Gawilan - Stories from Syrian Refugees - UNHCR [PDF]

Gawilan

Public Health Profile

Duhok, Kurdistan region, Iraq

Week 08 | 16 - 22 February 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

11.3

1-4

49

< 50

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

N/A

≥ 90%

4 Measles immunisation coverage

91%

> 90%

5 Polio III immunisation coverage

45%

> 90%

1 Health utilisation rate 2 Number of consultations per clinician per day

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

Watery diarrhoea incidence exceeds threshold

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

0.0

< 40

Morbidity Acute health conditions (%)

Chronic health conditions (%) 0% 0%

Upper Respiratory Tract Infection (URTI)

25%

Hypertension

30%

Fever of unknown origin

Diabetes

Watery diarrhoea*

Asthma

47% Dental Conditions

9%

Ischaemic heart disease

Lower Respiratory Tract Infection (LRTI)

8%

70% Cardiovascular disease (other)

Other

4% 7% Other

Top 5 acute health conditions

Top 5 chronic health conditions % morbidity

# of cases

# of cases

% morbidity

25%

141

1 Hypertension

70%

7

2 Fever of unknown origin

10%

54

2 Diabetes

30%

3

3 Watery diarrhoea*

8%

43

3 Asthma

0%

0

4 Dental Conditions

7%

38

4 Ischaemic heart disease

0%

0

5 Lower Respiratory Tract Infection (LRTI)

4%

21

5 Cardiovascular disease (other)

0%

0

- Other

47%

262

- Other

0%

0

1 Upper Respiratory Tract Infection (URTI)

Breakdown of acute health conditions by age

Breakdown of chronic health conditions by gender

by age

5% 25%

0% 0%

15 to 49

21%

30%

0-4

5 to 14

49%

by gender

≥ 50

48%

52%

20%

0-4

Male

5 to 14

Male

Female

15 to 49

Female

70%

≥ 50

80%

Trends since the 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

2014.02

2014.03

2014.04

2014.05

2014.06

2014.07

2014.01

2014.08

2014.02

2014.03

Watery diarrhoea Alert threshold

Incidence of bloody diarrhoea

Incidence of watery diarrhoea

Watery diarrhoea

20 18 16 14 12 10

8 6 4 2

0 2014.01

2014.02

2014.03

2014.04

2014.05

2014.06

2014.07

2014.01

Number of suspected measles cases

Incidence of acute Jaundice Syndrome

Alert threshold

8

7 6 5 4 3

2 1

0 2014.04

2014.05

2014.02

2014.03

2014.06

2014.07

2014.07

2014.08

Measles (suspected) Alert threshold

7 6 5 4 3

2 1

0 2014.02

2014.03

2014.04

2014.05

2014.06

2014.07

2014.08

Epidemiological week, 2014

Suspected Meningitis

9 8

Alert threshold

7 6 5 4 3 2

Acute flaccid paralysis

10

Number of AFP cases

Number of suspected meningitis

2014.06

8

2014.01

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

2014.01

2014.08

2014.02

2014.03

Upper respiratory tract infections

160

2014.04

2014.05

2014.06

2014.07

2014.08



Lower respiratory tract infections

35

URTI

LRTI

30

Alert threshold

120

Alert threshold

25

Incidence of LRTI

Incidence of URTI

2014.05

9

2014.08

Meningitis (suspected)

140

2014.04

Suspected measles

10


10

2014.08

Alert threshold

2014.08

Acute Jaundice Syndrome*

2014.03

2014.07

Bloody diarrhoea*

Acute Jaundice Syndrome

2014.02

2014.06


9

2014.01

2014.05

Bloody diarrhoea

5 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0


10

2014.04



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

2014.01


2014.02

2014.03

2014.04

2014.05

2014.06

2014.07


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,

2014.08

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

86%

> 90% > 90%

91%

> 90%

Polio III immunisation coverage

45%

> 90%

241%

> 90%

7%

> 90%

1.0

Total number of consultations

589


11.3

1-4

MMR immunisation coverage

49

< 50

Vitamin A coverage

Reproductive health

100%

100%

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

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

50%

2

1 Burns

50%

8

2 Medically unexplained somatic complaint

50%

2

2 Injury (unintentional)

13%

2

3 Alcohol and other substance abuse disorder

0%

0

3 Injury (intentional)

0%

0

- Other

0%

0

- Other

37%

6

Breakdown of mental health conditions By cause

By age

0%

0% 0%

Epilepsy / seizures

50% NO

50%

By gender

0-4

Medically unexplained somatic complaint

Male

5 to 14

50% WEEK MENTAL HEALTH CONDITION REPORTED THIS 15 to 49

Alcohol and other substance abuse disorder

50%

Female

≥ 50

Psychotic disorder

100% Other

Breakdown of injuries

By cause

By age

0%

Burns

37% 0%

By gender

Injury (unintentional)

50%

13%

We gratefully acknowledge the support of the following agencies:

0-4

12%

Injury (intentional) Accident

0%

Other

13%

19%

69%

Male

5 to 14 15 to 49

Female

≥ 50

87%