UNHCR and partners race to reverse alarming health situation in South Sudan camps

Briefing Notes, 3 August 2012

This is a summary of what was said by UNHCR spokesperson Melissa Fleming to whom quoted text may be attributed at the press briefing, on 3 August 2012, at the Palais des Nations in Geneva.

In South Sudan, UNHCR and partners are intensifying efforts to reverse the alarming rates of malnutrition, disease and death in two camps hosting Sudanese refugees.

Health workers in Yida camp in Unity state first saw a significant increase in death rates among refugee children in late June and early July. MSF reported an average of five children dying every day, mostly from diarrhea and infections.

In the last three weeks, mortality and morbidity rates have started to stabilize, as aid agencies took urgent action to address the root causes. In addition to providing emergency treatment, the aid agencies are also working to mitigate the risk of water-borne and hygiene-related diseases. However, intensive efforts need to continue.

UNHCR has so far dug two out of the six additional boreholes that will double the supply of potable water in Yida. Together with the NGO Solidarites, we have been conducting a 40-day bucket cleaning and chlorination campaign at water points. Drainage systems are being improved at all seven water points to reduce the risk of contamination and water-borne diseases from standing water. We are promoting hygiene practices throughout the camp and have distributed some of the 7 tons of soap that were airlifted from Bentiu. Community latrines are being built to meet the needs of the growing population.

Today UNHCR will begin distributing more soap, jerry cans and blankets to over 8,200 families with children under the age of five. We are targeting the most vulnerable refugees in the camp to improve sanitization and minimize the risk of respiratory infections in these households. The distribution of other supplies such as plastic sheeting and buckets will continue throughout the month.

Nonetheless, the challenges remain daunting in Yida. This remote border camp now hosts some 60,000 refugees from Sudan's South Kordofan state, a four-fold increase since April. Children form more than a quarter of this population.

Most refugees have been arriving in a very weak state exhausted, dehydrated and malnourished. The rainy season has exacerbated the situation, bringing seasonal diseases to an already fragile population. The rains have also flooded nearby roads and turned Yida into a virtual island. Airlifts are now the only way to get life-saving aid into the camp.

In fact, UNHCR is now planning to airlift an additional 8,500 plastic sheets and 15,000 mosquito nets for immediate distribution to the new arrivals. Many are currently sleeping under poorly-thatched roofs, which increase the risk of respiratory illnesses and malaria particularly among children under five.

Meanwhile in Upper Nile state, one in three children is believed to be malnourished in Batil camp. Common health problems in this camp of 35,000 refugees include watery diarrhea, respiratory tract infections and increasingly, malaria.

To address the high malnutrition rates, aid agencies started a blanket supplementary feeding across the camp last Sunday, followed by a targetted supplementary feeding program to help children recover from moderate acute malnutrition. In addition, some 12 per cent of children under five are receiving treatment for severe acute malnutrition.

In total, Batil has five clinics for health and nutrition treatments, and 20 oral rehydration points throughout the camp. The health agencies have set up surveillance and response mechanisms for possible outbreaks of diarrhoeal and other diseases.

Stats update South Sudan is now hosting 170,000 Sudanese refugees. More are arriving from South Kordofan and Blue Nile every day to find challenging living conditions as aid agencies struggle to cope with immense logistical problems.

Funding update In a welcome development this week, the Common Humanitarian Fund allocated US$10 million to the refugee emergency in South Sudan, mostly to NGOs working in the areas of health, nutrition, water, sanitation, road access and site preparation. UNHCR has only received US $47.5 million out of the US$ 186 million it needs to meet the urgent needs of the Sudanese refugees in South Sudan.

For further information on this topic, please contact:

  • In Nairobi (UNHCR regional hub): Millicent Mutuli on mobile + 251 735 337608
  • In Juba: Terry Ongaro on mobile: +211 927 770 040
  • In Geneva, Fatoumata Lejeune-Kaba on mobile +41 79 249 3483



UNHCR country pages

South Sudan Crisis: Urgent Appeal

Donate now and help to provide emergency aid to tens of thousands of people fleeing South Sudan to escape violence.

Donate to this crisis

Public Health

The health of refugees and other displaced people is a priority for UNHCR.

Health crisis in South Sudan

There are roughly 105,000 refugees in South Sudan's Maban County. Many are at serious health risk. UNHCR and its partners are working vigorously to prevent and contain the outbreak of malaria and several water-borne diseases.

Most of the refugees, especially children and the elderly, arrived at the camps in a weakened condition. The on-going rains tend to make things worse, as puddles become incubation areas for malaria-bearing mosquitoes. Moderately malnourished children and elderly can easily become severely malnourished if they catch so much as a cold.

The problems are hardest felt in Maban County's Yusuf Batil camp, where as many as 15 per cent of the children under 5 are severely malnourished.

UNHCR and its partners are doing everything possible to prevent and combat illness. In Yusuf Batil camp, 200 community health workers go from home to home looking educating refugees about basic hygene such as hand washing and identifying ill people as they go. Such nutritional foods as Plumpy'nut are being supplied to children who need them. A hospital dedicated to the treatment of cholera has been established. Mosquito nets have been distributed throughout the camps in order to prevent malaria.

Health crisis in South Sudan

Bonga Camp, Ethiopia

Bonga camp is located in the troubled Gambella region of western Ethiopia. But it remains untouched by the ethnic conflicts that have torn nearby Gambella town and Fugnido camp in the last year.

For Bonga's 17,000 Sudanese refugees, life goes on despite rumblings in the region. Refugee children continue with school and play while their parents make ends meet by supplementing UNHCR assistance with self-reliance projects.

Cultural life is not forgotten, with tribal ceremonies by the Uduk majority. Other ethnic communities – Shuluks, Nubas and Equatorians – are welcome too, judging by how well hundreds of newcomers have settled in after their transfer from Fugnido camp in late 2002.

Bonga Camp, Ethiopia

Southerners on the move before Sudanese vote

Ahead of South Sudan's landmark January 9, 2011 referendum on independence, tens of thousands of southern Sudanese in the North packed their belongings and made the long trek south. UNHCR set up way stations at key points along the route to provide food and shelter to the travellers during their arduous journey. Several reports of rapes and attacks on travellers reinforced the need for these reception centres, where women, children and people living with disabilities can spend the night. UNHCR has made contingency plans in the event of mass displacement after the vote, including the stockpiling of shelter and basic provisions for up to 50,000 people.

Southerners on the move before Sudanese vote

Greece: Health risk to refugee children in IdomeniPlay video

Greece: Health risk to refugee children in Idomeni

Some 10,000 refugees and migrants remain camped out at an informal site at Greece's northern border with the Former Yugoslav Republic of Macedonia. The makeshift home is also home to an estimated 4,000 children, the majority of whom are under the age of five. Doctors warn conditions in the camp are becoming dangerous for children.
South Sudan: A Long Walk in Search of Safety Play video

South Sudan: A Long Walk in Search of Safety

Years of fighting between Sudan and rebel forces have sent more than 240,000 people fleeing to neighbouring South Sudan, a country embroiled in its own conflict. After weeks on foot, Amal Bakith and her five children are settling in at Ajoung Thok refugee camp where they receive food, shelter, access to education and land.
South Sudan: Four Years On from IndependencePlay video

South Sudan: Four Years On from Independence

In 2011 the people of South Sudan celebrated their independence. Four years later, the world's newest nation is one of the world's worst humanitarian situations. In December 2013, conflict erupted displacing 2 million people including more than 600,000 refugees. South Sudanese has fled to Ethiopia, Kenya, Uganda, and Sudan. The crisis has especially impacted the next generation of South Sudanese, 70% of those displaced are children.