Unclassified
U.S. Department of State
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Yemen: Combined Impact of Cholera and Malnutrition
H U M A N I TA R I A N I N F O R M AT I O N U N I T
Ongoing conflict has damaged critical water, sanitation, and health infrastructure and disrupted access to food, leading to increasing rates of malnutrition and also contributing to the outbreak of cholera in Yemen. Cholera – an acute diarrheal illness that can spread rapidly through contaminated food and water – is suspected to have infected more than 540,000 people in Yemen since late April 2017. Children suffering from acute malnutrition are especially susceptible to cholera; more than one million children in Yemen suffer from acute malnutrition, according to Save the Children.
Malnutrition and diarrheal disease cycle The relationship between malnutrition and diarrheal diseases, where poor nutrition inhibits the body’s response to infection and infections can worsen nutritional status, results in more lives lost from both conditions. OMAN Malnourished children are more susceptible to developing diarrheal diseases that commonly last longer and are more severe.
SAU DI A R A BI A
Increased Malnutrition
Red Sea
Hajjah
‘Amran
Y E M E N
Amanat al ‘Asimah Al Mahwit
Ibb
NOTE: Socotra Governorate (not shown) has no reported cases of cholera. Malnutrition severity in Socotra exceeds the WHO ‘serious’ threshold.
Shabwah Al Bayda’
Ad Dali‘
Cumulative suspected cholera cases, deaths, & death rates Abyan
Ta‘izz Lahij Aden
DJIBOUTI
600,000 cases** 2.5% death rate
Cholera 2% attack rate 1%
480,000 2% Poor Serious Critical 5-9% 10-14% 15% or > GAM GAM GAM
Gulf of Aden
WHO malnutrition classification* †
0 km 0
50 km 100 mi
Co d i a n t ra c tio n of rr hea l d is e as e
Ma’rib Sanaa
Al Sanaa Hudaydah Raymah Dhamar
ERIT.
Al Mahrah
Increased tibility to suscep disease
Hadramawt†
Al Jawf
Inability to absorb nutrients from food
Sa‘dah
SOMALIA
Names and boundary representation are not necessarily authoritative
*Global acute malnutrition (GAM) rates published in the Yemen Nutrition Cluster Bulletin, July 2017, were used for the WHO malnutrition classification. GAM measured on children under five.
Attack rate for Hadramawt governorate is based on the total case and population numbers for Al Mukalla and Say'un cities alone.
360,000 1.5%
2,003
1,864
Current death rate: 0.37%
532
as of May May May May Jun Jun Jun Jun Jul 14 18 24 30 4 12 18 25 2 **Reported cholera cases and deaths from April 27 – August 21, 2017
Sources: press reporting, Save the Children, UN OCHA, World Health Organization, UNICEF and Yemen Ministry of Public Health-led Nutrition Cluster
2,000 1,500
1,368
240,000 1% 120,000 0.5%
2,500 deaths
Total number of cases: 542,823
As suspected cholera cases and deaths continue to be reported across Yemen, aid organizations have increased treatment response to mitigate the initially high death rate.
1,000 500
Jul 10
Jul 16
Jul 23
Jul 30
Aug Aug Aug 6 13 21
August 24, 2017- U1651 STATE (HIU)