EMERGENCY RESPONSE to COVID-19 in Mixed Migration Context in Bosnia and Herzegovina

EMERGENCY RESPONSE TO COVID-19 in Mixed Migration Context in Bosnia and Herzegovina

SITUATION REPORT #48 / 22 March 2021 Reporting Period: 09/03 – 22/03/2021 http://drc.ba/covid19_resources

BIWEEKLY HIGHLIGHTS UPDATES:  154,627 cases of COVID-19 confirmed in BiH, 5,938 deaths and 125,343 recovered patients.1 96 PoCs exhibiting  96 PoCs exhibiting COVID-19-like symptoms monitored by PHC and DRC medical symptoms and teams in TRC Blazuj (9), TRC Miral (15), TRC Sedra (2) and TRC Borici (70). isolated in  reception facilities 53 positive PoCs isolated and monitored by PHC and DRC medical teams in TRC Borici (45), TRC Miral (5) and TRC Blazuj (3). 1,351 PoCs  103 new PoCs exhibiting COVID-19-like symptoms referred to symptomatic screened in isolation in reception centers: 20 in TRC Miral, 6 in TRC Sedra, 48 in TRC Borici, 8 in reception facilities TRC Usivak and 21 in TRC Blazuj.  276 PoCs referred to preventive isolation in reception facilities. 44 new PoCs confirmed positive  1,351 PoCs screened for COVID-19 symptoms: 1,008 new arrivals to temporary for COVID-19 reception facilities in BiH during the reporting period; 343 already accommodated individuals experiencing symptoms. CUMULATIVE:  57 PoCs monitored in preventive isolation by DRC Medical Officers (13 in TRC Miral 89 PoCs positive and 44 in TRC Sedra). for COVID-19  240 PoCs tested for COVID-19. Out of 240, 44 results confirmed positive.

67,500 COVID- 19 screenings in KEY DEVELOPMENTS AND CHALLENGES reception facilities and in out-of-site  Following the rise in COVID-19 cases among PoCs accommodated in TRC Borici, a locations blanket PCR testing was performed for the entire population of this center. Out of 199 tested PoCs, 36 were positive for SARS-CoV-2. All positive cases were asymptomatic or had a mild form of the disease. The recommendations from Public

1 Official statistics for Federation of BiH, Republika Srpska and Brcko District

723 PoCs tested Health Institute of USC implemented after the first reported positive cases were for COVID-19 extended until 27.03.2021. The third floor of TRC Borici was converted into “COVID- 19 zone”, and is currently accommodating 70 PoCs (positive cases together with their direct contacts).

 Additionally, it was recommended to test all service providers who had been inside TRC Borici since the start of the lockdown. PCR testing was performed on 140 service providers, out of whom 12 were positive for SARS-CoV-2. All positive cases were informed, advised to self-isolate and contact local PHC for further support. A short epidemiological assessment was conducted in order to trace potential contacts inside the TRCs, and with the support of Public Health Institute of USC appropriate actions were taken. All positive cases are considered asymptomatic or have a mild form of the disease.  Five confirmed cases of COVID-19 were reported in TRC Miral. 3 positive cases were transferred from provisional camp Lipa, and 2 cases were identified among the TRC Miral general population. All positive PoCs are currently isolated inside symptomatic isolation, together with 5 direct contacts (who were tested negative). They all have a mild form of the disease and are in a stable condition.  Three confirmed cases of COVID-19 were reported in TRC Blazuj, 2 coming from already accommodated population. Upon contact tracing and further epidemiological investigation, appropriate actions were taken in order to prevent the spread of COVID-19 infection inside TRC Blazuj.  Due to the rise in numbers of COVID-19 among PoCs, as well as among service providers, it is urgently needed to improve compliance with infection prevention and control (IPC) measures recommended by health authorities, namely properly wearing a mask, keeping physical distance, practicing hand and respiratory hygiene, as well increasing capacity of preventive and symptomatic isolation and activities of health promotion related to COVID-19 prevention. Furthermore, a blanket screening and testing of all beneficiaries, as well service providers needs to be performed as a part of contingency plan for COVID-19 prevention.  A total of 262 PoCs were discharged from preventive isolation in all TRCs in BiH, and 47 PoCs from symptomatic isolation, on expiry of the isolation and monitoring period. In the same period, 47 PoCs left preventive and 6 PoCs left symptomatic isolation of their own will.

SYMPTOMATIC ISOLATION OVERVIEW 60 42 40 15 20 20 6 8 6 6 6 9 5 0 0 0 0 0 0 1 1 0 2 0 2 5 0 5 1 0 1 0 2 2 2 4 3 2 0

# of PoCs referred to isolation, exhibiting symptoms of COVID-19 on the date of reporting** Discharged from Symptomatic isolation  Left Smytomatic Isolation PREVENTIVE ISOLATION OVERVIEW

150 129 117 92 100 35 36 50 20 26 18 3 0 0 0 1 7 3 8 4 7 0 1 0 14 0 6 0 610 1113 123 0 3 0 0

# of PoCs referred to isolation area (new arrivals/ pushbacks/ exposed to COVID-19) on the date of reporting* Discharged from preventive isolation Left preventive isolation  Outreach response: o Between 8 and 12 March 2021, DRC Medical Teams medically screened a total of 1,223 PoCs in out-of-site locations in Una-Sana Canton. All recorded PoCs received some form of service, and were screened for common communicable diseases, including scabies and COVID-19. Out of all PoCs (1,223) screened, 41% did not report any health concern. If one combines the collected field data and measures the incidence across the attended population (1,223), a total of 48% of PoCs present skin related concerns. A total of 570 PoCs, or 47% of the population, have clear signs of scabies. A total of 18 locations were visited in the area of Bihac, with a total of 877 PoCs medically attended. Health concerns were reported among 65% of the population, with the majority having skin related conditions, namely scabies (53% of all poCs) and musculoskeletal complaints (4% of all PoCs). In Krajinametal, the most common health concern was related to skin infections, with 69% of all PoCs presenting clear signs of scabies. At the old nursing home the most common health concern was also related to skin infections, with 46% presenting clear signs of scabies. A total of 30 locations were visited in the area of Velika Kladusa, with a total of 301 PoCs medically attended. Health concerns were reported among 39% of the

population, with the majority having signs of scabies (30% of all PoCs present at sites in the area). Comparing the areas of Bihac and Velika Kladusa, it is clear that lack of access to basic services in the urban areas of Bihac, due to the current ban on service provision, including healthcare, is affecting the health of PoCs drastically. With more PoCs making their way to USC, and with already overcrowded reception centers, the individual and public health of this population will deteriorate further, to the point of possible crisis and potential negative effects on the health of the general population.

OPERATIONAL PREPAREDNESS AND RESPONSE

 COVID-19 Response in TRCs in BiH: o As the number of COVID -19 cases among PoCs is on the rise, capacity of symptomatic isolation areas has been increased. At the moment, a total of 152 beds in TRCs in USC are available for preventive isolation and a total of 384 beds for POCs with COVID-19 symptoms.

OVERVIEW OF DESIGNATED ISOLATION AREA (COVID-19) 22 MARCH 2500 1992 2000

1500 1008 1000 665 349 500 207 111 104 0 42 0 50 20 68 28 24 0 Usivak Blazuj Miral Borici Sedra Current no of PoCs in TRC Isolation for Preventive monitoring Isolation for COVID-19 expressed symptoms

 Coordination with authorities and health actors: o Following the reports of COVID-19 confirmed cases inside TRC Miral, the PHI of USC has shared recommendations in order to prevent further spread of COVID-19 in the reception center: - Quarantine of TRC Miral, which practically means the isolation of all PoCs who are currently accommodated there for a period of 14 days, including a ban on the exit of beneficiaries, and a ban on admission of new beneficiaries in TRC; - COVID-19 blanket screening of the entire population accommodated in TRC Miral and isolation the suspect cases as per protocol.

- Suspension of all group activities for a period of 14 days as of today. - Daily measurement of body temperature of all PoCs accommodated, for the next 14 days, and separation of febrile ones according to the protocol. - All PoCs to wear a mask, as well maintain physical distance and practice hand hygiene during the next 14 days, especially during close contact activities (dining, using bathroom, etc.) - Daily disinfection of all premises during the next 14 days. - Ventilation of all the premises of the TRC as often as possible (according to the weather conditions) during the next 14 days. - Testing of all PoCs after 7-10 days (if conditions allow). - Testing of all service providers working in TRC Miral after 7-10 days (conditions permitting). - In addition to the obligatory wearing of a protective mask and gloves and maintaining physical distance, all service providers to monitor their health condition on a daily basis and report possible symptoms to health institutions. - Service providers to ensure fix teams and avoid rotation of teams between the TRCs, in order to reduce the possibility of transmitting potential infection to other TRCs in USC.

- Suspension all unnecessary visits of officials and other actors who are not involved in the direct provision of services to PoCs in TRC Miral during the next 14 days, except in case of emergency. o As part of organizational efforts to implement recommended IPC measures, the capacities of the isolation areas in TRC Miral will be temporarily increased in the upcoming days. o On 16 March 2021, the Danish Refugee Council was informed that JUDZKS had been forced to suspend the provision of health care services at TRC Blažuj and Ušivak due to increased pressure on this health care institution and search for legal provisions to continue health care delivery in TRCs in Canton Sarajevo. Daily challenges related to the worsening epidemiological situation and spread of COVID-19 in Canton Sarajevo have been exacerbated by the problem that TRCs Blažuj and Ušivak s have recently been facing: the medical teams of the Public Institution of the Primary Health Center Sarajevo Canton (JUDZKS), which successfully carried out most of health care activities in TRCs with DRC, have not been present in the reception centers since last week. The need for provision of health services in the reception centers is significant. Currently, the delivery of health care in TRCs Blazuj and Usivak relies exclusively on Danish Refugee Council medical staff. DRC has requested an urgent online meeting during the week with relevant health actors since it is necessary to urgently review the current situation and find an adequate solution in order to reduce the spread of COVID-19 among the population of migrants and asylum seekers and reduce possible impacts on public health.

 Measures related to humanitarian staff: o Following the increased numbers of confirmed COVID19 cases among service providers, humanitarian staff working in the reception centers and out of site locations should continuously self-monitor2. In case humanitarian staff have been in contact with persons confirmed positive for COVID-19, they should inform their health provider and follow the suggested measures. Staff exhibiting COVID-19 like symptoms, including fever, should suspend their presence from the reception centers until fully recovered. Additionally, information needs to be shared with DRC medical teams, to ensure contact tracing and mitigating the risk of spread of COVID-19 infection.

MEASURES ANNOUNCED BY BIH AUTHORITIES

The Government of FBiH, during the coordination meeting held on 18th of March, confirmed the already imposed orders, which restrict movement in the Federation of BiH from 11 pm to 5 am, as well as mandatory wearing of protective masks. http://www.fbihvlada.gov.ba/hrvatski/aktuelno_v2.php?akt_id=9168 Following the deteriorating epidemiological situation in Sarajevo Canton, the Cantonal Ministry of Health has issued a new order and restricted movement in the Canton from 9 pm to 5 am: https://vlada.ks.gov.ba/aktuelnosti/novosti/u-kantonu-sarajevo-od-sutra-zabrana-kretanja-stupa

MEDIA REPORTING

1. Bosnia reports 818 new coronavirus cases and 73 fatalities Bosnian health officials reported 818 new Covid-19 cases on Monday, along with 73 virus-related fatalities. https://ba.n1info.com/vijesti/korona-virus-u-bih-od-juce-odnio-73-zivota-prijavljeno-818-novozarazenih/ 2. Doctor: We have 12 coronavirus variants circulating in BiH According to the head of the laboratory that performs virus sequencing at the Faculty of Veterinary Medicine in Sarajevo, Teufik Goletic, there ar 12 coronavirus strains circulating in Bosnia and Herzegovina at the moment and among them are some which are highly transmissible, such as the UK variant, B117. Doctor: We have 12 coronavirus variants circulating in BiH - N1 (n1info.com) 3. Sarajevo Canton authorities announce lockdown over sudden coronavirus spread Sarajevo Canton authorities have announced a partial lockdown for the upcoming weekend, in an effort to stop the sudden surge in coronavirus cases which hit Bosnia and Herzegovina over the last weeks. The decision was confirmed by cantonal prime minister Edin Forto on Monday afternoon.

2 The Federal Institute for Public Health has made available the online self-assessment test on COVID-19, available at https://www.zzjzfbih.ba/covid-19/ 6

The lockdown will last from Friday 8 pm through Monday 7 am, when all bars and restaurants, as well as stores except supermarkets, pharmacies and gas stations will be closed. Also, public transportation will be operating as usual and restaurants will be allowed to do deliveries. Explaining the reason for imposing the new restrictions, Forto said the new coronavirus strain appeared to be a lot more aggressive and hospitals are already filled to capacities. For days, the healthcare authorities in Sarajevo Canton have been reporting three-digit coronavirus cases, which prompted the competent authorities to act. The authorities of Bosnia's Federation entity, which Sarajevo Canton is a part of, will decide on Wednesday whether they would introduce new restrictions on its whole territory. Sarajevo Canton authorities announce lockdown over sudden coronavirus spread - N1 (n1info.com) 4. Bosnia's FBiH region starts direct purchase of coronavirus vaccines The authorities of Bosnia's Federation (FBiH) region formed a team of experts who will negotiate terms and conditions for the vaccine procurement for this part of the country, prime minister Fadil Novalic confirmed on Monday following the FBiH Government session Bosnia's FBiH region starts direct purchase of coronavirus vaccines - N1 (n1info.com) 5. Even migrants get sick The Danish Refugee Council in BiH – with funding from the European Commission Directorate-General for European Civil Protection and Humanitarian Aid Operations (DG ECHO) – focuses on improving access to primary and secondary health care, including psychosocial and mental health services, for refugees, migrants and asylum seekers, as well as on enhancing the overall protective environment, primarily for the most vulnerable persons of concern, including the survivors of SGBV (Sexual and Gender Based Violence). …. Currently, 5,390 migrants and asylum-seekers within temporary reception centers are covered with proper medical care. Only during 2020, DRC medical teams together with PHC teams have provided 97,217 medical exeminations and 24,143 direct medical interventions within temporary reception centers. 2,184 referrals to secondary medical institutions have been ensured. Oslobođenje - I migranti obolijevaju (oslobodjenje.ba) 6. Forto: Adhere to the measures over the weekend, otherwise we'll have a lockdown The Prime Minister of Sarajevo Canton, Edin Forto, called on the citizens to adhere to the prescribed epidemiological measures during the weekend in order to help the health system not to go into a complete collapse. Otherwise, the measures will be even more rigorous, he said today at the opening of a new coronavirus drive-in test site located at a trolleybus depot in the municipality Novi Grad Sarajevo. Forto: Adhere to the measures over the weekend, otherwise we'll have a lockdown | FENA

7. DRC for start Magazine – pages 28-31 …The Danish Refugee Council in BiH – with funding from the European Commission Directorate-General for European Civil Protection and Humanitarian Aid Operations (DG ECHO) – focuses on improving access to primary and secondary health care, including psychosocial and mental health services, for refugees, migrants and asylum seekers, as well as on enhancing the overall protective environment, primarily for the most vulnerable persons of concern, including the survivors of SGBV (Sexual and Gender Based Violence). DRC works closely with Institutes of Public Health, Ministries of Health, Clinical Centers, Health Centers and Hospitals, and with the World Health Organization (WHO) in BiH. Each one of the following reception centers in BiH (Sedra, Borići, Miral, Blažuj, Ušivak, Salakovac), has a temporary outpatient infirmary for receiving patients and providing health services for persons in need, as well as for referral to specialist examinations or to follow-up treatment when necessary in hospitals or clinical centers. The medical teams of Primary Healthcare Centers (PHCs) are present in infirmaries on a daily basis. We need to emphasize that infirmaries in reception centers are fully equipped, and the experience and knowledge of medical professionals is at a high level. On average, DRC supported medical teams in infirmaries conduct over 6,000 medical consultations a month, with over 1,200 direct medical interventions per month. COVID-19 testing is included in medical care provided to people on the move as well as treatment within temporary reception centers under medical surveillance or – in case of severe health conditions – treatment in medical institutions, all in accordance with WHO and local health authorities’ recommendations, and with the same level of treatment that is available for the local population. Currently, 5,3903 migrants and asylum-seekers within temporary reception centers are covered with proper medical care. Only during 2020, DRC medical teams together with PHC teams have provided 97,217 medical exeminations and 24,143 direct medical interventions within temporary reception centers. 2,184 referrals to secondary medical institutions have been ensured... Start Magazine 8. Sarajevo enters Lockdown Today at 8 pm (12.03) Due to the worsening of the epidemiological situation, Canton Sarajevo (CS) will be closed from Friday at 8 p.m. to Monday at 7 a.m. As it is found out, cinemas, theaters, and fitness centers will not be opened during this period. Sarajevo enters Lockdown Today at 8 pm - Sarajevo Times

3 Source: IOM data, 14 February 2021 8

9. Bosnia and Herzegovina is 11th in the World in terms of Coronavirus Mortality Johns Hopkins University has published statistics which represent that Bosnia and Herzegovina (BiH) ranks 11th out of 175 countries of the world when it comes to mortality from Covid-19 disease. This is the number of deaths per 100.000 inhabitants. Bosnia and Herzegovina is 11th in the World in terms of Coronavirus Mortality - Sarajevo Times 10. State of emergency declared at Sarajevo’s Clinical Center The Crisis Staff of the Clinical Center of the University of Sarajevo (KCUS) declared a state of emergency and unanimously decided to bring back all the employees from vacations and suspend the use of vacations until further notice, it was announced on the official Facebook page of the director of KCUS, prof. dr. Sebija Izetbegović. State of emergency declared at Sarajevo’s Clinical Center | FENA 11. Vaccine procurement contract for Bosnia's FBiH entity to be signed Monday Despite the deadline given by the Government of Bosnia’s Federation entity (FBiH) to the director of the Public Health Institute Davor Pehar to sign contracts regarding the procurement of coronavirus vaccines has expired, the signing will still happen Monday, N1 has learned from the FBiH Government. Vaccine procurement contract for Bosnia's FBiH entity to be signed Monday - N1 (n1info.com) 12. Hungarian Minister Szijjártó visiting BiH, brings a donation of PCR tests Hungarian Foreign Minister Péter Szijjártó will visit Bosnia and Herzegovina today and present a donation from the National Directorate General for Hospitals of Hungary to Bosnia and Herzegovina, consisting of 40,032 PCR tests, Maccura brand, worth 163,850,976 HUF. Hungarian Minister Szijjártó visiting BiH, brings a donation of PCR tests | FENA 13. Improving migrants access to primary and secondary healthcare The story was published in the daily newspaper Unsko-sanske novine as well The Danish Refugee Council in BiH – with funding from the European Commission Directorate-General for European Civil Protection and Humanitarian Aid Operations (DG ECHO) – focuses on improving access to primary and secondary health care, including psychosocial and mental health services, for refugees, migrants and asylum seekers, as well as on enhancing the overall protective environment, primarily for the most vulnerable persons of concern, including the survivors of SGBV (Sexual and Gender Based Violence). …. Currently, 5,390 migrants and asylum-seekers within temporary reception centers are covered with proper medical care.

Only during 2020, DRC medical teams together with PHC teams have provided 97,217 medical exeminations and 24,143 direct medical interventions within temporary reception centers. 2,184 referrals to secondary medical institutions have been ensured. Krajina | Poboljšanje pristupa migranata primarnoj i sekundarnoj zdravstvenoj zaštiti (usnkrajina.com.ba) 14. Bosnia's FBiH expects first shipment of Sputnik V by Monday, PM says The Prime Minister of Bosnia's Federation (FBiH) entity, Fadil Novalic, told N1 Wednesday that they expect the first shipment containing 100,000 Sputnik V coronavirus vaccine to arrive at BiH on Friday, or Monday, given that all the necessary procedures were over. It is only up to the FBiH Health Institute director Davor Pehar to sign the procurement contract with the Medimpex company, which is expected very soon, he added. Bosnia's FBiH expects first shipment of Sputnik V by Monday, PM says - N1 (n1info.com) 15. Bosnia's region Republika Srpska considering stricter anti-epidemic measures The Public Health Institute in Bosnia's Republika Srpska region will ask competent authorities in that part of the country to introduce more restrictive measures to prevent further coronavirus spread, said Institute Director Branislav Zeljkovic, adding that those measures will have to consider both public health and functioning of the economy. Bosnia's region Republika Srpska considering stricter anti-epidemic measures - N1 (n1info.com) 16. Minister Vranic issued an Order on Mobilization of the entire Medical Staff The Minister of Health of the Canton Sarajevo (CS), Haris Vranic, announced yesterday that in order to fight the coronavirus, he will issue an order on the mobilization of medical staff, which also includes the private sector. “We will all have to take on the burden of this fight, and not only health centers, the General Hospital and the Sarajevo University Clinical Center (UKCS),” said Vranic, adding that this order will improve conditions for patients. Minister Vranic issued an Order on Mobilization of the entire Medical Staff - Sarajevo Times 17. Due to the spread of COVID, TRC Borici remains in quarantine till the end of month A new set of measures has been imposed to curb the spread of the virus in TRC Borici, and it was decided to put this center in isolation till the end of the month. "The entire third floor of the center has been turned into an isolation ward with special food delivery, we have taken preventive measures, including additional distributing of protective masks to all users of the center, we have increased hygienic and sanitary measures," said Nicola Bay, director of the Danish Refugee Council in BiH. Zbog širenja koronavirusa Prihvatni centar Borići u izolaciji do kraja mjeseca (federalna.ba)

18. WHO ‘particularly worried’ about Covid situation in Balkans and Central Europe The World Health Organization said it is "particularly worried" about the Covid-19 situation in the Balkans and Central Europe. “We are particularly worried about the epidemiologic situation in the Balkans, as well as many other countries around Central Europe,” Catherine Smallwood, Senior Emergency Officer at WHO Europe, said during a news conference Thursday. WHO 'particularly worried' about Covid situation in Balkans and Central Europe - N1 (n1info.com) 19. FBiH Crisis Staff demands regulating the entry into BiH with a negative PCR test The Crisis Staff of the FBiH Ministry of Health at an emergency session on Tuesday decided to send a document to the BiH Ministry of Security and the BiH Ministry of Civil Affairs again requesting a joint draft decision which would require that all foreign nationals, including nationals from neighboring countries as well as BiH citizens coming from abroad, when entering BiH, must have a negative PCR test not older than 48 hours, counting from the day of entry into the country. FBiH Crisis Staff demands regulating the entry into BiH with a negative PCR test - FENA.NEWS 20. 150 workers from TRC Borici have been tested; Camp is closed since the 5th March Camp Borići has been closed since March 5, when the first positive case of coronavirus was recorded, the director of the USC PHI, Zarina Mulabdić, confirmed to USKinfo.ba. “Today, we have tested 150 people who work in TRC Borići. The camp is closed since March 5 when we had the first COVID positive person. Everything is under control. We have immediately done the triage and screening. Of the 16 direct contacts and other symptomatic people, we had nine positive. Then we waited eight days for their contacts, to have a relevant PCR test, so the next Saturday we got 36 symptomatic people. They are all accommodated on the separate floor, there are no entrances or exits without complete equipment, the doctor visits them regularly, the temperature is measured regularly, disinfection and ventilation are performed. We are waiting for the time distance to pass, to be sure. Asymptomatic people and the first cases are no longer contagious.” Mulabdić za USKinfo.ba o epidemiološkoj situaciji u kampu Borići - Danas testiramo 150 uposlenika, kamp zatvoren od 05.03. - USKinfo.ba 21. Vaccines are finally arriving in Bosnia and Herzegovina through COVAX mechanism The long-awaited news from COVAX arrived at the address of the Ministry of Civil Affairs of BiH yesterday. The vaccines paid for by Bosnia and Herzegovina are arriving in BiH. “The arrival of 24,000 doses of diluent is expected on March 23, while 23,400 doses of BioNTech/Pfizer vaccine arrive on March 24. We will inform the public about more details immediately upon receiving more data. The exact time of arrival of the vaccine depends on the flights to Sarajevo,” the Ministry of Civil Affairs of BiH announced.

Vaccines are finally arriving in Bosnia and Herzegovina through COVAX mechanism - FENA.NEWS 22. Bosnia and Herzegovina: Bihac migrant camp quarantined after COVID outbreak The Borici migrant camp situated in Bihac city centre was placed under quarantine until the end of the month following a COVID outbreak, as filmed on Thursday. The camp was closed up after cases appeared ten days ago. The infected migrants are now isolated on the third floor of the facility. Doctors visit them regularly and the necessary epidemiological measures are being taken, according to health authorities. "Unfortunately, the virus has been brought in from two sides, as far as I could interpret. We had one group that has been transferred to the Borici centre and people also had the opportunity to leave for groceries. Maybe they were in contact with their friends," explained Zerina Mulabdic, Director of the Una-Sana Canton Public Health Institute. Bosnia and Herzegovina: Bihac migrant camp quarantined after COVID outbreak - YouTube 23. Hayat TV: Nicola Bay, DRC Country Director about health care for migrants ….The Danish Refugee Council in BiH – with funding from the European Commission Directorate-General for European Civil Protection and Humanitarian Aid Operations (DG ECHO) – focuses on improving access to primary and secondary health care, including psychosocial and mental health services, for refugees, migrants and asylum seekers, as well as on enhancing the overall protective environment, primarily for the most vulnerable persons of concern, including the survivors of SGBV (Sexual and Gender Based Violence). DRC works closely with Institutes of Public Health, Ministries of Health, Clinical Centers, Health Centers and Hospitals, and with the World Health Organization (WHO) in BiH. Each one of the following reception centers in BiH (Sedra, Borići, Miral, Blažuj, Ušivak, Salakovac), has a temporary outpatient infirmary for receiving patients and providing health services for persons in need, as well as for referral to specialist examinations or to follow-up treatment when necessary in hospitals or clinical centers. The medical teams of Primary Healthcare Centers (PHCs) are present in infirmaries on a daily basis. We need to emphasize that infirmaries in reception centers are fully equipped, and the experience and knowledge of medical professionals is at a high level. On average, DRC supported medical teams in infirmaries conduct over 6,000 medical consultations a month, with over 1,200 direct medical interventions per month. COVID-19 testing is included in medical care provided to people on the move as well as treatment within temporary reception centers under medical surveillance or – in case of severe health conditions – treatment in medical institutions, all in accordance with WHO and local health authorities’ recommendations, and with the same level of treatment that is available for the local population…. DO SADA BILO ZARAŽENO SAMO 45 MIGRANATA: DIREKTOR DANSKOG VIJEĆA ZA IZBJEGLICE O ZDRAVSTVENOJ NJEZI RANJIVIH KATEGORIJA | Hayat.ba

Stay informed – find the latest information from WHO or related sources: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/ https://www.who.int/emergencies/diseases/novel-coronavirus-2019 https://www.epi-win.com/

We thank you for your responsible behavior in the interest of your own health, but also in the interest of the health of all the citizens of Bosnia and Herzegovina.