT/17/1333

Press contacts:
Carlos MARTIN RUIZ DE GORDEJUELA (+32 2 296 53 22)
Daniel PUGLISI (+32 2 296 91 40)

General public inquiries: Europe Direct by phone 00 800 67 89 10 11 or by email

Uganda: South Sudan Regional Refugee Response Plan Revised: January–December 2017 (May 2017)

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Source: UN High Commissioner for Refugees
Country: Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, South Sudan, Sudan, Uganda

Strategic Overview

Period January to December 2017
Current Population 1,769,241 (at 31 March 2017)
Population Planning Figures 2,130,500 Target Beneficiaries2,130,500
Financial Requirements US$ 1,382,909,571
Number of Partners 58

REGIONAL STRATEGIC OVERVIEW

Introduction

Latest Developments in South Sudan

The conflict in South Sudan continues to intensify at a rapid pace. Prospects for the implementation of the Agreement on Resolution of the Conflict in South Sudan (ARCISS) remains bleak despite renewed international mediation efforts by the United Nations (UN), the African Union (AU), and the Intergovernmental Authority on Development (IGAD). The peace process is yet to be accompanied by a comprehensive cessation of hostilities, further undermining the likelihood of national dialogue. The deployment of a 4,000-strong regional protection force under the United Nations Mission in the Republic of South Sudan (UNMISS), which was mandated by the Security Council on 12 August 2016, has not yet materialized. The Sudan People’s Liberation Movement in Opposition (SPLM–IO), previously recognized as a legitimate political opposition, and its members are now characterized by the Government as criminal elements and spoilers of the peace process. The political impasse has resulted in an escalation of the military confrontation and its impact on civilians as new alliances are created among various rebel groups in the Equatoria region and in Western Bahr El Gazal. Estimates place civilian deaths from the conflict in tens of thousands but in the absence of a reliable casualty tracking system, the real toll could be much higher.'

On 29 January 2017, a joint statement issued by the Chair of IGAD, the Chairperson of the AU Commission, the AU High Representative for South Sudan, the Chairperson of the Joint Monitoring and Evaluation Commission (JMEC) and the UN Secretary General expressed deep concern over the continuing spread of fighting and risk of inter-communal violence escalating into mass atrocities. Subsequently, the Report of the Commission on Human Rights in South Sudan submitted to the Human Rights Council in March 2017 further warned that “a process of ethnic cleansing was under way in the country” corroborating earlier findings by the UN Special Advisor on the Prevention of Genocide following his mission to South Sudan in November 2016. The conflict is characterized by violent attacks against civilians and community infrastructure by parties to the conflict causing large-scale forced displacement. Women and children are subjected to exploitation, abuse, abduction, and rape and other forms of sexual and gender-based violence (SGBV).

Against this backdrop, 7.5 million people are currently in need of humanitarian assistance and protection in South Sudan as a result of armed conflict and widespread inter-communal violence. Deteriorating macroeconomic factors compound the complexity of the crisis. The exchange rate continues to plummet, fuel shortages are reported throughout the country and oil revenues remain stagnant and unable to offset the impact of the catastrophic humanitarian crisis. On 20 February 2017, the United Nations officially declared a state of famine in two counties of Unity State. Food insecurity has deteriorated to unprecedented levels in these areas owing to protracted violence arising from the ongoing conflict, displacement, and the lack of humanitarian access. Farmers cannot harvest their crops. A joint United Nations humanitarian food security assessment conducted in January 2017 found that more than 4.9 million people were severely food insecure, a figure that was expected to rise to 5.5 million by April 2017.

Forced Displacement Trends

The dynamics of forced displacement in South Sudan saw the number of internally displaced persons (IDPs) increase to 1.9 million in 2017, which includes 215,000 displaced people living in UNMISS Protection of Civilian sites. Given the current lack of protection in most areas of the country, forcibly-displaced people are increasingly moving across international borders. Apart from northern Unity State, the large majority of IDPs are living behind the front lines in areas where their ethnic group controls territory.

Regional Refugee Outflows

The increase in South Sudanese refugees is currently one of the largest recorded worldwide: between mid-2013 and mid-2016, the number of refugees from South Sudan rose from 102,700 to 854,200. The first quarter of 2017 witnessed an acceleration of this trend. The simultaneous influx to the six countries of the Regional Refugee Response Plan (RRP), namely the Central African Republic, Democratic Republic of the Congo, Ethiopia, Kenya, Sudan and Uganda, reached 1.7 million by March 2017.

The current revision of the Regional RRP was prompted by larger than anticipated refugee movements into Sudan and Uganda in the first quarter of 2017. The end-of-year planning figure for Sudan was surpassed in March and if current trends continue, Uganda will exceed its planning figure in the second quarter of 2017. The revised Regional RRP contains updated response plans for Sudan and Uganda to address the increased needs in these two host countries and plans to cater for an overall population of 2.1 million South Sudanese refugees in the six countries of asylum.

Nine out of ten South Sudanese refugees in neighbouring countries are women and children. More than 75,000 South Sudanese refugee children are unaccompanied or separated from their parents. Serious abuses against civilians in South Sudan have been reported, including killing, torture, rape and other forms of SGBV, recruitment of child soldiers, and destruction of property and livelihoods resulting in thousands fleeing their homes and a continuing outflow of refugees to neighbouring countries.

Uganda

From July 2016 through January 2017, more than 512,000 South Sudanese refugees arrived in Uganda at an average of 2,400 refugees per day. The influx reached 3,000 a day for several months, making Uganda the third-ranked refugee-hosting country in the world with close to one million refugees. The increased rate of refugee arrivals warranted the revision of the Uganda chapter of the 2017 Regional RRP. Initial planning in late 2016 had foreseen 300,000 new arrivals by end of 2017. However, the influx outpaced projections with 177,000 new arrivals already having entered Uganda by 31 March 2017 bringing the total number of South Sudanese refugees in the country since the onset of the crisis to more than 852,000. As a result, the Government of Uganda, UNHCR and RRP partners agreed to revise the projected arrival figure to 400,000 for 2017, increasing the overall RRP population planning figure for Uganda to 1,025,000 South Sudanese refugees.

The Government of Uganda adopted the innovative approach of integrating refugee management and protection into its Second National Development Plan (NDP II) through the Settlement Transformative Agenda (STA), in accordance with the 2030 Agenda on Sustainable Development. The STA aims to sustainably assist refugees and host communities by promoting socioeconomic development in refugee-hosting areas, supported by the United Nations through the Refugee and Host Population Empowerment (ReHope) initiative, which was developed in collaboration with the World Bank. The approach is in conformity with the Comprehensive Refugee Response Framework (CRRF) called for by the New York Declaration on Refugees and Migrants adopted by the UN General Assembly in September 2016.

Uganda’s model of asylum enhances the self-reliance of refugees and host communities and is an example of good practice. Nonetheless, the lack of predictable development and humanitarian financing to respond to a displacement crisis of this magnitude could unravel these achievements. The table below illustrates the impact of the refugee influx on settlement growth in northern Uganda. Since July 2016, four settlements have been opened to accommodate the refugee influx each with capacity of less than 100,000 refugees. The number of South Sudanese refugees arriving in Uganda remains high as fighting in the Equatoria region continues. The majority of refugees are arriving from Yei, Morobo, Lainya, Kajo Keji and the surrounding areas of Central Equatoria. Most recently a military attack on 5 April in the South Sudanese town of Pajok caused 6,000 refugees to cross into the Lamwo area of Uganda. The influx is expected to continue as sporadic military attacks continue to trigger cross border movements.

Sudan

Conflict and heightened food insecurity in South Sudan, especially in the north-western States of Northern Bahr El Ghazal, Unity and Warrap, were the main triggers of the South Sudanese refugee influx into East and South Darfur and West Kordofan in 2016. The refugee influx into Sudan is expected to continue throughout 2017.

The 2017 Regional RRP for South Sudan had initially planned for 330,000 South Sudanese refugees arriving by the end of the year. However, the total number of South Sudanese refugees in Sudan had already reached 379,000 by 31 March 2017, surpassing the planned figure in the first quarter of the year. In light of the accelerated pace of the influx, RRP partners agreed to undertake a revision to increase total planning figure to 477,000 by year-end. This increase in the planning figure was the basis for the revision of the Sudan country chapter of the Regional RRP.

Increased food assistance to South Sudanese refugees remains of paramount importance as a nutrition assessment conducted across refugee sites in White Nile State (October 2016) identified a Global Acute Malnutrition (GAM) rate higher than 15 per cent, as well as a Severe Acute Malnutrition (SAM) rate of more than 3 per cent, surpassing the emergency thresholds. The nutritional status of South Sudanese refugees remains a pressing concern as those entering Sudan are coming from areas currently facing emergency levels of acute malnutrition (IPC Phase 4). GAM rates have risen above emergency thresholds in all South Sudan states, with GAM rates doubling in Unity State and approaching extremely high levels in Northern Bahr el Ghazal. Food security is expected to deteriorate to extreme levels from February to May 2017 in northern South Sudan. Of greatest concern are the situations in Unity, Northern Bahr el Ghazal and Western Bahr el Ghazal. In a worst-case scenario where conflict intensifies and humanitarian access is further limited, famine (IPC Phase 5), marked by high levels of excess mortality, is possible. Furthermore, a recent assessment indicates that in some sites in White Nile, 40 per cent of the population is food insecure, while 54-94 per cent of camp-based South Sudanese refugees cannot afford local food prices. The main drivers of food insecurity are the lack of livelihood opportunities, limited access to cooking fuel, restriction of movement in some areas, high prices on local commodities and limited access to land for farming.

UNHCR is coordinating the emergency response with the Government of Sudan and RRP partners in line with the Refugee Coordination Model (RCM). Priorities of the response include health and nutrition, sanitation, basic relief items, and protection including child protection and SGBV. In a positive development, a humanitarian corridor for food aid into famine-struck South Sudan was opened by the Government of Sudan on 26 March 2017. The corridor runs from El Obeid in central Sudan to Bentiu, in Unity State, South Sudan, where over 100,000 people are affected by famine amid a deepening humanitarian crisis. The new aid corridor is expected to allow more timely delivery of food and reduce reliance on expensive air operations.

The Government of Sudan maintains an open-door asylum policy, which allows South Sudanese refugees to remain in Sudan and enjoy the same rights as Sudanese citizens, including freedom of movement, access to employment and public services. In September 2016, the Government of Sudan conferred legal refugee status to South Sudanese new arrivals, enabling them to benefit from the rights prescribed under applicable international refugee law. The Government of Sudan’s strategy seeks to gradually transition from an exclusively humanitarian response towards integrating an early recovery and development approach. This will provide opportunities to enhance solutions for refugees, and provide much-needed support to refugee-hosting communities. Nonetheless, without solidarity from the donor community to address the humanitarian needs of vulnerable refugees in Sudan, their already precarious levels of resilience will be further eroded. In the absence of the adequate assistance and in the face of continuing influx, South Sudanese refugees might be pushed to resort to negative coping strategies and risk falling prey to traffickers or seek to move onwards to improve their situation.

Ethiopia

At the end of March 2017 Ethiopia hosted 366,000 South Sudanese refugees and remained within its planning figure of 405,000 for the 2017 Regional RRP. March marked the end of the dry season, which saw the arrival rate from South Sudan increase to 13,225 within the first 25 days, higher than the past monthly average. The new Nguenyyiel camp is fast reaching its capacity of 60,000. Through effective coordination, RRP partners identified an additional site and are developing the facilities to prevent congestion at the Pagak Reception Centre after the Nguenyyiel camp reaches capacity. The aim is to consolidate Nguyenyyiel camp, including health and nutrition facilities, the water and sanitation system, emergency refugee shelters and latrines. Key priorities are the provision of comprehensive education, reinforcement of child protection and SGBV services with a particular emphasis given to youth projects considering that 24 per cent of the new arrivals are youth of 15-24 years old. Protection interventions and provision of basic services will continue at the Pagak Reception Centre.

Potential entry points continue to be monitored to ensure new arrivals have access to asylum procedures. Reports received from South Sudan in April 2017 point to a deteriorating security situation in the Akobo area resulting in large population movements that could result in an influx of up to 200,000 refugees into the Gambella region of Ethiopia. The situation is being monitored and contingency measures are being taken to respond should the influx materialize.

Kenya

South Sudanese new arrivals continue to arrive in Kenya at a relatively moderate pace, with over 6,700 registered in 2017. The Regional RRP planning figure for Kenya remains at 108,000. The profile of new arrivals is predominantly women and children. New arrivals cite insecurity and food scarcity as the cause of their flight. The Government of Kenya, through the Refugee Affairs Secretariat (RAS) and RRP partners continue to provide basic assistance in Kakuma, including to 1,784 unaccompanied and 8,699 separated children. Food rations are only meeting 70 per cent of refugees’ nutritional requirements. In-kind and cash-based interventions are provided to refugees in Kakuma and Kalobeyei but food insecurity of both refugee and host communities remains a cause for concern and a recurrent challenge aggravated by the onset of drought in Kenya that has led to failed crops, decimated livestock and destroyed livelihoods in Turkana’s predominantly pastoralist economy.

Democratic Republic of the Congo

The Regional RRP planning figure for South Sudanese refugees in the DRC stands at 105,000. A total of 74,000 people have arrived in Dungu and, increasingly, to Faradje Territory in Haut-Uele Province. The new movement of refugees poses logistical challenges in reaching Faradje, where some 18,000 refugees are hosted at Meri site. This is nearly three times the number initially anticipated. The lack of even the most basic infrastructure, such as health posts and schools, and the logistical complexity of delivering assistance increases the costs of supporting refugees in these remote areas. The security situation in the DRC is volatile and continues to pose risks to the few humanitarian actors operating in the area. Specific threats in the refugee arrival areas include activities of the Lord’s Resistance Army (LRA) and other armed groups in Haut-Uele Province as well as cross-border incursions by armed elements from South Sudan. This situation requires strengthened security measures for the safety of refugees and humanitarian staff, and measures to ensure the civilian character of asylum. Relocation away from the border has become an even more pressing priority due to the fragile security context. The Congolese authorities have proposed additional sites in Haut-Uele Province for this purpose, but the plan has not been taken forward due to financial constraints.

Central African Republic

The Regional RRP planning figure for South Sudanese refugees in CAR remains at 10,500. By March 2016 arrivals to the village of Bambouti had reached 4,900 South Sudanese refugees. In November and December 2016, close to 1,700 refugees were relocated from Bambouti to Obo; the remaining refugees opted to remain in Bambouti to monitor their property on the other side of the border. Registration in January 2017 using the Biometric Identity Management System (BIMS) enabled the issuance of ID cards, valid for five years, to some 1,600 South Sudanese refugees residing in Obo. Obo was designed following an open settlement concept to promote peaceful co-existence between refugees and the host communities. The site is adjacent to farmland made available to refugees by the authorities. This initiative, which will soon be complemented by a distribution of seeds and tools, will help to strengthen the self-reliance of refugees. In the interim, RRP partners continue to supply food for the population in addition to non-food items (NFI), WASH and shelter assistance. The strategy aims at promoting local integration by supporting local health and education facilities for host communities in refugee-receiving areas.

Strategic Objectives

The following four strategic objectives underpin the 2017 South Sudan RRRP:

1. Uphold the quality of asylum for South Sudanese refugees in the region by meeting their lifesaving needs according to applicable minimum standards, in particular through:
 Mitigation of heightened protection risks faced by women, children and youth, who constitute an overwhelming majority of the South Sudanese refugee population, and provision of adequate services to victims of violence and other protection risks;
 Full integration of community-based protection mechanisms into refugee assistance programmes to strengthen food and nutritional security and existing coping mechanisms of refugees;
 Increasing refugee access to quality and inclusive education and basic health services by maximizing synergies with national systems to address the needs of vulnerable host communities;
 Broadening economic opportunities available to refugees by supporting policies that offer alternatives to camps and access to self-reliance activities benefiting both refugee and host communities;
 Implementing environmentally sound refugee site planning that ensures sustainable access to water and sanitation;
 Supporting peace education and other initiatives aimed at encouraging co-existence among refugee communities of different ethnicities, as well as between refugees and their hosts.

2. Anchor the response within national and regional multi-year protection frameworks, policies, laws, and standards which address legal and physical protection needs of South Sudanese refugees.

3. Enhance biometric registration, documentation and data management in collaboration with host Governments to support the implementation of durable solutions strategies. Aggregate socio-economic data on livelihoods and skills profiles to improve evidence-based joint programming with line ministries, humanitarian partners, the World Bank, the African Development Bank (AfDB) and other multilateral development agencies.

4. Proactively explore and, where applicable, pursue innovative approaches stemming from participatory assessments with refugees, Governments, humanitarian and development actors, private sector, and civil society, with a view to introduce cash-based interventions (CBIs) and other initiatives to alleviate the dependency of refugees on aid.

Democratic Republic of the Congo: Développement de la RDC : une réforme de l’aménagement du territoire incontournable

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Source: UN Development Programme
Country: Democratic Republic of the Congo

La République démocratique du Congo enregistre des tensions récurrentes dans l’exploitation de son territoire. Il s’agit particulièrement de la problématique qui oppose la conservation de la nature et l’exploitation des ressources forestières, minières et des hydrocarbures. Un mécanisme de médiation pour apaiser ces tensions compromettantes pour le développement humain durable est une étape primordiale pour la RDC. Dans cette perspective, une réforme de l’aménagement territoire est en cours.

En effet, un nouveau programme de réforme de l’Aménagement du Territoire (AT) a été lancé ce 15 mai par la République démocratique du Congo. Ce programme devra donner lieu à la mise en œuvre d’ici 2020 d’une nouvelle gouvernance territoriale et d’une utilisation plus rationnelle des ressources naturelles dans une perspective durable. Les deux principaux objectifs de ce programme sont l’établissement d’une méthode de mise en œuvre de la réforme de l’AT et le plaidoyer pour le soutien à cette réforme.

La RDC a fait le choix, au travers de sa stratégie nationale de réduction des émissions dues à la déforestation et dégradation des terres (REDD+), d’allier développement et préservation des ressources naturelles, dont particulièrement ses forêts qui sont d’une diversité riche et variée.

Financé à hauteur de 4 millions USD, pour une période de 4 ans, par l’Initiative pour les Forêts de l’Afrique Centrale (CAFI) avec le financement de la Norvège et au travers du Fonds National REDD+ (FONAREDD), le programme portant réforme de l’Aménagement du territoire s’articule autour de trois grands volets suivants:

•Volet Juridique et réglementaire qui vise l’élaboration de la politique nationale de l’Aménagement du Territoire ;

•Volet Institutionnel et organisationnel qui couvrira les aspects liés au renforcement des capacités des parties prenantes dont l’administration du Ministère au niveau central et en provinces ciblées ;

•Volet Technique, le plus important de tous, permettra d’assurer l’élaboration des outils de base de l’opérationnalisation de la politique de l’aménagement du territoire dont notamment le schéma national et provincial de l’aménagement du territoire.

La réforme de l’aménagement du territoire devrait ouvrir une nouvelle ère de dialogue et de négociations multi-acteurs dans les affectations des terres et dans l’utilisation de l’espace. Dans cette perspective Mme Priya Gajraj, Directeur Pays du PNUD, a souligné dans son discours d’ouverture de l’atelier que « La réforme de l’aménagement du territoire nécessite la mise en œuvre d’une nouvelle gouvernance. Il est en effet primordial de définir ensemble les ambitions de développement du pays et de mobiliser les moyens pour la mise en œuvre de cette vision consensuelle. Cela devra être fait sur la base du dialogue et de la collaboration avec toutes les parties prenantes. »

Le Ministre de l’Aménagement du Territoire, Félix Kabange Numbi, a rappelé que «la RDC a la dimension d’un sous-continent et se doit de se doter d’une politique d’aménagement du territoire pour répondre aux questions écologiques et aux besoins de la population. Le gouvernement ne ménagera aucun effort pour faire sien les objectifs arrêtés par les présents travaux.»

Le PNUD et le Ministère en charge de l’Aménagement du Territoire ont forgé un partenariat solide pour la mise en œuvre du programme de réforme de l’Aménagement du Territoire.

Il s’agira de forger des perspectives plus prometteuses en termes de dividendes de développement pour les hommes et femmes ainsi que pour leurs communautés.

L'aménagement du territoire est une des réformes les plus attendues et une étape décisive dans le développement du pays. Cette réforme viendra nourrir d'autres processus critiques en cours, tel que la mise à jour du Plan Stratégique National de Développement, la mise en œuvre de la décentralisation, l’engagement de la réforme foncière ou encore la mise en place d’une gouvernance améliorée des ressources forestières.

Niger: Mixed migration towards the European Union: Asylum applications of citizens of 10 sub-Saharan countries examined in the EU in 2016 (12 May 2017)

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Source: UN High Commissioner for Refugees
Country: Central African Republic, Congo, Democratic Republic of the Congo, Gambia, Guinea, Guinea-Bissau, Mali, Niger, Nigeria, Senegal, Sudan, World

The statistics on asylum applications from citizens of sub-Saharan African countries, which were decided in first instance in 2016, show that migration flows from Sub-Saharan Africa to the EU are mixed: approximately 30% of applicants have received an international protection status. The analysis of the countries of origin of persons granted refugee status or subsidiary protection status indicates that persons in need of international protection also use the migration routes through Niger (notably from Mali, Nigeria, the Gambia, Senegal, and parts of the Central African Republic and the two Congos).

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