The humanitarian situation continues to deteriorate, with adverse effects on displaced and other vulnerable groups, particularly in the volatile western and northern areas. In the first half of 2006, the national average of children vaccinated was 70%; nevertheless, a quarter of health districts still have a coverage rate below 30%, also due to a lack of routine immunization. The collection of health information and health data is improving in some districts, but in others, especially those in the North and the West, the rate of completeness and promptitude is still very low, which is a weakening factor for the disease surveillance system.
Malaria is the first cause of consultation. It is further responsible for 40% of the hospitalization cases and the primary cause of death of children under five. Maternal mortality is estimated at 690 deaths for 100 000 live births, representing an increase of 14% between 1994 and 2005. At the national level, infant and under-five mortality are respectively 117 and 194 per 1000 live births.
In August 2006, the dumping of close to 500 tonnes of toxic wastes in Abidjan triggered a public health crisis that led to ten deaths and around 100 000 consultations. The number of consultations overwhelmed the weakened health system.