• Acute respiratory infection (ARI), Acute watery diarrhea (AWD), Unexplained fever (UF) and suspected malaria were the diseases with highest proportional morbidity.
• The next round of Oral Cholera Vaccination campaign is set to commence on 17 November running up to 13 December 2018.
• A Sexual and Reproductive Health (SRH) and Gender-based Violence (GBV) workshop was held on 4-5 November 2018 in Cox’s Bazar with 45 people participating.
• There are an estimated 921,000 Rohingya refugees (215,796 families) in Cox’s Bazar, according to the latest Needs and Population Monitoring (NPM) round 12 exercise. The Rohingya refugees continue to arrive in Bangladesh, though the overall influx has slowed since the onset of the crisis in late August 2017.
From 1 January-15 September 2018, UNHCR has recorded 13,764 new arrivals to Bangladesh.
RESPONSE EPIDEMIOLOGICAL SUMMARY
• As of week 44, 176 health facilitiesregistered as active Early Warning, Alert and Response System (EWARS) reporting sites. Coverage of EWARS reporting in now 80 per cent (176/219).
Of these sites, 128 submitted their weekly reports (73 per cent) by Tuesday 6 November 2018 resulting in a cumulative completeness of 79 per cent for 2018.
• A total of 20 alerts (triggers) were reported and reviewed in the EWARS system in week 44 including a cluster of RDT positive suspected cholera cases and RDT positive Hepatitis E case from host community. All the alerts were reviewed within 48 hours.
• Samples from the RDT positive suspected Hepatitis E case was collected and tested in the IEDCR laboratory which confirmed the case. Investigation by WHO team was carried out in the surrounding households no other suspected cases.
• Acute respiratory infection (ARI), Acute watery diarrhea (AWD), Unexplained fever (UF) and suspected malaria are the disease with highest proportional morbidity in last week. All these conditions are being monitored by WHO Epidemiology team.
• The number of acute respiratory infection (ARI) cases reported this week is slightly less than previous week. 13 891 cases reported in EWARS via weekly report form (15 529 in week 43)