Bangladesh

Bangladesh: Floods Situation Report - 07 Aug 2004



Data Source: EHA WHO Bangladesh; Control Rooms of the Directorate General of Health Services (CDC Unit)

Visit www.ewsr-who.org for current 24 hour updates of cases of diarrhea Visit www.ffwc.net for forecasts and maps of the flood situation

Current Situation

The flood situation all over the country is improving including Dhaka and central part of the nation.

According to the latest government bulletin released today, 38 districts out of the 64 districts in the country are officially affected by the current monsoon flood in Bangladesh;

The number of deaths due to the current flood has increased to 683 as recorded yesterday (06 August). Over 30.0 million people out of the 124 million in the country (Approximately 23% of the entire population) are now affected by the flood, and 4,994 flood shelters are now established in the affected areas.

Health Updates:

During last 24 hours (07/08/2004), two (2) deaths and 8,597 new cases of diarrhea have been recorded from flood-affected areas.

Since 12 July to date, a total of 103,933 cases with 58 deaths from diarrhea have been recorded from the 38 flood affected districts.


Apart from simple diarrheal diseases the following were recorded over a 24 hour period (6 August): o 2,209 cases of dysentery o 1158 cases with 1 death due to pneumonia o 53 cases of hepatitis o 10 drowning deaths and o 5 snakebite deaths

Source: Civil Surgeon's/ Deputy Commissioner's Offices; Reported by the Divisional Coordinators (DC) and Districts surveillance Medical officers (SMO) from the WHO.

The number of new cases of diarrhea and other diseases reported are increasing in districts from where floodwater is receding.

Since, the above cases reflect only those consultations, which were reported at the fixed health facilities, the above figure might not correspond to the true number of diarrhoea incidences that are associated with the current monsoon flood in the country.

Action

The national and local governments and authorities are responding to the situation which include:

- As of date, 3,456 medical teams are working in the affected areas

- 1156 temporary treatment centers are also operational in the affected areas as health outreach providing treatment facilities for diarrhoeal patients who are not in a position to move to fixed health facilities

- Routine disease surveillance strengthened with control rooms operational 24 hrs a day ;

- Efforts have been undertaken to strengthen health education activities at the most severely affected areas by the Bureau of Health Education of the Directorate General of Health Services (DGHS)

WHO Bangladesh Action

The EHA Programme of WHO Bangladesh under the guidance of the WR along its national counterpart-the Bangladesh Center for Health Emergency Preparedness and Response (BCHEPR) are continuing to work with the Disease Control unit of the DGHS for coordinating public health response to present flood situation in the country:

- An In-house Flood Crisis Management Team set-up in the WHO Bangladesh Office meets daily for updates to better coordinate action and support for the MOH of the Government of Bangladesh particularly in response to requests for assistance (already described in previous situation reports)

- WHO Bangladesh is also providing technical assistance through: o the Divisional Coordinators and Districts surveillance medical officers (SMO) from the WHO are providing technical supports to the Civil Surgeons in terms of need assessments, recording of cases and deaths like diarrhoea, pneumonia, drowning, snakebite and other diseases as well as logistical supply needed at their respective districts. o Assistance in identification and standardization of medical supplies and drugs needed for the next three-four months was completed through a consultative meeting with MOH

- WHO together with other members of the Health & Nutrition Sub-sector (UNICEF, UNFPA) for the UN Flash Appeal continue to discuss the issues regarding the proposal internally and with development partners

Projected evolution of the situation/Points of concern

In case the flood period prolongs and water remaining stagnant for long period in the country, there could be a likelihood of increased case-load for water-borne diseases in the country. Other health issues such as nutrition, food security and safety will also be a concern.

From reports by: Dr K Akram and Kamruz Zamman, current EHA Focal Points, WHO Bangladesh

Sources of Information: Control Rooms of the Directorate General of Health Services; Control Room of the Ministry of Food and Disaster Management Flood Control and Monitoring Center, (http://www.ffwc.net) Government of Bangladesh