: Early Warning Alert and Response Network (EWARN) Snapshot Displacement Crisis in Iraq as of March 2017

From week 9 (ending 27 February) to week 12 (ending 26 March) 2017, the total of 365 553 consultations were reported from the health facilities covered by the EWARN system in Iraq, indicating an average of 91 388 patients per week. Disease Alert # of Cases Forty four percent (44%) of all the reported communicable disease cases were reported among children below five years while 51% were reported among females. Between 184 and 208 sites Suspected Measles 1 submitted their reports in March. Dahuk AL RASHEEDIYA SPHCAL ARABY PHC AL RASHEEDIYA MPHC AL QAHIRA

ASSUKKER AL ZAHRAA MURAHIBEEN AL JAMIAA C! The most common disease incidence reported in Ninewa department of health was acute upper Aymen AL AZZUHOOR AL SAMAH/AlC! Arkan respiratory tract infection at 33% (54 393 cases), followed by acute diarrhoea at 5% (9 089 AL QADISSIYA AL NOOR AL JAZEAR GOJALI C! cases), acute lower respiratory infections at 3% (4882 cases), suspected scabies at 2% (2730 AL SHARQY Gogjali AL KARAMA cases), suspected mumps at 1% (995 cases) and Acute Bloody Diarrhoea (858). Refer to Ninewa disease trend graph. AL WAHDA C!

AL AQSA

Seven alerts were generated during this period, 92% of them were positive. The alerts were YARMIJA investigated and responded to within 72 hours by Departments of Health, WHO and health partners.The most reported alert during this period was Acute Flaccid Paralysis with 98%, Al-Hamdaniya followed by suspected pertussis and suspected measles alerts with 1%. HamamHamam al-Alil al-Alil PHC Sixty health personal were trained in Early Warning Alert and Response Network in all the C C emergency governorates. Al-Sifaina PHC C AL-Zawiyah PHC Kirkuku Qayyara Q-South TOTAL REPORTED CASES OF ALL DISEASES IN FEBRUARY Jeddah

Disease trend by week Qayyara Airstrip 6000 108,956 Upper Respiratory Tract Infection 13,396 Salah aal-Dinl Acute Diarrhea 5000 8,100 Lower Respiratory Tract Infection 4000 Acute Diarrhoea 6,064 Skin Disease 1,710 Suspected Mumps 3000 1,311 Leishmaniasis

# of Cases # of Suspected Scabies 2000 942 Bloody Diarrhea (BD) 631 Suspected Pertusis Diyala 1000 Acute Bloody Diarrhoea 610 Suspected Chickenpox Suspected Measles 0 73 Wk1 Wk2 Wk3 Wk4 Wk5 Wk6 Wk7 Wk8 Wk9 Wk10 Wk11 Wk12 59 Acute Jaundice Syndrome (AJS) Disease Alert # of Cases 01 Meningitis Suspected Pertussis 9 Baghdadd Acute flaccid paralysis 2 5000 Distribution of suspected Leishmaniasis Anbar Wassit 4000 Babylon 2016 3000 2017 Kerbala

Missan # of Cases # of 2000 Qadissiya 1000

0 Thi-Qari-Q Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Legend Alerts Distribution of total consultations and number of Camp reporting sites by Week, 2017 Basrah 120000 250 Hospital CPHC 100000 Muthanna # of ConsultaƟons ons Ɵ

Repor Funded by: 80000 1 - 1630 Ɵ

ng Sites 1631 - 5830 Consulta 60000 200 European Union Office of U.S. 40000 5831 - 19452 Humanitarian Aid Foreign Disaster Assistance

20000 Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its 0 150 frontiers or boundaries. All reasonable precautions have been taken by WHO to produce this map. The responsibility for its interpretation and W 1 W 2 W 3 W 4 W 5 W 6 W 7 W 8 W 9 W 10 W 11 W 12 use lies with the user. In no event shall the World Health Organization be liable for damages arising from its use. © WHO 2017. All rights reserved. Email: [email protected] Data source: EWARN Production Date: 18-April-2017 N IRAQ: Snapshot of WHO Response Activities in Anbar Governorate 1st Quarter - January to March 2017

Consultations by sex Consultations by age 122,022 4,073 1,432 48% 52% 72% 28% Total consultations RH consultations MHPSS consultations male female above 5 under 5

Turkey 50000 2000 Legend Syria Ra'ua ! Number of IDPs Syria 40000 Al-Ka'im 13,968 Iran 1500 Syria 22,278 30,876 IDP Camp Ana IRAQ 30000 Jordan PHC Heet 1000 !C 12,420 20000 Saudi Arabia Health House 20,142 500 + Consultations 10000 RH Consultations Mobile Medical Clinic 0 0 Week 1 Week 1 Week 2 Week 3 Week 4 Week 1 Week 2 Week 3 Week 4 Falluja Jan February March 3,408 Jordan

LABORATORY TESTS PERFORMED 16,938 Al-Rutba

11,975 VACCINES PROVIDED

Al-Amal

2,337 CASES OF DIABETES MELLITUS

1,642 CASES OF HYPERTENSION Dary-3 Markazl camp Al-Khalidiya camp Dary-4

323 REFERRED CASES (INCLUDING EMERGENCY) TO SECONDARY OR TERTIARY MEDICAL CARE Al-Qasir 141 LABORATORY OR RADIOLOGICAL Habaniya Tourist INVESTIGATIONS Camp Al-Rayan ! 125,922 117 REFERRED CASES FOR MEDICAL OR SURGICAL INTERVENTIONS

Saudi Arabia 71 MANAGED TRAUMA CASES

Acronyms Al-Abyad *MHPSS - Mental health psycho social support Al-Amal Al-Manshood + Bezabize Central Camp *RH - Reproductive health Dary-2 + Al-Salam Dary-1 Funded by: Al-Batraa Km ¯ Al-Asfar+ 025 50 100 Ameriyat Al- +

Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinionwhatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. All reasonable precautions have been taken by WHO to produce this map. The responsibility for its interpretation and use lies with the user. In no event shall the European Union Office of U.S. World Health Organization be liable for damages arising from its use. Data source: Activity Info., CCCM, DTM, DoH-Anbar Data of Production: 3/04/2017

Humanitarian Aid Foreign Disaster Assistance Further information: Email: [email protected] © WHO 2017. All rights reserved. IRAQ: Distribution of essential medicines and emergency kits 1st Quarter - January to March 2017 Dahuk Erbil [Essential medicine] [Emergency Kit] [Emergency Kit] Turkey [Essential medicine] Dahuk 94,019 Cardiovascular medicines 180,750 Full IDDK 1 Full IDDK 1 Cardiovascular medicines 124,500 Anti-infective agents 105,102 Full IEHK 1 Erbil Iran IDDK 1 Anti-infective agents 69,891 Medicine affecting the blood 72,000 IEHK Basic 22 IEHK Basic 41 Gastrointestinal 49,500 102,293 Surgical kit 27 ff ti Gastrointestinal 48,500 Surgical kit 10 Syria Medicine a ec ng the blood 48,000 Trauma kit A & B 1 ti ti ti Analgesic 16,020 Trauma kit A & B 1 An convulsant and an epilep c 10,000 ti ti ti Dermatological medicines 4,272 An convulsant and an epilep c 12,000 706,639 Lipid lowering agents 10,000 Ophthalmological preparations 3,000 Endocrine and anti-diabetic 8,000 Sulaymaniyah Sulaymaniyah Respiratory 800 Dermatological medicines 7,098 [Emergency Kit] ti Ninewa IDDK 1 An allergics and anaphylaxis 6,190 60,078 41,025 Anti-Inflammatory 5,260 IEHK Basic 40 Respiratory 3,910 Surgical kit 2 Pentostam 3,300 Kirkuk Ophthalmological preparations 2,588 [Essential medicine] Anti-emetic 1,450 30,400 [Emergency Kit] Endocrine and anti-diabetic 50,990 Anesthetic 30 Salah al-Din IEHK Basic 40 Analgesic 35,500 Diyala Surgical kit 3 Anti-infective agents 32,402 Ninewa Supplements 14,000 [Essential medicine] Cardiovascular medicines 8,500 [Emergency Kit] Gastrointestinal 8,400 Cardiovascular medicines 1,601,026 Full IEHK 5 Baghdad Salah al-Din Antiallergics and anaphylaxis 7,500 Gastrointestinal 531,720 Full IDDK 1 [Emergency Kit] Anticonvulsant and antiepileptic 3,000 Anti-infective agents 517,630 IDDK 4 96,715 34,240 Anbar IEHK Basic 30 Dermatological medicines 2,860 Medicine affecting the blood 190,700 IEHK Basic 215 Surgical kit 4 Medicine affecting the blood 2,600 Analgesic 149,585 Surgical kit 24 Oral rehydration 2,000 Endocrine and anti-diabetic 129,100 Trauma kit A & B 9 Babylon Wassit Respiratory 200 Supplements 95,010 Kerbala Ophthalmological preparations 150 Jordan Anti-Inflammatory 92,411 Anti-Inflammatory 70 Anticonvulsant and antiepileptic 51,000 IV Fluids 53 Dermatological medicines 40,130 Qadissiya Missan Respiratory 31,370 Antiallergics and anaphylaxis 16,040 Baghdad Lipid lowering agents 11,180 [Essential medicine] IV Fluids 8,875 Cardiovascular medicines 206,320 Oral rehydration 7,000 Saudi Arabia Thi-Qar Anti-infective agents 177,983 ti Ophthalmological prepara ons 6,050 Najaf Gastrointestinal 119,144 Control medicines 4,766 Medicine affecting the blood 78,000 Pentostam 4,150 Basrah Antiallergics and anaphylaxis 47,000 Anti-emetic 2,980 Anticonvulsant and antiepileptic 25,000 Anesthetic 2,355 Muthanna Anti-Inflammatory 20,000 Medical Supply 1,930 Anbar Respiratory 13,160 Oxytocics 1,300 [Emergency Kit] Supplements 13,000 [Essential medicine] Vitamins and minerals 1,000 IEHK Basic 20 Analgesic 10,000 Kuwait Pain killer 750 Supplements 129,600 Surgical kit 12 Endocrine and anti-diabetic 5,000 Anti-Cholinergic 600 IV Fluids 160 Trauma kit B 2 Dermatological medicines 2,536 IndicatorsSodium Chloride 500 Medical Supply 1,400 ti Dextrose 5% 100 2000000 Oral rehydra on 1,300 Medical Kits Total number of kits distributed Total number of patients treated Ophthalmological preparations 630 Anesthetic 405 1500000 531 1,165,409 [Emergency Kit] 414 Interagency Emergency Health Kit (Basic) Disclaimer: The boundaries and names shown and the IDDK 13 designations used on this map do not imply official 1000000 Surgical Kit endorsement by WHO or the UN. In no event shall the 82 1 IDDK =900 People World Health Organization be liable for Funded by:

Medical stocks delivered Diarrhoeal Disease Kit (DDK) damages arising from its use. 500000 22 1 IEHK (Full) =10,000 People / 3 Months © WHO 2017. All rights reserved. 1 IEHK (Basic) =1,000 People Email: [email protected] 13 Trauma Kit (A and B) Office of U.S. Data source: WHO IRAQ 0 Week 1 Week 2 Week 3 Week 4 Week 1 Week 2 Week 3 Week 4 Week 1 Week 2 Week 3 Week 4 1 Trauma Kit A & B =100 Interventions European Union Production Date: 05-Apr-17 Interagency Emergency Health Kit (Full) Humanitarian Aid Foreign Disaster Assistance January February March 6 1 Surgical Kit =100 Interventions IRAQ: DistributionHospitals of and Mobile PHCs Medical in Clinics and Ambulances November(as of April 25, 2017) 2016

Distribution of mobile medical clinics Distribution of ambulances Turkey Turkey Dahuk 2 in Bersive 1 Chamishku, 2 Bajet (), 1 Rwanga, 1 Shariya Dahuk 2 in Kabarto, 1 in Khanke (Summel), 1 in Garmawa, 1 Esian, Erbil 9 operaƟonal MMCs in Dohuk, 2 in Zumma, 1 in 1 Sheikhan, 1 in Mamilian, 1 Dawodia, 1 Bardarash, 3 in 2 Ambulances in Dahuk (Sheikhan) Erbil locaƟon. , 1 in Shikhan and Amedi, 3 inTelkaif, 2 DoH Erbil 18 Duhok in Telkyef 4 MMCs, 2 in Ninewa , 2 2 in Erbil LocaƟon Ninewa Iran Syria Erbil 5 in Samah PHCC, 1 in Haj Alil, 1 in Jadaa, 2 in Qayarah hosp. Erbil Ninewa 2 in Qayarah PHCC, 1 in Hamdaniyah hosp., 1 in Rabea PHCC, Ninewa 22 operaƟonal MMCs 4 in Qayara 1 in Bashiqa PHCC, 5 in Sheikhan hosp., 4 in Adhba, 6 in 1 in East Mosul, 1 in Basheqa, 6 in Hamdaniya Sulaymaniyah Maamoon, 2 in Shifa hosp., 3 in Hamam Alil 2 in Debaga, 6 in Hamam Alil, 2 Shikhan Sulaymaniyah 2 operaƟonal MMC’s in Sulaymaniyah 49 Sulaymaniyah Barznja camp Syria 2 Ambulances in Kirkuk (run by World Vision Kirkukk 3 run by DoH-Salah al-Din Anbar InternaƟonal, 1 in DoH Garmyan 10 operaƟonal MMCs in 5 Anbar/ DoH. 1 in El-Garma, Iran 1 in Falluja, 1 Khalidiya, Salah 2 Kirkuk Kirkuk 1 in Ninawa, 3 in Ramadi, al-Din 3 Ambulances run by Kirkuk DOH Salah al-Din 3 in Heet 3 MMCs owned by Kirkuk DOH in Kirkuk city 1 in Dibis, 1 in and 1 Kirkuk Anbar Diyala Ambulances operated by Diyala Anbar/ DoH. 1 in Haditha, 2 in Falluja, 1 Ratba, Salah al-Din 1 in Habaniya, 2 in Ramadi, 2 Ambulances in Tikrit 1 in Heet run by DoH-Salah al-Din Baghdad Salah al-Din Anbar 6 MMCs 1 in Al-Dur, 1 Tuz 8 9 1 in 3 in Tikrit AnbarA

Wassit Wassit Babylon Kerbala Babylon Kerbala Baghdad Jordan 8 operaƟonal MMCs Jordan in Baghdad Missan Qadissiya Qadissiya Missan

Thi-Qar Thi-Qar Najaf Najaf

Muthanna Basrah Basrah Muthanna

Mobile Medical Clinics Ambulances

KKuwaituwait Total number as of April 2017 Kuwait Saudi Arabia Saudi 64 96 Arabia Number of ambulances Number of IDP individuals Currently operational >30 >500,000 500,000 - 300,000 300,000 - 100,000 100,000 - 50,000 50,000 < >10 Funded by: 58 87 Data Source:WHO, MOH Production date: 4/11/2017 >5 Document Name: WHO_IRQ_MMC_AMB_DISTRIB_6042017 To be determined Map size: A3 <5 Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever Office of U.S. on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of European Union its frontiers or boundaries. In no event shall the World Health Organization be liable for damages arising from the use of this map. Humanitarian Aid Foreign Disaster1km Assistance © WHO 2017. All rights reserved. 06 09 IRAQ: SnapshotHospitals of WHOand ResponsePHCs in Activities Mosul in Dahuk Governorate November January 25, 2016 to March 2017

2017 FIRST QUARTER ACTIVITIES 395,580 Total number of IDPs Turkey MOBILE MEDICAL TEAMS

WHO is supporting twelve (12) mobile medical teams 123,678 in Dahuk province (6 preventive, 6 curative) to provide health services to the IDPs at the entry points (reception centres and newly retaken villages in Telkaif district, 17,820 Zakho Rozana Ninewa governorate). Darkar Chamishku Berseve 2

HOSPITAL STAFFING Zaxo Zaxo Fryakautn Berseve 1 Afratan

WHO is supporting the referral system in Dahuk Syria Zaxo Gshti Dawadia Rwanga Amedi emergency and Azady general hospitals by recruiting Bajet Kandala Community 12 junior house office doctors (6 in each hospital) to Amedi cope with increased number of patients referred from Mergasur IDP camps and frontlines. Dahuk Dahuk REFERRAL SERVICES Afratan WHO is supporting DOH Dahuk (10 teams from 122 u la Daikbun ambulatory service) for health referral services from Sumel Azadi

frontline, newly retaken villages and IDP camps to Chaw Kabarto 2 Shikhan and Duhok hospitals. Khanke Shariya 694 Emergency medical cases were referred to Kabarto 1 200,550 53,532 seconday or tertiary medical care, 10% of the cases Shikhan were women with complications during birth. Telafar Soran Number of IDPs

15,422 TOTAL NUMBER OF CONSULTATIONS Tilkaif IDP Camp NINEWA Shaqlawa Hospital Hamdaniya Gender

Governorate 51% Sinjar Erbil 49% Female Male 240,007 TOTAL NUMBER OF VACCINES PROVIDED 1,404 TOTAL NUMBER OF NON-COMMUNICABLE DISEASE

Age

06% 94% 20% 80% 32% 68% Under 5 years Above 5 years Polio Measles Diabetes Hypertension

Data Source:WHO, MOH, DTM, CCCM Funded by Production date: 4/12/2017 Document Name: WHO_IRQ_RESPACT_DOHUK_12042017 Map size: A3 IRAQ Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of European Union Office of U.S. its frontiers or boundaries. In no event shall the World Health Organization be liable for damages arising from the use of this map. Humanitarian Aid © WHO 2017. All rights reserved. Foreign Disaster Assistance IRAQ: Snapshot of WHO Response Activities in January to March 2017 2017 FIRST QUARTER ACTIVITIES

PHARMACEUTICALS KOISNJAQ MOBILE MEDICAL TEAMS ERBIL WHO prepositioned three (3) surgical kits DASHTE HAWLER WHO is supporting four (4) mobile medical MAKHMUR DOKAN and 20 basic IEHK in Kirkuk in preparation teams in Kirkuk province. Five (5) additional DABES to operation teams are standby for Hawija liberation. GAYARA NINEWA 1,300 39,367 KIRKUK 1 Mobile Medical Team 2 Mobile Medical Teams VECTOR CONTROL CONSTRUCTION WHO is supporting two (2) rounds of vector WHO constructed, furnished and equipped AL-SHIRQAT control activities (Spring and Autumn). a comprehensive PHCC in Laylan 2 camp. Kirkuk 1 Mobile Medical Team REFERRAL SERVICES Laylan 3 AL Laylan 1 Laylan 2 Nazrawa HAWIGA WHO is supporting four (4) ambulance teams to provide referral services 24/7 in IDP Daquq camps. SULAYMANIYAH Referral services supported by WHO

Number of cases received by hospital Type of cases received by hospitals

37 TOOZ LEGEND Number of IDPs DAQUQ Gynecology / Obstetrics Locaons visited by 14% 117 30% mobile teams 700 Medical TIKRIT Other 16% 11,238 DISTRICT 2,453 12,281 17% SALAH ALDIN GOVERNORATE 137 23% AL-DAUR DIYALA Surgical Pediatric 600Pediatric Hospital

Azady Teaching Hospital 928 Kirkuk Hospital Funded by 500 Layaln Main PHCC 1,234 Daquq Hospital IRAQ European Union Office of U.S. Humanitarian Aid Foreign Disaster Assistance 400 Mobile medical teams supported by WHO 0 300 600 900 1200 1500

Total Consultations 24,296

Number of cases by camp 300 Chlorine tablets Health promoons Referrals distributed Consultaons Water samples tested Children Vaccinated Women Vaccinated 15000 200 3500002500 14000 100

12000 2800002000 11200 80 # of people # of tablets # of people 9000 2100001500 8400 60 100 6000 1400001000 5600 40

3000 50070000 2800 20

0 0 0 0 0 Daqooq Laylan 1 Laylan 2 Laylan 3 Nazrawa Daqooq Laylan 1 Laylan 2 Laylan 3 NazrawaJan Feb Mar 0 Jan Feb Mar Jan Feb Mar Jan Feb Mar February March Data Source: MOH/DOH-Kirkuk/ WHO, IOM/DTM Further informa on: World Health Organiza on Iraq Country Office, [email protected] The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by WHO or the United Nations.Date of CreaƟon: 09 April 2017 File name : WHO_IRQ_RESPACT_KIRK_A3_09042017 35000 2000

IRAQ: WHO Response Activities30000 in Sulaimaniyah Governorate (January - March, 2017) 1500 25000 Consultations by sex Consultations by age PHARMACEUTICALS 46% 54% 76% 24% male female above 5 under 5 WHO supplied one (1) IDDK, fourty (40) basic IEHK and two (2) surgical kits to health facilities in Sulaymaniyah 20000 CHEMICAL INCIDENT RESPONSE 1000 WHO supplied Personal Protective Equipments (PPE) to support chemical incidence events 15000 EWARN WHO is currently supporting 37 EWARN sites carrying out disease surveillance in Sulaimaniyah 10000 500 RH Consultations Consultations Rania 1,026 5000 Pshdar 4,464

0 0 1-Jan 2-Feb 26-Feb 28-Feb 6-Mar 13-Mar 20-Mar 31-Mar 2-Apr 4-Apr 5-Apr 10-Apr 12-Apr

Total number of consultations by service type Reproductive health consultations Dokan 5,832 02% 06% Mobile medical clinic Postnatal care

Sharbazher 30 75,884 22% 5,728 68% Family 38% 642 Penjwin Planning Temporary Secondary Gynecological fixed clinic hospital

95,832 34% Arbat Antenatal 10,404 Ashti 8,511 LABORATORY TESTS PERFORMED Sulaymaniya Sulaymaniyah 4,110 Chamchamal Darbandihkan 10,533 CASES WITH COMMUNICABLE DISEASES 324 REPORTED BY EWARN 8,448 MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT CONSULTATION

Hospital 21,174 Kalar Mobile Medical Clinic 486 REFERRED PATIENTS FOR SURGICAL OR SURGICAL INTERVENTIONS Camp HEALTH SERVICE PROVISION VACCINES PROVIDED Number of IDP’s 5,322

>30000 Funded by: >20000 552 >1000 CASES OF DIABETES MELLITUS =<1000

REFERRED CASES TO SECONDARY OR Data Source:WHO, MOH Office of U.S. European Union TERTIARY MEDICAL CARE Production date: 4/18/2017 Humanitarian Aid Foreign Disaster Assistance IRAQ Document Name: WHO_IRQ_RESPACT_SULAY_17042017 1,898 Map size: A3 Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever CASES OF HYPERTENSION on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. In no event shall the World Health Organization be liable for damages arising from the use of this map. 1,281 © WHO 2017. All rights reserved.