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Bangladesh/Myanmar: Rakhine Conflict 2017 - WHO Situation Report: 02, 21 September 2017

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KEY HIGHLIGHTS

• Since 25 August more than 422 000 people are estimated to have crossed from Myanmar to Bangladesh following violence in Rakhine state, Myanmar (as of 19 September).

• 185 000 are located in makeshift settlement/camps, 34 000 in host communities and 203 000 in new spontaneous settlements. 26 747 people have been displaced in Myanmar (as of 6 September)

• In Bangladesh, a new camp site in Kutupalong area is being prepared with infrastructure such as roads and drainage to enable the provision of basic services, latrines, water and solid waste management.

SITUATION OVERVIEW

Situation update in Bangladesh:

• The Department of Immigration and Passports is registering the arrivals and providing them an ID card. The process which started on September 11, continues. However, systematic registration of new arrivals continues to be a challenge.

• A new camp site adjacent to Kutupalong will be established under the supervision of Ministry of Disaster Management and Relief.

• Humanitarian agencies continue to deliver basic assistance including food, plastic sheets, and water.

• An emergency coordination committee chaired by a civil surgeon has been established. The committee is overseeing coordination and standardization of healthcare services being provided by mobile teams and mapping of partner agencies. New agencies arriving to support health response need to work in coordination with the emergency coordination committee.

• Measles and Rubella (MR) and polio (OPV) vaccination targeting 150,000 children aged 6 months to 15 years, is ongoing since 16 September. WHO, IOM, UNICEF, UNHCR and NGOs including MSF, IOM, ACF, MUKTI, and UNHCR are supporting Ministry of Health and Family Welfare‘s immunization initiative. As of 20 September, 52 464 children received MR vaccine, ~28 346 received bivalent oral polio vaccine (bOPV) and ~31 690 received Vit. A dose.

• More vaccinator are being deployed to help cover the target population as rain and bad weather has slowed down the immunization drive.

• Partner agencies continue to scale up their healthcare delivery services including psychological first aid and increasing hospital bed capacity in new settlement areas (e.g. in Kutupalong and Balukhali makeshift camps by MSF).

• 24 additional doctors, nurses and midwives from Dhaka division are being reassigned to 12 health centres in camp areas including 6 health centres in new settlement areas.

Situation update in Myanmar

● Ministry of Health and Sports (MOHS), Myanmar, has an updated report on the status of healthcare services in Rakhine State (as of 18 September 2017). http://mohs.gov.mm/Main/content/new/health-care-services-in-rakhine-state-draft-as-of-18th-september-2017

● Healthcare facilities in northern Rakhine are gradually resuming services.

● Two clinically diagnosed measles cases were detected by MOHS in new evacuation sites in Sittwe. Measles immunization was carried out for children between 9 months to 15 years in the new evacuation sites in Sittwe between 10 to 12 September 2017.1

● UN agencies and International NGOs are coordinating their efforts to provide mobile clinics and community health workers with basic medicines (e.g. anti-TB drugs), supplies and screening of acute malnutrition in IDP camps of Pauktaw and Maugdaw districts.

● Food distribution is managed by the National Red Cross with food provision from WFP.