Attachments
KEY HIGHLIGHTS
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As of 14 November 2017, the cumulative number of new arrivals in all sites was 618 000. This number includes over 338 000 arrivals in Kutupalong Balukhali expansion site, 234 000 in other camps and settlements, and 46 000 arrivals in host communities.
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According to the disease early warning and response system (EWARS), a total of 412 suspected cases of measles have been reported between 1 September and 4 November 2017 and the numbers increased significantly this week. Case investigation is ongoing and a vaccination campaign is planned.
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The preliminary results of a recent inter-agency health service mapping of all camps and settlements conducted from 8 to 14 November 2017 confirm that distribution of health services is not equitable.
The information is being used to plan for allocation and reallocation of health care services providers. -
Ministry of Health and Family Welfare, supported by WHO and partners completed the second phase of an oral cholera vaccination campaign during which a total of 199 472 children aged between one and five years received a second dose of oral cholera vaccine for added protection. In addition, 210 000 children under five years of age were given oral polio vaccine (bOPV).
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WHO is assisting Ministry of Health and Family Welfare (MOHFW) efforts to scale up vaccination at transit sites, static facilities and through household visits by vaccinators.
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WHO and partners have begun mapping mobile and fixed health care facilities in FDMN camps and settlements. The information will be used to rationalize the distribution of health care services.
SITUATION OVERVIEW
Over 65 health sector partners and approximately 200 health care facilities are known to be operating across all camps and settlements. However, there is limited oversight or coordination of these facilities, and no process for analysing health care coverage and assigning new facilities to under-served areas. Moreover, the services provided are not standardized and the quality of health care services varies considerably. Government hospital facilities are overcrowded and do not have the resources to cope with the high volumes of referral patients.
The latest EWARS data shows that acute respiratory infections remain the most commonly reported disease (29%), followed by fevers of unexplained origin (28%) and acute watery diarrhoea (21%). While the most recently published data on measles reports 412 suspected cases (from the 4th Mortality Morbidity Weekly Bulletin (MMWB) EWARS 4th November), there has been a significant increase in the number of measles cases this week. In view of the low immunization coverage among the FDMN population, vaccination programmes need to be strengthened as a priority.
Potential outbreaks of diarrhoeal diseases including cholera are also a concern, given the inadequate water and sanitation facilities in camps and settlements. WHO water quality data analysis from the 4th MMWB of 624 source and 1248 household water samples shows that just 35% of source samples and 7% of household samples are free from E. coli contamination.