4 Dental Conditions. 4%. 4 Thyroid problems. 3%. 5 Urinary tract infection (UTI). 3%. 5 Ischaemic heart disease. 3%. - O
Darashakran
Public Health Profile
Erbil, Kurdistan region, Iraq
March 2014 Key facts
Refugee population
7,504
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% 0-4 Male
%
of population data: * Source Estimates from UNHCR registration. For
Female
multi week reports, average population is presented
Indicators at a glance
Indicator
Notes
Standard
1 Health utilisation rate
7.6
1-4
2 Number of consultations per clinician per day
59
< 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 (%) Hypertension Upper Respiratory Tract Infection (URTI) Diabetes
32%
38%
Lower Respiratory Tract Infection (LRTI)
39%
42%
Skin infection
Asthma
Dental Conditions Thyroid problems Urinary tract infection (UTI)
3% 4%5%
18%
3% 3%3% 10%
Other
Ischaemic heart disease
Other
Top 5 acute health conditions
Top 5 chronic health conditions % morbidity
# of cases
% morbidity
# of cases
32%
1,457
1 Hypertension
42%
307
2 Lower Respiratory Tract Infection (LRTI)
18%
816
2 Diabetes
10%
69
3 Skin infection
5%
230
3 Asthma
3%
25
4 Dental Conditions
4%
160
4 Thyroid problems
3%
24
5 Urinary tract infection (UTI)
3%
158
5 Ischaemic heart disease
3%
20
- Other
38%
1,750
- Other
39%
279
1 Upper Respiratory Tract Infection (URTI)
Breakdown of acute health conditions by age
Breakdown of chronic health conditions by gender
by age
5% 28%
0% 4% 0-4
15 to 49
≥ 50
20%
30%
0-4
43%
5 to 14
47%
by gender
57%
Male
Female
46%
5 to 14
50%
Male
15 to 49
≥ 50
70%
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
2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10 2014.11 2014.12 2014.13 2014.14
Epidemiological week, 2014
Epidemiological week, 2014
Watery diarrhoea Watery diarrhoea* Alert threshold
13
Incidence of bloody diarrhoea
Incidence of watery diarrhoea
15
11 9 7 5 3
1 -1
Bloody diarrhoea
2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0
Bloody diarrhoea* Alert threshold
10 9 8
Epidemiological week, 2014
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
Indicator Indicator
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
5,456
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
7.6
1-4
MMR immunisation coverage
112%
> 90%
No. of consultations per trained clinician per day
59
< 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
13%
12
1 Injury (unintentional)
33%
23
2 Mental retardation / intellectual disability
1%
1
2 Burns
22%
15
3 Severe emotional disorder
1%
1
3 Accident
6%
4
- Other
85%
78
- Other
39%
27
Breakdown of mental health conditions By cause
By age
13% 1% 1% 1%
By gender
9%0% 4%
Epilepsy / seizures
23%
Mental retardation / intellectual disability
0-4 5 to 14
Male
Severe emotional disorder
Female
15 to 49 ≥ 50
Medically unexplained somatic complaint
84%
77%
87%
Other
Breakdown of injuries By cause
By age
6%
Injury (unintentional)
33%
35% 4%
By gender
29%
Burns
0-4 5 to 14
Accident
15 to 49
46%
≥ 50
Injury (intentional)
6%
We gratefully acknowledge the support of the following agencies:
22%
Other
19%
45% 55%
Male
Female