In the heart of Hopley Farm in Harare, a silent threat looms large - cholera.Zimbabwe was hit hard by a significant cholera outbreak that started in Chegutu town and quickly spread across the country in 2023. By November 7, over 6,000 suspected cases and 136 deaths were recorded, with weekly cases surpassing 500, marking the highest rate since the outbreak began.In response, the Zimbabwe Red Cross swung into gear, leading a comprehensive strategy focused on prevention, containment, and upscaling efforts at the community level in the most hard-hit places.One of the cornerstones was the establishment of Oral Rehydration Points (ORPs) strategically placed in Hopley Farm, providing vital oral rehydration therapy to those in need. Manned by dedicated volunteers, who also live in the community, these points of care became crucial in the fight against cholera.The recurring cholera outbreaks in informal settlements like Hopley in Harare underscore the peril of poverty and inadequate urban planning. With Hopley's population estimated at around 100,000 people, it's critical to have timely interventions and access to clean water to prevent cholera-related fatalities.“Initially the community did not believe that there was cholera,” says Fortune, a Zimbabwe Red Cross Volunteer leading the team at the ORP site in Hopley. “Even setting up the ORP site was a problem. But when the community started hearing about and seeing cases of cholera, the ORP site is where they would come to get information.”Cholera is an acute diarrheal illness caused by infection with vibrio cholerae bacteria. Approximately 1 in 10 people who contract cholera will experience severe symptoms such as watery diarrhea and vomiting. This rapid loss of body fluids leads to dehydration and shock, and without treatment, death can occur within hours.That’s why water — mixed with other ingredients that help the body retain water — is a critical element in treating those infected with the cholera bacteria.Bringing rehydration to hardest hit placesThe ORPs serve as the primary points of care and the first line of defense for community-level cholera case management through administration of oral rehydration therapy. Research has shown that 80 per cent of suspected cholera cases (mild to moderate) can easily be managed at community ORPs and may not need to visit a local health facility.This effectively decongests health facilities, reduces the transport burden on patients and save lives by providing quick treatment. It also saves lives because people from poor communities sometimes succumb to cholera due to delayed treatment as they often must travel long distances to health centers to get care.Lack of access to rapid treatment is particularly acute when the healthcare system its stretched thin by outbreaks, facing shortages of supplies and personnel, while authorities worked to contain the spread by urging caution against unsanitary gatherings.The impact has been tangible. Over 1,400 patients have been served at the ORPs in Harare, with many more receiving timely referrals for further treatment. Lives were saved, not just through medical intervention, but through the spread of knowledge and awareness.Information also saving livesBesides providing oral rehydration therapy, the ORPs also serve as information and reporting centers where patients get critical information about stopping cholera transmission and treatment and provide critical reports to health facilities about levels of infection and community readiness for response. ZRCS is looking at deploying more ORPs in Harare and beyond as they plan to scale up their response in-country.The project has also emphasized community involvement and empowerment. Volunteers conducted door-to-door visits, engaging residents in risk communication and education efforts, turning the community into active participants in their own health.Communities across the country struggled with limited knowledge and resources, fueling stigmatization, and making certain groups more vulnerable to the disease, especially in areas like Harare, Mutare, and Buhera.Knowledge about cholera prevention can also save lives and, again, water also plays a major role. Exposure to contaminated water or food is a leading cause of transmission while access to safe water — and safe use of water and proper hygiene practices — is the best way to stop the spread of cholera.At Hopley Farm, this combined approach — called the ‘Integrated Strategy for Cholera Risk Elimination and Mitigation’ — is supported by the European Union and the Finnish Red Cross and serves as a model for effective cholera risk mitigation beyond Hopley Farm.

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

Zimbabwe has been grappling with a cholera outbreak since February 2023, with the number of cases increasing across the country. As of 5 November 2023, suspected and confirmed cases have been reported in all 10 provinces of the country and in 41 out of 62 districts, with the most alarming spikes in the south-eastern provinces of Masvingo and Manicaland. A total of 6,686 suspected and 1,127 confirmed cases were reported by early November. More than 6,200 people had recovered while the total number of suspected or confirmed cholera-related deaths had exceeded 175. The IFRC and its members seek CHF 3 million to support the Zimbabwe Red Cross Society to reach 550,455 people with life-saving assistance and help to contain the outbreak. A total of CHF 2 million will be raised by the IFRC secretariat.

Where children would normally be playing, it is now quiet on the streets of Mapanza, a small village in the southwest of Zimbabwe. The communal gatherings for meals have ceased, laughter is absent, and everyday clothing has been replaced by rain boots and protective suits.The village is grappling with a relentless cholera outbreak, starkly highlighting the severity of the disease.On a recent day of heavy rains, puddles surround the three large tents in the middle of the village. Medical personnel with masks and gloves move in and out of the tents. IV drips are carried into the tent where the most critical patients lie.In the other two tents, health workers attend to patients whose conditions have stabilized. Occasionally, a curious child peeks out from the tent. She appears to be about five years old.As we walk further into the village, we encounter Alec. "It likely started at a church service where many people gathered," says Alec, friendly and energetic man who lives in the village and who personally experienced how quickly cholera can strike without mercy. "Shortly after that, people started getting sick."Sources of contaminationIn addition, the community shares one water source, which got contaminated. Since cholera easily spreads through water, nearly half of the village was estimated to have fallen ill. There are no healthcare facilities in the area, exacerbating the situation to a critical level within hours.People were lying on the ground with nowhere to go, Alec recalls. "People started experiencing severe diarrhea and vomiting profusely,” he said. “Almost half of the compound population was down, and a local couple tried to ferry as many people as possible to the hospital in Chiredzi, but it was overwhelming. The worst affected were children and women; people also died." Alec also had to fight for his life. After he fell ill, his wife waited anxiously for news about her husband. She couldn't be with him and didn't know his condition. It was a nerve-wracking period.An immediate responseToday, when visitors come to the village, it's hard to grasp that this nightmare happened just a few weeks ago. While the events still loom large over the community, and things are still far from normal, fewer people are falling ill and very few are dying, thanks to those who mobilized to help.Volunteers from the Zimbabwe Red Cross Society (ZRCS) immediately supported the Ministry of Health and Child Care, bringing tents, medical supplies, and "oral rehydration solutions" so that people could be safely treated and no longer had to lie on the ground. Together with the Ministry of Health, they were able to control the outbreak.Even now, volunteers are everywhere in the village. Many of them, such as Alec's wife, are community members who volunteered after experiencing what cholera did to their loved ones. She now participates in door-to-door campaigns, informing people about how to protect themselves so that an outbreak of this magnitude does not happen again.Since the beginning of the outbreak, ZRCS volunteers and staff have been taking action to combat the spread of cholera and provide care for patients. The Red Cross has also been supporting the Ministry of Health in setting up a cholera treatment centre to allow individuals with symptoms of cholera access to appropriate care.Volunteers have also been visiting communities to inform people on how to protect themselves and their loved ones, as well as what to do if they become ill.To jumpstart the initial response, the IFRC's Disaster Response Emergency Fund (IFRC-DREF) allocated CHF 500,000 and soon after, the IFRC launched an emergency appeal seeking CHF 3 million in order to to reach more than 550,000 people with life-saving assistance and help to contain the outbreak.

Almost a year ago, the first patient with cholera in Zimbabwe was reported in the town of Chegutu, located about 100 kilometres southwest of the capital Harare. Throughout 2023, the numbers have only increased, as the disease spread to all the country’s ten provinces. During the recent holiday period, there was an additional steep increase as people travelled and gathered to celebrate with their extended families, giving the disease new opportunities to spread. “Our worst fears and predictions for the post-holiday season are confirmed with this upward trend of people contracting cholera," says John Roche, head of IFRC's Country Cluster Delegation for Zimbabwe, Zambia and Malawi.“This is especially worrisome for people with vulnerable health, who are the most affected and urgently need assistance.” "With schools starting again and people going back to work, we must act quickly to reduce the numbers now. We have no time to lose; we need to break the cycle as every life in jeopardy is one too many.” No time to lose For this reason, speed is of the essence. Cholera spreads rapidly and easily. Simply drinking or eating something infected with the cholera bacteria can result in infection. This can lead to severe diarrhea and vomiting, sometimes so intense that people lose litres of water per day. The dehydration that followed can lead to death if measures are not put in place to rehydrate quickly. In the capital city, many people live in close quarters and hygiene measures are poor, increasing the risk of becoming ill. With thousands of suspected cholera cases in the capital, Harare has declared a state of emergency. Additionally, sewage and water infrastructure in many places in the country are in dilapidated condition requiring major rehabilitation. Sewage blockages are common, contributing to the rapid spread of the disease. Moreover, people struggle to access clean water for cooking and drinking. Red Cross ready to help Since the beginning of the outbreak, volunteers, and aid workers from the Zimbabwe Red Cross Society (ZRCS) have been taking action to combat the spread of cholera and provide care for patients. Volunteers have been visiting communities to inform people on how to protect themselves and their loved ones, as well as what to do if they become ill. ZRCS has also been supporting the Ministry of Health in setting up Cholera treatment to allow individuals with symptoms of cholera access to appropriate care. A total of nine Oral Rehydration Points (ORPs) have been set up throughout the country (in Harare, Mutare district, Masvingo district and Mashonaland). These locations were chosen based on the presence of trained volunteers conducting door-to-door cholera awareness sensitization. A community feedback mechanism has been setup and there are currently community feedback meetings and suggestion boxes at numerous health facilities. So far, community outreach volunteers have connected and shared information with over 171,000 people. To ensure that Red Cross teams can act promptly, the IFRC’s Disaster Response Emergency Fund (IFRC-DREF) allocated roughly 500,000 in June 2023 to support immediate response efforts. Unfortunately, cholera spreads rapidly, and ZRCS needs more funds to ensure that the number of infected individuals reaches zero. For this reason, the IFRC and its members are urging people to support its emergency appeal seeking CHF 3 million to support the ZRCS reach 550,455 people with life-saving assistance and help to contain the outbreak. “This support is vitally needed to combat cholera and help ensure that no more lives are lost to this disease,” says IFRC’s Roche.

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

Maybe it's because the disaster happened in a remote, rural area, far from media hubs. Maybe it’s “too small” to warrant a global reaction. Whatever the reason, some emergencies don't get as much attention as others. For the people living through these crises, however, they are just as real, heartbreaking and life-changing as the big catastrophes that go viral or that benefit from the ‘CNN effect’. And when you’ve lost your home to a flood, fire or landslide – or you’ve had to leave town with nothing but the clothes on your back – you don’t have time for the world to catch on. This is why the IFRC has a rapid-response funding mechanism called the Disaster Response Emergency Fund (IFRC-DREF) that gets funds quickly to all crises, large or small. Here are ten of the least-known disasters that IFRC-DREF responded to in 2023. 1. El Nino in Ecuador In the later half of 2023, extreme rainfall generated by the El Niño phenomenon on the Ecuadorian coast caused rapid flooding. Fortunately, affected communities were more prepared than in the past thanks to actions they took ahead of the rains. When the El Nino’s impacts were first forecast, government agencies declared that preparing for and preventing damage from the expected heavy rains was a national priority. For its part, the IFRC-DREF allocated funds to ensure 1,000 at-risk families would have safe drinking water, proper waste management, food set aside and many other precautionary measures. 2. Cholera outbreak in Zimbabwe Like many other relatively localized or regional epidemics, the cholera outbreak in Zimbabwe in 2023 has received little international attention. It started in February 2023 and to date, suspected and confirmed cases have been reported in 41 districts in all the country’s 10 provinces. The IFRC has launched an emergency appeal to support the work of the Zimbabwe Red Cross, but even before that, IFRC-DREF dispersed CHF 500,000 to support 141,257 people with health care and water, sanitation and hygiene support in key impacted areas. The goal is to prevent and control the spread of Cholera, interrupt the chain of transmission, facilitate the improvement of case management and improve basic sanitation, hygiene practices and access to safe drinking water. 3. Floods in Bosnia-Herzegovina The northwestern area of Bosnia and Herzegovina experienced intense rainfall in mid-May 2023, causing widespread flooding and extensive damage to people’s houses and local infrastructure. The floods also destroyed crops and rendered much farmland and dairy production inoperable. It was a severe blow to one of the lowest-income areas in Europe, a region that relies on local agriculture for sustenance and income. IFRC-DREF allocated CHF 126,504 to the Bosnian Red Cross to support 1500 people through a variety of assistance measures, including cash transfers, distribution of essential equipment and hygiene supplie, and dissemination of health information, among other things. 4. Storms and floods on top of drought and conflict Sometimes disasters are hidden by the larger crisis enveloping a particular region. The scale of the humanitarian suffering in Yemen is so massive and widespread, there was little notice of the tropical cyclone that hit the country in October 2023. Tropical Cyclone Tej made landfall over the southern coast of Al Mahrah Governorate on the night of 23 October and continued to move northwestward. The cyclone caused widespread flooding, infrastructure destruction, displacement of communities, and the loss of many lives. IFRC-DREF quickly supported the response of Yemen Red Crescent with CHF 281,000 to support internally displaced people, host communities, returnees, marginalized groups, and migrants/refugees. 5. Fires in Chile In Febuary 2023, strong winds and high temperatures caused dozens of forest fires across central and southern Chile, leading to casualties and widespread damage. They followed earlier, destructive forest fires in December 2022 that spread rapidly around the city of Viña del Mar. With IFRC-DREF funding, the Chilean Red Cross provided support to more than 5,000 people. Staff and volunteer teams provided medical support and distributed cash so that people could buy the things they needed to recover.More information. 6. Deadly Marburg outbreak in Gabon In early February 2023, the Government of Equatorial Guinea reported the death of nine people who presented symptoms of hemorrhagic fever and soon after the WHO confirmed the country was experiencing an epidemic of Marburg disease. The Gabon Red Cross contributed to the government’s preventive measures and by 15 May, the epidemic over. Roughly CHF 140,000 in emergency DREF funds are now being used to increase the Gabon Red Cross’s ability to respond to Marburg disease and other outbreaks in the future by ensuring the mobilized personnel can detect suspected cases quickly, anticipate spread and prepare for a coordinated response with health authorities. 7. Severe hail storms in Armenia In June 2023, severe hailstorms struck various regions of Armenia, causing extensive damage and disruption. In the southern region, rural communities near the border experienced heavy precipitation that overwhelmed sewage systems, flooded streets and houses, and rendered roads and bridges impassable. The hail and subsequent flooding resulted in significant damage to houses, livestock, gardens, and food stocks. IFRC-DREF quickly allocated CHF 386,194to support Armenian Red Cross's efforts to help 2,390 people who lost crops, livelihoods or who suffered extreme damage to their homes. 8. Population Movement in Benin Around the world, there are hundreds of places where people are fleeing violence that rarely gets reported in international media. Here’s one case in point: over the past three years, non-state armed groups in the Sahel region has increased in the border area of Burkina Faso with Benin and Togo, forcing thousands to leave their homes. The IFRC-DREF allocated CHF 259,928 to support Benin Red Cross in assisting displaced people and host communities in Benin. The funds were used to provide immediate food and material aid to the most vulnerable households, covering immediate needs (shelter, access to drinking water, basic household supplies) for at least 3,000 people. 9. Cold spells and snowstorms in Mongolia A devastating snowstorm swept across eastern parts of Mongolia and certain provinces in Gobi areas, starting on 19 May 2023. The storm brought high winds and 124 people (mostly from herder community) were reported missing after following their livestock, which wandered off because of the storm. A total of 122 people were found, but tragically 2 people died. There were also severe damage to infrastructure, including the collapse of 22 electricity sub-stations, which caused power outage in several counties. Nearly 150 households suffered loss or severe damage to their “gers” or yurts (traditional circular, domed structures), as well as widespread death of livestock. IFRC-DREF allocated CHF 337,609 to support the Mongolian Red Cross's efforts to provide shelter, cash assistance and psychosocial support to 3,400 people. 10. Drought in Uruguay Uruguay is currently experiencing widespread drought due to a lack of rainfall since September 2022 and increasingly high temperatures in the summer seasons—prompting the Uruguayan government to declare a state of emergency. The government officially requested the support of the Uruguayan Red Cross to conduct a needs assessment of the drought, so it could understand how it was impacting people and agricultural industries. With funding IFRC-DREF, Uruguayan Red Cross teams headed out into the most-affected areas to speak to more than 1,300 familiesabout the drought’s impact on their health, livelihoods and access to water. Their findings are helping the government make more informed decisions on how to address the drought, taking into account the real needs of those affected.More information.

Harare/Nairobi/Geneva, 17 November 2023 —The International Federation of Red Cross and Red Crescent Societies (IFRC) has launched an emergency appeal for 3 million Swiss Francs to support the Zimbabwe Red Cross Society (ZRCS). The health needs exceed available resources, meaning immediate action to is needed to mitigate the impact on affected communities. Zimbabwe is currently grappling with a severe cholera outbreak, placing immense strain on healthcare systems, and necessitating coordinated action. The outbreak has led to increased morbidity and mortality rates, posing a significant threat to public health and demanding immediate attention. The IFRC had previously allocated CHF 464,595 from its Disaster Response Emergency Fund (DREF) to support the relief efforts. The Emergency Appeal focuses on critical areas, including the prevention and control of the cholera spread, improved case management, and the enhancement of water and sanitation facilities. The appeal also underscores the importance of community engagement, accountability, and inclusivity in providing a holistic response to the diverse needs of affected communities. John Roche, IFRC Head of Delegation Country Cluster for Zimbabwe, Zambia and Malawi said: “Access to clean and portable water remain among the most urgent needs in the community. We are deeply concerned with the situation unfolding as before the rains cases have escalated. The IFRC and Zimbabwe Red Cross Society are seeking resources through the appeal that supports activities that can contribute to stopping the spread and transmission of Cholera which will deescalate the worrying trends.” Zimbabwe Red Cross Society staff and volunteers have been mobilised and continue to respond to the outbreak by increasing awareness on water, sanitation, and hygiene (WASH) practices, emphasising the importance of WASH education for healthier communities. This commencement of public health education is being done in collaboration with Zimbabwe’s Ministry of Health. Currently the new cases reported are increasing at a high level and rising at an accelerating pace. This has created an urgency to increase mitigation measures to curb further spread and reduce cross border transmission. More information: For further details on our response to the Cholera outbreak in Zimbabwe, visit the Zimbabwe Red Cross Societywebsite or the IFRC appeal page. To request an interview, please contact: [email protected]     In Harare: Kim Stambuli,ZRCS:+263 71 251 72 64 In Nairobi: Rita Wanjiru Nyaga: +254 11 083 71 54 In Geneva: Tommaso Della Longa: +41 79 708 43 67 Mrinalini Santhanam: +41 76 381 50 06

Bending over her traditional clay cookstove, 38-year-old Lucky Mazangesure stirs the simmering ingredients in a small saucepan: fried-green bananas in stew of tomatoes and onions. As the fire crackles, the scent of woodsmoke mixes with the savory-sweet aroma of the saucy, steaming treat. “Trust me,” she says, “after eating this banana dish you won’t be able to stop.” She can’t resist a quick taste – just to make sure it’s coming out the way it should. “I really love cooking,” she says. “I like tasting the food while cooking. It makes me happy and it keeps my stomach full.” Then she checks on some simmering beans and starts preparing another local delicacy: pumpkin porridge with roasted peanuts, which will be complimented by cooked spinach and broccoli. This diverse meal does a lot more than keep her full, she adds. It gives her body the vitamins, minerals, proteins and carbohyrdates she needs to keep herself and her infant, nursing child healthy. Like many new mothers here in Chibuwe, in southeastern Zimbabwe, Lucky is able to prepare these well-balanced meals thanks to a garden at the Chibuwe Health Clinic, which is tended largely by pregnant woman and new mothers who visit the clinic for pre-natal and post-partum care. The garden got started several years ago as part of a larger initiative by the British Red Cross and the Zimbabwe Red Cross to set up gardens for expecting and new mothers at hospitals and local health clinics, where health workers were witnessing worsening nutrition levels among women and young children. In a region hard hit by drought, windstorms, cyclones and flash floods, many legumes, fruits and root crops that are rich in vitamins, proteins and minerals are hard to get. Infant malnutrition here has been on the rise in recent years, with some estimates suggesting that roughly one-third of children under 5 are malnourished. Covid-19 has only aggravated the situation by disrupting regional and local food distribution systems. “It’s hard for expecting mothers in this community to get a decent meal,” says Robert Magweva, a nurse at the Chibuwe Health Clinic, adding that too often, people must rely only on sadza [sorghum], a carbohydrate, and a limited range of leafy vegetables. “It’s a major challenge to have a well-balanced diet here. So the vegetables that are grown in the clinic garden help them to get a well-balanced meal.” As a mark of the programme’s success, most of these gardens are now sustained entirely by the clinics, hospitals and the communities around them, with support of local agriculture experts and local Zimbabwe Red Cross volunteers. Better farming for a changing climate Still, growing one’s own food in this environment is not easy. The climate has generally gotten hotter and drier, with dry spells punctuated by intense storms and winds, and unpredictable rains. Scorching heat evaporates water quickly and can easily whither young seedlings. “At this clinic garden, we were taught smart agriculture techniques as a way of combating the effects that climate change was having on our harvest,” says Beauty Manyazda, another new mother who works regularly at the Chibuwe Clinic garden. “We learnt techniques such as conservation farming and mulching.” Conservation farming is an approach that aims to improve soil moisture and health by minimising the intensive tilling and plowing associated with large-scale crop production. Mulching is one very common conservation technique in which straw, leaves or other organic matter is laid down on the soil between the crops. This keeps moisture from evaporating, while discouraging weeds and providing nutrients to the soil as the mulch decays. Such techniques are increasingly critical as climate change makes farming more difficult. “Our rainfall patterns have changed over the years,” explains Lucky. “We used to get rain in October, when we would sow the seeds for our crops. Now, we get rains in January. So the seeds we put in the ground get damaged waiting for the rainfall.” Meanwhile, storms, droughts and heatwaves have become more and more intense, says Lucky. “Temperatures have continued to rise and this has resulted in regular, violent winds,” she notes. “These winds have destroyed our homes. We also get floods which also contribute to the destruction.” Amid these challenges, the garden provides also provides other nourishing ingredients: the joy and satisfaction of being able to work and provide sustenance while also being among plants, close the soil with other women at her side. “I love gardening,” says Lucky, her baby tied to her back, fast asleep as she picks a handful of chard. “The green nature of the garden warms my heart. With the garden, I know my family will always have a home-grown, nutritious meal.” -- This story was produced and originally published by the Red Cross Red Crescent Magazine. To learn about the Magazine, and to read more stories like this, click here.

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

All countries in the Southern Africa are currently experiencing pockets of dryness. Worryingly for the sub-region, Angola, Botswana, Namibia and Zimbabwe have declared state of emergencies due to looming drought. The United Nations Climate Action Summit scheduled for 23 September 2019 in New York, United States of America, presents a timely opportunity for urgent global discussions that will hopefully culminate inconcrete, realistic plans to address thedisproportionate impacts of climate change on developing countries. Southern Africa is one of the regions most affected by serious impacts of climate-induced natural disasters. This year alone, a succession ofcyclonesandfloodshas already resulted in significant loss of life and assets in Malawi, Mozambique, South Africa and Zimbabwe, and kept humanitarian organisations busy with emergency responses, as well as recovery and rebuilding efforts. Tropical cyclones Idai and Kenneth were different in that they managed to attract global attention because they caused significant devastation during a short period. Climate change-induced natural disasters in Southern Africa are often invisible in the global media, even though they are protracted and threaten the livelihoods of millions. Even lower-level cyclones can cause devastating floods that are quickly followed by debilitating droughts. Many national economies in Southern Africa are agriculturally based and as long as climate change mitigation strategies enshrined in existing globalpoliciesare not wholeheartedly implemented, a significant portion of the 340 million inhabitants of Southern Africa could be food-insecure in the long-term because of famine. The increased mass movement of people from areas affected by climate-induced natural disasters is also more likely. Internal and external migration will necessitate greater coordination among humanitarian organisations to adequately support receiving communities and countries to respond to the added burden introduced by new arrivals. The effects of food insecurity and mass movements are felt most by the vulnerable in our communities, such as the chronically ill and disabled, and women and children. They also place immense pressure on already strained health systems in many countries in the sub-region. With the necessary funds, the Red Cross Movement has the capability and is well placed to address some of the consequences. But urgent action is still needed on the climate change question. Climate change is certain and evident. Its effects are being felt more in less developed nations, especially in southern Africa. Efforts for adaptation are essential not only to decrease the negative consequences but also to increase opportunities for communities to be more resilient in the long-term. Countries in the sub-region are acting to decrease their response times to calamities and improve their communities’ readiness to mitigate impacts of natural disasters. Mozambique is the first country in Africa to have an Early Action Protocol approved; the protocol harnesses the power offorecast-based financingto ensure that humanitarian responses are more responsive and proactive. Malawi’s protocol is under review and Zambia’s is currently in development. The need for humanitarian assistance in Southern Africa in the latter part of 2019 and into 2020 will be greater with the imminent drought. Notwithstanding ongoing local efforts to improve countries’ and communities’ disaster risk management practices and increase their resilience, global stakeholders have a responsibility to definitively act to reduce the need for climate change-induced disaster mitigation efforts in the most affected developing countries. Originally published in the Southern Times Newspaper

By: Dr Michael Charles Today South Africa marks Women’s Day. Much like the women being commemorated for the march to the Union Buildings on 9 August 1956, women in southern Africa today may well hold the same flint that lights a “new movement” – climate change. Southern Africa is one of the regions projected to experience the most serious consequences of global warming and the El Niño effect. In 2019, we experienced one of the worst disasters the region has ever seen - Cyclone Idai ravaged communities in Mozambique, Malawi, and Zimbabwe and continue to rebuild their lives. Urgent action is needed to increase the region’s preparedness for natural disasters. It is only a matter of time until the next disaster strikes. Being female often automatically means that personal susceptibility to sexual and domestic violence, rape and assault in emergency situations is significantly heightened. Women experience additional difficulties because they are typically responsible for sourcing water and preparing food; caring for children, the injured, sick and elderly; and maintaining family and community cohesion. Tackling climate change is, undoubtedly, women’s business. They have a vested interest in avoiding and mitigating the impacts of climate change. It is time that humanitarian actors and policy and decision-makers mainstream gender in policy and practice. It is not a “nice to do”; it is crucial to making real and sustainable differences in the lives of affected people. In 1956, 200,000 South African women declared that enough was enough and acted to defend themselves and the unity and integrity of their families from restrictive laws that required them to carry a pass to reside and move freely in urban areas. Wathint'Abafazi Wathint'imbokodo! Now you have touched the women, you have struck a rock! was the rallying cry of that day, used to signify the women’s unshakeable and unbreakable resolve in the face of adversity as they marched to the Union Building in Pretoria, and sparked change in the course of South Africa’s history. As countries in southern Africa ramp up their disaster risk management and humanitarian organisations work to strengthen community recovery and resilience, women in southern Africa should not just be considered victims and survivors who need special protection and assistance. They are forces for change who can be relied on to represent themselves within their communities and at the highest decision-making levels. I am always inspired by the women I meet responding in disasters, most recently in Cyclone Idai. Women like, Sonia, a volunteer who was working long hours to support women in a shelter, displaced by Cyclone Idai or Flora, who was affected herself by flooding but was dedicated to helping her neighbours rebuild their homes and their lives. Happy Women’s Day, South Africa. May the flame that was lit in 1956 and the fire of women’s empowerment and participation that was built over the decades rage on.

Beira/Nairobi/Geneva, 18 March 2019 — The scale of damage caused by cyclone Idai that hit the Mozambican city of Beira is massive and horrifying. This is the initial assessment of a team of International Federation of Red Cross and Red Crescent Societies (IFRC) aid workers that reached the devastated city yesterday. Jamie LeSueur, who is leading the IFRC assessment team into Beira, said the following after taking part in a Red Cross aerial assessment: “The situation is terrible. The scale of devastation is enormous. It seems that 90 per cent of the area is completely destroyed.” The IFRC team that arrived yesterday was among the first to arrive in Beira since Idai made landfall on 14/15 March. With Beira’s airport closed, the team drove from the capital Maputo before taking a helicopter for the last part of the journey. Roads into Beira have been cut off by flooding. While the physical impact of Idai is beginning to emerge, the human impact is unclear. “Almost everything is destroyed. Communication lines have been completely cut and roads have been destroyed. Some affected communities are not accessible,” said LeSueur. “Beira has been severely battered. But we are also hearing that the situation outside the city could be even worse. Yesterday, a large dam burst and cut off the last road to the city.” Following its landfall in Mozambique Cyclone Idai continued west to Zimbabwe as a Tropical Storm, wreaking havoc in several districts in the eastern part of the country, with Chimanimani and Chipinge districts in Manicaland Province being the hardest-hit. At least 31 deaths have been reported and over 100 people are missing in Zimbabwe. Zimbabwe is the latest country in Southern Africa to be hit by heavy rains and violent winds, after Malawi and Mozambique. The death toll in the three countries is currently estimated at 150. But this number is likely to change as the full extent of the damage becomes clear. More heavy rain is also anticipated and this may lead to further devastation. IFRC has already released about 340,000 Swiss francs from its Disaster Relief Emergency Fund which will go towards an initial response effort for about 7,500 people. However, given the scale of the disaster, more resources may be needed to support Mozambique Red Cross efforts on the ground. Already, the team in Beira has identified shelter, health, and water, sanitation and hygiene as priorities.

Maputo/Nairobi/Geneva, 16 March 2019 – First reports from the central Mozambican city of Beira suggest that Tropical Cyclone Idai destroyed and damaged homes and knocked out electricity and communications. However, the full impact of the storm is still emerging. A team of International Federation of Red Cross and Red Crescent Societies (IFRC) aid workers is making its way to the city to assess damage and help establish a response operation. With flights to Beira not operating, the team is making the journey by road. Jamie LeSueur, Head of Emergency Operations for IFRC, is leading the team. He said: “The extent of the destruction remains unclear, but first-hand information provided by our local colleagues indicate that many parts of Beira have been seriously damaged. Houses have been destroyed, trees and electric poles have fallen. Electricity and communications have been cut.” Beira is Mozambique’s fourth largest city and is home to about 500,000 people. Information on the number of casualties, injuries or people made homeless is not yet available. Earlier estimates by the UN put over 600,000 people are at risk of exposure to the tropical cyclone winds categorized at causing wide-spread damage or even worse. While the situation in Mozambique is still unclear, reports from neighbouring Zimbabwe suggest that at least 24 people were killed and about 40 others are missing as a result of the storm. Zimbabwe Red Cross Society has deployed its volunteers to support affected communities in both Chipinge and Chimanimani. This cyclone follows a week of heavy rains and flooding across southeast Africa that has already killed at least 126 people in Malawi, Mozambique, and South Africa. More than a million people have been affected in all. In Mozambique, the floods have already affected 117,000 people with more than 17,000 displaced. In neighbouring Malawi, nearly one million people have been affected including more than 80,000 who are without shelter. Both countries are prone to extreme weather events. Earlier this week, IFRC released more than 340,000 Swiss francs from its Disaster Relief Emergency Fund to support local Red Cross early warning and early action, and to prepare to support 7,500 people in the aftermath of the storm.