Suspected Meningitis. Meningitis. (suspected)*. Alert threshold. 0. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Nu mb er o f AFP case
Darashakran
Public Health Profile
Erbil, Kurdistan region, Iraq
April 2014 Key facts
Refugee population
7,503
Total refugee population: Demographic breakdown:
50+
Camp opened:
*
September 2013 Planned capacity:
20,000
-6% 7%
Area:
1.15 Km sqr
-21% 22%
15 - 49
Population:
Syrian refugees, majority from Allepo & Qamishli
-13% 13%
5 - 14
-9% 10%
of population data: * Source Estimates from UNHCR registration.
0-4 Male
%
For multiweek reports, average
Female
Indicators at a glance
Indicator
Notes
Standard
1 Health utilisation rate
5.5
1-4
2 Number of consultations per clinician per day
50
< 50
N/A
≥ 90%
4 Measles immunisation coverage
170%
> 90%
5 Polio III immunisation coverage
89%
> 90%
Proportion of first time antenatal visits made < 1st
3 trimester
HIGHLIGHTS Health utilsation rate (HUR) and consultations per clinicians (CPC) elevated. A thorough investigation of possible explanations for elevated HUR and CPC needed. This public health profile for Darashakran refugee camp is compiled from health data obtained from reporting agencies. Data is collected using standardised Health Information System (HIS) data collection and reporting tools and aims to be as accurate as possible.
0.0
< 1.5
Agencies reporting:
7 Under-five Mortality Rate (U5MR) (/1000/month)
0.0
< 3.0
8 Neonatal Mortality Rate (NNMR) (/1000 livebirths)
0.0
< 40
DOH - Erbil MSF
6 Crude Mortality Rate (CMR) (/1000/month)
Morbidity Acute health conditions (%)
Chronic health conditions (%)
28%
Hypertension
3% 7% 3% 7%
Upper Respiratory Tract Infection (URTI)
Lower Respiratory Tract Infection (LRTI)
Diabetes
Watery diarrhoea*
47%
Ischaemic heart disease
Skin infection
10% 4% 4%
19%
61%
Thyroid problems
Ear infection
7%
Asthma
Other
Other
Top 5 acute health conditions
Top 5 chronic health conditions % morbidity
# of cases
% morbidity
# of cases
28%
779
1 Hypertension
61%
169
2 Lower Respiratory Tract Infection (LRTI)
10%
291
2 Diabetes
19%
53
3 Watery diarrhoea*
7%
190
3 Ischaemic heart disease
7%
19
4 Skin infection
4%
126
4 Thyroid problems
3%
9
5 Ear infection
4%
118
5 Asthma
3%
8
- Other
47%
1,320
- Other
7%
20
1 Upper Respiratory Tract Infection (URTI)
Breakdown of acute health conditions by age
Breakdown of chronic health conditions by gender
by age
6%
by gender
0% 1%
31%
0-4 5 to 14
42%
15 to 49
≥ 50
21%
55%
45%
36% Male
Female
63%
25%
0-4 5 to 14
Male
15 to 49
≥ 50
75%
Female
Trends since January 2014 Number of consultations
Weekly health utilsation rates 25 Health utilisation rate Normal range (minimum)
1400
Health utilisation rate
Number of consultations
1600
1200 1000 800 600
20
Normal range (maximum)
15
10
400
5
200 0
0
Epidemiological week, 2014
Epidemiological week, 2014
Watery diarrhoea*
12
Alert threshold
Bloody diarrhoea
2
Incidence of bloody diarrhoea
Incidence of watery diarrhoea
Watery diarrhoea 14
10
8 6 4
2
Bloody diarrhoea*
1.8 1.6
Alert threshold
1.4 1.2 1 0.8 0.6 0.4 0.2 0
0
Epidemiological week, 2014
10 9 8
Acute Jaundice Syndrome Acute Jaundice Syndrome* Alert threshold
7 6 5 4 3 2 1 0
Suspected measles
10 9 8
Number of suspected measles cases
Incidence of acute Jaundice Syndrome
Epidemiological week, 2014
Measles (suspected)* Alert threshold
7 6 5 4 3 2 1 0
10
Epidemiological week, 2014
Suspected Meningitis
8
Alert threshold
7 6 5 4 3 2 1
Acute flaccid paralysis
10
Meningitis (suspected)*
9
Acute Flaccid Paralysis*
9 8
Alert threshold
7
Number of AFP cases
Number of suspected meningitis
Epidemiological week, 2014
6 5 4 3 2 1
0
0
Epidemiological week, 2014
Epidemiological week, 2014
160
Upper respiratory tract infections
140
100
Incidence of LRTI
Incidence of URTI
120 100
80 60
40
Lower respiratory tract infections
120
Upper Respiratory Tract Infection (URTI) Alert threshold
Lower Respiratory Tract Infection (LRTI) Alert threshold
80
60 40 20
20 0
0
Epidemiological week, 2014
Epidemiological week, 2014
Calculation of disease alert thresholds: Watery diarrhoea = 1.5 x baseline, Bloody diarrhoea = 1.5 x baseline, Acute Jaundice Syndrome = 1.5 x baseline, Meningitis = 5 cases, Acute Flaccid Paralysis = 1 case, Measles = 1 case, baseline = average incidence or number of cases over the previous 3 weeks
Upper respitaroty tract infections = 1.5 x baseline,
Public Health Indicator Indicator
Health Impact
Standard
Outbreak Alert and Response
Crude Mortality Rate (CMR) (/1000/month)
0.0
< 1.5
Number of outbreaks reported
Under-five Mortality Rate (U5MR) (/1000/month)
0.0
< 3.0
% of outbreaks investigated within 48 hours
Neonatal Mortality Rate (NNMR) (/1000 livebirths)
0.0
< 40
Routine immunization
Access and utilization No. of health facilities
1.0
Total number of consultations
1 : < 10,000
3,181
Indicator Indicator
Standard
0 100%
BCG immunisation coverage
56%
> 90%
DPT 1 immunisation coverage
64%
> 90%
Measles immunisation coverage
170%
> 90%
Polio III immunisation coverage
89%
> 90%
Health utilisation rate
5.5
1-4
MMR immunisation coverage
112%
> 90%
No. of consultations per trained clinician per day
50
< 50
Vitamin A coverage
124%
> 90%
Reproductive health
Sexual and gender-based violence
Proportion of first time antenatal visits made < 1st trimester
N/A
≥ 90%
Incidence of reported rape
Top 3 Mental health conditions
0.0
Top 3 injuries % morbidity
# of cases
% morbidity
# of cases
1 Epilepsy / seizures
26%
14
1 Injury (unintentional)
56%
14
2 Psychotic disorder
7%
4
2 Burns
20%
5
3 Mental retardation / intellectual disability
4%
2
3 Accident
12%
3
- Other
63%
34
- Other
12%
3
Breakdown of mental health conditions By cause
By age
5%4%
Epilepsy / seizures
26%
By gender
13% Psychotic disorder
0-4
39%
5 to 14
59%
7% 4% 4%
Male
Mental retardation / intellectual disability
Female
15 to 49 ≥ 50
61%
Medically unexplained somatic complaint
78% Other
Breakdown of injuries By cause
By age
By gender
0% 12% 12%
Burns
56% 20%
Accident
0-4
32%
5 to 14
40%
Male
15 to 49 ≥ 50
Injury (intentional)
40% Other
We gratefully acknowledge the support of the following agencies:
4% 16%
Injury (unintentional)
68%
Female
