UPDATE 2426 1024 -– 16 30 JUNE 2019 IOM WEEKLY EBOLA VIRUS DISEASE PREPAREDNESS UPDATE

Lakes COUNTIES RECEIVING HYGIENE PROMOTION SUPPORT SOUTH IOM DTM FLOW MONITORING POINT Wau Airport SUDAN HEALTH FACILITIES SUPPORTED WITH IOM WASH INFRASTRUCTURE

Dingimo CAR

Source Yubu

Nabia Pai

Logobero

DRC Lasu POINT OF ENTRY SITE MANAGEMENT Lutaya Yei Taxi Park Jale Aweno Olwiyo IOM Khor Kaya/ WHO

CUAMM Elegu CORDAID Salia Musala WORLD VISION UGANDA FUTURE PoE SITES (TO BE MANAGED BY IOM)

INDIVIDUALS SCREENED THIS WEEK PER LOCATION & CUMULATIVE SCREENINGS PER LOCATION

Bazi Birigo Bori Kaya Kerwa Khorijo Khor Kaya Lasu Okaba Pure Salia Musala Tokori Yei SSRRC

1,644 1,333 952 3,830 2,415 2,605 2,905 59 1,620 2,728 2,897 126 23 32 INDIVIDUALS SCREENED THIS 36,792 18,140 6,785 103,945 30,924 69,038 41,282 1,075 47,498 68,021 47,163 5,029 888 853 WEEK: 23,169

ORIGIN OF ENTRANTS TO SOUTH SUDAN WEEKLY OVERVIEW

COUNTRY & LOCATIONS NUMBER OF INDIVIDUALS TRENDS COMPARED WASH OF ORIGIN SURVEYED THIS WEEK TO PREVIOUS WEEK ●  This week, the EVD team accessed Isebi Boma, Lujulo County and SUSPECTED/ UGA Koboko 2,099 43.1% identified a location for the construction of a PoE. The location had CONFIRMED EVD COD Ituri 1,348 27.7% been inaccessible since March 2019 due to insecurity CASES: 0 UGA Yumbe 236 4.8% ●  An assessment of broken down hand pump was done in Isebi. UGA Other 225 4.6% Mobilisation of bohole repaire will commence next week to ensure UGA Moyo 154 3.2% safe access to clean water for communities living around the PoEs COD Haut-Uele 144 3.0% ●  Two tents were erected at Bazi and Morobo PoEs respectively to UGA Kampala 139 2.9% complement the temporary shades that had previously been used UGA Adjumani 108 2.2% INDIVIDUALS as primary screening tents but which had deteriorated due to harsh REACHED UGA Arua 105 2.2% weather conditions UGA Maracha 93 1.9% WITH HYGIENE UGA Amuru 81 1.7% DTM PROMOTION: 193,004 KEN Other 79 1.6% ●  DTM continued to operate 21 FMPs on the border with DRC, CAF Haut-Mbomou 54 1.1% Uganda and the Central African Republic. Six of these are operated OTHER Other 4 0.1% in cooperation with DTM Uganda on the Ugandan side of the Operational factors, including delayed submission by some FMPs, may affect trends on a week-by-week basis. border Figures with; upward trend, downward trend, no change, no data from previous week. For a more detailed breakdown, contact [email protected]. HEALTH During this reporting week, a total of 4,869 entrants were surveyed. ●   Active screening ongoing in 14 active IOM-supported PoE sites, HEALTH FACILITIES 87.8% of surveyed travelers were South Sudanese nationals; 7.5% were namely: Yei airstrip, Yei SSRRC, Tokori, Lasu, Kaya, Bazi, Salia SUPPORTED from Uganda; 1.8% from DRC; 1.3% from Kenya; and 1.7% were from Musala, Okaba, Khor Kaya (along Busia Uganda Border) in Morobo THROUGH WASH other countries. Entrants origin information is self reported. County, Pure, Kerwa, Khorijo, Birigo in and Bori ASSISTANCE: 8 WEEKLY EVD PREPAREDNESS UPDATE

WEEKLY EVD SCREENING

TOTAL INDIVIDUALS SCREENED FOR EVD CASES OF NON-EVD FEVER SINCE SEPTEMBER 2018 (VALUES INDICATED FOR WEEKS WITH 20+ CASES) 25,000 1,000 25,000 900

20,000 800 20,000 700

15,000 600 15,000 500

10,000 400 10,000 300

5,0005,000 200 93 56 69 57 100 27 23 35 39 31 33 37 36 29 29 39 40 45 40 27 45 23 53 34 0 0 SEPT.SEPT. OCTOBER OCTOBER NOVEMBER NOVEMBER DECEMBER DECEMBER JANUARY JANUARY FEBRUARY FEBRUARY MARCH MARCH APRIL APRIL MAY MAY JUNEJUNE 2018 2019

HEALTH UPDATES SECURITY & ACCESS During the reporting week, 23,169 inbound travelers to South Sudan were screened on EVD exposure and symptoms. Five CHALLENGES PoEs detected 34 travelers with fever (18 from Birigo, 1 from Kaya, 7 from Bazi, 1 from Pure and 7 from Kerwa). After Road access to Morobo, Khorijo and subsequent temperature measurement during secondary screening, 2 cases had their temperatures return to normal on Bori is being limited by worsening subsequent measurement. All cases were referred to the nearby health facilities and 6 were treated for pneumonia in children, condition of the roads due to the while the rest of the cases (26) were all diagnosed and treated for malaria. There were no EVD alert cases reported during the onset of rains. reporting period. Access to Lujulu is still a challenge WASH UPDATES due to security. Remote monitoring is being done for During the reporting period, IOM continued hygiene Lasu and Tokori due to access issues, promotion activities in and around all the 16 locations (Yei but poor communication network SSRRC screening point, Pure, Morobo, Khorijo, Kaya, Gimunu, makes it morechallenging. Tokori, Marakonye, Lasu, Attende, Salia-Musala, Busia (Kor- Kaya), Kerwa, Bori, Bazi, and Berigo). Hygiene promotion Road access to Morobo, Khorijo and sessions at schools, markets and water points, reaching Bori is being limited by worsening approximately 4,969 (1,710 Women, 1,045males,1,008 boys condition of the roads due to the and 1,206 girls). onset of rains. There is ongoing rehabilitation of incinerator and excavation of waste pit in Kerwa PHCC to establish medical waste COORDINATION management system. NOTES DTM UPDATES IOM continues to actively participate in the national level coordination Eighteen FMPs, including six operated in cooperation with meetings such as SAG, NTF and DTM Uganda, submitted data for 23 – 29 June on time, while Dr. Mary handing PPE kits to volunteers in Okaba PoE © IOM 2019 / TWG meetings including the three were unable to do so as a result of access challenges. Mary ALAI IPC/WASH, Border Health and Based on the available data, 4,869 people were surveyed on arrival to South Sudan during the reporting period. The main Points of Entry (BH &PoE), Epi & regions of departure were Koboko (43.1% of respondents) in Uganda and Ituri (27.7%) in DRC. 70.0% of respondents reported Surveillance, Risk Communications going to , followed by 8.4% to Yei County and 7.7% to Juba County. 87.8% of respondents reported being Social Mobilization and Access and South Sudanese nationals, followed by 7.5% with Ugandan and 1.8% with DRC nationality. Security Technical Working Groups (TWGs). IOM also attends monthly coordination meetings in Morobo HYGIENE PROMOTION and Kajo-Keji Counties. IOM is regularly conducting 35,00035,000 To t a l monitoring & supportive supervision 30,00030,000 number of participants at all the POE sites. 25,00025,000 of EVD hygiene promotion IOM EVD coordinators from Juba 20,000 20,000 activities since and Yei conducted monitoring visits October 2018 15,00015,000 to PoE sites in Morobo county (Salia 10,00010,000 Musalla, kaya, Morobo and Bazi) and 5,0005,000 held meetings with ground teams as 0 part of maintaining direct feedback 0 mechanisms from field teams. BAZI PURE LASU KAYA BORE

SSRRC IOM and UNICEF are conducting a KERWA BERIGO TOKORI BAZI GIMUNU KHORIJO LASU PURE ATTENDE MOROBO BORE

KAYA joint EVD assessment visit to Tore KOR-KAYA SSRRC MARAKONYE KERWA BERIGO county in Yei River state from 1 July TOKORI SALIA-MUSALA GIMUNU KHORIJO MOROBO ATTENDE to 5 July 2019. KOR-KAYA MARAKONYE SALIA-MUSALA