Cholera spreading in Somalia

A cholera epidemic is spreading in famine-hit Somalia, with alarming numbers of cases among people driven to the capital Mogadishu by a lack of food and water, the World Health Organization (WHO) said.

Some 4,272 cases of cholera have been recorded so far this year just in Banadir Hospital in Mogadishu, mainly children under age five, causing 181 deaths, Dr Michel Yao of the WHO, said.

"The number of cases is two or even three times than what was there last year. So we can say that we have an epidemic of cholera going on," Dr Yao said. Seasonal outbreaks have been recorded for the past three years in the Horn of Africa country.

Cholera outbreaks have now been confirmed in several regions, according to the WHO, and Dr Yao said population movements increased the risk of the disease spreading further.

Hardest hit areas under militants’ rule

An estimated 100,000 Somalis – driven by drought, famine in southern areas and fighting – have fled to Mogadishu over the past two months in search of food, water, shelter and protection, Adrian Edwards of the UN refugee agency said.

They join more than 370,000 driven from their homes earlier. Another 1,500 Somali refugees stream  into Kenya each day, which now shelters some 440,000 at sprawling camps in Dadaab.

The worst-hit areas of Somalia are controlled by al Shabaab militants, who have waged a four-year insurgency against Somalia's Western-backed government. They had prevented aid getting through, but withdrew from Mogadishu last weekend.

Children suffer from acute malnutrition

In all, some 12.4 million people in the Horn of Africa – including Somalia, Kenya, Ethiopia and Djibouti – are affected by the worst drought in decades, according to the United Nations. Tens of thousands of people have already died, it says.

A R14.28 billion UN appeal for the Horn of Africa is only about half-funded, spokeswoman Elisabeth Byrs of the UN Office for the Coordination of Humanitarian Affairs said.

Two million children across the Horn of Africa already suffer from acute malnutrition and 500,000 could die if they don't get help within weeks, the UN Children's Fund UNICEF has warned. "We can save lives if we act now," said UNICEF spokeswoman Marixie Mercado.

(Reuters Health, August 2011)

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