Visit http://www.ewsr-who.org for current 24 hour updates of cases of diarrhea
Visit http://www.ffwc.net for forecasts and maps of the flood situation
- The flood situation in the districts of Sylhet, Sunamganj, Moulvi Bazar, Comilla, Netrokona, Hobiganj, Kurigram, Rangpur, Gaibandha, Bogra, Naogaon, Pabna, Jamalpur, Mymensingh, Sirajganj, Manikganj, Tangail, Madaripur, Rajbari, Shariatpur, Gopalganj, Narshingdhi, Kishoreganj and Brahmanbaria continue to improve.
- The districts of Dhaka, Munshiganj, Narayanganj and Chandpur remain unchanged.
- According to the latest government bulletin1 released today, 40 districts out of the 64 districts in the country are officially affected by the current monsoon flood in Bangladesh;
- The number of casualties due to the current flood has increased to 489; with 16 new floods related deaths as recorded yesterday (30 July). Over 30.0 million people out of the 124 million in the country (Approximately 24% of the entire population) are now affected by the flood, and 4830 flood shelters are now established in the affected areas.
- During last 24 hours (30/07/2004), one (1) death and 6338 new cases of diarrhoea have been recorded from flood-affected areas.
- Since 12 of July to date, a total of 46,856 cases with 31 deaths from diarrhoea have been recorded from the 38 flood affected districts.
- Since 1-29 July, apart from diarrhoeal diseases the following morbidities and mortalities were reported
- 2611 cases of pneumonia with 1 death
- 33 cases of drowning
- 8 cases of fatal snake bites
* Source: Civil Surgeon's/ Deputy Commissioner's Offices; Reported by the Divisional Coordinators (DC) and Districts surveillance Medical officers (SMO) from the WHO to the NDSC, IEDCR, Dhaka
- The number of new cases of diarrhoea is increasing since the beginning of current monsoon. However, the current case fatality rate doesn't show any increasing trend than what has, regularly been observed in previous years in Bangladesh particularly in those years where floods or other natural disasters have affected the country.
- 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.
The national and local governments and authorities are responding to the situation which include:
- As of date, 3,331 medical teams are working in the affected areas
- 1,160 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
- The Directorate of General Services of the government has procured additional drugs from its own budget to meet the demand in the field
- 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
- The Country Office of WHO-Bangladesh has already extended response support to the DGHS in view of the current flood by providing emergency drugs and medical supplies like intravenous fluids, bleaching powder, antibiotics and other essential drugs as emergency flood assistance to the government. In addition, WHO is assisting in supplying snake anti-venom to the DGHS.
- Logistics and communications support to the DG and DGHS Control Room
- WHO Bangladesh is also providing technical assistance through:
- 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.
- 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
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.
The Government of Bangladesh has, so far, made no international appeal for flood assistance
From reports by: Dr K Akram and Kamruzzamman, 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