A total of 2248 cases suspected of diphtheria, of whom 26 died, have been reported from 8 November – 23 December 2017. The District Core Committee for Diphtheria Outbreak, chaired by the Civil Surgeon of Cox’s Bazar, has been formalized with WHO and partners to contain the spread of diphtheria through effective treatment, vaccination, and contact tracing activities.
From October 16 to December 10, the most frequently reported diseases/syndromes were: unexplained fever, acute watery diarrhea, skin diseases and acute respiratory infection (with higher incidence rate among children less than 5 years old).
Health facility assessments in Sadar District Hospital, Ukhia Upazila Health Center, and Teknaf Upazila Health Centers were conducted by WHO with health partners to assess facility capacities in light of the influx of displaced persons since August 2017.
Since 25 August 2017, an estimated 655 000 Rohingya have crossed the border into Cox’s Bazar, joining approximately 300 000 that had fled in earlier waves of displacement. Respiratory infection, skin disease, and acute watery diarrhea risks remain high with increasingly crowded living conditions, inadequate water and sanitation (WASH) facilities, and low vaccination coverage.
As of 21 December 2017 over 547 000 arrivals are in Kutupalong Balukhali expansion site, 242 000 in other camps and settlements, and 79 000 arrivals in host communities, with impact on the already congested health response. Pre-existing camps and settlements as well as new spontaneous settles have expanded with the new influx.