Geneva/New York, 20 March 2024 – Immediate action is needed to stem an unprecedented multi-year upsurge in cholera cases worldwide, according to the International Coordinating Group (ICG) on Vaccine Provision. Actions include investing in access to safe water, sanitation and hygiene, testing and detecting outbreaks quickly, improving quality of and access to healthcare, and fast-tracking additional production of affordable oral cholera vaccine (OCV) doses to better prevent cases.The ICG manages the global cholera vaccine stockpile.The group includes the International Federation of Red Cross and Red Crescent Societies, Médecins Sans Frontières, UNICEF and WHO. Gavi, the Vaccine Alliance, finances the vaccine stockpile and the delivery of OCV. ICG members are calling for governments, donors, vaccine manufacturers, partners and communities to join in an urgent effort to halt and reverse the rise in cholera.Cholera has been surging globally since 2021, with the 473000 cases reported to WHO in 2022, more than double those reported in 2021.Preliminary data for 2023 reveal further increases, with over 700000 cases reported. Several of the outbreaks have high case fatality rates, exceeding the 1% threshold used as an indicator for early and adequate treatment of cholera patients. These trends are tragic given that cholera is a preventable and treatable disease and that cases had been declining in previous years. Cholera is an acute intestinal infection that spreads through food and water contaminated with faeces containing the bacterium Vibrio cholerae.The rise in cholera is being driven by persistent gaps in access to safe water and sanitation. Although efforts are being made to close these gaps in places, in many others the gaps are growing, driven by climate-related factors, economic insecurity, conflict, and population displacement.Safely managed water and sanitation are prerequisites for stopping the transmission of cholera.Currently, the most severely impacted countries include the Democratic Republic of the Congo, Ethiopia, Haiti, Somalia, Sudan, Syria, Zambia, and Zimbabwe.Now more than ever, countries must adopt a multisectoral response to fight cholera.Members of the ICG call on currently and potentially affected countries to take urgent steps to ensure their populations have access to clean water, hygiene and sanitation services, and the information critical to prevent cholera’s spread. The establishment of these services requires political will and investment at the country level.This includes creating capacity for early detection and response, enhanced disease detection, rapid access to treatment and care, and working closely with communities, including on risk communication and community engagement.The severe gap in the number of available vaccine doses, compared with the level of current need, puts unprecedented pressure on theglobal stockpile of vaccines. Between 2021 and 2023, more doses were requested for outbreak response than the entire previous decade.In October 2022, the ongoing vaccine shortage necessitated the ICG to recommend a single vaccine dose, down from a previous, long-standing two-dose regimen. Approximately 36 million doses were produced last year, while 14 affected countries registered a need for 72 million doses for a one-dose reactive strategy. These requests understate the true need. Preventive vaccination campaigns have had to be delayed to preserve doses for emergency outbreak control efforts, creating a vicious cycle. The change in strategy enabled available vaccines to protect more people and respond to more cholera outbreaks amid the ongoing supply shortfall, but a return to a two-dose regimen and a resumption of preventive vaccination would provide longer protection.Global production capacity in 2024 is forecast to be 37-50 million doses but will likely continue to be inadequate to serve the needs of millions of people directly affected by cholera.Only one manufacturer, EuBiologics, currently produces the vaccine; while the company is doing its utmost to maximize output, more doses are needed. Currently, new manufacturers are not expected to join the market before 2025; they must be fast-tracked. The same urgency and innovation that we saw for COVID-19 must be applied to cholera.Additional manufacturers planning to enter the market need to accelerate their efforts and make doses available at affordable prices.We appeal to vaccine manufacturers, governments, donors and partners to prioritize an urgent scale-up of vaccine production, and to invest in all the efforts needed to prevent and control cholera.About the ICGPress release on dosing strategyGlobal task force on cholera controlIFRC on choleraUNICEF: cholera is endangering children globallyWHO on the cholera upsurge, including monthly situation reportsMedia contactsIFRC Email: [email protected]: Lukas Nef,Mobile: +41792400790Email: [email protected]: Sarah Al Hattab, UNICEF in New YorkTelephone: +1 917-957-6536Email: [email protected] Media TeamEmail: [email protected]

The International Federation of Red Cross and Red Crescent Societies (IFRC) is devastated to confirm the killing of an on-duty Ethiopian Red Cross staff member in the northern Tigray region of the country. Woldu Aregawi Berha – an ambulance driver – was shot while in a vehicle clearly marked with the Red Cross emblem. He was severely injured and died before reaching hospital. The IFRC condemns, in the strongest possible terms, the killing. Healthcare workers must be respected and protected in every situation. The IFRC sends its deepest condolences to the man’s family and to his colleagues in the Ethiopian Red Cross. Since the start of the year, seven members of the IFRC network teams lost their lives while carrying out their life-saving humanitarian work. This is unacceptable. They are #NotATarget.

Geneva/Nairobi, 07 December 2023: In response to the growing hunger crisis across sub-Saharan Africa, the International Federation of the Red Cross and Red Crescent Societies (IFRC) is amplifying its call to action amidst growing concerns of crisis fatigue. To this end, the IFRC has revised its funding appeal to 318 million Swiss Francs, now aiming to reach 18 countries. More than a year has passed since the initial launch of the Africa hunger crisis appeal, yet the needs continue to outpace support received. Originally set at 215 million Swiss Francs for 16 countries, only 59 million Swiss Francs has been raised. This humanitarian crisis, intensified by recurring droughts, El Niño-induced floods, conflicts and economic downturns, demands an immediate response to prevent widespread suffering, loss of lives and livelihoods. Around 157 million people in 35 countries across sub-Saharan Africa face acute food insecurity. Despite early warnings from African Red Cross and Red Crescent National Societies, more funding and resources are needed. The Horn of Africa has been particularly hard-hit, enduring its longest dry spell on record with five consecutive dry seasons. In contrast, regions like eastern Kenya, parts of South Sudan, Somalia, Ethiopia, and Tanzania experienced heavier than usual rains during the October-December season, leading to flooding that further aggravated the situation for those already facing acute food insecurity. This mix of extreme weather conditions, along with ongoing conflicts, has led to varied harvest outcomes across the continent. Red Cross and Red Crescent volunteers are witnessing heart-wrenching conditions where many, including women and children, survive on less than one meal a day. Mohamed Omer Mukhier, Regional Director for Africa, emphasized the continued urgency: “In the past year, the dire need for resources in tackling the current hunger crisis has been evident with millions of people deprived of water, food and health services. While this crisis has intensified, it has been largely overshadowed by more visible crises over the past year. Considering its magnitude across the continent, we urgently call for expanded support to pursue our collective lifesaving and life-sustaining mobilization.” These countries are currently at the heart of the hunger crisis: Angola, Burkina Faso, Cameroon, Djibouti, Democratic Republic of the Congo (DRC), Ethiopia, Kenya, Madagascar, Mali, Malawi, Mauritania, Niger, Nigeria, Somalia, South Sudan, Sudan, Tanzania and Zimbabwe. African Red Cross and Red Crescent National Societies have been instrumental in providing life-saving assistance to millions affected by this crisis. So far, they have reached 1.53 million people. Most of the aid provided has been water and sanitation services, reaching over 1.2 million people. Additionally, over 725,000 people received cash assistance and over 450,000 received health and nutrition support. This underscores the IFRC's commitment to transitioning from immediate relief to sustainable, long-term resilience strategies in the region. The revised appeal will focus on improving agricultural practices, fostering peace and stability and creating economic opportunities. More information: For more details, visit the Africa Hunger Crisis appeal page. For audio-visual material, visit the IFRC newsroom. To request an interview, contact: [email protected] In Nairobi: Anne Macharia: +254 720 787 764 In Geneva: Tommaso Della Longa: +41 79 708 43 67 Mrinalini Santhanam: +41 76 381 50 06

“Gargaar” is a local Somali word used in Djibouti to express community solidarity. Evident throughout the country, gargaar means communities are hospitable and welcoming, ready to host and help anyone they encounter. With fighting and insecurity in neighbouring Ethiopia and Somalia, more people are coming into Djibouti and so gargaar is on full display in many communities across the country. But with the area also going through one of the worst series of successive droughts in history, it’s clear that much more must be done to meet the mounting needs of people hit by the combined impacts of conflict, migration and climate change. Most travel more than 500 kilometres by foot, some continuing to the Gulf countries such as Yemen and Saudi Arabia across the Red Sea. The arduous and long journey, through harsh heat, across wild terrain and over rough seas, bears a heavy toll on men, women, and children. Many die along the way. ‘By God’s grace we have made it here,” says Fatouma, who came to Chekeyti, in southwestern Djibouti, from Ethiopia with her two young children. She is exhausted and her baby is restless from fatigue. They walked over 600 kilometres in unimaginable heat, through a landscape full of hyenas and snakes, and always in danger of harassment. “I had no choice; life was unbearable because of the clashes in Afar-Somali region and the lack of food because of drought,” she explains. “I heard life is better and more peaceful in Djibouti. We walked for days. Some days the thirst was unbearable. My children came very close to death. Some of the people we were with did not make it.” The community in Chekyeti welcomed them to settle and even use their water from a ‘barkaad’ (an underground water reservoir) nearby. When Djibouti Red Crescent in a recent assessment asked the community leader the most vulnerable households to receive cash distribution, they did not hesitate to also nominate the Ethiopian migrants living among them. This shows how deep rooted gargaar is in Djibouti, despite the host communities being themselves stretched of resources such as food and water. Successive droughts in the last decade means that many Djiboutian pastoralists have lost their livestock and livelihoods and have found themselves internally displaced, impoverished and dependent on humanitarian assistance. To ‘die trying’ The generosity of strangers therefore can be a critical lifeline and the Djibouti Red Crescent Society (DRCS) plays a critical role, reaching out to people at critical points in their journey when they are most vulnerable. Young men, some not more than thirteen years old, undertake the journey unaware of the dangers ahead. Family members back in Ethiopia invest all their life savings so these young people can search for a better life. As a result, the migrants cannot bear to turn back and be seen as failures. They often say they would rather ‘die trying’. The DRCS therefore has endeavored to bring services through mobile units that meet many of these young men, women and children out on the migration routes. Using only one vehicle, a driver and volunteers, the Red Crescent here has assisted more than 7,000 migrants within seven months through first aid, water, energy dry food, family links and psychosocial support. These mobile units and humanitarian service points offered lifesaving interventions in both the northern and southern parts of Djibouti’s key migration route. Unfortunately, DRCS had to stop this operation due to lack of resources. “The situation of drought-induced hunger is alarming,” says Amina Houssein, the secretary general of DRCS. “Unemployment and low levels of social protection, along with rising food prices and very low levels of food production means families are likely to go by with just a meal a day.” “The incidences of floods, high heat, droughts, as well as the prevalence of diseases and shocks have hit rural communities the hardest,” Hussein adds. “Our priority actions have been lifesaving basic needs assistance through multipurpose cash assistance, as well as water, sanitation and hygiene for human and animal consumption.” Through a Disaster Relief Emergency Fund, or DREF, allocation from IFRC in August, the DRCS has been able to deliver assistance to 45,000 people. But the needs are still enormous. Projections from the Integrated Food Security Phase Classification indicate that around 285,000 people, representing 24 percent of the total Djibouti population, will be acutely food insecure, and around 100,000 people will be in emergency food insecurity, by the end of the year. More than 30,000 children under 5 years of age are also expected to face acute malnutrition this year. Dire need of support A small National Society of just 37 staff, five branches and some 1,000 volunteers, DRCS is committed to doing the most with its incredibly stretched resources. With availability of funds, DRCS would like to revive its Mobile Humanitarian Service Points assistance to migrants, including those who entered the country outside legal channels. Such “irregular migrants”, as they are often called, face high vulnerability to economic exploitation by smugglers, abuse, physical and/or gender violence, potential for disease transmission, poor humanitarian conditions and loss of life. But these are not the only challenges the National Society faces. Recent sudden floods, mostly in the highlands of neighbouring Ethiopia, has also displaced more Djiboutians and left some communities completely cut off. “With the predicted El-Nino set to happen end of the year, we will need more help to mitigate the effects of flooding in this area,” says Mohamed Abass Houmed, governor of the Tadjourah region, which faces high risk of continued flooding. “Our biggest disadvantage is the poor shelter and road network especially in remote communities. In the event of a flood, some already vulnerable communities will be cut off”. Surviving with cash support and charcoal As part of its hunger crisis respone, the Djibouti Red Crescent distributed cash to a targeted 1,500 households. In one locality, they were able to do so through mobile money transfers. Meanwhile, families are doing whatever they can to survive. For most, the three rounds of cash distribution, which they used mostly for food and medicine, were not enough. To adapt to the erratic weather patterns and make ends meet, most communities abandoned pastoralism and farming and resorted to charcoal burning. Cutting down of trees for charcoal, however, inadvertently worsens conditions and increasing their climate risk. “Ask any community here in Djibouti what is their greatest need — you will get a resounding call for water,” says DRCS’s Houssein. “With the availability of funds, we at DRCS would additionally like to support communities through water rehabilitation projects, as well as tree planting as a mitigation measure for future climatic shocks.”

Geneva, 22 September 2023 -As proved so tragically in Libya last week, while water holds the key to life, alltoo often it kills. Whether – like in Derna - it’s too much water leading to floods, or too little water causing droughts, or polluted water resulting in health risks, addressing the dangers that water poses can save lives. As climate change intensifies these threats, there is an urgent need for action. That is why a new collaboration matters so much. With funding and support from the Kingdom of the Netherlands ‘Water at the Heart of Climate Action’ is an ambitious partnership between the International Federation of Red Cross and Red Crescent Societies (IFRC), The Netherlands Red Cross, the Red Cross Red Crescent Climate Centre, the United Nations Office for Disaster Risk Reduction (UNDRR), the World Meteorological Organization (WMO) and the Systematic Observations Financing Facility (SOFF). This collaboration will combine local knowledge and global technology to help communities understand and act on the water-related risks they face - before they become disasters. The programme is focused on supporting the countries of Ethiopia, South Sudan, Sudan,and Uganda, which make up the Nile River basin. These countries are not only among the Least Developed Countries in the world but are also highly vulnerable to the impacts of climate change. To ensure the implementation of this five-year partnership, the Government of the Netherlands has generously committed 52 million Swiss Francs (55 million euros). The aim of the ‘Water at the Heart’ collaboration is to address climate-related risks that too often fall between the cracks of most country-level water, sanitation and hygiene (WASH) policies. It will focus on practical, locally-driven action to better anticipate disasters and prepare communities well in advance. It will also use the latest science and technology to monitor and forecast weather and water-related hazards. It furthermore invests in communications technologies to warn communities of what is coming and enable early action. As a result, this programme is a direct contribution to the implementation of the UN Secretary General’s ‘Early Warnings for All’ initiative. Jagan Chapagain, the Secretary General of the IFRC said: “Water is life. But too much or too little water can wreak havoc on people’s lives and homes. Almost three-quarters of all recent humanitarian disasters were water related. This initiative makes mitigation of the impact of such disasters an absolute priority. With thousands of IFRC network volunteers across South Sudan, Sudan, Ethiopia and Uganda, the IFRC network is uniquely positioned to deliver innovative and trusted local action. Through our partners, those actions can be informed by technology including the best forecasting and observation. This really is a ‘sandbags to satellites’ all-encompassing initiative.” Mami Mizutori, the Special Representative of the UN Secretary-General for Disaster Risk Reduction, and the head of UNDRR said: “To save lives, lift people out of poverty and ensure that development gains are sustainable and irreversible, we must stop hazards from becoming disasters. Water at the Heart of Climate Action is a demonstration of the commitment of the Netherlands to helping some of the most vulnerable countries build their resilience in the face of climate change.” Maarten van Aalst, Director General of the Royal Netherlands Meteorological Institute (KNMI) said: “As a national Meteorological Institute, we see the rapid increase in weather extremes in our changing climate, and we realize that we need partnerships all across society to make sure our warnings lead to early actions. The Netherlands’ vulnerability as a low-lying delta is significantly reduced by the power of good data and predictions, and the ability to act on that information — from satellites to sandbags. Water at the heart will strengthen our peers in the Global South to deliver similar services, and KNMI is proud to be supporting those efforts with peer support.” WMO Secretary-General Prof. Petteri Taalas said: “The majority of hazards are water-related, particularly floods and droughts. Climate change will further increase the frequency and severity of these events. End-to-end early warning systems are critical to save lives and minimize the impact of disasters. WMO is working with SOFF to close the basic weather and climate observation data gap and strengthen the foundational element of better data for better forecasts. Water at the Heart of Climate Action will make a tangible contribution to the Early Warnings for All initiative.” Paul Bekkers, Ambassador, Permanent Representative of the Kingdom of the Netherlands to the UN, WTO and other international organizations in Geneva, said: “Water should not be posing risks to vulnerable frontline communities! On the contrary, we can empower communities to transform water from a hazard into a valuable resource. By leveraging indigenous knowledge and investing in early warning systems. The Netherlands proudly supports this partnership that places the needs of local communities at the heart of water action!” REPRESENTATIVES WILL BE TALKING ABOUT ‘WATER AT THE HEART’ AT THE UN PRESS BRIEFING IN GENEVA FROM 10.30AM ON FRIDAY 22ND SEPTEMBER. THE VIDEO OF THE BRIEFING WILL BE POSTED HERE SHORTLY AFTERWARDS. FOR INTERVIEWS WITH THOSE INVOLVED, PLEASE CONTACT VIA THE DETAILS BELOW IFRC - Andrew Thomas / [email protected] / +41763676587 CLIMATE CENTRE - Alex Wynter / [email protected] / +447717470855 WMO – Clare Nullis / [email protected] / +41797091397 SOFF - Pauline Trepczyk / [email protected] / +41796407857 UNDRR – Jeanette Elsworth / [email protected] / +41766911020 PERMAMENT REPRESENTATION OF THE NETHERLANDS - Joyce Langewen / [email protected] / +41794486110 NETHERLANDS RED CROSS - Bastiaan van Blokland / [email protected] / +31704455612

Khartoum/Nairobi/Cairo/Beirut/Geneva, 2 June 2023 – In its seventh week, the conflict in Sudan has depleted the resources of the Sudanese Red Crescent Society (SRCS), prompting the International Federation of Red Cross and Red Crescent Societies (IFRC) to double its Emergency Appeal to 60 million Swiss francs. It is also launching a second regional appeal of 42 million Swiss francs to support the influx of people fleeing to neighboring countries. SRCS Secretary General Aida Elsayed said: “Without this support, the people of Sudan will suffer grave humanitarian impacts as they will simply not be able to meet their basic needs and the consequences will be severe. The fighting shows no signs of slowing down and the human toll continues to grow every day." “If funded, this revised appeal will mean SRCS can continue with evacuations, provision of water, food, shelter, first aid and psychological support as well as reuniting families. It will surely mean the difference between life and death for many people. It will certainly be a deciding factor in whether countless families experience extreme suffering.” Shortages of medicine, food, water and fuel, destruction of hospitals, residential buildings, energy and water infrastructure as well as the risks of death and injury due to the fighting and lack of access to cash means people are not able to access essential goods and services or move to safety. With 40,000 volunteers in 18 branches around the country, SRCS is the largest humanitarian organization on the ground in Sudan and has so far provided more than 40,000 meals and food parcels, 24,000 first aid and medical treatments, and evacuated 740 wounded people. SRCS is also conducting safe and dignified burials for those who lost their lives. “While our SRCS volunteers have been working tirelessly to help people since the start of the conflict despite the dangers and the fact that they and their own families are also affected, much more is needed. But this will only be possible if we receive the funding. Without it, we are leaving the people of Sudan to face impossible situations that many may not survive,” said Ms Elsayed. Nine million people have been affected by the conflict in a country where 11.7 million people were already in need of food and livelihood assistance. “With these pre-existing vulnerabilities and lifesaving food aid almost completely stopped, the consequences will be disastrous for families relying on this assistance,” said Ms Elsayed. The new Regional Population Movement Appeal will support the humanitarian response activities of National Societies in the neighboring countries of Egypt, Chad, South Sudan, Central African Republic, Ethiopia and Libya. IFRC Regional Director for Africa Mohammed Mukhier said: “More than 330,000 people have fled the devastating conflict in Sudan seeking safety in neighboring countries. The situation is extremely volatile and as the conflict continues, the movement across borders will only increase. These were already vulnerable people, with the majority women and children, and a significant number are fleeing violence for a second time having been displaced from camps in Sudan.” Outside Sudan the presence of Red Cross Red Crescent National Societies staff and volunteers at border points is crucial. They are operating Humanitarian Service Points to provide people fleeing the conflict with essential services such as psychosocial support, medication, first aid, food and sim cards as well as restoring family links. For more information or to request an interview, please contact: [email protected] In Nairobi: Rita Nyaga, +254 110 837 154, [email protected] Susan Cullinan, +61 457 527 197, [email protected] In Beirut: Mey el Sayegh, +96176174468, [email protected] In Geneva: Anna Tuson, +41 79 895 6924 Tommaso Della Longa, +41 79 708 4367

The ongoing conflict in Sudan has led hundreds of thousands of people—many of whom are women, children and older people—to flee the countryto find safety across borders. Those arriving in neighbouring countries have experienced dire humanitarian conditions. Many have been caught in the crossfire and struggled to access food, water, and health services for some time. Through this Emergency Appeal, the IFRC is supporting Red Cross and Red Crescent Societies in Egypt, Chad, South Sudan, Central African Republic (CAR), Ethiopia and Libya to provide essential humanitarian assistance to people fleeing Sudan.

Sub-Saharan Africa is experiencing one of the most alarming food crises in decades—immense in both its severity and geographic scope.Roughly 146 million people are suffering from acute food insecurity and require urgent humanitarian assistance. The crisis is driven by a range of local and global factors, including insecurity and armed conflict, extreme weather events, climate variability and negative macroeconomic impacts. Through this regional Emergency Appeal, the IFRC is supporting many Red Cross and Red Crescent Societies across Africa to protect the lives, livelihoods and prospects of millions of people.

Geneva, 13 September 2022 (ICRC/IFRC) – The warning lights are flashing on high: armed conflict, climate-related emergencies, economic hardship and political obstacles are leading to a growing wave of hunger in countries around the world. The misery for millions will deepen without immediate urgent action. Systems-level improvements must be made to escape a cycle of recurrent crises, including investments in climate-smart food production in conflict-affected areas, and reliable mechanisms to support hard-to-reach communities hit by food shortages and skyrocketing prices, the International Federation of Red Cross and Red Crescent Societies (IFRC) and the International Committee of the Red Cross (ICRC) said ahead of the upcoming United Nations General Assembly. The international armed conflict in Ukraine has greatly disrupted global food supply systems as well as future harvests in many countries due to the impact it’s having on the availability of fertilizer. The importance of more shipments by the Black Sea grain initiative reaching vulnerable populations in East Africa cannot be overstated. Too few grain shipments are getting to where they are needed. As hunger emergencies hit the headlines, the risk of crisis fatigue is high. Yet what’s uniquely frightening about this moment is the breadth and depth of the needs. More than 140 million people face acute food insecurity due to conflict and instability, even as climate change and economic precarity indicate that hunger needs will rise in the coming months. Political will and resources are needed now. Without them, many lives will be lost, and the suffering will endure for years. An emergency response alone will not end these hunger crises. Concerted action and long-term approaches are the only way to break the cycle. While addressing urgent needs, it is essential to set the foundation for resilience. More efforts must be made — by governments, private sectors, and humanitarian and development groups — to support long-term food security, livelihoods, and resilience plans. Measures must include investments in strengthening grassroots food systems and community actors to sustainably achieve food and economic security. One of the approaches to consider is anticipatory action for food security, based on forecasts and risk analysis. Francesco Rocca, President of the IFRC, said: “Two dozen countries across Africa are grappling with the worst food crisis in decades. Some 22 million people in the Horn of Africa are in the clutches of starvation due to such compounding crises as drought, flooding, COVID-19’s economic effects, conflict – even desert locusts. Behind the staggeringly high numbers are real people – men, women and children battling death-level hunger every day. The situation is expected to deteriorate into 2023. However, with swift action, many lives can be saved. We need urgent and massive action to scale up life-saving assistance to millions of people in dire need of aid, but also to decisively address the root causes of this crisis through longer term commitments.” The IFRC and its membership—which consists of Red Cross and Red Crescent teams in nearly every corner of the globe—are delivering aid in hard-to-reach communities. Assistance includes getting cash into the hands of families to meet food, health and other urgent needs. In Nigeria, Red Cross volunteers focus on pregnant and breastfeeding mothers, whose nutrition is paramount for healthy births and childhoods. In Madagascar, volunteers restore land and water sources through anti-erosion activities, the construction of water points, and a focus on irrigation in addition to traditional ways to fight hunger, like nutrition monitoring. Peter Maurer, President of the ICRC, said: “Conflict is a huge driver of hunger. We see violence preventing farmers from planting and harvesting. We see sanctions and blockades preventing food delivery to the most vulnerable. My wish is that we build resiliency into the fabric of humanitarian response, so that communities suffer less when violence and climate change upend lives. A cycle of band-aid solutions will not be enough in coming years.” The ICRC this year has helped nearly 1 million people in south and central Somalia buy a month’s worth of food by distributing cash to more than 150,000 households. A similar programme in Nigeria helped 675,000 people, while more than a quarter million people received climate smart agriculture inputs to restore crop production. The ICRC works to strengthen resilience through seeds, tools and livestock care so that residents can better absorb recurrent shocks. And its medical professionals are running stabilization centres in places like Somalia, where kids are getting specialized nutrition care. Communities around the world are suffering deep hardship. A short snapshot of some of the regions in need includes: In Sub-Saharan Africa: One in three children under the age of five is stunted by chronic undernutrition, while two out of five women of childbearing age are anaemic because of poor diets. The majority of people in sub-Saharan Africa live on less than $1.90 a day. In Afghanistan: The combination of three decades of armed conflict and an economic crash resulting in few job opportunities and a massive banking crisis are having a devastating effect on Afghan families’ ability to buy food. More than half the country – 24 million – need assistance. The International Red Cross Red Crescent Movement welcomes any measure aimed at easing the effect of economic sanctions. But given the depth of the humanitarian crisis, long-term solutions are also needed, including the resumption of projects and investments by states and development agencies in key infrastructure. In Pakistan: The recent flooding has led to an estimated $12 billion in losses. Food security in the country was alarming before this latest catastrophe, with 43 percent of the population food insecure. Now the number of acutely hungry people is expected to rise substantially. Some 78,000 square kilometers (21 million acres) of crops are under water. An estimated 65 percent of the country’s food basket – crops like rice and wheat– have been destroyed, with over 733,000 livestock reportedly killed. The floods will also negatively affect food delivery into neighboring Afghanistan. In Somalia: We have seen a five-fold increase in the number of malnourished children needing care. Last month the Bay Regional Hospital in Baidoa admitted 466 children, up from 82 in August 2021. Children admitted here die without the specialized nutritional care they receive. In Syria: Food insecurity rates have risen more than 50 percent since 2019. Today, two-thirds of Syria’s population –12.4 million out of 18 million – can’t meet their daily food needs. The compounding effects of more than a decade of conflict, including the consequences of sanctions, have crippled people’s buying power. Food prices have risen five-fold in the last two years. In Yemen: Most Yemenis survive on one meal a day. Last year 53 percent of Yemen’s population were food insecure. This year it’s 63 percent – or some 19 million people. Aid actors have been forced to cut food assistance due to a lack of funds. Some 5 million people will now receive less than 50 percent of their daily nutritional requirement because of it. Notes to editors For more information, please contact: IFRC:Tommaso Della Longa, [email protected], +41 79 708 43 67 IFRC: Jenelle Eli, [email protected], +41 79 935 97 40 ICRC:Crystal Wells, [email protected], +41 79 642 80 56 ICRC: Jason Straziuso, [email protected], +41 79 949 35 12 Audio-visuals available: Horn of Africa photos and b-roll Pakistan floods photos and b-roll Somalia cash programme photos and b-roll Kenya sees climate shocks b-roll

Food insecurity is not a new phenomenon. But the recent escalation in severity and geographical spread of chronic hunger is serious cause for alarm. The hunger crisis is most starkly felt on the African continent, where many regions, notably the Horn of Africa, Sahel and Lake Chad regions, are experiencing the worst food crisis in decades. Millions of people are facing hunger across Africa—prompting the IFRC to launch Emergency Appeals for hunger crises in Nigeria, Somalia, Kenya, Ethiopia, Niger and Angola all within the past year. Back in May, I met some of those affected whilevisiting drought-affected areas in Marsabit County, Kenya—where levels of malnutrition are among the highest on the continent. I saw first-hand the level of suffering caused by a severe lack of rainfall over four consecutive seasons, coupled with pre-existing vulnerability in parts of the County. Children, young mothers and the elderly are most affected and facing near depletion of their livelihoods. Although this hunger crisis is, to a large extent, climate-induced, it is also driven by the effects of widespread locust swarms, disease outbreaks, conflict and insecurity, and economic slowdowns—including those triggered by COVID-19. Furthermore, the ongoing conflict in Ukraine is disrupting the global trade of food, fertilizers and oil products, with prices of agricultural products reaching record highs. Eastern Africa, for instance, gets 90 per cent of its imported wheat from Russia and Ukraine (source: WFP), and the conflict has led to significant shortages. The Ukraine crisis has also diverted both the attention and resources from other crises. While Ukraine is an extremely worrying crisis, affecting millions, we cannot afford to lose sight of other urgent crises around the world. Not least of which is the rapidly deteriorating food security situation in many parts of Africa. The clock is ticking and soon it may be too late to avert a widespread tragedy. So the question that should concern us all is: what can we do, as a humanitarian collective, to avoid the tragic history of the early 1980s repeating itself? We need urgent and massive action to scale up life-saving assistance to millions of people on the verge of collapsing, but also to decisively address the root causes of this crisis through longer term commitments. The IFRC has an important and unique role to play. With our unparalleled community reach and expertise, our 100+ years of humanitarian experience, our ability to act both locally and globally, and our National Societies’ special status as auxiliaries to public authorities—we can turn this tide. But we need the resources to do so. Our collective immediate priority is to muster life-saving support, within and outside our IFRC network, for the next six months—paying particular attention to the Horn of Africa, Central Sahel and other hot spots across the continent. During this emergency phase, we will focus our support on the things we know from experience will make the most difference to affected people’s lives and livelihoods: food assistance, cash programmes and nutrition support. At the same time, we will develop longer-term programming, together with interested National Societies, to address the root causes of food insecurity. We will build on our previous successes and work in support of governments’ plans and frameworks to restore the resilience of the most impoverished communities, including displaced populations. Everything we do will be underpinned by solid data and meaningful community engagement to ensure that our response is evidence-based and tailor-made. Hunger is one of the most undignified sufferings of humanity. To alleviate human suffering, we must rise to this challenge through collective mobilization and action—both in the immediate and long-term. We simply cannot afford to do too little, too late. --- Since 2020: The IFRC network reached 4.8 million people with food assistance and non-food items, combining all humanitarian response operations (Emergency Appeals, DREFs and our COVID-19 response) More than 20 African National Societies have been implementing food security-related projects as part of their regular programming 33 African National Societies have increased their capacity to deliver cash and voucher assistance Click here to learn more about the IFRC’s work in food security and livelihoods. You may also be interested in reading: 'To beat Africa’s hunger crises, start with long-term planning' -opinion piece in Devex by IFRC Regional Director for Africa, Mohammed Omer Mukhier-Abuzein 'Because of hunger, I am here' - photo story from the Red Cross Red Crescent Magazine about Angolan refugees fleeing to Namibia due to the drought and resulting lack of food and water And scroll down to learn more about our active Emergency Appeals for food insecurity in Africa and beyond.

Nairobi/Geneva, 6 May 2022—The International Federation of Red Cross and Red Crescent Societies Secretary General Jagan Chapagain ends a three-day visit to Kenya, and he is calling for a massive scale-up of humanitarian and long-term assistance to communities affected by the growing hunger crisis in the Horn of Africa. Speaking at the end of a visit to Marsabit, one of Kenya’s areas that has been hardest hit by the effects of drought, Mr Chapagain said: “I have seen firsthand the level of suffering caused by drought in Marsabit. There are highly unacceptable levels of malnutrition, a global acute malnutrition (GAM) rate of 53.6 per cent in this particular ward - one of the highest in Africa. The situation is rapidly deteriorating. We need immediate humanitarian assistance to reach the most vulnerable. We also need long term solutions that address the impact of climate change including investment in resilient livelihoods.” Kenya, Ethiopia and Somalia are facing a large-scale, climate-induced, and protracted humanitarian crisis with over 14 million people food insecure and in urgent need of humanitarian assistance including at least 5.5 million children facing acute malnutrition. 6.1 million people in Ethiopia and 4.1 million people in Somalia are in urgent need of humanitarian assistance. In Kenya, 3.5 million people are acutely food insecure, with eastern and northern Kenya’s most arid and semi-arid lands experiencing critical drought conditions. This silent disaster has been overshadowed—and to a significant extent amplified—by the Ukraine crisis.  “It isn’t just food and water that people need here. In the background there are unseen issues such as sexual and gender-based violence, and the profound impacts on mental health. An example given was of women walking over 40 km to reach potable water – what happens on the journey is unthinkable,” added Mr Chapagain. Dr Asha Mohammed, Secretary General of the Kenya Red Cross Society, who was also in Marsabit, said:   “The fact that people in Marsabit have lost over 70 per cent of their livestock, which is their main source of livelihood, means that it will be a long and slow path to recovery. Our teams are playing a central role in reducing the risks that families are facing. They have provided cash assistance, food assistance and improved water treatment practices, but the need to rehabilitate water systems remains urgent. We call all our partners and stakeholders to support our efforts.” In response to the hunger and drought situation in Kenya, Somalia and Ethiopia, the IFRC, the Kenya Red Cross, Ethiopia Red Cross and Somali Red Crescent are jointly appealing for 39 million Swiss francs. This funding will allow Red Cross and Red Crescent volunteers and staff to assist 1,560,000 people by scaling up their emergency and humanitarian assistance and recovery activities and tackling the root causes of food insecurity. This strategy is aligned with the IFRC’s Pan African Zero Hunger Initiative that undertakes a holistic approach to food security, integrating specific interventions for rapid nutrition, food security and livelihood support for acute food-insecure households and communities with a long-term strategy working towards zero hunger and sustainable recovery. “Food is a basic need of the population. We call upon every government in Africa to ensure they have the right policy framework to deal with drought,” said Mr Chapagain. To request an interview with representatives from the IFRC or Kenya Red Cross, or for more information, please contact:  In Nairobi:   IFRC - Euloge Ishimwe, +254 731 688 613, [email protected] Kenya Red Cross - Peter Abwao, +254 711 590911, [email protected]   In Geneva: IFRC – Benoit Carpentier, +41 79 213 2413, [email protected]   

09 December 2021, Addis, Nairobi, Geneva—The ongoing conflict in Ethiopia has affected the lives and livelihoods of millions of people. The year-long fighting—combined with other existing hazards—has resulted in a worrying humanitarian situation, said the International Federation of Red Cross and Red Crescent Societies (IFRC) and the Ethiopian Red Cross Society (ERCS) today. This crisis has exacerbated an already dire situation in Ethiopia. Climate shocks, devastating desert locusts, the continued socioeconomic impacts of COVID-19 and below-average rainfall have also led to a deterioration in food insecurity and other humanitarian needs. Ato Getachew Taa, Ethiopian Red Cross Society’s Secretary General, said: “Unless immediate action is taken, millions of lives are at risk due to displacement, food insecurity, trauma and loss of livelihoods. About 23 million people in Ethiopia are now in need of humanitarian assistance across the country, due to the combined consequences of conflict, drought, epidemics, food insecurity, pest outbreaks, and population movement. Our teams are currently handling overwhelming humanitarian needs.” Urgent needs include emergency shelter and essential household items, food, cash, health services, psychological support, water, sanitation, and hygiene materials—as well as protection services. The IFRC is deeply concerned by the mounting needs and is stepping up its humanitarian response and preparedness efforts. Through IFRC’s extended response operation, 660,000 people affected by the crisis will receive humanitarian support—including shelter, food, cash, healthcare, water, sanitation and hygiene items. IFRC’s operational strategy provides targeted assistance and contributes to meeting the immediate needs of the affected population. Mohammed Mukhier, IFRC Regional Director for Africa, said: “Our teams and partners have been doing their best to reach desperate communities, but the resources are unable to keep pace with the scale of need. To match the growing humanitarian demands and reach people desperate for assistance, the IFRC is seeking 27 million Swiss francs.” Red Cross teams in Ethiopia have been providing humanitarian assistance since the beginning of the crisis. Thousands of displaced families have received shelter, water, sanitation and hygiene services, as well as household, food and cash assistance. In Sudan and Djibouti, those who fled from Ethiopia are also receiving similar services from Red Cross and Red Crescent teams. “The IFRC network is working in a neutral, impartial way to support vulnerable communities. In accordance with our Fundamental Principles, we continue to ensure that we deliver our support based on people’s needs alone and prioritize the most vulnerable at all times,” added Mukhier. For more information, please contact: In Ethiopia: Dr Solomon Ali, +251 911 252428, [email protected] In Sudan: Nawal Hassan Yousif, +249 91 265 6872, [email protected] and Osama A. Osman, +249 96 026 0000, [email protected] In Djibouti: Amina Hussein, [email protected] In Nairobi: Euloge Ishimwe, +254 735 437 906, [email protected] In Geneva: Ann Vaessen, +41 79 405 77 50, [email protected]

Addis Ababa/Nairobi/Geneva, 10 February 2021 – The President of the world’s largest humanitarian network has ended a visit to Ethiopia’s Mekele city in Tigray region with a plea for increased humanitarian response to better meet the needs of people affected by recent fighting. Speaking at the end of his five day visit to Ethiopia, Francesco Rocca, President of the International Federation of Red Cross and Red Crescent Societies (IFRC), said: “I am very concerned about the conditions that I saw during my visit, including people internally displaced by the fighting, especially children, their mothers and the elderly. It was clear to me that people in Tigray need much more support than they are currently receiving. “While there have been positive announcements by a small number of aid organizations in recent days in this regard, it is my hope that more aid can begin to arrive consistently. We need to scale up humanitarian operations. We need to do much more to bring help to those who desperately need it.” In particular, President Rocca raised concerns about the impact of the fighting on medical services, noting that hospitals he visited were lacking even basic medical supplies. He also shared serious concerns relayed by local health officials about rising levels of serious malnutrition. An assessment by the Ethiopian Red Cross Society, found that more than 2.6 million people in Tigray and the adjacent regions of Amhara, Afar, Benishangul-Gumuz and SNNPR need humanitarian assistance. According to the Ethiopian Red Cross, primary needs among affected people in Tigray include food and basic relief items, water and sanitation, medical supplies and technical assistance for mobile clinics. Mr Rocca also spoke of the compounding impact that the Tigray crisis has had on other vulnerabilities in Ethiopia, as well as in neighbouring countries. By the end of January 2021, an estimated 200,000 people had been internally displaced in Ethiopia alongside 60,000 people who have fled into Sudan. In addition, there are at least 230 Ethiopian refugees in Djibouti. Mr Rocca further mentioned the heavy humanitarian caseload that was already confronting Ethiopia and surrounding countries, and the subsequent need for coordinated and comprehensive action by aid organizations: “The Horn of Africa is facing chronic multiple crises, including widespread and severe food insecurity, and massive locust swarms that have contributed to further crop losses. “The region is also grappling with the COVID-19 pandemic which, among other impacts, has led to the closure of schools. More than 6.4 million children are now without school meals and this has worsened malnutrition considerably.” In response to the situation in Ethiopia and surrounding countries, the IFRC, the Ethiopian Red Cross, the Sudanese Red Crescent and the Red Crescent Society of Djibouti are jointly appealing for 27 million Swiss francs. This funding will allow Red Cross and Red Crescent volunteers and staff to assist 660,000 people, including the Ethiopians who are internally displaced and those who have fled into Sudan and Djibouti. The operation will focus on supporting families to maintain their livelihoods and meet basic needs, the provision of clean water and improved sanitation facilities, the delivery of health and psychosocial support services, and efforts to strengthen local Red Cross and Red Crescent capacities to prepare for and respond to future emergencies.

Geneva/Nairobi, 28 January 2021 – The International Committee of the Red Cross (ICRC) is appealing to donors for 20 million Swiss francs to urgently expand its response to the acute humanitarian needs created by the Tigray crisis in Ethiopia, while the International Federation of Red Cross and Red Crescent Societies (IFRC) is appealing for 27 million Swiss francs to support the Ethiopian Red Cross Society, the Sudanese Red Crescent Society and the Djibouti Red Crescent Society to address other drivers of vulnerability in the region. Many people have been displaced within Tigray, and almost 60,000 sought refuge in Sudan. Refugees and people displaced within the region suffer from a lack of food and essential services, like water and healthcare. Some healthcare facilities in Tigray were abandoned and looted, while others are running short of supplies and are struggling to cope with the growing demand. Thousands have lost contact with their loved ones. "The needs in Tigray are overwhelming. Government responses need to accelerate, and humanitarian organizations urgently need access so people can receive lifesaving assistance before it's too late," said Patrick Youssef, the ICRC’s regional director for Africa. "Humanitarian access outside major towns remains challenging and there is little visibility on the humanitarian situation in rural areas." "The recent developments in Tigray have compounded other existing vulnerabilities in Ethiopia and in neighbouring Sudan and Djibouti. Even before the fighting, the region was dealing with acute food insecurity, an invasion of desert locusts, drought and the COVID-19 pandemic," said Mohammed Mukhier, regional director for Africa at IFRC. The Ethiopian Red Cross Society (ERCS), present across the country, including Tigray, has been providing humanitarian assistance since the first day of the fighting, working alongside the ICRC. The ERCS counts on a large network of volunteers who remained active despite being affected by the crisis themselves. The ICRC has been working in Tigray for decades and maintained its operations throughout the fighting that erupted almost three months ago. Supporting hospitals in Mekelle, Axum, Adwa and Shire has been a priority. Following some of its initial assistance missions, which included sending the first humanitarian convoy into Mekelle and helping some 11,300 families reestablish contact, the ICRC is appealing to donors for funds needed to reinforce its operational capacity. It is expanding its presence in Mekelle and re-opening an office in Shire. Besides scaling up its presence in Tigray, the ICRC will continue addressing the alarming humanitarian situation in Benishangul-Gumuz, Western Oromia and Guji, where armed violence episodes have been recurrent. The Sudanese Red Crescent has been distributing food, household items and providing primary health services to refugees and communities hosting them. The IFRC released emergency funds to enable the Sudanese Red Crescent Society to assist 40,000 people. The Djibouti Red Crescent Society maintains a presence in Hol Hol refugee camp and Obock, where it provides water and sanitation services and works to promote hygiene and raise COVID-19 awareness. The IFRC is appealing for funds to enable the Ethiopian Red Cross Society, the Sudanese Red Crescent Society and the Djibouti Red Crescent Society to deliver humanitarian assistance and recovery support to 660,000 people. The International Red Cross and Red Crescent Movement is the world's largest humanitarian network. It consists of the International Committee of the Red Cross (ICRC), the International Federation of Red Cross and Red Crescent Societies (IFRC) and National Red Cross and Red Crescent Societies. ICRC action: The town of Mekelle has been struggling with a shortage of water in recent months and the ICRC has been supplying water to 3,700 people a day through water trucking and storage tank installations. It provided medical assistance to 4,500 people wounded by weapons and 10,900 primary healthcare patients. 648 weapon-wounded people received physical rehabilitation services. The organization has distributed 35 metric tons of food received from the Ministry of Health and Catholic Relief Services to four hospitals in Tigray. Almost 9,500 displaced people in Mekelle received essential household items. 11,300 families reestablished contact through the Ethiopian Red Cross, the Sudanese Red Crescent and the ICRC services in Sudan and Ethiopia. IFRC action: In November, the IFRC released funds to the Ethiopian Red Cross Society to target 7,500 affected people in Amhara to improve their access to health, water and sanitation, shelter and livelihood support for four months. The IFRC also released emergency funds to the Sudanese Red Crescent Society to provide emergency services to 40,000 Ethiopian refugees in Sudan. The Sudanese Red Crescent Society works in Hamdayit and Al Lukdi centres and Um-Rakoba settlement to provide shelter, household items, health services, improved water and sanitation, and to carry out gender protection and inclusion activities. In all the three countries, the IFRC continued supporting National Societies to mitigate the impact of COVID-19.

Khartoum/Nairobi/Geneva, 23 November 2020 – The Sudanese Red Crescent Society has scaled up its operation at the border with Ethiopia to support the growing number of Ethiopian refugees coming into the country. Since fighting began in Ethiopia’s Tigray region on 5 November, more than 30,000 people have crossed the border into Sudan and the number is increasing by the day. At the transit centres located in Lukdi in Gedaref and Hamdaiet in Kassala state, there is an urgent and immediate need for food and water, shelter, first aid and medical care as well as psychosocial support. The Red Crescent has distributed emergency relief items to 500 families and is mobilising more support from partners and the Sudanese government. Dr Afaf Yahya, Sudanese Red Crescent Secretary General, said: “We have completed construction of four communal shelters, seven communal kitchens and four emergency latrine blocks. We have also rehabilitated the road from Doka to Um Rakoba to speed up and ease the transportation of the refugees to settlement camps.” In Kassala state, the Red Crescent is operating in two clinics where health and nutrition screenings and medical consultations are being conducted. Red Crescent teams are providing psychosocial support and transferring those with complicated medical conditions and in need of surgery to hospitals. “We are concerned by the rate at which humanitarian needs are growing. Many of the refugees are exhausted and hungry from the long distances they have walked to reach here. They are worried about the families they left behind and from the look on children’s faces, they are evidently deeply affected to by what is happening,” said Dr Yahya. Mohammed Omer Mukhier, International Federation of Red Cross and Red Crescent Societies (IFRC) Regional Director for Africa, said: “The needs at the border transit points and settlement camps remain high. There is an urgent need for more emergency shelter for refugees, who are still arriving in big numbers. Distribution centres need to be constructed and existing health centres also need to be rehabilitated.” The Sudanese Red Crescent Society—which has an expansive network of 400,000 volunteers across the country—has also mobilised volunteers to assist with temperature checks and registration at border transit points. The Red Crescent has responded to previous population movement crises including, the South Sudanese refugee’ emergency. This influx of refugees comes at a time when Sudan is already in the throes of a major and complex humanitarian emergency. Unprecedented flooding since July has left over 875,000 people in need of humanitarian assistance. Food crops already depleted due to a desert locust invasion, and livestock have been wiped out. Soaring inflation has led to prices skyrocketing, and stagnant and contaminated water continue to pose a serious health risk alongside the threat of COVID-19. Kassala State—an area heavily affected by the flooding—is now hosting incoming refugees, adding further strain to resources and local communities.

Nairobi/Geneva, 20 May 2020—A series of mutually exacerbating disasters is unfolding in East Africa, on a scale rarely seen in decades, warned the International Federation of Red Cross and Red Crescent Societies (IFRC). Ongoing heavy rain—which has killed nearly 300 and displaced about 500,000 people—has slowed down operations aimed at controlling the worst locust crisis in decades and increased the risk of the spread of COVID-19. Dr Simon Missiri, IFRC’s Regional Director for Africa said: “The ongoing flooding crisis is exacerbating other threats caused by COVID-19 and the invasion of locusts. Travel and movement restrictions meant to slow down the spread of COVID-19 are hampering efforts to combat swarms of locusts that are ravaging crops. Flooding is also a ‘threat amplifier’ with regards to the spread of COVID-19 as it makes it hard to implement preventive measures.” Flooding has left thousands of people homeless, many of them now seeking shelter in temporary accommodation centres where it is not easy or not possible at all to observe physical distancing. As a result, thousands are now at higher risk of contracting COVID-19 or waterborne diseases and need emergency food assistance. “We are facing an unusually complex humanitarian situation. We are worried that the number of people who are hungry and sick will increase in the coming weeks as flooding and COVID-19 continue to severely affect the coping capacity of many families in the region,” added Dr Missiri. “Harsh weather conditions are having a multiplier effect on an already difficult situation and this could potentially lead to worrying levels of food insecurity in the region.” Red Cross teams in the affected countries are rushing to respond to multi-faceted and overlapping crises. To respond to flooding, COVID-19 and locusts, the IFRC has provided over 7 million Swiss francs to Red Cross and Red Crescent National Societies in East and Horn of Africa. Red Cross and Red Crescent teams in Ethiopia, Kenya, Somalia, South Sudan, Tanzania, Rwanda and Uganda are helping communities mitigate the negative impacts of the triple disaster through community awareness and direct food and non-food support. In Kenya, the Red Cross is conducting assessments in 16 counties, using drones and satellite images. Red Cross teams are also airlifting household items to families that have been marooned by floods. “Flooding is a recurrent phenomenon in the region. To break this cycle, we call upon Governments and partners to invest more in preparedness and flood control methods,” said Dr MISSIRI.