Floods during the rainy season from June until at least October will affect about 200,000 people, mostly in southern Sudan. Particularly vulnerable are the displaced in southern Sudan, where there are 2.3 million IDPs and about 400,000 South Sudanese, 110,000 of whom arrived in 2017. Floods will damage key WASH infrastructure and increase the caseload of diseases including cholera and malaria.

6.9 million people are living in areas with inadequate health services in the northeast, including more than 68% of the 1.8 million IDPs living in host communities across Adamawa, Borno, and Yobe states. The lack of qualified staff and essential medicines, and the destruction of medical facilities all continue to hamper the implementation of interventions.   

About 150,000 people are facing famine in Nigeria and South Sudan. Another 9 million face Emergency food security outcomes (IPC 4) in Nigeria, Somalia, South Sudan, and Yemen, and could face Famine (IPC 5), if no assistance is provided between May and August, when the lean season takes hold.

A spike in fighting over resources occurred in Alindao, Basse-Kotto over 7–9 May, with at least 56 people killed and over 11,000 displaced. In nearby Bangassou, Mbomou prefecture, armed groups killed at least 26 people, with at least 3,000 displaced in CAR, 2,750 fleeing to DRC and 25,000 in need of humanitarian assistance. 

A cholera outbreak was reported in Yemen on 27 April. Since then, the number of acute watery diarrhoea or suspected cholera cases has increased to reach over 17,200, including 209 deaths, and the infection rate is rising quickly. The outbreak has affected 18 districts: Sana’a City is the most heavily affected area, with over 4,000 suspected cases. A state of emergency has been declared in the governorate.  

Import restrictions from the economic crisis that escalated in 2014 are resulting in severe food shortages and escalating malnutrition rates. A recent assessment of 526 children in several states found GAM rates of 8.9% and SAM of 3.2%. Severe medicine shortages combined with poor hospital services facilitate the spread of diseases such as malaria and diphtheria. 

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 about 670,000. The outbreak was declared by the Nigerien authorities in mid-April. All the deaths occurred among pregnant mothers. 

Timor-Leste has been experiencing a severe drought due to the El Niño phenomenon since the end of 2015. The latest rainy season, which takes place from November 2016 to May 2017, has been insufficient and erratic, maintaining drought conditions on most of the island. In the next three months, rains are expected to remain insufficient with the onset of the dry season in June. 

Since August 2016, armed clashes have occurred in Kasai-Central, Kasai Oriental, Kasai, Lomami, and Sankuru. As of mid-April 2017, at least 400 deaths have been recorded, including many civilians, but the number is likely higher. As of 27 April, at least 1.17 million people had been internally displaced due to clashes since August 2016, of whom 140,000 since mid-April.

Outbreaks of Fall Armyworm, Spodoptera frugiperda, have been reported in DRC, Zambia, Malawi, Zimbabwe, Botswana, South Africa, Namibia, Swaziland, Ghana and Kenya. Regionally, around 330,000 hectares of staple crops, especially maize, have been affected. The remaining southern African mainland countries remain at high risk. 

Many rural areas of Sindh are currently experiencing daily highs above 40°C, which are forecast to continue until early May. Heatwaves in the past have caused considerable health impacts including dehydration, sunburn, and heatstroke. Impacts on WASH lead to additional health risks such as waterborne diseases.

Years of insurgency and counterinsurgency operations have resulted in the displacement of approximately 1.9 million people and created a food and nutrition crisis in Nigeria’s northeast. The worst-affected local government areas of northeast Nigeria are facing Emergency (IPC Phase 4) food security conditions and Global Acute Malnutrition (GAM) levels above emergency threshold.

3,959 cases of meningitis, 181 laboratory confirmed, resulting in 438 deaths have been reported as of 5 April. While 19 states have reported outbreaks, 97% of reported cases are in six states: Katsina, Kebbi, Niger, Sokoto, Yobe, and Zamfara. Meningitis serotype C, or NmC, is responsible for 83% of laboratory confirmed cases and is severely undervaccinated in the affected areas. 

130mm of rain fell in the city of Mocoa in southwest Colombia on 1 April local time, causing the flooding of the Mocoa, Mulato, and Sangoyaco Rivers, and several mudslides throughout Mocoa. At least 254 people have died, 200 were injured, 200 remain missing, and around 1,200 have been affected by the floods.

Although the flow of returnees to Afghanistan has slowed since its peak in mid-2016, more than 60,000 people have returned from Iran (54,000) and Pakistan (almost 10,000) this year. They are in need of livelihoods and shelter as well as protection assistance.

671 cholera cases have been reported in Awerial county, Lakes, since June 2016, of which at least 117 are new cases since 6 March. Most new cases have been reported in Mingkaman IDP camp. A lack of WASH facilities has been reported, further spreading the outbreak. 

ACAPS and the International Federation of Red Cross and Red Crescent Societies have produced a new set of Central and West Mediterranean migration scenarios, outlining possible developments in migration via Libya, Italy, Spain and other transit countries over the next six months.

Famine was declared in Unity state in February 2017 after months of a deteriorating food security situation across South Sudan. An estimated 100,000 people are facing Famine (IPC Phase 5) food security outcomes in Unity state, and 4.9 million people are currently food insecure (IPC Phases 3 to 5) across South Sudan – an increase of 1.5 million since the beginning of 2016. 

The UN has warned that Yemen is at risk of falling into famine if the international community does not take immediate steps to address the severe food and nutrition crisis. 6.8 million people (25% of the population) are facing Emergency (IPC Phase 4) levels of food insecurity, only one phase before the declaration of famine.

Northern Burkina Faso has seen a rapid deterioration of the security situation since January 2017. Various attacks have been carried out in the area ranging from targeted killings, assassination attempts, village and school incursions to complex attacks against army or police position. The increase in threats and attacks has caused fear across the region and led to the closure of over 600 schools in Oudalan and Soum provinces.