Horn of Africa Drought: Regional Humanitarian Overview & Call to Action | Revised 24 August 2022

The Horn of Africa is Facing its Worst Drought in More than Four Decades

Communities in the Horn of Africa are facing the threat of starvation following four consecutive failed rainy seasons in parts of Ethiopia, Kenya and Somalia, a climatic event not seen in at least 40 years. The October-December 2020, March-May 2021, October-December 2021 and March-May 2022 seasons were all marred by below-average rainfall, leaving large swathes of Somalia, southern and south-eastern Ethiopia, and northern and eastern Kenya facing the most prolonged drought in recent history. The March-May 2022 rainy season was the driest on record in the last 70 years—making the 2020-2022 surpass the horrific droughts in both 2010-2011 and 2016-2017 in duration and severity—and forecasts indicate that the October-December 2022 rainy season is also likely to fail.

An Unprecedented Emergency is Ravaging Drought-Affected Communities

Across the Horn of Africa, at least 36.1 million people have now been affected by the drought which began in October 2020, including 24.1 million in Ethiopia, 7.8 million in Somalia and 4.2 million in Kenya. This represents a significant increase from July 2022 (when an estimated 19.4 million people were affected), reflecting the impact of the drought in additional geographic areas of Ethiopia, as well as the rising needs in Somalia.

At least 20.5 million people are already waking each day to high levels of acute food insecurity and rising malnutrition across Ethiopia, Kenya and Somalia, and this figure could increase to between 23 and 26 million by September 2022, according to the Food Security and Nutrition Working Group (FSNWG). In Somalia, 7.1 million people are now acutely food insecure—including over 213,000 people in Catastrophe (IPC Phase 5)—and eight areas of the country are at risk of famine between now and September 2022, with Bay and Bakool regions of particular concern. About 9.9 million people in Ethiopia and some 3.5 million people in Kenya are severely food insecure due to the drought.

Over 8.9 million livestock—which pastoralist families rely upon for sustenance and livelihoods—have died across the region, including 3.5 million in Ethiopia, 2.4 million in Kenya and over 3 million in Somalia, according to the latest FSNWG Drought Special Report. Consequently, children have less access to milk, negatively affecting their nutrition. Across the three countries, malnutrition rates are alarming: about 4.6 million children are acutely malnourished, including about 1.3 million who are severely acutely malnourished. In Ethiopia, nearly 2.2 million children under age 5 are acutely malnourished, including nearly 705,000 who are severely malnourished. In Kenya, about 942,500 children aged 6-59 months are affected by acute malnutrition and need treatment, including 229,000 severely malnourished, and in Somalia, an estimated 1.5 million children under age 5 face acute malnutrition, including 386,400 who are likely to be severely malnourished, according to IPC.

Food prices are spiking in many drought-affected areas, due to a combination of macro-economic challenges, below-average harvests and rising prices for food and fuel on international markets, including as a result of the war in Ukraine. In Somalia, staple food prices in drought-hit areas have surpassed the levels recorded during the 2017 drought and the 2011 famine, according to WFP’s price monitoring. In Ethiopia, the cost of the local food basket increased by more than 33 per cent between January and June 2022, according to WFP. Soaring prices are leaving families unable to afford even basic items and forcing them to sell their hard-earned properties and assets in exchange for food and other lifesaving items. There are also repercussions for food for refugee programmes, which are already impacted by reduced rations due to lack of funding support.

More than 16.2 million people cannot access enough water for drinking, cooking and cleaning across the Horn of Africa, including 8.2 million in Ethiopia, 3.9 million in Somalia and 4.1 million in Kenya, according to UNICEF. Many water points have dried up or diminished in quality, heightening the risk of water-borne diseases and increasing the risk of skin and eye infections as families are forced to ration their water use and prioritize drinking and cooking over hygiene. Existing water deficits have been exacerbated by very high temperatures, which are forecast to continue until at least September 2022. In some of the worst affected areas in Somalia, water prices have spiked by up to 72 per cent since November 2021. Women and girls are having to walk longer distances to access water—in many instances up to double or triple the distances they would have to walk during a regular dry season—exacerbating their potential exposure to gender-based violence and dehydration. Water shortages are also impacting infection prevention and control in health facilities and schools. In Ethiopia and Kenya, there are already reports of an increase in pregnant women being exposed to infections—the worst of which have resulted in death—following deliveries both at home and at health facilities due to the limited availability of water.

An Unprecedented Emergency Is Ravaging Drought-Affected Communities “My livestock perished from lack of water and pasture, and could not survive the harsh drought anymore. It is painful”

Zeinaba, speaking with a UN team in Ethiopia.

Source: UN Office for the Coordination of Humanitarian Affairs

Transforming Africa’s health system in wake of COVID-19 pandemic

As Africa strives to recover from the deepfelt impact of the COVID-19 pandemic, health authorities and experts gathering this week for the Seventy-second session of the World Health Organization (WHO) Regional Committee for Africa launched a new drive to find ways of revamping the region’s health systems.

At a special event on Rethinking and rebuilding resilient health systems in Africa during the 22 – 26 August Regional Committee meeting in Lomé, Togo, delegates examined the measures that have worked in achieving universal access to health care as well as the shortfalls. They also explored ways to maintain essential services during outbreaks and the investments and actions needed to ensure equitable access to quality medical products and health technologies.

“The scope and severity of the COVID-19 pandemic put great pressure on Senegal’s health system,” said Dr Marie Khemesse Ngom Ndiaye, Senegal’s Minister of Health. But “thanks to (its) Resilience Programme and Investment Plan, Senegal’s health system has considerably strengthened disease prevention and management capacities.”

COVID-19 has not only exerted enormous pressure on health systems but also sounded the alarm on the need to reform and revitalize the continent’s health systems. Even as countries stepped up measures including surveillance, prevention, clinical care and vaccination in the wake of the pandemic, further efforts are essential to render the health systems more robust and resilient.

The pandemic has also added to the African region’s existing health challenges. More than any other part of the world, the region responds to more than 100 health emergencies every year. During emergencies many countries face shutdowns of health programmes due to staff reassignments, supply chain disruptions as well as movement restrictions. These disruptions undermine progress towards universal health coverage and lay bare inequities in access to health care.

“The COVID-19 pandemic highlighted the fragility of our continent’s health infrastructure and the urgent need to strengthen the overall health system to secure access to quality care for all Africa’s people, when and where they need it, without incurring financial hardship,” said Dr Matshidiso Moeti, WHO Regional Director to Africa. “Domestic investment in health, including health research, has significant economic returns, while promoting resilience and sustainability; healthy populations translate to healthy economies.”

Despite the disruptions due to outbreaks and other challenges, African countries have made progress in improving access to health services. For example, the number of countries scoring over 40% (“medium coverage”) on the universal health coverage index has increased from three out of 47 countries to 35 between 2000 and 2019.

The special event launched at the Regional Committee kicks off a collective process to support African countries as they ramp up efforts to recover from the pandemic-triggered disruptions and work to rebuild better their health systems. A series of consultations and actions will follow to support countries in achieving universal health coverage and health security.

Source: World Health Organization

WHO: COVID Deaths Down by 15%, Cases Fall Nearly Everywhere

The number of coronavirus deaths reported worldwide fell by 15% in the past week while new infections dropped by 9%, the World Health Organization said Wednesday.

In its latest weekly assessment of the COVID-19 pandemic, the U.N. health agency said there were 5.3 million new cases and more than 14,000 deaths reported last week. WHO said the number of new infections declined in every world region except the Western Pacific.

Deaths jumped by more than 183% in Africa but fell by nearly a third in Europe and by 15% in the Americas. Still, WHO warned that COVID-19 numbers are likely severely underestimated as many countries have dropped their testing and surveillance protocols to monitor the virus, meaning that there are far fewer cases being detected.

WHO said the predominant COVID-19 variant worldwide is omicron subvariant BA.5, which accounts for more than 70% of virus sequences shared with the world’s biggest public viral database. Omicron variants account for 99% of all sequences reported in the last month.

Earlier this week, Pfizer asked U.S. regulators to authorize its combination COVID-19 vaccine that adds protection against the newest omicron relatives, BA.4 and BA.5, a key step towards opening a fall booster campaign.

The Food and Drug Administration had ordered vaccine makers to tweak their shots to target BA.4 and BA.5, which are better than ever at dodging immunity from earlier vaccination or infection.

Meanwhile, in the U.K., regulators authorized a version of Moderna’s updated COVID-19 vaccine last week that includes protection against the earlier omicron subvariant BA.1. British officials will offer it to people aged 50 and over beginning next month.

In Germany, Chancellor Olaf Scholz’s Cabinet approved legislation Wednesday that ensures basic protective measures against the coronavirus pandemic are continued during the fall and winter, when more virus cases are expected.

Meanwhile, in the Philippines, millions of students wearing face masks streamed back to primary and secondary schools across the country on Monday for their first in-person classes after two years of coronavirus lockdowns.

Officials had grappled with daunting problems, including classroom shortages, lingering COVID-19 fears, an approaching storm and quake-damaged school buildings in the country’s north, to welcome back nearly 28 million students who enrolled for the school year.

Source: Voice of America