Yemen sterilizes Sanaa water supplies as cholera outbreak picks up again

Girls wait next to a charity tap where people collect drinking water amid fears of a new cholera outbreak in Sanaa, Yemen November 5, 2018. Picture taken November 5, 2018. REUTERS/Khaled Abdullah

SANAA (Reuters) – Authorities in the Houthi-held Yemeni capital Sanaa are sterilizing water supplies at wells, distribution networks and houses to help stem the world’s worst outbreak of cholera.

Nearly four years of war between a Saudi-led coalition and the Iranian-aligned Houthi group have crippled healthcare and sanitation systems in Yemen, where some 1.2 million suspected cholera cases have been reported since 2017, with 2,515 deaths.

The World Health Organization (WHO) warned in October that the outbreak is accelerating again with roughly 10,000 suspected cases now reported per week, double the average rate for the first eight months of 2018.

Most cases have been reported in areas held by the Houthi movement, which controls most population centers after ousting the internationally recognized government from Sanaa in 2014.

“We receive information of reported cases of cholera from the Ministry of Health, then the team sterilizes the house and 20 houses around it,” Nabeel Abdullah al-Wazeer, the Houthis’ minister of water, told Reuters in Sanaa.

“We worked from house to house and on sterilizing water wells. We also worked on bus-mounted tanks, which transport water in the private sector to the citizens, as well as sterilizing local institutions which distribute water.”

Adel Moawada, director general of technical affairs at Sanaa’s main water sanitation plant, said there are currently 20 automated chlorination units installed in wells directly linked to the capital’s water distribution network.

Cholera, which is spread by consuming contaminated food or water, is a diarrheal disease and can kill within hours. While previous outbreaks may have helped build immunity in the population, other diseases and widespread malnutrition can weaken resilience.

The United Nations says about 14 million people, or half of Yemen’s population, could soon face famine. Some 1.8 million children are malnourished, according to UNICEF.

Children account for 30 percent of cholera infections.

Pediatrician Mohammed Abdulmughni administers intravenous fluids to children in WHO tents in Sanaa. Their beds rest on gravel and flies circle their faces.

“With winter’s arrival we expected the numbers would decrease, yet the cases have been coming in at the same pace,” he said. “We expected positive (diagnoses) cases to decrease but the cases remain high.”

If caught early, acute diarrhea can be treated with oral hydration salts, but more severe cases require intravenous fluids and antibiotics.

More than 250,000 cases of cholera have been recorded in Yemen since the beginning of 2018, with 358 associated deaths, UNICEF representative Meritxell Relano told Reuters.

“We have prevented an outbreak at the scale of 2017,” Relano said. “But the risk is still there.”

(Reporting by Reuters team in Yemen, additional reporting by Julie Carriat in Paris; Writing by Tuqa Khalid; Editing by Ghaida Ghantous and Raissa Kasolowsky)

60,000 North Korean children may starve, sanctions slow aid: UNICEF

A North Korean flag flies on a mast at the Permanent Mission of North Korea in Geneva October 2, 2014.

By Stephanie Nebehay

GENEVA (Reuters) – An estimated 60,000 children face potential starvation in North Korea, where international sanctions are exacerbating the situation by slowing aid deliveries, the United Nations Children’s Fund (UNICEF) said on Tuesday.

World powers have imposed growing sanctions on North Korea for its nuclear and ballistic missile programs. Last week the United States announced fresh sanctions on nine entities, 16 people and six North Korean ships it accused of helping the weapons programs.

Under United Nations Security Council resolutions, humanitarian supplies or operations are exempt from sanctions, Omar Abdi, UNICEF deputy executive director, said.

“But what happens is that of course the banks, the companies that provide goods or ship goods are very careful. They don’t want to take any risk of later on being associated (with) breaking the sanctions,” Abdi told a news briefing.

“That is what makes it more difficult for us to bring things. So it takes a little bit longer, especially in getting money into the country. But also in shipping goods to DPRK. There are not many shipping lines that operate in that area,” he said, referring to the Democratic People’s Republic of Korea.

Sanctions on fuel have been tightened, making it more scarce and expensive, Abdi added.

Reuters, citing three Western European intelligence sources, reported exclusively last week that North Korea shipped coal to Russia last year which was then delivered to South Korea and Japan in a likely violation of U.N. sanctions.

“We are projecting that at some point during the year 60,000 children will become severely malnourished. This is the malnutrition that potentially can lead to death. It’s protein and calorie malnutrition,” said Manuel Fontaine, director of UNICEF emergency programs worldwide.

“So the trend is worrying, it’s not getting any better.”

In all, 200,000 North Korean children suffer from acute malnutrition, including 60,000 with the most severe form that can be lethal, according to UNICEF.

UNICEF had projected 60,000 children would suffer severe acute malnutrition last year, and reached 39,000 of them with therapeutic feeding, spokesman Christophe Boulierac said.

“Diarrhoea related to poor sanitation and hygiene and acute malnutrition remains a leading cause of death among young children,” it said in Tuesday’s appeal to donors that gave no toll.

UNICEF is seeking $16.5 million this year to provide nutrition, health and water to North Koreans but faces “operational challenges” due to the tense political context and “unintended consequences” of sanctions, it said.

It cited “disruptions to banking channels, delays in clearing relief items at entry ports, difficulty securing suppliers and a 160 percent increase in fuel prices”.

“It’s a very close, and tightly monitored intervention which is purely humanitarian in its essence,” Fontaine said.

UNICEF is one of only a few aid agencies with access to the isolated country, which suffered famine in the mid-1990s that killed up to three million people.

(Reporting by Stephanie Nebehay; Editing by Peter Graff)