Qushtapa Camp Health Profile April 2014 - Stories from Syrian Refugees

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Suspected Meningitis. Meningitis (suspected)*. Alert threshold. 0. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Nu mb er o f AFP cases
Qushtapa

Public Health Profile

Erbil, Kurdistan region, Iraq

April 2014 Key facts

Refugee population

Camp opened:

4,545 *

Total refugee population: Demographic breakdown:

50+

August 2013 Planned capacity:

7,860

-6% 7%

Area:

0.43 Km sqr

-22% 22%

15 - 49

Population:

-14% 11%

5 - 14

Syrian refugees, majority from Qamishli, Diralok and Hassaka

-8% 9% 0-4 Male

%

of population data: * Source Estimates from UNHCR registration.

Female

For mutiweek reports, average is presented

Indicators at a glance

Indicator

Notes

Standard

1 Health utilisation rate

9.9

1-4

2 Number of consultations per clinician per day

144

< 50

N/A

≥ 90%

4 Measles immunisation coverage

116%

> 90%

5 Polio III immunisation coverage

68%

> 90%

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

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

0.0

< 1.5

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

0.0

< 3.0

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

0.0

< 40

Highlights This public health profile for Qushtapa 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:

DOH - ERBIL

Morbidity Acute health conditions (%)

Chronic health conditions (%)

0% 9% 0%

Upper Respiratory Tract Infection (URTI)

23%

Diabetes

Hypertension

Urinary tract infection (UTI)

24%

Lower Respiratory Tract Infection (LRTI)

2% 3%

Asthma

Ear infection

56%

Ischaemic heart disease

8%

67%

Dental Conditions

8%

Cardiovascular disease (other)

Other

Other

Top 5 acute health conditions

Top 5 chronic health conditions % morbidity

# of cases

% morbidity

# of cases

56%

1,826

1 Diabetes

67%

116

2 Urinary tract infection (UTI)

8%

273

2 Hypertension

24%

41

3 Lower Respiratory Tract Infection (LRTI)

8%

259

3 Asthma

9%

15

4 Ear infection

3%

111

4 Ischaemic heart disease

0%

0

5 Dental Conditions

2%

76

5 Cardiovascular disease (other)

0%

0

- Other

22%

735

- Other

1%

1

1 Upper Respiratory Tract Infection (URTI)

Breakdown of acute health conditions by age

Breakdown of chronic health conditions by gender

by age

5% 29%

5 to 14

42%

15 to 49 ≥ 50

24%

27%

0-4

50%

50%

31%

by gender

0-4 5 to 14

Male

Female

15 to 49

18%

≥ 50

24%

46%

54%

Male

Female

Trends since January 2014 Number of consultations

Weekly health utilsation rates 25 Health utilisation rate Normal range (minimum)

20

1000

Health utilisation rate

Number of consultations

1200

800 600 400

Normal range (maximum)

15 10 5

200

0

0

Epidemiological week, 2014

Epidemiological week, 2014

12

Bloody diarrhoea

2

Watery diarrhoea*

Incidence of bloody diarrhoea

Incidence of watery diarrhoea

Watery diarrhoea 14

Alert threshold

10 8 6

4 2

Bloody diarrhoea*

1.8

Alert threshold

1.6 1.4 1.2 1 0.8

0.6 0.4

0.2 0

0

Epidemiological week, 2014

10

Acute Jaundice Syndrome Number of suspected measles cases

Incidence of acute Jaundice Syndrome

Epidemiological week, 2014

Acute Jaundice Syndrome*

9

Alert threshold

8

7 6

5 4 3

2 1 0

Suspected measles

10

Measles (suspected)*

9

Alert threshold

8

7 6

5 4 3

2 1

0

10

Epidemiological week, 2014

Suspected Meningitis Meningitis (suspected)*

9 8 7

Alert threshold

Number of AFP cases

Number of suspected meningitis

Epidemiological week, 2014

6 5 4 3 2 1

0

Acute flaccid paralysis

10 9 8 7 6 5 4 3 2 1 0

Acute Flaccid Paralysis* Alert threshold

Epidemiological week, 2014

Epidemiological week, 2014

Lower respiratory tract infections

Upper respiratory tract infections 140

Incidence of URTI

120

40

Upper Respiratory Tract Infection (URTI) Alert threshold

Incidence of LRTI

160

100 80

60 40

35

Lower Respiratory Tract Infection (LRTI)

30

Alert threshold

25 20

15 10

20

5

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

0 N/A

100%

116%

> 90%

51%

> 90%

Measles immunisation coverage

116%

> 90%

Polio III immunisation coverage

68%

> 90%

82%

> 90%

108%

> 90%

BCG immunisation coverage

Access and utilization

DPT 1 immunisation coverage

No. of health facilities

1.0

Total number of consultations

1 : < 10,000

3,464

Health utilisation rate

9.9

1-4

MMR immunisation coverage

No. of consultations per trained clinician per day

144

< 50

Vitamin A coverage

N/A

≥ 90%

Reproductive health

Standard

Sexual and gender-based violence

Proportion of first time antenatal visits made < 1st trimester

Incidence of reported rape

Top 3 Mental health conditions

0.0

Top 3 injuries % morbidity

# of cases

% morbidity

# of cases

1 Severe emotional disorder

75%

3

1 Burns

86%

6

2 Epilepsy / seizures

25%

1

2 Injury (unintentional)

14%

1

3 Alcohol and other substance abuse disorder

0%

0

3 Injury (intentional)

0%

0

- Other

0%

0

- Other

0%

0

Breakdown of mental health conditions By cause

By age

0%

By gender

0%

Severe emotional disorder

25%

25% Epilepsy / seizures

Alcohol and other substance abuse disorder

25% 0-4 5 to 14

50%

Male

Female

15 to 49

≥ 50 Psychotic disorder

75%

25%

75% Other

Breakdown of injuries By cause 0% 0% 14% 0%

By age

Burns

By gender

14% 29%

Injury (unintentional)

29% 0-4 5 to 14

Injury (intentional)

0% Accident

86%

We gratefully acknowledge the support of the following agencies:

Other

Male

15 to 49 ≥ 50

71% 57%

Female