Population movement – Syrian refugees continue to cross the borders into neighbouring countries. As of April 2014, there are a total of 2.8 million refugees who have sought protection in the region.
Mortality – Since January 2014, there have been 68 deaths reported in Za’atri (crude mortality rate - 0.24 per 1,000 per month). The under 5 mortality rate for the first quarter of 2014 was estimated at 0.43 per 1000 per month. The major causes of death were diabetes and diabetes complications, cardiovascular diseases, and neonatal deaths.
Primary health care (PHC) – A total of 317,747 consultations were reported from Iraq, Jordan and Lebanon– an average of 24,442 consultations per week. In refugee camps, the health utilization rate (HUR) varied from camp to camp. In Za’atri camp, Jordan, a HUR of 7.7 consultations per person-year was observed. In Kurdistan, Iraq, the highest HUR was observed in Basirma (13.8) while the lowest in Domiz (1.9).
Communicable diseases – In all refugee camps acute respiratory tract infections (ARIs) were the main reasons for seeking care; the overall incidence of ARI was 32.1 per 1000 refugees per week in Kurdistan and 44.7 per 1000 refugees per week in Za’atri camp. Among the 4 largest refugee camps, diarrhoeal incidence was lowest in Domiz camp Iraq and highest in Darashakran, Iraq.
Disease surveillance – In Za’atari camp Jordan, 2 cases of confirmed measles, 6 cases of suspected non-meningeococcal meninigitis, and 46 cases of hepatitis A associated acute jaundice syndrome were reported. In Kurdistan camps, Iraq, 1 case of confirmed measles, 1 case on non-meningeococcal meningitis, and 139 cases of hepatitis A associated acute jaundice syndrome were reported. No polio cases reported among refugees in the region