Guinea Ebola Sitrep 8 July 2015
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UNICEF Guinea Ebola SitRep 8 July 2015 GUINEA Ebola Situation Report 8 July 2015 HIGHLIGHTS SITUATION IN NUMBERS The total number of confirmed cases of Ebola rose this week As of 05 July 2015 from 3,269 to 3,287, with 18 new confirmed cases from prefectures of Forecariah (11); Boke (6) and the Town of 3,748 Conakry (1) (WHO, Ebola Situation Report, 8 July 2015). Cases of Ebola (3,287 confirmed) The number of confirmed deaths rose from 2,039 to 2,049 this past week, with a total count of 2,499 confirmed and probable 2,499 deaths. Deaths (2,049 confirmed) UNICEF is the lead agency in social mobilization and community engagement and has been most active in 626 prefectures of Boke, Forécariah, Dubréka and Benty, in close Cases among children 0-17 collaboration with the National Ebola Coordination. A (confirmed) monitoring initiative aiming at strengthening community and local authority engagement, and a stronger active case finding has been ongoing in targeted villages of Kolotoyah in 373 Forécariah, Kigbaly in Benty, Tamaranssy in Boke and Dubréka. Deaths of children and youth aged 0-17 (confirmed) Strengthening surveillance in border areas continues to be the focus of the response. In partnership with the Scouts, 535 people were reached through mass sensitization at the 4,350,633 harbour in Kamsar (Boké), which is visited by fishermen from Children in affected areas since the islands bordering Guinea Bissau. In Forécariah, which the beginning of the epidemic borders Sierra Leone, 26 social mobilizers were trained. Nutrition data collection, following the Standardized 191 Monitoring and Assessment of Relief and Transition (SMART) Cases among health workers with survey method, is ongoing nationwide, now reaching more 96 deaths (confirmed) than 1,000 households (approx. 1/8 of targeted households for the survey). UNICEF Guinea Ebola SitRep 8 July 2015 Leadership and Coordination UNICEF is leading social mobilization and community engagement in the most active prefectures of Boké, Forécariah, Dubréka and Benty, in close collaboration with the National Ebola Coordination body. In Dubréka, door-to-door active case finding started on 1 July, targeting 460 households in Bamba and Kawonso villages with UNICEF providing hand washing kits and latrines to households. The strategy, with a combined surveillance team of medical workers, social mobilisers and social anthropologists, involves door- to-door sensitization and free medical care at temporary health posts. Door-to-door active case finding and its subsequent package of assistance (free food, medical care and water) will be extended to Kigbaly village in Benty Prefecture for 200 households beginning on July 7 2015, with the overall aim of breaking the transmission chains stemming from Sierra Leone border areas. UNICEF and partners will support the provision of basic social services to those targeted households for a duration of 21 days, along with sensitization sessions. In Boké, 19 households are being closely monitored at Tamarassy village. WASH kits continue to be distributed as well as sensitization carried out in several areas of the prefecture. All people who have fallen ill will be referred to health centres for necessary care. WASH UNICEF has recruited a new WASH Cluster Coordinator to support the Ebola response. UNICEF and partners distributed 1,114 household WASH kits (bucket with a tap and soap) benefitting 7,954 people in Ebola-affected areas in Forécariah, Dubréka and Boké. The distributions were accompanied by sensitization about good hygiene habits. This brings the total number of household WASH kits distributed nationwide to 320,919 and UNICEF beneficiaries to 2,291,362 people. UNICEF, in partnership with Community Village Committees (CVV), distributed 836 household WASH kits in Tanéné, one of the hotspots of the Ebola virus in the prefecture Dubréka. UNICEF, in partnership with WFP, distributed 140 household WASH kits to people who had come in contact with Ebola victims and who are under surveillance in Forécariah, Dubréka and Boké. UNICEF, in partnership with the Scouts, conducted door-to-door visits to promote hygiene and hand washing as a way of preventing the spread of Ebola in Forécariah and Boké. During this campaign, more than 2,141 people were reached including 936 women and 652 children and distributed 138 household WASH kits. Of the 60 water points rehabilitated in the region of NZérékoré, 34 have been fixed, including 17 over the last week, benefitting 5,100 people. UNICEF continued the rehabilitation of 35 boreholes and the digging of five new boreholes in Boké and Kindia. To date, the results achieved are: rehabilitation (100 per cent) and digging (33 per cent). UNICEF, in partnership with the NGO Search for Common Ground, used mobile cinema to promote better hygiene in schools. 1,081 students were reached, including 550 girls in the prefectures of Forécariah, Kindia and Boffa. Moreover, there have been 34 screenings of a special film and cartoon on three TV channels: RTG Koloma, RTG Boulbinet and Evasion Guinée. Health Between 28 June and 4 July 2015, the health region of Nzérékoré organized a training of trainers (TOT) for 14 persons on the complete package of Community Integrated Management of Childhood Illness (IMCI). This is part of the launch of a large programme of IMCI in the region, aimed at training and supplying medicines to more than 1,000 community health workers. In Forécariah, door-to-door active case finding was carried out, reaching 496 persons in Kolotoyah village. UNICEF provided medicine and offered free medical care to the community, reaching 221 people for medical consultations. Deworming treatment has been provided to all patients who have UNICEF Guinea Ebola SitRep 8 July 2015 received care from the mobile clinic set in the village during this period. No new suspected case of Ebola was reported during the monitoring. In Dubréka, UNICEF supported through the provision of essential drugs. This intervention provided free medical care to 348 people, including 196 men, 109 women and 43 children. 60 per cent of them were found to have malaria, and received appropriate follow up medical care. UNICEF has also supported Tanéné health facilities to host three sessions of integrated advanced outreach through immunisation (EPI), antenatal care (ANC), prevention of mother to child transmission of HIV (PMTCT) and nutrition in Dixinn Bouramaya and Dembaya villages. 45 children aged 0-11 months were vaccinated against common childhood illnesses. 178 children aged 6-59 months were screened for malnutrition and were dewormed, among which 2 children with severe acute malnutrition (SAM) with complications were referred to Tanéné Health Centre for care. In addition, 18 pregnant women attending ANC were tested for HIV, received mosquito nets, and were vaccinated for tetanus. Nutrition UNICEF and partners have provided counselling and therapeutic food to 2,170 Ebola patients in treatment centres (out of 2,600 targeted) as well as Ready-to-Use Infant formula to 1,317 children and infants whose families have been affected by Ebola since October 2014. From January to June 2015, as a result of nationwide UNICEF sponsored health and vaccination campaigns, 1,445,969 children countrywide have received vitamin A supplementation (achieving 92.4 per cent coverage) and 1,257,710 received deworming treatment (achieving 86.1 per cent coverage). The Standardized Monitoring and Assessment of Relief and Transition (SMART) survey is ongoing nationwide and approximatively 1/8 of targeted households have already been reached. Data collection is being done simultaneously by 40 teams spread throughout the country. Communication for Development (C4D) UNICEF continued its social mobilization activities in Conakry, Boké, Coyah, Dubréka and Forécariah – the prefectures that have reported new Ebola cases recently – including door-to-door visits to 23,618 households. Main topics of sensitization included addressing false rumours (such as Ebola is injected via vaccination), the importance of active case detection, seeking medical treatment immediately when falling ill, understand the importance of not touching the sick and the dead, ensuring safe burials, and not transporting sick and dead people by taxi, bus, or motorbike. On the last topic, UNICEF in cooperation with the Scouts, organized a meeting with the leaders of the transporters union of Boké and held a mass sensitization with 117 motorbike taxi drivers. UNICEF also played a key role in the preparation and implementation of the latest Emergency Health Campaign, which focuses on active case detection and restricting people’s movement in Ebola hotspot villages. In Kolotoyah (Forécariah), social mobilizers conducted door-to-door visits to about 70 households. Sensitization activities increased trust in the health services; 221 out of 496 people (44 per cent) sought medical care. In Tamaranssy (Boké), social mobilizers conducted door-to-door visits to some 19 households. As Tamaranssy hosts a school with children from neighbouring villages, door-to-door visits were extended to an additional 1,059 households. School attendance among children in Tamaranssy village has been extremely low; as a result of UNICEF teams’ sensitization efforts, however, attendance has been substantially increased, from 2 children one week to 99 the next. Strengthening the surveillance in border areas continued to be a priority. In partnership with Scouts, 535 people were reached through mass sensitization at the harbour in Kamsar (Boké), which is visited by fishermen from the islands bordering Guinea Bissau. In Forécariah, bordering Sierra Leone, 26 social mobilizers were trained. UNICEF Guinea Ebola SitRep 8 July 2015 Child Protection UNICEF and partners trained 70 community leaders in child protection and psychosocial support, bringing the total of community leaders trained to 5,431. UNICEF and partners identified and registered 12 additional children (9 girls) who have lost one or both parents in Boké, bringing the total number of orphans registered so far to 6,104 (up from 6,092 previously).