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Humanitarian Snapshot December 2020

KEY FIGURES MALARIA CASES 2018 1.35M 135.5K 1.5M 2019 SEVERELY FOOD ACUTE MALNOURISHED MALARIA CASES 2020 Diana 183k 176k 174k INSECURE PEOPLE CHILDREN INCLUDING 613 DEATHS 171k (Jan - April 2021) (Oct 2020 - April 2021) (Jan - Oct 2020) Sava 116k 117k 117k 115k 108k 105k 106k 99k 95k 96k 92k 96k 82k 81k OVERVIEW 75k 73k 70k 61k 64k 52k 46k 48k 45k 50k Following three consecutive years of drought, the Grand Sud of Madagas- Sofia car is facing a severe food security and nutrition crisis. An estimated 1.14 million people in the Grand Sud and 203,453 in the south-east of the country Jan Feb Mar Apr May June July Aug Sept Oct will be in need of immediate multisectoral humanitarian assistance (IPC phases 3 and 4) for the projected period from January to April 2021, SEVERELY FOOD INSECURE PEOPLE according to the last Integrated Food Security Phase Classification (IPC) analysis conducted early in December. Two districts will face Emergency Alaotra Mangoro (IPC Phase 4) food insecurity, while six others will be classified in Crisis (IPC Nov 2017 - Mar 2018 Nov 2018 - Mar 2019 Phase 3). Around 135,470 children under age 5 will suffer from acute 450k Nov 2019 - Mar 2020 malnutrition in nine districts of the Grand Sud, including 27,130 children who 430k Jan 2021 - April 2021 394k will be severely acutely malnourished, according to the Acute Malnutrition 366k Phase Classification (IPC). At least one district will be classified in Phase 4 291k 303k (Critical), four districts in Phase 3 (Severe) and three in Phase 2 (Alert). The Itasy 252k 243k impact has been particularly devastating in Amboasary District, which has 196k been hardest-hit by the crisis, WFP found that families are surviving on raw 128k mangoes and tamarind, often as their only food source, and spoke with 102k mothers who can no longer breastfeed and are forced to give their children 61k water. A WFP assessment in Amboasary in October found that three out of Amoron’ I Mania four children had quit school, including to help their parents forage for food. Atsimo Andrefana Elsewhere across the country, multiple communities are enduring an above-average malaria outbreak, while reported COVID-19 cases have ACUTE MALNUTRITION IN THE GRAND SUD decreased. Countrywide, malaria cases have decreased since July 2020. However, several communes in nine of Madagascar (Alaotra Mango- ro, Analamanga, Anosy, Atsimo Atsinanana, Atsinanana, Ihorombe, Menabe, Betroka Vakinankaratra and Vatovavy Fitovinany) reported an increase in the number Atsimo Toliary II of malaria cases during the fourth week of November. From January to Andrefana September 2020, around 1.5 million cases of malaria were recorded, Atsimo District with COVID-19 Atsinanana active cases Betioky including 613 deaths. Meanwhile, after reaching its peak between 26 July Commune with increased and 2 August, and a significant decreased in the number of COVID 19 cases, number of malaria cases Amboasary (compared with week 48) Beloha Anosy Ampanihy there has been an increase in the number of new COVID-19 cases, with the Integrated Food Security Communes with acute positive rate from between 4 and 6 per cent in September and November to Phase Classification (IPC) malnutrition pockets Androy (Jan - April 2021) 3rd quarter 2020 9,2 per cent for week 49 and 7.3 per cent for week 50 (first two weeks of Emergency Ambovombe Taolagnaro Emergency (Proxy GAM >=15% Bekily or Proxy SAM >=2%) December). Crisis Alert ( 10% < Proxy - GAM < 15%) Stress Tsihombe Normal

The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 22 December 2020 Sources: BNGRC, Humanitarian partners, Ministry of Health (DEPSI), Nutritional Survey System, Integrated Food Security Phase Classification (IPC), CHS, GEGIS. Feedback: [email protected] www.unocha.org www.reliefweb.int