Humanitarian Health Action

Yemen situation report no. 12 - 18 January 2010

HIGHLIGHTS

  • WHO Regional Director, Dr Hussein Gezairy, and the WHO Representative in Yemen visited Al Mazarak camps on 27 December to review Health Cluster activities in place to support IDPs.
  • UNHCR indicates that the number of IDPs is increasing and has risen to 200,000
  • Preparations for Al Mazarak 3 are complete and the first wave of IDPs are expected to arrive within this week. MSF-Spain will provide health services to both the camp and local populations.
  • The WHO/MoPHP mobile medical teams and fixed clinic have reported 71,958 consultations since September 2009. No communicable disease outbreaks have been reported from IDP-hosting areas but the risk remains high due to inadequate health services and lack of safe drinking water.
  • During the national mass vaccination campaign (12th to 17th Dec. 2009), 5,060 displaced children under five were vaccinated against measles and polio and given vitamin A supplementation and deworming medicine.
  • The Organization of Islamic Conference (OIC) donated a 20-bed field hospital to the MoPHP, which will be used as a referral hospital for the three camps in Al Mazarak.
  • Department of Health Govt. of Yemen reported 99% coverage for polio and measles vaccination during last week campaign (part of National Campaign completed from 12th to 17th Dec. 2009) in Sa’ada (camps and communities), Al-Hashwa, Ketiaf and camps in Baqium districts . The campaign was supported by WHO and UNICEF. For the remaining district response from Al-Hoti is awaited on temporary ceasefire for vaccination.

HEALTH IMPACT

  • Catering for the increasing number of IDPs and their increasing needs in health services is becoming more and more challenging in view of the available limited resources, thereby making them potentially more vulnerable to outbreaks of communicable diseases.
  • The fall in temperatures in most of the IDP-hosting areas has led to the incidence of acute respiratory infection cases.
  • Medical teams are reporting a decline in the number of consultations for diarrheal disease..
  • Although no outbreaks have been detected to date, the risk remains high due to the lack of clean drinking water and inadequate sanitation. Resources to address these issues and to strengthen disease surveillance are also insufficient.

HEALTH SECTOR RESPONSE

Al Jawf Governorate
  • The joint MoPHP/WHO mobile teams operating in Al Jawf are reporting of total of 19,790 consultations since September 2009.
Sa'ada Governorate
  • No patient data is available from Sa'ada due to limited communication.
  • Last week the Department of Health Govt. of Yemen completed its mass vaccination campaign in Sa’ada (part of National Campaign completed from 12th to 17th December 2009) covering district of Sa’ada (camps and communities), Al-Hashwa, Ketiaf and camps in Baqium.

For the remaining district response from Al-Hoti is awaited on temporary ceasefire for vaccination.

Hajjah Governorate
  • The 20-bed field hospital donated by OIC will be installed in Al Mazarak to serve as a referral facility for the three health clinics in Al Mazrak 1, 2 and 3.
  • WHO provided basic laboratory equipment and reagents to strengthen diagnostic services in Al Mazarak 1 clinic.
  • In Al Mazrak camps 1 (21,000 persons) and 2 (6,141 persons), the joint MoPHP/WHO medical teams are reporting a total of 40,015 consultations since September 2009. The joint teams are providing health care in both camps and surrounding areas. In December, 25 deliveries were conducted in Al Mazrak 1 camp and nine deaths (including five among children under five) were reported.
  • The Yemen Family Care Association (YFCA) mobile clinic supported by UNFPA reported 8704 consultations in Al Mazrak 1 and 2 camps since mid-November 2009. Over 80% of the beneficiaries were women with 3169 consultations for reproductive health services.
  • MSF-Spain will be operating a basic health care services clinic including emergency room, reproductive health (with delivery services) and nutritional services at the Al Mazark 3 camp.
Amran Governorate
  • The two mobile medical teams supported by WHO have reported 12 153 consultations since September 2009.
  • Due to insecurity, YFCA has suspended its mobile outreach services since 13 December. However, the fixed clinic in Khaiwan camps remains operational. Since November 2009 the clinic has reported 1832 consultations, including 586 for reproductive health issues.

NEEDS

  • Strengthen communicable disease surveillance to monitor the disease trends in affected areas.
  • Enhance primary health care coverage by providing additional support to the existing health care infrastructure and increasing the number of mobile medical teams.
  • Support referral mechanisms and hospital services to provide emergency and appropriate care for management and treatment of chronic illnesses such as tuberculosis, hypertension, cardiovascular diseases and asthma.
  • Strengthen water quality monitoring, an initiative to be led by WHO starting this month.
  • Strengthen reproductive health services in IDP-hosting areas especially emergency obstetric care and child health services

CONTACTS

WHO Yemen Country Office
Dr Ghulam Popal
WHO Representative, Yemen
Email: wr-yemen@yem.emro.who.int
Tel.: +967 1 252213

Dr. Mateen Ahmed Shaheen
Health Cluster Coordinator
Email: shaheenmat@yem.emro.who.int
Tel: +967 1 252213 Ext. 67214
Mobile: +967 736088382

WHO Regional Office for the Eastern Mediterranean
Dr Irshad Shaikh
Regional Adviser
Emergency Preparedness and Humanitarian Action
Email: shaikhi@emro.who.int
Tel.: +20 2 276 5525
Mobile: +20 1 0173 3924

WHO Headquarters
Mr Paul Garwood
Communications Officer
Health Action in Crises
Email: garwoodp@who.int
Tel.: +41 22 791 3462 Mobile: +41 79 475 5546

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