UNHCR steps up measures to rein in Hepatitis E among South Sudanese refugees in Ethiopia

Briefing Notes, 8 August 2014

This is a summary of what was said by UNHCR spokesperson Ariane Rummery to whom quoted text may be attributed at the press briefing, on 8 August 2014, at the Palais des Nations in Geneva.

The liver disease Hepatitis E that has spread across South Sudan over the last two years has now appeared in three border camps that house some 150,000 South Sudanese refugees in Ethiopia.

The UN refugee agency has worked swiftly with the Ethiopian government, the World Health Organization, the refugees themselves, and other partners to contain the disease. As a result, we are seeing a decline in infections even though, unfortunately, 13 refugees have died from Hepatitis E since April.

Hepatitis E is caused by a virus and is spread mainly by consuming contaminated water and food. For this reason, we have been working to improve sanitation in the camps and increase the amount and availability of safe drinking water.

Our key message is for refugees simply to keep their hands clean. In the camps, Médecins Sans Frontières France, has distributed 80,000 bars of soap donated by UNICEF in the camps to encourage better hygiene. In addition, we are telling refugees not to defecate in the open and are building more latrines. We are also telling refugees not to let animals defecate close to their homes.

The refugees know Hepatitis E as "Yellow Eyes" so we are sharing the message: "If you have yellow eyes, go to the clinic." Getting early medical treatment is essential.

Since April, there have been 367 cases of Hepatitis E in Leichuor, Kule and Tierkidi camps, which are all located in the Gambella region of western Ethiopia, bordering South Sudan. Laboratories in Addis Ababa and Nairobi confirmed that the virus is related to the Hepatitis E outbreak reported in neighboring South Sudan. Six more cases were reported in the refugee hosting communities of Itang and Nyin-yan.

Hepatitis E hits people between the ages of 15 and 40 hardest. In the three camps where we see refugees with Hepatitis E, a large majority are young people aged 12-40. Hepatitis E is particularly dangerous for pregnant women; as many as 20 to 25 percent of pregnant women who contract the disease may die. A pregnant woman was among the 13 refugees who have died.

Ethiopia is home to 247,554 South Sudanese refugees, including more than 185,000 who have fled since fighting broke out in mid-December last year.

In other neighboring African countries that host South Sudanese refugees, medical staff are screening all refugees as they arrive to find out whether they are or have been sick. If needed, they are further examined to see if they may have Hepatitis E or cholera, which has also been sweeping South Sudan since 15 May. In addition, UNHCR and partners have also stockpiled medicine, medical supplies, and water treatment supplies as a normal precaution.

For more information on this topic, please contact:

  • In Geneva, Ariane Rummery on mobile +41 79 200 7617
  • In Ethiopia, Kisut Gebre Egziabher on mobile +25 19 11 20 89 01
  • In Kenya, Kitty McKinsey on mobile +254 735 337 608
• DONATE NOW •

 

• GET INVOLVED • • STAY INFORMED •

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

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

New Arrivals in Yemen

During one six-day period at the end of March, more than 1,100 Somalis and Ethiopians arrived on the shores of Yemen after crossing the Gulf of Aden on smuggler's boats from Bosaso, Somalia. At least 28 people died during these recent voyages – from asphyxiation, beating or drowning – and many were badly injured by the smugglers. Others suffered skin problems as a result of prolonged contact with sea water, human waste, diesel oil and other chemicals.

During a recent visit to Yemen, UNHCR Assistant High Commissioner for Protection Erika Feller pledged to further raise the profile of the situation, to appeal for additional funding and international action to help Yemen, and to develop projects that will improve the living conditions and self sufficiency of the refugees in Yemen.

Since January 2006, Yemen has received nearly 30,000 people from Somalia, Ethiopia and other places, while more than 500 people have died during the sea crossing and at least 300 remain missing. UNHCR provides assistance, care and housing to more than 100,000 refugees already in Yemen.

New Arrivals in Yemen

South Sudan: Food Security Play video

South Sudan: Food Security

Jacob is plowing 20 kilometers far from his own home town, Bor, after having to abandon it due to the ongoing fighting in South Sudan. Now in Mingkaman camp,as a displaced person, this land he plows is all he has after losing farm and cattle back home
Canada: Light Years Ahead
Play video

Canada: Light Years Ahead

With help from the Government of Canada, lives of refugees in Chad and Ethiopia have been transformed through the Light Years Ahead project.
Ethiopia: South Sudanese Refugee InfluxPlay video

Ethiopia: South Sudanese Refugee Influx

Despite a ceasefire agreement signed in early May, fighting continues between government and opposition forces in South Sudan. The renewed conflict has forced thousands of refugees to seek shelter in Ethiopia.