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EAST & HORN OF AFRICA COVID-19 SITUATION REPORT - #3

3,114CONFIRMED CASES

67CONFIRMED DEATHS

1,229 TOTAL RECOVERED

1,089CASES

601CASES

39CASES

131CASES35

CASES

396CASES

480CASES

17CASES

243CASES

83CASES

DJIBOUTIRECOVERED: 642DEATHS: 02

SOMALIARECOVERED: 28DEATHS: 31

KENYARECOVERED: 144DEATHS: 17

UNITED REPUBLIC OF TANZANIARECOVERED: 167DEATHS: 16BURUNDI

RECOVERED: 4DEATHS: 1

RWANDARECOVERED: 104DEATHS: 0

UGANDARECOVERED: 52DEATHS: 0

SOUTH SUDANRECOVERED: 0DEATHS: 0

ERITREARECOVERED: 26

DEATHS: 0

ETHIOPIARECOVERED: 59

DEATHS: 03

DISCLAIMER: The maps in this report are for illustrative purposes only. Representations and the use of boundaries and geographical names on these maps may include errors and do not imply judgment of the legal status of a territory, nor official recognition or acceptance of these boundaries by IOM.

259,966 Migrant movements observed (DTM, March 2020)

6.3M IDPs (Dec 2019 – DTM, OCHA)

7,223 Migrant arrivals in Yemen from the Horn (DTM, march 2020)

1 May 2020 Update

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SITUATION OVERVIEW

The COVID-19 situation in the East & Horn of Africa (EHoA) continues to unfold with destructive impacts on migrants, including internally displaced persons. All 10 countries in the region are dealing with positive COVID-19 cases, as the number of infected persons reaches over 3100, with new cases identified daily. Governments in the region are implementing national COVID-19 response plans consisting of efforts to increase national testing capacity, and mass procurement of Personal Protective Equipment (PPE) for distribution to frontline staff. But the situation remains fluid and unpredictable, with new announcements on anti-COVID-19 strategies and approaches emerging on a near daily basis. Meanwhile air, land and sea border closures, lockdowns and curfews remain in place or have been tightened and extended, affecting the mobility of migrants and displaced populations with catastrophic socio-economic consequences in the EHoA as in the rest of the world. The likely impact of the health pandemic on the concerned populations is still unfolding and to be assessed.

As of 1 May, the number of cases in the East & Horn of Africa has reached 3,114, accounting for 8% of the COVID-19 positive population on the continent. There are 67 new cases reported today with most in Somalia (19, daily increase 3.3%), followed by Rwanda (18, daily increase 8%), Djibouti (12, daily increase 1.1%) and Kenya (12, daily increase 3.1%). Djibouti continues to have the highest number of confirmed cases in the region with 1,089 (35% of total cases), followed by Somalia 601 cases (19.2%), Tanzania 480, (15.4%). The number of deaths from COVID-19 in the region rises to 67 today. Somalia has the highest number of deaths today with 28 deaths. As of 30 April 2020, 1,229 people (39.5% of cases in the region) have recovered from COVID-19. There is a number of cases among cross-border truck drivers mainly detected in Rwanda and Uganda. WHO and IOM are working to develop regional guidance for transport corridors, with a zero draft completed. The recovery rate in the region is higher compared to global and African total recovery rates.

There have been approximately 10,000 mainly involuntarily returns to Ethiopia from Saudi Arabia, and neighbouring countries such Djibouti, Sudan, Somalia and Kenya. Arriving migrants are being placed in government quarantine facilities but often lack the means to survive, food, toiletries, and other basic necessities. Thousands of migrants remain stranded along the Eastern migratory route from the Horn of Africa, across the Gulf of Aden to the Gulf, primarily through Djibouti where over 2,200 migrants are in need of assistance, and Somalia. Migrants also face the risk of stigma and xenophobia and being accused of carrying and spreading COVID-19, and social media misinformation and rumours about the causes of COVID-19.

IOM is assisting all 10 governments in the region to fight COVID-19. This includes humanitarian response, cross border co-ordination, capacity building, enhancing hygiene and sanitation facilities. Supporting case management, monitoring and mapping of people’s movements within and across borders, and at displacement sites. IOM is advocating for migrants, including IDPs to be fully included in the national COVID-19 response to ensure potentially life-saving assistance to these vulnerable groups. IOM has launched a global financial appeal for $499M to meet the immediate assistance requirements – $71.6M is needed for the EHoA region. Link to appeal: https://ronairobi.iom.int/publications/iom-east-and-horn-africa-strategic-and-preparedness-and-response-plan-covid-19

All 10 countries in the region are dealing with positive COVID-19 cases.

Air, land and sea border closures, lockdowns and curfews remain in place or have been tightened and extended, affecting the mobility of migrants and displaced populations.

There have been approximately 10,000 mainly involuntarily returns to Ethiopia from Saudi Arabia, and neighbouring countries such Djibouti, Sudan, Somalia and Kenya.

IOM is assisting all 10 governments in the region to fight COVID-19.

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Partnerships and Coordination

In Kenya IOM is partnering with UNDP on cross-border training for COVID-19 detection in Moyale on the border with Ethiopia. In Rwanda IOM has contributed to the design and revision of the national preparedness and response plan, which has mobilised over 2.9 million dollars in funds. In Burundi IOM is drawing up and finalizing SOPs for land, sea and airport entry points with the Ministry of Public Health, and developing an epidemics response strategy in conjunction with UNICEF, WFP and WHO. At the regional level IOM is supporting the drafting of Intergovernmental Authority on Development’s (IGAD’s) Regional Response Strategy for COVID-19.

Risk Communication and Community Engagement (RCCE)

In Somalia over 76,000 people have been indirectly reached through hygiene promotion and social distancing messaging, including through the use of radio. In South Sudan tailor-made hygiene prevention sessions at households and water points have reached 18,186 people. Women’s groups in Malakal are producing over 1000 anti-COVID-19 face masks. A drama group is developing a drama series with key messages on COVID-19 prevention and psychosocial wellbeing. IOM Ethiopia has reached more than 50,000 people with hygiene awareness messages, and over 6,500 people have been reached with a similar approach in Djibouti at handwashing stations and through door-to-door information campaigns. In Tanzania 12 nurses, 2 data specialists, and 2 hygiene promoters are training on how to communicate COVID-19 prevention measures which are expected to reach 5,000 people.

Disease Surveillance

In Kenya IOM continues to deploy over 35 medical staff to support the government’s COVID-19 disease surveillance and data collection at 7 national quarantine sites. The staff consist of doctors, nurses and laboratory technicians. In Ethiopia IOM has deployed 17 public health medical doctors and nurses to assist in government-led quarantine centres in the capital, Addis Ababa. IOM is also working on post quarantine disease surveillance assistance for migrants.

Points of Entry

In South Sudan IOM has supported the screening of over 4,600 travellers arriving at Juba International Airport for COVID-19. Ethiopia continues to receive returnees at various Ports of Entry, despite the closure of borders. More than 10,000 Ethiopians have returned to the country from the Gulf and region. IOM is also supporting the government to develop SoPs on the management of returnees from Points of Entry to place origin. In Somalia IOM has screened over 960 people crossing the Somali-Ethiopia border at Doolow for COVID-19 symptoms. In Kenya plans are underway to conduct training at the Moyale Point of Entry on the border with Ethiopia in partnership with UNDP. IOM is also procuring Personal Prevention Equipment (PPE) and Infection Prevention Control (IPC) supplies for support various Points of Entry. In Tanzania, IOM has completed a Preparedness Capacity and Needs Assessment in the two regions and are planning similar activities in other regions.

IOM RESPONSEIn Kenya IOM is partnering with UNDP on cross-border training for COVID-19 detection in Moyale on the border with Ethiopia.

IOM Ethiopia has reached more than 50,000 people with hygiene awareness messages, and over 6,500 people have been reached with a similar approach in Djibouti

In South Sudan IOM has supported the screening of over 4,600 travellers arriving at Juba International Airport for COVID-19.

In Somalia IOM has screened over 960 people crossing the Somali-Ethiopia border at Doolow for COVID-19 symptoms.

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National Laboratory Systems

IOM Kenya is expecting 8,000 GeneXpert COVID-19 testing kits which will be used to test frontline health workers and potentially truck drivers at Points of Entry. In Tanzania, an IOM facility in Kigoma is being considered as a potential site for assisting the government with laboratory testing in co-ordination with WHO. At the regional level, IOM has procured 31,000 COVID-19 kits which will be available to migrants and frontline health and humanitarian workers. At the global level IOM’s Health Assessment Programme is leading the role-out of COVID-19 laboratory testing in IOM and partner laboratories in the sub-Saharan African region.

Infection Prevention & Control

IOM in South Sudan is supporting COVID-19 Infection Prevention & Control (IPC) activities at 8 IOM operated Points of Entry and providing maintenance at 410 hand washing stations to improve hygiene. It is planning to construct handwashing facilities at the community level, including markets, places of worship, and transportation centers. In Somalia 385 households have been provided with hygiene supplies such as soap, and 14 handwashing points have been installed. 8 hygyiene promotors have been recruited and awareness messages on COVID-19 prevention have been broadcast on radio. In Kenya plans are underway to assist with improving handwashing facilities and procuring Personal Protective Equipment (PPE). Uganda is procuring IPC, PPE, and ICT supplies to donate to the Ministry of Health as part of the COVID-19 response.

Case Management and Continuity of Essential Services

In Djibouti IOM is providing direct assistance to stranded Ethiopian migrants in government managed quarantine sites. Over 400 migrants in Obock and Masagara have been assisted with hygiene and NFIs. In Kenya IOM is donating mattresses and bedsheets and helping to refurbish an IRC 16-bed isolation unit as part of COVID-19 preparedness. In South Sudan multipurpose cash assistance has been given to 555 returnee households, impacting 1,590 individuals who voluntarily returned to their area of origin from the Protection of Civilians (PoC) sites. In Somalia direct assistance is being provided to stranded Ethiopian migrants in informal settlements in Bossaso. The Migration Response Centre (MRC) in Bossaso has conducted awareness-raising sessions about COVID-19, targeting migrant communities trying to return to Ethiopia. In Rwanda IOM’s medical clinic has restarted operations checking temperatures, travel history and COVID-19 signs and symptoms of all clients. In Burundi, IOM’s medical clinic has re-opened for medical exams with adapted protocols in light of COVID-19, such as social distancing. In Tanzania IOM continues to support WHO with the secondment of staff to support in clinical management. So far IOM has seconded two medical doctors.

IOM Kenya is expecting 8,000 GeneXpert COVID-19 testing kits which will be used to test frontline health workers and potentially truck drivers at Points of Entry.

In Somalia 385 households have been provided with hygiene supplies such as soap, and 14 handwashing points have been installed.

In Djibouti IOM is providing direct assistance to stranded Ethiopian migrants in government managed quarantine sites.

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Logistics, Procurement & Supply Management

In South Sudan critical WASH items have been distributed to 11,000 beneficiaries in two settlements. Procurement of PPE supplies for distribution to frontline humanitarian and health workers working directly as part of the COVID-19 response is underway. In Djibouti IOM donated hygiene materials and PPE to hospitals in Dikhil, Ali Sabieh and Arta regions. In Tanzania IOM is continuing with the secondment of one logistician and one HR staffer to WHO. IOM plans to continue procurement PPE for for Points of Entry and testing kits.

Protection

IOM Ethiopia is currently facilitating family reunification for 34 unaccompanied minors returned from Saudi Arabia. IOM has identified and trained 45 volunteer psychologists and social workers on the psychological aspects of the COVID-19 pandemic and assistance to migrant populations. In Kenya 77 tele-counselling calls have been made as part of provision of psychosocial support to IOM personnel, migrants and refugees travelling as part of IOM’s resettlement program, and stranded foreign nationals that have been released from quarantine sites. Migrants are being provided with basic PPE (masks, gloves, hand sanitizer) plus a thermometer for self-monitoring of temperature. In Tanzania IOM is currently providing shelter, medical assistance and counselling to 8 Somali migrants who were due for Assisted Voluntary Return and Reintegration (AVRR) travel back to Somalia but are stranded due to COVID-19 travel restrictions.

Camp Coordination and Camp Management

In South Sudan as part of Community and Communication Engagement IOM shared the first overview awareness materials debunking rumors about COVID-19. A COVID-19 response action matrix in the face of a full lockdown order scenario is under development. As exercise to identify empty shelters that can be allocated for households as a step towards de-congesting the site and creating social distancing is under way. In Ethiopia a joint assessment to identify priority IDP sites in need of decongestion has taken place. Discussions with the National Disaster Risk Management Commission (NDRMC) on the issue of land allocation in the vicinity of the IDP sites prioritised for decongestion are ongoing. The SMS WG has also prepared a quick-reference tool for Site Managers on steps to be followed in the event that a suspected COVID-19 case is reported in a site under their responsibility, and submitted it to NDRMC for review. In Somalia the CCCM team continued to disseminate information to ensure IDPs are aware of the risks, signs and symptoms and mode of transmissions of COVID-19, and know the appropriate mitigation measure to reduce the risks.

Displacement Tracking Matrix

In Burundi DTM data collection continues to function remotely through phone calls with Key Informants by enumerators (Burundi Red Cross volunteers). DTM Program Assistants provide remote technical assistance to enumerators and conduct data verification remotely. There are 4,000+ Key Informants and 500+ enumerators in all 119 communes. In Tanzania IOM has established 12 Flow Monitoring Points including 4 at the border with DRC.

In South Sudan critical WASH items have been distributed to 11,000 beneficiaries in two settlements.

In Kenya 77 tele-counselling calls have been made as part of provision of psychosocial support to IOM personnel

In Ethiopia a joint assessment to identify priority IDP sites in need of decongestion has taken place.

In Burundi DTM data collection continues to function remotely through phone calls with Key Informants by enumerators

In Tanzania IOM has established 12 Flow Monitoring Points including 4 at the border with DRC.

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In Djibouti Flow Monitoring Point agents have raised awareness about the COVID-19 to 3,681 migrants and travellers. In Somalia DTM continues to raise awareness among migrants crossing the border. IOM added a Flow Monitoring Point, and is currently monitoring at a total of eight points. During the reporting period, 2,452 people, entering and exiting Somalia, were reached. In South Sudan authentication was completed to food distribution in Malakal IDP-site to support those who decide to leave the site in view of a potential COVID-19 outbreak.

At the regional level the Regional Data Hub (RDH) is compiling analyses about the impact of the COVID-19 of mobility trends across the region, with a focus on the eastern corridor from the Horn to the Gulf. Coordination is ongoing to switch to remote data collection modalities through multiple technical development initiatives to support National Statistical Offices (NSOs) to enhance their migration data governance systems, including designing an online migration data course.

DTM continues the profiling of Points of Entry, in collaboration with other IOM Divisions in Migration Management, according to health and immigration measures in place to reduce the risk of the spread of COVID-19.

Addressing Socio-Economic Impact

In Kenya IOM is working closely with the Ministry of Labour and Social Protection, under the State Department of Labour to provide technical assistance in drafting ‘Guidelines on COVID-19 pandemic at workplace in Kenya’.

NEW PROGRAMMATIC APPROACHESIn Uganda with the international airport closed to passenger traffic, IOM is exploring the possibility of using charter flights for interested resettlement countries.

In Djibouti Flow Monitoring Point agents have raised awareness about the COVID-19 to 3,681 migrants and travellers.

At the regional level the Regional Data Hub (RDH) is compiling analyses about the impact of the COVID-19 of mobility trends across the region.

Flow Monitoring DTM enumerators in Somalia being sensitized about COVID-19. Photo: Muse Mohammed © IOM

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POINTS OF ENTRY & MOBILITY RESTRICTIONS

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Status of other border points Status of international flights*

International travel is allowed with mandatory quarantine for the arriving passengers.

The passengers from the certain COVID-19 a�ected countries are not allowed to enter the country while others need to go through the quarantine.

All international �ights are suspended." Partial closure

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Disputed Areas

Countries East and Horn of Africa

*Details of the travel restriction can be found on IATA website: https://www.iata.org/

SOURCE: International Air Transport Association (IATA)Displacement Tracking Matrix (DTM)

DATE: 29 April 2020

DISCLAIMER: These maps are for illustration purposes only. Names and boundaries do not imply o�cial endorsement or acceptance by IOM.

Travel Restrictions in the East and Horn of Africa Region

Regional Data Hub | RDH