Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017 Page 1 KEY HIGHLIGHTS
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.Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017 Page 2 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:
Situation Report #08, Refugee Crisis from Myanmar to Bangladesh, 19 October 2017 Page 3
PUBLIC HEALTH CONCERNS
CONTACTS WHO ACTIONS
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.
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.
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
