Covid-19 Situation Analysis
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Main Implementing Partner COVID-19 BANGLADESH SITUATION ANALYSIS CRISIS TYPE:EPIDEMIC FEBRUARY 2021 Better Data Better Decisions Better Outcomes The outbreak of disease caused by the virus known as Severe Acute Respiratory Syndrome (SARS-CoV-2) or COVID-19 started in China in December 2019. The virus quickly spread across the world, with the WHO Director-General declaring it as a pandemic on March 11th, 2020. The virus’s impact has been felt most acutely by countries facing humanitarian crises due to conflict and natural disasters. As humanitarian access to vulnerable communities has been restricted to basic movements only, monitoring and assessments have been interrupted. To overcome these constraints and provide the wider humanitarian community with timely and comprehensive information on the spread of the COVID-19 pandemic, iMMAP initiated the COVID-19 Situational Analysis project with the support of the USAID Bureau of Humanitarian Assistance (USAID BHA), aiming to provide timely solutions to the growing global needs for assessment and analysis among humanitarian stakeholders. CONTENTS 1. Executive Summary / Highlights Page4 2. Context - Economic Page9 3. COVID-19 Epidemic Overview Page11 4. COVID-19 Containment Measures Page19 5. Information and Communication for COVID-19 Page21 6. COVID-19 Impact and Humanitarian Conditions Page22 Livelihoods 23 Food Security 25 Health 27 Nutrition 30 WASH 34 Education 36 Protection 38 7. About this report Page41 EXECUTIVE SUMMARY / HIGHLIGHTS Figure 1. Overall COVID-19 data for Bangladesh (Source: WHO sitreps and HEOC and Control Room, IEDCR, DHIS2)) Infection Death Tests Vaccination 546K 8,408 4.04M 3.11M COVID-19 infections COVID-19 deaths Tests conducted Vaccinated as of as of 1 March 2021 as of 1 March 2021 28 February 2021 Bangladesh as of 1 March 2021 406 10 30K 0 COVID-19 infections COVID-19 deaths Tests conducted Vaccinated as of Refugee Refugee Cox’s Bazar Bazar Cox’s Community as of 28 February 2021 as of 28 February 2021 as of 28 February 2021 28 February 2021 5,593 73 61K 55.8K Host COVID-19 infections COVID-19 deaths Tests conducted Vaccinated as of as of 28 February 2021 as of 28 February 2021 as of 28 February 2021 28 February 2021 Cox’s Bazar Bazar Cox’s Community COVID-19 infection rates across Bangladesh continued trend and decreasing. However there has been a small to drop with 11,077 new cases recorded (down from upturn in positive cases identified within the refugee 21,626 in January), case fatality is also decreasing with population, with 25 new cases recorded in February up the number of deaths recorded in February at 281, down from 14 cases the month before. from 568 in the previous month. The majority of national COVID-19 containment measures have been rescinded and Preliminary findings from theRefugee influx Emergency compliance with those measures that remain in place (such Vulnerability Assessment (REVA 4) conducted by WFP as wearing of face-masks in public) is weak. Nationally the shed light on the impact of the COVID-19 crises on both largest remaining restriction is on education as schools the refugee and host communities. The survey (which is and education establishments remain closed. conducted annually) shows that overall vulnerability has increased from 2019 to 2020 across all populations, both A mass vaccination campaign is underway with a total Rohingya and host community. of 3,110,525 people within Bangladesh having received their first dose of the COVID-19 Vaccine (Covishield) as of Livelihoods amongst the host community were badly hit by 28 February 2021. COVID-19 containment measures and led to a significant drop in income for many households. For the refugee In Cox’s Bazar the situation remains relatively stable with community almost all avenues to cash generation (such members of the host community amongst the recipients as volunteer stipends or access to the informal economy) of the vaccine. There has been no significant change in were heavily affected by the crisis, although provision containment measures or restrictions and within the host of aid (including food) was able to continue through the community, COVID-19 caseload is following the national inclusion of COVID-19 prevention measures within delivery Better Data Better Decisions Better Outcomes 4 // 45 modalities. Schools continue to remain closed. Access to distance learning remains challenging for refugee children and An assessment by REACH and analysis based on secondary children from the host community’s poorer families. data by ACAPS highlight the difficulties that persons with Protection actors highlight the increasing negative disabilities (PwD) and the elderly face within the camp impact this is having on the mental health of children, environment. Even before COVID-19, PwD faced many the exposure to risk that is faced by out-of-school children barriers in accessing services, but containment measures and the detrimental impact on their cognitive and social and the need for social distancing and increased hygiene development. have only increased the challenges they face. Better Data Better Decisions Better Outcomes 5 // 45 Figure 2. Timeline of Major Event Figure 2: Timeline of Major Events +3 +0 3 0 03/08/2020 GoB Ministry of Health confirms first COVID-19 cases in Bangladesh CASES DEATHS +0 GoB Ministry of Education orders closure of all educational institutions 0 03/16/2020 to prevent the spread of COVID -19 DEATHS +11 +1 14 1 03/18/2020 GoB Ministry of Health confirms first COVID-19 death in Bangladesh CASES DEATH +19 +2 GoB Ministry of Public Administration declared general holidays from 33 3 03/23/2020 from 26 March to 4 April to prevent the spread of COVID-19 CASES DEATH +6 +1 Prime Minister Sheikh Hasina announced a stimulus package of TK 50 39 4 03/25/2020 billion for the owners of exporting industries affected by COVID-19 CASES DEATH GoB Ministry of Road, Transport and Bridges announced transport ban on all modes of transport accross the country from 26 March to 4 April. 03/26/2020 GoB Ministry of Civil Aviation and Tourism suspends international flights to all countries except for the UK and China. DIFE (Ministry of Labour and Employment) estimated that between +17 +2 56 6 04/03/2020 19-31 March, 1,904 export-oriented ready made garment (RMG) factories shut down, leading to unemployment of 2,138,778 workers CASES DEATH GoB Ministry of Public Administration extends general holidays till +32 +3 9 04/05/2020 14 April 2020 88 DEATH GoB Ministry of Road, Transport and Bridges extends transport ban till CASES 25 April 2020 +9,408 +106 GoB Ministry of Health confirms first COVID-19 cases in Rohingya 18,863 05/15/2020 283 Refugee Camp CASES DEATH +28,290 +367 GoB Ministry of Public Administration ends lockdown despite the rise 47,153 650 05/31/2020 in COVID-19 cases CASES DEATH +0 +0 GoB Ministry of Civil Aviation and Tourism approves resumption of 47,153 650 06/01/2020 domestic commercial passenger flights on a limited scale CASES DEATH Containment measures COVID cases Economic Better Data Better Decisions Better Outcomes 6 // 45 +43,466 +559 GoB Ministrryy ofof PublicEducation Administration extends closure extends of generaleducational holidays till 90,619 1209 06/15/2020 institutions until August 6, 2020 CASES DEATH +11,673 +134 102,292 1343 06/18/2020 Directorate General of Health Services (DGHS) confirmed that COVID-19 cases has exceed 100,000 in Bangladesh CASES DEATH +99,774 +1238 Directorate General of Health Services (DGHS) confirmed that COVID-19 202,066 2,581 07/18/2020 cases has exceed 200,000 in Bangladesh CASES DEATH +5,387 +87 207,453 2,668 07/21/2020 GoB Ministry of Health made wearing of masks mandatory for all CASES DEATH WHO report confirm that COVID-19 cases in Cox’s Bazar exceed 4,500 +151,695 +2,493 5,161 09/27/2020 with nearly 4,400 host community people and 200 rohingya refugees 359,148 CASES DEATHS infected +41,103 +657 WHO report confirm that COVID-19 cases has exceed 400,000 with over 400,251 5,818 10/26/2020 5,800 deaths in Bangladesh CASES DEATH +64,681 +826 GoB Ministry of Foreign Affairs confirmed Bangladesh has relocated 464,932 6,644 12/04/2020 1,642 of the Rohingya refugees in the country to Bhashan Char, CASES DEATH an island in the Bay of Bengal WHO report confirm that COVID-19 cases has exceed 490,533 with over +8,969 +128 473,901 6,772 12/14/2020 7,045 deaths in Bangladesh CASES DEATH +39,609 +787 513,510 7,559 01/27/2021 Bangladesh has started its COVID-19 vaccination CASES DEATH +24,552 +646 The national-level vaccination programme started rolling out including 538,062 8,205 02/07/2021 Cox’s Bazar CASES DEATH Refugee Relief and Repatriation Commission (RRRC) confirm +7,769 +195 545,831 8,400 02/27/2021 about 10,000 Rohingyas have moved to Bhashan Char in CASES DEATH several phases so far +385 +8 WHO report confirm that COVID-19 cases has exceed 546,216 with over 546,216 8,408 03/01/2021 8,408 deaths in Bangladesh CASES DEATH Containment measures COD cases Economic Better Data Better Decisions Better Outcomes 7 // 45 Figure 3. Refugee population by camp as of 28th February 2021 (Source: UNHCR 31/01/2021) Raja Palong Total Refugee Population 871,924 Individuals Camp 1E Camp 1W 188,919 Families Kutupalong Kutupalong RC RC Camp 4 Camp 3 Camp 2W Camp 2E 16,965 Camp 4 Kutupalong Balukhali Camp 6 Extension Camp 5 Camp 7 Expansion Site (*22 Camps) Camp 20 Camp 17 Camp 8W 590,584 Extension Camp 8E Bangladesh Cox’s Bazar Camp 20 Camp 9 Camp 18 Camp 10 Camp 19 Camp 11 Camp 12 Camp 13 Myanmar Camp 14, 15, 16 Camp 14 103,661 Camp 25 Nhilla Camp 15