World Video | Defence | Foreign Affairs | Natural Events | Trade | NZ in World News | NZ National News Video | NZ Regional News | Search


Water-Borne Diseases Threaten Children’s Lives in Somalia

19 August 2011

Water-Borne Diseases Threaten Children’s Lives in Southern Somalia

An urgent multi-sectoral response is being mounted to contain the spread of cholera. UNICEF (UN Children’s Fund) and WHO (World Health Organization) say there is an increasing number of confirmed cases in Mogadishu and reports of growing numbers of acute watery diarrhoea in the port city of Kismayo.

Some 75 per cent of all cases of highly infectious acute watery diarrhoea are among children under the age of five. Poor sanitation conditions, a shortage of safe water, overcrowding and high malnutrition rates are the perfect combination for infectious diseases, such as cholera and pneumonia, to spread and increase death rates.

Cholera is confirmed in Banadir, Bay, Mudug and Lower Shabelle regions and the number of acute watery diarrhoea cases has increased dramatically in the last few months. Since January this year, some 4,200 cases of acute watery diarrhoea/cholera were reported in Benadir Hospital in Mogadishu alone.

However, at this stage most of the cholera cases in the various regions are contained and under control.

“Our major concern is to monitor and detect new disease outbreaks in the many informal settlements set up by internally displaced people in and around Mogadishu,” said Dr. Marthe Everard, WHO Representative for Somalia.

“For the last few years, a network of health workers reporting to the early warning system has been in place, however they report through a health facility or mobile clinic. Yet the large numbers of displaced people in Mogadishu are making it more difficult to record the various diseases,” she added.

“We urgently need more mobile clinics that will provide basic health care services to the many displaced and who will strengthen the reporting on new outbreaks. This is critical to our response and our ability to save lives,” Dr. Everard said.

Cholera is endemic in Somalia but the last major outbreak was in 2007 with 67,000 cases. In recent years, efforts to chlorinate the water supply of Mogadishu, along with efforts to improve hygiene and sanitation prevented a serious outbreak. But there is now an acute shortage of safe water and adequate sanitation with the influx of 100,000 people this year into Mogadishu, bringing the total number of displaced people in the capital to 470,000 with many living in overcrowded settlements.

“There is no need for a child to die of diarrhoea, yet this is a tragic reality for a Somali child who is acutely malnourished. It is a lethal combination,” said Rozanne Chorlton, UNICEF Representative for Somalia. “These types of diseases can be prevented and treated quickly. To save children’s lives we are making sure that safe water, sanitation and hygiene along with early access to primary health care are an integral part of our emergency response.”

Emergency diarrhoeal disease kits made up of medical supplies such as syringes, infusions, and oral rehydration salts (ORS), already prepositioned by UNICEF and WHO, have been sent to 13 hospitals. An additional 200 diarrhoeal disease kits, each able to treat 100 severe and 400 moderate cases are being procured and should be in southern Somalia in the next few weeks. These items would enable partners in the health and in the water and sanitation sectors to respond to up to 100,000 cholera cases including 80,000 moderate and 20,000 severe cases.

In addition, case management of severe dehydration with and without malnutrition is being strengthened. The focus is now on mobilizing a network of community health promoters to move from door to door with health hygiene education messages. Health posts are being stocked with essential medicines and ORS.

Many of southern Somalia’s rural and urban areas rely on shallow wells, which - unless they are protected or treated with chlorine - can be a perfect breeding ground for water-borne diseases.

Partners in the water, sanitation and hygiene sector are scaling up to target 1.5 million people across high risk areas of the South. Supplies of chlorine and essential items for hygiene and household treatment and storage of water are being distributed. Already 217 water sources are being chlorinated, and 58 water point outlets are benefitting 483,200 people in Mogadishu.

In addition, household hygiene supplies, including water purification tablets, soap and buckets, enough for 48,000 families, are being distributed at existing feeding centres for malnourished children. Campaigns to educate families about the treatment of drinking water, safe disposal of waste and encourage hand washing with soap will also be scaled up in high risk communities.

As part of the updated 2011 UN Consolidated Appeal for Somalia, an estimated USD$80 million is needed for the health sector and $USD78 million is required for the water, sanitation and hygiene sector. So far only 30 per cent and 37 per cent respectively has been raised for each sector.

UNICEF NZ urgently needs funds to help children in Southern Somalia and other countries in need in East Africa. NZ$19.50 buys a water kit for a family to enable them to collect, store and purify water, so that their children are able to safely drink and wash. Please donate now at or call 0800 800 194.


© Scoop Media

World Headlines


Tale Of Two Pandemics: Follow The Science And Do Not Forget One At The Cost Of The Other

Covid-19 has posed innumerable health, economic, and social challenges for all, including people living with HIV. It has exposed the fragility of health systems around the globe and has diverted political attention and funding from other infectious diseases like TB and HIV... More>>

UN: Rights Chief Calls For Prompt Release Of Protestors Held In Cuba
The UN High Commissioner for Human Rights on Friday called for the prompt release of protestors and journalists detained during anti-government demonstrations in Cuba, some of whom are being held incommunicado... More>>

Scarce Goods: Isolating Daraa Al-Balad Threatens 40,000 With Starvation

The siege imposed by the Syrian government forces on Daraa al-Balad since June 24 would lead to serious humanitarian repercussions if it continues, Euro-Mediterranean Human Rights Monitor said in a statement on July 15, calling for lifting the siege urgently and allowing the entry of basic humanitarian supplies... More>>

Focus On: UN SDGs

Food Systems: Italian & Rwandan Leaders Join Urgent Call To Transform World’s Food Systems As Pre-Summit Begins

Italian Prime Minister Mario Draghi and Rwandan President Paul Kagame stress need for more inclusive, sustainable and holistic approaches ahead of the Summit in New York in September... More>>

Shaping The Future Of Food Systems: Thousands Commit To Dialogues Amidst The COVID-19 Pandemic

More than 130 governments are making food systems a top priority amid the pandemic and committing to an unprecedented programme of Dialogues in the run up to the UN Food Systems Summit in September... More>>

UN: Play:Fair For People And Planet – A Major United Nations Music Activation
organized by the UN SDG Action Campaign in partnership with Music Innovation Hub, Keychange, the city of Milan, the Milan Triennale, and partners from the SDG Music Network, will be held at an unexpected location in the center of Milan, Italy, taking into account safety measures with a limited on-site audience consisting of activists and fans... More>>