Weekly Newsletter n 13

Transcription

1 Emergency relief Weekly Newsletter n 13 This newsletter is prepared in collaboration with the World Health Organization (WHO). It is based on data received by health partners and on joint evaluations between the Ministry of Public Health and WHO. Period of 17 to 23 July 2011 Main issues: Due mainly to climatic conditions and the month of Ramadan, some refugees of Remada camp were housed in Djerba and others are being accommodated in educational structures of Remada. UNHCR has delivered 4 ambulances type B to 4 regional hospitals of Medenine Tataouine, Zarzis and Ben Guerdane. A number of health faciliites still refuse to communicate their activity data and particularly their epidemiological data to the health authority of the country. 1. Demographic data : Evolution in the number of migrants and refugees in the camps during the week Evolution in the number of migrants and refugees in the camps juil 15-juil 16-juil 17-juil 18-juil 19-juil 20-juil 21-juil 22-juil 23-juil Axe choucha Ras Jdir Axe dhiba Tataouine Evolution in the number of migrants and refugees in the camps since the beginning of the crisis: Source : UNHCR Stability in the number of migrants at the Ras Jedir axis as well as in the proportions of the "non- repatriables." The decrease in the number of refugees at Dhiba axis is due to the fact that the camp of Ramada has gone down from 770 refugees on July 19 to 389 refugees on July 20.

2 2. Epidemiological Situation Morbidity, mortality and epidemic data The epidemiological surveillance sites reported no notifiable disease. 3 cases of chickenpox were reported by Tataouine Tunisian Red Crescent (TTRC)(2 boys and a girl, all under 5 years), to be continued 3. Management of care: The health coordination meeting in Tataouine covered essentially the support by the Tunisian Red Crescent (TRC) in medicines (for acute and chronic diseases especially), program review activities of NGOS (especially MSF) according to the concentration of refugees in cities and villages of the region of Tataouine, and the of control of medicines in circulation in the governorate. In Choucha the meeting dealt essentially with the reorganization of medical consultations and referral to public structures and with the coordination between the various participants, child nutrition, and attention to epidemiological surveillance. 4. Support provided by national and international NGOs : We report herewith information from activity reports transmitted by TRC, MSF, UNFPA (at Ras Jedir and Tataouine) and the Moroccan military hospital respectively. Tataouine TRC : activity of the laboratory from May 28th to July 22nd 2011 : total analyses = 2518 Blood count 705 ESR 178 Urea 310 Glucose 473 Hepatic workup 142 Lipid profile 267 Stool test 88 Urine chemistry Pregnancy test PTTK A.S.L.O Calcemia Blood group PT MSF : Mental Health Activities Tataouine Rem./Dhib Total Number of new individual cases Number of individual follow up Number of psychiatric cases Number of neurological casess Number of support Groups (new and follow up) Total number of Women/menn who benefited from support groups Number of sensitization/mobilization groups Total number of participants form sensitization community/mobilization groups Number of consultations in neuropsychiatry 20 UNFPA - NBFP (National Board for Family and Population) TARH (Tunisian Association of Reproductive Health) Tataouine : week 29 SSR/ UNFPA consultations from July 16 22, 2011 (Choucha camp) Family planning STI Prenatal Consultations (1 st trimester) Prenatal Consultations (2nd trimester) Prenatal Consultations (3rd trimester) Post-natal consultations Other Contraceptives distributed

3 In Choucha: -Training of peer educators: : 25 young people and adolescent, Eritrean, Darfuris, Somalis, and Ethiopians in reproductive health - 2 sensitization sessions of 2 groups of 11 and 14 young Somali boys aged 15 to 25 years about STIof 5 Eritrean young women aged 20 to 24 years about STI-HIV/AIDS HIV/AIDS and condom use (17 and 21 July) - 1 sensitization session of one group and condom use ( July 21st) - 1 sensitization session of one group of 10 Somali women aged 20 to 30 years about hygiene and sexual health and reproduction (July 21) In Tataouine: TARH-UNFPA Programme to promote reproductive health and prevention, and response to gender violence (Tataouine and Remada, July 13-19) Individual Education 226 Group Education 26 group sessions (141 women and 43 young people) Themes: 153 people on STI, 44 on prenatal, 98 on contraception, 142 on Gender Violence Number of persons oriented 68 people referred to existing services in the region Number of condoms provided by the team 231 condoms provided Moroccan military hospital Zarzis - July 17-23, 2011 Designation Men Women Biology Pediatrics Ophthalmology Orthopaedic Surgery Care Electrocardiogra m Radiology Echography 104 ENT visceral surgery Health services: July, 2011: Children Total Designation Gynaecology Emergencies 17 Psychiatry 16 Hospitalisations 10 Preanesthetic consultations 3 Surgery 3 Medical evacuation 0 Men Women Children Total TOTAL Number of prescriptions: : 921 (Medicines are provided free of charge) a. Activity of hospitalizations Tataouine Regional Hospital admitted 17 Libyans of which 2 with war wounds - Born 2 boys Medenine Regional Hospital admitted 8 patients (of which 2 non Libyans). Born 1 girl and 1 boy Zarzis Regional Hospital admitted 8 patients (of which 2 non Libyans : 1 in the maternity ward, 1 hemodialysis patient ) Ben Guerdane Regional Hospital admitted 35 patients from different nationalities (of which10 Libyans,4 newborns = 2 girls and 2 boys) Note : Djerba Regional Hospital has not provided reports this week

4 b. Activity of consultations 6. Environmental health The situation in the camps of Choucha is improving especially in regard to solid waste. UNHCR has proposed a project to treat drinking water by osmosis. It will probably be operational within two weeks. Hygiene, in general, has significantly improved in Remada camp. Works of improvement of the sanitary conditions at the level of the kitchen are current. 7. Health Promotion: In subtropical climates the usually hard weather conditions are compounded by the harshh summer heat, making the refugees health more fragile, particularly among vulnerable groups (Children, pregnant women, elderly and people with disabilities). This vulnerability consists of: The risk of heatstroke by prolonged exposure in hot conditions. The possibility of sunstroke (or of sunburn) in case of ineffective protection. An increased need for water, requiring to drink frequently to avoid dehydration. Persistent threats of venomous bites with at time serious consequences due to the proliferation of scorpions and snakes in this favourable biotope. SEVERE SUMMER ACCIDENT PREVENTION Protection against scorpions and vipers. Be sure to keep the inside of the housing as well as its immediate periphery very clean by clearing rock and wood piles favoured by scorpions and reptiles. Before going to sleep, suspend removed clothes (jackets, shirts ) and shake them well before putting them back the next day. Check and shake systematically shoes before putting them on, one by one. In the evening, walk around the camp with closed shoes, like sports shoes. Otherwise, avoid poorly lit areas, especially near water points. Before the occurrence of any venomous sting (as it is the case now): The staff in charge of refugees must be notified about the nearest emergency points to the refugees housing: Hours (day/night), staff service and active phone, evacuation vehicles to act more effectively in case of venomous bites. 8. General Information: Emma Fitzrpatrick (WHO) will depart in the middle of the week. She will be replaced by Dr Alice Croisier. UNHCR, in association with some national and international organizations established a program to supply food to the refugee families in the southern governorates during the month of Ramadan. Packages weighing 65 kg will be distributed before the beginning of the sacred month. Useful definitions issued by WHO for doctors providing services to migrants in different health clinics. (See the Descriptivee list of medical- health activities.

5 Psychological/psychiatric syndrome: Any patient known or not known as having psychological or psychiatric disorders or any patient presenting with a stress syndrome, signs of depression or behavioural problems, withdrawal symptoms or a request for psychological support. Obstetric Gynaecologic Pathologies - childbirth: any woman consulting for pathology of the reproductive system, for monitoring of pregnancy, for a pregnancy complication that does not require a reference, for a request of contraception or for an examination following sexual violence.. The Shoc Room of Zarzis is composed of: Drs. Mokhtar Ben Romdhane, Emma Fitzpatrick (left in the middle of the week), Zied Latiri, Sabri Gmach, Ole Doetinchem Messrs. Samir Bouraoui et Med. Mokhtar Beskri

6 MINISTRY OF PUBLIC HEALTH SHOC ROOM -Tunis SHOC ROOM-- MSP-WHO - Zarzis Descriptive list of medical- health activities carried out among refugees at the Tunisian-Libyan border **-** Summary of transmitted data Region of Tataouine: < 5 years 5 years Pathologies M W M W TOTAL Simple cold syndrome Acute respiratory infection with fever (Bronchitis, pneumonia) Simple diarrhea Bloody diarrhea (dysentery)* Acute watery diarrhea *: probable etiology 001 Measles *( In fact it is about 3 cases of chicken pox) Suspected meningitis * Suspected viral hepatitis (Acute yellow fever )* Sexually transmitted Infections - STI Tetanus * Scabies Fever of undetermined origin War wounds Other wounds, traumas, sores, simple abscesses Diabetes Hypertension/ cardiovascular diseases Psychological/ psychiatric syndromes Gynecological- obstetric pathologies- delivery Scorpion stings* Snake bites* Other Total consultations

7 Region of Medenine : < 5 years 5 years Pathologies M W M W TOTAL Simple cold syndrome Acute respiratory infection with fever (Bronchitis, pneumonia) Simple diarrhea Bloody diarrhea (dysentery)* Acute watery diarrhea *: probable etiology 001 Measles * Suspected meningitis * Suspected viral hepatitis (Acute yellow fever )* Sexually transmitted Infections - STI Tetanus * Scabies Fever of undetermined origin War wounds Other wounds, traumas, sores, simple abscesses Diabetes Hypertension/ cardiovascular diseases Psychological/ psychiatric syndromes Gynecological- obstetric pathologies- delivery Scorpion stings* Snake bites* Other Total consultations

8 Total of the Regions of Tataouine and Medenine: < 5 years 5 years Pathologies M W M W TOTAL Simple cold syndrome Acute respiratory infection with fever (Bronchitis, pneumonia) Simple diarrhea Bloody diarrhea (dysentery)* Acute watery diarrhea *: probable etiology 001 Measles *( In fact it is about 3 cases of chicken pox) Suspected meningitis * Suspected viral hepatitis (Acute yellow fever )* Sexually transmitted Infections - STI Tetanus * Scabies Fever of undetermined origin War wounds Other wounds, traumas, sores, simple abscesses Diabetes Hypertension/ cardiovascular diseases Psychological/ psychiatric syndromes Gynecological- obstetric pathologies- delivery Scorpion stings* Snake bites* Other Total consultations