I. Summary Zimbabwe is in a humanitarian crisis that is the result of a political crisis. A cholera epidemic has—as of January 12, 2009—left over 39,000 people infected and at least 2,000 dead, with the disease spreading to neighboring countries. This marks both the collapse of Zimbabwe’s healthcare system and the calculated disregard for the welfare of Zimbabweans by the ruling party, the Zimbabwe African National Union – Patriotic Front (ZANU-PF). The country is experiencing the sharpest rise in infant mortality in its history, and maternal mortality rates have tripled since the mid-90s. Meanwhile, over five million Zimbabweans face severe food shortages and are dependent on international aid. Making matters worse, ZANU-PF’s repeated political interference in the work of humanitarian agencies and its attempts to conceal the extent of the disaster have severely hampered international efforts to help tackle these multiple crises. ZANU-PF’s longstanding assault on political freedoms and civil rights lies at the heart of Zimbabwe’s humanitarian crisis. While political violence, enforced disappearances, and arbitrary detentions by the government of President Robert Mugabe peaked in the weeks leading up to the run-off presidential elections in June 2008, they have continued to the present as ZANU-PF uses repression to back its dubious claim to power. Over 40 supporters from the Movement for Democratic Change (MDC) and human rights activists have “disappeared” or been arbitrarily detained since November 2008. ZANU-PF controlled police units continue to violently break up peaceful protests, and routinely arrest and harass MDC activists. Despite the ongoing and massive violations of Zimbabweans basic rights, African governments have largely remained on the sidelines. The bi-annual summit of African Heads of State in Addis Ababa from January 26 to February 3, 2009, provides African leaders with a crucial opportunity to intervene effectively to end Zimbabwe’s long-standing political crisis. African leaders need to move beyond the failed mediation efforts of the Southern Africa Development Community (SADC). Only concerted pressure on the Mugabe government can end Zimbabwe’s unprecedented humanitarian emergency and the regional crisis it has created. Hopes for an end to Zimbabwe’s crisis were raised on September 15, 2008 when ZANU-PF and the MDC, with much fanfare from SADC and its mediator, former South African president Thabo Mbeki, signed a Global Political Agreement (GPA) in which both parties committed to 3 Human Rights Watch January 2009