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Weekly Situation Report #34, Rohingya Refugees Page 1 Emergency type: Rohingya Refugee Crisis HIGHLIGHTS Since 11 May, monsoon rains have affected 29,650 people, with 2,909 individuals displaced, 33 injured and 1 killed. In the past week health facilities reported 4,335 patients with Acute Watery Diarrhea (AWD). This brings the total number of AWD patients to 125,565 in 2018. SITUATION OVERVIEW The health sector has received US $15.2 million out of the $113.1 million requested through the Rohingya Refugee Crisis Joint Response Plan 2018 (as of 27 June 2018). Additional funding is required to cater for the health needs of the Rohingya community as well as strengthening the health system in Cox’s Bazar. Disease outbreaks have so far been averted due to preventive measures including vaccination, community engagement and education. RESPONSE EPIDEMIOLOGICAL UPDATE Forty-six EWARS alerts were triggered in week 27. WHO epidemiologists looked into all of those 46 alerts and are monitoring eight of them. Acute respiratory infections (ARI), acute watery diarrhea (AWD) and other diarrhea are the three leading illnesses. Those three diseases represent 16%, 5.6% and 4%, respectively, of the total number of disease reported to EWARS. These diseases could become outbreaks during the monsoon season. 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 Weekly Situation Report #34 Date of issue: 12 July 2018 Period covered: 4-11 July 2018 Location: Bangladesh

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Page 1: Emergency type: Rohingya Refugee Crisissearo.who.int/entity/bangladesh/weeklysitrep34cxb.pdf · Seven cholera kits for moderate cases were delivered to all upazilas in the Cox’s

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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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.

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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]