{"id":20100970,"date":"2024-09-18T11:59:00","date_gmt":"2024-09-18T09:59:00","guid":{"rendered":"https:\/\/www.dabangasudan.org\/?p=20100970"},"modified":"2024-09-18T16:17:52","modified_gmt":"2024-09-18T14:17:52","slug":"msf-water-sanitation-hygiene-crisis-fuelling-abyei-hep-e-outbreak","status":"publish","type":"post","link":"https:\/\/www.dabangasudan.org\/en\/all-news\/article\/msf-water-sanitation-hygiene-crisis-fuelling-abyei-hep-e-outbreak","title":{"rendered":"MSF: Water, sanitation, hygiene crisis fuelling Abyei Hep-E outbreak"},"content":{"rendered":"\n<p><strong>A water, sanitation, and hygiene crisis is unfolding in Abyei, which is claimed by both Sudan and South Sudan*, fuelling an ongoing hepatitis E outbreak, international medical relive organisation M\u00e9decins Sans Fronti\u00e8res (MSF) warns in a statement yesterday. Poor sanitation, severe water shortages, and inadequate infrastructure are exacerbating the spread of the virus through contaminated drinking water, placing thousands at risk, MSF say.<\/strong><\/p>\n\n\n\n<p>\u201cIn July 2024, health authorities in Abyei* declared an outbreak of hepatitis E**, since then 41 cases have been reported, resulting in six deaths (a 16 per cent case fatality rate), including five women, of whom three were pregnant, and one male,\u201d the MSF statement says.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206785_Medium.jpg\" alt=\"\" class=\"wp-image-20100981\" srcset=\"https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206785_Medium.jpg 1000w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206785_Medium-300x200.jpg 300w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206785_Medium-150x100.jpg 150w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206785_Medium-768x512.jpg 768w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206785_Medium-259x173.jpg 259w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\"><em>Entrance of MSF-supported Ameth Bek Hospital, Abyei&#8217;s only secondary healthcare facility, where 35 hepatitis E patients have been treated since the outbreak in July 2024 (Photo: Aur\u00e9lie L\u00e9crivain\/MSF) <\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<p>\u201cThe situation has worsened due to the influx of over 22,000 people crossing the border into Abyei since the beginning of the conflict in neighbouring Sudan.\u201d MSF underscores that \u201cthe incessant movement of internally displaced people and refugees significantly increases the risk of hepatitis E transmission in the region,\u201d while MSF has faced barriers to diagnose the disease due to a shortage of rapid detection tests.<\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/Zelie-Antier_MSF-Project-Coordinator_Abyei_1.mp3\"><\/audio><\/figure>\n\n\n\n<p>\u201cCurrently, we have four patients in the isolation ward, but the situation is fluctuating, and we urgently need wash and sanitary infrastructures to prevent further deaths,\u201d says Z\u00e9lie Antier, MSF project coordinator in Abyei.<\/p>\n\n\n\n<p>Since violent conflicts erupted in February 2022 in and around Agok, an estimated 70,000 people were displaced, with many seeking refuge in Abyei. The influx of displaced people has put an additional pressure on the limited services that were available for the already fragile communities, with over 85 per cent of people in need of humanitarian assistance.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206786_Medium.jpg\" alt=\"\" class=\"wp-image-20100983\" srcset=\"https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206786_Medium.jpg 1000w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206786_Medium-300x200.jpg 300w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206786_Medium-150x100.jpg 150w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206786_Medium-768x512.jpg 768w, https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/MSB206786_Medium-259x173.jpg 259w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\"><em>Entrance of MSF-supported Ameth Bek Hospital, Abyei&#8217;s only secondary healthcare facility, where 35 hepatitis E patients have been treated since the outbreak in July 2024 (Photo: Aur\u00e9lie L\u00e9crivain\/MSF)<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<p>In Amiet market, about 14 kilometres from Abyei town, more than 900 refugees, returnees from Sudan, and internally displaced people live in overcrowded and unsanitary conditions. \u201cHere, hepatitis E has been particularly deadly &#8211; more than half of the total hepatitis E cases were people living in the Amiet market. With an estimated 20,000 people nearby and no available latrines, people are forced to practice open defecation, further contaminating water sources and worsening the virus\u2019s spread,\u201d MSV says.<\/p>\n\n\n\n<p>On August 22, approximately 250 families were displaced from the Abyei surroundings to Abyei town. Elizabeth Chatek, who arrived after her home was flooded, said, \u201cWe don\u2019t have latrines. I have to defecate in the bushes, and my children use a bowl near the shelter.\u201d Privately owned latrines charge up to SSP 1,000 SSP (around $0.20) per use, a cost too high for Elizabeth\u2019s family and many people in Abyei.<\/p>\n\n\n\n<p>In Abyei town and Amiet market, a 20-litre jerrycan of water costs 500 SSP, a price many families can\u2019t afford. Displaced families have told MSF that rising inflation will soon make clean drinking water out of reach.<\/p>\n\n\n\n<p>In one of Abyei\u2019s secondary healthcare facilities, as of 12 September, MSF says it had provided supportive care services for 41 patients for hepatitis E at Ameth Bek Hospital and increased health promotion activities targeting pregnant women and new mothers to raise awareness about disease prevention.<\/p>\n\n\n\n<p>As the ongoing rainy season continues to cause widespread flooding and threatens drinking water sources and drainage systems overflow, the risk of hepatitis E and other waterborne diseases such as cholera is at stake. Flooding is expected to worsen within the coming weeks with experts predicting extreme riverine flooding and flash floods.<\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/www.dabangasudan.org\/wp-content\/uploads\/2024\/09\/Zelie-Antier_MSF-Project-Coordinator_Abyei_2.mp3\"><\/audio><\/figure>\n\n\n\n<p>\u201cWe urgently call on international donors and aid organisations to scale up their efforts by improving sanitation and providing clean drinking water in Abyei Special Administrative Area,\u201d says Z\u00e9lie Antier.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><em>* Since the secession of South Sudan from Sudan in 2011, both countries claim the border area of Abyei. The oil-rich region is inhabited primarily by members of the South Sudanese Dinka Ngok clan. It is also the seasonal home of the Sudanese Arab Misseriya herder tribe. The Abyei status referendum, in which the residents of the region would decide either to remain part of Sudan or become part of South Sudan, was planned to be held simultaneously to the <a href=\"https:\/\/en.wikipedia.org\/wiki\/2011_South_Sudanese_independence_referendum\">South Sudanese independence referendum in January 2011<\/a>, but was postponed indefinitely because of disagreements over the process.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><strong><em>** Hepatitis E<\/em><\/strong><\/p>\n\n\n\n<p><em>Hepatitis E is an inflammation of the liver caused by infection with the hepatitis E virus (HEV).<\/em> <em>Every year there are an estimated 20 million HEV infections worldwide, leading to an estimated 3.3 million symptomatic cases of hepatitis E.<\/em> <em>WHO estimates that hepatitis E caused approximately 44 000 deaths in 2015 (accounting for 3.3% of the mortality due to viral hepatitis).<\/em> <em>The virus is transmitted via the fecal-oral route, principally via contaminated water.<\/em> <em>Hepatitis E is found worldwide, but the disease is most common in East and South Asia.<\/em> <em>A vaccine to prevent hepatitis E virus infection has been developed and is licensed in China, but is not yet available elsewhere.<\/em> <strong><em>(<a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hepatitis-e\" target=\"_blank\" rel=\"noreferrer noopener\">Source: WHO<\/a>)<\/em><\/strong><\/p>\n<div class=\"sws_supernormalaction\"><button on=\"tap:superwebshare-lightbox\" class=\"superwebshare_normal_button1 superwebshare-button-large superwebshare-button-square superwebshare_prompt superwebshare_button_svg\" style=\"color:#ffffff;background-color: #d52631;\" ><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"superwebshare-svg\"  fill=\"currentColor\" viewBox=\"0 0 1000 1000\" stroke=\"currentColor\" stroke-width=\"0\"><path stroke-linecap=\"round\" stroke-linejoin=\"round\" 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both&#8230;<\/p>\n","protected":false},"author":9,"featured_media":20100979,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[93,110,109,94,3,36,95,27,108,115],"tags":[],"class_list":["post-20100970","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-flash","category-flash-posts","category-frontpage","category-headlines","category-health","category-international-involvement","category-most-read","category-news","category-news-headlines","category-refugees-displaced"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MSF: Water, sanitation, hygiene crisis fuelling Abyei Hep-E outbreak - Dabanga Radio TV Online<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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