Food security has improved across Madagascar compared with last year, but pockets of fragility remain, especially in Ampanihy district in the south. An estimated 727,900 people will be severely food insecure (IPC phase 3 and 4) from November 2019 to March 2020, including about 508,800 in the Grand Sud (compared to 1,279,700 from November 2018 to March 2019, including 945,900 in the Grand Sud ). From July to October, the situation improved due to multisectoral humanitarian response packages implemented through the Flash Appeal (funded at 63 per cent), and good rainfall during the agricultural season from January to June 2019. However, Madagascar is now in the hunger gap season and parts of the country—particularly in the Grand Sud—have received below-average rainfall in November and December 2019, which may cause the situation to deteriorate.
The number of measles cases and deaths reported has continued to decline. Since the onset of the measles outbreak on 3 September 2018, 244,631 cases have been recorded in the country. However, the number of cases reported has dropped in recent months, with 280 cases reported between September and October 2019 , and only 38 cases since November 2019. Meanwhile, the number of plague cases reported in 2019 has remained below the 5-year average. Since 5 August 2019, 88 plague cases have been reported in 14 districts with a majority of bubonic form (77 cases). Health actors continue to strengthen the response in districts where plague and measles are still active.
On 9 December, Tropical Cyclone Belna made landfall in Soalala district, bringing torrential rains and winds. Four people were killed and 2,655 people were temporarily displaced, while 650 houses and 120 classrooms were damaged.