• UNICEF and partners engaged in a multi-sectoral response to flooding, primarily in White Nile State. UNICEF provided surge capacity, supplies, coordination and funds to assist the 245,700 people affected.
• The ongoing outbreak of Cholera in Blue Nile state and subsequent spread to Sennar has been a focus for UNICEF response mechanisms. Health, WASH and integrated Communication for Development (C4D) responses are being utilized to control and mitigate the life-threatening epidemic.
• UNICEF Child Protection initated an longterm child recruitment prevention programme by training of 76 personnel from Sudanese armed forces on legal frameworks and obligations at the Federal and State levels.
• UNICEF distributed 4,456,040 Long-Lasting Insecticide Treated Nets as part of a country wide campaign to reduce the risk of malaria and other mosquito borne diseases that includes spreading key messages and prevention practices.
SITUATION IN NUMBERS
2.6 million children among 5.5 million people who need Humanitarian Assistance (Source: Sudan Humanitarian Needs Overview 20181)
960,000 children among 2 million internally displaced (Source: Sudan Humanitarian Needs Overview 2018)
480,958 children among 858,854 South Sudanese refugees
UNICEF Appeal 2019 US$ 142.23 million
Situation Overview and Humanitarian Needs
On the 17th of August, the “Transitional Military Council” (TMC) signed a formal three-year and three months power-sharing agreement with the main opposition coalition of “Forces for Freedom and Change” (FFC). General Abdel Fattah al-Burhan was sworn in as head of the Sovereign Council in front of the head of the country's judiciary on 21 August with Sovereign Council members and the new Prime Minister subsequently sworn in. Prime Minister Hamdouk announced the formation of the transitional government on 5 September and a government has been formed in accordance with the power-sharing agreement.
On the 11th of September, the Government of Sudan signed the “Juba Declaration for Trust Building Measures and Preparation for Negotiations” with armed groups. Some voices within the FFC stated that the “Juba Declaration for Trust Building Measures and Preparation for Negotiations” in Sudan has violated the transitional constitution when it stipulated to postpone the appointment of state governors until the signing of a peace agreement.
An estimated 245,700 people in Sudan experienced above-average heavy rains and flash floods across almost all 18 States over the June to September rainy season, according to the Humanitarian Aid Commission (HAC), FMoH and other partners. The FMoH confirmed 79 rain attributed deaths, mainly due to collapsed roofs and electrocution. To date, 32,851 homes have been destroyed and 16,284 damaged. Federal HAC has set up an operations centre in Khartoum to assist with data collection and response coordination with OCHA working in close contact with the HAC. The Emergency Humanitarian department at the FMoH is leading the healthrelated response taskforce. The most severely affected States are Khartoum, Kassala, Gadaref, Jazeera, White Nile, North Kordofan, North Darfur, South Darfur, Sennar, Red Sea, Kassala, and the Abyei box.
The first cholera case in 2019 was reported on 2 September in El Roseries locality in the Blue Nile. On 10 September Sudan's Federal Ministry of Health (FMoH) declared that analysis of four out of the six samples obtained from patients with acute diarrhoea was tested positive for Vibrio cholera at the National Public Health Laboratory (NPHL). As of 29 September, 218 cholera cases were reported in seven localities in Blue Nile State and the neighbouring State of Sennar (140 Blue Nile, 78 Sennar), with eight deaths occurring across the two States. In Blue Nile State the Attack Rate (AR) is 1.1/10,000, and the Case Fatality Rate (CFR) is 4.3 per cent, and in Sennar, the AR is 0.4/10,000 and the CFR is 2.5. Six children under five have been infected. The State Ministries of Health (SMoH) in both States are leading the Cholera intervention together with other partners, including WHO, UNICEF, NNGOs, INGOs, and Water Environment and Sanitation (WES) program. UNICEF in both States provides WASH, H&N as well as C4D interventions.
UNICEF is also a key member of the Cholera Emergency Taskforce. The taskforce meets daily to gather and analyse information from different locality sentinel sites, coordinate partners' efforts and provide daily reports. Federal Ministry of Health has also requested Oral Cholera Vaccines (OCV) to target 1.6 million people in high-risk areas of the Blue Nile and Sennar States that UNICEF has agreed to procure on an emergency basis.
During week 39, Kassala State witnessed a dramatic increase of 20 cases in the number of reported dengue fever cases bringing the total cumulative cases to 47 with no deaths. Subsequently, on 26 September, the Federal Minister of Health announced a Dengue Fever outbreak in Kassala State. SMoH, UNICEF, WHO and other humanitarian partners are accelerating efforts towards the response.