EBOLA VIRUS DISEASE (EVD) PREPAREDNESS UPDATE

UPDATE 6: 4 – 10 FEBRUARY 2019

South Sudan

Wau Airport Western

Ezo Makpandu

Yambio Maridi Airstrip Airstrip Sakure Juba Airport Gangura Morebongo Eastern Equatoria Tokori Yei Airstrip Yei Taxi Park

Berigo Bori

DRC Yei SSRRC Khorijo Iwambgambga Okaba Pure Isebi Busia Kerwa Nimule Laiza Oraba Paika Panjala Kaya COUNTIES RECEIVING HYGIENE PROMOTION Bazi IOM DTM FLOW MONITORING POINT Salla Musala SITES MANAGED BY IOM SITES MANAGED BY PARTNERS UGANDA FUTURE PoE SITES (TO BE MANAGED BY IOM)

INDIVIDUALS SCREENED THIS WEEK PER LOCATION & CUMULATIVE SCREENINGS PER LOCATION

Tokori Yei SSRRC Okaba Kaya Khorijo Pure Bazi INDIVIDUALS SCREENED THIS 140 17 25 785 3,107 3,812 19,869 758 WEEK: 10,971 2,645 463 549 19,322 47,501 24,708 19,869 4,080

ORIGIN OF ENTRANTS WEEKLY OVERVIEW SUSPECTED/ TO SOUTH SUDAN (n=3,753) CONFIRMED EVD ● EVD awareness sessions continued in all target locations CASES: 0 Travelers were predominately of South Sudanese nationality (Gimunu Boma, Tokori, Marakonye Boma and Attende (86%), whereas 13% are Ugandan nationals. Entrant origin Boma). WASH activities continued at Yei SSRRC and Yei information is self-reported. Unless otherwise specified, all original locations are in Uganda. airstrip screening points.

80.7% Koboko ● EVD prevention activities were held on proper handwashing HEALTH FACILITIES 3.5% Lamwo with soap and water in Morokonye Boma, Attende Boma SUPPORTED THROUGH in Gimunu Payam, Tokori Payam, and the SSRRC screening WASH ASSISTANCE: 3 2.8% Yumbe point, reaching a total of 3,458 individuals this week. 2.7% Mijale 2.4% [other] ● Active EVD screening is ongoing in eight Points of Entry 2.2% Arua (PoE) sites: Yei airport, Yei SSRRC, Tokori, Kaya, Okaba, Less than 2% Khorijo, Pure and Bazi. Vaccination of IOM frontline workers INDIVIDUALS REACHED [unknown UG] to protect against EVD has begun. Seventeen IOM workers Itula WITH HYGIENE PROMOTION: at Yei airport and Yei SSRRC PoE sites have been vaccinated Adjumani 62,724 (cumulative) Kitgum thus far. [other DRC] EVD PREPAREDNESS UPDATE UPDATE 6: 4-10 FEBRUARY 2019

10,971

9,638 SECURITY & ACCESS 9,469 TOTAL INDIVIDUALS SCREENED 9,365 FOR EVD SINCE SEPTEMBER 2018 9,011 CHALLENGES 8,901 8,820 8,540 CASES OF NON-EVD FEVER • Insecurity and loss of phone network (WEEKS WITH 10+ CASES NOTED) in Tokori has hindered movement and 7,177 communication in the area. The access road to Tokori is blocked, therefore borehole repairs and infrastructure improvements 6,098 are on hold and reports are coming in late

• Health and hygiene promotion volunteers were told to leave Yei town by security 4,151 4,115 personnel after being released from 3,578 detention. The team is forced to pay 3,462 3,326 3,133 3,225 bodabodas to obtain weekly reports from 2,742 2,797 the Tokori area

• Lujulo is not accessable for security reasons; the establishment of five potential PoE sites in the area is still on hold until the security 603 35 29 25 34 29 situation stabilizes 15 16 21 17 27

SEPT 2018 OCTOBER NOVEMBER DECEMBER JANUARY 2019 FEBRUARY

HEALTH UPDATES COORDINATION Week 6 recorded a 21.75% increase from last week in entry screenings for EVD, with 10,971 total individuals NOTES screened. This is largely due to upsurge of travelers screened at the Khorijo PoE due to the distribution in the IDP camp nearby recorded on 4 February. There were 34 fever cases in the reporting week. All the cases were IOM continues to actively participate in EVD referred to the nearest health facility of the respective PoEs and all tested positive for malaria. There were no meetings including; the Strategic Advisory alert cases reported during the week. Group (SAG), the National Task Force (NTF), the EPI & Surveillance TWG, Access, WASH UPDATES Safety & Security TWG, IPC/WASH TWG and Risk Communication and Community Community health and hygiene promoters continued with hygiene and EVD promotion activities in Morobo Engagement TWG. through house to house visits, water point sessions, market sessions, public sessions, child-to-child sessions, and jerry can cleaning, reaching 5,247 individuals in nine locations including PoE sites and surroundings. Teams passed messages on safe water chain, proper food handling, personal hygiene, clean environment and hand ● IOM chaired the weekly Border Health washing practices. The WASH team assessed the site for construction of a screening point in Sali Musala. (BH) and PoE TWG as co-lead, which was a joint meeting with the Access, Safety & Security Technical Working Group (TWG) DTM UPDATES on Monday 4th February. Based on data submitted on 10 February, 3,753 individuals were surveyed at DTM flow monitoring points this week. Of these, 98% were interviewed at FMPs located near the Uganda border. Three out of seven FMPs ● Key areas of discussion at the national level located near the DRC border were unable to submit data in time due to their remoteness and to the lack and action points included the following: of mobile network connection in the area. Over 80% of surveyed individuals came from the Koboko region in Uganda. 86% are South Sudanese nationals while close to 14% are Ugandan. Almost 80% are directed to ▪ The BH&POE TWG provided updated locations within in Central Equatoria. screening data to the NTF and gave an update on 14 upcoming additional sites (10 by IOM in Yei River State, 3 by World Vision in Nzara and Yambio, 1 HYGIENE PROMOTION CUAMM in Maridi). IOM highlighted the security challenges of 5 of the PoE sites stating that establishment is dependent Total individuals reached to date Morobo 5,467 with hygiene promotion on security and access. The five sites include: Isebi, Morebongo, Laiza, Paika and Kaya Total individuals targeted to 742 recieve hygiene promotion Iwambygambga

Pure 1,912 ▪ Working with other leads and co-leads of TWGs to finalize the EVD Preparedness Khorijo 6,034 Checklist is due by 15 February

Attende 13,372 ▪ BH& POE TWG held meeting with air services providers in Juba International Marakonye 11,677 Airport to re-enforce usage of the International Arrival Health Forms (IAHF) SRRC 5,420 ▪ Regular monitoring and supervisory visits Gimunu 12,691 to the sites to provide technical support to the teams on the ground Tokori 11,443