79 new cases of acute jaundice syndrome were reported with no deaths, bringing the total to 556 cases for 2018. The aetiology is still not well defined.
Since the beginning of the outbreak, a total of 5,511 suspected cases of diphtheria were reported, with 38 deaths and 298 new cases during the reporting period, indicating a declining trend. UNICEF and partners are pursuing the second round of the diphtheria vaccination campaign in the Rohingya community, which commenced on 27 January, 327,992 (92 % of the target) children were reached during the first 11 days.
As of 6 February 2018, 282,200 people have access to safe water, and 385,150 people have access to sanitation facilities A total of 1,870 latrines have been de-sludged, a key activity in preparation of the monsoon season.
During the reporting period, 612 new children aged 4-14 were enrolled in the learning centres, and 45 new teachers were trained. Assessments of the learning centre premises are ongoing to consolidate them in advance of the monsoon season.
At the start of the year, UNICEF has 28 per cent funding available against its 2018 appeal requirement. An additional US$ 104.5 million is required to fully deliver on the Rohingya response. UNICEF would like to thank the Government of Japan for its renewed commitment to generously support UNICEF’s Rohingya response in 2018
Situation Overview and Humanitarian Needs
As of 27 January 2018, the Inter-Sector Coordination Group (ISCG) reported that almost 688,0001 Rohingya refugees have entered Bangladesh since the attacks. According to ISCG’s rapid needs assessment, 58 per cent of new arrivals are children and 60 per cent are girls and women including a high number of pregnant (3 per cent) and lactating women (7 per cent). The estimated total affected population of existing refugees, new arrivals and host communities is 1.2 million people. 2 This includes 720,000 affected children in need of urgent humanitarian assistance including critical life-saving interventions.
Existing basic services for refugees and host communities have been overwhelmed due to the sudden and massive increase in population. The high population density in the settlements has increased the risk of disease outbreaks and 1.2 million people urgently require water and sanitation services. More than 17 million litres of clean water per day are needed and approximately 50,000 latrines with semi-permanent structures need to be constructed or maintained. Vaccination coverage amongst new arrivals is very low and deadly outbreaks of communicable diseases (measles and diphtheria) have already occurred. In the densely populated settlements, with poor sanitation and hygiene conditions, an outbreak of cholera or acute watery diarrhoea (AWD) is a risk that is being addressed in the rainy/cyclone season preparedness plan. Urgent nutrition needs have been prioritized for children under five (including infants), pregnant and lactating women (PLW) and adolescent girls, with 3 per cent of children suffering from life-threatening severe acute malnutrition (SAM) in the biggest settlement (Kutupalong). An estimated 400,000 Rohingya children are also in need of psychosocial support and other protection and education services.
The inter-agency Humanitarian Response Plan (HRP), covering the period from September 2017 to February 2018, identified the need to immediately scale-up activities in the areas of WASH, health, nutrition and food security and shelter to save lives in both settlements and host communities. The “Rohingya Refugee Crisis Joint Response Plan” covering the period from March to December 2018 will ensure that the needs of the most vulnerable population will continue to be addressed.
UNICEF’s 2018 HAC was developed prior to the upcoming inter-agency Joint Response Plan (JRP) and will therefore be revisited later to ensure full alignment with the JRP.