COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT JULY 2020 YEMEN SITUATION OVERVIEW In July, 570 new confirmed COVID-19 cases and 181 deaths were reported, bringing the total number of confirmed cases in Yemen to 1,732 with 494 deaths and 864 recoveries compared with the 1,162 cases reported by the end of June with 313 deaths and 490 recoveries. Although fewer cases and deaths were reported than in June, when 835 confirmed cases were reported and 232 deaths, health partners remain concerned that that under-reporting continues for various reasons including a shortage of testing facilities, difficulties in accessing health care, fear of stigma, the perceived risks of seeking treatment, and a lack of official reporting, particularly in northern governorates. Preventative measures have been eased even though indicators demonstrate that the virus continues to spread and people are dying with COVID-like symptoms. While there have recently been fewer indications of severe and critical cases, health partners are concerned that people who are asymptomatic continue to transmit the virus and urge communities to observe precautionary measures. During July, the COVID-19 strategy was refreshed in line with the phase the pandemic has reached in Yemen and the response now focuses on testing, surveillance and case management. Current priorities centre on triage - to keep patients and healthcare workers safe; referral pathways and capacity building. Procuring and distributing oxygen and personal protective equipment remains a priority. COVID-19 continues to contribute to an economic downturn, threatening families’ ability to meet their basic needs, and increasing humanitarian needs and vulnerability to the virus. Remittances, worth $3.8 billion in 2019, have dried up, there has been a hike in the cost of the minimum food basket, while the currency has depreciated. The fuel crisis and huge funding shortage for the COVID-19 and broader humanitarian operation threatens access to food, the functioning of hospitals and water supplies – all of which are fuel-dependent – risking an increase in the spread of COVID-19 and jeopardizing the ability of humanitarian partners to respond. HUMANITARIAN COUNTRY TEAM Number of COVID-19 Cases, Deaths, and Recoveries in Yemen 864 Reported Recoveries 26% Female 74% Male 494 Reported Deaths 1,732 Total Reported COVID-19 Cases COVID-19 Cases by Sex and Age Reported Cases by Age Number of COVID-19 Cases (Cumulative) COVID-19 Cases by Governorate COVID-19 Funding Status Female Male Reported Deaths by Age Female Male 60+ 45 - 59 30 - 44 15 - 29 Others 8.6% 6.7% 6.6% 3.5% 0.5% 19.9% 24.2% 19.9% 7.6% 2.5% 60+ 45 - 59 30 - 44 15 - 29 5 - 14 12.5% 8.8% 3.8% 0 % 31.3% %26.3 13.8% 3.8% 0 500 1,000 1,500 2,000 Confirmed cases Deaths Recovered 1 108 314 358 848 1,732 1,162 16 7 2 6 2 78 85 209 1,194 1,530 316 434 313 494 864 10 APRIL 2020 MAY 2020 JUNE 2020 JULY 2020 30 30 15 1 30 15 1 15 1 30 $385.7M FUNDING REQUIRED $304.5M REQUIRED FOR HEALTH 14.4% $55.5M RECEIVED * Age disaggregation for cases and deaths is based on available data to WHO. * Lab confirmed cases of COVID-19 are limited due to testing capacity and thus absolute numbers are more likely a reflection of surveillance artifact and should not be interpreted as severity of transmission in any particular governorate 4 confirmed 1 death 2 recovered Al Bayda Al Dhale’e Abyan Marib Aden Sa’ada Sana’a Dhamar Hadramaut Al Hudaydah Taizz Lahj Al Mahwit Amran Hajjah Ibb Amanat Al Asimah Al Jawf Al Maharah Socotra Shabwah Raymah 270 confirmed 32 deaths 194 recovered 291 confirmed 80 deaths 179 recovered 131 confirmed 38 deaths 76 recovered 129 confirmed 34 deaths 87 recovered 55 confirmed 15 deaths 24 recovered 65 confirmed 53 deaths 20 confirmed 5 deaths 23 recovered 24 confirmed 10 deaths 15 recovered 712 confirmed 219 deaths 245 recovered 31 confirmed 7 deaths 19 recovered
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COVID-19PREPAREDNESS ANDRESPONSE MONTHLY REPORT
JULY 2020
YEMEN
SITUATION OVERVIEWIn July, 570 new confirmed COVID-19 cases and 181 deaths were reported, bringing the total number of confirmed cases in Yemen to 1,732 with 494 deaths and 864 recoveries compared with the 1,162 cases reported by the end of June with 313 deaths and 490 recoveries. Although fewer cases and deaths were reported than in June, when 835 confirmed cases were reported and 232 deaths, health partners remain concerned that that under-reporting continues for various reasons including a shortage of testing facilities, difficulties in accessing health care, fear of stigma, the perceived risks of seeking treatment, and a lack of official reporting, particularly in northern governorates. Preventative measures have been eased even though indicators demonstrate that the virus continues to spread and people are dying with COVID-like symptoms. While there have recently been fewer indications of severe and critical cases, health partners are concerned that people who are asymptomatic continue to transmit the virus and urge communities to observe precautionary measures.
During July, the COVID-19 strategy was refreshed in line with the phase the pandemic has reached in Yemen and the response now focuses on testing, surveillance and case management. Current priorities centre on triage - to keep patients and healthcare workers safe; referral pathways and capacity building. Procuring and distributing oxygen and personal protective equipment remains a priority. COVID-19 continues to contribute to an economic downturn, threatening families’ ability to meet their basic needs, and increasing humanitarian needs and vulnerability to the virus. Remittances, worth $3.8 billion in 2019, have dried up, there has been a hike in the cost of the minimum food basket, while the currency has depreciated. The fuel crisis and huge funding shortage for the COVID-19 and broader humanitarian operation threatens access to food, the functioning of hospitals and water supplies – all of which are fuel-dependent – risking an increase in the spread of COVID-19 and jeopardizing the ability of humanitarian partners to respond.
HUMANITARIANCOUNTRY TEAM
Number of COVID-19 Cases, Deaths, and Recoveries in Yemen
864ReportedRecoveries
26%Female
74%Male
494ReportedDeaths
1,732Total Reported COVID-19 Cases
COVID-19 Cases by Sex and Age
Reported Cases by Age
Number of COVID-19 Cases (Cumulative)
COVID-19 Cases by Governorate
COVID-19 Funding Status
Female Male
Reported Deaths by AgeFemale Male
60+
45 - 59
30 - 44
15 - 29
Others
8.6%
6.7%
6.6%
3.5%
0.5%
19.9%
24.2%
19.9%
7.6%
2.5%
60+
45 - 59
30 - 44
15 - 29
5 - 14
12.5%
8.8%
3.8%
0 %
31.3%
%26.3
13.8%
3.8%
0
500
1,000
1,500
2,000
Confirmed cases Deaths Recovered
1108
314 358
848
1,732
1,162
1672
62 78 85
209
1,194 1,530
316434
313 494
864
10
APRIL 2020 MAY 2020 JUNE 2020 JULY 2020
30 30151 30151 151 30
$385.7MFUNDING REQUIRED
$304.5MREQUIRED FOR HEALTH
14.4%$55.5MRECEIVED
* Age disaggregation for cases and deaths is based on available data to WHO.
* Lab confirmed cases of COVID-19 are limited due to testing capacity and thus absolute numbers are more likely a reflection of surveillance artifact and should not be interpreted as severity of transmission in any particular governorate
4 confirmed1 death2 recovered
Al Bayda
Al Dhale’e
Abyan
Marib
Aden
Sa’ada
Sana’a
Dhamar
Hadramaut
Al Hudaydah
Taizz
Lahj
Al Mahwit
AmranHajjah
Ibb
AmanatAl Asimah
Al Jawf Al Maharah
Socotra
Shabwah
Raymah
270 confirmed32 deaths194 recovered
291 confirmed80 deaths179 recovered
131 confirmed38 deaths76 recovered
129 confirmed34 deaths87 recovered
55 confirmed15 deaths24 recovered
65 confirmed53 deaths
20 confirmed5 deaths23 recovered
24 confirmed10 deaths15 recovered
712 confirmed219 deaths245 recovered 31 confirmed
7 deaths19 recovered
02 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT
SUPPRESSIONTo suppress transmission of the virus, aid agencies stepped up awareness raising by activating 19,680 community-based volunteers and influencers. This is an increase from 9,000 volunteers in March, to 14,000 in April, to 19,680 by the end of May. An additional 6,000 mother-to-mother community volunteers were also activated. These volunteers have been deployed to explain to communities how the virus is transmitted, how people can protect themselves the steps to take if someone falls ill. Together with mass media messaging these activities reached an estimated 16.5 million people. Another 3.2 million people were reached through 522,000 house-to-house visits and Mother-to-Mother sessions.
Mass Media reach by Hub
Total Mass Media reach
volunteers trained to raise awareness of COVID-19
people reached through mass media
engaged through house-to-house visits
people engaged through Mosque events in 5,000 Mousques
people reached public announcements from 451 vehicles
people reached through SMS & voice messages
people engaged through WhatsApp groups/trees created and managed by CVs,RLs,M2M members
calls to hotlines and radio phone-ins
16.5M
MAYAPRILMARCH
9K14K
19K
Al Bayda
Al Dhale’e Abyan
Marib
Aden
Sa’ada
Sana’a
Dhamar
Hadramaut
Al Hudaydah
Taizz
Lahj
Al Mahwit
AmranHajjah
Ibb
AmanatAl Asimah
Al Jawf Al Maharah
Socotra
ShabwahRaymah
0.7M
3M
3M
3.8M
6M
Community-based volunteers and influencers Number of people reached
19,67816.5 million 3.2 million
8.5 million views on social media platforms
10 million
viewed awareness video4 million
refugees participated in risk communication surveys in Ibb, Hajjah & Hudaydah.
1,330
screenings were conducted at Kharaz Refugee Camp
5,000
hand-washing stations installed
2,695
water systems are being installed
17
3.5 million
Safe water: 2.8 million Hygiene Items: 128 k COVID-19 Household kits: 5.5 k
Number peoplereached in May:
3.6 million
13.5 million Over 23,930
people reached in 13,594 community gatherings and over 14,073 women social events
1.15 million
03 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT
SUPPLIESThe United Nations has procured more than 14,300 metric tons of medical equipment, testing kits and medicine from a highly competitive global market; 11,380 metric tons have already arrived in country and another 2,936 metric tons were in the pipeline at end of July. Still more is urgently needed, especially oxygen and personal protective equipment.
Available> 788ICU beds
> 634Ventilators
> 20,000Testing kits
> 113,000Face shield
> 850,000Face masks
> 860,000Respirator masks
228Oxygen Concentrator
> 12 millionGloves
> 59,000 ItSanitizers
Djibouti
SAUDI ARABIA
Aden
Sana’a
Procured Transport
of medical equipment and medicine
Over 14,300 MT
11,380arrived
2,936in pipeline
Air
2,583 MT arrived524 MT in pipeline
Sea
8,755 MT arrived
2,412 MT in pipeline
Land
42 MT in pipeline
Inbound from suppliers
WHO/WFP dispatch flows
2,189Oxygen Cylinders
2,300Hospital Bed
Under Production
- Assorted PPEs: > 1.6 M pieces
- ICU Beds: 8 pieces
The below is July breakdown:
Internationally supplied
- Assorted PPEs: > 3M pieces
- ICU Beds: 100 pieces- Oxygen Concentrator: 148 pieces
- Pulse Oximeter: 15 pieces
In Transit
-Assorted PPEs: > 348K pieces
- Oxygen Concentrator: 150 pieces
- Pulse Oximeter: 100 pieces
- Ventilator: 5 pieces
04 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT
SAVING LIVESThe UN and partners continue to work on expanding hospital capacity in key population centres. Aid agencies scaled up the number of intensive care units (ICUs) in COVID-19 designated hospitals from 38 beginning of May, and are equipping an additional 21 ICUs, bringing the total to 59. In addition, partners are deploying two high capacity mobile field hospitals with nearly 100 beds and providing salaries to 9,000 frontline health care workers. In line with the COVID-19 strategy refresh, the focus is now on triage - to keep patients and healthcare workers safe; referral pathways and capacity building.
28 Operational
22 In the process*
9 Not operational
59Isolation Units
in 22Governorates
*WHO has finalized rehabilitation works or these are in process,delivered material and equipment and conducted staff training.The main criteria for operationalization depends on staff incentives.
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IBB
ABYAN
AL BAYDA
AL JAWF
AL HUDAYDAH
AL DHALE'E
AL MAHWIT
AL MAHARAH
TAIZZ
HAJJAH
DHAMARRAYMAH
SHABWAH
SA'ADA
SANA'A
AMRAN
LAHJ
MARIB
HADRAMAUT
SANA'A
AMANATAL ASIMAH
SOCOTRA
LAHJ
ADEN
IBB
ABYAN
AL BAYDA
AL JAWF
AL HUDAYDAH
AL DHALE'E
AL MAHWIT
AL MAHARAH
TAIZZ
HAJJAH
DHAMARRAYMAH
SHABWAH
SA'ADA
SANA'A
AMRAN
LAHJ
MARIB
HADRAMAUT
SANA'A
AMANATAL ASIMAH
SOCOTRA
LAHJ
ADEN
Governorate Boundary
Isolation Unit (Not operational)
Isolation Unit (Operational)
Isolation Unit (In the process)
Activities and Items Provided
32 are in the north27 in the south21 of these are new ICUs
in 63 districts in 52 districts
health rapid response teams (1,665 staff)
refilled each month items delivered 4 in the south (Aden, Almukalla, Seyoun & Taiz) 2 in the north (Sanaa city & Alhudaydah)
of entry points(22 of 26) havescreening capacity
2mobile field hospitalsto be deployed with 100 beds
UN to provide perdium/ danger-pay to
9,000frontline health-care workers
26Emergency Operations Centresrepurposed for COVID-19
59 IsolationUnits (IU)
11,7koxygen cylinders
675ICU Beds
259Ventilators
333
300kPPE
6 laboratorieswith COVID-19 testing capacity 85%
05 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT
SAFEGUARDING THE PUBLIC HEALTH SYSTEMSafeguarding the public health system at more than 4,300 non-COVID health care facilities to ensure available facilities are not overwhelmed by COVID-19 cases remains a priority for humanitarian partners. These facilities continue to provide non-COVID health care services to prevent deaths from other deadly diseases and causes, including cholera, diphtheria, dengue and malaria, and to provide nutrition treatment to pregnant women and malnourished children. In July, 2,779 health facilities continued to provide health services for malaria, and 1,257 health facilities provided cholera response services.
5,049health facilities
2,528fully functioning health
facilities
1,865partially functioning health
facilities
2,779health facilities providing
health services for malaria
1,257health facilities providing cholera response services
50%HFs fully functional*
35%HFs partially functional
15%HFs non-functional
4,966Health Facilities (HFs)
in 22Governorates
*Fully functioning HFs may have some lack of services
Functioning HFs per Governorateand per 100,000 people
> 3020 - 3015 - 205 - 152 - 5
Al Bayda
Al Dhale’e
Abyan
Marib
Aden
Sa’ada
Sana’a
Dhamar
Hadramaut
Al Hudaydah
Taizz
Lahj
Al Mahwit
Amran
Hajjah
Ibb
Al JawfAl Maharah
Socotra
Shabwah
Raymah
Al Bayda
Al Dhale’e
Abyan
Marib
Aden
Sa’ada
Sana’a
Dhamar
Hadramaut
Al Hudaydah
Taizz
Lahj
Al Mahwit
Amran
Hajjah
Ibb
Al JawfAl Maharah
Socotra
Shabwah
Raymah
AmanatAl Asimah
Support Provided for
5,049 health facilities (suggest deleting this)
2,528 fully functioning health facilities
1,865 partially functioning health facilities
2,779 health facilities providing health services for malaria
1,257 health facilities providing cholera response services
Throughout the COVID-19 crisis, Health Cluster partners and the private sector will safeguard the public health system by:
• Triaging acute and chronically ill people and treating them outside the 4,300 non-COVID health facilities.• Maintaining provision of the Minimum Service Package in non-COVID health facilities.• Providing essential medicines and vaccines to the people who need them the most, including cancer patients and children.• Maintaining routine immunization activities and containing and responding to deadly disease outbreaks including cholera, diphtheria, dengue and malaria.• Providing nutrition treatment to pregnant women and malnourished children.
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