GREATER HORN OF AFRICA REGION Humanitarian Snapshot (November - December 2018) OVERVIEW KEY FIGURES* Below average Deyr/short rains (October to December) in Kenya, Somalia and southern Ethiopia raised concerns regarding a potential deterioration in the humanitarian situation. In Somalia, earlier than normal livestock refugees** cholera migration was reported in parts of Bari and Nugaal regions of Puntland. In Kenya, forage availability for livestock 20.3m 3.7m 15,454 and maize crops in marginal areas were negatively impacted. Meanwhile, in Sudan, economic shocks caused food severely in and from the region / AWD cases prices to rise to 200 per cent above the five-year average, decreasing access to food for the most vulnerable. In South Sudan, food prices also rose, particularly in the Equatorias, and increased food insecurity was also reported food (since Jan 2018) in Mundri East, West and Mvolo areas of Western Equatoria, following the 2017-2018 prolonged dry spell that insecure 9.2m IDPs spoiled crops and an outbreak of fall army worm. 4 regions with active Pockets of conflict and inter-communal clashes caused new displacement in Ethiopia and South Sudan, while cholera/AWD outbreaks returns were also reported in several areas of South Sudan. In Ethiopia, renewed violence between the Gebra and Garre communities left some 15,000 people displaced in Moyale town, bordering both Oromia and Somali regions, while the Amhara region continued to receive an average of 320 displaced people every week. In South Sudan, clashes in and around Yei in Central Equatoria displaced thousands of people, including more than 4,500 who arrived in Mugwo town in November. Meanwhile, about 3,800 civilians, mainly women and children, reportedly returned to southern Unity in South Sudan following a relative improvement in the security situation. A Yellow Fever outbreak was declared in Western Equatoria in South Sudan, while several countries faced SUDAN measles outbreaks. As of 19 December 2018, one confirmed yellow fever case and two presumptively yellow fever positive cases had been reported in Sakure payam of Nzara County, which is located at the border with the 109k Democratic Republic of the Congo (DRC). In Ethiopia, nearly 400 new cases of measles were reported in the ERITREA second week of December, bringing the total number of suspected cases in 2018 to more than 4,300, of which 2.0m 2.2k YEMEN more than 1,300 were confirmed. The majority of the cases were reported from the Somali region (22 per cent), closely followed by Oromia (21 per cent) and Addis Ababa (20 per cent). In South Sudan, 62 suspected measles 987k cases were reported in Rumbek East from 20 October to 23 December 2018, while in Kenya, a measles outbreak was ongoing in Wajir. Meanwhile, the number of regions affected by cholera and/or Acute Watery Diarrhoea (AWD) decreased in November and December, with Ethiopia reporting no new cases in December. 9k DJIBOUTI 603k millions FOLPDWH 23k SEVERELY FOOD INSECURE POPULATION ( ) LQGXFHG IDPs 7.8k 9.7 8.5 SOMALIA 8.0 Dec 2018 SOUTH SUDAN 1.8m Dec 2017 FRQπLFW 6.0 20k 898k IDPs 5.7 CAR 1.9m ETHIOPIA Dec 2016 3k 4.4 4.4 274k 3.6 3.6 3.4 3.1 13k 20k 1.6 1.3 1.1 0.7 UGANDA 2.6m 0.1 0.2 0.05 95k 363k Ethiopia Sudan South Sudan Kenya Somalia Djibouti DRC KENYA 60k 438k DISPLACEMENT IN AND FROM THE GREATER HOA (Jan 2017 - Dec 2018) 827k1.1m 9.2m IDPs 412k 309k

7.21m RWANDA XX Number of IDPs by country IPC Food Insecurity Phase 1: Minimal BURUNDI Active cholera/AWD outbreaks TANZANIA 48% 52% 2: Stressed 327k New cholera/AWD outbreaks 3.7m 3: Crisis refugees since October 2018 snapshot 4: Emergency 2.75m 5: Catastrophe/Famine Number of refugees and asylum seekers by region / origin Not classified / no data available Refugees from Greater Refugees from Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May June Jul Aug Sep Oct Nov Dec Horn of Africa other countries 2017 2018 *Arrows indicate trends since October 2018. This decrease in the food insecurity numbers is mainly attributed to the verification of severe food insecurity in Sudan following the release of the Integrated Phase Classification results (IPC) for Sudan for October 2018-March 2019 on 15 January 2019, and does not necessarily reflect a true decrease in food insecurity. The Sudan map was also updated with the last IPC information, published on 11/01/2019; the last Snapshot included the FEWS NET map. ** The increase is attributed to verification exercises carried out in November in Sudan to update statistics for Syrian and South Sudanese refugees, and does not reflect an actual change in the total number of refugees and asylum seekers in the region. For the purpose of this information product, the Greater Horn of Africa is defined as Djibouti, Eritrea, Ethiopia, Kenya, Somalia, Sudan and South Sudan. 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: 31 January 2019 Sources: FAO, FEWSNET, IPC TWG, OCHA, SADC / RVAA, UNICEF, WHO/ MOH, UNHCR, UNDP RCO, WFP, CPC/IRI (El Niño). Feedback: [email protected] Twitter: @unocha_rosea www.unocha.org/rosea www.reliefweb.int