Gawilan - Stories from Syrian Refugees - UNHCR [PDF]

Gawilan

Public Health Profile

Duhok, Kurdistan region, Iraq

Week 10 | 2 - 8 March 2014

Key facts

Refugee population

2704

Total refugee population: Demographic breakdown:

50+

Camp opened:

September 2013

*

Planned capacity:

10,000

-6% 6%

Area:

1.15 Km sqr

-23% 21%

15 - 49

Population:

Syrian refugees, majority from Qamishli

-14% 13%

5 - 14

-9% 8% 0-4

%

Male

of population data: * Source Estimates from UNHCR

Female

registration

Indicators at a glance

Indicator

Standard

1 Health utilisation rate

9.0

1-4

2 Number of consultations per clinician per day

39

< 50

Proportion of first time antenatal visits made < 1st 3 trimester

100%

≥ 90%

4 Measles immunisation coverage

78%

> 90%

5 Polio III immunisation coverage

51%

> 90%

Notes HIGHLIGHTS THIS WEEK Health facility utilisation rate, above expected range. This public health profile for Gawilan 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.

Agencies reporting:

PU-AMI DOH - Dohuk

6 Crude Mortality Rate (CMR) (/1000/month)

0.0

< 1.5

Alerts

7 Under-five Mortality Rate (U5MR) (/1000/month)

0.0

< 3.0

NONE

8 Neonatal Mortality Rate (NNMR) (/1000 livebirths)

0.0

< 40

Morbidity Acute health conditions (%)

Chronic health conditions (%) Hypertension

0% 13% 0%

Upper Respiratory Tract Infection (URTI)

18%

Dental Conditions Lower Respiratory Tract Infection (LRTI)

8% 7%

Diabetes

25%

Watery diarrhoea*

54%

Asthma

31%

Ischaemic heart disease

Fever of unknown origin

7%

Cardiovascular disease (other)

Other

6%

31% Other

Top 5 acute health conditions

Top 5 chronic health conditions % morbidity

# of cases

% morbidity

# of cases

18%

81

1 Hypertension

31%

5

2 Dental Conditions

7%

33

2 Asthma

31%

5

3 Lower Respiratory Tract Infection (LRTI)

7%

32

3 Diabetes

25%

4

4 Watery diarrhoea*

7%

29

4 Ischaemic heart disease

0%

0

5 Fever of unknown origin

6%

27

5 Cardiovascular disease (other)

0%

0

- Other

54%

238

- Other

12%

2

1 Upper Respiratory Tract Infection (URTI)

Breakdown of acute health conditions by age 5%

Breakdown of chronic health conditions by gender

by age 13% 6%

20% 0-4

5 to 14

56%

19%

15 to 49 ≥ 50

43%

Female

0-4

44%

5 to 14

Male

57%

by gender

56%

15 to 49

25%

≥ 50

56%

Male Female

Trends since January 2014 Number of consultations

Weekly health utilsation rates 20

Number of consultations

900

Health utilisation rate

18


800

700 600

500 400

300

Normal range (minimum)

16

Normal range (maximum)

14 12 10

8 6

200

4

100

2

0

0

2014.01

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

2014.02

Watery diarrhoea* Alert threshold

16 14 12 10 8 6 4 2 0

Incidence of bloody diarrhoea

Incidence of watery diarrhoea

Watery diarrhoea

20 18

5 4 3 2 1 0

Measles (suspected)*

9 8

Alert threshold

7 6 5 4 3 2 1 0

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

Epidemiological week, 2014

Suspected Meningitis

9

Meningitis (suspected)*

8

Alert threshold

7 6 5 4 3 2

Acute flaccid paralysis

10

Number of AFP cases

Number of suspected meningitis

2014.10

Suspected measles

10


9

Acute Flaccid Paralysis*

8

Alert threshold

7 6 5 4 3 2 1

1

0

0

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10



Upper respiratory tract infections

Lower respiratory tract infections

35

Upper Respiratory Tract Infection…

30

120

Lower Respiratory Tract Infection (LRTI)

25

Incidence of LRTI

Incidence of URTI

2014.09

Alert threshold

Number of suspected measles cases

Incidence of acute Jaundice Syndrome

Alert threshold

6

140

2014.08


7

160

2014.07

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

Acute Jaundice Syndrome*

10

2014.06

Bloody diarrhoea*

Acute Jaundice Syndrome

8

2014.05

Bloody diarrhoea


9

2014.04

5 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

10

2014.03



100 80 60

40

20 15 10

5

20

0

0 2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10



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

0

BCG immunisation coverage

Access and utilization

78%

> 90% > 90%

78%

> 90%

Polio III immunisation coverage

51%

> 90%

208%

> 90%

8%

> 90%

1.0

Total number of consultations

468


9.0

1-4

MMR immunisation coverage

39

< 50

Vitamin A coverage

Reproductive health

100%

102%

No. of health facilities

No. of consultations per trained clinician per day

N/A

Measles immunisation coverage

DPT 1 immunisation coverage

1 : < 10,000

Standard

Sexual and gender-based violence

Proportion of first time antenatal visits made < 1st trimester

100%

≥ 90%

Incidence of reported rape

Top 3 Mental health conditions

0.0

Top 3 injuries % morbidity

# of cases

% morbidity

# of cases

1 Epilepsy / seizures

0%

0

1 Injury (unintentional)

33%

4

2 Alcohol and other substance abuse disorder

0%

0

2 Burns

33%

4

3 Psychotic disorder

0%

0

3 Accident

33%

4

- Other

0%

0

- Other

0%

0

Breakdown of mental health conditions By cause

By age

11%

0% 0%

Epilepsy / seizures

9%

40%

By gender

0% 0-4

Alcohol and other substance abuse disorder

Male

5 to 14

NO MENTAL HEALTH CONDITION REPORTED THIS WEEK 15 to 49

Psychotic disorder

15%

Female

≥ 50 Mental retardation / intellectual disability

25%

Other

Breakdown of injuries

By cause

By age

By gender

0%

0% 33%

0%

Injury (unintentional)

34%

33%

Burns

0-4

42%

5 to 14

Accident Injury (intentional)

33%

We gratefully acknowledge the support of the following agencies:

Other

15 to 49

67%

≥ 50

58%

Male Female