South Sudan – Cholera Epidemic

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The threat of an uncontrollable outbreak looms large as the rainy season progresses. 

The International Organisation for Migration (IOM) has called for rapid action to prevent a cholera epidemic in South Sudan; more than 18,000 cases, including 328 deaths, have been reported in the country since June 2016.

The IOM warned that the number of cases and deaths is likely to increase significantly as the rainy season approaches, which will leave as much as 60% of the country inaccessible by road, hindering the delivery of important services.

IOM spokeswoman Olivia Headon said that a combination of factors including the rainy season, the movement of displaced persons and the ongoing conflict in the country, means that the disease is becoming increasingly difficult to contain.

“If you are maybe infected with cholera or someone in your family, if you come in contact with this and then you move to a different part of the country, you are also bringing the infection with you,” Headon said.

The scale of the problem in South Sudan is said to be unprecedented, with more than 7.5 million people dependent on humanitarian aid. Headon said that IOM and partners are promoting cholera vaccination campaigns, distributing cholera kits, repairing boreholes and conducting hygiene promotion campaigns, reported Voice of America (VOA). 

On July 28th the World Health Organisation (WHO) also launched a vaccination campaign. The WHO received 500,000 doses of oral cholera vaccine and between July 28th and August 3rd carried out a vaccination campaign in four high risk areas: Tonj East, Kapoeta South, Kapoeta North, and Kapoeta East.

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Children collecting water, South Sudan – CC 2014

Since April 2017 around 2,500 new cases have been recorded, a significant increase on previous months. Persistent drought has also led to the drying of water points, leading to populations in some regions relying on contaminated water, reported CISA

Speaking on July 19th, WHO epidemiologist Joseph Wamala said, “South Sudan has suffered from several major cholera outbreaks in the last four years. Following other successful oral cholera vaccine campaigns, WHO and partners can make a real difference in controlling the outbreak.”

However preventative measures are difficult as the country continues to grapple with ongoing conflict which emerged in 2013, pitting President Salvir Kirr against and his former deputy Riek Machar, with the ethnic Dinka, loyal to Kirr, clashing with the Nuer, allied to Machar.

The conflict has killed tens of thousands of people and displaced millions, many of whom have sought refuge in neighbouring countries. The United Nations (UN) children’s charity (UNICEF) estimates that 900,000 children in South Sudan need psychological help, with at least 150,000 living in camps

“South Sudan has a generation of traumatised children, but there aren’t enough therapists – neither in Juba, nor in remote local communities,” explained Duop Dak, one of the country’s few practicing psychologists, reported Reuters.

The German Foreign Minister Sigmar Gabriel issued a statement on August 10th, following a visit to the capital Juba, urging President Kirr to include the opposition and rebels in national dialogue. The conflict, tensions and factional violence is only exacerbating the risk of a deadly epidemic.

Find out more in the Africa Research Bulletin: 

SOUTH SUDAN: Fresh Offensive Against Rebels
Political, Social & Cultural Series
Vol. 54, Issue. 7, Pp. 21517B–21518B

South Sudan – Graft Claims Denied
Political, Social & Cultural Series
Vol. 54, Issue. 6, Pp. 21484B–21484C

SOUTH SUDAN: Humanitarian Relief Impeded
Political, Social & Cultural Series
Vol. 54, Issue. 4, Pp. 21410A–21411A

Subscribe to the Africa Research Bulletin today. 

 

Nile Basin – No Deal After Summit

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Discussions between Nile Basin countries fail to reach agreement as many leaders boycott talks.

The Nile Basin Summit from June 20-22nd was convened to provide an opportunity for the ten countries reliant on the River Nile to agree on the equitable use of the resource. Tensions around the vital water source have persisted for many decades.

Initial signs, however, were less promising as a number of leaders chose not to attend. Sudanese President Omar al-Bashir and his South Sudanese counterpart Salva Kirr notified the delegates that they would skip the event.

The summit brought together all countries along the River Nile and was attended by Egyptian President Abdel Fattah el-Sisi, Ethiopian Prime Minister Hailemariam Desalegn, South Sudan Vice President Joseph Wani, Burundi’s 2nd Vice President Joseph Butore and Sudan’s Vice President Hasabo Mohammed Abdul Rahman.

The leaders of Kenya, Rwanda, Burundi and Tanzania also turned down invitations to attend at the last minute, although no clear reasons for the decision were given by the respective embassies.

It was clear during the meeting that an agreement on the equitable use of resources was proving difficult as stakeholders repeatedly walked out of meetings at the Speke Resort Munyonyo in Uganda.

Led by Sudan, water security experts walked out a meeting at 10pm on June 21st, while Ethiopia followed suit. In the large the summit was organised to nudge Egypt, the biggest beneficiary of the Nile basin, to join the Nile Basin Initiative (NBI).

However, Egyptian Minister for Irrigation and Water Resources Mohammed Abdel-Atti said that his country would only rejoin if some provisions in the draft Cooperative Framework Agreement (CFA) were changed.

Al-Sisi reportedly said that his country was suffering from a water deficit of 21.5 billion cubic metres per year. However, although Egypt hasn’t yet rejoined NBI, it will engage in development projects in the region.

Speaking to journalists, Ugandan President Yoweri Museveni said he and his colleagues discussed development issues. Despite only three heads of state being present, Museveni said they decided to meet as leaders to discuss the ‘strategic issues of the Nile.’ reported the Observer. 

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Nile Basin – Source: Africa Water.

According to Museveni, prosperity for the Nile Basin countries is the best way to protect the river and other vital water systems in Africa. He pointed out a number of key threats to water systems.

These threats included the growing population, lack of electricity supply, lack of industrialisation, over-reliance on primitive agriculture and the destruction of the environment on which the Nile depends.

He said that industrialising the Nile Basin would resolve the problems of the bulk of the population engaging in primitive agriculture, pushing many into the industry and service sectors. He added that this would reduce the strain on the environment through the invasion of wetlands and destruction of forests for agriculture, reported the Uganda Media Centre.

Of course this sort of solution is denounced by others who note how industrialisation will lead to further environmental degradation and pollution, and raise levels of inequality as groups are incorporated, often on adverse terms, as labourers in the service or manufacturing economy.

Further, a deal between Egypt, Ethiopia and Sudan signed in December 2015 whereby the three countries agreed to end tensions over River Nile water, is also facing an unclear future due to ongoing tensions between Egypt and Sudan.

The two downstream countries at the end of April agreed to de-escalate tensions and end counter-accusations as well as import bans and deportations had brought relations between the two countries to tipping point.

Meanwhile Ethiopia continued its quest to bring Nile Basin countries on its side as its Grand Renaissance Dam nearing completion.

With electricity as a bargaining chip observers say Ethiopia will have an edge over Egypt which claims the majority share of Nile waters, given to it by a colonial agreement put in place by the British, reported the East African.

Find out more in the Africa Research Bulletin today:

Grand Renaissance Dam Project
Economic, Financial & Technical Series
Vol. 52, Issue. 3, Pp. 20795A–20795B

POWER: Egypt – Ethiopia – Sudan
Economic, Financial & Technical Series
Vol. 51, Issue. 8, Pp. 20543C–20545C

EGYPT – ETHIOPIA: Nile Dam Problems
Economic, Financial & Technical Series
Vol. 50, Issue. 10, Pp. 20154B–20155B

Subscribe to the Africa Research Bulletin today.