From the field

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Slowly starved to death: escalating crisis in Yemen

Deadly clashes and air strikes in Yemen have forced millions of people to flee their homes and killed and injured thousands.

Now Yemen is being slowly starved to death. Children and parents are at risk of catastrophic hunger and the country is just a few months away from running out of food.

A recent harrowing report from Yemen by the BBC’s Fergal Keane has shone a spotlight on the crisis in this part of the world.

The situation 

Bordered by Saudi Arabia to the north and Oman to the east, Yemen was the poorest country in the Middle East increasing when fighting escalated in March 2015.

A 20 month-long war, waged between a Saudi-led coalition of Gulf countries and the Government of Yemen against the Houthis, has brought the country’s economy to near collapse. 

Half of the population – 14.4 million people – require help with food. 21.1 million people are in need of life-saving aid, over 80% of the population.

The humanitarian situation continues to deteriorate with fuel shortages, rising food prices and a severe lack of basic services making daily survival a painful struggle for millions.

Oxfam is there. Our Country Director in Yemen, Sajjad Mohammad Sajid, says: “People desperately need food and water, medicine and health services, they need aid that can reach them – ultimately they need the conflict to end so they can rebuild their lives. All those fuelling Yemen's tragedy need to stop being arms brokers and start becoming peace brokers. The international community must redouble its efforts to help bring this crisis to a peaceful resolution.”

Ferdose

Ferdose (40) fled her home in Taiz when her house was burnt in the war and she had nowhere to go.

“Local residents hosted us in a room in one of the houses. My husband lost his job. For about a year now, we have been depending on the aid provided by local residents and Oxfam,” she explains. Oxfam provided Ferdose with a hygiene kit, as well as food vouchers every month so she can buy food in the local market.

Above: 40-year-old Ferdose fled Taiz when her house was burnt in the war and she had nowhere to go. Our team provided Ferdose with a hygiene kit, as well as food vouchers every month so she can buy food in the local market. Photo: Moayed Al-Shaybani/Oxfam

What Oxfam is doing

We are delivering clean water to people in the north and south of the country and have reached more than 913,000 people with water, food vouchers, hygiene kits and other essential aid. Our aim is to reach 1.2 million people with the help of our supporters.

Help so far has included:

  • Cash payments to 106,000 people to help families displaced by the conflict to buy food.
  • Clean water and sanitation services for 435,500 people, including in hard-to-reach areas of the country, by trucking drinking water and repairing water systems and latrines. We are also providing equipment to enable urban water authorities to pump water to an additional 820,000 people in Aden and Al Hawtah.
  • Supporting more than 11,000 families with livestock treatment and supporting more than 14,000 people with cash for work.

We are calling on the Saudi-led coalition to lift shipping restrictions to allow food and other vital imports to increase, and urging all parties in the conflict to allow food to move freely around the country and agree a meaningful ceasefire and restart peace talks.

How you can help

Please help Yemen – give what you can and get clean drinking water to people who urgently need it.

 

* All names have been changed to protect identities.

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Andrew Trimble meets refugees in Tanzania: ‘They’re focusing on making each day count’

Just over a week after returning home from the Ireland rugby tour in South Africa in the summer I found myself heading back to the same continent but for very different reasons.
 
Most of the people on the flight to Tanzania were heading there to climb Mount Kilimanjaro or go on safari. I was travelling with Oxfam Ireland to meet people affected by a crisis that’s totally off the world’s radar.
 
In the past year, over 130,000 people have fled their homes in Burundi because of unrest and crossed into neighbouring Tanzania.
 
It was my first time in this kind of situation and naturally you feel a bit self conscious – a rugby player walking around a refugee camp.
 
You’re aware of how you stand out. The people in the camp were very welcoming, but probably wondering who this bloke was and why he was having his photo taken beside the water pumps and the sanitation facilities!
 
 
Oxfam Ireland ambassador Andrew Trimble at an Oxfam water treatment tank supported by Irish Aid at the Nduta refugee camp in Tanzania. Photo: Bill Marwa/Oxfam
 
Travelling through the camp, you’re very aware that everybody you see – the adults, the children, even the volunteers working with Oxfam – are refugees.
 
We heard stories of husbands and wives who got separated on the journey to safety, or ended up in different camps hours from each other and unable to reunite.
 
The two camps we visited – Nyarugusu and Nduta in the north west of Tanzania - were different to how I expected. Dry season means red dust was everywhere – and it’s still on my shoes some time later back home in Belfast.
 
There are rows and rows of tents, but there is also shade and vegetation thanks to the trees. Some people have started to plant vegetables near their tents. The trees offer important protection from the sun for the children who study at the camp’s outdoor school.
 
Others are in school buildings and we visited one where the kids seemed to be enjoying school a lot more than I used to! They were full of smiles. You got the sense that going to school was at least providing them with some normality; something familiar, even if just for a few hours each day. Their teachers are also refugees, trying to keep going; knowing that educating these children is key to their future.
 
 
Children enjoying a lesson on rugby by Oxfam Ireland ambassador Andrew Trimble at a school in the Nduta refugee camp in Tanzania. Photo: Bill Marwa/Oxfam Oxfam Ireland ambassador Andrew Trimble with Irakoze* and Zebunissa* during a rugby lesson by Andrew at a school in the Nduta refugee camp in Tanzania. Photo: Bill Marwa/Oxfam
 
With a few rugby balls brought from home, I tried to show them what rugby had to offer. It was a fun afternoon, and one brave girl put up her hand to volunteer to try to tackle me. You could almost forget that these children have witnessed harrowing things. In that moment the kids are like any other group of children – laughing, smiling and simply wanting to play.
 
But children have to grow up quickly here, like the five-year-old girl I saw carrying her baby brother, or the boy – no more than a year and a half – fetching water by himself. And that’s when it struck me, he’s the same age as my wee fella Jack, just out picking up water from the tap by himself. That’s the contrast.
 
This time last year the picture of the body of the Syrian child, Alan Kurdi who was aged three, washed up on a beach in Turkey was something that stuck with anybody who saw it. I became a father myself shortly before that so the impact was increased.
 
More recently we’ve been shocked by the photo of an injured five-year-old boy Omran Daqneesh sitting in an ambulance after an airstrike in Aleppo, Syria. It shows you the level of desperation for people coming from countries where they just need to get out of there.
 
We visited a children’s centre, a place where kids can come and play in safety. They were putting on a play about going to the toilet, as part of an Oxfam project to teach children about staying safe and healthy. It was very funny but with a serious message – diseases like cholera are a real threat in crowded camps so the children need to learn about washing their hands.
 
Their parents welcomed us into the humble tents they call home. They smiled too, but there was a sadness there too.
 
I try to picture what it would be like to leave my house and run for my life, and what I would need to do to keep my family safe.
 
 
Burundian refugees Belange Mugisha* with her one-year-old son Remy Habonimana and husband Habonimana Christophe* meet Oxfam Ireland ambassador Andrew Trimble outside the tent they now call home in the Nduta camp in Tanzania. Asked why they fled Burundi, Habonimana* says: “I was hunted.” The life they had hoped for has not come to pass and it seems like everything is on hold. “Sometimes I feel bad, like crying, when I think of how I couldn’t complete my education,” he says. Yet despite the challenges, they are trying to make the most of their situation. Habonimana* is really passionate about making things better for everyone living in the camp, and has been voted as a community leader for one of the zones. He also works with Oxfam as a community hygiene promoter, while Belange* has a job in one of the camp’s schools.” Photo: Bill Marwa/Oxfam
 
One of the refugees I met was Habonimana Christophe*. He’s 31 like me, and is also married and the proud dad of a one-year-old boy called Remy Habonimana. He showed us inside his tent. He opened up to me about his journey from Burundi and why he had to leave. “I was hunted,” he told me.
 
This is actually his second time living the in the Nduta camp. He arrived here as a child in 1993 with his family and lived there until 2008. Habonimana found himself back in the Nduta camp this time with his wife and child in November 2015.
 
“This is the first time for my wife to be a refugee,” he says. “It wasn’t easy for her.”
 
Habonimana is really passionate about making things better for everyone living in the camp, and has been voted as a community leader for one of the zones, volunteering his time. He also works with Oxfam as a community hygiene promoter, while his wife has a job in one of the camp’s schools.
 
Both Habonimana and his wife have diplomas in language studies. He was planning on graduating with a degree at university in Burundi before life changed so radically. 
 
The life he hoped for has not come to pass. Everything is on hold.
 
“Sometimes I feel bad, like crying, when I think of how I couldn’t complete my education,” he says. Inside his tent are his certificates.
 
“Whenever I chat with relatives and friends that are in other countries and in universities, I feel bad as my life has already bust as I have my certificate that allows me to go to university. But I will live here for the rest of my life.”
 
Yet he’s focusing on making each day count – and I am in awe of how he and his wife have managed – coming here under pressure and raising a child.
 
That spirit and determination to keep going despite the odds was something I felt throughout the camp.
 
I met a group of men and women who had been tailors in Burundi. They got together in the camp with the idea of starting a business together. Oxfam provided them with machinery, equipment and a building.
 
 
Rugby player and Oxfam Ireland ambassador Andrew Trimble tries on a handmade jacket which fits his shoulders but not quite his arms during a visit to a tailors’ workshop set up by Burundian refugees with the support of Oxfam at the Nyarugusu refugee camp in Tanzania. Photo: Mary Mndeme/Oxfam
 
With the old school Singer sowing machines and fabrics in almost every colour under the sun, they were so passionate about their work. The tailors told me that they are hoping lights can be installed in their workshop so as they can work even longer hours.
 
They hadn’t heard of rugby – but they all knew about football. One of the tailors asked if I was wealthy like David Beckham, perhaps hoping I might be in the market for a wardrobe like his!
 
Listening to how people’s lives changed so utterly because of the war made me think about the choices ahead of me when the time comes to retire from rugby. I’m so fortunate to have options. I can’t imagine what it must be like to be stuck on pause, with no idea of if or when your life will begin again.
 
I’m well used to training for the physical strength and stamina needed for rugby, but that’s surpassed by the mental fortitude and resilience shown by the people I met –people just like you and me, but thrown into an extraordinary situation, not of their own making.
 
People with hopes and dreams just like ours, looking for safety and security for their families and kids, a job, a home, a future.
 
It also made me think about our responsibilities towards helping refugees. The one greeting I heard over and over again wherever we went was ‘karibu’, which means welcome. This attitude towards welcoming strangers helps explain why Tanzania has become a safe haven for refugees fleeing Burundi.
 
It’s incredible to think that this developing country, where there is still widespread poverty, has opened its doors to refugees.
 
This is despite the challenges it faces. During the long journey on dirt roads, I saw children walk barefoot, women walking for miles to fetch water and men pushing bicycles up hills laden with heavy loads. Despite this, Tanzania has welcomed refugees for decades – many of the people I met were actually refugees twice over.
 
You hear it time and again, but it’s truly an eye-opening experience to do a trip like this. When you come back home, you think about everything you take for granted. Simple things, like being able to turn on a tap to get clean water or have electricity and heat at the flick of a switch. Also the freedom to move about, to have a home, to work and to be with your loved ones.
 
The work I saw by Oxfam is genuinely saving and changing lives. It is a strange feeling to be temporarily planted into a world so alien; to have strangers who have lost everything smile at you and tell their life story, and young children whose futures are so uncertain put on an incredible performance of song and dance to welcome us visitors from Oxfam Ireland.
 
But perhaps the strangest feeling of all was to stand in a place of such sadness and find myself so inspired.
 
Andrew Trimble is an Oxfam Ireland ambassador.  

 

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"We fled from our home... there were so many bodies on the streets."

 
Wafaa and her family in the half build house they now call home. Photo: Tommy Trenchard/Oxfam
 
"We fled from our home; there were so many dead bodies on the streets." Wafaa (name changed to protect identity) sits on the floor in one of three rooms in a small, half-built house her brother rents for their families in Kahlo Bazini, in Kirkuk, northern Iraq. Conditions in the house are basic at best, some of the walls aren't yet finished and until Oxfam intervened they had no facilities to wash, no toilet, and no clean water.
 
"Our living situation is difficult, but we make things work; my brother works cleaning shops so that he can earn money to provide food for us. My children and I all depend on my brother. He goes to clean the shops and then brings home vegetables, things like tomatoes, and shares them between my children and his. We have lived in this same situation for a while," explains Wafaa.
 
Before arriving in Kirkuk, Wafaa and her family moved several times trying to escape ISIS as they took control of large areas of Iraq in 2014. "When we first left out home, we went to my brother's house in Al Eshaqi. We were there for three days and then attacks, bombing and killings started in the streets, so we left to go to my sister's house; she lived far away from the places that had been captured by ISIS. We didn't stay there very long though, about 27 days, and then the fighting started there as well. There were airstrikes, missiles and bombs everywhere."
 
At one point Wafaa and her family were forced to live in an empty school building: 'The school had no appliances; there was no water, toilets or place to wash; the water we were using came directly from the river, it was dirty and polluted. It gave us a lot of infections and allergic reactions. No one came to check if we were okay and the fighting continued to reach us again.
 
"Then my son got ill; he fell on the ground and his face swelled up. My son is only six years old. I had to tell my family that I couldn't stay there any longer." But the area was surrounded from both sides.
 
 
Wafaa Derwesh* (name changed), 39, was displaced with her family when ISIS took control of her village. She now lives in a small village near Kirkuk called Khalo Bazini. Photo: Tommy Trenchard / Oxfam
 
The school where Wafaa and her family were staying was isolated and very far from any roads, "It was like we had escaped to a small empty island far away", Wafaa explains. "There was no water and no electricity. And then ISIS struck. Three ISIS fighters who were carrying guns and firing passed by us; we were so scared we ran away again.
 
"When ISIS came, there were a lot of other families at the school; many of them left the school with us to escape ISIS. They put their black flag above the school; the same school that had been like a home to us." As Wafaa sits in the dark room of the house she and her family now call home she tells the story of how they escaped from ISIS.
 
"We left the school at around 4.00am and we reached the army controlled area at 12.00pm. ISIS had destroyed all the bridges. It was a cold winter, we had no clothes with us and we were trying to escape from ISIS. We were in bad situation, but there were other families and relatives who couldn't leave because ISIS had already taken control of the area and taken them under siege."
 
Not all of her family had been so fortunate. "My sister was still living at the school. She didn't have a car, and random bombing and air strikes had already begun between the army and ISIS. She was alone in the middle of their battle. She called my mom and told her the battle had begun and that she was about to give birth to her baby.
 
"One of my sister's neighbours was her midwife at the birth. It all happened during these air strikes and bombings. We were having a very cold and rainy spell and my sister was giving birth to her new child. She had been complaining about the pain in her stomach but there was no doctor, no food, and no medicine, and no car for her to get to them."
 
Even though ISIS had surrounded the area, Wafaa and her brothers went back to the school to try and fetch their sister. They wanted to get her the medical help she so badly needed. "She was on the dirty ground that had been polluted and her stomach was too swollen, I can't describe it, we couldn't do anything for her; we were helpless and powerless. It was very difficult to see her like that; she was my sister."
 
 
Photo: Tommy Trenchard/Oxfam
 
Wafaa managed to get her sister out of the school but she died soon after that. 'That's how I last saw her; it was very tragic; we all suffered and felt sad about losing her. We had become displaced in one way, and her daughters who are very young became displaced in a different way.' After her sister died, Wafaa took in her nieces and now provides for them as well as her own children.
 
There are currently over 3.2 million people displaced in Iraq, and even after their village or town has been recaptured from ISIS, families like Wafaa's aren't able to go home due to the level of destruction, number of mines left behind and the slow vetting process that ensues. "Our area was liberated a long time ago," Wafaa explains, "but they won't allow us to return because there are mines that have been planted, explosive devices and bombs in our farms and houses. Behind our home ISIS planted many bombs and explosive devices.
 
"I'm not afraid of anything. I'm waiting for the checkpoint at Balad to open and then I'll return to my house. My home was small but nice, and I was living happily in it. We left because ISIS attacked us; missiles were falling everywhere and my children were crying. It was a difficult situation and it was hard on my children. I couldn't make them understand that we had left because of the bombing and the battle between the army and ISIS. My children were afraid of ISIS.
 
"My young children are always saying that they miss their games and our house. They ask me when will we go back? All the displaced people here want to return to our homes because we are exhausted."
 
WHAT OXFAM IS DOING IN IRAQ
 
On Friday October 7th Irish Aid delivered 80 tonnes of aid to Iraq for Oxfam to distribute to vulnerable people fleeing the conflict in Mosul and beyond. Items being sent include blankets, jerry cans, cooking sets, water tanks, tarpaulins and shelter kits.
 
 
Ireland's Minister for Foreign Affairs Charlie Flanagan said he is gravely concerned up to 1.5 million people in the city of Mosul have been living under siege for more than two years, with a further 1 million in surrounding areas currently under ISIS control.
 
Oxfam has been working in 50 villages and towns across Diyala and Kirkuk governorates in northern Iraq since 2014. We are providing safe water in camps and in communities where people who have fled the fighting are sheltering, and enabling people to earn a living so that they can support their families. We have also been helping families as they return home once it is safe to do so.
 
We are now scaling up our response in the Mosul Corridor, operating in Salah Al-Din and Ninewa governorates. Oxfam is also working in the key strategic area of Qayyarat, which is 80km south of Mosul and sandwiched between ISIS-controlled territories. We are providing clear water and sanitation and essential items like blankets and hygiene kits.
 
Oxfam works across Iraq including in the Kurdistan Region of Iraq.
 
As military operations begin to retake the city of Mosul and surrounding areas from ISIS, we are expecting to help 60,000 people.
 
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The horrors in Aleppo continue to mount

 
A child watches as a military jet flies over the ruins of the Al Mashad neighbourhood in Aleppo. In neighbourhoods on the frontline where people still live, there is little or no water or electrical energy supply. Photo: Pablo Tosco/Oxfam
 
As battles rage in the northern Syrian city of Aleppo, the situation is dire – and becoming increasingly intolerable for residents caught up in the ongoing conflict.
 
250,000 people are trapped in rebel-held East Aleppo with no access to aid and facing constant attacks from the air. The bombardment of hospitals, schools and civilian areas is appalling. There are daily reports of civilian casualties and damage to civilian infrastructure. Food and fuel are scarce and expensive, leaving many vulnerable to the risk of water-borne diseases. 
 
WHAT OXFAM IS DOING IN ALEPPO
 
 
Oxfam has supplied and installed a generator in the Suleiman al-Halabi pumping station, which can supply enough water for a million people in Aleppo. Photo: Oxfam
 
Oxfam is on the ground in Syria, helping to provide clean water across battle lines in Aleppo, as well as elsewhere in the country. 
 
Oxfam has installed a generator in the Suleiman al-Halabi water pumping station, which supplies most of Aleppo, to power the station when the national grid is down. Oxfam has also equipped three wells in West Aleppo to produce around 500,000 litres per day and installed eight water purification units – though four of them are currently being repaired after sustaining damage – on the Qweik river to also produce 500,000 litres. 
 
Oxfam also has desperately-needed 3,500 hygiene kits ready to be distributed in East Aleppo, but with the continued fighting the convoy cannot currently access the opposition held part of the city.
 
Oxfam is also working with Syrian refugees in Lebanon and Jordan, providing clean drinking water, sanitation facilities and vouchers for hygiene supplies. 
 
VOICES ON THE GROUND 
 
People still inside East Aleppo have been revealing how the horrors continue to mount. Residents of Aleppo are reporting the use of ‘bunker busting bombs’, which create large craters in the ground, making even underground shelter unsafe. 
 
People on both sides of the city, opposition-held East Aleppo and government-controlled West Aleppo, are now relying on water from wells or delivered by trucks, which are unreliable and sometimes contaminated sources.
 
Speaking to Oxfam, an East Aleppo resident, Basma* (35), said: “The water network is damaged in some areas, to the point where you can see [bomb] craters filled with water. We are still managing to get water through different means, from local wells. But it’s not safe to go out in the street”.
 
Nassim* (65), another resident of East Aleppo said: “One of my children went missing five days ago. I spend my day looking for him. Food is scarce. Fetching water from the local wells is another daily challenge, as going out is dangerous and the water quality is an issue. You can’t be sure if the water is safe or contaminated”.
 
 
“UNBEARABLE” 
 
Walid* (35), from West Aleppo, said: “Queuing to get water is a time consuming struggle, and buying water is becoming expensive. You need to pay more to get water first from truckers. Winter is coming and we have no electricity, and fuel is not available. The situation is becoming unbearable. If it remains like this, I will leave Aleppo with my family.”
 
Tayseer* (40), in East Aleppo, said: “We stored bread before this crisis. We have nothing but bread now. You can’t find any shops open. People are sharing their food supplies with each other. We no longer have spices, so we are just boiling the grains that we have. I’m not concerned about myself or my wife, just about my children.”
 
Nahla* (25) recently fled from East to West Aleppo: “I can’t send my kids to school. And we have no running water, we depend on water trucking. I have no money and no income. Prices are very high in the market. Others in the community have helped me with bread and a bit of food. I can work in cleaning or sewing but I don’t know where to start to look for a job. I don’t know what to do or what will happen tomorrow.” 
 
22-year-old Sham* in East Aleppo: “I don’t have enough food to feed my two brothers and two sisters. Even if we have money, there is no food in the market to buy. We are afraid of sending them to school after the recent attacks. No place is safe now. We don’t know what to do, we feel trapped in our basement.”
 
Souad* (55) lives in a public park in West Aleppo: “I fled East Aleppo with my grandson. His father stayed in East Aleppo. We are unable to reach him. We just want to hear his voice to make sure he is okay. I have no income and everything is expensive. We are relying on people to help us and on aid workers to provide water and other necessary services. We lost our dignity during this crisis. All I want is to go back home, take care of my garden, and have my grandchildren around me.”
 
MARIAM’S STORY 
 
Mariam (64) saw her world fall apart when her only son, a father of four, was shot last year in East Aleppo. 
 
Mariam, her daughter-in-law and the children – three boys, aged 11 and twins of 8, and a 4-year-old girl – moved from place to place, driven by the continuous fighting in Aleppo, until they ended up in a small room, with mouldy walls, and inappropriate sanitation.
 
“I lost my beloved son. My four grandchildren became orphans at a very young age. My heart is broken. I have never felt as weak as I do now. Our only breadwinner left us and now the burden of being ‘the man of the house’ has been placed on the shoulders of my 11-year-old grandson. Finding food and drinking water is a difficult task.” 
 
One of Mariam’s neighbours, who has several water tanks, has been providing water to the family. As for food, they rely on help from other people and some charities. Food prices in East Aleppo have shot up, especially since the area was besieged by government forces. For example, one kilogramme of sugar costs 3,000 Syrian pounds compared to 350 in Damascus.
 
“I was able to plant some plants in the backyard. When we run out of food, we boil some roots to curb our hunger. As for the water, my grandson has to go fetch it, though it is so dangerous for him to go out.
 
“I used to think that losing my child was my biggest tragedy, but seeing my four grandchildren and their mother feeling thirsty and hungry is definitely worse.”
 
WATER AS A WEAPON OF WAR 
 
Oxfam is calling for an immediate and complete ceasefire in Aleppo. At the very least, a pause in the fighting is necessary to deliver food, water, and medical help, as well as evacuate the sick and wounded, and assess damages.
 
Hospitals have recently been hit by airstrikes. Oxfam is urging all warring parties to ensure that international humanitarian law is upheld and civilians and civilian buildings, including schools, hospitals, homes, and water services, are not targeted to advance military and political objectives. 
 
All parties should refrain from using basic services such as water as a weapon of war. 
 
HOW YOU CAN HELP
 
 
* All names have been changed to protect identities.
 
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Hurricane Matthew hits hard in Haiti, Oxfam responds

 
Food, shelter and clean water are urgently needed in Haiti in the aftermath of Hurricane Matthew, which swept through the country on 4th October, destroying homes and infrastructure and killing hundreds of people. The United Nations has estimated more than 2.1 million people are affected, with 750,000 in urgent need of assistance. Vast areas have been flooded and thousands of families have been left homeless – many were still trying to recover from the destruction of the earthquake which hit in 2010. 
 
At least 800 people were killed in the worst hit areas of Haiti and the greatest fear is that the possible spread of cholera and other diseases, along with food shortages due to the loss of crops, will cause more deaths than the actual hurricane over the next days and weeks.
 
 
It is feared that cholera, diarrhea and other diseases will increase after Hurricane Matthew, especially among children. Photo: Fran Afonso/Oxfam
 
HOW OXFAM IS RESPONDING ON THE GROUND 
 
Oxfam teams are responding to local people most in need in Haiti. Our teams have started to assess urgent needs and distribute aid, including clean water, hygiene kits, water purification tablets and construction material such as temporary roofing materials to help people repair their homes in some of the worst-affected towns. 
 
We are sending three tonnes of water-purifying equipment and moving rapidly to ensure hygiene and sanitation are restored to prevent outbreaks of diarrhoea, cholera and other water-borne diseases in Saint Louis du Sud, Miche, Les Cayes and Cavaillon. We are also repairing or installing clean water supplies.
 
We are also calling on the international community to help people cope with the widespread loss of harvests. While there is an immediate need for safe water and shelter, the main issue after this type of shock is the impact on the livelihoods of vulnerable people. 
 
Jean Claude Fignole, Oxfam’s programme director in Haiti, said: “What is most urgent now is to provide safe water to prevent disease, as well as food and essential supplies. In the longer term we fear a jump in cholera, and malnutrition due to crop loss.”
 
 
In coordination with local authorities, Oxfam has begun distributing hygiene kits to people affected by Hurricane Matthew in order to prevent cholera and other diseases. Oxfam is also installing water tanks and distributing tarpaulins to temporarily cover the damaged roofs of houses. Photo: Fran Afonso/Oxfam
 
“EVERYTHING IS LOST”
 
Some 60,000 Haitians live in camps in the capital following the 2010 earthquake which killed at least 230,000 people. Many of them have lost their few belongings due to the hurricane. 
 
In Haiti’s most devastated areas more than 80 percent of the population relied on self-sufficiency farming. With their crops destroyed and farm animals killed by the hurricane, many people are now going hungry and cannot afford to buy replacement seeds or farming tools. 
 
 
Senita Terbil (26) now lives in a precarious shelter with her husband Samuel and their two children, after her house was completely destroyed by the hurricane. Photo: Fran Afonso/Oxfam 
 
Senita Terbil is a mother of two from the village of Castambie in the Sud department of Haiti. Her house was completely destroyed by the hurricane and she lives now in a precarious shelter built by her husband. Senita told Oxfam: “Everything is lost. All our animals are dead. We have nothing to feed the children. We have no means to plant again; we have no seeds or tools. We have nothing, no food or money, even my sister who is injured cannot go to hospital."
 
Louis Joelle, who lives outside the city of Les Cayes, said: “We expect there to be diseases due to the lack of water. We need drinkable water and food, we don’t have anything, everything is destroyed. We need water, food, seeds, and shelter”.
 
37-year-old Bernadette Julien lives in Camp Perrin, in the Southern Department, in southwest Haiti and is eight months pregnant. The family is taking refuge with other neighbours in a makeshift shelter in municipal offices. Her husband lives from selling what they grow in the garden and animal breeding, but everything has gone because of the hurricane. “I only have my children and the clothes I'm wearing. The house is completely destroyed. I have no food to give to my children,” said Bernadette.
 
In Haiti’s capital Port au Prince, many people have also suffered the consequences of Hurricane Matthew, but to a lesser extent. 
 
Marcele Duby, who lives in the Truitier neighbourhood of Port au Prince, said to Oxfam: "If it had occurred in the middle of the night I would have lost my children. But it was broad daylight, and so I could save them. The water in the house was up to my waist. I was afraid because if the water had risen a little more we couldn't have done anything." 
 
Jimmy Leys, a resident of Ti-Ayiti, said: "Children are going to fall sick because flooding causes epidemics. Some pregnant women are already ill. Diarrhoea and malaria are diseases well known here." 
 
 
Bernadette Julien (37) is eight months pregnant and is sheltering with her family in municipal offices in southwest Haiti: “I only have my children and the clothes I'm wearing. The house is completely destroyed.” Photo: Fran Afonso/Oxfam
 
HOW YOU CAN HELP
 
Lost harvests and continued flooding make those most affected vulnerable to a food and health crisis that needs to be prevented. 
 
Help Oxfam respond to emergencies like Hurricane Matthew.
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