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Health Action in Crises Update

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Health Action in Crises Update Issue 32: June 2004 HEALTH ACTION IN CRISES MONTHLY REPORT ISSUE 32: June 2004 DISCLAIMER: The following is a non-exhaustive selection of health-related events and WHO actions undertaken during the stated period in specific countries in which populations are experiencing crisis conditions. This has been compiled by WHO/Health Action in Crises (HAC/HQ) in Geneva, in consultation with relevant Country and Regional Offices. If you are a WHO staff member and wish to contribute to this update, please write [email protected]. For a list of acronyms, please see the last page of this update. AFRO West Africa Sub-Region Contact: Dr K.E. Siamevi, [email protected] Cameroon Events WHO Interventions A cholera outbreak that began in January WHO met with the MoH, members of the donor community, 2004 has started again with the onset of NGOs and international agencies to decide on a common the rainy season in the Littoral and West strategy to combat the outbreak. WHO contributed drugs and regions. The Ministry of Health (MoH) supplies, case management guidelines, and chlorine. reported 2,924 cases and 46 deaths as of 9 Specific technical support, comprising an epidemiologist and a June. Since then, the number has risen to social mobilization expert, have been provided by the WHO 4,032 cases and 65 deaths. Regional Office for Africa. A water and sanitation engineer The MoH is working with other Ministries provided by the French Government joined this team. to carry out control measures. Physicians WHO/HAC/HQ is providing funds for emergency medicines, have been sent from the capital to Douala, and Médecins sans Frontières has engaged in drilling wells and at the centre of the outbreak, to support chlorinating water supplies. cholera treatment centres. Security Phase: 1, 2 Health Action in Crises 1 World Health Organization [email protected], http://www.who.int/disasters/ Issue 32: June 2004 Cote d’Ivoire Events WHO Interventions • On 30 June, an agreement was signed • WHO is charged with coordinating the health sector projects on the work of the UN in Côte d'Ivoire. submitted for funding to the ONUCI (the UN peacekeeping The measure authorized a one-year operation in Cote d'Ivoire). Preparations are underway for a series peacekeeping operation and mandated of meetings in July, during which a committee will meet to review 7,000 UN personnel to monitor the the proposed projects. WHO is working closely with the MoH and ceasefire agreement. ONUCI in this regard. • World Food Programme (WFP) and the Ivorian Red Cross are collaborating on a pilot project targeting people affected by HIV/AIDS in the western town of Daloa. Food aid will complement medical care and psychological counseling. Security Phase: 3 Health Action in Crises 2 World Health Organization [email protected], http://www.who.int/disasters/ Issue 32: June 2004 Guinea Events WHO Interventions According to the mid-term Consolidated Appeals WHO—in conjunction with the Direction Régional Process (CAP) review, the humanitarian context in de la Santé (DRS), Direction Préfectorale de la Guinea is characterised by: the burden of a considerable Santé (DPS), and NGOs—has included the refugee and returnee caseload; widespread high levels of project "Health Preparedness and response to mortality, morbidity and malnutrition; very limited access epidemics in cross-border areas of Guinea to basic life-saving social services; increasing Forestière" in the mid-term review of the CAP. vulnerability and loss of coping mechanisms; social The project, to be conducted in the June- discontent, and a galloping spread of HIV/AIDS. The December 2004 period, would: combined effects of these factors could easily lead to an ¾ Enhance health workers’ capacity to respond acute humanitarian crisis if adequate, integrated and to epidemics. targeted assistance is not provided to the most ¾ Ensure emergency stocks of vaccines and vulnerable populations on time. (Source: OCHA) drugs. The health situation has deteriorated as a result of ¾ Create a network of laboratories for epidemic Security Phase: 1, 3 continuous population movements and the cross-border preparedness and response. areas of the sub-region are especially at risk and in need ¾ Allow for cross-border disease surveillance of access to basic health care services and disease and information sharing. surveillance. According to the Mid-Term CAP Review, if ¾ Make more effective the coordination of measures are not taken, large outbreaks may occur. emergency public health activities. Disease surveillance is essential. (Source: WHO ¾ Put in place a surveillance system capable of N'Zérékoré) early detection and confirmation. Preparations are underway for a CAP Workshop in Conakry, Guinea, on 13 and 14 July 2004. Liberia Events WHO Interventions • The cholera outbreak that • From 11 to 16 June, WHO led an MoH joint assessment task force for the began 18 May in Harper is cholera outbreak in Harper. The most affected communities were visited and the under control. Over 96 task force assisted the Country Health Team in developing an intervention action cases and five deaths were plan. WHO provided technical support for case management, surveillance, reported in the last few information management and community action. WHO also supplied 50 weeks. kilograms of chlorine for 170 wells and provided chlorination guidelines. • The Liberian MoH • WHO is supervising and monitoring the screening of all ex-combatants in all of reported more than 8,000 the four cantonment sites of the Disarmament, Demobilization, Repatriation, cases of malaria, 1,022 Reintegration, and Resettlement (DDRRR) process in Liberia. As of 16 June, cases of acute watery 41,698 ex-combatants were screened; 72.3 per cent (30,136) of which received diarrhoea, 181 cases of treatment for minor illnesses and injuries. Five per cent were referred to Security Phase: 4, 5 acute bloody diarrhoea and hospitals. Health Action in Crises 3 World Health Organization [email protected], http://www.who.int/disasters/ Issue 32: June 2004 nine cases of measles • To support the provision of basic health services to the civilian population, throughout the country WHO provided emergency health and trauma kits for use by the Pakistani during the 14 to 19 June Battalion in Tubmanburg, Bomi County and Voinjama, Lofa County. period. • WHO facilitated the process that led the Minister of Foreign Affairs, on behalf of • A measles immunization the Government of Liberia, to sign the Framework Convention for Tobacco campaign targeting 70,000 Control (FCTC) Protocol on 18 June 2004. children aged six to 59 • Grants from the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM) months will begin shortly totalling more than US$ 24 million have been signed for implementation in with the support of UNICEF Liberia. The Liberian MoH has requested that WHO chair the Technical and country health teams. Coordinating committee that will manage the Global Fund. During the period of 4 The successful to 18 June 2004, WHO provided two consultants to work with the National implementation of measles Malaria Control Programme and United Nations Development Programme vaccination in Gbarpolu (UNDP) to produce a detailed activity-driven work plan to ensure WHO and Sinoe Counties will involvement in the implementation activities. mean measles vaccination • WHO is currently developing its Country Cooperation Strategy for Liberia in has reached all 15 counties coordination with the MoH. A draft document is being prepared. A follow-up of the country (Source: mission to finalize the strategy will take place in October. OCHA). • WHO headed a team to carry out facility- and community-based assessments • Liberia signed the of Lassa Fever in Internally Displaced Persons (IDPs) Camps and specifically to: Framework Convention for a) establish the mode of transmission for the index cases; b) trace contacts; and Tobacco Control (FCTC) c) collect specimens for investigations. WHO is intensifying efforts in advocating Protocol. for and coordinating the initiation of a National Lassa Fever Control Programme • Reactivation and in collaboration with the MoH, UN Agencies, United Nations Mission in Liberia rehabilitation of a 24-hour (UNMIL) and NGOs. WHO is also monitoring the Lassa Fever situation as the running water system for suspected case in Bong county was confirmed positive by laboratory diagnosis. Tubmanburg hospital is in In preparedness, WHO encouraged the MoH to request assistance from the progress. government of Sierra Leone for Ribavirin. • Phebe Hospital resumed • Through the WHO/AFRO Regional Director’s development fund, WHO is operations at its premises currently rehabilitating the water and sanitation system for Tubmanburg Hospital, in Phebe, Bong County, on Bomi County. This activity comprises the drilling of one production borehole; the 2 June after being laying of a new pipe line; the construction of an elevated water storage facility; dislodged several times the rehabilitation of the reticulation system within the hospital; the rehabilitation during the last round of of the sewer conduits, septic tanks and soak-away pit; the rehabilitation of the fighting in Liberia. The toilets and bathrooms and rehabilitation and construction of facilities for hospital facilities of the hospital wastes. were severely looted and • WHO, in collaboration with WHO/EMRO and other partners, has completed the vandalized during fighting preparatory phase for establishing a local chlorine production and distribution last year. The return of the system for the country. This activity involves the local production of chlorine for hospital is made possible chlorination of community wells, household chlorination and sterilization of health Health Action in Crises 4 World Health Organization [email protected], http://www.who.int/disasters/ Issue 32: June 2004 through a Danish grant of facility equipment. US$ 250,000. • WHO has completed the preparatory phase for the assessment of the • Health workers confirmed Emergency surveillance and response system. cases of Lassa fever in • WHO is leading health sector partners in developing a Synchronized National Nimba.
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