Toxic cocktail of cholera and hunger threatens lives from Haiti to the Horn of Africa

By CARE International

Toxic cocktail of cholera and hunger threatens lives from Haiti to the Horn of Africa

The resurgence of cholera in some of the world’s hunger hotspots, including Haiti, Syria, Pakistan, South Sudan, and Afghanistan, is threatening the lives of millions of already vulnerable people. Globally, over 200 million people are facing acute hunger and 50 million people are on the brink of starvation in 45 countries.

”The toxic cocktail of cholera and hunger creates a potentially lethal cycle. Those who are acutely malnourished have lowered immunity, so are more likely to contract cholera or acute diarrhea if it’s going around. The minimal food being consumed basically runs straight out of the body, increasing the likelihood of death,” said Nick Brooks, CARE International’s Emergency Water Sanitation and Hygiene Team Leader.

Cholera reemerged in Haiti this month and has already caused 35 deaths. There are close to 600 suspected cases, but the true extent of the epidemic is feared to be much worse.

“In a country where nearly half the population faces acute hunger and access to clean water is limited, the highly contagious disease could spread rapidly in already vulnerable communities. Add to that civil unrest, the fuel crisis, soaring inflation, poor health services, and severely restricted humanitarian access, and you have a ticking time bomb,” said Raphael Hamoir, CARE Haiti Interim Country Director.

A deadly cholera outbreak has been spreading in northern Syria since early September, with thousands of reported cases and dozens of deaths, while neighboring Lebanon just recorded its first cholera deaths in almost thirty years.

”For women, especially mothers, this cholera outbreak is giving us psychological stress. We worry that our family will get infected. We do not have the money for treatment or clean water, medicines, or other items to prevent cholera. We need help to survive this, Nour, 35, from northeast Syria.

In South Sudan, where more than 7 million people are acutely hungry and some 900,000 people have been displaced by flooding, cholera appeared this year after a five-year absence.

“The widespread flooding in South Sudan could contaminate drinking water, sending a deadly wave of cholera within the flood-affected areas,” said Abel Whande, CARE South Sudan Country Director.

Global Gender in Emergencies Coordinator for CARE International, Isadora Quay, said,

“The presence of cholera in communities can instill a lot of fear, meaning people stay home more, therefore reducing the hours they work and how much they earn. We know that added economic strain on a household creates stress and uncertainty, and, devastatingly, domestic violence often increases in these situations.

CARE urges the international community to swiftly step-up efforts to address the global hunger crisis and slow the deadly spread of cholera. Vulnerable communities need access to clean water, hygiene support, health services, and vaccines, as a matter of urgency. Lives depend on it.