UPDATE 23 3 - 9 JUNE 2019 IOM WEEKLY EBOLA VIRUS DISEASE PREPAREDNESS UPDATE

Lakes COUNTIES RECEIVING HYGIENE PROMOTION SUPPORT SOUTH IOM DTM FLOW MONITORING POINT SUDAN HEALTH FACILITIES SUPPORTED WITH IOM WASH INFRASTRUCTURE

Dingimo CAR

Source Yubu

Nabia Pai

Logobero

DRC Lasu POINT OF ENTRY SITE MANAGEMENT Lutaya Yei Taxi Park Jale Aweno Olwiyo IOM Khor Kaya/ WHO

CUAMM Elegu CORDAID Salia Musala WORLD VISION UGANDA FUTURE PoE SITES (TO BE MANAGED BY IOM)

INDIVIDUALS SCREENED THIS WEEK PER LOCATION & CUMULATIVE SCREENINGS PER LOCATION

Bazi Birigo Bori Kaya Kerwa Khorijo Khor Kaya Lasu Okaba Pure Salia Musala Tokori Yei Airport Yei SSRRC INDIVIDUALS 1,862 53 SCREENED THIS 1,280 945 2,843 2,535 2,172 3,170 47 2,121 1,580 2,771 15 26 WEEK: 21,420 31,440 14,404 3,853 96,285 23,403 60,956 32,355 873 42,533 61,007 38,444 4,807 813 753

ORIGIN OF ENTRANTS WEEKLY OVERVIEW TO SOUTH SUDAN During this reporting week, a total of 6,674 entrants were surveyed. 87.5% of HEALTH SUSPECTED/ surveyed travelers were South Sudanese nationals; 7.6% were from Uganda; 2.2% ● Active screening ongoing in 14 active IOM- CONFIRMED EVD were from DRC; 2.8% were from other countries. Entrant origin information is supported PoE sites, namely: Yei airstrip, Yei CASES: 0 self-reported. SSRRC, Tokori, Lasu, Kaya, Bazi, Salia Musala, 40.5% Koboko; UGA Okaba, Khor Kaya (along Busia Uganda Border) in 21.3% Ituri; DRC , Pure, Kerwa, Khorijo, Birigo in 6.3% Haut-Uele; DRC and Bori. } 5.3% Moyo; UGA Areas* TOTAL INDIVIDUALS UGA: Maracha 5.0% Other; UGA WASH REACHED WITH HYGIENE UGA: Adjumani UGA: Amuru 3.5% Yumbe; UGA ● IOM WASH repaired one hand pump at Kerwa PROMOTION: 172,461 CAR: Haut-Mbomou UGA: Lamwo 3.3% Kampala; UGA PHCC in Kajo-Keji County to support WASH [Other Countries] IPC activities. This PHCC is located near to the 2.5% Arua; UGA Kerwa PoE, where suspected EVD patients are 2.4% Kongo Central; DRC referred to. 2.2% Unknown; UGA ● IOM relocated one stance of pit latrine lying at Areas* with less than 2% HEALTH FACILITIES the upstream of newly drilled borehole in Salia SUPPORTED THROUGH Musala PoE to avoid underground contamination. WASH ASSISTANCE: 8 For a more detailed breakdown, contact [email protected] The borehole was drilled by another agency. EVD PREPAREDNESS UPDATE UPDATE 23: 3 - 9 JUNE 2019

EVD SCREENINGS TOTAL INDIVIDUALS SCREENED CASES OF NON-EVD FEVER FOR EVD SINCE SEPTEMBER 2018 (VALUES INDICATED FOR WEEKS WITH 20+ CASES)

25,000 1,000

900

20,000 800

700

15,000 600

500

10,000 400

300

5,000 200 93 45 45 56 69 100 27 23 35 39 31 33 37 36 29 29 39 40 40 27 23 0 0 SEPT. OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE 2018 2019

HEALTH UPDATES During the reporting week, 21,420 inbound travelers to South Sudan SECURITY were screened on EVD exposure and symptoms. Three PoEs detected & ACCESS 69 travelers with fever (62 from Birigo, 6 from Kaya and 1 from Bazi). After subsequent temperature measurement during secondary CHALLENGES screening, 12 cases had their temperatures return to normal. All cases Access to Lujulu is still a challenge were referred to the nearby health facilities and 17 cases were treated due to security. for pneumonia in children, while the rest of the cases (40) were all diagnosed and treated for malaria. There were no EVD alert cases Remote monitoring is being done reported during the reporting period. for Lasu and Tokori due to access issues but poor communication network makes it more challenging. WASH UPDATES Road Access to Morobo, Khorijo and Bori is being limited by During the reporting period, IOM continued hygiene promotion worsening condition of the roads activities in and around all the 16 PoE site (Yei SSRRC screening point, due to onset of rains. Pure, Morobo, Khorijo, Kaya, Gimunu, Tokori , Marakonye, Lasu, Attende, Salia-Musala, Busia (Kor-Kaya), Kerwa, Bori, Bazi, and Berigo). Hygiene promotion sessions at schools, markets and water points, reaching approximately 6,427 (2,088 females, 1,505 males, 1,345 boys and 1,489 girls). COORDINATION Travelers from Uganda queuing for EVD Screening in Yei NOTES Airport © IOM 2019 / MUSA Musema DTM UPDATES IOM continues to actively Twenty FMPs, including six operated in cooperation with DTM Uganda, submitted data for 2-6 June on time, while data participate in the national level from Tokori was received too late for the weekly update. Based on the available data, 6,674 people were surveyed on coordination meetings, such as SAG, arrival to South Sudan during the reporting period. The main regions of departure were Koboko (40.5% of respondents) NTF, and TWG meetings, including in Uganda and Ituri (21.3%) in DRC. 61.2% of respondents reported going to Morobo County, followed by 6.8% to the IPC/WASH, Border Health and County and another 6.8% to . 87.5% of respondents reported South Sudanese nationality, followed by 7.6% Points of Entry (BH & PoE), Epi & Ugandan. Surveillance, Risk Communications Social Mobilization, and Access and Security Technical Working Groups HYGIENE PROMOTION (TWGs). IOM conducts regular monitoring 35,000 The cumulative & supportive supervision at all PoE 30,000 total number sites. of participants on EVD hygiene promotion 25,000 activities since October 2018 20,000

15,000

10,000

5,000

0