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EHA Ethiopia Weekly Update –Week 51 / 2007

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EHA Ethiopia Weekly Update –Week 51 / 2007 EMERGENCY WHO AND HUMANITARIAN ACTION (EHA) Country Office WEEKLY UPDATE / ETHIOPIA Ethiopia Addis Ababa ECA Old Building Ground Floor World Health Organization (WHO) Week 51 (From 17 to 23 Dec. 2007) Emergency and Humanitarian Action (EHA) - Disease outbreak Situations in Ethiopia HIGHLIGHTS - Somali Humanitarian Response - EHA Focal Point Annual Induction Briefing Meeting I. GENERAL SITUATIONS Ethiopian Profiles Disease Out-break Situations in Ethiopia Location: Horn of Africa Population: Approx. 77,400.000 Acute Watery Diarrhea in Ethiopia Polio Eradication Program Surface: 1.1 million sq km ⇒ Cases of AWD epidemic has significantly ⇒ In 2007 there were a total of 860 AFP Capital city: Addis Ababa decreased nationally. Currently 7 districts cases reported and none was confirmed Regions: 9; City Administrations: 2 are reported active cases: 2 districts from for polio as of December 20, 2007. Refugees: 86,128 IDPs: 300,000 to 400,000 Oromiya, Afar 2 and Somali 3. ⇒ There were 36 cases in week 50; 26 in Measles Outbreak Situation week 49 and 11 in week 48. The increase ⇒ As of 30 Nov. 07, there were 120 out- Ethiopia in number is due to the new affected dis- breaks in 83 districts. Out of 2,769 sus- trict of Degahamado in Somali Region. pected cases, 1,390 cases were confirmed. Somali Humanitarian Response ⇒ Approximately 1.5 million people in the ⇒ livestock migration is reported in some five military operation zones of Warder, zones. Fik, Degehabur, Korahe and Gode have ⇒ Additionally restriction of commercial Map of Africa been potentially affected by insurgency trucks has been observed due to the mili- showing Ethiopia and counter insurgency activities. tary operations in the areas. ⇒ Aslo early warning reports indicates that ⇒ The humanitarian situation continues to the main rainy season have failed in most be a concern in the 5 zones. The main of the seven receiving zones. Crop produc- needs of the affected population are secu- tion has significantly declined and early rity/protection, food and health assistance. EHA Focal Point Annual Induction Briefing Meeting ⇒ WHO HQ and AFRO has organized four- ⇒ to emergencies and day induction briefing on Emergency and disasters and crises Humanitarian Action in Mombassa, Kenya with a focus on from 16 to 20 December 2007. mechanism used in ⇒ The objective of the meeting is to orient African region Ethiopian Cultural Dance staff in AFRO to the WHO’s strategic ob- within the three Partial View of Training jectives and review the WHO’s response year plan. Participants Page 2 II. HEALTH CONSEQUNCES Somali Emergency Situations ⇒ the monthly new admissions are significantly increasing. ⇒ Military operations in Warder, Fik, Kebredahar, Gegahabur and Gode that restrict population and traffic New Admissons in Therapeutic Feeding Centre in Gode Zonal Hospital in 2007 including commercial vehicle movements, coupled with 40 33 drought out and acute watery diarrhea epidemic in the 30 region definitely have negative impact on the population 26 20 17 19 of these areas. Case 14 13 15 13 10 11 10 ⇒ The main needs of this population include security/ 4 0 i t protection, food and health assistance. n b r r y n g p v c a p u a e a u J u e J Oc J F M A M A S No De ⇒ Data from different nutrition programs in the above zones Months show that III. ACTIONS WHO’s Actions Acute Watery Diarrhea Situation ⇒ There were 37 participants. ⇒ Government of Ethiopia, NGOs and UN agencies including ⇒ The meeting was facilitated by WHO with the support form donors are focusing their ef- 6 staff from Health Action in Crisis forts on water, environmental health and hygiene promo- (HAC) team from HQ and AFRO. tion in order to contain the epidemic. ⇒ The specific objectives of the Measles Outbreak Situation meting were: ∗ ⇒ Measles follow up campaigns were conducted in East and During group work To orient staff in AFRO to the West Hararghe in Oromiya Region. WHO’s strategic objectives; Somali Humanitarian Response ∗ To review the WHO’s response to emergencies, disasters ⇒ WHO is part of the joint UN offices established in Kebre- and crises dehar and Degahabur to support the Somali humanitarian ∗ To assess the contribution of knowledge and skills in operations in the five military operation zones. managing health information in crises; ⇒ Six full time staff from WHO (2 consultants and 4 surveil- ∗ To review skills in inter-personal communication, risk lance offices) are supporting the Somali RHB and the Zonal communication, team work and other competencies and health administration of Gode, Kebredehar and Degahabur our personal effectiveness for crisis work; in responding to the Somali Emergencies. ∗ To document success stories and lessons learnt in the ⇒ The team support assessments, outbreak case investigations; TYP era; surveillance strengthening; health data collection, compila- ∗ To review and discuss the harmonization of RO/Work tion, analysis and dissemination; health staff training; re- plan and IST/Plan of Work for the Biennium 2008 – 2009 source mobilization, coordination, supervision, monitoring and their impact to WCO Work Plans.. and evaluation. ⇒ Participants were requested to raise problems related to ⇒ WHO has allocated funds to support AWD case manage- the job and propose solutions. The biennium 2008-2009 ment, health staff training and community education. Plan of action of AFRO, ICSO and countries were dis- ⇒ Also drug and medical supplies were procured and sent to cussed and country plans revised. regions for use in the health facilities. ⇒ Some participants shared their experience on health clus- EHA Focal Point Induction Briefing Meeting in Mombassa ter rolling out and country programme. Dr. AMEY Kou- ⇒ The meeting was held in Mombassa, Kenya from 17-20/12/ wonou EHA Focal point/WHO Ethio- 07 pia presented on the cluster rolling out ⇒ EHA International Focal Points approach in Ethiopia. and EHA Inter-Country Focal ⇒ There were also presentation on cli- Points participated. mate change and communication. Picture from the Meeting, left to right: Dr Omar ⇒ The meeting was closed on 20th of Khatib, HAC AFRO; Dr. Loretti Alessando, HAC, December 2007 at 8:30pm. WHO HQ; Dr. Chris Mwikisa, DES/AFRO and Some materials developed during the meeting Dr. Amey Kouwonou, EHA Ethiopia EHA Ethiopia Weekly Update –Week 51 / 2007 Page 3 III. ACTIONS (2) Other Partner Actions & Ongoing Programmes Somali Humanitarian Response ⇒ Five mobile clinics were deployed by UNICEF in the mili- ⇒ A joint UN Somali Region Emergency Action Plan has tary operation areas. Training is ongoing for five more identified a gap for US$ 6.4 million to address the concern. mobile clinic teams in the region. ⇒ To date, 19 NGOs and all UN Agencies have been accred- ⇒ NGOs such as ERCS, ADRA, Safe the Children and MDM ited to operate in the five zones of military operations. continue their routine program in some military operation ⇒ UN has established office in Kebredehar and Degahabur to areas. support the Somali humanitarian operations in the five ⇒ But the emergency response of the 19 NGOs that received military operation zones. green light from DPPA have not started the program im- ⇒ The United Nations Humanitarian Air Service (UNHAS) plementation yet. ensures flight movement between Addis Ababa, Gode, ⇒ The joint GoE and UN agency Nutrition assessment in Fik Jijiga and Kebridehar towns twice a week. Also Ethiopian and Korahe zones is completed. Report is expected soon. Airlines have also resumed regular flights to Kebridehar ⇒ Different coordination meetings have been established in town two times a week. Jijiga, Gode, Kebredehar and Degahabur. ⇒ Food distribution by DPPA/WFP in the five military zones ⇒ In support to Community Animal Health Worker pro- is on going. To date more than 14,000 MT have been al- gram, FAO, ACF and Ministry of Agriculture (MoA) do- ready dispatched . nated animal drugs to Kebridehar, Shilabo, Debewoyin ⇒ UNICEF has supplied drugs and medical supplies to the and Warder woredas. health facilities. Unfortunately most of the items are still ⇒ ACF in collaboration with MoARD is conducting commu- in the stores due to lack of health service providers. nity awareness campaigns and training in the woredas. IV. COMMENTS Emergency Health and Nutrition Task Force ⇒ This forum will most likely contribute to strengthen the ⇒ The reactivation of the EHNTF meeting is an achieve- information sharing amongst stakeholders, involve all ment from a strong advocacy made by WHO at country partners in joint program planning and ensure equal re- level with the support from ICST, AFRO and HQ. source allocation to emergency sites. V. ANNEXES Acute Watery Diarrhea National Acute Watery Diarrhea (AWD) Cases and Deaths as of Epidemic Weeks 37 - 50 [ September 10 - December 16, 2007 ] 1100 60 1000 1010 900 50 831 800 817 40 700 680 642 600 583 30 500 400 19 20 18 AWDNmber of Deaths 300 15 253 200 Number of AWD Deaths and of Number Cases 10 185 10 8 8 123 6 104 100 5 82 3 4 26 36 0 1 011 1 0 0 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Epidemic Weeks Analysis: Emergency and Humanitarian Action Unit World Health Organization - Ethiopia Country Office Data Source: Federal Ministry of Health - Ethiopia Date of Production: 26 December 2007 AWD_Cases AWD_Deaths EHA Ethiopia Weekly Update –Week 51 / 2007 Page 4 Measles Outbreak Situations Suspected Measles Cases by Classification Status Measles Cases per Month, Ethiopia Ethiopia, 2007 January 2005 to November 2007 Confirmed by Lab Confirmed by Epilink Compatible Discarded 2005 2006 2007 Age Group of Confirmed Measles Cases, Ethiopia, Nov. 30, 07 Vaccination Status of Confirmed Measles Cases, Ethiopia, Nov. 30, 07 Polio Eradication Program Distribution of Polio Compatible Cases in 2007, AFP Case Classification by Week of Onset, Ethiopia, 2007 As of December 20, 2007 As of December 20, 2007 Polio Compatible Cases (14) For more information please contact: WHO Country Office, Addis Ababa / Ethiopia Tel: (+251) (0) 115 53 47 77 / 53 15 50 Email: [email protected] EHA Ethiopia Weekly Update –Week 51 / 2007 .
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