2024-12-18-世界卫生组织-Sudan_conflict_–_Situation_in_refugee-hosting_countries,_Multi-country_External_Situation_Report_7,_covering_the_reporting_period_November_2024_18页_1mb

Sudan Conflict Summary: Refugee Health Situation in Host Countries

Key Findings

The ongoing Sudan conflict has led to massive displacement, with over 12 million people affected and more than 2.5 million seeking refuge in neighboring countries including Chad, South Sudan, Egypt, Libya, Ethiopia, and the Central African Republic. This report highlights health challenges, ongoing outbreaks, and operational hurdles.

Country-Specific Health Updates

• Chad: High influx of refugees; key health issues include malaria, acute respiratory infections, and hepatitis E outbreaks. Response efforts involve vaccination campaigns, surveillance, and mental health support. A dedicated PRSEAH focal point is being established.
• South Sudan: Cholera outbreak linked to refugees and inadequate WASH; ORPs and vaccination campaigns are being scaled up. Measles, chickenpox, and dengue fever are also prevalent. PRSEAH training integrated into response activities.
• Egypt: Significant refugee arrivals, with health services adapted; measles, dengue, and cholera risks noted. PRSEAH and GBV response strengthened through training and reporting channels.
• Libya: Rapidly increasing Sudanese refugee population; challenges include shortages of medicines and resources, with rising cases of malaria, TB, and hepatitis B. A new isolation center was opened.
• Ethiopia: Malaria rates high among refugees; limited access at crossing points and referrals. PSEAH efforts ongoing but constrained by funding. HPV and polio campaigns planned.
• Central African Republic: Hepatitis E epidemic in Vakaga, disproportionately affecting refugees. Mental health and vaccination support implemented.

Operational Challenges

• Persistent funding gaps limiting humanitarian response.
• Inadequate surveillance and early warning systems.
• Overcrowding and insufficient health infrastructure exacerbating disease outbreaks (e.g., cholera, hepatitis E).
• Shortages of healthcare workers, medical supplies, and security issues hindering operations.

Next Steps

• Strengthen surveillance, rapid response teams, WASH, and IPC.
• Restock essential medicines and diagnostics.
• Expand health worker training, including EMTs and PRSEAH protocols.
• Address resource mobilization and ensure coordinated interventions.

References

Additional details available in WHO reports and resources listed in the document.