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After previous 4,000 deaths, Yemen suffers acute diarrhea, cholera outbreak again
Global migration body, the International Organization for Migration (IOM) says it is bolstering its efforts to address the rapidly escalating Acute Watery Diarrhea (AWD) and cholera outbreak in Yemen.
Over 30,000 suspected cases have been recorded since the beginning of the year.
From 2016 to 2022, Yemen faced the largest ever reported cholera outbreak in recent history, with over 2.5 million suspected cases and 4,000 deaths amid its ongoing conflict. The recent wave, particularly alarming due to its spread across multiple governorates, has been exacerbated by heavy rains and subsequent flooding, increasing the risk of water contamination. Health experts anticipate that the number of suspected cases could reach 255,000 by September 2024 if the preparedness and response activities are not scaled up to optimal levels.
“With support from humanitarian partners and our donors, we are working tirelessly to provide critical health and sanitation services to the most vulnerable populations,” declared IOM’s Acting Chief of Mission in Yemen, Matt Huber. “Together, we are striving to alleviate the suffering of those affected by cholera, particularly in remote and underserved areas, mitigate the impact of this crisis, and save lives amidst these challenging circumstances.”
Working closely with the Ministry of Public Health and Governorates Health Offices (GHO), and in support of government efforts, IOM is enhancing healthcare services in Aden, Lahj, Ma’rib, Sa’dah, and Sana’a. Recognizing the significant health service gaps for migrants in Shabwah, IOM has also supplied essential medical supplies and cholera treatment medications to the GHO in Shabwah, strengthening local healthcare capacity.
Additionally, IOM’s Mobile Medical Teams (MMTs) that operate along coastal areas and migrant arrival points in Yemen are identifying and treating cases of AWD and potential cholera among migrants and conducting health awareness-raising sessions. Aligning with the national cholera response plan, IOM has mobilized 14 MMTs to strengthen these efforts.
As part of its recent cholera response, IOM established 20 Oral Rehydration Points (ORPs) at public healthcare facilities and provided support to five Diarrhea Treatment Centres (DTCs) in Aden, Lahj, and Ta’iz. This is to ensure that all its supported health facilities and MMTs are well equipped to function as ORPs.
With the onset of a second wave, IOM is actively supporting an additional three DTCs, including facilities in Sana’a, Sa’dah and Ma’rib. These interventions enable underserved communities to access essential services to prevent and respond to the spread of AWD/cholera, thereby enhancing overall health service provision.
IOM’s integrated preparedness and response strategy ensures that Water, Sanitation, and Hygiene (WASH) facilities are available in treatment centres to prevent the spread of infection among patients and medical staff. Since contaminated water is a major risk factor according to cluster assessments, IOM provides automatic chlorinators, water treatment chemicals, and cholera and hygiene kits to vulnerable communities, as well as appropriate training.
Through these efforts, from October 2023 to May 2024, IOM recorded 5,319 AWD/suspected cholera cases among migrants who received health services at IOM-supported health facilities and through mobile teams. Since November 2023, a total of 7,526 AWD/suspected cases have been screened across IOM-supported DTCs, with 2,047 individuals admitted for treatment.
Together with the Health and WASH clusters and humanitarian partners, IOM says it has significantly bolstered its response to this critical health crisis. Since the outbreak in late 2023, IOM has been a key member of the national Cholera Taskforce, co-leading the Infection Prevention and Control (IPC) and Case Management pillars. IOM plays a crucial role in responding to and preventing AWD and cholera outbreaks by swiftly delivering essential health and WASH services.
The countrywide, multisectoral response plan requires USD 28 million to effectively manage, monitor, and prevent the spread of cholera and AWD symptoms. Continued support is crucial and additional funding is urgently needed to sustain these life-saving efforts. As the situation evolves, IOM stands ready to further scale up preparedness and response activities in close coordination with the Cholera Taskforce.
IOM’s cholera response in Yemen is supported by EU Humanitarian Aid (ECHO), USAID’s Bureau for Humanitarian Assistance (BHA), and the Yemen Humanitarian Fund (YHF).
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ICC confirmation of 17 charges against El-Hishri draws praise from rights groups
Human rights organisations and migrant rights advocates have welcomed the International Criminal Court’s (ICC) decision to confirm all 17 charges against Osama El-Hishri, describing it as a landmark step towards justice for victims of abuses committed at Libya’s notorious Mitiga Prison.
The ICC’s confirmation of the charges clears the way for El-Hishri to stand trial over allegations linked to murder, torture, sexual violence and other crimes allegedly committed against detainees at the prison in Tripoli.
Reacting to the decision, migrant distress network Alarm Phone described the ruling as “historic” for survivors of crimes committed at Mitiga Prison.
“The International Criminal Court confirmed all 17 charges against El-Hishri. This is a historic decision for survivors of crimes committed at Mitiga prison in Libya,” the organisation said in a statement posted on X.
Alarm Phone also echoed calls by refugee advocacy group Refugees in Libya, saying the prosecution should mark the beginning of broader efforts to hold perpetrators of abuses in Libya accountable.
Similarly, Sea-Watch International hailed the ICC’s decision, noting that the confirmation means the case will now proceed to trial.
The organisation alleged that El-Hishri was a senior member of Libya’s Special Deterrence Force (SDF/RADA) militia and headed parts of Mitiga Prison, where migrants and refugees were subjected to severe human rights violations.
“The ICC confirmed all 17 charges against El-Hishri today. The case is going to trial,” Sea-Watch International said.
It added that people on the move detained at Mitiga Prison had been subjected to murder, torture and sexual violence, describing the prosecution as an important step in addressing longstanding impunity for abuses against migrants in Libya.
Activist Yousef Ismail also welcomed the court’s decision, saying it represented the kind of justice victims had long demanded.
“This is the real number; this is the truth we seek. We always speak of justice and respect for human rights. The International Criminal Court has fairly proven 17 charges against the so-called ‘Hashri,’ the rapist and the gatekeeper of Mitiga,” he wrote on X.
The ICC’s decision has been widely viewed by rights advocates as a significant milestone in efforts to secure accountability for crimes allegedly committed against migrants and refugees held in Libya’s detention system.
Campaigners, however, stressed that the prosecution of El-Hishri should not be the end of international efforts, urging authorities to investigate other individuals allegedly responsible for serious human rights violations in Libya’s detention facilities.
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Expert raises questions over UNHCR’s strategic direction after new leadership appointments
A former Head of Policy Development and Evaluation at the UN Refugee Agency (UNHCR), Jeff Crisp, has suggested that the organization’s newly announced leadership appointments could signal a shift in its priorities away from refugee protection and asylum toward humanitarian assistance and development.
Reacting to the appointments in a post on X, Crisp said the selection of the agency’s new senior officials “suggest that the agency might be going to focus on humanitarian assistance & development issues rather than refugee protection & asylum.”
He added that his concerns were reinforced by UNHCR’s support for the European Union’s Pact on Migration and Asylum.
“A suspicion strengthened by UNHCR’s endorsement of the EU Pact on Migration & Asylum,” Crisp wrote.
His comments came shortly after United Nations Secretary-General António Guterres announced the appointments of Tressa Rae Finerty as Deputy High Commissioner for Refugees, Antón Leis García as Assistant High Commissioner for Operations, and Edem Wosornu as Assistant High Commissioner for Protection.
UN High Commissioner for Refugees Barham Salih welcomed the appointments, saying the three officials bring extensive experience in humanitarian affairs, international cooperation and refugee protection. They are expected to assume their duties in the coming weeks.
Crisp’s remarks reflect concerns held by some refugee rights advocates and migration experts who have argued that UNHCR faces increasing pressure to balance its traditional mandate of protecting refugees and defending the right to asylum with expanding responsibilities in humanitarian response, development cooperation and migration management.
The appointments come at a time when the agency is grappling with record levels of forced displacement worldwide, shrinking humanitarian funding and increasingly restrictive asylum policies in many parts of the world.
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Conflict, displacement fuel Ebola outbreak in Eastern DR Congo, NRC warns
The Norwegian Refugee Council (NRC) has warned that the ongoing Bundibugyo Ebola outbreak in the Democratic Republic of Congo (DRC) is spreading in communities already devastated by years of armed conflict, displacement and inadequate access to basic services, urging the international community to step up funding and political support for the response.
In a statement, NRC’s Country Director in DR Congo, Eric Batonon, said the outbreak was unfolding in Ituri province, the current epicentre of the epidemic, where thousands of displaced people have spent years living in overcrowded shelters with poor sanitation and limited healthcare.
According to Batonon, prolonged violence by armed groups competing for control of land and mineral resources has forced millions from their homes, while the humanitarian crisis has received insufficient attention from donors and the international community.
He said these conditions had created an environment in which Ebola has been able to spread rapidly, contributing to the rising number of infections.
Batonon stressed that infection prevention and control measures must remain central to the response, adding that affected communities should play a leading role in shaping response strategies.
He said building trust and engaging directly with local populations would be critical to containing the outbreak, arguing that Ebola can only be effectively controlled when community priorities guide public health policies.
The NRC said it has intensified its Ebola response in eastern DRC through community awareness campaigns and preventive health measures. The organisation is establishing handwashing stations, distributing hygiene supplies and supporting efforts to reduce the risk of infection in affected communities.
It also said its teams are working to minimise disruptions to children’s education by helping schools operate safely during the outbreak.
In addition, NRC staff are assessing the impact of the epidemic on internally displaced persons in Ituri as well as neighbouring North and South Kivu provinces, where many people continue to live in overcrowded camps with inadequate sanitation facilities.
The findings, Batonon said, will help shape humanitarian interventions for some of the country’s most vulnerable populations.
The NRC noted that DR Congo has appeared on its annual list of the world’s most neglected displacement crises every year over the past decade, reflecting what it described as persistent international neglect of the humanitarian situation in the country’s east.
Batonon called on donors to provide flexible and sustained funding while increasing political engagement to ensure the Ebola response can outpace the spread of the disease and address the underlying humanitarian conditions that have worsened the outbreak.
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