The Future is Equal

sanitation

Thousands forced to use one water source from Ebola treatment site in Democratic Republic of the Congo – Oxfam

  • NGO community-based outreach at just 10 per cent due to lack of funding

  • Health facilities overwhelmed as some operating at over 130 per cent capacity

Two months into the world’s largest Bundibugyo Ebola outbreak in eastern Democratic Republic of Congo, up to 20,000 people are being forced to fetch drinking water from a single water source inside the grounds of an Ebola treatment center in Bunia because they have no alternative.

Oxfam staff report that most health centers in Ebola hotspots remain without clean water and sanitation support – leaving dangerous gaps in one of the most important defences against Ebola transmission.

Dr. Manenji Mangundu, Oxfam Country Director for Democratic Republic of the Congo, said:

“Without clean water and functioning sanitation, the basic conditions needed to halt transmission of the Ebola virus simply do not exist. When families are forced to collect water from inside treatment compounds because there is nowhere else to go, this is no longer a public health crisis with a water problem. It is a public health crisis with a lit fuse.”

More than 2,011 Ebola cases have been confirmed with 754 deaths reported across 42 health zones in eastern DRC, according to the DRC’s Ministry of Health. Despite the growing toll, the response continues to dangerously lag behind with around 70 new cases reported nearly every day.

The virus is also spreading beyond the initial epicenter, with health authorities confirming new cases in Tshopo, Haut-Uélé provinces and most recently in Kisangani, a city of more than 1.6 million people extending the outbreak’s proximity closer to two additional international borders, South Sudan and the Central African Republic.

Contact tracing has now reached 67.4 per cent coverage well below the more than 90 per cent achieved at the same stage of the Ebola outbreak in 2018, leaving a significant gap in efforts to contain the spread of the disease.

At the same time, funding shortages are pushing Ebola treatment centers beyond their limits. Several facilities in North Kivu and Ituri are operating beyond their capacity with some operating at over 130 per cent forcing health workers to care for growing numbers of patients without sufficient resources.

As treatment centers get full, many people with suspected Ebola cases cannot be admitted and remain instead in the community or are treated in poorly equipped primary healthcare facilities, diminishing their chances of survival and exposing health workers and communities to additional transmission. In one case, a woman with suspected virus had to wait for four hours for an ambulance because only one vehicle was available to transport patients.

“Health workers are doing everything they can, but many are working without even basic protective equipment like gloves, and that’s why we are seeing high rates of infection among medical staff across different locations in Ituri. The health centers were not prepared” said Mangundu.

Funding shortages are also slowing down community outreach activities, one of the most critical components to stop the spread of misinformation and improve surveillance. Two months on, only 10 per cent of the community mobilisers needed have been deployed due to lack of funding, a fraction of what is needed to help contain transmission according to Centre for Diseases Prevention (CDC)

“Rumours are filling the vacuum. People are either unaware of the outbreak or too afraid to seek treatment. They are dying at home. Every community death we cannot reach is a transmission chain we cannot break.” added Mangundu.

Oxfam is calling for the urgent investment to restore safe water and better equip health facilities and communities so that families can have basic protection mechanisms. Every delay without action allows the virus to spread further putting more lives at risk.

Ends

Notes to editors

Oxfam is one of the few organisations providing water, sanitation and community engagement support in Butembo, Mongwalu and Rwampara zones. Oxfam urgently needs 10 million euro in funding to restore basic water and sanitation services in affected health zones before the outbreak spirals further.

Oxfam is also supporting community volunteers with training and public information activities to help families understand how to protect themselves from Ebola and to stop misinformation.

Contact information:

For more information contact: [email protected]

Floods Devastate Communities as Oxfam Scales Up Response

Over 1.1 million people across Bangladesh have been badly affected by floods due to waterlogging and landslides triggered by heavy monsoon rainfall and upstream runoff since 4 July 2026. Chattogram has borne the heaviest impacts on people’s lives and livelihoods, while Cox’s Bazar, including the Rohingya refugee camps, continues to face flooding, landslide risks and damage to essential services.

“This is one emergency unfolding across two distinct contexts,” said Anil Pant, Country Director of Oxfam in Bangladesh. “The floods and their cascading impacts have severely disrupted people’s lives and livelihoods. In Chattogram and other affected districts, families have lost homes, income and access to safe drinking water and sanitation. In Cox’s Bazar, the danger is especially acute, as Rohingya families live in densely populated camps on fragile slopes, with limited space for safe relocation and heightened exposure to flooding and landslides.”

The floods have claimed dozens of lives, displaced thousands of people and damaged homes, roads, embankments, water points, latrines, cropland, fisheries and businesses. Many families have lost food stocks, bedding, cooking utensils and household assets. Thousands remain isolated in submerged communities, while some households cannot cook because they have neither dry space nor fuel.

As of today, the disaster has affected over 1.1 million people across 10 districts: Chattogram, Cox’s Bazar, Rangamati, Khagrachhari, Bandarban, Sylhet, Sunamganj, Moulvibazar, and Habiganj, resulting in 53 fatalities and 39 injuries as of 14th July 2026. Safe drinking water, emergency food, shelter materials, hygiene and dignity kits, sanitation support and flexible cash assistance are among the most urgent needs. At least 3,500 water points and 12,400 latrines the damage to at least 3,500 water points and 12,400 latrines have heightened, heightening the threat of waterborne disease. Recovery will also require repairs to homes and WASH facilities and support to restore livelihoods.

“The water rose so quickly that we could save almost nothing. Our food, bedding and cooking utensils are gone, and finding clean water has become very difficult. We need food, safe drinking water and support to repair our home so that our family can start again,” said Akkas Ali, a flood-affected resident of Statkania, Chattogram.

In the Rohingya camps in Cox’s Bazar, 164 landslides and 42 flooding incidents have been reported. Fifteen Rohingya people lost their lives after shelters and facilities collapsed. A total of 9,707 people were displaced and temporarily relocated, while 482 weather-related incidents affected about 43,000 people across 9,463 households. Floodwater entered shelters and inundated WASH facilities, while prolonged cloudy weather left many households without lighting.

Women and girls, children, older people, individuals with disabilities, pregnant and breastfeeding women, and single-headed households face heightened protection and health risks. Limited relocation space, unstable slopes, damaged drainage and overcrowding are making the situation particularly dangerous and the vulnerabilities of the people living there reach the peak.

Oxfam in Bangladesh has initiated its emergency response and allocated BDT 12,065,000 (approximately BDT 12.07 million) to support the affected communities in Chattogram. Working through local partners, Oxfam is conducting rapid needs and gender assessments and coordinating with government authorities, the Needs Assessment Working Group, and UN clusters.

In Chattogram, Oxfam’s planned assistance includes emergency food, safe drinking water, hygiene & dignity kits containing soap, detergent, sanitary pads and oral rehydration salts, sari and lungi. and Multipurpose cash grants of BDT 8,000 per household are also planned so that vulnerable families can meet their urgent needs, including food, shelter repairs, healthcare, transport and livelihood inputs.

In Cox’s Bazar, Oxfam and partners are supporting assessments and repairing damaged facilities within operational areas. Oxfam has also provided personal protective equipment to 100 Rohingya volunteers serving as frontline responders.

“We are already on the ground with our partners, listening to affected communities and acting on their most urgent priorities,” Anil Pant said. “Our initial allocation is an important first step, but the scale of need is far greater. We call on donors, businesses, development partners and concerned citizens to provide flexible funding so that more families can receive life-saving assistance and rebuild with dignity.”

Oxfam aims to reach up to 160,000 people through a locally led, gender-responsive response focused on immediate relief, livelihood recovery and climate-resilient reconstruction with a funding aspiration of 3 million Euro.

Contact information:

For more information contact: [email protected]

Less than seven percent of pre-conflict water levels available to Rafah and North Gaza, worsening a health catastrophe

Risk of disease outbreak as Bangladesh floods

Note to the editors: 

  • According to the UN, Bangladesh Water, 520 unions of 77 Upazilas of 10 districts have been severely impacted. Source: UN Situation Report, 30 August 2024 
  • According to the Department of Public Health Engineering (DPHE) report, as of 31 August 2024, 295,689 latrines have been damaged.  

Contact information:

Rachel Schaevitz, [email protected]

DRC: Oxfam responds to Mpox outbreak in Equateur as it reaches alarming levels

The MPox epidemic has reached alarming levels in the Democratic Republic of Congo, as more than 15,000 cases and over 540 deaths have been reported across the country since the beginning of the year. Oxfam is mounting an immediate response particularly in the most affected province of Equateur.

Justine Tossou Gomis, Oxfam’s Country Director for the DRC, said:

“The situation in Equateur is particularly alarming, with over 320 deaths already reported. Very poor water and sanitation have led to the spread of diseases and the resurgence of several epidemics. Entire communities already struggling with poor sanitation are now at risk.”

Working closely with the national authorities and partners, Oxfam aims to support approximately 80,000 people across Mbandaka, Bikoro, Bolenge, Tondo, and Ingende with hygiene and prevention awareness, clean water and sanitation, while strengthening community engagement and the preparedness of health institutions in the province.

“Our response builds on Oxfam’s track record of public health and sanitation programmes in Equateur since Ebola. We will work with local communities and partners to provide hygiene and sanitation kits and information on how to prevent viral contamination,” added Tossou.

The World Health Organization (WHO) announced on Wednesday that the Mpox outbreak has already affected several African countries and constitutes a public health emergency of international concern. Oxfam is closely monitoring the situation in these countries to assess needs.

The Minister of Health, Hygiene, and Social Welfare of the DRC gave an alarming report on the Mpox epidemic in the DRC and called on the entire community to change their behavior to counter the spread of the epidemic.

Notes:

  • Since 2002, Oxfam has been operating in the Equateur province, working in the sectors of water, hygiene, sanitation, health, and education. Currently, we are implementing actions in water, hygiene, sanitation, protection, and gender in four health zones (Mbandaka, Bikoro, Lotumbe, and Iboko) most affected by the monkeypox epidemic.
  • According to the latest Ministry of Health epidemiological report, the DRC has recorded 15,664 potential cases and 548 deaths since the beginning of the year. The most affected provinces are Equateur, South Kivu, South Ubangi, Sankuru, Tshuapa, Mongala, and Tshopo. The Equateur province has seen the highest number of cases and 321 deaths. 

Contact

For more information or to arrange an interview, please contact: In Goma, DRC: Alain Nkingi in DRC +243(0)816994725  [email protected]  or In Oxford: Nesrine Aly [email protected]

Epidemic risk rising as Rafah invasion compounds lethal cocktail of over-crowding, sewage and hunger

Israeli military attacks since October caused at least $210m worth of damage to Gaza’s water and sanitation infrastructure.


The destruction of critical water and sanitation infrastructure by the Israeli forces along with severe over-crowding, malnutrition and heat is pushing Gaza to the brink of a deadly epidemic outbreak, Oxfam warned today. The situation is further compounded by the Israeli invasion of Rafah which has forced over
350,000 people to flee to already overcrowded shelters and camps, and food and fuel are running out with the closure of border crossings.The international aid agency said at least five of its life-saving water and sanitation projects in the Gaza Strip had been severely damaged or destroyed in the Israeli attacks since 7 October. Oxfam staff in Gaza have described piles of human waste and rivers of sewage in the streets, which people are having to jump between. They also reported people having to drink dirty water and children being bitten by insects swarming around the sewage.

Conditions are ripe for the outbreak of epidemics including Hepatitis A and cholera, which thrive in overcrowded places lacking proper sanitation. Soaring temperatures are also increasing health risks. Oxfam’s Middle East Director, Sally Abi Khalil, said: “The situation is desperate, with so many people in Gaza living in fear and being forced to endure inhumane and unsanitary conditions caused by sustained Israeli bombardment. One colleague told me there was so much human waste in the streets, it literally smelt like disease. “Israel’s military assault on Rafah could be devastating, not only because of the risk of mass civilian casualties, but also the repercussions of vast numbers of people being forced to move. With the infrastructure already beyond breaking point, little or no healthcare available, and widespread malnutrition this could quickly escalate into a major epidemic.”

One of Oxfam’s partners in Gaza, Juzoor for Health and Social Development – which is operating in more than 50 shelters and numerous health points across North Gaza and serving hundreds of thousands of people – said they’ve seen a worrying rise in disease outbreaks. Celine Maayeh, Advocacy and Research Officer for Juzoor, said: “Unfortunately, all of our shelters lack proper sanitation and sewage systems, and just a few days ago we started hearing reports of areas in Gaza being infested with bugs and flies. Our health teams have been dealing with skin infections and cases of watery diarrhoea for months now; and we’ve recently detected thousands of cases of hepatitis A and other gastrointestinal and respiratory diseases. While we’ve managed to treat them, the rising temperatures and accumulating waste and sewage are creating the perfect recipe for a health catastrophe that our health teams alone cannot tackle.”

UNICEF analysis of satellite images found that in Gaza Governate 87 per cent of critical water and sanitation facilities have been destroyed or severely damaged. Across Gaza, at least five of Oxfam’s projects – three wells, a desalination plant and a sewage pumping station have been destroyed or severely damaged that served over 180,700 people a day. A further seven Oxfam water or sanitation projects are also believed to have sustained some degree of damage. Israeli airstrikes also destroyed the warehouse of one of Oxfam’s local suppliers with the loss of an estimated $60,000 worth of Oxfam latrine blocks – purpose-built toilet and shower facilities, which were due to help improve sanitary conditions for thousands of people.

Attacks which target civilian infrastructure are illegal under the Geneva Conventions. The extensive damage to water and sanitation infrastructure is one example of the Israeli military’s relentless assault on Gaza, which according to UN experts, may amount to breaches of International Humanitarian Law. The Coastal Municipalities Water Utility (CMWU), which is responsible for water and sanitation in Gaza and with whom Oxfam works, estimates the overall damage to Gaza’s water and sanitation infrastructure to be at least $210 million. This is based on assessments where their technical staff were able carry out field surveys and does not include damage in areas which cannot be reached due to the ongoing fighting or Israeli military restrictions. The estimate also does not account for all of the ‘unseen damage’ which is likely to have been caused by the Israeli military’s use of tanks, bombs and rockets.

Monther Shoblaq, CEO of CMWU said: “The entire water supply and sewage management systems are nearing total collapse because the damage is so extensive. There is no power to operate the water wells, desalination plants and the remaining wastewater treatment plants and the sewage is overflowing. We are doing all we can, but the situation is desperate.”

Despite the extremely hostile conditions, Oxfam and its local partners have been able to carry out quick fix repairs on some badly damaged water and wastewater pipelines in Rafah, Khan Younis and Deir Al-Balah governorates, providing 50,000 people with clean water and sanitation. In one area of Rafah, before the invasion, almost 200 metres of new pipelines were fitted. Oxfam and its partners have also installed five desalination units to provide clean
drinking water, and three more units have finally been given permission to enter Gaza, after long and repeated attempts. Life-saving water has been trucked to people in makeshift shelters in Rafah and Khan Younis and Oxfam is hoping to expand this to reach more people in the North.

To date, Oxfam’s work on water and sanitation has helped over 133,000 people and more funding is needed to continue.
Sally Abi Khalil, said: “The Israeli army has continued to destroy every aspect of life in Gaza through military attacks and siege, ruining what little civilian infrastructure remains and preventing humanitarian aid from getting in. We urgently need an immediate and permanent ceasefire to end the death and destruction, to allow more aid into Gaza and to ensure the release of the hostages and illegally detained Palestinian prisoners.”


Notes to editors:
• A UNOSAT satellite imagery analysis released in mid-January, carried out by UNICEF on behalf of the Water and Sanitation Cluster, shows that 87 per cent of WASH facilities in Gaza governorate were either destroyed or sustained some level of damage, according to OCHA.
• According to UNRWA, almost 360,000 people have fled Rafah since the first evacuation order a week ago.
• According to an assessment carried out by The Coastal Municipalities Water Utility – using field surveys and data collected from technical staff in 25 municipal areas who made a preliminary recording of visible and urgent damage in areas they have been able to access – the cost of repairs, as of April 2024, would be at least $210 million. Cost estimates may increase due un-seen damages under the mass debris.
• Juzoor’s teams of health professionals have been monitoring the situation in the North of Gaza and utilizing the WHO’s diagnosis kits and treatment protocols. Juzoor medical points have been able to successfully handle 99 percent of cases that present with recognizable
symptoms, ensuring optimal care. For severe cases, Juzoor refer individuals to secondary treatment facilities and arrange for hospital admission.