Between 9 January and 25 April, a total of 164 cases of hepatitis E, including 25 deaths (CFR: 15.2%) have been reported in Diffa region, where there is a population of 673,146. The outbreak was declared by the Nigerien authorities in mid-April. All the deaths occurred among pregnant mothers. Over 76% of reported cases were among females. As of 28 April, five of the six health districts in Diffa region had been affected, with Diffa and N’Guigmi districts accounting for 96% of all cases reported.
• A Rift Valley Fever (RVF) outbreak was declared on 20 September in the districts of Tchintabaraden, Tassara, and Abalak in the Tahoua region of Niger.
• As of 10 October, 90 cases have been reported among humans, including 28 deaths, with a case fatality rate (CFR) of 31.1%.
• Movement of the animal and human population is likely to further increase the risk of the outbreak spreading. The population at risk is estimated at 125,000.
Boko Haram attacks in Yebi and Bosso, two towns in the east of Niger’s Diffa region, have displaced an estimated 50,000–75,000 people since 19 May. Most of the displaced population first sought safety in the town of Toumour, 25–30km west of Bosso town, but have since moved westwards and northwards, fearing further BH attacks.
Newly displaced populations are being reported among host communities and in spontaneous sites along the national highway that connects Diffa and N’guigmi departments. Others are heading to Kablewa, an official camp that is already nearing capacity. The new arrivals will have severe humanitarian needs after travelling up to 100km to reach safety, with little food, water or shelter. The capacity of host communities to cope with the newly displaced is low, and humanitarian agencies, while present, are already stretched to meet the needs of the 241,000 existing displaced.
Access in Bosso town is limited. Reports suggest most civilians have left, but this is yet to be confirmed and those who remain likely face high protection and humanitarian needs.
The Crisis Overview 2015: Humanitarian Trends and Risks for 2016, outlines the countries considered to be in greatest humanitarian need as we approach the end of 2015.
Based on our weekly Global Emergency Overview (GEO), and three years of data on humanitarian needs across 150 countries, we have identified eleven countries where humanitarian needs are likely to be highest in 2016, as well as seven that merit attention, as they face a potential spike in needs. A final section considers the potential impact of the current El Niño event across a number of regions.