Emergency Preparedness and Humanitarian Action (EHA) in Darfur Weekly Highlights Week 26 (26th June - 2nd July 9) Highlights The overall security situation in Darfur, Eastern States, and South Kordofan operational areas as calm during last eek except the incident of abduction in North Darfur. On 3 July 9, to (2) international female GOAL staff members and one local (1) atchman ere allegedly abducted from the staff member s residence in Kutum. WHO, SD in collaboration ith SMoH conducted training sessions for 327 health cadres from different localities and WHO WD conducted the training sessions for 59 health cadres on AWD case detection and case management, notification, and sample collection. To training orkshops for Rapid Response Teams in Geneina and Zalangi in WD ere conducted jointly by WHO/ SMOH for 12 participants. WHO in WD received from KRT and started establishing the communication equipment for 1 health facilities of Northern Corridor in order to enhance the CDC surveillance system coverage ithin the remote areas of West Darfur before the upcoming rainy season. Flood Task Force committee established in Gedarif. Dengue hemorrhagic fever and AJS cases ere being reported from Port Sudan during reporting eek Severe ater shortage in North Dalta locality Kassala state WHO EHA NMO conducted and supervised CSM training in Gedarif state for 45 medical doctors and 156 medical assistants Areas of concern After the expulsion of MSF-F and evacuation of MSF Siss from Jebel Marra most of areas (Rebel held areas) are inaccessible for the provision of health services for SMOH. Preparation for the rainy season ongoing although Humanitarian community capacity to respond is not confirmed Coordination Weekly Health Coordination meetings ere held and WHO shared the WMMB report ithin the reporting states. The health situation remained stable and morbidities ere ithin normal range and mortalities belo emergency threshold. In SD, a meeting held ith partners (OCHA, UNICEF and Merlin and IMC, INGOs) to discuss the assessment mission done by WHO and UNICEF regarding the health situation in Kalma IDP camp. The Merlin representative informed that HAC as giving the green light to Merlin to take over the health activities in Kalma IDP camp in ex-msf H clinic in coming eek. Meeting held ith UNICEF and SMOH in WHO SD office to discuss the gap areas in health sector in Mohajarea, Labadu and Sherea and also discussed the ay ahead in coming eek. WHO Kassala conducted meeting ith preventive medicine director in Gedarif and discussed ongoing CSM training and arrangement of coming AWD training WHO held a meeting ith SMOH DG Kauda and epidemiological and surveillance officer in order to identify problems and reactivation of non reporting sentential sites. WHO activities linked to the health and nutrition sector objectives Strategic Objective: To contribute toards better access for vulnerable populations to quality health care services that include a basic health package, nutrition and emergency referral services. Primary Health Care Intra and inter -sectoral discussions and preparations ith health partners to develop Plan of action to mitigate the risk of flood, rainy season and the possibility of disease outbreaks hile Health facility mapping and risk assessment ongoing in all three Darfurs
In Darfur subcommittees ere developed to deal ith different components of the plan, (1) health promotion (2) surveillance, (3) case management and outbreaks investigation, (4) logistics and prepositioning of stocks The nely constructed dam by national authorities on the Albel valley recently in February/March 9 created several concerns and ere expressed by the local authorities. About 7 HHs are prone to be affected by flood and 356 HHs ill be separated by Wadi from the essential services including health. Contingency plan for health has been drafted by SMOH/WHO and shared ith the partners. As per plan to temporary clinic required to be established in Aboja and Umdouin areas hich ill be separated during rainy season, preposition of essential drugs and supply (including AWD preparedness), Environmental Health supplies ere included. IMCI training ongoing; 25 community volunteers in Kulbus trained by SMOH ith WHO technical support Polio vaccination in gap areas completed; around 39,257 child <5yrs vaccinated in Kalma camp since March 9 Monitoring visit to rural areas ongoing; During reporting period WHO/SMOH visited Al Girba and Abu Dahan PHCs. Gaps ere identified and reported to the PHC director Youth Day in hajjar Elmak (Kadugli) supported; WHO provided drugs and medical supplies hile medical care as and aareness campaigns ere conducted by the youth during that day H1N1 health aareness campaigns, IEC materials supported in Kadugli Strategic Objective: To contribute to a reduction in maternal and child morbidity and mortality focusing on Safe motherhood initiatives. Secondary Health Care Monitoring visits to ElFasher teaching and maternity hospitals; Nyala and Genaina hospitals WHO and National Malaria Control Program supported the training of 4-lab technician on malaria laboratory investigation in Fasher hospital. Construction of ne obstetrical and gynecological ard in Kutum rural hospital started this eek hile El Geniena Teaching Hospital started the rehabilitation of the operation theatre for the patients. Supplies and drugs dispatched to the Nyala teacing hospital adequate to treat around 1 patient According to a set schedule for monitoring visit Geriada hospital as visited and gaps ere found in the area of HR lab reagents actions taken on Thursady the SMOH is dispatching the necessary reagents to the hospital Week Outpatient Inpatient Total no. of Operations Deaths Male Gender Female North Darfur 688 181 1 344 85 139 5 6 991 157 South Darfur 711 155 153 399 51 174 6 32 887 1329 Emergency Preparedness and Humanitarian Action (EHA) in Sudan 2
West Darfur 917 118 3 426 184 171 7 6 114 111 Total 2316 4423 654 1169 3 484 18 44 2892 3847 Strategic Objective: To strengthen local capacity to predict, prepare for, respond to, mitigate and manage health and nutrition risks. Public Health / Communicable diseases I. Reporting timeliness & completeness This eek 86.1% reporting timeliness & completeness of EWARS reports as achieved in Greater Darfur. 61559 consultations ere reported this eek ith 12 deaths in a total population of 2576563 please see fig 1 & 2. Health service utilization rate for this eek is 1.2 visits/person/year. Fig 1: Timeliness and completeness of EWARS reports in Greater Darfur in the period eek 9 till eek 25, 9. Reporting timeliness and completeness of EWARS reporting units in Greater Darfur in the period 9 to 25, 9. 1 8 6 4 % 9 1 11 12 13 14 15 16 17 18 19 21 22 23 24 25 Epidemiological eeks (1-52) II. Diseases of public health importance Acute Respiratory Infections (ARI), Bloody Diarrhoea (BD), Clinical Malaria (MAL) and Acute Jaundice Syndrome (AJS) continues to be the principle diseases/conditions of public health importance in Darfur states, please see table 1 & fig. 3 belo. In addition, 14 suspected cases of AJS ere notified from North Darfur, 18 cases in South Darfur and 6 cases from West Darfur. Suspected cases of meningitis ere reported from North Darfur 1 case from Abu shook and 3 cases from S.Tobai. Table 1: Comparison of Incidence rate () per 1 population of ARI, BD & MAL reported in Greater Darfur in W 22 to W 25, 9. State Disease W22 W23 W24 W 25 South Darfur ARI 27.1 43.3 39.2 28.8 BD 3.1 4.5 2.9 3.2 MAL 6.3 1.2 9.2 7.9 West Darfur ARI 25.4 23.1 25.4 28.5 BD 6 5.1 5.1 4.8 Emergency Preparedness and Humanitarian Action (EHA) in Sudan 3
MAL 8 8.2 8 7.3 North Darfur ARI 49.2 42.2 54.7 44.2 BD 3.1 2.5 3.4 3.3 MAL 3.7 4.8 5 4.6 Fig 2: Weekly distribution of population under surveillance and consultations in Greater Darfur, Sudan, eek 5 to eek 25, 9. '[ Populati on 3 25 15 1 5 5 67 Population under Surveillance and Consultations Population Consultations Week (1-52) 8 9 1 11 12 13 14 15 16 17 18 19 21 22 23 24 25 No. Consult. 8 7 6 5 4 3 1 Fig 3: Morbidity (/1 population) and mortality (no of deaths) due to ARI in North Darfur in the period eek 19 to eek 25, 9 (Source EWARS data). Deaths /1 poulation 6 5 4 3 1 W19 W W21 W22 W23 W24 W25 Reporting Period (Week 19 to Week 25) 6 5 4 3 2 1 No of deaths III. Outbreak preparedness & response III.I Influenza A (H1N1) Globally and as of 3rd of July 9, more than 1 countries have officially reported 89921 cases of Influenza A (H1N1) infection ith 382 deaths (CFR=.4%). In Sudan, so far, no reported case of Influenza A (H1N1). No cases of suspected Influenza A (H1N1) reported III.II AWD preparedness Training on AWD case management has started in West Darfur. This is WHO supported activity. Emergency Preparedness and Humanitarian Action (EHA) in Sudan 4
suspected case of AWD in Guga village /Alnahal Locality in Gedarif state samples collected and sent to NPHL 45 suspected cases of Dengue fever reported out of hich 14 ere lab confirmed (ELISA) in Port Sudan during reporting period. Total cumulative number reported to-date is 3 case out of hich 69 are confirmed and 5 deaths in 9,CFR 1.7% In response to the suspected outbreak of viral haemorrhagic fever in Abyei, WHO coordinated and facilitated training on infection control in health care setting for health staff in Abyei mainly for Abyei health authorities and MSF staff. Environmental Health Activities This eek the joint team from SMOH/ WES visited Sakalle, El serif and Ottash camps conducted simple ater quality control. 21 samples ere taken from ater points and analyzed for residual chlorine, in samples the FRC level is ithin the required (.2.5 mg/l).1 sample as found ith lo residual chlorine level (Ottash camp). Additionally 128 samples ere taken from House hold level from Musse and Ottash; most of the samples ere ith FRC level beteen.1 -.3 mg/l. Folloing the lo level of residual chlorine in El serif and Sakalle camps, corrective measures and refresher trainings ere done by the team in both camps. WHO supported a team from SMOH to conduct ater sources mapping and quality control in the camps around Elfashir and Elfashir ton. The team visited 23 ater sources in Abu shook, Elsalam and Zamzam camps. The result shoed 21 samples ithin the standard rate (.3mg/l to.6mg/l) and 2 samples ith less than the standards levels, one sample in Zamzam and the other in Elsalam camp. AWD plan for the ater and Environmental sanitation groups ere developed and also draft vector control master plan for the North Darfur as also developed For more information please visit WHO Website.emro.ho.int/sudan WHO Sudan EHA Coordinator: Iman SHANKITI shankitii@sud.emro.ho.int Emergency Preparedness and Humanitarian Action (EHA) in Sudan 5