With hundreds of people from Somalia arriving each week in Kenya’s Dadaab Refugee Complex, living conditions in camps hosting over 233,000 refugees  and thousands of new arrivals since January are worsening. Given the conditions in these overcrowded camps, there is a high risk of disease outbreaks, warns Médecins Sans Frontières (MSF). MSF urges the UN Refugee Agency and Kenyan authorities to ramp up humanitarian support and urgently launch vaccination campaigns.

People from Somalia are escaping a crippling drought, violence and continuing conflict in the country. Many of those arriving are coming from southern Somalia, where measles and  cholera outbreaks have occurred recently.

“With low vaccination coverage in Somalia, and no system in place to receive and screen the newly arrived people in Kenya infectious diseases can spread rapidly, putting people living in and around the camps, particularly children, at heightened risk of getting ill,” says Adrian Guadarrama, MSF deputy programme manager for Kenya.

“Even a few isolated cases of measles and cholera can cause a full-blown outbreak in overcrowded camp settings, where clean drinking water is scarce and sanitation and hygiene are poor.”

Last week, our teams recorded three measles cases and two suspected cases of cholera in Dagahaley, one of the three refugee camps that make up the Dadaab Refugee Complex. Previous measles vaccinations in the Dadaab camps will provide some protection to children, but the situation can still be life-threatening for new arrivals who are unlikely to have been vaccinated.

“A targeted measles and mass cholera vaccination campaign in Dadaab camps and the surrounding communities is now required to prevent large-scale outbreaks and save lives,” says Guadarrama. “We are ready to support with launching the much-needed vaccinations in Dagahaley camp, where we are the main healthcare provider.”

Our health promotion teams are actively seeking out new arrivals in Dagahaley to provide medical screening and facilitate referrals for those in urgent need of medical care. But the lack of a reception system to identify and welcome the new arrivals makes this task very difficult, and further delays their access to humanitarian assistance.

According to data collected by our outreach teams, the number of arrivals from Somalia to Dagahaley alone has doubled from August to September, reaching over 800 people. This number is estimated to keep increasing steadily in the coming weeks and months. Many of the new arrivals say they need shelter, food, safe drinking water and latrines, as open defecation is now common.

Source: MSF