21/01/2025 |

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Zambia: Changing lives and fighting cholera one clean drop of water at a time

Cholera thrives in environments where inequality persists. In Zambia, where many rely on shallow wells and pit latrines, contaminated groundwater and poor sanitation create the perfect conditions for disease outbreaks.The situation worsened with the onset of El Niño, which exacerbated existing vulnerabilities. Drought conditions reducing clean water supplies making access even more challenging and putting groundwater at greater risk of contamination.Recognising this, the Zambia Red Cross Society (ZRCS) launched a multi-faceted response (supported by a global emergency appeal launched by the IFRC in January 2024) to not only address the immediate health crisis but also to tackle its root causes.At the Chimwemwe Primary School in Lusaka, for example, the situation was dire. With over 5,800 students relying on six aging pit latrines, the lack of basic hygiene facilities put the students at constant risk. Cholera loomed as a constant threat.The ZRCS also constructed a new facility that included 15 water-flushed toilets and dedicated spaces for menstrual hygiene management.For Deputy Head of Chimwemwe Primary School, Nixon Chanda, the project is life-changing: "These toilets will improve their health and empower pupils, especially the girl child, by providing a safe and dignified environment, ensuring they can focus on their education and their future. We are deeply thankful for the support in addressing this critical issue, which will have a lasting impact on their lives.”The transformation extends beyond Chimwemwe.At Balmoral Primary School, a similar project is replacing outdated pit latrines for over 300 learners. Meanwhile, at Kafue Day Secondary School, ZRCS is increasing water capacity by installing a water tank and handwashing stations, ensuring that students have reliable access to clean water.The story continues at Luongo Health Post in Kitwe, where over 1,800 households depend on shared pit latrines that pose serious health risks. Here, ZRCS is constructing a modern ablution block with water-flushed toilets and handwashing stations, significantly improving hygiene for patients and staff.In neighbouring Chilobwe Health Post, a solar-powered mechanized water pump is being installed to tackle a persistent water crisis that has plagued the community since 2019.“Water has been a problem for the health facility and the entire community for years,” says one resident Davies Chama. “Thanks to Zambia Red Cross, we now have hope for a healthier future.”Building a foundation for changeThe impact of ZRCS’s efforts goes beyond immediate relief. By constructing ablution blocks, rehabilitating water systems, and improving water access, ZRCS is laying the groundwork for long-term resilience.With over 3.2 million people targeted by the end of 2024, the organization is proving that cholera prevention is not just about emergency interventions—it’s about creating a future where clean water and sanitation are sees as a right, not a privilege.“Cholera exposes the vulnerabilities in our systems. By working hand-in-hand with communities, schools, and health facilities, we’re addressing these gaps for good,” says Dr. Jack Bbabi, ZRCS Director of Programs. “This is not just about stopping cholera; it’s about preventing it from ever returning.”The work of ZRCS and IFRC reflects the power of collective action. With an emergency appeal that exceeded its target, the response demonstrates what’s possible when resources are directed toward meaningful change. These efforts have been made possible through the generous support of Foreign, Commonwealth & Development Office, theNetherlands Red Cross, IFRC, and other partners who stepped forward in solidarity to fight cholera.

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23/12/2024 |

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International Day of Epidemic Preparedness 2024: Early detection, early action, healthier communities

Epidemics and pandemics are some of the biggest threats to a safe and healthy world. They are on the rise, and in today’s connected world, they are spreading further and faster than ever before.  Known epidemics—such as cholera, measles, Ebola, and malaria—continue to threaten large parts of the world’s population. And, as we saw with COVID-19, the world is also at risk from new infectious diseases that can claim millions of lives, bring health systems to their knees, and reverse decades of development progress. But the good news is that with effective preparedness and response measures, we can reduce the impacts of epidemics and pandemics and even stop them in their tracks.  The IFRC and our member National Societies have long focused on helping people prepare for, respond to, and recover from health emergencies. Born in the wake of the 1918 influenza pandemic, at the IFRC we know from experience that communities can be the first line of defence against epidemics and pandemics when equipped with the right knowledge, behaviours, skills, and tools.   Through global programmes—such as the Community Epidemic and Pandemic Preparedness Programme (CP3) with USAID and the Programmatic Partnership with the European Union—we’ve been engaging and training people worldwide in epidemic and pandemic preparedness and response for many years. We help people prevent, detect and quickly respond to outbreaks—saving countless lives and building healthier, more resilient communities. Stepping up our efforts in 2024In 2024, the IFRC significantly stepped up our work in epidemic and pandemic preparedness:With support from the World Bank’s Pandemic Fund, and in collaboration with key national and international partners, IFRC was selected to launch two new regional epidemic preparedness programmes. In Africa, the Preparedness for Pandemic Response (PREPARE) programme will strengthen cross-border collaboration, disease surveillance and health systems in East and Central Africa to address health challenges such as the ongoing mpox epidemic. And in Asia Pacific, the Enhancing collaborative surveillance and diagnostic readiness for pandemic preparedness and response in South-East Asia Region will improve early warning and disease surveillance systems, laboratory systems and community health workforce capacity across eight countries.With USAID support, we were delighted to expand the CP3 programme this year into 11 new countries—Burundi, Cambodia, Ivory Coast, Laos, Malawi, Malaysia, Philippines, Tajikistan, Thailand, Vietnam and Zambia—to prepare even more communities for epidemics and pandemics.Together, these new commitments take the total number of countries where IFRC is directly supporting epidemic preparedness programmes up to 48. This figure doesn’t include the great work being done at the national level by many more Red Cross and Red Crescent Societies around the world.Trusted, local, and always thereAs trusted local actors embedded in their communities and permanently present in areas other organizations cannot reach, National Red Cross and Red Crescent Societies are best placed to support community-level epidemic and pandemic preparedness. The IFRC works to strengthen National Societies’ ability to prepare for and respond to epidemics through training, technical assistance, advocacy support and coordination. Together, we also engage a wide range of stakeholders in epidemic and pandemic preparedness—such as governments, religious leaders, businesses and the media—because we know that all parts of society need to come together to keep people safe from epidemics and pandemics. The time to prepare is nowCOVID-19 was a wake-up call to the world to prepare now for the next health crisis. The pandemic claimed millions of lives and revealed major gaps in epidemic and pandemic preparedness around the world.The IFRC network is doing essential work right now to prepare communities for the next pandemic. But more investment is needed globally to strengthen health systems and ensure societies are prepared for an increasingly hazardous world.--To stay up to date with the IFRC’s work in epidemic and pandemic preparedness, sign up to our monthly newsletter which features highlights from Red Cross and Red Crescent Societies around the world.And for practical epidemic preparedness resources, check out our Epidemic Control Toolkit—available in multiple languages—for guidance on evidence-based methods to prevent and control the spread of epidemics at the community-level.

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23/12/2024 |

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Red Cross responds to the largest dengue outbreak in Central America with education and prevention

Dengue has been a major public health threat in Latin America for decades, with epidemics occurring cyclically every three to five years. Transmitted by female Aedes aegypti mosquitoes, the virus affects millions of people every year, but never more than now.So far this year,more than 12.7 million suspected cases of dengue were reported in the Region of the Americas, a record number in the history of the disease.In Central America and Mexico, more than 17,000 new suspected cases of dengue were reported in the last week of November alone. This equates to 100 cases every hour, a 198 per cent increase over the average over the past five years.This increase in the spread of dengue poses a challenge to health systems in a region facing complex climatic and health conditions.The effects of the climate crisis, extreme temperatures and more intense weather events – such as hurricanes Eta and Iota in 2020, the historic heat waves earlier this year, or the recent tropical storm Sara – are changing the habits of thousands of Central American families living in conditions of risk and vulnerability.Growing poverty and inequality, coupled with insufficient and inadequate water and sanitation services, are forcing people to store what little water they have access to. Water is often stored improperly, due to a lack of information or the lack of adequate means to store it safely.This and other practices, such as poor solid waste management, can facilitate the creation of mosquito breeding sites in items such as uncovered water containers, tires, flowerpots, piles and gutters.Amid this multi-factorial challenge, National Red Cross Societies from around the Central American region have engaged in a comprehensive response, which encompasses a variety of strategies focused on prevention and education.During 2023 and 2024, local Red Cross teams have implemented six dengue response operations in Central America, with support from the Disaster Response Emergency Fund (IFRC-DREF).This year, dengue response efforts have also been carried out in operations in response to a hospital fire in Roatan, Honduras, and flooding in June in El Salvador.Thanks to these eight IFRC-DREF operations, National Societies in the region will be able to reach more than 182,000 people in Guatemala, Honduras, El Salvador, Costa Rica and Panama with response actions, but also with prevention for future outbreaks.Community-based preventionOne of the Red Cross' main initiatives has been to raise community awareness of the dangers of dengue and the importance of eliminating mosquito breeding sites.Volunteers work directly in communities, in coordination with health authorities, to carry out community-based prevention and vector control activities.The main activities include educational talks, identification and elimination of mosquito breeding sites, application of larvicide in stacks and water containers, fumigation and cleaning campaigns, and home visits.These activities teach people how to avoid stagnant water, where mosquitoes prefer to lay their eggs, and promote practical and effective measures such as turning over containers and regularly cleaning drainage systems.The response also includes the distribution of safe water storage containers and household cleaning kits, as well as water filters, repellents and mosquito nets for groups at risk, such as pregnant women, children under five, the elderly, and people with disabilities and/or reduced mobility.Strong and prepared communitiesThe Red Cross has a long-term focus on training local staff to strengthen community capacity to fight dengue.Through workshops and training sessions, volunteers learn how to recognize the symptoms of dengue, how to effectively prevent outbreaks and how to implement sustainable mosquito control programs.Volunteers have also helped to establish and train community health committees to promote epidemiological surveillance at the community level.In several locations, local health workers are also being trained in the clinical management of dengue patients, especially in areas where health infrastructure is limited.Through its comprehensive approach to education and prevention, the Red Cross has played a key role in the fight against dengue in Central America, a region highly vulnerable due to climatic, social and health factors.The actions carried out by volunteers and trained staff have not only allowed the response to emergencies, but also to prepare communities for future outbreaks.From eliminating breeding sites and distributing supplies to training in clinical management and sustainable vector control strategies, these interventions have built community resilience. In some places, the actions of the National Red Cross Societies in support of the health ministries in the region have led to reductions in dengue cases.In Panama, for example, there has been a reduction in dengue cases in recent weeks, which could be linked to the efforts of several actors, including the Ministry of Health, the Panamanian Red Cross, other international agencies and the communities themselves.Some small communities have also provided anecdotal accounts that suggest the dengue education and eradication efforts are making a difference.Despite the progress, dengue remains a challenge, underscoring the importance of continuing to adapt our response strategies to the climatic and social changes affecting public health in the region.

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17/12/2024 |

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Reach Initiative: How a simple act can have a revolutionary impact on family health

Every morning, Aisha sets out on foot to fetch water from the river, carrying heavy buckets back home, knowing each drop is precious. Aisha’s life revolves around caring for her three young children, but despite her best efforts to provide for her family, illness has seemed unavoidable.Her youngest, Musa, has often suffered from painful stomach troubles. Frequent trips to the clinic were becoming a strain on her family. Like many in her village, Aisha had always believed that sickness was just a part of life—something they would have to endure.Things began to change when volunteers for the Nigerian Red Cross arrived in her village. They came as part of the Resilient and Empowered African Community Health (REACH) initiative, a program of the International Federation of Red Cross and Red Cresent Societies (IFRC) and the Africa Centre for Disease Control (Africa CDC) to improve health and hygiene practices in underserved communities.The volunteers and villagers gathered under the shade of a large tree, and with warmth and patience, the volunteers explained how regular handwashing with soap and water can, in fact, save lives.Aisha and her neighbours listened intently as the volunteers explained how washing hands with soap, especially before eating and after using the bathroom, could prevent diseases like cholera and diarrhoea.For many in the crowd, this was a revelation. In many villages here, soap is a rare luxury, often reserved for laundry or bathing, and few had ever thought to use it to wash their hands. The volunteers demonstrated proper hand-washing technique, showing the community members how to scrub their hands thoroughly, reaching every nook and cranny to remove invisible germs.Intrigued, Aisha decided to try it. She set up a simple handwashing station outside her home, using a jerrycan, a small bar of soap, and some rope to make the process easier. She taught her children the new routine, and they watched, wide-eyed, as she explained that this small act could keep them safe.Over the following weeks, something extraordinary happened. Musa, who had been frequently ill, stayed healthy. The constant worries about stomach aches and fevers lessened, and Aisha realized that this small change had a profound effect on her family.It wasn’t long before her neighbours started noticing, too. One by one, other families in the village began setting up their handwashing stations. For the first time, the community was discovering a sense of control over their health.The impact was visible. Children attended school more regularly, free from the recurring ailments that had once disrupted their studies. Parents had fewer trips to the clinic, easing both their schedules and financial strain. Aisha became a quiet champion of the handwashing movement, proudly showing others her setup and sharing the knowledge she had gained.Through the REACH initiative, Nigerian Red Cross Society volunteers (NRCS) have been going door-to-door, gathering people in small groups in villages, schools, and marketplaces, teaching them about handwashing and hygiene.Halima, a mother of four, reflects on the change in her household: “My children used to be sick all the time—coughs, stomach pain. Since we started washing our hands, they’ve been healthier. Now, it’s the first thing we do when we come back from the market or the farm.”For young Sani, a student, it’s a new habit he’s eager to share. “At school, they taught us how to wash our hands properly. I showed my family, and now we all do it. I feel proud because I know I’m helping to keep them safe.”Lilian Adeogba, IFRC Program Officer for the Reach Initiative, notes that while handwashing may seem simple, it is a powerful tool in the fight against infectious diseases. “Diseases like cholera, diarrhoea, and respiratory infections spread quickly, and without proper hygiene, families, especially young children, fall ill often," she say."In a place like Adamawa, where healthcare resources are limited, teaching people to wash their hands is not just about cleanliness—it’s about saving lives.”

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10/12/2024 |

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On the frontline of floods and infectious diseases, volunteers raise awareness, protect vulnerable people and save lives

Architophel Ntsiakulu and Adama Barka live in very different parts of Central Africa’s western, coastal region. But they share something very powerful in common: a dedication to help fellow community members protect themselves from the impacts of unforeseen crises.A volunteer with the Gabonese Red Cross, Architophel Ntsiakulu has been at the forefront of efforts to help people protect themselves from Mpox. Meanwhile, Adama Barka, a volunteer in Cameroon, is in the midst of helping communities recover from devastating floods. Here are their stories.At the forefront in the fight against MpoxArchitophel Ntsiakulu, 25, is a dedicated figure within the Gabonese Red Cross. For the past five years, this volunteer from the 6th district of Libreville has devoted her time to awareness campaigns and community actions. This year, she has played a key role in prevention efforts against Mpox, a disease that, while receding, still raises doubts and misunderstandings among local communities.“What motivated me to become a volunteer was the desire to be useful to my community,”shares Architophel. Her work involves reaching out to residents to raise awareness of preventive measures: hand hygiene, recognizing symptoms, and managing suspected cases. While imported cases of Mpox have been reported, with no established local transmission, it is crucial to educate communities about risks and proper behaviors.However, challenges abound. “Many people think Mpox is just a myth. We put in extra effort to explain, with patience, the importance of preventive measures.” Through on-the-ground visits to schools, markets, door-to-door outreach, and the distribution of visual materials, Architophel and her team have reached hundreds of households.Community recognition serves as a great motivation for Architophel. “During one visit, residents thanked us for our work and even incorporated WASH (water, sanitation, hygiene) practices into their daily routines.”This positive impact is the result of thorough training and constant dedication.Cameroon: Adama Barka, Heroine of Far North FloodsThe devastating floods that hit Cameroon’s Far North region left hundreds of thousands in distress. With over 450,000 people affected, Adama Barka, a young volunteer with the Cameroon Red Cross, was at the heart of the humanitarian response.A native of Yagoua, the capital of Mayo-Danay division, Adama witnessed her community being profoundly shaken by this natural disaster. “When the floods started, our superiors immediately mobilized us to respond. We helped displaced people reach emergency camps and set up tents to shelter them,” she recalls.In collaboration with the International Red Cross and Red Crescent Movement, the Cameroon Red Cross launched a coordinated and integrated response plan to address urgent needs: cash assistance, protection activities, and awareness campaigns about waterborne diseases like cholera.A Vital Role in Preventing EpidemicsAdama and her fellow volunteers also led awareness campaigns to prevent waterborne diseases, a major threat following floods. “We show people how to treat water, what water is safe to drink, and how to avoid diseases caused by contaminated water,” she explains. These efforts have helped limit the spread of epidemics in affected areas.Shared challenges and a spirit of solidarityWhether raising awareness about Mpox in Gabon or responding to floods in Cameroon, Red Cross volunteers play a crucial role in protecting communities. They face numerous challenges: limited resources, resistance from populations, and sometimes even risks to their own safety. Yet their commitment remains steadfast. Their dedication is a call for solidarity and a reminder that #ProtectHumanity is about safeguarding the future.To support the work of Adama and thousands of volunteers engaged in emergency response and to help those affected by the floods in Cameroon, the IFRC launched an emergency appeal aimed at raising 4.5 million Swiss Francs to help the Cameroon Red Cross provide supports for more than 99,000 people impacted by the floods.

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11/12/2024 |

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Mpox in DRC: How being prepared for epidemics leads to a more effective response

“The first symptom was fever. The next day, I noticed the appearance of spots. They burned like a rash. They spread everywhere on my body. I thought: what kind of disease is this?”Basele from Mbandaka, Équateur province is one of more than 8000 people confirmed to have caught mpox in DRC this year amid an alarming surge in cases. Fortunately, Basele was quickly pointed in the right direction by the DRC Red Cross to get the support she needed to recover and limit the spread of infection.“The Red Cross volunteers came to my home. They told me that the disease was contagious, that if someone in my family gets sick we can all become infected in our house. So we have to get off our feet and go to the hospital when the illness starts,” explains Basele.Mpox is the latest in a long line of epidemics to hit DRC, with the country suffering from recurrent outbreaks of cholera, Ebola and measles—among other diseases—in recent years.The DRC Red Cross has learned many lessons from responding to these health crises. And through the Community Epidemic and Pandemic Preparedness Programme (CP3), with funding from USAID and technical support from IFRC, the National Society has done lots of work in recent years to prepare its volunteers, communities and partners to leap into action against mpox.Early detection, early action, healthier communitiesThrough the CP3 programme, more than 300 Red Cross volunteers in Équateur had already been trained in epidemic control and community-based surveillance (CBS)—gaining the knowledge, skills and tools needed to be able to rapidly detect and report potential mpox cases. Since the escalation of the epidemic, this training has been expanded and delivered to a further 700+ volunteers in the province.Together, these volunteers play a vital role in their communities finding people showing mpox symptoms, alerting local health authorities through a CBS system, and encouraging people to seek help at mpox treatment centres.“With regard to CP3, we work in close collaboration with Red Cross volunteers. They go out into the community, they look for sick people, they bring them to the health centre... we take care of them here at our mpox site,” explains Monique Itala Mulo, Head Nurse at Mama Elikya Referral Health Centre in Mbandaka.By quickly finding and reporting suspected mpox cases, and encouraging people to seek treatment, the risk of the disease spreading is reduced. The National Society and local health authorities also use the data collected through CBS to inform their response activities.Trust built over time enables wide reach and accessAs members of the communities they serve, DRC Red Cross volunteers are known and trusted by the local population in Équateur and benefit from wide reach and access. Before the current surge in mpox cases, volunteers were already reaching far and wide into communities to raise awareness about the disease and tell people to stay safe.“We go door-to-door to speak to people in their homes. We go to schools, we go to churches, we go to hot spots—markets, ports, entry points, checkpoints—any places where we can interact with the community. The community is starting to raise [mpox] alerts themselves. In other words, the impact is already positive,” says Dr Leblanc Monzeba, Head of Health Division in the Équateur branch of DRC Red Cross.Having already established deep and trusting relationships with communities, volunteers are able to effectively challenge mpox stigma and rumours that may prevent people from seeking help and convince people to adopt healthy behaviours, such as following good hygiene practices.According to Dr Leblanc, one particularly notable area of behaviour change observed is within the traditional healer community.“We held advocacy sessions with traditional healers to explain the importance of notifiying health authorities of people showing signs of mpox. Previously, the traditional healers would keep the patient at home. But now they are starting to pass on information, and when they see patients who present signs of mpox, they send them directly to the nearest health centre,” he explains.Strong partnerships lay the foundation for effective responseBefore the current surge in mpox cases, the DRC Red Cross had already established strong working relationships with government authorities and various stakeholders to prepare for epidemics and pandemics.“The Red Cross is our go-to partner during epidemics, just as we work together outside of an epidemic. We always collaborate,” says Dr Elaba Bibiche, Head Doctor in Mbandaka Health Zone.Thanks to its prior preparation and auxiliary role to health authorities, DRC Red Cross has been able to fit seamlessly into the government’s mpox response plan and intervene in clearly defined areas.Pre-existing relationships with various media outlets are also enabling DRC Red Cross to reach tens of thousands of people across the province with lifesaving health information."I've been partnering with the Red Cross for six years. We have a really good working relationship. They were the first organisation to start raising community awareness about mpox. We do programmes with their staff and volunteers, phone-in shows where people call in to ask questions about mpox and get the answers they need,” explains Trésor Ikonda, Director General at Radio Evangile Eternel in Équateur.As the response to mpox continues, and though significant challenges remain, DRC Red Cross staff and volunteers feel positive that their preparedness efforts are paying off as they strive to reduce the impact of the epidemic on communities.“The DRC Red Cross branch in Équateur has the capacity to manage epidemics thanks to the IFRC. Since 2018, we have faced a series of large epidemics in Équateur. It’s from the experience of managing other epidemics and from implementing the CP3 programme—which meant that we already had trained volunteers on the ground working in the different health zones—that we had the capacity to respond to mpox,” explains Colomban Mampunya, DRC Red Cross Équateur Branch President.--The activities featured in this article are part of the Community Epidemic and Pandemic Preparedness Programme (CP3).  Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, National Societies and other partners to prepare for, prevent, detect and respond to disease threats.USAID’s Bureau of Global Health has also provided additional support to IFRC and DRC Red Cross for mpox response activities.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter or visit the DRC Red Cross website.

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19/11/2024 |

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World Toilet Day 2024: Everyone, everywhere deserves access to a toilet they can use safely and with dignity

In 2024, 3.5 billion people still live without access to safely managed sanitation. That's nearly half of humanity lacking one of the most basic human needs – a safe and private toilet. Even more concerning, an estimated 419 million people still practise open defecation, which not only increases the risk of infectious diseases, but also puts people—particularly women and girls—in unsafe and vulnerable situations.For the International Red Cross and Red Crescent Movement, ensuring access to safe and dignified sanitation is not just about building toilets – it's about understanding and addressing the diverse water, sanitation and hygiene (WASH) needs of all community members."Equitable access to WASH services and facilities is a human right," says Alexandra Machado, IFRC Senior Officer for WASH in Public Health. "Water, sanitation and hygiene are fundamental for life, and for the dignity, health and wellbeing of everyone -- regardless of their age, disability, social status, gender identity, ethnicity or sexual orientation."Red Cross and Red Crescent Societies worldwide are working to ensure that sanitation facilities are accessible, safe, and appropriate for everyone. On World Toilet Day, let’s look at a couple of examples.Making a Difference: Community-led sanitation in remote, underserved areas in ColombiaThe Colombian Red Cross has been active in promoting community-led sanitation improvements, particularly in remote and underserved areas including Tumaco, Buenaventura, Condoto, and Timbiqui. These projects included installing and upgrading sanitation units in schools, homes, and community centres, directly benefiting children and families in both urban and rural areas.Through workshops and hygiene campaigns, they’ve engaged community members to build and maintain latrines, which has significantly reduced the risk of water and sanitation related diseases. This effort is a collaborative approach that involves both local authorities and community representatives, enhancing ownership and sustainability.For example, in Santa Rita primary school, upgrades to the sanitation facilities now serve 140 students, fostering better hygiene at school which can be a catalyst for change in the wider community.Kenya: ‘Together we can end open defecation’Across Kenya, the Kenya Red Cross is supporting communities to adopt healthy WASH behaviours—including the building and using of latrines—to improve their hygiene and reduce their risks of infectious diseases.Through the Community Epidemic and Pandemic Preparedness Programme (CP3), Red Cross teams are partnering with the Kenyan government and WASH charities, such as Dig Deep, in a bid to end open defecation. Trained Red Cross volunteers regularly go out into their communities and educate people on why they should use latrines, how they can build their own simple pit latrines in their homes, and the importance of handwashing and other related hygiene practices to stay healthy.Volunteers’ consistent engagement is already starting to pay off, with widespread uptake of latrines and positive WASH behaviour change observed within many communities covered by CP3.“We used to have diarrheal diseases every now and then. And even we had cholera, which is fecal related. But when CP3 was introduced by the Red Cross, it has really assisted us in health education and even in tackling those diseases,” explains Lucina Bett, Sub-County Public Health Officer in Bomet County, Kenya.Find out more in this new video:The IFRC’s approach to WASHSuccessful WASH programmes are participatory and community-led. Our approach focuses on four key principles: dignity, access, participation, and safety. This means ensuring that:Everyone has access to sanitation facilities they can use with dignityFacilities are designed and built so that all people can use themCommunities are actively involved in decisions about their sanitation facilitiesPeople feel safe and comfortable using toilets, day and night"Vulnerability to violence is increased by a lack of safe and secure sanitation infrastructure," explains Peter Mamburi, IFRC Regional WASH Coordinator for Africa. “That's why our National Societies work closely with communities to ensure facilities are well-lit, private, and located in safe areas.”On World Toilet Day, we renew our commitment to leaving no one behind in sanitation. Because everyone, everywhere deserves access to a toilet they can use safely and with dignity.--Want to learn more about the IFRC’s work in water, sanitation and hygiene? Visit https://wash.ifrc.org or contact [email protected]

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15/11/2024 |

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Burkina Faso: When insecurity, conflict and other challenges get between people and the healthcare, the REACH Initiative connects people with the care they need

In Burkina Faso, healthcare challenges have worsened since 2019 due to the escalating security crisis driven by fighting between armed groups and the state military. Many communities face significant barriers to accessing medical care, with long distances to health centers, a shortage of trained healthcare workers, and limited resources. For families in rural areas, even basic services can seem out of reach.Pregnant women often struggle to get to a clinic, especially at night, and diseases like malaria, dengue fever, and malnutrition take a heavy toll. This fragile healthcare system is further strained during emergencies, making every day struggles even more daunting. For years, this harsh reality has taken a toll on families, with women and children bearing the brunt of these healthcare gaps."Healthcare here has long been a privilege of the few, rather than a right for all," says Dr. Diao Watton Rodrigue, an epidemiologist with the Ministry of Health. "When children die from preventable diseases like malaria, it’s not because the medication don’t exist, it’s because they often don’t reach the people who need them most."The Africa-wide REACH Initiative seeks to change that by transforming the way healthcare is delivered. Short for “Resilient and Empowered African Health Community,” REACH is led by the IFRC, along with the Africa CDC, and Red Cross and Red Crescent National Societies in their respective countries (in this case, the Burkina Faso Red Cross).In partnership with the Ministry of Health, the REACH Initiative in Burkina Faso is supporting the development of a national health safety plan to guide healthcare reforms over the next four years. It has also supported the development of the country’s first action plan for non-communicable diseases, vaccination campaigns, and improved health surveillance.The Burkina Faso Red Cross, meanwhile, plays a critical role in transforming healthcare access, serving as a bridge between underserved communities and essential health services. By leading efforts to bring care directly to those who lack access— often in remote or marginalized areas—they ensure that life-saving support reaches those who need it most, fostering trust and resilience within communities. Through this partnership, Burkina Faso is becoming better equipped to tackle future health challenges while building healthier, stronger communities.‘They turn to us’One recent example of REACH's impact was during a dengue fever outbreak at the beginning of 2024. With health workers stretched thin, the Burkina Faso Red Cross stepped in, mobilizing volunteers to target mosquito breeding sites and disinfect high-risk areas.Led by 90 trained volunteers, an awareness campaign reached over 123,000 people, spreading life-saving information on dengue prevention. These swift actions not only controlled the outbreak but also strengthened the community’s preparedness for future crises.As an example, consider the story of Nakanabo Ismael, a Red Cross volunteer trained through the REACH Initiative."At night, when someone is sick, they turn to us,” Nakanabo says. “The community trusts us—they bring their babies for us to treat.We might not have all the answers, but we’ve been trained to help."Nakanabo’s dedication, along with the support of REACH, has brought hope to communities where healthcare once seemed out of reach.Across Africa, REACH continues to strengthen health systems, scale up the community health workforce, and empower local volunteers. By addressing critical health challenges, training volunteers on the ground to shaping national health policies, REACH is helping to create a future where healthcare is accessible, equitable, and sustainable for all Africans.

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31/10/2024 |

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One Health Day 2024: Protecting humans, animals and the environment for a healthier world for all

Up to 75 per cent of emerging infectious diseases that affect human beings start in animals. These are called ‘zoonotic’ diseases, and they can spread to humans through direct contact with infected animals or through food, water or the environment. Recent high-profile diseases that have spread from animals to humans include COVID-19, Ebola and mpox.And when our environment is polluted or not looked after properly, it can cause health problems in both animals and humans. For example, there is evidence that global warming is leading to more favourable conditions for a specific type of mosquito which carries the dengue virus to reproduce and thrive, and is even pushing them to new areas and countries that have never experienced dengue before.Taking a ‘One Health’ approachOne Health is an approach to health care that recognizes these close links between human, animal and environmental health, and considers how they affect one another.It involves governments and organizations working in these different areas coming together to better prepare for and respond to health challenges, such as epidemics and pandemics.Through the Community Epidemic and Pandemic Preparedness Programme (CP3), many Red Cross and Red Crescent Societies are taking a One Health approach to help communities prepare for, prevent and respond to disease outbreaks. And they’re supporting government health, agriculture and environmental departments—as well as key partners—to collaborate using a One Health approach, too.Let’s take a look at some examples.Training DRC’s next generation of nurses to be on the lookout for zoonotic diseasesIn the Democratic Republic of the Congo (DRC), the DRC Red Cross runs nursing schools across the country whose students go on to work in both the country’s public and private health system. Through the CP3 programme, the DRC Red Cross developed a special One Health learning module, which they piloted in two schools in Kinshasa and Maluku.Final year nursing students who took part in the pilot learned all about the intersection of human-animal-environmental health. They learned case definitions for different types of zoonotic diseases—from rabies to chikungunya—and how to effectively engage their communities on the risks and prevention measures for each disease. And they learned the principles of community-based surveillance (CBS), enabling them to quickly sound the alarm when unusual health events occur.The DRC government was so impressed with the pilot, they intend to roll the training out nationally to every nursing school in the country, believing that the sooner nurses learn about One Health and how to work effectively with animal and environmental counterparts, the better for the country’s health security.Knowledge is power: raising community awareness of environmental and animal health risksThere are lots of simple steps communities can take to reduce disease risks linked to animals and the environment. Through the CP3 programme, National Societies are engaging and motivating communities to take action.For example, in Kenya, Red Cross volunteers are teaching people how to recognize the signs of anthrax—a serious and potentially deadly infectious disease that can spread from animals, usually livestock, to humans. They’re encouraging communities to avoid handling any animals that die in unusual circumstances, report any cases immediately to volunteers or animal health authorities, and thoroughly disinfect contaminated areas. They’re also supporting vaccination efforts to make sure people know when, where and why to vaccinate their animals—making breakthroughs even within remote and vaccine-hesitant communities.And in Indonesia, the Indonesian Red Cross (PMI) runs regular clean-up events to help communities reduce the risks of dengue in their local environment. People come together to inspect and drain stagnant water reservoirs, properly cover and seal drinking water supplies, and sweep up litter and debris. These steps all minimize potential mosquito breeding sites. Teamed with personal protective measures, such as wearing mosquito repellent and using bed nets, these simple steps can greatly decrease the risk of catching dengue fever, and help families stay healthy.Bringing the government together for One Health action in GuineaThrough the CP3 programme, the Guinea Red Cross has been supporting the government at the national, regional and community level to adopt a One Health approach in order to strengthen the country’s health system.They’ve been facilitating regular meetings with government agencies and stakeholders working in human, animal and environmental health to discuss existing and emerging disease threats, plan vaccination campaigns for both human and animal populations, and collaborate on environmental management. For priority zoonotic diseases, such as rabies in particular, the Guinea Red Cross has been instrumental in informing and protecting communities, and rapidly alerting human and animal health authorities when a bite incident occurs.These are just a few of the many examples of how taking a One Health approach can lead to a healthier world. By working together to keep animals and our shared environment healthy, we can help humans to be healthier and safer, too.---The activities featured in this article are part of the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3).  Funded by the U.S. Agency for International Development (USAID), CP3 has supported communities, Red Cross and Red Crescent Societies and other partners in seven countries since 2018 to prepare for, prevent, detect and respond to disease threats. In October 2024, the programme is expanding to six new countries—Burundi, Ivory Coast, Malawi, Tajikistan, Thailand and Zambia—where it will continue to implement a One Health approach among National Societies, partners and governments.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter 

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30/10/2024 |

Article

Burundi Red Cross Volunteers: ‘Every day and everywhere’ for the community, responding to Mpox and beyond

In Bujumbura, the former capital of Burundi, the local branch has more than 26,000 volunteers. When the mpox outbreak was reported in the province, Burundi Red Cross volunteers stepped up to ensure that the spread of the disease would be contained and that anyone with symptoms would seek the necessary medical treatment.Volunteers have a lot of experience in sharing health information in the communities, as they were active during the COVID-19 pandemic and previous disease outbreaks. Volunteers work shifts to inform as many people as possible about mpox, its symptoms, and the prevention measures they can take to keep themselves safe.They do it by going door-to-door, sharing messages in markets and other public gatherings, on the radio and via posters. They also provide handwashing stations and clean water.'Happy to support'“I started volunteering when I saw how the Red Cross volunteers were helping their community during severe flooding,” says Christopher Hatungimana, a 38-year-old who has been volunteering with the Burundi Red Cross for 14 years. “I was impressed with these humanitarian activities and decided to join this important work.” Christopher learned first aid and has helped people suffering from all kinds of injuries, from burns or broken bones. Since then, he’s also played a role in helping thwart the spread of infectious diseases.With mpox, it was not easy at first to convince people that mpox should be taken seriously. But volunteers like Christopher persevered with their messages and now people are slowly starting to understand much more about the outbreak.Christopher admits that he and his fellow volunteers are afraid that they may catch mpox when they visit people with their prevention messages. But he says, they are are careful to take all the necessary precautions. He feels secure to continue his work as he is “happy to bring support to the people in the community”.‘Volunteering is in my blood’In one of Bujumbura’s districts, pairs of volunteers go door-to-door sharing information about mpox symptoms and how to prevent the disease. The volunteers also take the time to address any misinformation as there is unfortunately some stigma surrounding the disease.That kind of stigma and misinformation may prevent people from seeking timely medical treatment when the first symptoms occur. And that makes prevention even harder. When seeking treatment, people are tested for mpox and that helps authorities track how the outbreak is developing.“We are helping them to deal with the epidemic,” says Joselyn Ndayishimiye, who started volunteering in 2006 when she was 17 years old. “After our visits, family members shared the important information with others who were not present. The result is fewer mpox cases.”Spreading awareness about mpox in the community here is important, she says, because the epidemic needs to be contained. She also sees how their efforts are appreciated by the community.Melance Kamenyeros runs a café-bar that is a local gathering place in his village in the province of Mwaro. Thanks to Burundi Red Cross volunteers and staff, the 47-year-old father of five is well aware of the ongoing mpox epidemic.“Anyone has good reason to be afraid of an epidemic that has suddenly come to the community,” he says. “Mpox is a disease that can kill a person. But if we observe the proper measures it can be prevented.”One of the measures is Melance has adopted is insisting that clients entering his establishment first wash their hands properly. Melance thanks Burundi Red Cross volunteers for raising awareness about mpox and for setting up a water source to ensure there is enough for everyone in the village.These kind of results are encouraging. Why does Joselyn, now 35 years old, continue her work after 18 years of volunteering in support of her community? She just shrugs and says:“I started volunteering when I was young. It is in my blood.”At the end of the day, the volunteers gather to meet Red Cross staff from the branch and national headquarters. Their discussion starts, as always, with one person greeting everyone with “Tugire Ubuntu” or, in English, “Let us have humanity”. The whole group replies in unison: “Imisi yose na hose” – “Every day and everywhere”.Learn more about IFRC's response to mpox:Africa-wide mpox emergnecy appeal to combat the spread of mpox.Mpox explained

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23/09/2024 |

Article

Mpox: Saving lives by bringing the mpox message directly to the people

Known to some in her community as ‘Mama Eyenga’, Eyenga Bamboko is one of many volunteers in the Democratic Republic of the Congo who are leading the fight against mpox in their local communities.Interviewed in the Lingala language in her home city of Mbandaka, she talks about the work volunteers have been doing to protect people from infection and prevent unnecessary deaths among those who do get ill.“My name is Eyenga Bamboko and I'm a first aider and I've been with the Red Cross movement for nearly two years.Colleagues from Kinshasa came to train us as part of CP3 [Community Epidemic and Pandemic Preparedness Programme] so that we could go out into the field and raise people’s awareness on mpox, even before the disease had spread. We were trained intensively on the disease before it even existed in the region.And then mpox arrived. We observed a few cases. We reported these suspected cases to the provincial health authorities. We told them that we had observed cases as we had been trained. They took them to hospital.But the problem was that, in the beginning, we lost a lot of people. Because many people didn't want to believe in this illness. Some thought it was witchcraft, others said it was a curse or traditional illness.A lot of people died because they didn't go to hospital, they went to see the witchdoctors instead. By the time they did get to hospital, it was often too late. We found that those who went to hospital straight away were cured. But those who arrived late were the ones who succumbed to the disease.'I'm going to tell Mama Eyenga’We tried to help the stronger ones recover and we started to raise awareness in the community. Now many people have started going to hospital. They come to see us to say ‘Mama Eyenga, what you said the other day [about mpox], we have seen.’ Sometimes we go and we see that it is exactly that [a suspected mpox case].We ask people to go to hospital, telling them that they will be looked after free of charge, so that we can protect the rest of the family in the home before they too became infected. They are really starting to understand.We're encountering a lot of difficulties in the field. Many people still don't want to believe in this disease. And you can see that a lot of hospitals are overwhelmed at the moment. But we're not going to stop raising awareness.In my own home, I've seen a real change. Especially when it comes to hand washing. When my grandchildren want to play or eat they make their brothers and sisters aware and they say ‘if you don't wash your hands, I'm going to tell Mama Eyenga’. Even at school, they also raise awareness among their friends and classmates.At first, my husband and children didn’t agree with me volunteering. They thought I worked too much and there’s a risk of me getting sick. But now they don’t ask any more questions because they’ve understood that I am helping the community.”Read more about mpox and the IFRC network’s response:What is mpox? Your questions answeredIFRC’s regional mpox emergency appealRed Cross mpox response in the Republic of CongoProfile of Red Cross volunteer Helene: 'I have no choice but to go and try to save lives.'

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28/08/2024 |

Article

What is mpox? Your questions answered.

Mpox is not the next global pandemic like COVID-19, according to public health officials. But the spread of mpox is alarming health experts as it spreads to more countries in East Africa. The mpox epidemic must be addressed quickly and effectively in order to avoid a larger global spread.With more than 17,000 suspected or confirmed cases and more than 500 deaths in at least 12 countries in Africa, the epidemic has already surpassed mpox outbreaks of previous years. But mpox can be contained through a combination of education, protection measures, prompt medical attention and coordinated action from local, national and international organizations. Here are some answers to common questions about mpox.What is mpox and how is it spread?Mpox is a viral illness caused by the mpox virus, a species of the genus Orthopoxvirus, which is related to smallpox but less severe. Previously known as ‘monkeypox’, the name waschanged to mpox by the WHO in late 2022 due to stigma associated with its former name.Mpox is not new. The first case in humans was recorded in 1970 and the disease is considered endemic in West and Central Africa. Historically there have been two broad variations or ‘clades’ of mpox:Clade 1: The oldest form of the virus, this variation typically causes more serious illness and death and is endemic in Central Africa. It is spread through contact with infected wild animals and through close human contact. Children seem to be more at risk.Clade 2: This clade caused a global mpox outbreak in 2022. Infections tend to be less severe. Reported cases since 2022 are mainly, but not exclusively, among men who have sex with men and their close contacts. This clade is endemic in West Africa. In September 2023, a new clade emerged – clade 1b – which has rapidly spread in adults through sexual contact and in children through household contact, and is one of the main reasons for mpox being declared a Public Health Emergency of International Concern.Clade 1b has already spread to countries with no previous reported cases of mpox: Burundi, Kenya, Rwanda and Uganda. A high number of clade 1b cases in DRC and Burundi are among children, demonstrating the disease isn’t only spreading through sexual contact.What are the symptoms of mpox?The most common clinical symptoms are rash, discomfort, sore throat, fever, lymph node swelling, skin lesionsand lack of appetite.Many patients have experienced a single lesion or sore in their mouth or on their genitals, which could be mistaken for herpes, syphilis, staph infection, or acne.While mpox rash is typically more concentrated on the face, trunk, palms of the hands and soles of the feet, mouth or oral mucous lesions are found in up to 70 percent of cases.How deadly is mpox?“Most people fully recover from mpox, but some get very sick,”explains Gwen Eamer, IFRC Senior Officer for Public Health in Emergencies.“People who exhibit symptoms should see a doctor, as medical attention and treatment can drastically reduce the severity of the infection.”“Mpox can be a stigmatizing disease due to its physical appearance, but we should stay calm and be part of solution by working together to get the necessary resources and help to the people who need it most.”Who is most at risk of severe illness from mpox?People with suppressed immune systems, children, young adults who have not received a smallpox vaccine, and pregnant women are most at-risk of severe disease from mpox.How can I protect myself from mpox?To reduce your risks, stay informed and up-to-date on the signs and symptoms of mpox, how it spreads, and what to do if you get sick. You should also monitor the risk level in your area.Mpox can be prevented by avoiding close contact, including sexual contact, with infected people and animals.If you suspect you have mpox, seek medical attention as soon as possible.If you are confirmed to have mpox:Follow medical advice, including taking any prescribed medicationInform people you have been in contact with, or follow contact tracing guidelines from your country’s health authoritiesStay at home and avoid physical contact with other people until all scabs fall off and new skin forms underneathCover lesions and wear a well-fitting mask when around other peopleWatch this short Mpox explainer video on YouTube:How serious is this mpox outbreak?In mid-August, the WHO determined that the upsurge of mpox in the Democratic Republic of the Congo (DRC) and a growing number of countries in Africa is a ‘public health emergency of international concern’, requiring a coordinated international response.“That does not mean this is going to be a pandemic like COVID-19,”Eamer adds. “But this is a call to action to dedicate the resources we have around the world to stop this where it is now.”The situation is alarming with the rapid spread among newly at-risk populations, and to areas and countries that have never experienced mpox before.The case fatality rate is also higher compared to the 2022 pandemic and it could increase if more children and other high-risk populations are infected, but decreases with early access to supportive treatment and vaccination.What is the IFRC doing in response to the mpox outbreak?The IFRC is ramping up response efforts over the surge of mpox cases across Africa. The IFRC has extensive experience managing previous disease outbreaks, such as Ebola and COVID-19.With a vast network of more than 4 million volunteers and 14,000 staff across the continent, the IFRC network of Red Cross and Red Crescent National Societies is providing critical support to governments, including community-based surveillance, risk communication and community engagement, and mental health services.The IFRC has also launched an CHF40 million regional emergency appeal to bolster mpox preparedness and response across Africa, with CHF 5 million provided through the IFRC Disaster Response Emergency Fund (IFRC-DREF) as a loan to this regional emergency appeal. This funding will help us reach 30 million people in countries with an active outbreak, including DRC and neighbouring countries at high risk of the virus spreading further.In the Democratic Republic of the Congo, the country reporting the most mpox cases, how is the DRC Red Cross responding? In the Democratic Republic of the Congo, the Red Cross has been supporting the government response by sharing trusted and accurate health information with communities, conducting community-based surveillance to detect and report suspected cases, providing psychosocial support to affected people, and supporting with community-based health and hygiene promotion measures.Through theCommunity Epidemic and Pandemic Preparedness Programme (CP3)and theProgrammatic Partnershipthe DRC Red Cross (with technical support from IFRC and French Red Cross) has been building health resilience in communities across the country for many years, equipping them with the knowledge and tools to quickly detect, prevent and respond to disease outbreaks.USAID has also provided additional funding since April to support the DRC Red Cross response to mpox.What are Red Cross Societies in countries neighbouring DRC doing to control the outbreak?National Societies in neighbouring countries are now responding to their first cases of mpox and are rapidly scaling support to communities. They are working to help detect and respond to new cases to reduce illness and deaths and limit the spread of the virus.Burundi Red Cross is supporting their Ministry of Health to respond to the rapid increase in mpox cases with support from the IFRC’s Disaster Response Emergency Fund (DREF).I’m from a Red Cross or Red Crescent National Society, what mpox resources can I use within my community or country?The IFRC’sEpidemic Control Toolkit provides guidance on evidence-based methods to prevent and control the spread of epidemics at the community-level, and guidance on appropriate referral and basic care for the sick.Guidance on mpox for community volunteers and for response managers has been recently updated and is available in multiple languages.In addition, here are some other helpful resources:IFRC: Community-based surveillance resourcesWHO: Clinical management and Infection Prevention Control for mpox (interim guidelines, June 2022)Centers for Disease Control (CDC): Reducing stigma in mpox communication and community engagementIFRC: Community Engagement and Accountability (CEA) Toolkit

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27/08/2024 |

Article

IFRC and DRC Red Cross grieve drowning of volunteer working on mpox response

The IFRC and the DRC Red Cross sadly confirm the tragic death of Jean Florent Mosebi on 23 August 2024, Equateur Province, Democratic Republic of Congo (DRC), after his boat capsized.Jean was a dedicated Red Cross volunteer involved in the mpox response in Equateur province. He reportedly drowned while on a mission, crossing from one Health Zone to another. As a community-based surveillance (CBS) focal point for the Wangata health zone, he had been temporarily deployed to Lukolela health zone to support the mpox response.The IFRC and DRC Red Cross extend their heartfelt condolences to the family, friends, and colleagues of Jean Florent Mosebi at DRC Red Cross.Since the beginning of the year, the IFRC network has lost 30 volunteers and staff while on duty — 27 due to violence, 3 in accidents.The loss of our staff and volunteers highlights the significant risks faced in providing essential humanitarian assistance in hard-to-reach areas.

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27/08/2024 |

Article

Water: A key element for stability and health in communities facing an insecure and changing world

For more than a decade now, the people of South Sudan have faced enormous hardships caused by on-going internal conflict, mass displacement and a series of climate-related disasters that have paradoxically brought both extended droughts and intense rainfall. “In 2019, a third of the country was under water, with all the consequences that entails,” says Bonface Okotch, water and sanitation expert for the Netherlands Red Cross in South Sudan. Since then, communities across large swaths of the county have periodically been completely inundated and displaced, their crops and livelihoods ruined.The county of Aweil South in northern South Sudan is one area heavily affected by cyclic flooding and violence, as well as an influx of refugees fleeing violence across the country’s northern border with Sudan.At the same time, water and sanitation coverage in the country is low – less than 10 per cent have access to improved sanitation and 42 per cent do not have access to reliable, safe and sustainable water sources.This not only leaves the population vulnerable to infectious diseases, it means people spend an inordinate amount of time getting water from far away sources. This takes away from other essentials such as education, livelihoods and food production that bring health and stability to families and communities.A peaceful and sustainable futureOne ongoing project is addressing this dynamic. In partnership with the European Union (EU), the IFRC, the South Sudan Red Cross and the Netherlands Red Cross have been able to reduce the impact of flooding and droughts, while building resilience so that people can continue to recover from future setbacks.As part of the project, known as the Programmatic Partnership, the South Sudan Red Cross has played a central role in rehabilitating water facilities while also building new ones that are designed to be sustainable over the long term, saysAbdallah Bennet, a water, sanitation and hygiene (WASH) expert for the South Sudan Red Cross.“In certain areas, communities face challenges due to limited access to clean water, particularly during flooding," he says. "Upgrading hand pumps to solar systems is a key aspect of our work. Through the Programmatic Partnership project, we're addressing these challenges with sustainable solutions.“We empower local communities by training pump mechanics and water-use committees, ensuring they can manage and maintain water points effectively themselves,” he says. “Water is life. It is fundamental for life itself. Without it, nothing goes on.”The South Sudan Red Cross has also trained volunteers on hygiene promotion (handwashing, safe handling of water and food, construction and use of toilets, communication skills, among other things) so they can conduct house-to-house, hygiene- promotion visits.But that’s not all. “People in the communities are trained to assess weather risks, monitor water levels and take rapid action if the community is at risk,” says Bonface. “During emergencies, they strengthen dikes, clear drainage channels and provide assistance to vulnerable groups.”The work being done in Aweil is just one example of how access to safe water – along with other other coordinated efforts to minimize risks – plays a critical role in stabilizing the health of communities facing multiple threats.As the humanitarian world marks World Water Week, which this year promotes the theme of Bridging Borders: Water for a Peaceful and Sustainable Future,this project offers an example of the collaborative efforts needed if vulnerable communities are to enjoy a peaceful and sustainable future.After the installation of the water facilities in Aweil South, for example, the community haswitnessed a significant improvement in the well-being and community health,according to the South Soudan Red cross.“I am very happy that Red Cross installed the water yard in our community,”saysAbu Adub, a local resident in the village Gakrol in Aweil South .“People are using it a lot. Near the hand pump, it’s always crowded.This has led to a decrease in diseases such as diarrhea, especially among children and the elderly.”Proximity to safe water sources allows for more time for other household tasks, such as caring for children.“Before, when we had no water yard, we used to drink from the well and it was not good for our health,”saysAdut Wek, who lives in Gakrol, in the Aweil region.“When we had no water, our children used to take a bath (in the well) late at night. We used to fetch water from the well over there, and also from the river. It used to take a long time to get the water. At least two hours.“Since the Red Cross supported us with the handpump, the children can take a bath earlier and then go home.”“Before, when we drank water from the river, we used to get stomach aches,”Adut continues. “Since we have the water yard, we don’t have any waterborne diseases anymore. The main challenge now is that some people live far away and still don’t have water.”More information about the Programmatic Partnership and IFRC’s work providing safe water:The Health, Water, Sanitation, and Hygiene (WASH) support available in Aweil is supported by theProgrammatic Partnership between the IFRC network and theEuropean Union. The partnership provides strategic, flexible, long-term and predictable funding, so that National Societies can act before a crisis or health emergency occurs. It is being implemented in 24 countries around the world.IFRC Water Sanitation and Hygiene ProgrammingWorld Water Day 2024

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23/08/2024 |

Press release

IFRC announces CHF 40 million appeal as Africa faces surge in mpox cases

Kinshasa/Nairobi/Geneva – 23 August 2024 – The International Federation of the Red Cross and Red Crescent Societies (IFRC) has launched an CHF40 million regional emergency appeal to bolster mpox preparedness and response across Africa, with CHF 5 million provided through the IFRC Disaster Response Emergency Fund (IFRC-DREF) as a loan to this regional emergency appeal.This funding will help us reach 30 million people in countries with an active outbreak, including DRC and neighbouring countries at high risk of the virus spreading further.Mohammed Omer Mukhier, IFRC Regional Director says:“It’s a serious situation that could potentially spread like wildfire across the continent and beyond, if we don’t act fast. We have already ramped up our mpox response in DRC which is bearing the brunt of this mpox outbreak putting its neighbours at high risk.”The Democratic Republic of the Congo (DRC) has become the epicentre of a rapidly escalating mpox epidemic. The virus is now in all 26 provinces of the DRC, with different variants (‘clades’) being spread simultaneously. Alarmingly, cross-border transmission from the DRC’s eastern regions, particularly North and South Kivu, is rising, affecting non-endemic countries like Burundi, Rwanda, Uganda, and Kenya. Meanwhile, outbreaks in endemic countries such as Nigeria, Central African Republic, South Africa and Cote d’Ivoire are re-emerging or escalating. This marks the first time that sustained transmission of multiple variants is being reported concurrently both endemic and non-endemic regions across Africa.Dr Irene Kiiza, IFRC, Manager - Africa, Health and Care in Disaster and Climate Crises says:“We are quickly deploying available resources to focus on hotspots like DRC and Burundi, but we need more to ensure the virus is contained. Our priority is to curb the spread of the virus through community-based surveillance, contact tracing, mental health support and targeted interventions partnering with local health authorities and communities.”In response to this crisis, the DRC Red Cross has intensified its efforts. Leveraging skills and strategies honed through the Community Epidemic and Pandemic Preparedness Programme (CP3) with USAID and the Programmatic Partnership with the European Union, DRC Red Cross volunteers are actively engaged in health information dissemination, community-based surveillance, and the provision of psychosocial support. USAID also provided additional funding since April 2024 to support the DRC Red Cross response to mpox in Equateur, one of the hardest hit provinces.Mercy Laker, IFRC Head of Country Cluster Delegation, Kinshasa:“We have been working in the mpox response as well as other disease outbreaks such as Ebola and COVID-19. Our team, including staff and volunteers, are on the ground, helping keep communities safe during this tough time. The funding from the appeal will help boost our operations in DRC and Burundi.”In Burundi, the government has a comprehensive response plan to tackle the ongoing health crisis. With more than 100 active cases, the Burundi MOH is focused on boosting the capacity of health facilities and laboratories nationwide, while the Burundi Red Cross is providing direct support to affected communities to ensure they are aware of the risks and can access the care available.Through this appeal, the IFRC will strengthen African National Societies’ capabilities to fulfil their auxiliary role and support national governments in enhancing disease surveillance, providing community health education, providing care and support for mpox patients - and delivering psychosocial support. The response will be tiered, with specific interventions tailored to the level of outbreak in each country including heightened risk case importation, imported cases and established mpox transmission.More information There is more on the Emergency Appeal on this page.  To request an interview, contact: [email protected]  In Geneva: Tommaso Della Longa: +41 79 708 43 67 Andrew Thomas: +41 76 367 65 87 In Nairobi: Susan Nzisa Mbalu: +254 733 827 654In Goma:Gracia Dunia: +243 813 274 794

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16/08/2024 |

Press release

IFRC scales up mpox response in Africa as global health emergency declared

The International Federation of the Red Cross and Red Crescent Societies (IFRC) is ramping up response efforts over the surge of mpox cases across Africa. It has triggered WHO and Africa CDC to declare the epidemic a public health emergency of international and continental concern over the past three days. With more than 17,000 suspected or confirmed cases and a devastating death toll of 500 deaths in at least 12 countries, the epidemic has surpassed the scale of previous years. The case fatality rate is at 3.2%. The situation is alarming with the rapid spread among newly at-risk populations, and international spread to areas that have never experienced mpox.Mohammed Omer Mukhier, IFRC Regional Director says:“The sharp increase in mpox cases in Africa is deeply concerning and a serious public health concern. This isn’t just a local issue; it’s a continental threat that demands immediate and coordinated action. In DRC, since last year, together with DRC Red Cross teams, we have been supporting affected communities but more needs to be done, in close liaison with mobilised Ministries of Health, as the situation evolves and expands rapidly across Africa.”The Democratic Republic of the Congo (DRC) has experienced 92% of cases in this growing epidemic, but rapid spread in other countries is putting new communities at risk. A new Clade 1b variant, about which we are still learning, has emerged in the DRC and is now spreading to neighbouring countries including Burundi, Kenya, Rwanda and Uganda. Other African nations are reporting suspected cases along with resurgence of previous mpox outbreaks. Unlike the previous outbreaks, epidemics associated both with new and pre-existing types of the mpox virus are growing, affecting new communities. The new variant, while linked with sexual contact, is affecting people of all ages and backgrounds.Bronwyn Nichol, IFRC, Senior Officer, Public Health in Emergencies says:“The mpox epidemic is a stark reminder that viruses know no borders. Shortages in testing, treatment, and vaccines demand a coordinated global response, including increased access to vaccine stocks in Africa. A unified effort is essential to protect vulnerable populations and prevent needless suffering and death.”In the DRC, the DRC Red Cross has been supporting the government response by sharing trusted and accurate health information with communities, conducting community-based surveillance to detect and report suspected cases, providing psychosocial support to affected people, and supporting with community-based hygiene promotion measures. A community-based approach will support victims against stigma. Those showing signs and symptoms are supported early before further transmission.Grégoire Mateso, President DRC Red Cross, says:“The past year has been difficult. The emergence of a new and potentially more transmissible variant of mpox like Clade 1b gravely affects containment. We have seen firsthand how a shortage of testing, vaccines and treatment kits can hamper efforts to contain the disease. There is also need for more public awareness to manage stigma, early detection and isolation of cases.”The DRC Red Cross is expanding its response to the mpox outbreak, leveraging many years of community-based epidemic preparedness work. Through the Community Epidemic and Pandemic Preparedness Programme (CP3) and the Programmatic Partnership the DRC Red Cross, with technical support from IFRC and French Red Cross, has been building health resilience in communities across the country, equipping them with the knowledge and tools to quickly detect, prevent and respond to disease outbreaks.Red Cross societies in neighbouring countries that are responding to their first cases of mpox are rapidly scaling support to communities, to help detect and respond to new cases to reduce illness and deaths and limit the spread of the virus. Burundi Red Cross is supporting their Ministry of Health to respond to the rapid increase in mpox cases with support from the Disaster Response Emergency Fund (DREF).The IFRC is at the forefront of the response to the mpox outbreak in Africa, with extensive experience managing previous disease outbreaks, such as Ebola and COVID-19. With a vast network of more than 4 million volunteers and 14,000 staff across the continent, the IFRC network is providing critical support to governments, including community-based surveillance, risk communication and community engagement, and mental health services.As the mpox epidemic continues to spread, the IFRC calls for increased global support to contain the crisis through increased access to testing, treatment, and vaccines for at-risk populations across the continent, along with sustained community-based action, which improves the effectiveness of epidemic response actions.More information To request an interview, contact: [email protected]  In Geneva: Tommaso Della Longa: +41 79 708 43 67 Andrew Thomas: +41 76 367 65 87 In Nairobi: Susan Nzisa Mbalu: +254 733 827 654

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16/08/2024 |

Article

Mpox in DRC: 'I have no choice but to go and try to save lives,' explains Red Cross volunteer

"My name is Hélène Mula. I've been a volunteer since 2018. I'd known about the Red Cross for a while, but I was afraid to join at first because I only knew about their work conducting burials [during Ebola]. I thought that’s all they did. So I was scared.But when I arrived here in Mbandaka, a friend of my son's came to visit him. He was wearing a Red Cross T-shirt. I asked him some questions about it, saying I loved Red Cross but was scared. He put me at ease.Every day I spend about four hours raising awareness on health issues. I do it in the community where I live with members of my community and family. They know me very well. When they see me they say, ‘Oh Mommy Red Cross, how are you?’. Then I go over and talk to them. It’s work that we do with our hearts. If something is going on, they tell me about it.Mpox is here. I learned about mpox through the Red Cross, that there is an epidemic. I didn’t know about the disease before. I was trained about mpox through CP3 [Community Epidemic and Pandemic Preparedness programme]. Now I’m capable of talking about the disease within the community. I explain what the symptoms are, how it spreads, how to avoid it and how people can protect themselves and the community.At first I was scared about going into communities to talk about mpox and the risks. Because I know it can spread from person to person. But it’s okay to be scared. I am a volunteer, I have no choice but to go and try to save lives.It’s been difficult because before we started sensitizing the community, some people didn’t believe in mpox. Others did believe it existed, but thought it was some kind of curse. Some thought that the Ministry of Health had made a curse in order to come and demand money from the community.But over time, when they started to see more and more people dying, they started calling us saying ‘come, come, there’s a problem here’. I’d call my supervisor and we’d follow up to see if there are cases. The fact people are calling me now reassures me I am doing good work.In my neighbourhood, people have started to protect their children, wash their hands regularly, and limit contact with people who are sick or suspected of being sick. They now take people who are showing symptoms to the hospital. Before, they used to keep people who were sick at home. But now when they see symptoms they understand they can’t leave them at home, that there’s a risk of the disease spreading."--Hélène Mula is a DRC Red Cross volunteer based in Mbandaka, Equateur - one of the provinces hardest hit by the mpox outbreak. This testimony was captured in mid-July 2024.Hélène is part of the Community Epidemic and Pandemic Preparedness programme (CP3) - a multi-country programme funded by USAID which supports communities, Red Cross and Red Crescent Societies and other partners to prepare for, prevent, detect and respond to disease threats.The CP3 programme has been active in DRC since 2018. Learn more here.

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14/08/2024 |

Article

Mpox Outbreak: IFRC network scales-up preparedness and response across Africa

Statement from Mohammed Omer Mukhier, IFRC Director for Africa RegionThe International Federation of the Red Cross and Red Crescent Societies (IFRC) joins the Africa Centre for Disease Control and Prevention in expressing profound concern over the recent evolution of the mpox outbreak across the African Continent. With over 17,000 suspected cases and 500 deaths across 13 countries in 2024, the current outbreak represents a sharp increase—160% in caseload as compared to the same period in 2023 with expected high number of unreported cases. The case fatality rate (CFR) of 3.2% is also alarmingly higher in Africa, compared to previous global outbreaks.The Democratic Republic of Congo (DRC) accounts for 92% of all cases this year. However, sustained transmission of the new Clade 1b has now crossed borders into Burundi, Kenya, Rwanda, and Uganda. Other countries in the Africa region have also reported suspected cases and re-emerging outbreaks. This new variant is affecting a wide range of demographics, with ongoing community transmission occurring without zoonotic exposure, unlike the previous outbreaks in 2022 and 2023.While governments across Africa are taking steps to control potential or ongoing outbreaks, the IFRC reaffirms its unwavering commitment to supporting preparedness and response efforts against mpox within the framework of government plans.In the DRC, the DRC Red Cross is already supporting the government response in Equateur province through risk communication and community engagement, community-based surveillance, and psychosocial support to affected families. Given the high-risk profile of Clade 1b in the eastern DRC and neighboring countries, the IFRC and DRC Red Cross are finalizing a scale-up plan to these areas.The IFRC network, through its 49 National Societies, 18,000 branches, 14,000 staff and 4 million community volunteers across Africa, will leverage its unparalleled reach to support governments as an auxiliary partner. This includes community–based surveillance, risk communication and community engagement, infection prevention and control, water sanitation and hygiene promotion, mental health and psychosocial support, and advocacy for, and direct involvement in vaccination programmes. With extensive community acceptance and access, the Red Cross Red Crescent Societies can play a crucial role in containing the spread of the disease, even in the hard-to-reach areas where the need is the greatest.We commend Africa CDC for its timely partnership in ensuring for vaccine availability and advocate for uptake of the same. We call on all partners to support a sustained and swift scale-up of resources needed to contain this epidemic of continental concern.

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09/08/2024 |

Article

International Youth Day: Kenyan school kids sing, act and dance in vibrant epidemic preparedness competition

“People of Tharaka, listen, we tell you!”“Diseases have no boundaries. They can infect anyone!”“They can infect teachers, pupils, farmers and the entire community!”“We need to be aware of diseases like COVID-19! Cholera! Measles! Kalazaar! And how we can prevent them!”These are some of the lyrics chanted loudly and proudly by children from Maragwa primary school in Tharaka Nithi County, Kenya as they competed in theChanuka Challenge last month. They reflect the passion and knowledge of kids determined to keep their communities safe from infectious diseases.What was the Chanuka Challenge all about?Chanuka is a Swahili word which roughly translates as ‘be smart!’ Organized by the Kenya Red Cross, the challenge ran throughout July across four different counties in Kenya. 61 primary and secondary schools participated, whose pupils sang, acted, danced and performed skits to raise awareness about different diseases and win prizes.More than 800 school children took part in the challenge – teaming up to present everything from poems about polio to role plays about rabies – which were judged on creativity, confidence, working together, and accuracy of their health information.As well as the main prize for top school performance, individual prizes were also up for grabs in the form of health quizzes and interactive games.By turning complex health topics into accessible and engaging performances, pupils practised how to effectively communicate about disease signs and symptoms, as well as prevention and control measures, to their peers and wider community—as well as developing valuable skills in public speaking, creative expression and teamwork.School Health Clubs supporting healthier communitiesThe pupils who took part in the Chanuka Challenge are all members of School Health Clubs set up by the Kenya Red Cross as part of theCommunity Epidemic and Pandemic Preparedness Programme (CP3) funded by USAID.The clubs help primary and secondary school pupils learn how to protect themselves from various disease threats, stay healthy, and spread their knowledge to their fellow pupils, families, and wider communities.They usually meet on a weekly basis, covering topics such as proper handwashing, the importance of human and animal vaccination, and how to recognize signs of different diseases.Why involve school children in preparing for epidemics and pandemics?“It is important to learn about health because it helps us to prevent diseases against our bodies and also to prevent diseases against the communities,” explains Ann Gakii, pupil and secretary of the Rwatha School Health Club in Tharaka Nithi.Brimming with passion, energy, and a desire to support their families and communities, school pupils like Ann can play a really valuable role in preparing for and preventing disease outbreaks.“When given the right knowledge, encouragement and support, school pupils can be powerful agents of change within their communities. We’ve seen health club members take their new knowledge to their communities and support them to adopt healthier behaviours that are keeping them safe from disease threats,”explains Naomi Ngaruiya,CP3 Programme Coordinator with Kenya Red Cross.“We’re delighted to support so many children across Kenya through School Health Clubs and it was a complete joy to see their enthusiasm and creativity throughout the Chanuka Challenge. We hope to run an even bigger and better version of the event in future!”--The activities featured in this article are part of the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3). Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies and other partners to prepare for, prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletteror visit theKenya Red Cross website.

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17/07/2024 |

Article

Sierra Leone: Red Cross community health volunteers support diagnosis of mystery illness

“It takes a village to raise a child,” as the proverb goes.Though it’s an old saying, the idea of an entire community looking out for the health, safety, and well-being of their children is still relevant today. And nowhere is it perhaps more evident than in the small village of Laya Dee, Sierra Leone.Unknown illness sparks concernAbu Dumbuya is a shy, yet smiley, teenager who lives with his parents and siblings in Laya Dee. Like most kids his age, he loves playing with his friends, going to school, and spending time with his family.Life was normal for Abu until one day, at age 14, he started developing worrying health symptoms.“He started to complain of joint pain in his knees and hips, pain all over. His eyes went yellow, and he was finding it difficult to use his hands,” explains Abu’s father, Saido.Abu was sent home from school due to the pain. Unsure of what the problem was, his parents first tried to treat him with traditional medicine, using local tree leaves boiled in water. When this didn’t help, they went to the local pharmacy where Abu was prescribed vitamin supplements. But the pain persisted.“I was so scared because I was in a lot of pain. I missed school because of the pain and was missing playing with my friends and having family time,” says Abu.Seeking answers, Abu’s parents sought health advice from a private health centre. But rather than receiving support, the health centre offered no explanation of what was wrong and demanded lots of money.At their wits’ end, Abu’s parents worried that Abu’s condition would deteriorate. But help came in the form of their local Sierra Leone Red Cross Society volunteer, Rebecca.Red Cross and community leaders rally togetherRebecca spoke to the family and knew something was seriously wrong with Abu. Straight away, she alerted her supervisor, Sorbeh, who in turn called the Sierra Leone Red Cross branch manager for Kambia district, Dominic, for back-up.“Dominic came and could see that Abu was in a very poor condition,” explains Rebecca.Having had a bad experience with the private health centre, Abu’s family felt nervous about visiting a health centre again. So while Sorbeh fetched a local nurse on his motorbike to come and tend to Abu at home, Dominic called upon the local community chiefs for help encouraging the family to seek proper treatment.After patient and sensitive discussion, Abu’s parents agreed Sorbeh could take him to the Community Health Centre. There, Abu finally received a proper diagnosis of sickle cell disease (SCD) —a genetic disorder that affects a person’s red blood cells — and several days of treatment.Continued support for a healthy lifeNow 16-years-old, Abu has had a much happier life since his diagnosis. Local Red Cross volunteers continue to accompany Abu for his regular check-ups at the health centre. His health has improved and he hasn’t experienced any sickle cell ‘crises’—periodic episodes of severe pain—in the past two years.“I am happy because I am back playing with my friends like normal,” says Abu.Abu’s older brother, Lamin, who is protective over his little brother, feels he is doing a lot better:“We feel good and very grateful to the supervisor for intervening. We want to share advice with all people in our village to go to the Red Cross for help – the Community Health Volunteer is here for us. If anything bad happens again, we know what to do.”For Rebecca, a native of Laya Dee, the support she provided to Abu’s family is all in a day’s volunteering.Trained through the USAID-funded Community Epidemic and Pandemic Preparedness Programme (CP3), she’s always there for her community—doing the rounds to check in on people and look out for signs of unusual health events.“I like it when I can give support to my community. People come to me. I’m the first person they reach out to and I love giving back to my community,” says Rebecca.To raise a child who is healthy and safe, it really does take a village. And all the better when that village has a Red Cross volunteer like Rebecca.--The support provided to Abu was made possible through the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3).  Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies, and other partners to prevent, detect and respond to disease threats. If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter or follow the Sierra Leone Red Cross Society on X.

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24/07/2024 |

Article

Kenya: How a village Elder and his horn are keeping people safe from diseases

Some people use WhatsApp. Others prefer a phone call. But in Kipajit village, when you need to communicate with lots of people quickly in a crisis, there’s only one option: the Kigondit.A traditional instrument made from a cow’s horn, the Kigondit has been used for generations by Kipsigis communities in Bomet County to summon people for important meetings and to warn them of imminent danger. And in Kipajit, it’s village Elder, Augustine Langat, who has the power and privilege of blowing the Kigondit to serve his community.Through the Community Epidemic and Pandemic Preparedness Programme (CP3), Kenya Red Cross is collaborating with village Elders like Augustine, and other influential community figures, to keep people healthy and safe from diseases.When Augustine summons his village for a gathering, Community Health Promoters—trained by Kenya Red Cross through the CP3 programme—and animal health workers arrive to share important messages about different disease threats, any active outbreaks, and the ways people can reduce their risks.“When I blow the traditional horn, it reaches many people, especially those who might not have been reached through one-on-one interaction. I alert the people so that we can meet in a central place for us to be enlightened by the veterinary and human health practitioners,” explains Augustine.Village Elders are highly respected and trusted figures within their communities and are looked up to for advice and wisdom. So when villagers hear the call of the Kigondit, they come.“There are different ways of blowing the horn for different occasions – you can call them different ringtones. There’s a way to call for a general meeting, and a different noise when you want to alert the community to something dangerous,” explains Purity Kosgei, CP3 Project Officer for Bomet County.“Augustine is able to mobilize the community very quickly, for example when a cow dies from anthrax. It is prudent to call everyone in the village to help tell them what is happening, what the preventative measure are, and how to respond,” she adds.In the case of anthrax, a serious and potentially deadly infectious disease that can spread from animals to humans, Elders are also now leading the way in shifting cultural norms and behaviours that can put people’s lives at risk.For example, in Augustine’s community there’s an ancient belief that when an animal dies, burying the carcass whole will bring a curse on the people and stop them from rearing more animals. It’s therefore customary to cut open the animal and remove its innards prior to burying. Yet if the animal has died from anthrax, doing so can expose people to the disease—which can kill if left untreated.“We’ve seen real behaviour change. The Elders were the ones from the onset who were against disposal of animal carcasses as a whole. But now they understand the risks to people’s health and use their platform to encourage proper burial of animals, to encourage animal vaccination and to make sure people report suspicious animal deaths” explains Monica Okwanyi, former CP3 Project Officer for Bomet County.“Elders are the most trusted community figures and by engaging them we enhance ownership because community members want to know ‘what are our Elders saying? Is it approved by our Elders?’. It’s important to be culturally sensitive. We engage with them respectfully so they don’t feel like we are just imposing something on them. They are happy to learn powerful knowledge they can carry forward through generations,” adds Monica.With epidemics spreading further and faster than ever before around the world, equipping communities with the knowledge and skills to detect, alert, and respond to disease threats has never been more important.Through the CP3 programme, we’ve seen time and time again that well-informed communities can be the first line of defence against epidemics—reducing their spread and even stopping them in their tracks.Augustine puts it best:“I’m excited with the work that I do because when you educate the community, you are protecting their lives. When the area chief tells me to call the people, I do it wholeheartedly because I love it when people get the correct health messages.”“It’s good when the community is alerted. They respond so as to ultimately save lives.”--The activities featured in this article are part of the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3). Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies and other partners to prepare for, prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter or visit the Kenya Red Cross website.

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12/06/2024 |

Article

Uganda Ebola outbreak 2022: The importance of safe and dignified burials

In countries around the world, burial rituals—whether cultural, traditional, or religious—are an important way of honouring the dead and helping people grieve. For many communities, special burial practices enable them to bid farewell to their loved ones in a respectful and meaningful way.Losing someone is never easy. But what if someone you love passes away, and you’re told that the burial traditions your community holds dear may put you all in danger?This is what happened to people in Mubende, Uganda, in September 2022 when the country declared its first outbreak of Ebola in more than a decade. The government barred communities from burying their loved ones due to the risks involved, declaring that burials should be managed by trained safe and dignified burial teams.Ebola is a cruel disease. Deadly when left untreated, and highly contagious, it’s transmitted from person to person through direct contact and bodily fluids. When someone is infected, their families and friends are unable to provide hands-on care. And when someone dies from Ebola, their body continues to be highly contagious for up to seven days, meaning that safe and dignified burial measures must be followed to prevent further infection.Kuteesa Samuel from Mubende knows this all too well. He lost his wife of 20 years, Monica, to Ebola during the 2022 outbreak. Monica was seven months pregnant at the time, meaning Samuel also lost his unborn child.In Samuel’s culture, it’s customary to wash and wrap the body of the deceased. And if a pregnant woman dies in the community, tradition dictates that the foetus is buried in a separate grave. But during Ebola, these practices would have posed a deadly threat to people’s health.Knowing this, the Uganda Red Cross Society were poised to step in.Local, known, trustedUganda Red Cross staff and volunteers are part of the fabric of society in Uganda. They come from the communities they serve, follow the same local customs, and have a deep understanding of people’s needs and sensitivities when disaster strikes.They therefore understood why Samuel’s community felt scared, confused, and reluctant to abandon their traditions.But following sensitive, patient, and repeated engagement from local Red Cross volunteers—who worked hand-in-hand with local health authorities and community leaders—Samuel’s community agreed to a compromise. Monica’s body was left intact and safely buried by trained Red Cross teams following strict health and safety protocols. While a banana flower was symbolically buried in a separate grave to mark the loss of Samuel’s unborn child. “After the health workers engaged and explained everything to us, we came to an understanding. […] If it wasn’t for Uganda Red Cross, we would not even know where the deceased would be buried. They helped us to bury the deceased to ensure we don’t get infected. So, we greatly appreciate the Red Cross,” explains Samuel.Preparedness saves livesSince the last Ebola outbreak in 2012, the Uganda Red Cross Society had worked hard to improve its preparedness for future health emergencies and strengthen its auxiliary role supporting the Ministry of Health during disease outbreaks.With support from the IFRC through the USAID-funded Community Epidemic and Pandemic Preparedness Programme (CP3), as well as through an Ebola preparedness emergency appeal (2018-2021) and a Disaster Response Emergency Fund (IFRC-DREF) operation (2018-2020), they undertook lots of different preparedness activities across different parts of the country.Emergency preparedness involves planning for the worst, so one of those activities was developing a pool of qualified safe and dignified burials trainers and teams across the country. These teams were ready to be deployed immediately to support communities like Samuel’s when the 2022 Ebola outbreak began.“CP3 was so instrumental to this response. We were only able to respond on time because we had done preparations. We already had prepared teams, and this enabled us to swiftly respond,” explains Dr Joseph Kasumba, Community Epidemic and Pandemic Preparedness Officer with the Uganda Red Cross who led the response.Humanity in the darkest of momentsDuring the 2022 Ebola outbreak, Uganda Red Cross teams conducted a total of 512 safe and dignified burials. These efforts contributed to the outbreak being declared over in a record four months.What’s harder to quantify is the emotional support and meaningful care that Red Cross teams provided to communities in perhaps the worst moments of their lives. For that, here’s some powerful testimony from those affected by Ebola, or involved in the response:“When it comes to Ebola Virus Disease, communities always need someone they can trust, people they can identify with. And the fact that the Red Cross is always part of the community... we know what cultural practices are done. We know what the community wants us to do and they feel confident identifying with us, even in that time of grief and sorrow.” - Dr Joseph Kasumba“We really thank the health workers because they taught us how to protect ourselves. We are still grateful for what they did. It was a miracle for us.” - Janet, Mubende resident“Since Ebola started in Mubende, it is the Red Cross that has walked with us. Every community knows Red Cross here. We appreciate you for the work you’ve done. The people of Mubende appreciate you for offering your lives to stand in the gap and save lives.” - Rosemary Byabashaija – Resident District Commissioner in MubendeIf you found this story interesting and would like to learn more:Visit the Uganda Red Cross Society websiteClick here to learn more about the Community Epidemic and Pandemic Preparedness Programme (CP3). Funded by USAID, CP3 supports communities, National Societies, and other partners in seven countries to prepare for, prevent, detect, and respond to disease threats.Sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter.

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05/06/2024 |

Press release

Global leaders call for commitment to end the cholera emergency

On Wednesday 29 May 2024, seven countries and 10 major health partners affiliated with the Global Task Force on Cholera Control (GTFCC) came together in a powerful show of multisectoral commitment to end the global cholera emergency. The convening – a side event in observance of the 77th World Health Assembly (WHA) – took place as cholera continues to ravage communities across the world, with vaccine supplies unable to meet escalating needs.The International Federation of Red Cross and Red Crescent Societies (IFRC), the United Nations Children’s Fund (UNICEF), and the World Health Organization (WHO) – in partnership with the GTFCC – co-hosted the side event, urging immediate collective action with only six years left to meet the GTFCC’s 2030 global roadmap goals. Titled Uniting Against the Global Cholera Emergency: Empowering Communities, Facilitating Multisectoral Actions, and Galvanizing Resources, the event took place at IFRC’s office in Geneva, Switzerland and gathered representatives from national governments, international non-governmental organizations, donor and partner organizations, and UN agencies.Global health leaders focused on the critical need for sustainable funding to advance safe water, sanitation and hygiene (WASH) services, strengthen disease surveillance in cholera hotspots and scale up local oral cholera vaccine manufacturing. Case management and continuous community engagement for infection prevention were also discussed.Health ministers and national representatives from Bangladesh, Lebanon, Malawi, Mozambique, Nepal, Zimbabwe, speaking on behalf of cholera-affected countries, underscored the urgency of a coordinated multisectoral approach, particularly given the compounding impacts of climate-related factors, economic insecurity, conflict, urbanization, population growth and population displacement.Cholera, a severe diarrheal disease, that also affects children, has been a persistent global health challenge, specifically affecting communities with limited access to clean water and sanitation. In recent years, the world has witnessed an acute resurgence of the long-standing cholera pandemic, with 23 countries currently reporting outbreaks, along with deaths numbering in the thousands.In his opening remarks as co-host, IFRC Secretary General, Mr Jagan Chapagain, said: “We cannot accept such a staggering loss of life to a disease that is entirely preventable and treatable with the tools we have in the 21st century. This event serves as a stark reminder that there is much more work to do as we approach 2030. We must urgently refocus our efforts and elevate cholera control to the forefront of global dialogues, while backing it with tangible investments at the grassroot level.”The cholera upsurge has placed pressure on health systems, and the demand for vaccines has far exceeded available supplies, which prompted agencies to instate emergency measures to manage the available stockpile in 2022. Mr. Thabani Maphosa, Managing Director of Country Programmes Delivery at Gavi, the Vaccine Alliance, emphasized, “We have significantly increased vaccine supplies over the past decade, and the stockpile is currently replenished after depleting at the start of 2024 after responding to cholera emergencies. With the new simplified Oral Cholera Vaccine, we are on track to reach 50 million doses in 2024, a 30% increase from 2023. He added, in reference to Gavi’s efforts to raise funds for its work from 2026 to 2030, including financing the global OCV stockpile, preventive and emergency vaccination, and cholera diagnostics: “The replenishment is for all of us, and I invite you to be ambassadors for that.”WHO Deputy Director General and Executive Director of the WHO Health Emergencies Programme, Dr Michael Ryan, called cholera “a diabolic poster child of climate change, of poverty, and of social injustice at every level.” Dr Ryan also reminded attendees that cholera is “a pandemic that has never ended,” noting that the ultimate solution to ending the disease lies in universal access to safe water and sanitation. “The cholera vaccine is a poor substitute for a clean glass of water,” he said.UNICEF Deputy Executive Director, Mr Ted Chaiban highlighted the importance of community engagement in ensuring a cholera-free future, calling for “additional resources and immediate actions to ensure access to safe WASH for all communities,” given that “2 billion people still lack access to safely managed drinking water and 3.6 billion people lack access to safely managed sanitation.”Ms. Christine Toudic, Deputy Permanent Representative of the Permanent Mission of France to the United Nations Office at Geneva and other international organizations in Switzerland, called for further mobilization of partners to confront cholera, a disease primarily affecting communities in countries with the most fragile health systems. Ms. Toudic announced that the French government’s commitment will be reaffirmed in Paris on June 20, 2024, at a high-level event convened jointly with the African Union, Gavi, and Team Europe partners for the launch of the African Vaccine Manufacturing Accelerator (AVMA) and the 2026-2030 Gavi replenishment.As the world confronts the ongoing challenges of seemingly never-ending cholera outbreaks, coordinated global efforts and sustained investments are critical. The GTFCC and its partners remain dedicated to empowering communities, facilitating multisectoral actions, and galvanizing resources to end cholera, all of which was confirmed during the side event. This reality was underscored by the involvement of the Africa Centres for Disease Control and Prevention (Africa CDC), the US Centers for Disease Control and Prevention (US CDC), Médecins Sans Frontières (MSF), the Swiss Agency for Development and Cooperation (SDC), Wellcome, the Bill and Melinda Gates Foundation and Gavi, the Vaccine Alliance in the event.The message was – and remains – clear: achieving global health equity, security and resilience requires the defeat of cholera.About Cholera OutbreaksIn 2022, 44 countries reported cholera cases, a 25% increase from the 35 countries that reported cases in 2021. While the full data for 2023 will be published by WHO later this year, preliminary trends indicate that the situation continues to be concerning. Since the beginning of 2023, a total of total of 824 479 cholera cases and 5900 deaths were reported. This is a stark underrepresentation of the actual cholera burden, as detection and reporting capacities are hampered by inadequate access to conflict-affected areas, limited surveillance capacities, stigma, etc. A particular area of concern is the high Case Fatality Rate (CFR), which currently exceeds the 1% threshold in several areas. Seven nations – including Comoros, DRC, Ethiopia, Haiti, Somalia, Yemen, and Zimbabwe – are currently facing acute crises. Outbreaks are also emerging in regions that have not experienced cholera in decades, such as Syria, Lebanon, South Africa, Eswatini, and the French department of Mayotte. The urgency required to address and contain these outbreaks cannot be overstated, with 1 billion people are at risk for cholera infection.Speakers and RepresentativesProminent speakers included Hon. Dr Firass Abiad, Minister of Health from Lebanon, Hon. Dr Douglas Mombeshora, Minister of Health and Child Care from Zimbabwe, Hon. Pradeep Yadav, Minister of Health and Population from Nepal, Mr. Md Mamunur Rashid, Joint Secretary with the Bangladesh’s Ministry of Health and Family Welfare, Dr Nitta Nayeja, Deputy Head of Clinical Services from Malawi’s Ministry of Health, Dr Sofia Viegas, Deputy General Director from Mozambique’s National Institute of Health (INS), and Ms Christine Toudic, Deputy Permanent Representatives from the Permanent Mission of France to the UN.Other high-level speakers included Mr. Jagan Chapagain, IFRC Secretary General, Dr. Michael Ryan, WHO Deputy Director General and Executive Director of the WHO Health Emergencies Programme, Mr. Ted Chaiban, UNICEF Deputy Executive Director, H.E. Dr Jean Kaseya, Director-General from the Africa CDC, Dr. Kayla Laserson, Director of the Global Health Center from the US CDC, Dr Maria Guevara, International Medical Secretary from MSF, Mr Stuart Vallis, Health and WASH Representative from SDC, Dr. John-Arne Røttingen, Chief Executive Officer from Wellcome, Ms Rachel Toku-Appiah, Director of Program Advocacy and Communications (Africa) from the Bill and Melinda Gates Foundation, and Mr Thabani Maphosa, Managing Director of Country Programmes Delivery from Gavi, the Vaccine Alliance.For more information or to request interviews, contact:[email protected] Geneva: Andrew Thomas: +41 763676587 / Tommaso Della Longa +41 797 084367

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21/05/2024 |

Podcast

Dr. Asha Mohammed: From dentist to humanitarian leader, her passion and leadership now focused on Africa’s biggest challenges

Dr. Asha Mohammed began her career as a dentist in low-income communities in Kenya. Her passion for helping others and her evident leadership skills led her to key roles battling HiV/AIDS and, eventually, to the role of Secretary General of the Kenya Red Cross. She now serves as IFRC’s Permanent Representative to the African Union and International Organizations in Addis Ababa, Ethiopia. From there, she’s taking on climate change, a massive regional hunger crisis, and outbreaks of infectious diseases, among other challenges. In this episode, she talks about the solutions to those challenges. And what it was like being a pioneering woman leader in public health. “When I mentor young women, I tell them, ‘You can be what you want to be. It's really about understanding that you have these different roles to play and that you can find the right balance.”

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04/06/2024 |

Article

Guinea Red Cross supports communities in the fight against rabies

Little Ousmane was at home in Faranah, central Guinea, when he noticed a stray dog outside. Curious and wanting to play, he approached the creature. But before he had time to react, the dog leapt up aggressively and bit him on the chest and hand.His grandfather alerted the local Guinea Red Cross volunteers, who arrived quickly to tend to Ousmane, wash out his wounds, and track down the dog for investigation. Thankfully, they were able to arrange for Ousmane to get the necessary health treatment. Lab testing later confirmed the dog had rabies, meaning that without the quick action from volunteers, Ousmane likely wouldn’t have survived.An incident like this is a parent’s worst nightmare and a common worry among communities in Guinea. But through theCommunity Epidemic and Pandemic Preparedness Programme (CP3), funded by USAID, the Guinea Red Cross is running different activities to reduce rabies risks and make sure deadly dog bites are a thing of the past.Raising community awarenessPreventing the spread of diseases like rabies relies on communities having accurate and trusted information on how they can stay safe.Guinea Red Cross volunteers, known and trusted by their communities, regularly go door-to-door, organize community meetings, and take part in local radio shows—educating people on rabies risks, how it’s spread, and how they can protect themselves.Through this engagement, communities learn the importance of reporting stray animals displaying unusual or aggressive behaviours and of looking out for signs of rabies within their own pets.Supporting vaccination campaignsVaccinating dogs is the most effective preventive measure for reducing the risk of rabies.But for a rabies vaccination drive to be successful, people in the community need to see the value of vaccinating their pets and—crucially—turn up in their droves on the day.That’s where the Guinea Red Cross comes in. While the Ministry of Agriculture and Livestock provides the vaccines and veterinary staff to administer them, it’s Guinea Red Cross volunteers who drum up demand within communities and accompany people to their appointments.“Thanks to the vaccination campaign, which we heard about from Red Cross volunteers, our dogs are no longer a threat—they are healthy companions. It’s an act of responsibility for the security of everyone. Vaccinating dogs protects our community,”explains Mamadi Fofana, a traditional healer and hunter from Faranah who was convinced to vaccinate his dogs against rabies.Keeping tabs on the canine populationRabies vaccines don’t last forever, with animals requiring booster shots every 1-3 years to keep them rabies-free. So the Guinea Red Cross has set up a dog database to keep tabs on the canine population in Faranah.Volunteers track when and how many vaccine doses have been administered, and record owner details so they can reach out when it’s time for a booster.If a bite incident occurs, the database helps them to track down the owner to investigate and conduct further engagement around the importance of taking responsibility for their animals.The data is also used by the Ministry of Agriculture and Livestock so they know how many doses of vaccines are needed when planning dog vaccination drives.Bite response and community-based surveillanceWhen someone in Faranah is scratched or bitten by a potentially rabid animal, Guinea Red Cross volunteers are usually the first to hear about it and arrive on scene.Trained in epidemic control, they can provide crucial first aid. For suspected rabies, this involves vigorously washing out the wound with soap and water for 15 minutes and wrapping it in a clean bandage while awaiting emergency health care.Through a digital community-based surveillance system, calledNyss, volunteers quickly report bite incidents to their supervisors, who can then escalate the alert to local human, animal, and environmental health authorities for rapid investigation and treatment.Time is of the essence when someone is bitten. As the eyes and ears within local communities, Guinea Red Cross volunteers play a vital role in detecting and alerting suspected rabies cases early to maximize people’s chances of survival.The fight against rabies in Guinea is a marathon not a sprint. But with patient and continued engagement with local communities and strong collaboration with authorities in rapidly reporting and responding to bites, the Guinea Red Cross is supporting people in Faranah to stay safe and healthy from this deadly disease.---The activities featured in this article are part of the multi-countryCommunity Epidemic and Pandemic Preparedness Programme (CP3).Funded by theU.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies, and other partners to prepare for, prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more,sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter.

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