IOM SOUTH SUDAN JUNE 2019 | EBOLA VIRUS DISEASE PREPAREDNESS REPORT Lakes COUNTIES RECEIVING HYGIENE PROMOTION SUPPORT IOM DTM FLOW MONITORING POINTS Wau Airport HEALTH FACILITIES SUPPORTED WITH IOM WASH INFRASTRUCTURE SOUTH SUDAN 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 WORLD VISION Salia Musala PLANNED PoE SITES (TO BE MANAGED BY IOM) UGANDA CONFIRMED OR SUSPECTED EVD CASES Ariwara (DRC) TOTAL SUSPECTED/ NON-EVD FEVER NUMBER OF INDIVIDUALS REACHED INDIVIDUALS CONFIRMED EVD CASES DETECTED & HEALTH FACILITIES THROUGH HYGIENE SCREENED CASES REFERRED SUPPORTED PROMOTION 89,939 (In June 2019) 0 213 (In June 2019) 8 24,480 (In June 2019) 480,445 (Since Sept 2018) 1,056 (Since Sept 2018) 187,088 (Since Sept 2018) MONTHLY OVERVIEW WASH ● The EVD team erected tents in the 3 PoEs at Kaya, Bazi and Okaba so as to ● IOM repaired one hand pump at Kerwa PHCC in Kajo-Keji County to support complement the temporary shades that had previously been used as primary WASH IPC activities. This PHCC is located near to the Kerwa PoE, to which screening tents, but which had deteriorated due to harsh weather conditions suspected EVD patients are referred ● IOM continued to maintain 14 PoE shelters and support the PoE sites with HEALTH WASH facilities (temporary latrines and mobile handwashing stands) ● Screening is ongoing in 14 active IOM-supported PoE sites, namely: Yei airstrip, ● During the month of June, the EVD WASH Team completed the rehabilitation Yei SSRRC, Tokori, Lasu, Kaya, Bazi, Salia Musala, Okaba, Khor Kaya (along Busia of the incinerator at Kerwa and excavation of waste pits in 4 PoE sites (Okaba, Uganda Border) in Morobo County, Pure, Kerwa, Khorijo, Birigo in Lainya County Kerwa, Bori and Bazi) so as to improve solid waste management as part of IPC/ and Bori WASH EVD preparedness activities ● School hygiene club training was completed at the Yei junior primary school for 14 DTM members (8 boys and 6 girls), who will then become advocates of good hygiene ● IOM continued to survey travelers on arrival from countries affected by EVD or practices within the school at risk of EVD transmission at 21 FMPs along the borders with the Democratic Republic of Congo, Uganda and the Central African Republic and at key mobility ● A community engagement focus group discussion was conducted in Lasu reaching hubs in Yei Town. Six of these FMPs are operated in cooperation with IOM a total of 50 individuals (18 females, 19 males, 4 boys, and 2 girls) Uganda on the Ugandan side of the border PROGRAMME UPDATES HEALTH Individuals Screened for EVD at PoE Sites Locations with PoE Bazi Birigo Bori Kaya Kerwa Khorijo Khor Kaya Lasu Okaba Pure Salia Musala Tokori Yei Airport Yei SSRRC Individuals screened this month 7,214 5,016 3,877 13,503 10,056 10,254 12,907 256 7,086 8,594 11,490 280 90 126 Cumulative 36,792 5,034 screened 18,140 6,785 106,945 30,924 69,038 41,282 1,082 47,498 68,021 47,163 888 853 Number of months 6 3 2 10 3 7 4 3 9 7 5 8 10 10 operational In June, 89,939 inbound travelers to South Sudan were screened for EVD symptoms and exposure at the 14 IOM-supported PoE screening sites in Yei River State. A total of 213 travelers were recorded to have non-EVD fever cases and all were subsequently referred to the nearest health facility of the respective PoEs for further assessment and with the majority of cases diagnosed and treated for malaria (67.6%) and pneumonia in children (19.7%). Since the start of EVD screening activities in September 2018, IOM has cumulatively screened a total of 480,445 individuals for EVD symptoms. No alert cases have been reported so far. 105,018 1000 100,000 Cases of Non-EVD1000 Fever 89,939 105,018 (Values Indicated for Total Monthly Cases) 100,000 800 89,927 80,000 75,871 Total Individuals800 Screened for EVD Since 80,000 75,871 September 2018 600 60,000 57,167 600 43,835 44,284 60,000 57,167 400 40,000 33,184 43,835 44,284 230 400 213 40,000 18,395 157 200 33,184 20,000 12,134 116 116 122 54 230 213 48 18,395 618 0 157 200 0 0 20,000 12,134 116 116 122 SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE 54 48 September October November December January February March April May June 618 0 2018 2019 0 0 September October November December January February March April WASHMay June 94 Moyo, Uganda During the reporting period, IOM continued hygiene promotion activities in and around all 16 locations (Yei SSRRC screening point, Pure, Morobo, Khorijo, Kaya, Gimunu, Tokori , Marakonye, Lasu, Attende, Salia-Musala, Busia (Kor-Kaya), Kerwa, Bori, Bazi, and Berigo). Hygiene promotion sessions continued at schools, markets and water points, reaching approximately 24,480 individuals (8,865 women, 7,295 men , 3,859 boys and 4,461 girls). DTM Origin of Entrants to South Sudan IOM continued surveying people on arrival to South Sudan Country & Locations Number of Individuals Surveyed Trends Compared from Uganda, DRC and CAR at 21 Flow Monitoring Points, of Origin This Month to Previous Month including six operated in cooperation with IOM Uganda. UGA Koboko 10,280 39.9% Based on data submitted by Monday 1 July, a total of 25,746 COD Ituri 6,000 23.3% individuals were surveyed in June on arrival to South Sudan, COD Other 1722 6.7% down from 31,787 in May. The main regions of departure UGA Moyo 1463 5.7% were Koboko in Uganda (39.9% of respondents) and Ituri UGA Yumbe 1332 5.2% in the DRC (23.3%), while the main reported counties of UGA Other 1320 5.1% destination were Morobo (61.9%), Yei (8.3%) and Kajo-Keji UGA Kampala 660 2.6% (7.3%). UGA Arua 620 2.4% UGA Maracha 489 1.9% Most respondents reported South Sudanese nationality KEN Other 475 1.8% (87.5%), followed by Ugandan (7.4%). Economic reasons UGA Adjumani 377 1.5% (30.3% of respondents) and access to healthcare (15.9% of CAF Haut-Mbomou 358 1.4% respondents) were the main reported reasons for travel. UGA Lamwo 328 1.3% 71.8% of respondents reported an intended duration of COD Kongo Central 312 1.2% stay in South Sudan of under one week. OTHER Other 10 0.0% Operational factors, including delayed submission by some FMPs, may affect trends on a week-by-week basis. Figures with; upward trend, downward trend, no change, no data from previous week. For a more detailed breakdown, please contact [email protected]. ASSESSMENTS AND OUTCOMES DTM IOM participated in two joint humanitarian assessments, the first in Kajo-Keji and the second in Tore and Rasul (Yei County). The findings from Kajo-Keji, which indicated a significant increase in returns, as well as a need for health services and a potential new PoE screening location (Jalimo), were presented to the BH&POE technical working group. The assessment in Tore and Rasul revealed two points of entry from DRC, though incoming flows were reported to be low (<50 per week) due to the lack of sizeable settlements on the DRC side of the border. WASH/HEALTH ● IOM conducted an assessment visit to Tore and Rasul in Yei as part of an interagency assessment mission in these areas ● On 19 June 2019, IOM held a meeting with the Yei River Handwashing demonstration in Yei © IOM 2019 / Collins YONGULE State Minister of Health and Environment, The DG Yei River State Ministry of Health, WHO representatives from the state, other partners, and the Commissioner for Morobo county at Morobo County Commissioner’s office ● IOM EVD coordinators from Juba and Yei conducted monitoring visits to PoE sites in Morobo county (Salia Musalla, Kaya, Morobo and Bazi) and held meetings with ground teams to maintain direct feedback from field teams ● IOM and UNICEF are conducting a joint EVD assessment visit to Tore county in Yei River state form 1st July to 5th July 2019 COORDINATION NOTES IOM continues to actively participate in the national level coordination meetings, such as SAG, NTF and TWG meetings, as well as the IPC/WASH, Border Health and Points of Entry (BH &PoE), Epi & Surveillance, Risk Communications Social Mobilization and Access and Security Technical Working Groups (TWGs). IOM also attends weekly Yei STF meetings as well as the monthly coordination meetings in Morobo and Kajo-Keji counties. IOM conducts regular monitoring and supportive supervision at all of the PoE sites. SECURITY & ACCESS ISSUES PLANS FOR JULY ● Continue the health and hygiene promotion activities in HEALTH areas around the PoEs Remote monitoring is done for Lasu and Tokori PoE sites due to security/ ● Continue with establishment of the medical waste access issues. Poor mobile network makes communication with the team management system at PHCCs close to existing PoEs on the ground more challenging. ● Continue to assess other locations for possible PoE screening DTM site establishment Security constraints and poor telecommunications infrastructure affected ● DTM plans to continue monitoring population movements the ability of some FMPs to submit data on time on a weekly basis. from DRC, Uganda and CAR into South Sudan paying DTM planned to re-activate three FMPs in Juba to better monitor long- special attention to flows from EVD affected areas. Through distance flows from countries at risk of EVD transmission.