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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.
1. Population under Surveillance and Reporting Units
During epidemiological week 46 (12-18 November 2017), there was a 0.4% increase in the population1 under surveillance compared to the previous epidemiological week (823,084 and 819,812 respectively). A total of 400 daily Early Warning and Response System (EWARS) forms were received on time during epidemiological week 46.
As of 21 November 2017, the cumulative number of new arrivals in all sites was 622 000. This number includes over 341 000 arrivals in Kutupalong Balukhali expansion site, 235 000 in other camps and settlements, and 46 000 arrivals in host communities.
153 765 adolescents and children received measles vaccination
WHO Mental Health Gap Action Training commenced
618 000 Rohingyas from Myanmar are estimated to have arrived in Cox’s Bazar, Bangladesh since 25 August 2017.
1.2 million (both new arrivals and their host communities) have been targeted by the health sector .
Since 25 August 2017:
Over 20 primary health care workers in Cox’s Bazar, including physicians, clinical psychologists and counsellors from government facilities and nongovernment organizations are attending training on the assessment and management of priority mental disorders through the WHO Mental Health Gap Action Programme – mhGAP.
The three day training from 21 to 23 November is being organized by the Directorate General of Health Services, in collaboration with the National Institute of Mental Health and supported by World Health Organization.
The second phase of Cholera vaccination campaign was conducted among the newly arrived Rohingya communities in Cox’s Bazar and Bandarban, Bangladesh. It, covered 199 472 children aged one to below five years old while 236 696 children aged below five years old also received a second dose of Polio vaccine.
The six days campaign that started on the 4th of November was implemented by Ministry of Health and Family Welfare (MoHFW) with support from WHO, UNICEF, the International Centre for Diarrhoeal Disease Research, Bangladesh, IOM, UNHCR and local and international NGO’s.