Appeals & Response Plans
- Myanmar: Floods and Landslides - Jul 2017
- Tropical Cyclone Mora - May 2017
- Myanmar: Floods - Jun 2016
- Tropical Cyclone Roanu - May 2016
- South-East Asia: Drought - 2015-2017
- Tropical Cyclone Komen - Jul 2015
- Myanmar: Floods and Landslides - Jul 2015
- Myanmar: Floods - Jul 2014
- Myanmar: Floods - Aug 2013
- Tropical Cyclone Mahasen - May 2013
Maps & Infographics
Most read (last 30 days)
- "Toxic fear" The situation of children in Rakhine State, Myanmar
- Asia and the Pacific: Weekly Regional Humanitarian Snapshot (27 December 2017- 2 January 2018)
- Disaster preparedness for states and regions
- Public Health Statistics (2014‐2016)
- Will Rohingya Refugees Start Returning to Myanmar in 2018?
Total population of 766,460 (89%) under surveillance. 145 (92%) of health facilities enrolled.
Completeness of reporting in W2 was 63% (92/145 health facilities).
Total of 70 alerts were triggered, of which 92% were verified and 14% are undergoing risk assessment.
Total of 53 indicator based alerts:
As part of its response to the diphtheria outbreak among Rohingya in Cox’s Bazar, Bangladesh, WHO is training local and international doctors, intensive care nurses and other healthcare professionals working in the camps.
“One of the main challenges is that diphtheria is an old infectious disease that many doctors have never seen,” said Dr Janet Victoria Diaz, Clinical Management Leader. “We’ve prioritized training health workers to ensure they know how to distinguish diphtheria from an ordinary sore throat and how to correctly administer diphtheria antitoxins.”
Cox’s Bazar, Bangladesh, 14 January 2018 — As part of an intensified response to the current diphtheria outbreak, WHO, UNICEF and health sector partners are working with the Bangladesh Ministry of Health and Family Welfare to vaccinate more than 475,000 children in Rohingya refugee camps, temporary settlements and surrounding areas.
As of 6 January 2018, a total of 3 523 cases clinically suspected with diphtheria and 58 laboratory confirmed cases (out of 185 cases tested) have been reported. 104 clinically suspected cases were admitted at diphtheria treatment facilities on 6 January 2018. A total of 30 deaths have been recorded so far. The last reported death was on 2 January.
Preparations are underway for the second round of Penta/Td vaccination for Forcibly Displaced Myanmar Nationals (FDMN), which will occur in January.
A total of 2934 cases suspected of diphtheria, of whom 27 died, have been reported from 8 November – 30 December 2017. The District Core Committee for Diphtheria Outbreak, chaired by the Civil Surgeon of Cox’s Bazar, has been formalized with WHO and partners to contain the spread of diphtheria through effective treatment, vaccination, and contact tracing activities.
As of 26 December 2017, a total of 2 526 cases suspected with diphtheria have been reported, of whom 96 presented at the treating health facilities on 26 December 2017. A total of 27 deaths have been recorded so far.
As of 26 December, 109 487 children 6 weeks to under 7 years were vaccinated with Penta,
PCV, and bOPV and 102 383 children aged 7-15 years were vaccinated with Td vaccine.
A total of 2248 cases suspected of diphtheria, of whom 26 died, have been reported from 8 November – 23 December 2017. The District Core Committee for Diphtheria Outbreak, chaired by the Civil Surgeon of Cox’s Bazar, has been formalized with WHO and partners to contain the spread of diphtheria through effective treatment, vaccination, and contact tracing activities.
Over the 8 week period, from October 16 to December 10, the 5 most frequently reported diseases/syndromes were: unexplained fever (98 523 cases, 15.9%), acute respiratory infection (68 769 cases, 11.1%, with higher incidence rate among children less than 5 years old), acute watery diarrhoea (65 092 cases, 10.5%), and skin diseases (28 693 cases, 4.6%, with similar numbers of reported cases among both children aged under 5 and individuals aged 5 years and older).
Epidemiological overview as of 25 Dec 2017
Between 8 Nov 2017 and 25 Dec 2017, 2440 suspected case-patients with diphtheria were reported in the settlements of forcibly displaced Myanmar nationals, Cox’s Bazar (Figure 1), 80 of which were reported on 25 Dec 2017 (Figure 2). Date of onset information is missing for 111 (4.5%) case-patients.
As of 19 December 2017, a total of 1841 cases suspected with diphtheria have been reported, of whom 109 presented at the treating health facilities on 19 December 2017. A total of 22 deaths have been recorded so far.
Vaccination started in Ukhia and Teknaf on 12 December for children under 7 with pentavalent, pneumococcal, and bivalent oral polio vaccines and on 17 December for children from 7 up to 15 years with tetanus-diphtheria (Td) vaccine.
Cox’s Bazar, Bangladesh, 19 December 2017 — The World Health Organization has deployed additional staff and resources to respond to a rapidly spreading outbreak of diphtheria among Rohingya refugees in Cox’s Bazar, Bangladesh.
WHO has released US$1.5 million from its Contingency Fund for Emergencies to help finance scaling up of health operations in Cox’s Bazar over the next six months, in efforts to respond to an outbreak that has seen more than 1,500 probable cases, including 21 deaths.
From 3 November 2017 through 12 December 2017, a total of 804 suspected diphtheria cases including 15 deaths were reported among the displaced Rohingya population in Cox’s Bazar (Figure 1). The first suspected case was reported on 10 November 2017 by a clinic of Médecins Sans Frontières (MSF) in Cox’s Bazar.
12 December 2017, Cox’s Bazar, Bangladesh – The Government of Bangladesh, with the support of UNICEF, the World Health Organization and GAVI, the Vaccine Alliance, today launched a vaccination campaign against diphtheria and other preventable diseases for all Rohingya children aged 6 weeks to 6 years living in 12 camps and temporary settlements near the Myanmar border.
1. Population under Epidemiological Surveillance and Reporting Units
During epidemiological week 48 (26 November-2 December 2017), there was a 0.1% decrease in the population1 under EWARS compared to the previous epidemiological week (from 827,609 to 827,181). Overall, the settlement populations remained more or less stable.
6 DECEMBER 2017 | GENEVA - Diphtheria is rapidly spreading among Rohingya refugees in Cox’s Bazar, Bangladesh, WHO warned today.
More than 110 suspected cases, including 6 deaths, have been clinically diagnosed by health partners, including Médecins Sans Frontières (MSF) and the International Federation of the Red Cross (IFRC).
As of 6 December 2017, the cumulative number of new arrivals in all sites was 626,000. This number includes over 343,000 arrivals in Kutupalong Balukhali expansion site, 237,000 in other camps and settlements, and 46 000 arrivals in host communities.
As of 6 December, 354,982 adolescents and children received measles and rubella vaccination. Rapid convenience assessments are being carried out in parallel to the campaign, and based on their results corrective actions will be taken.
As of 27 November 2017, the cumulative number of new arrivals in all sites was 624 0001. This number includes over 342 000 arrivals in Kutupalong Balukhali expansion site, 236 000 in other camps and settlements, and 46 000 arrivals in host communities.
As of 28 November, 292 753 adolescents and children received measles vaccination.
1. Overview of the Early Warning and Response System (EWARS)
The World Health Organization (WHO) in collaboration with the Ministry of Health and Family Welfare (MOHWF) established a disease early warning and response system (EWARS) in Cox’s Bazar district, Chittagong division in Bangladesh as a response to the influx of Forcibly Displaced Myanmar Nationals (FDMN) in early September 2017.