The Future is Equal

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Risk of disease outbreak as Bangladesh floods

Note to the editors: 

  • According to the UN, Bangladesh Water, 520 unions of 77 Upazilas of 10 districts have been severely impacted. Source: UN Situation Report, 30 August 2024 
  • According to the Department of Public Health Engineering (DPHE) report, as of 31 August 2024, 295,689 latrines have been damaged.  

Contact information:

Rachel Schaevitz, [email protected]

DRC: Oxfam responds to Mpox outbreak in Equateur as it reaches alarming levels

The MPox epidemic has reached alarming levels in the Democratic Republic of Congo, as more than 15,000 cases and over 540 deaths have been reported across the country since the beginning of the year. Oxfam is mounting an immediate response particularly in the most affected province of Equateur.

Justine Tossou Gomis, Oxfam’s Country Director for the DRC, said:

“The situation in Equateur is particularly alarming, with over 320 deaths already reported. Very poor water and sanitation have led to the spread of diseases and the resurgence of several epidemics. Entire communities already struggling with poor sanitation are now at risk.”

Working closely with the national authorities and partners, Oxfam aims to support approximately 80,000 people across Mbandaka, Bikoro, Bolenge, Tondo, and Ingende with hygiene and prevention awareness, clean water and sanitation, while strengthening community engagement and the preparedness of health institutions in the province.

“Our response builds on Oxfam’s track record of public health and sanitation programmes in Equateur since Ebola. We will work with local communities and partners to provide hygiene and sanitation kits and information on how to prevent viral contamination,” added Tossou.

The World Health Organization (WHO) announced on Wednesday that the Mpox outbreak has already affected several African countries and constitutes a public health emergency of international concern. Oxfam is closely monitoring the situation in these countries to assess needs.

The Minister of Health, Hygiene, and Social Welfare of the DRC gave an alarming report on the Mpox epidemic in the DRC and called on the entire community to change their behavior to counter the spread of the epidemic.

Notes:

  • Since 2002, Oxfam has been operating in the Equateur province, working in the sectors of water, hygiene, sanitation, health, and education. Currently, we are implementing actions in water, hygiene, sanitation, protection, and gender in four health zones (Mbandaka, Bikoro, Lotumbe, and Iboko) most affected by the monkeypox epidemic.
  • According to the latest Ministry of Health epidemiological report, the DRC has recorded 15,664 potential cases and 548 deaths since the beginning of the year. The most affected provinces are Equateur, South Kivu, South Ubangi, Sankuru, Tshuapa, Mongala, and Tshopo. The Equateur province has seen the highest number of cases and 321 deaths. 

Contact

For more information or to arrange an interview, please contact: In Goma, DRC: Alain Nkingi in DRC +243(0)816994725  [email protected]  or In Oxford: Nesrine Aly [email protected]

Gaza hunger figures reflect “shameful failure” of global leaders: Oxfam

In response to the latest Global Integrated Food Security Phase Classification (IPC) report published today, which warns that a high risk of famine persists across the Gaza Strip, Oxfam’s Regional Director for the Middle East, Sally Abi Khalil, said:

“The figures in this report are a shameful testament to the failure of world leaders to heed earlier warnings and hold Israel to account for its deliberate use of starvation as a weapon of war. The slight improvement of conditions in the north shows that Israel can end human suffering when it chooses – but just as quickly those gains can vanish when access is again constrained, as the report warns it is now. 

“Israel’s policy of deliberate deprivation across Gaza has created this unprecedented situation where we are witnessing the world’s highest concentration of people in Al-Mawasi, a so-called humanitarian safe zone, without access to food, water or sanitation.

“Just days ago, we learned that two more babies starved to death in Beit Lahiya. The reported death toll from hunger and thirst – which is likely to be much higher – is now 31. These aren’t just numbers – they embody each grieving mother and every child lost to the most unspeakable fate.

“Not only is there a lack of food, but safe drinking water is now an increasingly rare resource, which is accelerating the spread of disease.

“Each day without a ceasefire, more lives will be lost. The clock is ticking. World leaders must increase pressure on all parties to agree to a permanent ceasefire, and on Israel to stop starving Palestinian children to death, by allowing sufficient humanitarian aid to reach them.

“Israel must ensure that movement of aid into and within Gaza, including through checkpoints, is predictable, unfettered and dramatically accelerated, with all roads operational, the entry of sufficient fuel allowed, and access safely facilitated.”

____

Note to editor: 

  • Global Integrated Food Security Phase Classification (IPC) Report–  Gaza Strip: Acute Food Insecurity Situation for 1 May – 15 June and Projection for 16 June – 30 September 2024

Increasing floods and drought displaced 8 million people last year in ten worst-hit countries – over twice that of a decade ago

Hunger nearly tripled in five of these countries over the same period.

Water-related disasters forced nearly eight million people out of their homes in 10 of the world’s worst-hit countries last year – a 120% increase compared to a decade ago, said Oxfam today.

On World Refugee Day, Oxfam says that in five of those countries, levels of severe hunger have nearly tripled over the same period.

Somalia, China, Philippines, Pakistan, Kenya, Ethiopia, India, Brazil, Bangladesh, and Malaysia topped the list of countries that suffered the largest displacement of people from floods and droughts last year, according to the Global Internal Displacement Database. In those countries, the number of people displaced from their homes soared from 3.5 million in 2013 to 7.9 million in 2023.

Climate change has increased the intensity and frequency of floods and droughts. According to data collated by Oxfam, recorded flood and drought disasters in those ten worst-hit countries have skyrocketed from just 24 in 2013, to 656 last year. Somalia alone was hit by 223 different flood or drought events in 2023 against just two in 2013, for instance. The Philippines was hit 74 times (compared to just three in 2013), Brazil 79 times compared to four, and Malaysia 127 times compared to just once in 2013.

Globally, floods and droughts alone have forced over 10 million people out of their homes just last year – that is nearly the entire population of Portugal.

Oxfam calculated that in Bangladesh, Ethiopia, Kenya, Pakistan, and Somalia – which are among the least prepared to cope with the impact of climate change – the number of people suffering acute hunger has risen from 14 million in 2013 to over 55 million in 2023.

“Climate injustice is rife. From the scores dying from scorching heat in Bangladesh to the thousands forced to flee floods in Pakistan, it is the most vulnerable people – and those least responsible for the climate crisis – who are bearing the brunt, while rich polluting nations continue to do too little too late to help them,” says Nuzhat Nueary, Oxfam Water Insecurity and Climate Policy Coordinator.

Oxfam Aotearoa’s Head of Partnerships and Humanitarian, Carlos Calderon, adds, “Humanitarian crises are more complex than they have ever been. Humanity is currently living through its highest number of active conflicts since World War II. Women, girls and the elderly are those who face greater risk when they are forced to migrate. Refugees like Myanmar’s Rohingyas have fled to Bangladesh. With no foreseeable solution, they remain living in harsh conditions in makeshift camps without adequate access to clean water, income, or basic security. Think to yourself, what would you do in that situation?”

And yet, despite contributing only 0.56% of global carbon emissions, Bangladesh is facing its own crises. Unpredictable cyclones and other water-related disasters have forced more than 1.8 million people to leave their homes in 2023. These disasters have caused severe damage to infrastructure like schools, markets and other essential services.

Asgor Kha and Moriom who live in Lebubunia village of Satkhira, Bangladesh says: “We have lost our homes four times due to cyclones. We are still in debt for having taken a house loan. Our son is our only earning member, but he struggles to find any work in the area.”

Zerin Ahmed, Oxfam’s Senior Program Officer in Bangladesh, said: “With no crops or income families have been forced to move, some multiple times. Those who are left behind live with constant fear about the future, as cycles of consecutive disasters have depleted all their resources, exhausting their last ability to cope.”

In Somalia, continuous temperature rise (1.5°C, up from 1°C in 1991) has resulted in more frequent and prolonged droughts, often followed by flash floods and cyclones. Despite accounting for less than 0.03% of global carbon emissions, the country has suffered billions worth of losses due to recurring floods and droughts. Recovering from the last December floods alone was estimated at $230 million.

The last Deyr rainy season -which followed five consecutive seasons of drought – brought massive flooding, forcing 1.2 million people to flee their homes and killing 118 people. These disasters have compounded the impact of ongoing conflict, political instability, and economic shocks, leaving almost half of Somalia’s population in urgent need of humanitarian assistance.

“I lost all my animals to the drought. I fled on foot with my children, and it took me three days to get to Baidoa. It was a difficult journey. I had no food or water for my children. Some got sick along the way,” said Hassan Mohamed, a displaced father in Baidoa, Somalia.

“Ending people’s suffering is possible. Rich polluting nations must cut emissions and provide adequate climate finance to countries most impacted by the climate crisis so that they can cope better and rebuild after climate shocks,” added Nueary.

“They must also inject funding into the new loss and damage scheme. It is not a courtesy gesture but an obligation for the damage they have caused. With proper funding, the most impacted nations can develop early warning systems and other measures to prepare for and mitigate the effects of climate change, and can free up resources to invest in social protection to help people cope.

“Local communities on the frontline of climate response, and vulnerable groups – especially women, youth, and indigenous communities –have already championed solutions, and must be at the heart of climate decisions, funding, and action.”


Notes to editor:

  • Oxfam ranked the 10 countries with largest water-disasters displacement based on the number of people internally displaced by “floods” and “droughts” during the period (2013-2023) according to the Global Internal Displacement Database (GIDD). The total number of people displaced in those 10 countries combined was 3,588,827 in 2013 and 7,909,369 in 2023, which is 120.389% increase. Source: Global Internal Displacement Database (GIDD)
  • The total number of people internally displaced from droughts and floods over the last 10 years (2013-2023) was 115.2 million. Source: GIDD as of 1 June 2024.
  • According to the Global Internal Displacement Database (GIDD) data, out of the total 259.9 million internally displaced due to all types of disasters during the period 2013-2023, 109.9 million people were internally displaced due to floods alone, which is 31% of all disasters fuelled displacement.
  • Oxfam calculated hunger rates for Bangladesh, Kenya, Pakistan and Somalia based on the Acute Food Insecurity Classification (IPC) in 2013, and on 2023 IPC data of the 2024 Global Report on Food Crises (GRFC). For Ethiopia, data was based on Government of Ethiopia estimates for acute hunger for 2013 , and the GRFC 2024 for 2023.
  • The ND-GAIN Country Index summarizes a country’s vulnerability to climate change and other global challenges, as well as, its readiness to improve resilience. Somalia, Ethiopia, Bangladesh, Kenya, and Pakistan are among the lowest-ranked countries in that index.
  • The Deyr season in Somalia, is the second, shorter rainy season between October and December) every year.
  • Somalia’s carbon emissions figures are based on IGAD 15th Progress Report of the Resilience Project in Somalia.
  • Somalia’s Loss and Damage data are based on the “Rapid post-disaster needs assessment of Somalia Deyr floods 2023″ report and the World Bank’s “Somalia Drought Impact & Needs Assessment” report.
  • Since the 1970s, 44% of all disaster events have been flood-related. Source: IPCC AR6 Synthesis Report.
  • Bangladesh contributes only 0.56 per cent to global greenhouse gas emissions, it ranks the seventh most vulnerable nation to the impacts of climate change. Source: UN Bangladesh Energy Transition and ND Gain Index
  • In 2023, approximately 1.8 million people were internally displaced in Bangladesh due to floods, cyclones and other storm related events. Source: GIDD as of June 1 2024.

Famine risk increases as Israel makes Gaza aid response virtually impossible

Two-thirds of population now squeezed into less than a fifth of the Gaza Strip.

Israel’s relentless air and land bombardment and deliberate obstruction of the humanitarian response is making it virtually impossible for aid agencies to reach trapped, starved civilians in Gaza, Oxfam said today, as the latest ceasefire deal negotiations continue.
A lethal combination of closed border crossings, ongoing airstrikes, reduced logistical capacity due to evacuation notices and a failing Israeli permission process that debilitates humanitarian movement within Gaza, have created an impossible environment for aid agencies to operate effectively. With the Rafah Crossing closed since 6 May, Kerem Shalom is the only crossing that thousands of humanitarian aid trucks queued at Rafah could be re-routed to use, but inside is an active combat zone and extremely dangerous. Long delays in Israeli approval to collect and move any aid that enters, means that missions often have to be aborted.
Over one million people have fled Rafah into Al Mawasi, Deir al-Balah and Khan Younis. 1.7 million people, more than two-thirds of Gaza’s population, are now estimated to be crammed into an area of 69 km2 – less than a fifth of the Strip. Despite Israeli assurances that full support would be provided for people fleeing, most of Gaza has been deprived of humanitarian aid, as famine inches closer. Last week, Israeli attacks killed dozens of civilians in tents in areas it had declared “safe zones”. As the humanitarian situation within Gaza deteriorates even further and more children die of starvation and disease, Oxfam said that:

  •  A food survey by aid agencies in May found that 85 per cent of children did not eat for a whole day at least once in the three days before the survey was conducted, with dietary diversity worsening.
  • Living conditions are so appalling that in Al-Mawasi, there are just 121 latrines for over 500,000 people – or 4,130 people having to share each toilet.
  • Just 19 per cent of the 400,000 litres of fuel a day needed to run the humanitarian operation in Gaza – including transportation, the provision of clean water and sewage removal – is being allowed in and is not delivered every day.
  • According to the UN, aid deliveries have dropped by two-thirds since Israel’s invasion of Rafah. Since 6 May, just 216 trucks of humanitarian aid entered via Kerem Shalom and were able to be collected – an average of eight a day
  • It’s estimated that hundreds of commercial food trucks are entering daily via the Kerem Shalom crossing. Although important for increasing food availability in Gaza, the consignments include items like non-nutritious energy drinks, chocolate and cookies, and food is often sold at inflated prices that people cannot afford. Lack of dietary diversity is one of the key drivers of acute malnutrition and has been assessed as ‘extremely critical’ in Gaza
  • People are paying nearly $700 for the most basic tents and there is so little space left, that some have been forced to set up tents in the cemetery at Deir al-Balah


Sally Abi Khalil, Oxfam’s Middle East and North Africa Director said “By the time a famine is declared, it will be too late. When hunger claims many more lives, nobody will be able to deny the horrifying impact of Israel’s deliberate, illegal and cruel obstruction of aid. Obstructing tonnes of food for a malnourished population while waving through caffeine-laced drinks and chocolate is sickening.

“Israel claimed weeks ago that it would provide full humanitarian support and medical assistance to civilians it had told to move. Not only is this not happening, its ongoing impunity, bombardment and deliberate obstruction have created unprecedented and impossibly dangerous conditions for humanitarian agencies to operate.”

As the occupying power, Israel is legally obligated not to restrict or delay the entry of goods required to meet the basic needs of Gaza’s residents, and must actively guarantee the continuous and uninterrupted supply of all aid.

Meera, an Oxfam staff member in Al-Mawasi who has been displaced seven times since October said “This area was designated a humanitarian zone, but there is nothing humanitarian about the situation here. The conditions are unbearable, there is no access to clean water, people are forced to rely on the sea.
“These people deserve so much better. Children should be in school, not worrying about how to support their families. Babies should be sleeping in warm beds, not exposed to insects.”

Oxfam is calling for an immediate, permanent ceasefire to end the death and destruction, full and permanent access of all ground crossings for humanitarian aid to be delivered at scale and the release of all hostages and unlawfully detained Palestinian prisoners.


Notes to editor:

  1. Rafah Crossing has been closed since 6 May, with over 2,000 aid trucks – the majority of which are carrying food – stuck in a 28-mile traffic jam back to the Egyptian city of Arish.
  2. Approvals for aid agencies to move to collect aid and refuel trucks inside Gaza have to be confirmed by the Israeli Coordination and Liaison Administration (CLA).
  3. The details of the food survey by the Nutrition Cluster – made up of aid agencies working in Gaza, including Oxfam – are in this OCHA update from 27 May.
  4. It is estimated that at least 550,000 people are now in Al-Mawasi. Currently just 121 toilets have been installed. Using a conservative figure of 500,000 people equates to 4,132 people for every
    toilet.
  5. The humanitarian operation in Gaza needs 400,000 litres of fuel per day, but since Rafah crossing was closed, from 6 – 27 May, of the 8.8 million litres required, only 1.6 million litres has entered.
  6. The UNRWA tracker shows Kerem Shalom crossing aid deliveries that entered and were able to be collected from 6 – 31 May
    In March, the Integrated Food Security Phase Classification (IPC) report found that famine was imminent by May in northern Gaza and that half of the entire population (1.1 million people) are expected to face catastrophic food insecurity by mid-July.
  7. Daniel Hagari, Israeli Government spokesperson, made this statement on 6 May regarding humanitarian support

Epidemic risk rising as Rafah invasion compounds lethal cocktail of over-crowding, sewage and hunger

Israeli military attacks since October caused at least $210m worth of damage to Gaza’s water and sanitation infrastructure.


The destruction of critical water and sanitation infrastructure by the Israeli forces along with severe over-crowding, malnutrition and heat is pushing Gaza to the brink of a deadly epidemic outbreak, Oxfam warned today. The situation is further compounded by the Israeli invasion of Rafah which has forced over
350,000 people to flee to already overcrowded shelters and camps, and food and fuel are running out with the closure of border crossings.The international aid agency said at least five of its life-saving water and sanitation projects in the Gaza Strip had been severely damaged or destroyed in the Israeli attacks since 7 October. Oxfam staff in Gaza have described piles of human waste and rivers of sewage in the streets, which people are having to jump between. They also reported people having to drink dirty water and children being bitten by insects swarming around the sewage.

Conditions are ripe for the outbreak of epidemics including Hepatitis A and cholera, which thrive in overcrowded places lacking proper sanitation. Soaring temperatures are also increasing health risks. Oxfam’s Middle East Director, Sally Abi Khalil, said: “The situation is desperate, with so many people in Gaza living in fear and being forced to endure inhumane and unsanitary conditions caused by sustained Israeli bombardment. One colleague told me there was so much human waste in the streets, it literally smelt like disease. “Israel’s military assault on Rafah could be devastating, not only because of the risk of mass civilian casualties, but also the repercussions of vast numbers of people being forced to move. With the infrastructure already beyond breaking point, little or no healthcare available, and widespread malnutrition this could quickly escalate into a major epidemic.”

One of Oxfam’s partners in Gaza, Juzoor for Health and Social Development – which is operating in more than 50 shelters and numerous health points across North Gaza and serving hundreds of thousands of people – said they’ve seen a worrying rise in disease outbreaks. Celine Maayeh, Advocacy and Research Officer for Juzoor, said: “Unfortunately, all of our shelters lack proper sanitation and sewage systems, and just a few days ago we started hearing reports of areas in Gaza being infested with bugs and flies. Our health teams have been dealing with skin infections and cases of watery diarrhoea for months now; and we’ve recently detected thousands of cases of hepatitis A and other gastrointestinal and respiratory diseases. While we’ve managed to treat them, the rising temperatures and accumulating waste and sewage are creating the perfect recipe for a health catastrophe that our health teams alone cannot tackle.”

UNICEF analysis of satellite images found that in Gaza Governate 87 per cent of critical water and sanitation facilities have been destroyed or severely damaged. Across Gaza, at least five of Oxfam’s projects – three wells, a desalination plant and a sewage pumping station have been destroyed or severely damaged that served over 180,700 people a day. A further seven Oxfam water or sanitation projects are also believed to have sustained some degree of damage. Israeli airstrikes also destroyed the warehouse of one of Oxfam’s local suppliers with the loss of an estimated $60,000 worth of Oxfam latrine blocks – purpose-built toilet and shower facilities, which were due to help improve sanitary conditions for thousands of people.

Attacks which target civilian infrastructure are illegal under the Geneva Conventions. The extensive damage to water and sanitation infrastructure is one example of the Israeli military’s relentless assault on Gaza, which according to UN experts, may amount to breaches of International Humanitarian Law. The Coastal Municipalities Water Utility (CMWU), which is responsible for water and sanitation in Gaza and with whom Oxfam works, estimates the overall damage to Gaza’s water and sanitation infrastructure to be at least $210 million. This is based on assessments where their technical staff were able carry out field surveys and does not include damage in areas which cannot be reached due to the ongoing fighting or Israeli military restrictions. The estimate also does not account for all of the ‘unseen damage’ which is likely to have been caused by the Israeli military’s use of tanks, bombs and rockets.

Monther Shoblaq, CEO of CMWU said: “The entire water supply and sewage management systems are nearing total collapse because the damage is so extensive. There is no power to operate the water wells, desalination plants and the remaining wastewater treatment plants and the sewage is overflowing. We are doing all we can, but the situation is desperate.”

Despite the extremely hostile conditions, Oxfam and its local partners have been able to carry out quick fix repairs on some badly damaged water and wastewater pipelines in Rafah, Khan Younis and Deir Al-Balah governorates, providing 50,000 people with clean water and sanitation. In one area of Rafah, before the invasion, almost 200 metres of new pipelines were fitted. Oxfam and its partners have also installed five desalination units to provide clean
drinking water, and three more units have finally been given permission to enter Gaza, after long and repeated attempts. Life-saving water has been trucked to people in makeshift shelters in Rafah and Khan Younis and Oxfam is hoping to expand this to reach more people in the North.

To date, Oxfam’s work on water and sanitation has helped over 133,000 people and more funding is needed to continue.
Sally Abi Khalil, said: “The Israeli army has continued to destroy every aspect of life in Gaza through military attacks and siege, ruining what little civilian infrastructure remains and preventing humanitarian aid from getting in. We urgently need an immediate and permanent ceasefire to end the death and destruction, to allow more aid into Gaza and to ensure the release of the hostages and illegally detained Palestinian prisoners.”


Notes to editors:
• A UNOSAT satellite imagery analysis released in mid-January, carried out by UNICEF on behalf of the Water and Sanitation Cluster, shows that 87 per cent of WASH facilities in Gaza governorate were either destroyed or sustained some level of damage, according to OCHA.
• According to UNRWA, almost 360,000 people have fled Rafah since the first evacuation order a week ago.
• According to an assessment carried out by The Coastal Municipalities Water Utility – using field surveys and data collected from technical staff in 25 municipal areas who made a preliminary recording of visible and urgent damage in areas they have been able to access – the cost of repairs, as of April 2024, would be at least $210 million. Cost estimates may increase due un-seen damages under the mass debris.
• Juzoor’s teams of health professionals have been monitoring the situation in the North of Gaza and utilizing the WHO’s diagnosis kits and treatment protocols. Juzoor medical points have been able to successfully handle 99 percent of cases that present with recognizable
symptoms, ensuring optimal care. For severe cases, Juzoor refer individuals to secondary treatment facilities and arrange for hospital admission.