Tag Archives: disease

Mozambique floods heighten disease, malnutrition risks – UN agencies

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The head of aid coordination office, OCHA, in the country, Paola Emerson, told reporters in Geneva that more than half a million people have been impacted by the floods, triggered by heavy rains in the first weeks of the new year.

“The numbers keep rising as extensive flooding continues and dams keep releasing water to avoid bursting,” she said.

Mozambique’s Gaza province is most affected along with Maputo and Sofala provinces.

‘Melting’ houses

Speaking from Xai-Xai, Gaza’s capital city, Ms. Emerson stressed that 90 per cent of the country’s people live in adobe houses, which are earth-based structures “that basically melt after a few days’ rains”.

Health facilities, roads and critical infrastructure are also heavily impacted. Ms. Emerson said that some 5,000 kilometres of roads have been damaged across nine provinces, including the main road linking the capital Maputo to the rest of the country, which is currently inaccessible, resulting in major supply chain disruptions.

Meanwhile, dams continue to release water even as heavy rains subside.

“From just one dam, up to 10,000 cubic metres-worth of water were being discharged. That is approximately 25 times the amount of water that could be held in the press briefing room you are in today, every second,” Ms. Emerson told journalists, seated in a room with capacity for more than 100 people.

“You cannot imagine the strength of this water and the impact it has on people and the infrastructure.”

National emergency

The Government of Mozambique has declared a national emergency and has established an emergency operations centre in Gaza province. Xai-Xai, which is near the Limpopo River, has been inundated, prompting evacuations. Ms. Emerson said that authorities have issued alerts for downtown Xai-Xai, “including warnings of crocodile risks in flooded areas”.

“River levels are rising and are reaching urban areas or heavily populated areas,” she said. “The crocodiles that are in the Limpopo River…are able to get into urban or populated areas that are now submerged underwater.”

Also speaking from Xai-Xai, the UN Children’s Fund (UNICEF)’s Chief of Communication in Mozambique, Guy Taylor, warned that flooding is “turning unsafe water, disease outbreaks and malnutrition into a deadly threat for children”.

Lethal combination

The combination of waterborne diseases and malnutrition “can often prove lethal,” he said, stressing that even before the floods, four out of every 10 children in Mozambique experienced chronic malnutrition.

“This renewed disruption to food supplies, to health services and to care practices threatens to push the most vulnerable children into a dangerous spiral,” he insisted.

Mr. Taylor added that Mozambique is now entering into its annual cyclone season, creating the risk of a double crisis. “We can prevent disease, deaths and irreversible losses to children, but we need to act fast,” he said.

The UNICEF spokesperson described Mozambique as “a country of children and young people”, with an average age of 17.

“When floods and cyclones strike, as they have repeatedly and with increasing frequency over recent years, it’s the youngest and children who are hit hardest,” he concluded.

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Hunger and disease in Gaza will only worsen from ‘man-made’ famine: WHO

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In an online alert, the UN agency said that disease and hunger will only increase, unless all Israeli impediments to aid delivery at scale are removed and access is allowed across the Strip.

The UN aid coordination office, OCHA, confirmed on Wednesday that some aid is allowed into the enclave every day, albeit far too little to meet the huge level of needs.

OCHA’s Olga Cherevko returned this week to a UN-supported community kitchen in Gaza City that she last visited in March, which had been struggling to stay open even then during the total blockade.

Community resilience

It had been forced to close – but managed to reopen again 10 days ago: “They’re now feeding 5,000 people a day, making meals hot meals for people in need in the neighbouring communities,” she said.

“Of course, the number of meals being cooked every day remains severely insufficient because the volume of supplies entering remains severely insufficient, and the only way for us to stop famine is by ensuring that more supplies are entering every day.”

The WHO appeal comes two days after at least 20 people were killed in a double strike on Nasser hospital in southern Gaza, with four health workers and five journalists among the victims.

Across the Gaza Strip today, WHO said that more than half a million people are trapped in famine, with destruction to food and health services, and to water and sanitation systems.

‘Act without delay’

The UN General Assembly-mandated Palestinian rights committee issued a statement on Wednesday reminding that the famine is projected to spread in the coming days, if Israel fails to allow in more food aid.

“This catastrophic man-made disaster comes on the heels of two years of near total Israeli destruction and blockade of Gaza and relentless military assaults that have decimated civilian infrastructure, including food production capacities and all other means of subsistence,” the committee said.

“This is a grave breach of international law. States must act without delay to fulfill their legal obligations towards bringing a rapid end to this catastrophe and illegal situation.”

More to follow…

Sudan gripped by deadly crisis as hunger, disease and heat intensify

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In El Fasher, the capital of North Darfur that has been under siege for 15 months, the catastrophic humanitarian situation is worsening. Food shortages and soaring prices have forced community-run kitchens to shut down. Widespread hunger and malnutrition have reportedly caused several deaths and driven some residents to eat animal feed.

In the Tawila locality of North Darfur, humanitarian organizations have had to strengthen their responses to rising cholera cases. They have expanded the capacities of treatment centres, but needs remain dire. With medical supplies running low, clean water supplies and the construction of latrines are urgent necessities.

In East Darfur state, the Lagawa displacement site, hosting over 7,000 people, is facing severe food shortages and repeated armed attacks. Doctors are warning that the ongoing conflict continues to block the delivery of aid, so vulnerable families are left without access to food or healthcare.

Extreme heat and torrential rains

Meanwhile, floods and storms are displacing families and destroying homes across the country.  

In the Rahad locality of North Kordofan state, heavy rains on Monday displaced around 550 people and damaged or destroyed more than 170 homes.

Torrential rains in the eastern state of Kasssala have devastated the Gharb Almatar displacement site, affecting more than 6,000 people. Many tents were flooded, exposing children to cold, hunger and unsanitary conditions. Displaced families urgently need cash assistance, shelter and protection.

In the coastal city of Port Sudan, extreme heat continues to endanger lives, with three reported deaths and 50 cases of sunstroke this week amid soaring temperatures and widespread power outages.  

As temperatures reach 47 degrees Celsius (116.6 degrees Fahrenheit), overwhelmed hospitals are prompting health workers to call for urgent support, including cooling equipment, medical supplies and personnel.

Call for increased funding

With these crises compounding, international support is desperately needed. The 2025 response plan, which seeks $4.2 billion to assist 21 million of the most vulnerable people across Sudan, is only 23 per cent funded to date.

OCHA once again calls on international donors to scale up funding for the response. 

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UN warns of worsening humanitarian crisis in Sudan as displacement, hunger and disease escalate

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The situation is particularly dire in El Fasher, the capital of North Darfur province, which has witnessed some of the worst episodes of the ongoing conflict between rival militaries.

Those remaining in El Fasher are facing “extreme shortages” of food and clean water, with markets repeatedly disrupted, UN Spokesperson Stéphane Dujarric told journalists at the regular news briefing in New York.

Across the city, nearly 40 per cent of children under five are suffering from acute malnutrition, including 11 per cent with severe acute malnutrition.

Most of the surrounding water infrastructure has also been destroyed or rendered non-functional due to minimal maintenance and fuel shortages, Mr. Dujarric added.  

El Fasher displacement

Since April 2023, an estimated 780,000 people have been displaced from El Fasher town and the nearby Zamzam displacement camps, including nearly 500,000 in April and May of this year.

Famine conditions have been confirmed in the area since last August.

About three-quarters of Zamzam camp’s residents fled to various locations across Tawila, where the UN and its partners have scaled up critical humanitarian assistance.

Cholera outbreak continues

Mr. Dujarric further warned that the breakdown of water and sanitation services, combined with low vaccination coverage, has sharply increased the risk of disease outbreaks, including cholera.

So far this year, Sudan has reported more than 32,000 suspected cholera cases.

According to the UN Office for Coordination of Humanitarian Affairs (OCHA) cholera cases continue to rise across Darfur, with over 300 suspected cases and more than two dozen deaths reported in South Darfur state last week alone.

“Conflict and collapsing infrastructure continue to drive the spread of the disease and impede response efforts,” Mr. Dujarric stressed.

Unprecedented and complex crisis

Since war erupted between the former allies-turned-rivals, the Sudanese Armed Forces (SAF) and Rapid Support Forces (RSF) in April 2023, tens of thousands of civilians have been killed and more than 12 million forced to flee their homes – including approximately four million as refugees in neighbouring countries.

The crisis is unfolding against a backdrop of extreme vulnerability, as the country remains highly susceptible to the impacts of climate change and disasters.

From severe droughts to deadly floods, the compounded effects of conflict and environmental instability are pushing communities to the brink, leaving them struggling to survive. Famine has already been declared in some parts of the country, putting millions of lives at risk.

Lack of resources hamstring response

Despite growing needs, the $4.2 billion humanitarian response plan for 2025, which aims to assist around 21 million of the most vulnerable people, remains only 21 per cent funded, having received $896 million so far.

Tom Fletcher, UN Under-Secretary-General for Humanitarian Affairs, underscored the gravity of the situation in El Fasher.

Civilians in the area remain cut off from aid and face the risk of starvation, he said in a post on social media.

Appealing for an urgent humanitarian pause, he warned that “every day without access costs lives.” 

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Gaza horrors continue as the weakest succumb to injuries and disease

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“I met a little boy who was wounded by a tank shell at one of these sites on the final day of me leaving Gaza – I learnt that this little boy had since died of those injuries,” said UN Children’s Fund (UNICEF) spokesperson James Elder. “That speaks to both what is happening at these sites and what is not happening when it comes to medical evacuations.”

A recent online video featuring a dying 13-year-old Abed al-Rahman who Mr. Elder met while on mission in Gaza has been seen thousands of times since it was published on 6 June. In the clip, Abed explains that he has been asking for pain relief for his shrapnel wounds, but none is available.

Speaking to journalists from Amman, Mr. Elder explained that partly destroyed hospitals including Nasser Medical Complex in Khan Younis continue to treat wounded children, despite a shortage of medicine and medical supplies.

“Humanitarian aid is so much more than food in a box; it’s oxygen kits, it’s ventilators, it’s hygiene packs; it’s medicines, it’s incubators,” he explained. “It’s all those things the United Nations was doing just a couple of months ago.”

Mr. Elder added that parents whose children need oxygen have been leaving hospital “because of the fear that Nasser may come under attack again. As the doctors told me, if you have a child who needs oxygen and they leave without the oxygen, they will, over a matter of time, die in a tent.”

Desperation, starvation

The dire shortage of the most basic life-sustaining aid linked to Israeli restrictions continues to create desperation and starvation across Gaza.

“I spoke to a grandmother in tears saying, how am I possibly to get to these sites?” Mr. Elder explained. “I’ve met young men who’ve been seven times and never returned with anything. So, there’s a complete lack of equity. There’s a complete lack of sites. You cannot distribute aid in a militarised zone, in a combat zone, by one party to the conflict.”

Those most susceptible to the lack of fresh drinking water, food and fuel are the weakest Gazans: the young, pregnant women, the elderly and amputees, Mr. Elder said. 

It would be impossible for them to walk the long distances required to fetch scant supplies from controversial non-UN aid hubs.

Lethal choice

“You have half a million people facing starvation with a lethal choice of being forced into very small pockets where most people can’t access into what are officially known as combat sites,” the UNICEF spokesperson explained. “We know children [who have been] killed at these sites.”

Meanwhile, malnutrition and the impact of it on people’s weakened immune systems continues to take its toll, the UN World Health Organization (WHO) warned.

“The latest reports say 610 patients have been admitted due to severe malnutrition complications,” said WHO spokesperson Christian Lindmeier. “But what does that mean? That means these are the lucky ones who made it so far to get to a place. 

“This does not count the many who were too weak to reach any point, who are too weak, who cannot be transported because the roads are blocked, because there are no ambulances, or because the hospitals, some of the health emergency centres have been shelled and bombed and are being constantly shelled and bombed.”

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FAO calls for action amid foot-and-mouth disease outbreaks

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FMD is a highly contagious viral disease affecting cloven-hoofed animals, including cattle, pigs, sheep, goats, and various wild species. 

Europe is currently facing its worst outbreak so far this century at the same time as an exotic viral strain has been introduced in Iraq and other countries in the Near East.

Concern for potential spread

“FAO is recommending urgent biosecurity measures and enhanced surveillance following the recent detection of foot-and-mouth disease (FMD) serotype SAT1 in Iraq and Bahrain,” the agency said in an alert.

“This serotype is exotic to the Near East and West Eurasia regions,” the agency continued – meaning the strain is not normally found there – which raises “serious concerns” about its potential spread.

FMD is typically characterized by fever and blisters in the mouth and on the feet of affected livestock, accompanied by lameness. Although few adult animals succumb to disease, young ones may die from sudden heart failure. 

The virus spreads rapidly and can affect large numbers of animals, especially in countries or regions that are usually free of the disease or do not regularly use vaccination.

Although FMD is not a public health threat, it severely impacts animal health and welfare, food security and incomes by reducing agricultural productivity, including through decreased milk and meat yields.

The economic impact is also substantial, with global direct production losses and vaccination costs in endemic regions estimated to be $21 billion annually. FAO noted that the true economic burden is likely much higher when disruptions to both international and local trade are taken into consideration. 

A major outbreak in the United Kingdom in 2001 led to the culling of more than six million animals and cost the economy billions, devastating the livestock industry and tourism. A series of new measures in response have reportedly reduced the risk and improved resilience, including local and national contingency plans for outbreaks.

Outbreaks and response

The FMD virus was recently detected in parts of Europe normally free of the disease and the continent is now experiencing its worst outbreak since 2001.  

Germany detected an outbreak this past January but has since been declared FMD-free, however subsequent outbreaks in Hungary and Slovakia have persisted.

In response, the UK recently announced that it has banned imports of meat or dairy products from European countries where the virus has been detected, as well as Austria due to the outbreak in neighbouring Hungary. 

FMD is endemic in the Near East, but the recent upsurge is due to an exotic serotype likely introduced from East Africa.  Cases have been reported in Bahrain, Iraq and Kuwait, although other countries are at high risk.

Many strains of the FMD virus continue to circulate in different parts of the world, and the recent outbreaks in both Europe and the Near East highlight the ongoing risk the disease poses to livelihoods, food security and safe trade, said FAO.

Raising awareness

While all governments are urged to be vigilant, the agency said affected and high-risk countries should consider awareness-raising measures among farmers and communities to protect livestock. 

Other recommendations include biosecurity measures such as separating sick animals from other livestock and having them examined by professionals, alongside checking vaccination records and verifying FMD contingency plans.

FAO said that by implementing these measures, countries can significantly reduce risks. 

 

Destitution and disease stalk Myanmar’s quake survivors

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The UN World Health Organization (WHO) is just one of the UN agencies working to help the most vulnerable in worst-hit central areas, but much more help is needed.

“When it rains, they can’t sleep, and when the rain stops, they still can’t sleep because they feared the wind might have their only shelter away,” said Dr Thushara Fernando, WHO representative in Myanmar.

In an update from Yangon, the WHO medic warned that the risk of waterborne disease “is becoming a reality” for all those still living under plastic sheeting with stagnant water all around.

A cholera outbreak was already reported in Mandalay just a few months ago.

Survivors “feed their babies, they eat, they drink in their tents; they don’t have even a simple mosquito net to sleep under in the night,” Dr Fernando continued.

“Water sources are contaminated, temporary toilet facilities are overwhelmed, and acute watery diarrhoea has been reported in two areas,” he continued.

Two major earthquakes hit central Myanmar on 28 March killing at least 3,700 people. About 5,100 more were injured and 114 are still missing, according to WHO. The true toll is likely much higher because of underreporting.

Aftershocks continue

Survivors and aid teams have experienced more than 140 aftershocks – some as high as magnitude 5.9 – which have added to widespread trauma and impeded humanitarian assistance.

To help, the UN health agency has delivered around 170 tonnes of emergency medical supplies to help 450,000 people for three months.

WHO is also coordinating more than 220 emergency medical teams in earthquake affected areas and it has launched a targeted dengue prevention initiative in coordination with national and local partners.

This includes the distribution of about 4,500 rapid diagnostic test kits for frontline responders and hundreds of insecticide-treated nets to protect people in the hardest-hit areas, such as Mandalay.

The March 2025 earthquake caused widespread destruction Mandalay.

Critical moment

The WHO medic said that the agency continues to help deliver a range of services, albeit at a “very limited” scale. This includes trauma care, mental health and psychosocial support, along with maternal and child health services and non-communicable disease prevention.

“Without urgent, sustained funding, the risks of secondary health crises will erupt,” said Dr Fernando.

Echoing those concerns, the UN Children’s Fund (UNICEF) noted that early signs of acute watery diarrhoea “are already emerging” in worst-hit areas.

Access to food and essential services have been disrupted, causing worsening nutrition conditions, “especially for young children”, the UN agency’s Eliana Drakopoulos told UN News.

“With low immunization coverage and the monsoon approaching, the risk of preventable disease outbreaks is rising fast,” Ms. Drakopoulos added. “Urgent action is needed.”

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‘Increased risk’ donor organs a tough sell to transplant patients

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Increasingly, transplant surgeons must initiate a tough conversation: explaining to patients what it means to accept an organ from a person who died from a drug overdose.

Organ donors who recently injected drugs, as well those who were incarcerated or had sex for drugs or money, are among a growing group of people classified as being at “increased risk” of an infectious disease such as hepatitis C or HIV.

But the label may not be doing patients any favors, according to a study about transplant trends and organ discard.

National organ transplant numbers show the United States Public Health Service’s increased risk of infection label (PHS-IR) is associated with hundreds of available organs going unused each year.

Despite the very low risk of disease transmission, patients in need are saying no to these organs, which account for 1 in every 5 deceased donor organs today.

Better guidance is needed for surgeons and patients on how much risk an increased-risk label actually presents to patients, says study author Daniel Kaul, M.D., director of the Transplant Infectious Disease Service at Michigan Medicine.

For a study published in Transplantation, Kaul led an analysis of Organ Procurement and Transplantation Network (OPTN) data showing organs labeled as increased risk are 7 percent less likely to be used than organs without the label.

“Overall utilization was less despite the extraordinarily low risk of disease transmission,” says Kaul, a professor of internal medicine at the University of Michigan. “The organ may have gone to the next person on the transplant waiting list, but it might not have been used at all.”

Also troubling, utilization rates of PHS-IR organs varied dramatically by geography. Depending on the donation service area, transplantation of available adult kidneys from increased-risk donors ranged from 20 to 100 percent, the analysis found.

“What that tells us is there may be a different understanding of true risk associated with this label — from one center to another and even within a center, from one organ specialty to another,” Kaul says.

If the increased-risk label did not exist, an estimated 313 more transplants could be performed in the United States each year, according to the study.

All organs identified as increased risk were less likely to be used with the exception of livers, for which transplant rates were nearly identical.

A possible explanation? Patients with liver failure may be too sick to say no. By comparison, a patient needing a kidney may continue dialysis and wait for another organ offer.

Favorable Odds

For most patients with end-stage organ failure, the immediate risk of dying is greater than the risk of getting an organ with an infection.

After rigorous screening, the risk of HIV or hepatitis C transmission from organ donation is low, at less than 1 percent — much less, for example, than the lifetime chances of dying in a motor vehicle accident.

Co-authored by Michael Volk, M.D., a former U-M physician now practicing in Loma Linda, California, and others, the study was published in a special issue of Transplantation that looked at reducing organ discard while safely maximizing organ availability.

Researchers analyzed criteria of donors from 2010 to 2013. The rate of nonutilization of increased-risk organs, the authors write, is likely now even higher because of a 2015 change to the PHS-IR criteria. Combined with the opioid epidemic, the change resulted in an increase in the proportion of organs with this label from 12 percent to 20 percent.

With little guidance about magnitude of risk, the stigma surrounding drug addiction can lead someone to turn down an organ that could save his or her life.

As of early October, about 116,500 Americans are waiting for an organ transplant.