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ASIA - Selected Situations


16. Afghanistan Region (see Map 16)
17. Bhutanese Refugees in Nepal (see Map 17)
18. Refugees from Rakhine State, Myanmar in Bangladesh (see Map 18)
19. Southern Iraq

The most recent overview of the numbers of refugees and displaced people in Asia (as of the end of 1995) is as follows. There were an estimated 4.5 million refugees in Asia, of whom over 800,000 were Afghans in Pakistan and in Iran (1.5 million). There were reported to be 600,000 Iraqis in Iran. Other large groups were refugees from Myanmar in Bangladesh (36,000), Vietnamese in China (286,000), and Bhutanese in Nepal (90,000). No comprehensive data were available on the numbers of internally displaced populations in Asia, but they were certainly in the millions (UNHCR, 1995 Populations of Concern to UNHCR').

This section of the report aims to give updated information on some of these situations. The current situation for the Afghan refugees/displaced populations, the largest single group in Asia with approximately three million affected people, is described. Available information on the Bhutanese refugees in Nepal and refugees from Myanmar in Bangladesh are included because of previous reports of micronutrient deficiencies. As in the past, we also include information on Southern Iraqi refugees in Iran.

16. Afghanistan Region (see Map 16)

Fighting is continuing in various locations outside of Kabul and has reportedly led to fresh population displacements. For example, it is estimated that 30,000 new arrivals in Pakistan require emergency aid, and a further 90,000 people are said to have fled fighting in the north of Afghanistan and have moved to Kabul. The capital has also been under attack with several bombing and rocket attacks carried out by opposition forces resulting in a number of civilian mortalities. It is estimated that 1.5 million people in Afghanistan require emergency food aid. There are at least a further 900,000 Afghan refugees in Pakistan, 350,000 of whom are believed to require assistance, and 1.4 million in Iran, 322,000 of whom require assistance [ABC 28/01/97, WFP 31/01/97, 10/02/97, DHA 14/01/97].

Kabul The population in Kabul continues to swell due to the arrival of people newly displaced by fighting north of the city. Most recent estimates are of at least 115,000 new arrivals. Although many of the IDPs are staying with relatives, others are living in schools and other public buildings. Many of these are overcrowded. There is reportedly a major food shortage in the whole Kabul region. Food prices have recently risen by 25%. This, coupled with the severe winter weather has resulted in increasing numbers of Afghan people relying on the international community to survive. There are now thousands of destitute people in the capital who are being targeted with food and non-food relief items. It is estimated that at least one fifth of the city's population are poverty stricken. The disabled, war widows and orphans are considered to be the most vulnerable groups. Humanitarian operations have restarted in many areas, after a suspension due to restrictions placed on women by the Taliban. For example, provision of subsidised bread through the capital's bakeries has been re-introduced [DHA 22/01/97, 13/02/97, 25/02/97, ICRC 22/01/97, WFP 03/01/97).

Jalalabad Earlier in 1996, a nutritional survey carried out in Jalalabad City showed 4.5% wasting with 0.4% severe wasting. In the camps for internally displaced people (population estimated at 150,000) wasting was measured at 3.3% with 0.3% severe wasting (see Annex 1 16(a,b)). While this is not a particularly recent survey, anecdotal reports are that the situation has remained stable over the past six months, and that existing programmes are coping with the influx of people from Kabul. The provision of a full general ration for IDPs in Jalalabad was stopped in June 1995 and replaced with a monthly 50 kg ration of wheat for each family. This provides on average less than 1,200 kcals/person/day. The low levels of wasting in the camps therefore indicate that this population have other sources of food and income apart from the wheat ration. [WHO July 1996].

Survey carried out in other camps for internally displaced people outside of Kabul and excluding Jalalabad showed low levels of wasting varying from 3.4-5.8% (see Annex I 16(c-e)) [MSF-H 05/03/97].

Pakistan Fighting between government and Taliban forces in Afghanistan has led to an influx of at least 30,000 people into Pakistan. Conditions for these new arrivals are described as "harsh"; more than 1,000 families are said to be living in the open, without shelter, food or warm clothes [DHA 29/01/97].

Iran There are no reports of change for the 322,000 Afghan refugees requiring assistance in Iran.

Overall, an estimated 20% of the population of Kabul who are thought to be poverty-stricken are in category IIa in Table I. The remaining population in Kabul, along with the new arrivals in Pakistan can be considered to be at moderate nutritional risk (category IIb in Table 1). The remaining refugees in Pakistan, along with those in Iran and internally displaced people outside of Kabul are not currently considered to be at heightened nutritional risk (category IIc in Table 1).

How could external agencies help? Humanitarian agencies must continue to argue for gender equality in Taliban controlled locations, particularly in education and work opportunities as this policy now seems to be paying off. Agencies must also focus efforts on improving the water supply and sanitation conditions in Kabul, as this is a major cause of health problems in the city. There is also a need to establish a national nutritional surveillance system in order to monitor nutritional conditions throughout the country more effectively.

17. Bhutanese Refugees in Nepal (see Map 17)

There are approximately 92,000 Bhutanese refugees and asylum-seekers who sought refuge in Nepal in the early 1990s. The total number of refugees in the camps has increased slightly due to births and a few new arrivals, mainly family members of refugees. There is reportedly no change in the nutritional status of this population. Most recent reports are of low levels of wasting; however, some new cases of scurvy, beri-beri and angular stomatitis continue to be reported [UNHCR 26/02/97].

18. Refugees from Rakhine State, Myanmar in Bangladesh (see Map 18)

There are approximately 24,000 refugees from Rakhine State, Myanmar remaining in Bangladesh. Repatriation is continuing, and is expected to be completed early in 1997 [UNHCR 04/03/97].

The last RNIS described a precarious situation for these refugees, with increasing incidence of diarrhoea, and levels of wasting of 15%. Supplementary feeding programmes have now been established in response to these high levels of wasting [UNHCR 04/03/97].

The distribution of a fortified blended food (CSB), which is a usual part of the general ration, was discontinued due to questions over it's suitability for human consumption. Although it's suitability has now been demonstrated, CSB is still not being distributed. The general ration is therefore low in calories and micronutrients. This is particularly worrying for this population as micronutrient deficiency diseases, specifically vitamin B2 deficiency seen as angular stomatitis, has been endemic amongst this population.

Overall, this population can be considered to be at high nutritional risk (category IIa in Table 1) due to elevated levels of wasting and a low intake of micronutrients.

19. Southern Iraq

Reports have been received on a regular basis depicting the desperate state of the approximately 200,000 Marsh Arabs in Southern Iraq (RNIS # 1,3,4,6,10,11,12,15/). These people have been deprived of their livelihoods, their habitats have been destroyed, and they have been forced to endure arbitrary detention, arrests, torture and execution [UNHCHR 12/12/96].

The government of Iraq has been called upon repeatedly to halt discriminatory practices that, inter alia, restrict access to food and health care in the southern areas of the country [UNHCHR 23/04/96, 12/12/96].

The recent agreement on the sale of oil to purchase food and medicines for humanitarian purposes pursuant to Security Council resolution 986, may provide an opportunity to obtain more information on the plight of this highly vulnerable population. If UN observers are given freedom of movement throughout the country, it should be possible to begin monitoring the conditions amongst the Marsh Arabs.

How could external agencies help? The agreement reached on Security Council Resolution 986 allowing for the sale of oil to purchase humanitarian goods may provide a window of opportunity to assess the health and nutritional status of the Marsh Arabs. Free movement of UN monitors will be essential for ensuring the equitable distribution of humanitarian goods within the country, and that the traditionally neglected Marsh Arabs are able to reap the benefits of this programme.

Listing of Sources for March 1997 RNIS Report #19

Org*

Date

Title of Report

ACF

Dec. 96

Nutritional Survey Dislaced and Resident People Freetown, Sierra Leone

ACF

08.12.96

Anthropometric Nutritional Survy in Mongola Settlement Moyo District, N. Uganda

ACF

10.01.97

Evaluation Nutritionnelle Rapide sur le Site de Rukana

ACF

31.01.97

Enquete Anthropometrique Realisee sur le Centre Medico-Nutritionnel de Maramvya

Australian Broadcasting Co (ABC)

28.01.97

UN Says 90 Thousand Afghans Have Fled Fighting in the North

CONCERN

06.12.96

Nutriton Survey Results for Segbwema, Sierra Leone July 1996 and Dec 1996

DHA

1997

Inter-Agency Consolidated Appeal for Sudan

DHA

16.12.96

UN Consolidated Inter-Agency Appeal for Somalia

DHA

14.01.97

Afghanistan Weekly Update No. 200

DHA

15.01.97

Liberia Humanitarian Situation Report No. 54

DHA

15.01.97

Somalia Bi-Monthly Information Report

DHA

29.01.97

Afghanistan Weekly Update, Issue No. 201

DHA

31.01.97

Update on Angola

DHA

05.02.97

Liberia Humanitarian Situation Report No. 57

DHA

12.02.97

Burundi - Huamnitarian situation Report No. 3

DHA

13.02.97

Afghanistan Weekly Update No. 204

DHA

21.02.97

Mozambique Floods - Situation Report No. 1

DHA

25.02.97

Afghanistan Weekly Update, Issue No. 205



Health and Nutritional Situation of the Rwandan and Burundese Refugees in Tingi-

EPICENTRE

15.01.97

Tingi, Eastern Zaire



-Health and Nutritional Situation of the Rwandan and Burundese Refugees in Tingi-

EPICENTRE

06.02.97

Tingi, Eastern Zaire

FAO

19.12.96

FAO/WFP Crop and Food Supply Assessment Mission to Sudan

FAO

23.12.96

FAO/WFP Crop and Food Supply Assessment Mission to Rwanda

FAO

03.01.97

FAO Crop and Food Supply Assessment Mission to Liberia

FAO

15.01.97

FAO/WFP Crop and Food Supply Assessment Mission to Sierra Leone

FSAU

23.12.96

Preliminary Results of the 1996/97 Crop reduction Evaluation

ICRC

22.01.97

Afghanistan: A Little Poorer Every Day

IFRC

11.02.97

Kenya: Somali Refugees Situation Report No. 4

IRIN

06.02.96

Emergency Update #95 on the Great Lakes

IRIN

07.01.97

Emergency Update #73 on the Great Lakes

IRIN

09.01.97

Emergency Update #75 on the Great Lakes

IRIN

16.01.97

Emergency Update #80 on the Great Lakes

IRIN

24.01.97

Emergency Update #86 on the Great Lakes

IRIN

05.02.97

Emergency Update #94 on the Great Lakes

IRIN

07.02.97

Emergency Update #96 on the Great Lakes

IRIN

12.02.97

Emergency Update #101 on the Great Lakes

IRIN

26.02.97

Emergency Update #109 on the Great Lakes

IRIN

04.03.97

Emergency Update #116 on the Great Lakes

IRIN

08-10.02.97

Emergency Update #97 on the Great Lakes

IRIN

11-13.01.97

Emergency Update #76 on the Great Lakes

IRIN

18-20.01.97

Emergency Update #82 on the Great Lakes

MSF-B

31.01.97

Emergency Nutritional Intervention Dadaab Refugee Camps

MSF-CIS

Dec.96

Bulletin of the Nutritional Situation

MSF-H

05.03.97

Survey Results

MSF-S

31.12.97

Nutritional Evaluation Nutritional Survey Nyarugusu camp for Zairian Refugees

OLS

23.01.97

OLS Emergency Update No. 2

OLS

28.01.97

OLS Southern Sector Update 97/4

OLS

04.02.97

OLS Southern Sector Update 97/5

SCF-UK

Oct. 96

Household Food Economy Analysis Kakumu Refugee Camp, Kenya

SFC-UK

Oct. 96

Household Food Economy Analysis Kebri Beyah Refugee Camp, Ethiopia

UN

20.02.97

Report of the Secretary General on Sierra Leone

UNHCHR

23.04.96

Report on the Situation of Human Rights in Iraq

UNHCHR

12.12.96

Situation of Human Rights in Iraq

UNHCR

Dec.96

Monthly Situation Report- Health and Nutrition Sector Dec 1996

UNHCR

05.12.96

Review of Nutrition Epidemiology

UNHCR

17.01.97

Sierra Leone Briefing Notes

UNHCR

28.01.97

Monthly Health Bulliten (Eastern Sudan)

UNHCR

18.02.97

UNHCR starts repatriation of Somali refugees in Ethiopia

UNHCR

22.02.97

Personal Communication - Tanzania

UNHCR

24.02.97

Update on Emergency Preparedness and Response

UNHCR

26.02.97

Personal Communication - Nepal

UNHCR

27.02.97

Food Supply for Dadaab Camps. Kenya

UNHCR

27.02.97

Personal Communication - Benin/Ghana/Togo, CAR, Zambia

UNHCR

07.03.97

Personal Communication - Uganda

UNICEF

06.02.97

Update No. 41 on Great Lakes Region

USAID

17.01.97

Great Lakes Complex Emergency Situation Report #18

USAID

07.02.97

Great Lakes Complex Emergency Situation Report #21

USAID

14.02.97

Great Lakes - Complex Emergency Situation Report #22

WFP

03.01.97

Weekly Update

WFP

10.01.97

Weekly Update

WFP

17.01.97

Weekly Update

WFP

24.01.97

Weekly Update

WFP

31.01.97

Weekly Update

WFP

04.02.97

Food Aid for Malian Refugees

WFP

04.02.97

Weekly Update

WFP

07.02.97

Weekly Update

WFP

10.02.97

Emergency and Protracted Relief Operations

WFP

11.02.97

Personal Communication - Kenya

WFP

14.02.97

Weekly Update

WFP

21.02.97

Weekly Update

WFP

28.02.97

Weekly Update

WFP-a

07.02.97

Eastern Zaire Situation Report #44

WFP-a

07.02.97

Food Assistance for Somali and Sudanese Refugees (Kenya)

WFP-b

07.02.97

Food Assistance for Somali and Sudanese Refugees (Kenya)



Comparative Malnutrition Survey in Jalalabad City and Internally Displaced People

WHO

Jul. 96

Camps in Nangarhar Province

WV

16.01.97

Liberia Weekly Report 12-16 Jan 1997


* Org

ACF

Action Centre la Faim

Al

Amnesty International

BAAG

British Agencies Afghanistan Group

CONCERN


DHA

Department of Humanitarian Affairs

FAO

Food & Agricultural Organization of the United Nations

FSAU

Food Security Assessment Unit for Somalia

GOAL


ICRC

International Committee of Red Cross

IFRC

International Federation of Red Cross

IRIN

Integrated Regional Information Network (of DHA)

MSF-B

Medecins Sans Frontieres - Belgium

MSF-CIS

Medecins Sans Frontieres - Celula Inter-Seccoes

MSF-F

Medecins Sans Frontieres - France

MSF-H

Medecins Sans Frontieres - Holland

MSF-S

Medecins Sans Frontieres - Spain

OLS

Operation Lifeline Sudan

SCF- UK

Save the Children Fund (United Kingdom)

UNAA

United Nations Humanitarian Assistance for Afghanistan

UNHRCS

United Nations Humanitarian and Resident Coordinator for Somalia

UNECOSOC

United Nations Economic and Social Council

UNHCHR

United Nation's High Commissioner for Human Rights

UNHCR

United Nation's High Commission on Refugees

UNICEF

United Nation's Children Fund

WFP

World Food Programme

WHO

World Health Organization

WV

World Vision

Table 1: Information Available on Total Refugee/Displaced Populations (as of March 1997)

Situation

Population Numbers

Nutr
Stat*

Comments

Condition

Total

Change from Dec.96

I: High

IIa: High

IIb: Mod

IIc: Not

III: Unknown

Prev

Risk

Risk

Critical

Sub-Saharan Africa










1. Angola




980'000


90'000

395'000

imp

Decreased total due to some attaining self- sufficiency and/or IDPs returning home

2. Banin/Ghana/Togo Region




13'500


13'500

19'500

stat

Decreased total due to repartition.

3. Burkina Faso/Mauritania



25'000

25'000


50'000

- 3'000

sat

Decreased total due to repatriation Those in Mauritania at moderate risk due to pressure on resources in cam

4. Burundi /Rwanda Region

199'300

712'000

2'698'700

233'000


3'043'000

929'500

del

Increased total due to population displacements In Zaire and Burundi and food insecurity in Rwanda.

5. Central African Republic




32'400


32'400

400

Stat

Increase due to a small influx of Sudanese refugees coming from Eastern Zaire.

6. Djibouti




2'500


2'500

0

Stat


7. Ethiopia


287'000

5'800

109'700

130'000

532'500

135'800

Stat

Increase total due to a new influx from Sudan. Kenya and Somalia

8. Kenya

130'000


16'000

20'000


166'000

- 1'000

Oil

High levels of wasting and some micronutrient deficiency diseases being seen among the Somali refugees.










Very high levels of anaemia seen among adolescent boys in Sudanese refugee camps

9. Liberia/Sierra Leone/



1'317'000

1'171'300


2'489'000

- 761'000

imp

Decreased number due to the attainment of self-sufficiency of many.

Guinea/Cote d'Ivoire






0




10. Mozambique Region




162'600


162'600

92'600

imp

The increase due to more people needing assistance as the harvest in April 1997 approaches.










Pockets of malnutrition due a long-term insecurity and flooding may exist.

11. Somalia



300'000



300'000

150'000

del

Far greater numbers an likely to require emergency food assistance, especially in large urban centres and crop deficit areas.

12. Sudan

4'000


2'790'800



2'794'800

617'800

stat

Pockets of malnutrition are likely to exist in Southern Sudan Critical situation in Red Sea persists

13. Uganda


425'000


23'300

20'000

468'300

38'500

del

Increased number Rwandan and Zarean refueges in Uganda. IDPs, and Sudanese refugees at heightened at

14. Zaire

260'000



156'000


416'000

0

del/stat

For displaced from Shaba in Mwene Ditu, nutritional status based on most recent survey data (end 1995) No indications of change

15. Zambia




32'000


32'000

5'000

stat

Increase due to new arrivals from Eastern Zaire

Total (Sub-Saharan Africa)

593'300

1'424'000

7'154'000

2'961'300

150'000

12'282'600

790'100



Asia (Selected Situation)










16. Afghanistan Region


210'000

520'000

1'452'000


2'182'000

- 648'000

stat

Decrease in numbers requiring assistance in Iran and Pakistan

17. Bhutanese Refugees in Nepal




92'000


92'000

2'000

stat

A proportion of the population may be at high risk due to micronutrient deficiency diseases.

18. Bangladesh


24'000




24'000

- 12'000

imp

decreased total due to repatriation. Those remaining in the camps at hightened risk due to elevated levels







0



of wasting and the presence of micronutrient deficiencies.

19. Southern Iraq


192'000


28'000


220'000

0

del

Those in Marshes considered at high risk.


I: Hgh Prev- Those reported with high prevalenoes of malnutrition (where available >20% wasting) and/or micronutrient deficiency diseasees and sharply elevated mortality rates (at least 3x normal)

IIa. High Risk - At high nutritional risk, limited data available, population likely to contain pockets of malnutrition (e.g. wasting).

IIb: Mod Risk - Moderate risk, may be data available, pockets of malnutrition may exist

IIc: Not Critical - Probably not at heightened nutritional risk

III: Unknown - No information on nutritional status available

*Indicates status of nutritional situation. Imp = improving; det = deteriorating; stat = static (i.e. no change).

Table 2: Summary of Origin and Location of Major Populations of Refugees, Returnees and Displaced People in Africa

March 1996 · RNIS #19 (population estimates In thousands)

From

To/In

Angola

Benin

Burkina Faso

Burundi

Cote d'Ivoire

Eritrea

Ethiopia

Ghana

Guinea

Kenya

Liberia

Mali

Mauritania

Mozambique

Rwanda

Sierra Leone

Somalia

Sudan

Tanzania

Togo

Uganda

Zaire

Zambia

Total

Angola

980





















50

26

1'056

Benin
























0

Burkina Faso
























0

Burundi




300


















79


627

Cote d'Ivoire



















248





0

Eritrea
























121

Ethiopia







11



4








121






32

Ghana


















17






10

Guinea




















10




0

Kenya







9

















9

Liberia





305



16

408


1'100













1'829

Mali



25










25











50

Mauritania
























0

Mozambique














163










163

Rwanda















2'600






15

388


3'003

Sierra Leone









128


100





548








776

Somalia







287



130







300







717

Sudan







78



32








2'500



225

90


2'925

Tanzania
























0

Togo








7
















13

Uganda


6



















200

12


212

Zaire















16




96


29

500


641

Zambia
























0

TOTAL

980

6

25

300

305

0

385

23

536

166

1'200

0

25

163

2'616

548

300

2'638

344

10

469

1'119

26

12'184


NOTES:

(1) This chart is intended to include major population groups in Africa (i.e. over 100,000 people affected from country of origin).

(2) Boxes on the diagonal (shaded) show internally displaced populations (total = 9.2 million).

(3) Numbers referred to in the text are usually by the country where the population is located (i.e. column totals).

For the regional situations of Burundi/Rwanda and Liberia/Sierra Leone the description is by country of origin (i.e. row totals).


Figure 1 - Refugee and displaced populations - Selected Areas in Africa (March 1997)

Figure 2 - Trends in Total Refugee/ Displaced Populations - by Risk Categories - Africa: December 1993 - March 1997


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