Bangladesh Flood, Bangladesh Flood, Health & Nutrition Situation-2004Health & Nutrition Situation-2004

UN Flash Appeal for Health & UN Flash Appeal for Health & NutritionNutrition

H &N Sub-group PresentationH &N Sub-group Presentation

WHO, UNFPA, WHO, UNFPA, UNICEF UNICEF

Presented by: Dr. K Akram, WHO

Flood Situation as on 3Flood Situation as on 3rdrd August’04 August’04

Affected Districts: 38

Death Toll : 716

Affected Population: 30m (24% of total Popln)

Temporary Shelters: 4830

Flood 2004

Temporary TC: 823

Distribution of Diarrhoea Cases and Deaths by Date 12 July -10August 2004

1

0

1 1 1

2

1

0

3

1 1

2

3

5 5

3

1

2

7

9

2

3

2 2

0

6

1

4

0

2000

4000

6000

8000

10000

12000

12-

J ul

14-

J ul

16-

J ul

17-

J ul

18-

J ul

19-

J ul

20-

J ul

21-

J ul

22-

J ul

23-

J ul

24-

J ul

25-

J ul

26-

J ul

27-

J ul

28-

J ul

29-

J ul

30-

J ul

31-

J ul

1-

Aug

2-

Aug

3-

Aug

4-

Aug

5-

Aug

6-

Aug

7-

Aug

8-

Aug

9-

Aug

10-

Aug

No. of

Cases

0

1

2

3

4

5

6

7

8

9

10

Cases Death

Distribution of Diarrhoea Cases and Deaths by Districts from 12 July-10 August 04

10 0

2

0

4

21

23

2

0 0 01

0 0

14

2

5

10 0 0 0

5

2

0

54

10 0

23

4

0

2

0

2000

4000

6000

8000

10000

12000

14000

0

2

4

6

8

10

12

14

16

Disease Rates of Illness in 1988 Flood (n=

46,470)

Rates of Illness in 1998 Flood (n=

15,797)

Diarrhoeal Disease 34.7% 40.1%

Respiratory Disease 17.4% 20.3%

Intestinal worms 10.1% 12.2%

Skin infection 05.8% 07.4%

Eye Infection 02.2% 05.6%

Ear Infection 01.8% 04.8%

Injuries with infection 05.1% 04.3%

Fever 06.5% 03.9%

Other diseases 16.4% 01.4%

TOTAL 100% 100%

Comparison of morbidity pattern of 1988 and 1998 Flood in Bangladesh

1.The direct intervention will be carried out by government and NGOs agencies with technical support provided by UN agencies (WHO, UNICEF, UNFPA).

2. The procurement of logistics and other supply materials will be made by UN agencies.

3. Maintain and strengthen regular liaise with the health services of the GOB and other NGO partners in receiving reports regarding outbreaks of impending communicable diseases and carry out interventional activities as per needs

Strategies:

Health and Nutrition Group:   

Assistance Provided by WHO, UNFPA and UNICEF Assistance Provided by WHO, UNFPA and UNICEF  Health (WHO): 

       In-house Crises Management Team formed & is meeting daily at the NDSC, IEDCR and during holidays and providing assistance to the DGHS and the Control room.

        WHO is providing Computer, Printer, Fax machine and minor renovation

works to enable smooth functioning.        The Divisional Coordinators and Districts surveillance medical officers (SMO) from

WHO are providing technical supports to the Civil Surgeons and sending daily reports to FCMT.

        WPT, Bleaching Powder, Intravenous Cholera Saline, Antibiotics like Tetracycline,

Ciprofloaxacin, Paracetamols tablets and syrups, Co-trimoxizole syrup and tablets, Erythromycin and Amoxycillin tablets and syrup, Anti-snake venom.

        Procurement of Medicine and supplies to the following Offices: 

• DGHS• BMA• Red Crescent Society• DPHE• Sylhet City Corporation

UNFPA support to Flood - 2004

Medicine* -  Basic medicine required for pregnant, lactating and 0 - 5 children: The following are included in each kit:

   * Medicine  to cover 8,000 clients/patients in each district   * ORS - 10,000 /each district   * Cholera Saline - 200 each district

*WFP Biscuits*: In addition to above, WFP biscuits are also being distributed by these teams. The qty per districts are as follows:

Brahmanbaria: 540 ctns (4.0 mt)Hobiganj:: 540 ctns (4.0 mt)Narhsingdi/Kishroreganj: 400 ctns.  (3 .0 mt)Bogra  540 ctns. (4.0 mt)Dhaka: 500 ctns (3.75 mt)

*UNFPA Subkit 6*: Delivery Subkit -  30 kits arrived at the airport and are under custom clearance.  We are expecting another 70 kits from HQs.*UNFPA Subkit 12:* Transfusion - 10 kits arrived at the airport and are under custom clearance.

UNICEF’s support to Flood – 2004

Procured WPT ( 5 million distributed, 5 million in pipeline)

Procured ORS for medical centers and temporary shelters (0.5 milliondelivered, 4.5 million in pipeline)

Procured IV fluid to combat diarrhea dehydration (25,000 500 ml distributedto health facilities, 150,000 500 ml and 75,000 1000 ml in pipeline)

Procuring measles vaccines (8,800 vials), AD syringes (100,000) andrecantation syringes (120,000) and safety boxes (1250) for measlesvaccination campaign in flood shelters

Procuring 100 MT blended food for infants and young children in floodshelters

•Future plans:

The H&N groups (WHO, UNICEF, UNFPA) will meet forDetailed work planMonitoring mechanism, implementation

Composition of groups: WHO, UNICEF, UNFPA, Red Crescent has joinedOther players: ICDDR, B and/or Other NGOs