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WHO Syria, Weeks 1-2, 1 – 16 January 2019

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WHO Syria, Weeks 1-2, 1 – 16 January 2019 WHO Syria, Weeks 1-2, 1 – 16 January 2019 General developments & political & security situation Heavy engagements are still reported between SDF and ISIL in their last foothold in Hajin, South East rural Deir Ez- Zour. The UN Statement expressing concern for the protection of civilians in Hajin and conditions in Rukban (15 January 2019), https://reliefweb.int/report/syrian-arab-republic/united-nations-syrian-arab-republic-statement-expressing- concern SAA military operations consisted of ground shelling is continued against NSAGs positions along the frontline axis of Idlib and Hama Governorates, while relative calm was observed over Aleppo city and its environs. HTS and the National Liberation Front (NLF) reached an agreement to put an end to the fighting in Al-Ghab plain in North-west rural Hama. According to state media, a new batch of displaced Syrians returned from Al- Azraq and Zaatari Jordan to their towns and villages via Nassib Border crossing with Jordan. Russian source: Terrorists preparing for new chemical attacks on civilians and Army units in northern rural Hama and M'arrat An-Nu'man in Idleb and are stocking toxic chemicals in several warehouses in Idleb and Hama and northern rural Latakia. Al-Moallem to Pederson: Syria is ready to cooperate with you for success of your mission in facilitating Syrian-Syrian dialogue, in order to reach political solution, eliminate terrorism, end illegal foreign presence on all Syrian territory and preserve unity, sovereignty and independence of Syria ... Pedersen: Political process must be Syrian-led and owned, otherwise it will not succeed. Closure of Al-Rukban camp eminent, but no date set, pending withdrawal of US forces and lifting political cover protecting armed militias controlling the camp. Ministry of Health: New batch of infant milk arrived for distribution, and plan to enhance local manufacturing. Homs Health Directorate launched month-long awareness campaign on cervical cancer; including lectures, home visits and free examinations ... first month of the year is globally dedicated to awareness raising on early detection of cervical cancer, which ranks 4th most common cancer among women. US Secretary of State: Withdrawal of US forces from Syria does not mean retreat from fighting terrorism ... we are working to find political path that enables return of refugees ... We tell our partners we will not leave the region, and we want Arab coalition and force capable of facing challenges in the region. Miqdad: Active communication with Syrian Kurds in light of eminent Turkish intervention, and to protect Syrian unity; even though previous experiences with Kurdish groups have not been encouraging. Over 1,405 people escaped from Daesh last pocket in eastern rural Deir Ez-Zor, since beginning of December 2018, including some 550 Daesh fighters of Syrian, Iraqi, Russian, Somali, Philippines and other Asian nationalities ... most Daesh deserters seeking refuge in SDF areas possessed large sums of money ranging $100,000-$500,000. Syrian Kurds capture German, seven other foreign 'Islamic State' fighters. Explosion reported in Manbij, North Aleppo, killing US soldiers. Turkish President Tayyip Erdogan said that he viewed a planned 20-mile (32 km) safe zone in Syria positively and added that its range may be extended further. Late December 2018, SAR spokesman announced that Syrian government forces “raise flag” over key area of Menbij, however so far no real change in controlling Situation in the area and no humanitarian impact. It is expected that Abu Adhour crossing point will open in the last 10 days of January 2019, based on previous experience. The last opening was between the 19th to 26st of December 2018 (except 23th) for the civilians crossing from NSAGs areas to GoS areas. 1507 families \ 4059 individuals most of the people are women. Estimated 50% of them went to rural Hama, 10% to Sinjar area, the rest to Aleppo (south rural and city). OVERVIEW 1 KEY HEALTH ISSUES Delivery of health supplies to NES: WHO Syria delivered the two of four planned shipment of life-saving and life- sustaining supplies to its hub in Qamishli for the response across the north-east Syria. The NES readiness plan has been updated, including the health section. Situation in Al Hol camp (Al Hassakeh governorate): Ad hoc emergency meetings are being carried in the camp to strategize health sector interventions in the camp following the latest influx of IDPs. Some key recommendations have been made to address health, nutrition and inter-sector priority response. There are reports that hundreds/thousands IDPs reach Al Hol camp escaping violence in Hajin in Deir-ez-Zor governorate. IDPs are to travel 2-5 days to get to the camp. The issue of gaining access to population before arrival to Al Hole was crucial and discussed locally with all stakeholders. It has been confirmed that health partners have received approvals to access the screening area. Agreement was reached to put in place health screening team in the so-called “security area” of the camp. This should help to identify at early stage patients in need of immediate health services. The health conditions of many of assessed IDPs are dire and critical. WHO partner, private hospital Al Hikma, has been fully mobilized and began to receive patients. 24/7 night-shift teams are present. There were 8 children deaths among new arrivals in Al Hol camp. Most of these cases were already in critical conditions by the time of arrival in the camp. Inter-sector and inter-agency meetings were carried out and recommendations reached. Qamishli health sector team is on the ground in the camp and responds (all existing health service providers supported by WHO, UNHCR, UNFPA, UNFPA in the camp, in addition to XB partners). Necessary resources are mobilized and operationalized for the effective use of referral mechanism outside the camp. Damascus based health coordinators are in direct contact with their counterparts in Qamishli. Syrian Arab Red Crescent Society received 16 ambulances from the Japanese government and people through WHO, in support of its emergency fleet to meet the increasing needs in various governorates. WHO monitors the situation in and around Rukban area. As such, following the reports of a woman and her young child seriously injured in a fire in a temporary shelter. The woman and her one-year-old child are now receiving medical treatment in hospital in Jordan and are reported to be in a stable condition. The United Nations has been unable to confirm what prompted the fire; however, reports from the Relief Committee in Rukban indicate that the incident was an accident. For all incoming inquiries about the need for medical evacuation, it is recommended and advised that all requests should go through the local health clinic(s), with which WHO and health sector maintain contacts. WHO follows up with the national authorities and SARC. Key UN agencies are ready with their health supplies for the second convoy. KEY GAPS & CHALLENGES Response in north-east and north-west Syria OPERATIONAL UPDATES 1. Coordination: The MoH provided its feedback on the copy of the latest draft of HNO. The MoH expresses its own reservations and different points of view on the data and figures provided in the narrative, in principle, the MoH agrees with the priorities reflected in the HNO narrative. The MoH would like the document to highlight the following needs: o Primary health care, including the mother and child health, the new born health, ensuring the availability of vaccines and means of transportation, adolescent and elderly health, dental health o Communicable and non-communicable diseases, including the availability of cancer and leishmaniosis medicines o Mental Health o Physical rehabilitation and artificial limbs (prosthetic assistance) o Emergency medical services o Rehabilitation of health centers and health facilities which provide public and specialized health services 2 o Capacity building of health personnel o Supporting health education and public health awareness o Availability of safe and quality medicines o Availability of medical equipment required for above mentioned needs. Drafts of WHO Syria project sheets for 2019 HRP have been prepared and shared with the Regional Office. 2. Information and planning: Developed infographics of summary of key performance indicators for November 2018 (across Syria; North-east Syria; North-west Syria; Southern Syria). Provided KPI of Damascus hub to WoS from Jan to Nov 2018. Developed HeRAMS snapshot for November 2018 of the public hospitals across Syria. Participated in a joint technical meeting about Inter-sector severity scale review at UNDP. Provided 4Ws consolidated figures on delivered assistance by WHO in December 2018. Monitored a weekly update on shift of control, functionality status of public HFs, and control areas for regained areas in the south of Syria. Conducted site visits to Obstetrics and Gynecology hospital MoHE hospital in Damascus; to assess the prior needs as part of strengthening the national health information systems at secondary care level. Data processing and analyzing for producing Neonatal resuscitation infographic - November 2018 for nutrition programme. 3. Health operations: Northern Syria response: Sub-national HWG meeting held on 15th January 2019 Based on EWARS, decreasing in AJS cases in Aleppo, and no new cases of AJS were reported in Fafin Hospital 4 cases of TB in Fafin area this week with a total number is 40. All of them are on treatment. TB related activities: 6 WHO supported mobile medical teams completed 12 working days of community based TB activities (awareness sessions) with three NGOs partners (Al-Beer & Al-Ihsan, Taalouf and Al-Ihsan) in the areas of Fafin. As a result 7 TB new suspected cases were identified in Fafin and Asser Camp. In Aleppo governorate: o Two ongoing MOUs with two partners (Yadan Biyad, Health promotion). o 11 MMTs (7 under IMPREST PO Modality) are deployed as follow: 4 in eastern rural of Aleppo (2 ASLSS, 2 AL-Beer & AL-Ihsan), 3 in Southern rural (2 Al-Taalouf, 1 KFAM) and 4 in Afrin IDPs response (Al-Ihsan 2 , YBY 2) Yadan Biyad MMTs are specialised with trauma and PWDs.
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