WHO warns Venezuela faces catastrophic disease outbreaks after quakes devastate health system

The United Nations estimates that approximately 50,000 people remain missing in the wake of the earthquakes.
A WHO rapid assessment found 38 hospitals nationwide affected, with three in critical condition and several others only partially functional; the survey noted 21 health facilities were assessed.
About 15,800 people have been displaced, with many sleeping in cars, parks or crowded, unsanitary shelters as relief efforts continue.
Pre-earthquake vaccination coverage in Venezuela was historically low, heightening the risk of outbreaks such as measles, diphtheria and yellow fever as well as vector-borne diseases.
Destruction of municipal water pipes and sewage systems has led to severe water shortages and increased risk of vector- and water-borne diseases including malaria, dengue, chikungunya and Zika.
The World Health Organization warned on June 30 of imminent disease outbreaks in Venezuela, where two powerful earthquakes have killed at least 1,719 people, injured more than 5,000, and left up to 50,000 missing, according to Reuters and UN News. WHO spokesman Christian Lindmeier described conditions in hospitals as "chaotic service delivery and patient flow, marked by overcrowding" as the disaster pushes an already fragile health system toward total collapse.
A magnitude 7.5 earthquake — the strongest to hit Venezuela in over a century — struck near Caracas on June 24, followed 39 seconds later by a 7.2 foreshock, according to Wikipedia. About 15,866 people are officially displaced, with many sleeping in cars, parks, and makeshift shelters without clean water or sanitation.
A WHO rapid assessment found 38 hospitals across Venezuela affected by the quakes. Of the 21 facilities formally surveyed, three are in critical condition and six are only partially functional, according to Reuters. Surgical backlogs are growing. Essential care is delayed. And a shortage of healthcare workers — including maternity specialists in La Guaira — has left trauma patients and pregnant women without adequate care.
UN News reported that the UN has already procured 10,000 body bags, with humanitarian coordinator Gianluca Rampolla warning that recovery "is going to take time." UNICEF has shipped 47 metric tons of health and water supplies to the region. The Venezuelan government announced a $200 million reconstruction fund, while the US has committed $300 million in aid, according to The Guardian.
The earthquakes destroyed municipal water pipes and sewage systems across seven states. That has created severe water shortages and the ideal conditions for water- and vector-borne diseases. WHO and PAHO experts warn that measles, diphtheria, yellow fever, malaria, dengue, chikungunya, and Zika all pose serious outbreak risks, according to PAHO.
The danger is made worse by Venezuela's historically low vaccination rates before the disaster. Lindmeier told Reuters that disrupted vaccination programs have created a "perfect storm" for the re-emergence of preventable diseases among displaced populations. Aid group Action Against Hunger warned of the specific danger in makeshift settlements, where thousands live without any sanitation at all, according to the International Rescue Committee.
The government of interim President Delcy RodrÃguez puts the confirmed death toll at 1,719. But independent experts and NGOs say the true figure could far exceed 100,000, given the density of collapsed buildings in Caracas and La Guaira, according to the Miami Herald. The UN estimates the physical repair bill at roughly $6.7 billion — about 6% of Venezuela's GDP.
Opposition leader MarÃa Corina Machado and civic groups have accused the government of undercounting deaths, a pattern critics say echoes official information management during the COVID-19 pandemic, The Guardian reported. The UN Human Rights Mission separately called on the government to lift blocks on social media platform X, which families have been using to coordinate search efforts for the missing.
Health experts from WHO and PAHO say a disease outbreak could ultimately kill more people than the earthquakes themselves if basic biosafety and medical capacity are not restored fast. Seven people were pulled alive from rubble in Caracas on June 29 — five days after the initial strike — offering a rare moment of hope, according to UN News.
Frontline mobile medical teams led by Dr. Giorgio Franyuti of Medical Impact are treating trauma patients and working to prevent infection spread in the ruins, according to Direct Relief. But healthcare worker shortages remain severe. Food scarcity and tensions over aid access in La Guaira may also trigger a new wave of migration, the International Rescue Committee warned, adding pressure to an already overwhelmed regional response.
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