UPDATEUPDATE 4424 28 OCT10 -- 1603 NOVJUNE 20192019 IOMIOM SOUTHSOUTH SUDANSUDAN WEEKLYWEEKLY EBOLAEBOLA VIRUSVIRUS DISEASEDISEASE PREPAREDNESSPREPAREDNESS UPDATEUPDATE

Lakes COUNTIES RECEIVING HYGIENE PROMOTION SUPPORT IOM DTM FLOW MONITORING POINTS

HEALTH FACILITIES SUPPORTED WITH IOM WASH INFRASTRUCTURE SOUTH

Wau Airstrip SUDAN Dingimo CAR

Source Yubu

Nabia Pai

Rasolo

Nabanga Logobero

POINT OF ENTRY SITE MANAGEMENT DRC Lasu IOM Yei Taxi Park Jale Owiny Aweno Nimule Kibul Olwiyo WHO Check point Pure Lobone CUAMM Abaya Khor Kaya Nimule Airstrip CORDAID Elegu Nimule WORLD VISION Riverport Salia Musala IOM PLANNED PoE SITES UGANDA Ariwara (DRC)

INDIVIDUALS SCREENED THIS WEEK PER LOCATION & CUMULATIVE SCREENINGS PER LOCATION

Bazi Birigo Bori Isebi Kaya Kerwa Khorijo Khor Kaya Lasu Okaba Pure Salia Musala Tokori Yei Airport Yei SSRRC

0* 1,222 824 0* 3,874 2,111 1,957 2,670 0* 0* 3,667 3,365 0* 24 83 60,253 38,827 22,693 3,946 184,084 72,255 111,914 87,412 2,417 77,891 133,780 109,971 6,242 1,222 1,894

*No report were received from Bazi, Isebi, Lasu, Akobo and Tokori this week due to ongoing insecurity

ORIGIN OF ENTRANTS TO WEEKLY OVERVIEW COUNTRY & LOCATIONS NUMBER OF INDIVIDUALS TRENDS COMPARED ●  Following the incident in Isebi, on 27 INDIVIDUALS OF ORIGIN SURVEYED THIS WEEK TO PREVIOUS WEEK October, IOM suspended all the Ebola Virus Disease SCREENED THIS UGA Koboko 2,058 44.7% (EVD) preparedness activities at fivePoints of Entry WEEK: 19,797 COD Ituri 614 13.3% (PoEs) – Isebi, Okaba, Bazi, Lasu and Tokori – and UGA Yumbe 445 9.7% operations; EVD screening, flow monitoring points, UGA Moyo 252 5.5% IPC/WASH activities, support to health facilities, risk COD Haut-Uele 195 4.2% communication and social mobilization UGA Other 242 5.3% SUSPECTED / ●  IOM continue to support and conduct active CONFIRMED UGA Kampala 168 3.7% screening in the following 10 PoEs sites: EVD CASES: 0 UGA Amuru 155 3.4% ¯ Yei SSRRC and Yei Airstrip within Yei Town KEN Other 114 2.5% UGA Adjumani 115 2.5% ¯ Kaya, Salia Musala, Kor Kaya along CAF Haut-Mbomou 69 1.5% Busia Uganda Border UGA Arua 95 2.1% ¯ Pure, Kerwa, Khorijo, Bori in Kajokeji and INDIVIDUALS KEN Nairobi 71 1.5% REACHED WITH ¯ Birigo in HYGIENE OTHER Other 9 0.2% ●  DTM conducted a monitoring and evaluation mission PROMOTION Operational factors, including delayed submission by some FMPs, may affect trends on a week-by-week basis. The trend arrows in the DTM TODATE: 288,845 figure refer to the share of respondents from each FMP (as opposed to the absolute numbers) Figures with; upward trend, in Gangura, south of Yambio, where enumerator downward trend, no change. For a more detailed breakdown, contact [email protected]. performance was evaluated and necessary equipment was replenished During this reporting week, a total of 4,602 entrants were surveyed. Of these, ●  IOM received the USAID monitoring and evaluation 60.9% were South Sudanese nationals; 31% were from Uganda; 2.9% from Dem- HEALTH FACILITIES visit at six IOM operating PoEs in Morobo and SUPPORTED ocratic Republic of Congo, 2.3% from Kenya; and a further 2.8% were from other Kajokeji THROUGH WASH countries. Entrants’ origin information is self-reported. ASSISTANCE: 9 WEEKLY EVD PREPAREDNESS UPDATE

WEEKLY SCREENING

TOTAL INDIVIDUALS SCREENED FOR EVD CASES OF NON-EVD FEVER SINCE SEPTEMBER 2018 (VALUES INDICATED FOR WEEKS WITH 20+ CASES) 30,00030,000 1,000 900 25,00025,000 800

700 20,00020,000 600

15,00015,000 500

400 10,00010,000 300

200 5,0005,000 93 94 117 102 69 69 70 66 74 84 100 35 39 3337 36 39 40 4540 45 56 5753 31 56 138 62 27 23 31 29 29 27 23 34 39 105 101 94 80 00 0 SEP. OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCT. SEPT. OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBEROCTOBER 2018 2019

HEALTH UPDATES SECURITY AND ACCESS CHALLENGES A total of 19,797 travelers were screened for EVD exposure and symptoms from 10 out of the 15 IOM PoE EVD screening sites bringing the cumulative total screened to 915,801 inbound travelers to South Sudan. Compared to previous reporting week, week ●  Due to escalation of security situation 44 recorded decrease of 5,285(21%) in total screened. This is due to the suspension of screening activities at the 5 PoE locations in the couties of Lujulu and Otogo, as stated above. IOM suspended all activities in the 5 PoEs of Isebi, Bazi, Okaba, Lasu and There was a total of 80 inbound travelers who underwent secondary Tokori until further notice screening all with non-EVD fever. Of the 80 cases, 53 (66%) had their ● Road access to Lasu, Khorijo and Bori temperature return to normal after subsequent measurements in the is being limited by worsening condition secondary screening areas. The remaining 27 were referred for treatment at of the roads due to continuous rain. the nearby health facilities for malaria, 19 (70%) and for Respiratory Tract As a result, this has interrupted infection 4 (15%) while 1 (3.7%) were diagnosed with other conditions. social mobilization activities in the There were no alert cases reported. community and delay in submission of reports from Lasu ●  DTM discontinued flow monitoring WASH UPDATES operations temporarily at Bazi, Lasu, Okaba and Tokori FMPs due to During the reporting week, IOM continued with EVD awareness and security concerns hygiene promotion activities to the communities in and around 12 IOM South Sudan Chief of Mission meeting with EVD staff and volunteers in Yei © IOM 2019 / Lucy ACHAN locations (Yei SSRRC screening point, Pure, Khorijo, Kaya, Gimunu, ●  Patchy mobile network coverage rendered communication challenging Marakonye, Attende, Salia-Musala, Busia (Kor-Kaya), Kerwa, Bori, Berigo). Hygiene promotion sessions at schools, markets for certain areas and water points, reaching approximately 2,820 individuals (695 men, 944 women, 511 boys, 670 girls) during this reporting week. Hygiene promotion activities were suspended at 5 locations (Lasu, Tokori, Bazi, Okaba and Isebi), including support to ●  Monitoring and Evaluation missions had to be limited due to access Lasu PHCC, Kirikwa PHCU, Morobo PHCC, and Rhodoba PHCC due to the incident that occured on 27 October in Isebi. limitations Compared to last week (5,450), beneficiaries of the hygiene promotion decreased this week by 50%. INDIVIDUALS REACHED WITH HYGIENE PROMOTION ACTIVITIES COORDINATION NOTES 55,000 50,000 46,469 Total ●  IOM team in Yei coordinated a visit by 45,000 number of the IOM South Sudan chief of Mission 40,000 36,054 participants of to Yei to provide support to the team 35,000 EVD hygiene 26,132 26,309 and meet the IOM staff and volunteers 30,000 25,511 promotion 25,000 following the incident in Isebi 19,459 activities since 20,000 13,759 15,303 13,506 ●  IOM together with UNMISS and 15,000 12,206 10,946 10,451 11,045 October 2018 5,815 6,656 6,043 the South Sudan Ministry of Foreign 10,000 3,181 5,000 Affairs conducted a two-day training 0 of Immigration officials in Yei. IOM provide the facilitators from MMU and ISEBI BAZI PURE LASU KAYA BORE SSRRC WASH units. The Deputy governor of KERWA BERIGO TOKORI GIMUNU KHORIJO MAROBO ATTENDE

KOR-KAYA who officiated at the

MARAKONYE opening and closing of the training SALIA-MASALA was grateful to the organizers and requested for support from partners to help upgrade the Airstrip in Yei DTM UPDATES to an International Airport as it is currently receiving flights from Uganda Twenty out of 24 FMPs (including the six operated in cooperation with DTM Uganda) submitted data for 27 October – and Entebbe 2 November. In one case data uploads were not possible in time and in four cases data was only partial or completely lacking due to security concerns causing a temporary halt to data collection efforts. Based on data submitted by ●  IOM continues to actively participate in the various EVD meetings including Monday 4 November 2019, 4,602 individuals were surveyed on arrival to South Sudan during the reporting period. The SAG, NTF, TWGs and STF and other main regions of departure were Koboko in Uganda (44.7% of respondents) and Ituri in DRC (13.3%), while the main weekly state and county coordination reported counties of destination were Morobo (54.4%) and (13.2%). Most respondents reported South Sudanese meetings with OCHA and other nationality (60.8%), followed by Ugandan (31.1%). stakeholders