WeeklySituationReport#34,RohingyaRefugees Page1
Emergencytype:RohingyaRefugeeCrisis
HIGHLIGHTS
• Since11May,monsoonrainshaveaffected29,650people,with2,909individualsdisplaced,33injuredand1killed.
• Inthepastweekhealthfacilitiesreported4,335patientswithAcuteWateryDiarrhea(AWD).ThisbringsthetotalnumberofAWDpatientsto125,565in2018.
SITUATIONOVERVIEW
• The health sector has received US $15.2 million out of the $113.1 million requested through theRohingyaRefugeeCrisisJointResponsePlan2018(asof27June2018).Additionalfundingisrequiredtocater for thehealthneedsof theRohingyacommunityaswell as strengthening thehealth system inCox’sBazar.
• Disease outbreaks have so far been averted due to preventive measures including vaccination,communityengagementandeducation.
RESPONSE
EPIDEMIOLOGICALUPDATE• Forty-sixEWARSalertsweretriggeredinweek27.WHOepidemiologistslookedintoallofthose46
alertsandaremonitoringeightofthem.• Acuterespiratoryinfections(ARI),acutewaterydiarrhea(AWD)andotherdiarrheaarethethree
leadingillnesses.Thosethreediseasesrepresent16%,5.6%and4%,respectively,ofthetotalnumberofdiseasereportedtoEWARS.Thesediseasescouldbecomeoutbreaksduringthemonsoonseason.
706,364 new arrivals since
25 Aug 2017
734,176
Rohingyas being monitored for diseases
1.3 million people targeted for health
assistance
919,000 Rohingya
refugees in Cox’s Bazar
879,273
Rohingya and host community members
vaccinated during the last OCV campaign
WeeklySituationReport#34Dateofissue:12July2018Periodcovered:4-11July2018Location:Bangladesh
WeeklySituationReport#34,RohingyaRefugees Page2
• Tennewsuspectedmeaslespatientswerereportedinweek27,bringingthetotalnumberofcasesreportedin2018to1,430.WHO,incollaborationwiththeBangladeshMinistryofHealth,iscollectingsamplesfromsuspectedmeaslescasesasapartofroutinemeaslessurveillance.
• Therewasnooverallincreaseinacuterespiratoryinfectionsinweek27.However,thelowreportingfrequencyduringpreviousfewweeksmayhavecausedabacklogofcasereports.WHOepidemiologistsarefollowing-uponhighernumbersofcasesthatsomesitesarereporting.
• EWARSshowedaconstanttrendinthenumberofAWDcasesinweek27andduringthepreviousfourweeks.
• ThetrendofAcuteJaundiceSyndrome(AJS)hasdecreasedduringthepastthreemonths.Thirty-sevennewpatientswithAJSwerereportedinweek27.Therewere56casesinweek26,whichbringsthenumberofreportedAJScasesin2018to2,445.
DIPHTHERIAUPDATE• ReportstoEWARSsuggestthatinweeks25,26and27,therewasanincreaseinthenumberof
confirmeddiphtheriacases.Thereweretwoconfirmedcasesinweek25;fiveinweek26;andeightinweek27.Noincreaseinprobablediphtheriacaseswasobservedinweek27.
• Somepotentialacuterespiratoryinfectionclustersareunderinvestigation.• Asof08July2018,healthfacilitiesreported7,948diphtheriapatientstoEWARS,including842
patientswhosecaseswerenegativeinlaboratorytests.Fifty-eightnewcaseswerereportedduringweek27;eightwerelab-confirmed,18wereprobable;3weresuspectedand29werelabnegative.
• Forty-fourdeathsfromdiphtheriahavebeenreportedinEWARSsincetheoutbreakbeganinNovember2017(case-fatalityrateswerelessthan1.0%).Nodeathswerereportedinweek27.
• Twonewdiphtheriacase-patientswerereportedinthehostcommunity,bringingthetotalnumberofpatientsto68(excludingpatientswhosetestswerelabnegative).
• Nodiphtheriadeathshavebeenreportedfromthehostcommunity.
HEALTHOPERATIONS
• PreparationscontinuedforthenextroundoftheOralCholeraVaccine(OCV)campaign,scheduledforAugust,whichwilltargetchildrenfrombirthto2yearsold.
• SocialmobilizersarebeingrecruitedfromtheRohingyacommunitytoassistintheOCVcampaign.
WeeklySituationReport#34,RohingyaRefugees Page3
• Rohingyacommunitymemberswillgetnewvaccinationcardsforallessentialinformationandprotectiveplasticenvelopesforprotectingthem.
• Ashort-termandmiddle-termriskcommunicationframework,includingstrategiesforcommunicatingwithcommunitiesanddeliveringvitalinformationondiseaseprevention,wasdrafted.
• Riskcommunicationscollaboratedwithepidemiologistsonthefirstofwhatcouldbeaseriesofeasy-to-understandpostersforhealthfacilitiesonhowtoreportdifferentdiseasestotheEarlyWarning,AlertandReportingSystem.
• WHOisworkingwithIRCandIOMonplansforanambulancecoordinationandresponsesystemifamasscasualtyincidentshouldoccur
• Thefirstphaseimplementationofthebloodbank/transfusionprojectatSadarHospitalbegan.• LabrequirementswerereviewedwithSadarHospitallaboratorytechnicians.• Emergencysupplieswerefinalizedandprepositionedwithsuppliesinair-conditionedcontainersata
Samaritan’sPurseInfectiousDiseaseCenterandattheIOMlogistichubinNhila.• OnecholerakitforseverecaseswasdeliveredtoSadarHospital.Sevencholerakitsformoderatecases
weredeliveredtoallupazilasintheCox’sBazardistrict.• AmedicalinstrumentwasinstalledintheWHO-supportedfieldlaboratoryattheCox’sBazarMedical
College.Itdetectsbiologicalandchemicaldatainbloodandothersamples.
COORDINATION
• AstandardizedreferralformandaStandardOperatingProcedure,whichthehealthsectorhelpeddevelop,hasbeenendorsedbyhealthpartnersformedicalreferralsoutsidethecamps.ThiswillfacilitatethecoordinationbetweenpartneragenciesandthegovernmentofBangladesh.
•GuidingprinciplesonWASHandHealthsectorcollaborationwereagreeduponforimprovedjointemergencyplanningandresponse.
CONTACTS
Dr.BardanJungRana Dr.Khalidel-TahirWHORepresentative IncidentManager−WHO
WHOBangladesh Cox’sBazarEmail:[email protected] Email:[email protected]