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WHO Syria: SITUATION REPORT Weeks 24 – 25 (07 - 21 June), 2019

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WHO Syria: SITUATION REPORT Weeks 24 – 25 (07 - 21 June), 2019 WHO Syria: SITUATION REPORT Weeks 24 – 25 (07 - 21 June), 2019 I. General Development, Political and Security Situation ✓ The security situation within Syria remains unstable and volatile; the main hot spots being, Hama, Idlib, Aleppo and Ar-Raqqah. SAA aerial and ground shelling are still taking place against NSAGs positions along the frontline axis in North rural Hama and South rural Idlib. Shelling and counter shelling continue between the Turkish Army and Kurdish forces in North rural Aleppo. ✓ A cease-fire between Syrian government forces and the opposition brokered by Russia and Turkey on 12 June appeared at risk within hours of being declared as Ankara accused President Bashar al-Assad’s forces of attacking a Turkish military outpost. Reports of heavy fighting, airstrikes and artillery shelling on several fronts in northern rural Hama governorate continued following the announcement. As of 16 June, the ceasefire had not been implemented. ✓ On 17 June, Saudi Crown Prince succumbed to Washington and announced his country's agreement with US aggressive plans in Syria ... one day after a Saudi minister sneaked to areas under control Syrian Democratic Forces (SDF), where he offered his country's support to SDF separatist aspirations and met with US officials and SDF-allied tribal leaders. ✓ With the six-month reconciliation ‘grace period’ in Dar’a governorate set to expire on 24 June, the overall situation in the southern governorates is growing increasingly tense. A few new checkpoints were established in Jlein, Masaken Jlein, Sahm El Golan, and Mzerea in Yarmouk basin. NSAGs announced the formation of a new military group called “Popular Resistance” and launched several attacks against the newly established checkpoints, which resulted in several deaths and injuries on both sides ✓ At least 10 people have been killed by fires engulfing vital wheat fields across Syria's northeast, according to a UK- based activist group, as Kurdish authorities claimed the fields had been set on fire deliberately. The reason behind these fires is attributed to number of possible causes including: high-temperature levels, the increased density of wild grass, (the amount of wild grass in this season is six times that of previous years as a result of the heavy rainfall in winter), deliberate acts, accidental events and as a result of projectiles or landmines ✓ The Lebanese foreign minister, Gebran Bassil, has said that ‘as many as three quarters of Syrian refugees in Lebanon (running into thousands) could be sent back because they face no fear of political persecution or threat to their security, but stay for economic reasons. ✓ Syrian and Russian Coordinating Committees for Return of Displaced Syrians, in a joint statement, held United Nations responsible for minimizing scale of humanitarian catastrophe in Al-Hol camp. The statement claimed that some UN assessments of situation in Al-Hol camp significantly minimize scale of catastrophic humanitarian situation of thousands of camp residents, 91% of whom are women and children mostly under 12. II. Key Health Issues 1. The three million people in Idlib (majority of them civilians), the injured and the more than 353,000 that were displaced since April, require urgent health protection. Page | 1 2. The 19th group from Rukban arrived in Homs at night of 19 June, with 575 people (151 males, 153 females, and 271 children and infants), bringing the total number of people who left Rukban to 14,828 people (35.5%) out of 41,700 residents. 3. The intensity of hostilities especially in Hama, Idlib, Aleppo and Ar-Raqqah, is reportedly overwhelming health response capacities in the areas. Local humanitarian actors are using their limited capacity to respond to the IDPs’ most urgent needs, however the large number of IDPs, shortage of funds and the instability of the security situation are severely hampering the response. 4. Due to numerous fire accidents and extensive fire outbreaks in NES, there is a sudden increment of fire burns patients and response needs to be enhanced to provide treatment on acute burn medical/surgical management at the Hassaka hospital. 5. With the onset of summer, there has been an increase in the number of cases of acute diarrhea in the camps, rising to about a thousand cases reported through the Early Warning & Reporting System (EWARS) in weeks 23 and 24. Poor hygiene and inadequate feeding practices are also contributing to the increased incidence of diarrhea. 6. Three field hospitals are now operational and are located in phases 1, 4 and 7. However, they are not yet functioning at full capacity, mainly due to the absence of a blood bank in Al Hol. Currently, discussions are ongoing with the Department of Health to establish a blood work – this will enable the number and types of surgeries to increase. 7. Relocation of 1,680 households from Twehina informal settlement to Mahmoudli camp will commence on 24 June and is expected to take around a month to complete. The areas that recently displaced people have been moving towards are already densely populated, often with camps at full or excess capacity, placing additional strain on health services to meet the needs of the newly displaced individuals and the host communities. III. WHO Response 1) Coordination ✓ On 12 June HWG coordination meeting was conducted in presence of UN agencies at Homs Hub, DOH and local NGOs in Homs. Operational updates and suggestions were discussed by both health and other sectoral partners. ✓ Updated health sector coverage and the geographical location for the health services in Homs and Hama till end of April 2019. ✓ Participated in the annual DfID/WHO review meeting in Gaziantep, Turkey, 12 June 2019. An operational update was provided for WHO Syria. ✓ Provided inputs for the updated mortality situation in Al Hol camp, Hassakeh governorate. ✓ Disseminated the Flash Update on the latest incident against Al-Mahabah private hospital in Hama, Mahardah City. ✓ Facilitated coordination among different technical units of WCO Syria and field hospitals in Al Hol camp. ✓ Developed recommendations for the interested donors to further enhance health response in the southern Syria. ✓ Worked closely with WASH and nutrition sector on cross-cutting issues of the response in Al Hol camp. 2) Non-Communicable diseases & Primary health care ✓ Attended SDG meeting on 13 June at UNDP building. Reviewed common chapter in respective strategic plans, 2018-2021 (UNFPA, UNICEF, UN-Women & UNDP) and areas of collaborative advantages: gender issues, eradication of poverty, Adolescent and maternal health and HIV, etc.). ✓ Continued follow up arrangement for Thalassemia world day, Thursday 27 June. ✓ Thalassemia guideline finalized for printing. Page | 2 ✓ Completed HeRAMS online survey and interview. Results being finalized. ✓ Finalizing budget for elderly health assessment survey – undergoing review by finance team. ✓ Followed up the nomination of WCO focal point under HIS program to attend the PHCMI initiative workshop in Cairo, 30 July-1 August 2019. Accordingly, MOH official letter was submitted to nominate 3 candidates for same workshop. ✓ Delivered dental and laboratory equipment in favour of two PHC affiliated to DOH Aleppo: Khaldya and Maasarnaya health centers. ✓ Continued follow up for oral health project in Eastern Ghouta ending at 30 June. Total of 4200 school students reached with total oral health services 20,839, health promotion sessions for 60 teachers and 4200 students in addition to 12,400 preventive services. ✓ The following equipments and supplies were delivered during the reporting period o Supported 3 NGOs working for Eastern Ghouta response in rural Damascus with insulin vials; total of 6 NCD kits distributed with 318 treatments courses provided. o Dispatched 18 NCD kits (insulin & syringes) in favour of NES response. Total provided treatments 954. o Supported Al Bir NGO in Draa & three NGOs in EG (namely: Tamayouz for Orphan Sponsorship, Al Qutaifah Health Charity & Youth charity) with 9 NCD kits (insulin & syringes). Total provided treatments 477; o Supported Qamishly hub with a mobile X-Ray machine. ✓ The total number of treatment under PHC/NCD program is 1102 during the reporting period. 3) Trauma ✓ About 100 health workers were trained on trauma and disability in two governorates (Homs and Damascus) . ✓ The following deliveries were made during the reporting period: o Delivered 15 trauma kit Type A & B (1500 trauma cases) to Aleppo and Al Qamishli hub - 4 to Aleppo University Hospital, one to SARC Aleppo and 10 to Qamshili hub for further distribution. o Delivered 300 treatments of trauma medicines to DOH Al-Hassakeh o Delivered 6 medical equipment (ultrasound device, incubator, Dry Heat Sterilize, Mobile X-Ray, Colofiberscope and mobile X-Ray) to Qamshili hub for further distribution to health facilities in NES. o Delivered Prefab Caravan consisting of 2 clinics and Prefab Caravan consisting of 1 clinic and 1 Pharmacy with generator cage to Al-Mawadda Ain Issa camp o Delivered Prefab Caravan consisting of 2 clinics and Prefab Caravan consisting of 1 clinic and 1 Pharmacy with generator cage to Al-Mawadda Al-Mahmoudli new camp ✓ Conducted a mission to Aleppo among a WHO team headed by the WR to follow up on the WHO implementation of the planned operation, and met with the health partners to discuss how to enhance the emergency preparedness and response to the worsening health situation in NWS ✓ Missions were conducted to Al Qamishli by the Trauma unit in Aleppo Hub as follows: o Field visit to Al Qamishli national hospital to assess the needs of the ICU. o Field visit to Al Hekmeh and Al Hayat hospitals in Al Hassakeh city to monitor the referral system of the trauma cases conducted by WHO. o Field visit to the blood bank in Al Hassakeh city to access the (ARCHITECT 2000 SR) blood testing devise and the blood transfusion in Al Hassakeh governorate. o Field visit to the SARC-ICRC, KRC and MSJM hospitals in Al Hol camp to assess the provided medical and surgical care and the needed support.
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