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World Health Organization, Eastern Mediterranean Region , 2017. Emergencies in the Eastern Mediterranean Region in 2017: The Year in Review. Cairo, Egypt: WHO EMRO. Available at: http://www.emro.who.int/eha/news/emergencies-in-the-eastern-mediterranean-region2017-theyear-in-review.html.
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| Past two years | Past Year | Past 30 Days | |
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Coordination during Cholera Outbreak Response: Critical Insights from Yemen
Saverio Bellizzi
Saverio Bellizzi
Independent Consultant, Medical Epidemiologist, Geneva, Switzerland;
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Giuseppe Pichierri
Giuseppe Pichierri
Microbiology Department, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, London, United Kingdom;
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Luca Cegolon
Luca Cegolon
Public Health Department, Local Health Unit N. 2 “Marca Trevigiana”, Treviso, Veneto, Italy;
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Catello Mario Panu Napodano
Catello Mario Panu Napodano
Infectious Diseases Department, Sassari University Hospital, University of Sassari, Sassari, Italy;
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Osama Ali Maher
Osama Ali Maher
Division of Water Resources Engineering, Lund University, Lund, Sweden
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ABSTRACT.
Within the humanitarian arena and since the introduction of the humanitarian reform process in 2005, the cluster approach was introduced to strengthen the cooperation and accountability between agencies working in the same field. Such an integrated approach is particularly needed and relevant in emergencies like cholera, especially in countries undergoing internal conflicts like Yemen. Several areas of concern have been identified during the past field experiences, which include dysfunctional cooperation as a result of different mandates as well as the relationship between nongovernmental organizations and their donors. Control of environmental health services is, for instance, the responsibility of several clusters/agencies and stakeholders, which usually results in a complicated and sometimes confusing approaches to address gaps and barriers. As far as the drinking water quality monitoring and surveillance are concerned, sampling and testing and compilation of data are usually carried out by many agencies included in the health and water sanitation and hygiene (WASH) clusters. We believe that the cluster theoretical approach for emergency response remains a turning point for the humanitarian arena. However, lessons from the recent past, especially in the management of a cholera outbreak in fragile settings, may serve as a serious reflection on roles and dynamics within the blurred border between health and WASH. Specifically, cluster leads in the field have the responsibility for ensuring that humanitarian actors working in their sectors remain actively engaged in addressing crosscutting concerns such as the environment.
Author Notes
Authors’ addresses: Saverio Bellizzi, Independent Consultant, Medical Epidemiologist, Geneva, Switzerland, E-mail: saverio.bellizzi@gmail.com. Giuseppe Pichierri, Microbiology Department, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, London, United Kingdom, E-mail: giuseppe.pichierri@nhs.net. Luca Cegolon, Public Health Department, Local Health Unit N. 2 “Marca Trevigiana”, Health, Treviso, Veneto, Italy, E-mail: l.cegolon@gmail.com. Catello Mario Panu Napodano, Infectious Diseases Department, Sassari University Hospital, University of Sassari, Sassari, Italy, E-mail: catellopanunap@hotmail.it. Osama Ali Maher, Division of Water Resources Engineering, Lund University, Lund, Sweden, E-mail: osama.ali_maher@tvrl.lth.se.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
World Health Organization, Eastern Mediterranean Region , 2017. Emergencies in the Eastern Mediterranean Region in 2017: The Year in Review. Cairo, Egypt: WHO EMRO. Available at: http://www.emro.who.int/eha/news/emergencies-in-the-eastern-mediterranean-region2017-theyear-in-review.html.
-
2.
Al-Mandhari A, Musani A, Abubakar A, Malik M, 2018. Cholera in Yemen: concerns remain over recent spike but control efforts show promise (Editorial). East Mediterr Health J 24: 971–972.
-
3.
Inter-Agency Standing Committee , 2005. Transformative Agenda. Available at: https://interagencystandingcommittee.org/iasc-transformative-agenda.
-
4.
Federspiel F, Ali M, 2018. The cholera outbreak in Yemen: lessons learned and way forward. BMC Public Health 18: 1338.
-
5.
Al-Mekhlafi HM, 2018. Yemen in a time of cholera: current situation and challenges. Am J Trop Med Hyg 98: 1558–1562.
-
6.
Al-Gheethi A, Noman E, Jeremiah David B, Mohamed R, Abdullah AH, Nagapan S, Hashim Mohd A, 2018. A review of potential factors contributing to epidemic cholera in Yemen. J Water Health 16: 667–680.
-
7.
Medecins Sans Frontieres , 2020. Humanitarian Response in Yemen: Time to Go Back to the Drawing Board. Available at: https://www.msf.org/back-drawing-board-humanitarian-response-yemen.
-
8.
Spiegel P, Ratnayake R, Hellman N, Ververs M, Ngwa M, Wise PH, Lantagne D, 2019. Responding to epidemics in large-scale humanitarian crises: a case study of the cholera response in Yemen, 2016–2018. BMJ Glob Health 4: e001709.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1294 | 406 | 80 |
| Full Text Views | 276 | 153 | 1 |
| PDF Downloads | 142 | 15 | 1 |