Draft WHO Field Coordinators, Country Office Districts Health Situation Update May 2021

Districts by General health situation (including information Functioning & Non- HR & Health services Immediate needs (drugs, Recommended Meetings & field visits: Region on suspected alerts and/or outbreaks; IDPs, functioning public not available in consumables, equip) of follow up / refugees, migrants) in the area: health facilities (HF): functioning HF: functioning HF: actions EAST Region Ajdabia Isolation Ctr. closed due to explosion in Functioning HF: Hospitals: Hospitals: -Support O2 Regular meetings with the main O2 system. Almogharif General Almogharif Hospital: Almogharif Hospital: supply to Ajdabiya COVID-19 medical Almogharif Hospital Isolation department open Hospital, Jalu General Laboratory The Hospital main Isolation Ctrs., committee branch & NCDC (still suffer from shortage in O2 supply). Hospital, Brega General Jalu Hospital: laboratory still suffers Hospitals & Ajdabiya branch & RRTs. Shortage of diabetic drugs. Hosp -Newly open Trauma, Laboratory shortages of all laboratory PHCs. Shortage of NCD drugs in PHCs. Zoueitena Rural Hosp, & Zoueitena Rural tests. Diabetic Centre Shortage in TB drugs (combination drugs). Basher Rural Hospital. Hospital: Trauma, Jalu Hospital: needs insulin Shortage of National Programme Vaccines. Diabetic Centre Surgery, GYN, Trauma Kit requested. (especially Ajdabiya Oncology Ctr. lack of medications. PHCs: 4 functioning & Laboratory. Basher PHCs: Insulin: Pen, Refuge &Migration Ctr.: 72 arrivals from Sudan, 10 partially functioning Rural Hospital: Diabetic Ctr.: NCD Kit. Insulin mix & Ethiopia &Somalia. (Most PHCs in lack Internal Medicine, ALdurra PHC: NCD Kit & Lantus) COVID-19 Centres in Ajdabiya area: medical services). Paediatric, Surgery, PPEs. -Report to the All centers suffer from shortage of O2. Non-functioning HF: Trauma & Jalu PHC: PPEs. national Ajdabiya Isolation Ctr.: closed. Ejkheria Rural Hospital, Laboratory. Shahwan PHC: PPEs. programme Alwahat Isolation Ctr.: functioning. Abo Shalla PHC (closed vaccines needs Brega Isolation Ctr.: closed. & now functioning as of Rota, BCG. The COVID-19 vaccination campaign continues, isolation Centre. -Trauma needs but in light of great reluctance of citizens, and to be assess. the vast majority are afraid from the symptoms of vaccination. On 10 May 2021, the RRT, the team responsible for taking PCR samples & Technician in PCR in Ajdabiya Lab has stopped working due to non- payment of their financial dues. Aljabal Almansoura Isolation Ctr.: The daily number of Functioning: Hospitals: Hospitals: Shahat Isolation Ctr.: Assess both Meeting with Albaida Alakhdar newly reported corona virus declined over the Althoura Edu Hospital, Althoura Hospital: Assess O2 requirements. Shahat isolation medical centre regarding past two weeks. Shahat Qurina Hospital Paediatric-Surgery, Diabetic Ctr.: Assess oral Ctr. & Diabetes the oxygen supply Omar Almukhtar Hosp Endocrine, Oncology, hypoglycaemic drugs, Ctr. & Shahat problems. Sussa Hospital. & Psychiatry. Insulin & lab reagents. filter Ctr. Draft Total number of hospitalization over the last two Shahat Isolation Ctr. & Shahat Hospital: Shahat filter Ctr. Meeting with Shahat filter weeks are 28 patients. Number of death 9 cases. Polyclinic Thoracic surgery & Laboratory reagent for centre. Active cases 6. PHCs: 8 functioning. Trauma, Paediatrics, PCR (rapid test). Meeting with head of Albida Medical Ctr.: Still facing shortage of Non-functioning PHCs: Neurosurgery, GYN, diabetes centre in Albaida. oxygen supply due to small capacity of liquid 7 Non-functioning. (3 Oncology, Psychiatry A visit to COVID-19 oxygen tank compared with greater needs PHC out of services due & Psychology. vaccination centre in both CT scan machine functioning after out of service to illegally seized). Omar Almukhtar Albaida & Shahat. for several months. Hospital: Emergency Shahat filter Ctr.: & Trauma (No ICU or The centre non functioning due to no PCR CCU), Physiotherapy reagent available (only OPD). Aljufra The general situation specially regarding COVID- Functioning: Hospitals: Waddan Rural Alafia Hospital: WHO EMT Attended meeting at 19 better as marked decrease in new diagnosis & Alafia Gen Hospital, Hospital: Trauma & Surgical kit/supplies. deployment. . Aljufra isolation Ctr. with admission to isolation centre (only 2 cases Houn, Waddan rural Surgery. Isolation Ctr.: Mayor of Municipality, admitted to the isolation centre). Total number Hospital & Isolation Ctr. Isolation Ctr.: ICU drugs, paracetamol Municipal Health Director, of diagnosed cases are 12, Recovered 8, Death 1. PHCs: 5 functioning. Anaesthesiologist & IV, Ventolin solution for Isolation Ctr. Director, New CT scan received &installed in NCDC Aljufra PHCs: 4 Non- Nurses. Nebulizer, PPEs. Filtration Ctr. Director, branch. functioning. Executive responsible for All health worker personnel at AlJufra the vaccination campaign municipality vaccinated by Sputnik V. in the municipality, Head New Mammogram received by NCDC Aljufra of COVID-19 committee branch. discussion on situation at A new ABG analysis machine provided to the the Isolation Ctr. and isolation Ctr. by Sustainable Development updates regarding the Department of the National Oil Corporation. vaccination campaign. All facilities functioning as OPDs only. Regular visits to the Trauma & Normal delivery available at Waddan isolation Ctr. Hospital. Continues visits to COVID- 19 vaccination campaign Ctrs. Alkufra Coronavirus vaccination campaign started, the Functioning: Hospitals: Tazerbu: Oncology Trauma kit. Lab Meeting with the Minister quantity of vaccines is running out and waiting Martyr Attia Alkasih Department. NCD kit. investigation of Health regarding the for the second shot. Hosp, Tazarbu Hospital, Anti-scorpion. material & CD problems facing the health Total registered positive cases 475 & recovered AlHawari Martyrs Rural TB and HIV drug to be Drugs. facilities: cases 415, & death 53. Hosp, Alkufra Women & assess. Provision of medical staff, Child HC, Diabetes Ctr., especially Neurosurgery. Draft Tazerbu: Total positive cases 270, Recovered Physiotherapy Ctr. & Confirmed the cases 264, Death 4. Now active cases 2. Alkufra polyclinic. continuation of COVID-19 Minister of State for Immigration Affairs and PHCs: 8 functioning vaccine supplies. Chairman of the Supreme Committee for (2 functioning as Combating Illegal Immigration, National Unity vaccination only). Government, visits the city. PHCs 3 Non-functioning The Minister of Health, National Unity (lack of medical staff or Government, visited the city to access the under maintenance). services provided in the health facilities and hospitals. Almarj Health situation is better than last month. Functioning Hospitals: Elmarj Hospital: Almarj Hospital: Evaluate HR Visit to COVID-19 Noticeable increase the number of COVID-19 Almarj Hospital, Medical and surgical Surgical &trauma kits. needs/availabili vaccination campaign / cases. Bata Hospital, doctors & night duty COVID-19 isolation Ctr.: ty, then Almarj health centres. There is shortage in chronic disease medicine. Tolmitha Hospital, nurses. Ventilators (-medical staff consider COVID-19 vaccination campaign started. Jardas and Taknes PHCs: Medical & dependent) & patient support Almarj IDPs, refugees, migrant situation bad. Hospital, surgery doctors. monitors. Hospital with Farzoga Hospital, PHCs: Basic medical surgical & ALbaiada Hospital. health kits. trauma PHCs: No regular supplies. services in most of PHCs Support COVID- especially emergency 19 isolation Ctr.. services. Non-functioning: PHCs 4 non-functioning Large number of COVID-19 cases diagnosed Functioning: Hospitals: Alhawari General Paediatric hospital: COVID-19 case Regular meetings with the daily. Benghazi Medical Ctr. Hospital: (the main shortage of medicines in management: manager of paediatric Shortage of medicines for management of Aljala Hospital: (RTA & building damaged by oncology and infectious ventilators, O2 hospital oncology cancer, HTN, DM and psychological diseases. surgery). war; surgery, medical department. supply, Trauma department. Shortage of vaccines: Polio and BCG. Alkwaifia Chest Hospital & paediatric are Benghazi Medical Centre: and NCD kits. Meetings with the COVID-19 vaccination campaign started. Benghazi Hospital for closed, the other shortage of medicines in Cancer drugs. manager of Benghazi Many Hospitals (outside the city) has no trauma paediatric surgery. building urology & oncology department. medical centre oncology care (Toukra rural Hospital 70 km & Alabyar rural Benghazi Cardiology ENT is functioning). Benghazi Medical Centre MOH/NDCD EPI department. Hospital 40 km away from nearest health facility Ctr. Alabyar Rural Isolation Centre: O2 shortages: BCG, provides trauma services). Alhawari ENT & Urology Hospital: (no ER & no supply. polio, hep B. Most of PHCs have no first aid health services. Hospital. trauma care). Alabyar Hospital: Benghazi Kidney Ctr. Tokra Rural Hospital: reported needs: Surgical, Draft Tawergha IDPs Camps: inadequate medical Benghazi Psychiatry No ICU doctors, no GP Emergency trauma & services & shortage in basic medical supplies & Hospital (OPD), shortage of Caesarean kits, lab consumables. Sidi-Hussein Diabetes midwifes. reagents, ventilators, Ctr. No surgical staff for anaesthesia machines, OT PHCs: 3 functioning. elective surgery & no beds. Non-functioning: OT rooms for elective Alhawari Hospital Hospitals: surgery. Urology: Aljamhuria Hospital. PHCs: No regular OPD Supplies: (Omnic, IV 27th October Hospital. due to shortage of contrast for CT, Alhawari Gen. Hospital. medical staff. nephrostomy & PHCs 3 non-functioning. suprapubic set), PPEs & gloves. Tokra Hospital: Basic kit, Consumables & equipment (O2 regulators). Aljahshia PHC: NCD kit. Bersis : Basic & NCD kit, ORS & laboratory reagents. Daryana PHC: refrigerator for vaccines. Derna 243 COVID-19 tests (98 females, 145 male). 82 Functioning Hospitals: Alwehda Hospital: Alwehda Hospital: COVID-19 Meeting Alwahda Hospital positive cases, 38 recovery cases & 12 deaths. Alwehda Central anaesthetist, NCD kit, anaesthesia isolation centre Gen director & in charge of 19 cases still at isolation centre (7 cases in ICU & Hospital (incl. dialysis). orthopaedist, drugs, ventilators suffers shortage COVID-19 committee. 12 in the department). Alquba Hospital., Om radiologist & Om Alrazm Gen. Hospital: of staff, O2 & Visited Youssef Bou Raheel Amlrazm Gen. Hospital neurosurgery Medical waste drugs -heparin polyclinics provides ENT, Martouba Rural Hosp, doctors. incinerator, emergency Needs constant ophthalmology, dentist, Alazzyat Rural Hospital Martouba Rural drugs & X ray machine. supply of lab urology, internal medicine, Sussa Hospital, Hospital: Martouba Rural Hospital: consumables, orthopaedic, vaccinations, Alqaigab Hospital gynaecologist, Film printer for x-ray PPEs & essential physiotherapy, nursing & Diabetes-endocrinology radiologist & machine, autoclave, equipment. pharmacy. X-ray machine Centre ophthalmologist & surgical equipment and Alwehda Hosp: available (shortage of Xray Mahmoud Alhuraish Trauma care antibiotics for children, Xray unit need films). Provides Paediatrics, Polyclinic Alazzyat Rural oral hypoglycaemic drugs mammogram & OBS/GYN (until Alwahda Hospital: Trauma MRI requested. Hospital maintenance Draft Youssef Bouraheeil COVID-19 isolation such as metformin and Most of PHC completed). Shortage of Polyclinic Ctr.: Medical staff. antihypertensive drugs. need anti- medical supplies (dental NCDC branch PHCs: No doctors Diabetes endocrinology hypertensives, equipment, ultrasound COVID-19 isolation Ctr. available in PHCs. Centre: Drugs. diabetic and device, sterilization device Bait Thamer dialysis Ctr. COVID-19 isolation Ctr. paediatric drugs & NCD drugs). Non-functioning 8 PHCs PPEs, O2 supply & drugs (heparin). NCDC: Laboratory operating materials & X- ray machine & anti- tuberculosis treatment. Health situation generally better. Less number of Functioning Hospitals: Aljagboub general Tobruk medical Ctr.: Shortage of Regular meetings with local COVID-19 cases, 124 positive cases registered Tobruk Medical Ctr. Hospital: Paediatric, Immediate needs for gloves in all authorities. (69 males and 55 females) & 22 cases died. Aljagboub general ENT, cardiologist, sterile & non-sterile Hospitals & Peoples do not follow the basic IPCs precautions. Hospital, Imsaad ophthalmology, gloves, paracetamol IV, PHCs. The vaccination campaign continues, the priority general Hospital, anaesthesia, trauma antibiotics IV, heparin, Shortage of IV for the COVID-19 isolation department medical Alashhab rural Hospital, orthopaedics & ER. oxytocin, tramadol IV, antibiotics, IV staff and RRTs and the elderly people with Bilkhather rural Alburdi Hospital: Valium IV, normal saline analgesics & IV chronic diseases, and medical and paramedical Hospital, Alburdi rural Surgery, trauma, 0.9%, insulin. fluid in Tobruk teams. Hospital. gynaecology, ENT, Alburdi rural Hospital, medical Ctr. & Isolation Ctr.: Shortage of medical staffs & small Almanara polyclinic ophthalmology, Aljagboub Gen Hospital, other rural number of beds, shortage in heparin and some Almokhtar polyclinic orthopaedic, Bab Derna maternity & Hospitals. antibiotics like FORTUM, Antiviral Ramdsevir. Bab Derna maternity anaesthesia & lab. childhood Centre: WHO delivered Tobruk medical Centre: Severe shortage in O2 &childhood Ctr. Alashhab Rural Hosp, Gloves, antibiotics IV/IM 11 IEHK and 4 supply & new O2 plant received before one week PHCs: Imsaad Gen Hospital, & syrups, analgesics, NCD NCDC kits to but not functioning due to late arrival of 1 functioning. Bilkhather Rural medicines. two policlinics, equipment, risk for oxygen cut to the main Non-functioning PHCs: Hospital Trauma, ER however, there departments like intensive care, shock room, 22 non-functioning & anaesthesia. is still severe COVID-19 Isolation Centre & surgical theatre. shortage of first TOBRUK ONCLOGY CTR: Provide services to aid health more than 1000 patients from inside and outside services, Tobruk, suffers from severe shortage of essential oncology drugs. medicines in IDPs: from Murzok, Sabha, Tarhuna, Sirt & most of the Tawergha. PHCs.

Draft WEST Region Algabal Zentan Hospital closed and resumed Functioning Hospitals: Gharian Hospital: Insulin in most diabetic Needs for Meeting with PHC Algharby functionality due to non-payment of salaries to Gharian Hosp, Yefren Only ortho, surgery centres. Glucagon inj., training managers to start COVID- the medical & paramedical staff. Hosp, Alzentan Hosp, obstetric functioning. Anti-D, Anti-snake, Anti- program to 19 vaccination campaign. Decrease number and admission of COVID-19 Alrojban Hosp, Alriaina Alrojban Hospital: Rabies, Anti-scorpion, doctor & nurses Meeting with group of cases in the isolation centres. Hosp, Jado Hosp, Surgery & ortho. neurologic & psychiatric in isolation Ctr. rapid response team & COVID-19 vaccination campaign started Ghadames Hosp, Alriaina Hospital: drugs, oncology drugs, Some specialist corona committee in (Sinovac). Nalout Hosp, Teji Hosp Surgery & ortho. multi vitamin tab Vit C, needed as Alriana municipality. Some PHCs need refrigerators for vaccines (Derj & isolation Ctr. & obs/gyn. Zinc, Vit D tab, Heparin cardiologist, vaccination centre). Hawamed Hosp, Psychiatrist, 5000 u/ml Enoxaparin respiratory, Deficiency in PPEs, oxygen (Zentan & ), Alzentan Diabetic, neurosurgery, 2000, 4000, 6000 IU psychiatry & Ramdsevir, anti-viral used in treatment of Oncology & Nephrology Paediatric surgery, Fraxiparine 3000, 6000 IU ophthalmology COVID-19 cases. Centres, Neurology, Azithromycin 500 mg Also, the people Most of staff work in COVID-19 infected by Gharian and Alasaba Cardiologist, Thoracic Ciprofloxacin 500 mg need lecture on corona virus due to lack of PPEs. Polyclinics. surgery orthopaedist, Chloroquine 200 mg mental health. Needs for training on COVID-19 in the isolation Non-functioning respiratory specialist Remdesivir inj., Hospitals are in centre on infection control & case management. Hospitals & ophthalmologist Dexamethasone tab &inj. need of PPEs, Needs for humanitarian aid for IDPs & Migrants. Alzentan Hosp Medical not available at all paracetamol tab, infusion masks, gloves & department closed for main Hospitals. & Aspirin 75 mg tab. drugs used in maintenance. PPEs & oxygen cylinders. the case Owenia Hospital -Under management of construction. COVID-19 incl. Derj Hospital, Oxygen. Om Aljersan Hospital, Alasaba isolation Ctr. Alrojban isolation Ctr. Riaina OPD. PHCs 3 non-functioning Aljfara There is improvement in health services, the Functioning Hospitals: Alzahra Gen Hospital Alzahra General Hospital: Aljfara PHC: Meeting with Awata rural vaccination campaign against Corona continues Ali Omar Askar Hospital. Shortage in all staff shortage of antibiotics, Laboratory hospital manager. without complications with increasing demand Awata Rural Hospital: as: Anaesthesiologist, intravenous solutions, materials. Meeting with Alsawani from citizens for vaccination. Sinovac vaccine will The casualty opened for night duties nurses, analgesics & X-ray films, All PHCs suffer isolation centre director. start after the Eid. emergency cases but no in patient’s trauma kits, NCD kits. from shortage Meeting with Omar Askar Ali Omar Askar Hospital: ICU & OPD services not still not fully functioning services or Hospital Awata village Hospital: of insulin & anti- Hospital infection control fully functioning due to shortage of staff. due to shortage of staff admissions, no CT shortage of antibiotics, IV hypertension department manager. Triage unit functioning. (only OPD in daytime). scan, no ICU & no solutions & analgesics. drugs. Draft Almaya Rural Hospital: The health services still Alzahra Gen Hospital major elective or Alzahara isolation Ctr.: under the level due to staff shortage. not fully functioning. emergency surgery. Needs medicines & Alzahara isolation Ctr.: Doctors complain that (daytime minor Awata rural Hospital: furniture -doctor’s room there is no rest room & shortage of medicines. surgeries). All OPD speciality, no Alsawani isolation Ctr.: Alsawani isolation Ctr.: Stopped receiving & Almaya Rural Hospital. in patient’s services, need sterilization & treating cases due to lack of sterilization & PHCs: 4 functioning. no x-ray. disinfection disinfection. Non-functioning Emergency services Health services Aljfara: Alsabea PHC: resumed health services after Hospitals: nearly all PHC need Lab Materials. been used as isolation centre and started Janzur Rural Hospital: Altina PHC: needs Biir Friwan PHC: vaccinations. shortage of staff but it beds, medical equip Need ECG machine. will open soon. & furniture (need Altina PHC: needs beds, PHCs: 17 non- maintenance). medical equipment functioning. &furniture. Almergeb Tarhouna Municipality: Tarhouna Municipality: Tarhouna Teaching Tarhouna Tarhouna Meeting with WHO EMTs & Tarhouna Teaching Hospital: The health Functioning Hospitals: Hospital: Surgical & trauma kits, Although CT MMTs. situation not satisfactory especially for cold Tarhouna Teaching Anaesthesiologist, NCD kits. scan still out of Meeting with Dawoon cases management due to shortage of doctors. Hospital. ICU doctors. Misallata order due to hospital manager. Tarhouna polyclinic: The best health care Shweref rural Hospital Misallata Hospital: Surgical & trauma kits, technical Meeting with Ali Omar services provider in the municipality. (New/ only OPDs). Medical ICU doctors, ECG, Ventilators & problems the Askar Hospital infection Diabetic Ctr.: Shortage of drugs & Lab Dawoon rural Hospital OBS/GYN. patients monitors for MRI is working. control officer. investigations. (only OPDs). Gaser Akhyar rural COVID-19 isolation Ctr. PHCs: Some OPDs services (drugs supply Tarhouna polyclinic. Hospital: Emergency Alkhums intermittent & not satisfactory). Aldawoon polyclinic. doctors. NCD kits, Surgical & WHO EMT & MMT distributed to overcome the Diabetic Ctr. PHCs: Surgery & trauma kits. problems. Haemodialysis Ctr. Medical emergency Gaser Akhyar COVID-19 Cases still raised without inpatient Physiotherapy Ctr. doctor. Basic kits, NCD kit & services (MoH planning to solve the problem in PHCs: 14 functioning. Trauma kit. cooperation with IMC). Non-functioning: Garabolli COVID-19 lab. (PCR): functioning (intermittent PHCs: Basic drugs & disposables supply). 31 non-functioning. for first aids. EPI services and COVID-19 vaccination: well. Misallata Municipality: Misallata Municipality: Functioning Hospitals: Misallata Hospital: The main health services Misallata Hospital. provider. Bennaser rural Hospital supported by WHO EMT (OBS/GYN). Sem Adees polyclinic. Haemodialysis Ctr. Draft Bennaser Rural Hospital: The hospital PHCs: 4 functioning. considered the best health services provider in Non-functioning: the municipality, ICU services not fully function PHCs 3 non-functioning due to shortage of staff. Alkhums Municipality: COVID-19 isolation Ctr.: functioning with Functioning Hospitals: shortage of staff, equipment & O2 cylinders. Alkhums Teaching EPI services and COVID-19 vaccination: well. Hospital. IDPs & migrants: nothing special to report. Souk Alkhamees Rural Alkhums Municipality: Hospital. PHCs: provide essential services at daytime. Alkhums polyclinic. EPI services and COVID-19 vaccination: well. Souk Alkhamees Gaser Akhyar Municipality: polyclinic. Gaser Akhyar rural Hospital: The health services Haemodialysis Ctr. are concentrated in the OPDs. Shortage of PHCs: 21 functioning emergency services and supplies still the main Non-functioning: issues. PHCs 5 non-functioning COVID-19 Isolation Ctr. still not opened (Most of Gaser Akhyar patients receiving inpatient services outside the Municipality: municipality). Functioning Hospitals: COVID-19 vaccination: well. Gaser Akhyar rural Garabolli Municipality: Hospital (only OPDs). Garabolli Gen Hospital: The health services are Gaser Akhyar polyclinic medicine, OBS/GYN & paediatric. PHCs: 12 functioning Garabolli PHC: provides first aid & occasional Non-functioning: OPD services but the services are not satisfactory PHCs 1 non-functioning due to shortage of staff, not available drugs & Garabolli Municipality: consumables or imaging services. Functioning Hospitals: Garabolli Gen Hospital Ataia polyclinic. PHCs: 9 functioning Non-functioning: PHCs 3 non-functioning Ben Walid Decrease in number of COVID-19 cases and Functioning Hospitals: Bani Walid General Hospital and all PHCs: Provision of Visit to the endocrine and death compared with last month. Baniwalied General Hospital suffers from Shortage of laboratory Surgeons and diabetes hospital will open Approximately the number of people who Hospital a severe shortage of supplies: CBC reagent, Emergency after few days. This health received the vaccination 780, All vaccinations PHCs: 13 functioning. the following Biochemistry reagent. doctors. facility has been upgraded Draft received by the vaccination committee were specialties: from a health centre to used. Non-functioning Anaesthesiology, become a specialized The General Hospital provides only Gynaecology Hospitals: emergency and hospital for diabetes and & Paediatric services, no Emergency and Surgery AlShami Rural Hospital. orthopaedic doctors endocrinology due to the shortage of doctors. Aldahra Rural Hospital. The main and The building has been Almardom Rural important problem is modified, facilities have Hospital. the non-functioning been added, and it is now Diabetes-Endocrinology of the surgical being equipped with Centre. department and the medical equipment. Isolation Centre in emergency and Baniwalied polyclinic. trauma department, all cases are transferred either to neighbouring cities or to the private clinics. Misurata The number of reported new COVID-19 cases Functioning Hospitals: Healthcare workers Training of nurses & Deployment of Field visits to different were still decreasing with an average around 27 Misurata Medical Ctr. especially Nurses at midwives. MMT. healthcare facilities & cases / day at Misurata municipality and around Misurata Cancer Intensive care units of IPC training for staff Emergency isolation Ctrs. & meetings 15 cases/ day in municipality, which Institute. isolation Ctrs. Consultants & Advisors training for with their officials to collect decrease the stress over the different isolation Misurata TB & Trained Emergency Training of staff on mental healthcare HeRAMS information. centres in the region. The challenge regarding respiratory disease Medical doctors health. workers at main Meetings & field visits and O2 source at Zliten Medical Ctr. remains a future Hospital at the only Support to establish health facilities follow up visits to Misurata threat in case of crowdedness which might Qasr Ahmed Rural emergency women health program especially Medical Ctr., Misurata happen as it is expected after the crowdedness Hospital. healthcare facility at (screening & women care Tawergha Cancer Institute, & NCDC in the markets especially in the last two months Almahjoob Rural Tawergha city. services). Central Misurata. of the holy month of Ramadan and Eid days (the Hospital. Midwives & trained Technical support for HIS. Hospital. first two weeks of May). Tawergha Hospital. nurses for Supplies for isolation O2 Generator to The shortage of the national supply is still Zliten Medical Centre Medical Ctr. department (PPEs, Isolation Ctr. in noticed at the different healthcare facilities in Isolation Ctrs. (2 Ctrs. Obstetric team at ventilator circuit, high Zliten Medical the region especially laboratory reagents & belongs to Misurata Algeddahia Rural flow machines & other Ctr. consumables as well as the personal protective cancer Institute, 1 Ctr. Hospital (Abugrain related consumables). Personal equipment. belongs to Misurata branch of Misurata Training on Nasal swab Protective The existing threat of delayed salaries for the Medical Ctr., 1 Ctr. municipality). taking & PCR techniques Equipment & healthcare workers in COVID-19 isolation Ctrs. belongs to Misurata TB in Misurata Medical Ctr. laboratory The vaccination campaign is still taking place in & respiratory Hospital, lab & NCDC consumables. the region with the arrival of the new vaccine NCDC Misurata: Draft (Sinovac) to the different healthcare facilities in 1 Ctr. Alkarareem Support to establish HIV & Misurata and Zliten municipalities as most of isolation Ctr.). Hepatitis clinics. them run out of Sputnik and Astra Zenca, but Alghwelat isolation Ctr. EOC training. acceptance of vaccines in Tawergha is still low. at Zliten Municipality is Misurata Cancer Institute: There was a noticeable crowdedness in the still under process (no Support & assistance in markets which may lead to raise in the incidence care providers & Radio-active materials of COVID-19 cases in the coming weeks. equipment). transportation. PHCs: Access to different Misurata 27 functioning oncology journals & Zliten: 26 functioning. Hinari. Non-functioning: IPC training for Staff Misurata Medical Ctr. ICD capacity building in medical & gynaecology cancer registry. departments are under Training in emergency for construction and the the healthcare providers first cath. Lab may lunch at Tawergha central within the next few Hospital. weeks. Surgical masks, PPEs, Misurata polyclinic: Laboratory reagents & under maintenance. consumables to PHCs. Sirt The health situation in the area is fairly good. Functioning Hospitals: Ibn Sina Hospital: Ibn Sina Hospital: PPEs, Assess/quantify Attended Minister of There is increase of COVID-19 positive cases. Ibn Sina Hospital. Paediatric, Surgery, ECG, echocardiography, the isolation Health visit to support Total number of cases 1240. Isolation Ctr. Trauma & bone drill, laboratory centre needs. health services. Active positive cases 35. Sirt oncology Ctr. Gynaecology. ABG, ERCP, under water Total number of cured cases 1146. Sirt polyclinic. Oncology Ctr.: seal machine (chest tube) Total number of deaths 59. PHCs: Surgery. & Basic kit. COVID-19 Vaccination Campaign started in 5 functioning. municipality for old peoples and medical staff. Non-functioning: Sirt polyclinic: U/S, There is shortage in medical staff in isolation Ctr. PHCs: 1 non- disinfectant, Laboratory IDPs scattered in deferent areas in the city. functioning. material. There is no refugees or migrants in Sirt. Isolation Ctr.: O2 generating system, PPEs, ECG. Oncology Ctr.: laboratory, x-ray, ICU beds, ECG & cancer treatment. Draft The number of COVID-19 cases and mortality Functioning Hospitals: Shortage of Nurses Trauma kit Conducted meetings with: rate decreased compared with previous month, All functioning. and PPEs Abusalim Trauma Hospital due to people fasting and COVID-19 test Isolation centre in Anaesthesiologists in Oxygen flow meter for / General manager. decreased in Ramadan. Tripoli University all the hospitals and cylinders. Alhuria polyclinic / General Decrease number of admission in isolation Hospital is fully isolation centres manager. centre. functioning and like Tripoli University Hospital In 13 May, the number of COVID-19 tests other isolation centre Isolation centre / General reached one million, other lab statistics not (all staff not paid their manager, Medical affairs officially documented in private sector (rapid salaries). officer and the test). Abusalim Trauma administrator of laboratory COVID-19 lab swab and reagents is available. Hospital is fully stores. Vaccine campaign is ongoing with Sinovac functioning for urgent vaccine. and emergency cases Registration in vaccination electronic system. that need surgical intervention especially orthopaedic and neurosurgery. Non-functioning Tripoli Paediatric Hosp. Mitiga Hospital. Abusitta chest disease hospital (no admission). PHCs: 3 non-functioning Zawia Severe shortage of insulin & drugs for chronic Functioning Paediatric surgery Zawiya diabetic Ctr. needs Shortage of Visited Azzawia Teaching disease. Shortage in PCR. Azzawia Diabetes Ctr. clinic not available insulin supply. vaccines (Rota Hospital, to assess the Abu Gallasha isolation centre in Azzawiya OPD functioning. throughout the NCD Kit. vaccine) in Di deficiencies in drugs and stopped the admission due to lack of nursing. Non-functioning: Western Region. Shortage in haemodialysis Alhelal PHC & laboratory materials. Zawiya Teaching Hospital: Alharsha PHC still Oncology, Psychiatry materials in Azzawiya other vaccines Meeting with the isolation Paediatric department is functioning despite the closed due and Neurosurgery kidney hospital. available. centre director in Azzawiya lack of capacity. Diagnostic Radiology maintenance. not available in (Abu Gallasha) Department Opened. Work has been initiated Many of primary health Azzawiya and Regarding the restarting of with a modern operating equipment a plan was care in the west of Sorman. patients admission after developed to raise the level of services within Azwia are closed due to one week. this section. COVID-19. Therefore, The list of the agreed centres through which the the other healthcare vaccine will be given in Zawiya: Beer Tarafas, Bir unit is very crowded. Draft bin Hassan, Omar bin Abdul Aziz, Algalaa Ctr., Azzawiya polyclinic Abu Surra Ctr., Collective clinics, Dhay Alhilal & closed due to Jodaim. maintenance. Weak start for COVID-19 vaccination to medical Abu Gallasha isolation staff. centre in Azzawiya Sorman teaching hospital: stopped the admission The ambulance and emergency department is due to lack of nursing. functioning despite the reduced capability. Paediatric and Gynaecology departments still functioning. Zwara Sabratha Teaching Hospital: Elective surgical Functioning Hospitals: Aljmail Hospital: Cardiac enzyme, Serum Severe shortage operation still suspended due to the Holy month Zwara, Alajailate, Surgery, paediatric, acetone, ABG, not of insulin & of Ramadan. Sabratha, Aljmail Trauma & Laboratory available at all Hospitals intravenous Sabratha Oncology Hospital: Gradually stops functional. Alajilat Hospital: Shortage of medical solutions at operating in implementation of the Ministry of In addition, Surgery, emergency supplies in Zwara Sabratha Health's evacuation request (Intensive meetings Cardiovascular Ctr. unit, orthopaedics, Hospital. Hospital. between the administration of Sabratha Sabratha Polyclinic, medicine, Trauma & Onset of Teaching Hospital and the management of the Galil Polyclinic, & Laboratory. summer needs Oncology Hospital to transfer the Internal Alalalga Polyclinic. Zuwara Hospital: for training Medicine Department to Sabratha Teaching PHCs: 5 functioning. suffers from a severe courses to save Hospital). Non-functioning shortage of medical drowned in the Isolation Centres: Stable with decrease in Hospitals: staff. sea. mortality rate and operate according to the Zolton Hospital (Under available capabilities. construction). Coronavirus vaccination campaigns continue on Regdalin Hosp (changed a regular and stable basis. to an isolation centre). Migrants: Increase in illegal immigration, Zwara Albahry Hospital according to what was reported by the IOM (Under maintenance). member in the region. Sabratha Oncology Hospitals (Evacuation by MoH). Draft Ghadames Private contracts with doctors covering the Functioning Hospitals: Ghadames General Ghadames Gen Hospital: New medical Visited vaccination Ctr. & essential life-saving services (surgeon, OBS/GYN Ghadames Gen Hospital Hospital: Surgery, O2 manufacture for contract with Meeting with head of Ctr. and 3 emergency doctors) suspended. NCDC Branch. trauma, Orthopaedic, Medical use. emergency and & the staff. The nearest hospital is Nalut General Hospital Emergency & OBS/GYN & Upper Shortage in medication in OBS/GYN Meeting with head of about 350 km. The road is out of order and ambulance system Endoscopy. both Hospital & PHC, expert. Isolation Ctr. undergone irregular maintenance for more than PHCs: COVID-19 Isolation mainly oral anti diabetics, The Hospital Meeting with head of 11 years. 1 functioning. Ctr.: Shortage in insulin, antihypertensive, face shortage in pharmacy department I the The Hospital admin. declared the situation with Non-functioning: medical & anaesthetic medications. both medical & hospital. no action from the community regarding the PHCs: 1 non-functioning paramedical staff Disinfectant some PEEs paramedical crisis. major problem facing equipment. staff. Only The area still faces increased number of positive the isolation Ctr. The Radiology services is good internal COVID-19 patient. 14 new case reported and 2 problem regarding in the hospital but the medicine & deaths. The COVID-19 lab (GeneXpert) used only O2 supply continuous need for CT-scan and paediatric for emergency cases need admission to Hospital. It depends on O2 Echocardiography must covered by local Trace of contact cases for COVID-19 positive cylinders filled from be evaluated. specialist. patient continuous by rapid response teams. manufacture from The haemodialysis unit COVID-19 vaccination started for over 70 years Nalut or Tripoli which lack dialysis equipment by AstraZeneca, needs for education about the increase the cost of (Water treatment stopped vaccine. care. Local O2 for period of 1 week and The vaccination campaign has not yet started. manufacturer then maintained). Vaccination centre staff are waiting for the NCDC preferred. information and lists of people to be vaccinated in advance to get started by Sinovac vaccine. The cold chain of the isolation centre is augmented with a refrigerator with a temperature of -18 ° C and below and the centre is ready to receive and store any types of COVID- 19 vaccine that need -18 ° C.

SOUTH Region Draft Murzuq – The health situation, still the Hospital provides Functioning Hospitals: Alqatrun Rural Alqatrun rural Hospital: Needs doctors Visited several Ctrs. & met Algatrun emergency services only, lack of doctors, the Alqatrun Rural Hospital Hospital: Anti-hypertensive, in all specialties. with most of the managers departure of two visiting doctors, the lack of PHCs: 3 functioning. surgery, paediatric, diabetes, antiepileptic, Urgently need in order to reach the necessary resources, not to mention the Non-functioning: trauma, gynaecology, anti-Parkinson drugs, anti- training of available quick solution to outbreak of COVID-19 epidemic in the region in PHCs: 3 non-functioning ENT, anaesthesia, scorpion, anti D, anti- medical & para alleviate the suffering & the light of the absence of the isolation, they need rehabilitation trauma, urology, coagulants, and psycho- medical staff. provide guidance & health screening, prepared & independent filter. & support. orthopaedic, tropics. Needs support awareness such as health A note the delegation of the committee from the ophthalmologist Refrigerator to keep the by fuel. services director, RRTs, Ministry of Health in charge of assessing the (only three general vaccinations. Surgical kits & PHC director, head of situation had visited recently, represented by practitioners). PHCs: antibiotics, anti- equipment. vaccination department, all the medical affairs & projects administration to pyretic, anti-scorpion Basic drugs.as health facilities heads as evaluate & develop a final vision for the antihypertensive, diabetic Analgesics, QRH, Qasr Masoud, workflow & provide the best medical services to drugs. Antibiotics, Naqurkunemma, Albakhi, citizens & visited all health centres in the region. Antipyretics, Almadrussa, Tejerhi & In the recent period car accidents are frequent, Anticoagulants, Naqurkunemma resulting in almost daily deaths, severe and IV fluids. ambulance unit director, medium injures. Due to excessive speed and Refrigerators to Qatrun ambulance device, long distances and failure to follow the traffic keep & store & corona commission and safety instructions and non-availability of mobile ones for officials. specialists, operating rooms, skill fully trained vaccinations. medical personnel, ambulances for transporting Generators for patients, modern refrigerators for preserving frequent power bodies, generators and fuel (frequent power outages. outages), all these and other factors led to deterioration of the health situation. Murzuq – In general, the health system is weak. All health Functioning Hospitals: Tsawah Rural Tsawah Rural Hospital: Plan to Field visit to Tasawah rural Wadi Etba facilities are accessible for all population, high Tasawah rural Hospital. Hospital: Surgery, “drugs for ER “Anti reactivate PHC Hospital Municipali- price of fuel in the area cause difficulty to reach Isolation Centre. Trauma, Infection scorpion, surgical & & support them Close contact with RRT. ty the health services, expensive drugs & its Triage Centre. Control Department, trauma kits, PPEs, CT scan. individually. Close contact with triage & unavailability, absence of cash money struggling PHCs: 10 functioning. Xray department, OT, PHCs: Basic kit, ORS & Training isolation Ctrs. the management of some cases. provide very little Staff at admission anti-scabies. programs to Increase of COVID-19 suspected cases services because of units and doctors in medical & Loss of contact between population & health shortage of medical all wards are in need paramedical worker & municipality, absence of awareness supplies & lack of of training in all staff. sessions & spread of knowledge making the training & follow up facilities. peoples loss the confidence with politicians & Draft doctors. On other hand, the non- COVID-19 (function as first aid Training for services are almost suspended. points). health workers Vaccination campaign against Corona virus Non-functioning: on admin. continuous targeting peoples above 70 yrs. PHCs: 2 non-functioning Support with National vaccination program functioning. (needs major Anti-scorpion & rehabilitations). Anti-snake Tasawah PHC, new venoms. building under construction. Murzuq – The health situation is bad. Functioning Hospital (Murzoq Murzoq general Hospital: Training Contact with Murzuq Murzuq Murzuq general Hospital: not accessible to all Hospitals: general Hospital): “drugs for ER, programs to General Hospital manager. Municipali- populations because of security issues & political Murzoq general OBS/GYN doctors. consumables & PPEs. medical & Field visit to Murzuq ty conflict Most of population left after conflict Hospital. Admission word for Muzuq Polyclinic: Surgical paramedical polyclinic during COVID-19 happened since May 2019 & a lot of health Murzuq polyclinic. surgical branches. & malnutrition kits. staff. vaccination campaign. services closed due to displacement. PHCs: Infection Control Team from International Medical Corps (IMC) 3 functioning. Department. ended their mission at the General Hospital for 1 Non-functioning: month. The Hospital covered with doctor work PHCs: only as OPD clinic. 1 non-functioning Murzuq Polyclinic: provide immunization (due to conflict). services & follow up, needs for refrigerator & 4 non-functioning transportation to support the cold chain. (needs major RRT continue with limited capacity because of rehabilitations). logistics. Murzuq – In general, the health system is weak. All health Functioning Hospitals: Taraghan teaching Taraghan teaching Fuel supply “ Field visit to Taraghan Traghan facilities are accessible but high fuel price Taraghan Teaching Hospital: ICU, Hospital: “drugs for ER diesel” , teaching Hospital Municipali- prevents some people to get a medical service Hospital. “Trauma consultants” “Anti scorpion, surgical & Training Close contact & follow up ty mainly in remote villages. PHCs: 13 functioning. & needs for training. trauma kits, plaster, PPEs. programs to with manager of RRTs. Lack of communication between municipal (5 functioning as first PHCs: Basic kit, ORS, medical & council and health services administration aid points). antipyretic, analgesics & paramedical makes the situation more difficult regarding Non-functioning: NCD kit. staff COVID-19 and Non-COVID-19 services. PHCs: 1 non-functioning Limited COVID-19 testing sent to Sabha. (needs major Gene expert extraction machine in isolation rehabilitations). department of the Hospital still not functioning due to shortage of cartridges and IPC measures. Draft Health system depends mainly on Taraghan teaching Hospital & primary health Ctrs. and most of them lacking doctors. Shortage of Fuel supplies for generators threaten backup source of electricity. IDPs from Murzuq inside Taraghan are suffering access to drugs & supplies. Murzuq – The health situation is bad. Functioning Hospitals: Om Alaranib rural Both Om Alaranib & Anti-scorpion Close contact with health Alsharqia All health facilities are accessible, elevated price Om Alaranib rural Hospital: Surgery, Temissah Rural Hospitals: &anti-snake administrators in the Municipali- of fuel making difficulty to arrive to Hospital Hospital. Trauma, maternity Infection Control, venoms. municipality. ty because most of health services are unavailable Temissah Rural Hospital &childcare “needs Radiological department, EMTs as visits or in most of villages. PHCs: 8 functioning. training for doctors” OT, Admission one family Focusing the functioning health facilities in the Non-functioning: This Hospital in need departments “drugs in ER physician. area the main is Om Alaranib Rural Hospital PHCs: 1 non-functioning for obstetric beds “Anti scorpion, O2 Fuel supply although this Hospital lacks logistical support. -needs rehabilitations. &equipment for cylinders, surgical & “diesel”. The location of this Hospital is crucial in the way assessed delivery. trauma kits, Plaster, PPEs. Training between Alqatrun & Sabha it receive a lot of Temissah rural PHCs: Basic drugs, ORS. programs to cases of RTA mainly migrants. Hospital urgent need medical & Other health facilities function as points for for doctor &training paramedical dressing & injection administration only. of the staff. staff Temissah rural Hospital is functioning by visitor doctors from Sabha present once or twice / month &paid by locals &the Hospital manager otherwise the Hospital providing service by the nurses. Other Primary health Ctrs. & primary health care units most of them are function by nurses & lack for medical supplies. Vaccination in the municipality available in 5 vaccination Ctrs. in the municipality. COVID-19 vaccination campaign continuous targeting ages >70 as recommended by NCDC. Some supplies arrive to facilities mainly from ICRC & WHO. Ghat All health facilities are accessible but high fuel Functioning Ghat Hospital: Ghat Hospital: Basic kit PPEs, Meeting with Municipal price prevents some people to get medical Hospitals: Surgery, Anaesthesia, and NCD kit. GeneXpert member for PwDs. service mainly at remote villages. Ghat Hospital. Draft Limited COVID-19 testing, samples sent to Sabha PHCs: Orthopaedic, Trauma PHCs: Nebulizer, PPEs, Cartridges and Visit to Alawinate PHC due to accumulation of specimens in NCDC 4 functioning (OPDs). and Derma. ORS, antibiotics. Medical supply. (Rehabilitated by NGO). laboratory. Depend mainly on Rapid antigen 4 functioning (Vacc.) PHC: GP, paediatric. test. Non-functioning: GeneXpert machine still not functioning due to PHCs: 5 non-functioning shortage of cartridges. Ambulance service Ctr. Ghat teaching hospital Isolation department still non-functioning due to no human resources. COVID-19 vaccination campaign started (AstraZeneca Vacc). Main Hospital & PHCs suffer shortage of doctors. Deficit of medications & supplies. Border at Algerian side are closed. Sabha The general health situation in the Rural Semno Functioning Hospitals: Semno Rural Hospital Supporting healthcare Hospital needs Contact with Albawanees Hospital is relatively good. The Hospital is Semno Rural Hospital suffer from shortage centres in Albawanis support in medical services director. partially functioning due to the shortage of some PHCs: 5 functioning. in following municipality with good developing & Contact with Semno Rural medical specialties & medical staff. The renal Non-functioning: specialties: paediatric efficient cold chain. expanding it in Hospital director. dialysis unit is functioning. PHCs: 1 non-functioning & neonate, OBS/GYN, Provision of medical order to All primary health care Ctrs. & health centres in -located within military surgery, orthopaedic equipment, laboratory activate Albawanees municipality suffer from an acute area (Tamnhint Military ENT & trauma. reagents & PPEs. incomplete shortage of doctors and lack of equipment. base). All heath facilities services such as The vaccination, first aid, injection & wound care suffer from a opening are available in these health facilities. shortage of medical operation COVID-19 vaccination campaign started on 27 staff. There are no rooms, labour April 2021 and stopped due to inefficient cold ICU, labour room, room, blood chain. operation rooms & bank, ALzeghen isolation Ctr. is the only isolation Ctr. blood bank services in laboratory in the Albawanees municipality but it is non- Semno rural solutions & functioning yet, it needs maintenance &medical Hospital). medical equipment. equipment. Support the maintenance of Zeghen Iso Ctr with equipment & PPEs. Draft The security situation in Ubari is very bad. Functioning Hospitals: Ubari Gen. Hospital: Medicine: NCD Kit, Basic RRT in Ubari & Completion of the The health situation in the Wadi Alhyat is very Ubari General Hospital. derma, orthopaedic, kit Bent Bayya & preparation for the bad. Bent Bayya Rural anaesthesia, ENT & Equipment: DC shock- Alguraifa emergency physicians Large number of robbery and kidnapping in Hospital (Divided into: ICU. ECG, PPEs, alcohol- complains from (EMTs) accommodation in Ubari city. OPD & Isolation Ctr. Bent Bayya Rural antiseptic, lab reagent. shortage of Algharafa Rural Hospital Severe shortage of doctors in all health Ctrs. Alguraifa Rural Hospital. Hospital: surgery, Other health care unit do PPEs & they and waiting for the doctors All health Ctrs. & public Hospitals do not have Jerma Triage Ctr. anaesthesia, OB/GYN not have doctors provide have problems to arrive and the start doctors during the night shift. Alroqaiba Triage Ctr. ophthalmology, ENT, only vaccines. in transporting working this week. Shortage of laboratory operating materials. Altnahma dialysis. & orthopaedic. & storing the Routine Vaccinations available. PHCs: 11 functioning. Alguraifa Rural samples Shortage of medicines for chronic diseases (most PHCs provides Hospital: Derma, ENT, Bent Bayya (Hypertension & Diabetes). vaccinations only) surgery, orthopaedic, Isolation Ctr. Onset of summer, scorpion stings are frequent in All of these health ophthalmology & suffering from Ubari and there is no anti-scorpion vaccine in all facilities function but OB/GYN shortage of health centres. additional health staff, Alroqaiba HCC: doctors & An increase in number of visitors to the filtering medicines & lab medicine, OB/GYN, nurses & drugs, Ctrs. & cases of suspected Coronavirus. reagents are required. Surgery, ENT, Derma lab reagents & Accidents are frequent during Eid, and there is Non-functioning: functions as triage.. PPEs. no health facility that provides good first aid. PHCs: 8 non-functioning Altnahma dialysis: Coronavirus vaccination campaign continues for All of this health Medicine, ICU. doctors and nurses. facilities non-functional Khulaif PHC: Bent Bayya isolation Ctr., shortage of doctors & due to no staff and medicine, paediatric, nurses & Anticoagulant drugs, Vitamins C & Zinc. some health facilities OB/GYN, surgery. Bent Bayya isolation Ctr. received female child need maintenance. Alfjeej PHC: surgery, 2years old infected with corona virus in serious medicine, paediatric. condition. Ebreak PHC: Surgery, Since June 2020, Bent Bayya isolation Ctr. ENT, Derma, Opht, received 195 confirmed COVID-19 cases, 10 orthopaedic cases referred to Sabha isolation Ctr., 8 cases Jema PHC: function as died, 172 cases recovered & went to home. triage Centre Alquairat PHC: Paediatric, medicine, OB/GYN, Surgery. Adesa PHC: surgery, OB/GYN, medicine - paediatric Draft Ubari PHC: closed / functions as isolation centre Wadi Health services unsatisfactory, public health Functioning Hospitals: Idri General Hospital: Idri General Hospital: To support the Contacted the hospital Alshati facilities provide minimum health services, Idri Municipality: GPs covering all ER Paracetamol, IV fluids, isolation Ctr. director to arrange for except few provide services considered Idri General Hospital. shifts, surgery, dexamethasone, with medical WHO supported EMTs. orthopaedic, gentamycin, furosemide ¶medical Coordination with WHO relatively good, in spite not up to the required Bergin General Hospital Wanzreek rural Hospital gynaecology & amp & Metronidazole. staff &the Sabha Hub to deliver standard. Abukadkoud Maternity anaesthesia. Bergen General Hospital: needed medical supplies to Brak Most of the cases need special surgeries or & Dialysis Centre (NVD, Bergen Gen. Hospital received an amount of requirements. isolation centre. urgent surgeries transferred to Sabha, Misurata paediatrics & lab GPs covering all ER medicines provided by the To arrange a Visited Bergen PHC for or Tripoli. shifts, orthopaedic, ICRC as part of the training assessing the situation of services). surgery, gynaecology monthly ration allocated program for the centres. Meeting with The private sector services expanded to include PHCs: 5 functioning & anaesthesia. to the Hospital. However, medical & officials & discussed the surgical operations. Alkurdha Municipality: IDPs are mainly from Tawergha & Murzuq Brak Gen. Hospital: it needs support with paramedical services provided by the Hospitals: No migrants or refugees infectious, ENT & Paracetamol infusion, staff. facility & urgent needs. Gagam Gen Hospital Swabs are collected in Brak triage Ctr. & Elayoun urology. metronidazole infusion, To provide the triage Ctr. daily, the rest of the isolation centres Alkurdha rural Hospital. Qeera Rural Hospital: ringer lactate infusion, deficient drugs collect swabs on specific days (twice per week). PHCs: 5 functioning Infectious, trauma & levothyroxine tab, To arrange The PCR machine functioning (3 days per week). (only EPI services). ophthalmology. diclofenac amp., Plavix more Brak Isolation Ctr.: closed (awaiting arrival of Brak Municipality: Alzwaya rural tab, Insulin Mixtard workshops & the medical team). Hospitals: Hospital: anaesthesia 30/70, ciprofloxacin IV, training courses Marked increase in cases of diarrhoea, vomiting Brak General Hospital & general surgery. dexamethasone inj & related to the and fever during Eid holiday. Geera Rural Hospital Anti-hypertensive drugs. Corona The vaccination system is well provided & all Alzwaya Rural Hospital Brak General Hospital: pandemic for Analgesics, IV fluids, workers in the vaccines are available. PHCs: 4 functioning. dexamethasone inj., health sector. (only EPI services). noradrenaline, Non-functioning: neostigmine, PHCs: 8 non-functioning Omeprazole, metoclopramide, diazepam inj., & supp, midazolam inj., ceftriaxone, ceftazidime, meropenem. Disclaimer: The published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the WHO be liable for damages arising from its use.