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Health Cluster Bulletin, October 2020

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Health Cluster Bulletin, October 2020 HEALTH CLUSTER BULLETIN OCTOBER 2020 Fig: Independent Doctors Association observing 10 October - World Mental Turkey Cross Border Health Day 2020 in NWS (IDA) Emergency type: complex emergency Reporting period: 01.10.2020 to 31.10.2020 12 MILLION* 2.8 MILLION 3.7 MILLION 25**ATTACKS PEOPLE IN NEED OF HEALTH PIN IN SYRIAN REFUGGES AGAINST HEALTH CARE HEALTH ASSISTANCE NWS HNO 2020 IN TURKEY (**JAN - OCT 2020) (A* figures are for the Whole of Syria (All figures are for the Whole of Syria) HIGHLIGHTS ▪ Social services providers such as in health and 131 HEALTH CLUSTER MEMBERS education continue to be at risk for COVID-19. At 42 IMPLEMENTING PARTNERS REPORTING 1 month ends’ 12.2% of the total positive cases were MEDICINES DELIVERED TREATMENT COURSES FOR COMMON doctors, nurses and midwives. And the cases of 311,249 DISEASES students increased by a 12-fold and teachers over FUNCTIONAL HEALTH FACILITIES HERAMS 4 times since the re-opening schools in September. FUNCTIONING FIXED PRIMARY HEALTH ▪ World Mental Health Day was observed 10 Oct., 161 CARE FACILITIES with the overall objective of raising awareness of FUNCTIONING HOSPITALS mental health issues around the world and 65 mobilizing efforts in support of mental health. The 78 MOBILE CLINICS 2 Day provided an opportunity for all stakeholders HEALTH SERVICES working on mental health issues to talk about their 808,613 CONSULTATIONS DELIVERIES ASSISTED BY A SKILLED work, and what more needs to be done to make 9,143 ATTENDANT mental health care a reality for people worldwide. 13,917 REFERRALS ▪ As per HeRAMS Q3 2020, out of total functioning 896,455 MEDICAL PROCEDURES health facilities reported from Northern Syria, the 34,572 TRAUMA CASES SUPPORTED distribution per governorate is as follows; in the 472 NEW CONFLICT RELATED TRAUMA CASES NWS 222 (56%) in Idleb and 156 (39%) in Aleppo VACCINATION governorates; and 18 (4.5%) from NES (Al-Hasakeh, 9,895 CHILDREN AGED ˂1 VACCINATED3 Ar-Raqqa, Deir-ez-Zor) governorates. ▪ Health Cluster partners observed the Oct 15 Global MENTAL HEALTH SERVICES Handwashing Day with theme “Hand Hygiene for 11,435 MENTAL HEALTH CONSULTATIONS All.” The theme followed the global initiative calling on all of society to scale up hand hygiene, DISEASE SURVEILLANCE especially through handwashing with soap. SENTINEL SITES REPORTING OUT OF A 469 ▪ The Syria Cross-Border Humanitarian Fund (SCHF) TOTAL OF 480 announced the launching of the 2020 Second WOS HEALTH HRP & COVID-19 2020 FUNDING $US4 Standard Allocation (SA2). This allocation aims to HRP RECEIVED $121.3 M (27.4% funded) prioritize interventions that address critical and COVID19 IN 2020 $69.4 M (43.9% funded) life-saving gaps in the response to COVID-19 and the most urgent winterization needs of people, prioritizing underserved and high-needs areas. 1 Supplies were cross border delivered by the WHO Gaziantep Hub and distributed to implementing health cluster partners in northwest Syria. 2 Figures reported and updates are from 1 – 31 October 2020. 3 Routine immunization with pentavalent vaccine (5 in 1 vaccine) 4 Source: OCHA Financial Tracking System, Syrian Arab Republic Humanitarian Response Plan (HRP 2020) as of 31 October 2020. https://fts.unocha.org/ 1 Situation Update: The Northwest Syria continue to be the most active armed conflict frontline in Syria. Regular bombardment of frontline communities in southern Idleb continue to challenge the March agreed ceasefire. Civilians and humanitarian health actors were again vulnerable for violation and hostility. In Al Bab city, a VBIED exploded leaving behind 22 civilians deaths including 3 children and one woman. More than 118 civilians were injured, this is the second large-scale incident in the past two months. In addition, a VBIED detonated under unknown circumstances in Al-Bab city and three health cluster implementing NGO’ staff working in COVID-19 referrals network were wounded. The driver was seriously injury and required transfer to Turkey for medical care, while the vehicle has severely damaged. A STATEMENT (see right insert) was released by Kevin Kennedy, Regional Humanitarian Coordinator for the Syria Crisis, on Violence Impacting Aid Workers in North-West Syria. As well, “the United Nations Resident Coordinator and Humanitarian Coordinator for Syria, Mr. Imran Riza, and United Nations Regional Humanitarian Coordinator for the Syria Crisis, Mr. Kevin Kennedy, strongly condemn the horrific bombing that has reportedly killed and injured dozens of civilians in Al Bab, northern Syria. On 6 October, a bomb blast from a truck was reported near a bus station in Al Bab city. Early reports indicate that more than a dozen civilians were killed in the attack and up to 40 were injured”5. In addition to volatile armed conflict, the COVID-19 pandemic continues to spread, and livelihoods opportunities are in declined. Devaluation of the Syrian pound and crop prices within the region have further immiserated agriculturalists and communities with a heavy reliance on agriculture-dependent industries6. Regarding the pandemic, the number of COVID-19 cases in northwest Syria continued to increase from 1,072 cases to 5,382, in one-month period. In parallel, the testing capacity was boosted to reach 25,000 tests by end of October. Forty-two COVID-19 associated deaths have been reported in northwest Syria, while 3,065 cases are reportedly active, and 2,275 people recovered. The testing capacity has increased through the 4- polymerase chain reaction (PCR) machines in three functional laboratories in NWS. Health partners plan to add two more laboratories in action with surveillance capacity. A worrisome trend continued to be the number of cases among medical health care workers (HCWs) which is reported at 12.2% of the total positive cases. The affected clinical staff include doctors, nurses and midwives; staff critical in the delivery of health services. Also, there is a significant increase of positive cases among students and teachers. In September, 19 students and 36 teachers were reported COVID-19 positive, by the end of October 254 students and around 196 teachers were infected; In September, 19 students and 36 teachers were reported COVID-19 positive, and then by the end of October, 254 students and around 196 teachers were infected. This significant increase came as a result of re-opening schools in September, coinciding with a peaking number of COVID-19 cases thru the NWS. To mitigate the outbreak, all stakeholders including local authorities must work together. A challenging work continues to be ahead. 5 OCHA,https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/documents/files/6_october_statement_on_civilian_casualties_al_bab_en.pdf 6 COAR https://coar-global.org/2020/09/30/the-economy-of-war-in-syria-armed-group-mobilization-as-livelihood-and-protection-strategy/ 2 Public health risks, priorities, needs and gaps • The security situation remains a challenge and a risk for heath implementing partners. • The limited man power in the health sector workforce continues to be a greater challenge as health care workers continue to be disproportionally infected through northern Syria. • Under a dire economic situation threatening the daily living of the most vulnerable people in NWS and the COVID-19 outbreak is imposing a heavy challenge for health partners to mitigate the spread of the virus, especially in crowded places such as IDPs camps, while trying to maintain the continuity of lifesaving public health care services. • Several members of the EPI vaccination teams were reported positive for SARS-CoV-2 causing a disruption in services and temporary decrease in the vaccination activities. There is a need to increase the testing through the revised testing strategy to include at risk HCWs. • Preventive measures such as the use of masks, keeping social distancing and avoiding crowdedness are an implementation challenge. Furthermore, there is a resistance to be referred to COVID-19 dedicated facilities such as CCTCs despite the rigorous effort by health partners to fight the stigma and to understand the services provided. • Triage and IPC measures in 250 health facilities were found not satisfactory as 35% has the triage and IPC measures not followed. There is a need at the field level for implementers partners to hold responsibility and claim ownership of the recommended measures. • The caseload of Visceral Leishmaniasis has dramatically increased with more than doubling of cases this year compared to the last 2 years. • Tuberculosis Multi Drugs Resistance (MDR) cases have been identify in NWS requiring a treatment care strategic revision. Health Cluster Coordination and Service Delivery As for coordination during the end of October, two virtual bi-weekly Health Cluster meetings were held and attended by an average of 82 stakeholders. In addition, Health Cluster WGs and the COVID-19 Taskforce continue to meet regularly and there are well represented by health cluster partners and members. During the first week of October, the Gaziantep Health Cluster successfully elected a new co-coordinator from the Syrian NGO Independent Doctors Association (IDA). The process was smooth and transparent with the health partners and resulted a successful election after previous two unsuccessful trials. Furthermore, as the health cluster’s team was encountering a gap for an Information Management Officer, as gap was created by the departure of the WHO IMO and a seconded stand-by partners (SBP) from the Global Health Cluster surge support, IDA graciously seconded
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