Suspected Meningitis. Meningitis. (suspected)*. Alert threshold. 0. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Nu mb er o f AFP case
Gawilan
Public Health Profile
Duhok, Kurdistan region, Iraq
April 2014
Key facts
Refugee population
Camp opened:
2720
Total refugee population: Demographic breakdown:
50+
September 2013
*
Planned capacity:
10,000
-6% 6%
Area:
1.15 Km sqr
-22% 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 registration.
Female
Indicators at a glance
Indicator
Standard
1 Health utilisation rate
7.4
1-4
2 Number of consultations per clinician per day
32
< 50
3 trimester
N/A
≥ 90%
4 Measles immunisation coverage
81%
> 90%
5 Polio III immunisation coverage
51%
> 90%
Proportion of first time antenatal visits made < 1st
Notes HIGHLIGHTS 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:
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
PU-AMI DOH - Dohuk UPP
Morbidity Acute health conditions (%)
Chronic health conditions (%) 0% 6%0%
Upper Respiratory Tract Infection (URTI)
22%
Hypertension
10%
Diabetes
Lower Respiratory Tract Infection (LRTI) Watery diarrhoea*
52%
Asthma
52%
Skin infection
10% 6% 4%
Cardiovascular disease (other)
32%
Dental Conditions
Ischaemic heart disease
Other
6%
Other
Top 5 acute health conditions
Top 5 chronic health conditions % morbidity
# of cases
% morbidity
# of cases
22%
317
1 Hypertension
52%
16
2 Lower Respiratory Tract Infection (LRTI)
10%
148
2 Diabetes
32%
10
3 Watery diarrhoea*
6%
84
3 Asthma
10%
3
4 Skin infection
6%
83
4 Cardiovascular disease (other)
6%
2
5 Dental Conditions
5%
66
5 Ischaemic heart disease
0%
0
- Other
52%
746
- Other
0%
0
1 Upper Respiratory Tract Infection (URTI)
Breakdown of acute health conditions by age 4%
Breakdown of chronic health conditions by gender
by age 3% 3%
22% 0-4
0-4
5 to 14
53%
15 to 49
21%
by gender
≥ 50
55%
45%
32%
Male Female
62%
5 to 14 15 to 49 ≥ 50
45%
Male
55%
Female
Trends since January 2014 Number of consultations
Weekly health utilsation rates 20
Number of consultations
900
Health utilisation rate
18
800
Normal range (minimum)
16
Health utilisation rate
700 600 500 400 300
200
Normal range (maximum)
14 12 10
8 6
4
100
2
0
0
Epidemiological week, 2014
Watery diarrhoea
20 18 16 14 12 10 8 6 4 2 0
Watery diarrhoea*
Incidence of bloody diarrhoea
Incidence of watery diarrhoea
Epidemiological week, 2014
Alert threshold
Bloody diarrhoea
10 9 8 7 6 5 4 3 2 1 0
Bloody diarrhoea* Alert threshold
Epidemiological week, 2014
Acute Jaundice Syndrome
10 9 8 7 6 5 4 3 2 1 0
Number of suspected measles cases
Incidence of acute Jaundice Syndrome
Epidemiological week, 2014
Acute Jaundice Syndrome* Alert threshold
Suspected measles
10 9 8 7 6 5 4 3 2 1 0
Measles (suspected)* Alert threshold
Epidemiological week, 2014
Suspected Meningitis
10 9 8 7 6 5 4 3 2 1 0
Meningitis (suspected)* Alert threshold
Number of AFP cases
Number of suspected meningitis
Epidemiological week, 2014
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
140
Incidence of URTI
120
Upper respiratory tract infections
35
Upper Respiratory Tract Infection (URTI) Alert threshold
30
Lower respiratory tract infections Lower Respiratory Tract Infection (LRTI) Alert threshold
25
Incidence of LRTI
160
100
80 60 40 20
20 15
10 5
0
0
Epidemiological week, 2014 Epidemiological week, 2014
Calculation of disease alert thresholds: Watery diarrhoea = 1.5 x baseline, Meningitis = 5 cases,
Bloody diarrhoea = 1.5 x baseline,
Acute Flaccid Paralysis = 1 case,
Acute Jaundice Syndrome = 1.5 x baseline,
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
1,547
Health utilisation rate No. of consultations per trained clinician per day
0 N/A
100%
BCG immunisation coverage
73%
> 90%
DPT 1 immunisation coverage
99%
> 90%
Measles immunisation coverage
81%
> 90%
Polio III immunisation coverage
51%
> 90%
195%
> 90%
9%
> 90%
7.4
1-4
MMR immunisation coverage
32
< 50
Vitamin A coverage
Reproductive health
Standard
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 Severe emotional disorder
73%
30
1 Burns
45%
14
2 Psychotic disorder
12%
5
2 Injury (unintentional)
26%
8
3 Epilepsy / seizures
7%
3
3 Injury (intentional)
3%
1
- Other
7%
3
- Other
26%
8
Breakdown of mental health conditions By cause
By age
By gender
10%
3%5% 7%
Severe emotional disorder
22% 0-4
Psychotic disorder
12%
Male
5 to 14 Epilepsy / seizures
73%
15 to 49
36%
51%
49% Female
≥ 50
32%
Mental retardation / intellectual disability Other
Breakdown of injuries
By cause
0%
By age
26% Injury (unintentional)
45%
3%
3%
Burns
26%
By gender
We gratefully acknowledge the support of the following agencies:
Other
Male
5 to 14
Injury (intentional)
15 to 49
≥ 50
Accident
26%
29% 0-4
32%
39%
Female
71%