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

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• 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.

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• 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:ranab@who.int Email:eltahirkh@who.int