Situation reports 09: 26 October 2017 , 308kb
Situation Report: 9
Date: 26 October 2017
Emergency type: Bangladesh/Myanmar: Rakhine
Conflict 2017
702 400
new arrivals
in BAN
300 000
previously
existing in BAN
Internally
displaced in
MMR
700 487
106% OCV coverage
(1 year and above
since 10 October)
1.2 million
target population for
humanitarian action
77
KEY HIGHLIGHTS
1
As of 22 O to er
7, u ulati e u er of e arri als i all sites of Ukiah, Tek af, Co ’s Bazar a d
Ramu are 702 400, including over 343 000 arrivals in Kutupalong Balukhali Expansion site, 37 500
in Tekhnaf makeshift settlements/refugee camps, 46 000 arrivals in host communities and 175 000
arrivals in new spontaneous sites.
Around 30 children were treated in the MSF hospital following ingestion of Haloperidol tablets. Relief
packages distributed by a private organization seem to have been the source of these tablets. All sectors
working in the settlements have been alerted to raise awareness amongst new arrivals that they should
not take any medicine without medical advice.
As part of the Oral Cholera Vaccine campaign, 700 487 people above one year of age were reached in the
first phase of the campaign held between 10 to 18 October.
A natural disaster contingency plan is being developed to mitigate and respond to foreseeable monsoon
and cyclones and will be shared soon.
During the period of 25 August-21 October 2017, there were 77 reported deaths: 40% (31) of deaths were
due to ARI, 13% (10) to neonatal diseases, 13% (10) injury, 9% (7) AWD, 3% (2) malaria, 3% (2) meningitis
and the remaining 19% were due to other causes1.
Mortalit a d Mor idit Weekl Bulleti
October 2017
MMWB . World Health Orga izatio . Co ’s Bazar, Ba gladesh. Volu e No :
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017
Page 1
SITUATION OVERVIEW
OCV vaccination campaign
The OCV campaign was launched on 10 October, covered 700 487 people of one year and above. Of them, 176
482 were children in the age group of one to five years. While Phase 1 ended on 16 October, mop-up vaccination
was carried out on 17-18 October. No adverse events following immunization were reported so far. The second
phase of OCV campaign is scheduled early November to cover children in the age group of one and five years with
an additional dose for added protection.
WASH Situation update
Training of water sample collectors:
WHO has trained 12 newly recruited water sample collectors of the Department of Public Health Engineering
(DPHE). The hands-on training on sample collection and sanitary assessment was held Kutupalong Camp. The
DPHE, with WHO support, has set up a water quality testing lab. A systematic surveillance plan has been drawn up
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017
Page 2
to periodically test water quality of 1200 tube wells. Six teams will be conducting the tests. They will also assess
sanitary risk based on household water storage contamination.
PUBLIC HEALTH CONCERNS
Stretched resources in cramped camp settings: Due to the nature of spontaneous settlement, there is a lack of space
for establishing fixed medical facilities to provide health services. It is the same in CXB, where there is acute shortage
of space to store items and supplies as well. New arrivals are joining the already overcrowded area.
WHO ACTIONS
Coordination & supplies: WHO took over health sector coordination from IOM on the 1st October 2017 and has
since been conducting weekly health sector coordination meetings. WHO is secretariat to the Emergency
Coordination Committee set up by the government to lead the health response. Further, WHO has mobilized
inter-agency health kits, surgical and inter-agency diarrheal disease kits, water purification units and water
treatment kits. WHO is also providing medicines and medical supplies to mobile medical teams covering the
settlements. WHO is a ti el i ol ed i the pla i g of health fa ilities i the e
ega site a d supporting
GoB medical teams to new spontaneous settlements as well.
Surveillance: WHO has established an Emergency Operations Centre (EOC) in CXB to strengthen disease
surveillance and support daily reporting of morbidity and mortality from partners. The EOC is actively monitoring
the health situation to provide early warning alerts on outbreak prone diseases.
Vaccination: WHO had just supported the MoH and partners to complete a rapid measles and rubella (MR) and
polio vaccination campaign from 16 September to 4 October for newly arrived children aged 6 months to 15 years
old. Following a risk assessment carried out with WHO support, a cholera vaccination campaign was conducted in
CXB, beginning 10 October, to protect the newly arrived Rohingya and host communities from life-threatening
diarrheal diseases. 900 000 doses of OCV were mobilized for the campaign that was conducted in two phases.
Phase 1 from 10 – 18 October for people above one year of age and Phase 2 that will begin in early November for
children aged one to five years, for added protection against cholera with an additional dose. WHO has been
supporting the planning, training and monitoring of the OCV campaign. WHO is currently supporting MoH and
partners
to
plan
for
routine
EPI
immunization.
WASH: WHO continues to support water quality testing and sanitary survey of both water points and household
water. WHO is supporting Department of Public Health Engineering for training personnel recruited for sample
olle tio a d testi g i Co ’s Bazar.
WHO staff surge 40 staff were deployed to Cox's Bazar to support coordination, disease surveillance, risk
assessment, information management, immunization, and risk communication
CONTACTS
1. Dr Roderico Ofrin
Director, WHO Health Emergency Department (WHE)
WHO South-East Asia Regional Office
Email: ofrinr@who.int
2. Dr Arturo Pesigan,
Emergency Coordinator, WHE
WHO South-East Asia Regional Office
Email: pesigana@who.int
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017
Page 3
Date: 26 October 2017
Emergency type: Bangladesh/Myanmar: Rakhine
Conflict 2017
702 400
new arrivals
in BAN
300 000
previously
existing in BAN
Internally
displaced in
MMR
700 487
106% OCV coverage
(1 year and above
since 10 October)
1.2 million
target population for
humanitarian action
77
KEY HIGHLIGHTS
1
As of 22 O to er
7, u ulati e u er of e arri als i all sites of Ukiah, Tek af, Co ’s Bazar a d
Ramu are 702 400, including over 343 000 arrivals in Kutupalong Balukhali Expansion site, 37 500
in Tekhnaf makeshift settlements/refugee camps, 46 000 arrivals in host communities and 175 000
arrivals in new spontaneous sites.
Around 30 children were treated in the MSF hospital following ingestion of Haloperidol tablets. Relief
packages distributed by a private organization seem to have been the source of these tablets. All sectors
working in the settlements have been alerted to raise awareness amongst new arrivals that they should
not take any medicine without medical advice.
As part of the Oral Cholera Vaccine campaign, 700 487 people above one year of age were reached in the
first phase of the campaign held between 10 to 18 October.
A natural disaster contingency plan is being developed to mitigate and respond to foreseeable monsoon
and cyclones and will be shared soon.
During the period of 25 August-21 October 2017, there were 77 reported deaths: 40% (31) of deaths were
due to ARI, 13% (10) to neonatal diseases, 13% (10) injury, 9% (7) AWD, 3% (2) malaria, 3% (2) meningitis
and the remaining 19% were due to other causes1.
Mortalit a d Mor idit Weekl Bulleti
October 2017
MMWB . World Health Orga izatio . Co ’s Bazar, Ba gladesh. Volu e No :
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017
Page 1
SITUATION OVERVIEW
OCV vaccination campaign
The OCV campaign was launched on 10 October, covered 700 487 people of one year and above. Of them, 176
482 were children in the age group of one to five years. While Phase 1 ended on 16 October, mop-up vaccination
was carried out on 17-18 October. No adverse events following immunization were reported so far. The second
phase of OCV campaign is scheduled early November to cover children in the age group of one and five years with
an additional dose for added protection.
WASH Situation update
Training of water sample collectors:
WHO has trained 12 newly recruited water sample collectors of the Department of Public Health Engineering
(DPHE). The hands-on training on sample collection and sanitary assessment was held Kutupalong Camp. The
DPHE, with WHO support, has set up a water quality testing lab. A systematic surveillance plan has been drawn up
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017
Page 2
to periodically test water quality of 1200 tube wells. Six teams will be conducting the tests. They will also assess
sanitary risk based on household water storage contamination.
PUBLIC HEALTH CONCERNS
Stretched resources in cramped camp settings: Due to the nature of spontaneous settlement, there is a lack of space
for establishing fixed medical facilities to provide health services. It is the same in CXB, where there is acute shortage
of space to store items and supplies as well. New arrivals are joining the already overcrowded area.
WHO ACTIONS
Coordination & supplies: WHO took over health sector coordination from IOM on the 1st October 2017 and has
since been conducting weekly health sector coordination meetings. WHO is secretariat to the Emergency
Coordination Committee set up by the government to lead the health response. Further, WHO has mobilized
inter-agency health kits, surgical and inter-agency diarrheal disease kits, water purification units and water
treatment kits. WHO is also providing medicines and medical supplies to mobile medical teams covering the
settlements. WHO is a ti el i ol ed i the pla i g of health fa ilities i the e
ega site a d supporting
GoB medical teams to new spontaneous settlements as well.
Surveillance: WHO has established an Emergency Operations Centre (EOC) in CXB to strengthen disease
surveillance and support daily reporting of morbidity and mortality from partners. The EOC is actively monitoring
the health situation to provide early warning alerts on outbreak prone diseases.
Vaccination: WHO had just supported the MoH and partners to complete a rapid measles and rubella (MR) and
polio vaccination campaign from 16 September to 4 October for newly arrived children aged 6 months to 15 years
old. Following a risk assessment carried out with WHO support, a cholera vaccination campaign was conducted in
CXB, beginning 10 October, to protect the newly arrived Rohingya and host communities from life-threatening
diarrheal diseases. 900 000 doses of OCV were mobilized for the campaign that was conducted in two phases.
Phase 1 from 10 – 18 October for people above one year of age and Phase 2 that will begin in early November for
children aged one to five years, for added protection against cholera with an additional dose. WHO has been
supporting the planning, training and monitoring of the OCV campaign. WHO is currently supporting MoH and
partners
to
plan
for
routine
EPI
immunization.
WASH: WHO continues to support water quality testing and sanitary survey of both water points and household
water. WHO is supporting Department of Public Health Engineering for training personnel recruited for sample
olle tio a d testi g i Co ’s Bazar.
WHO staff surge 40 staff were deployed to Cox's Bazar to support coordination, disease surveillance, risk
assessment, information management, immunization, and risk communication
CONTACTS
1. Dr Roderico Ofrin
Director, WHO Health Emergency Department (WHE)
WHO South-East Asia Regional Office
Email: ofrinr@who.int
2. Dr Arturo Pesigan,
Emergency Coordinator, WHE
WHO South-East Asia Regional Office
Email: pesigana@who.int
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017
Page 3