HEALTH ACTIVITIES REPORT IN SYRIAN REFUGEES CAMP IN ALQAIM SUBMMITED BY DR.JUMAA JALAL JASSIM

HEALTH ACTIVITIES REPORT IN SYRIAN REFUGEES CAMP IN ALQAIM SUBMMITED BY DR.JUMAA JALAL JASSIM

Events Under Surveillance No of Consultations 0-<5yrs = >5 - < 15yrs 15-44yrs 45 + yrs M F M F M F M F 01 Acute Diarrhoea 300 300 173 142 135 135 70 47 1302 02 AWD/ Suspected Cholera 03 Bloody Diarrhoea 11 4 2 6 2 4 2 31 04 Acute Flaccid Paralysis (AFP) 05 Suspected Malaria 06 Acute Upper Respiratory Infection 605 548 513 464 826 603 203 148 3910 07 Acute Lower Respiratory Infection 242 227 226 160 322 186 70 85 1518 08 Suspected Measles 09 Suspected Meningitis 1 1 10 Acute Jaundice Syndrome 39 47 67 52 15 9 2 1 232 11 Neonatal Tetanus 12 Suspected Hemorrhagic Fever 13 Unexplained Fever >38.50 C 14 Scabies 1 2 4 1 8 15 Bronchial Asthma 10 5 20 18 27 5 7 3 95 16 Hypertension 3 6 130 192 121 160 612 17 Diabetes 6 7 19 16 97 97 119 146 507 18 Injuries 6 13 23 12 40 22 5 1 122 19 Severe Malnutrition (WfA < -3Z) Red Zone 20 Moderate Malnutrition (WfA -2 to -3Z) Orange zone 7 7 14 21 No. of Antenatal Consultations 398 398 22 No. of normal deliveries 50 50 23 * No. of Pregnant women referred 80 80 24 Others 776 737 967 1110 2177 2808 705 752 10032 Total no. Total Consultations 2002 1896 2013 1981 3777 4591 1307 1345 18912

Vaccination activities in Syrian refugees camps in alqaim No. Campaign name Age Period of campaign Vaccinated number 1 Measles vaccine campaign 6 month till 5 August 2012 518 years 2 Measles vaccine campaign 6 month till 5 October 2012 435 years 3 Typhoid vaccine campaign 6 years and 31/8 5/9 /2012 2307 older 4 Hepatitis B vaccine campaign 6 years and 31/8 5/9 /2012 2307 older 5 dt vaccine campaign 6 years and 31/8 5/9 /2012 2307 older 6 Meningococcal vaccine 6 years and 31/8 5/9 /2012 2307 campaign older 7 Poliomyelitis vaccine Under 5 years 9/9 13/9/2012 639 campaign ( first round ) 8 Poliomyelitis vaccine Under 5 years 14/10-1061 campaign ( second round ) 18/10/2012 9 Seasonal flu vaccine campaign 6 month and 21/10 5139 older 25/10/2012 10 Measles vaccine campaign 6 month till 5 2/12 771 years 18/12/2012 11 Measles vaccine campaign 5 years till 18 15/12 825 year 20/12/2012 12 Routine vaccines schedule ( all the required vaccines,according to the schedule) Under 5 year - 620

Health activities provided by MOH and other organization work in field for Syrian refugees in alqaim :- 1. MOH Anbar DOH ( phc sector in alqaim) First stage This stage beginning with entry of Syrian refugees to Iraq through alqaim gate at july / 2012, at this stage medical clinics provided the following activities :- Refugees were housed initially in the schools were 16 schools in the works judiciary and the Ministry of Health worked to open 17 medical clinic and one of them at the border and the rest in schools. Provided medical clinics curative and preventive services for Syrian refugees. Provided 17 ambulance for each medical clinic. No. of consultation to the medical clinic in schools from july to October about 10000 case to provide medical services. 700 case were referred to alqaim hospital at this time. 50 cases were referred satisfactory to Ramadi hospital. Second stage This stage began with the establishment of refugee camps and transfer the refugees from the schools to camps at October 2012, at this time MOH decided to set up phc center in the second camp because Islamic relief organization run medical services in the first camp. health center in the second camp consists of the following units:- Medical Unit with general and specialist doctors. maternal and childhood health unit. Health Promotion Unit. communicable and transitional disease and epidemiological monitoring unit. School Health Unit. vaccinations Unit. dental unit. laboratory unit pharmacy unit. dressing unit. Statistics Unit. The health services provided in health center divided in to :- Curative services.

1) Examine and treat all medical cases consult health center, so the no. of consultation from October 2012 till February 2013 reach 9520. 2) Diagnosed and treat chronic diseases, no. of patient with chronic diseases registered at second camp 163. 3) No of lab. Tests 1571. 4) Provided of disabled people with 50 wheel chairs. Preventive services. 1) Implementation of vaccination campaign with different types of vaccines as previously mentioned and vaccinate the children under five years with routine vaccination schedule. 2) Supervising the environmental sanitation of refugee camps and follow hygiene as well as follow-up action the periodic inspection of ratios of chlorine in water of the refugee camps and the distribution chlorine tablets with an explanation of how to use them in case of falling ratio of chlorine in the water, as well as followup the kitchens of refugees and examination chef periodically and Implementation of campaigns against rodent and insects and disease vectors. 3) Collaboration with UNICEF has been conducting nutrition survey included (583) children under five years of age to assess the nutritional status of them and discover malnourished children within the camps have been detected (14) cases of children with moderate malnutrition, were referring those cases to alqaim hospital for their entry in the lobby of nutritional rehabilitation and follow-up of their health. 4) Implementation of survey for cases with jaundice in camp, and discover case with hepatitis A and take preventive measures for control disease. Anbar DOH ( alqaim hospital ). Alqaim hospital provided the following activities ; No. of consultation with different conditions 6500 case. No. of admission to hospital for Syrian refugees 1225. No of new births 139 were 63 male and 76 female. No. of death 19. No. of laboratory tests 1560.

No. of surgical operation 61. 2. WHO Monitoring and follow-up of the epidemiological situation in the Syrian Refugees camps and immediate intervention in the event of any epidemic outbreaks. Provided of alqaim hospital with trauma kit A & B. Provided of disabled Syrian refugees in alqaim with 65 wheel chairs. Provided health centers in camp with IEHK. Provided health center in camp with diarrhoeal kit. 3. Islamic relief It run the medical clinic in camp 1, and provided the following actions :- Examine and treat all medical cases consult health center, so the no. of consultation from October 2012 till February 2013 reach 16786. Diagnosed and treat chronic diseases, no. of patient with chronic diseases registered at second camp 85. No. of lab. Tests 2153. 4. UNICEF From the beginning UNICEF work with GOI to provide safe water and good sanitation, for Syrian refugees. WASH facilities construction includes: 191 latrines, 190 showers, 78 septic tanks, 110 drinking water points (Six taps each), 6 (10,000 litre) tanks, 3 of 45,000 litre tanks, 47 wash basins and 7350 ml of water networking. 44 participants (24 female & 20 male) have been trained as hygiene mobilizers, six days training sessions carried out by two doctors from DoH at Al-Qaim (one female and one male) were successfully conducted inside AL-Qaim camp. At the beginning of crises when Syrian refugees cross the border UNICEF support Al-Qaim DOH to open 14 health unite in the schools where the refugees stalled at first time, and the clinic were provided primary health care services including vaccination for U5 children UNICEF supported training on new growth monitoring chart for all PHC centers in Al-Qaim, the training was for all PHC centers in Al-Qaim and PHC centers in Syrian camps

5. MSF MSF has been monitoring the refugee situation in Al Qaim since August 2012. Due to various reasons, the main one being visa constraints from October 2012 December 2012, an MSF team only moved to Al Qaim in January 2013 in order to support the Syrian refugees. Since this period until today MSF was able to manage the following objectives: Border post Clinic MSF began supporting the border clinic post since the end of January, with the presence of one female expatriate medical doctor. MSF was able to do 2 to 3 days consultations per week. Since February MSF presence has been increased with the arrival of the second MSF expatriate female doctor which lead to increased presence in the border clinic 5 days a week except for Mondays and Fridays. An average of 60 patients per day are seen and weekly epidemiological statistics are sent to Al Qaim PHC directorate. Mental Health Care As Mental Health care has been identified as a need of the refugee population and MSF has some expertise in this field, there has been a verbal agreement that MSF would also commence mental health services in Camp 1 & 2. Since the end of February, MSF have an expatriate psychologist in Al Qaim in order to establish the mental health activities within camp I and Camp II for the Syrian refugees. Among the Syrian population within camp I and camp II, it is hoped to identify 4 potential candidates who will be trained by MSF as counselors. An official MSF request letter was sent to the Iraqi MoH to allocate the dedicated space for the mental health activities within camp I and camp II. As soon as the space will be allocated by the MoH within the two camps, and following a two week training given on site by MSF, MSF will activate immediately the mental health activities. Obeidi Camp or Camp 3 MSF has built the medical facility in Camp III Al Obeidi. There are no occupants yet in Obeidi as the border remains closed so as of now MSF activities are restricted to the border clinic post and to mental health care provision in Camps 1 & 2. 6. ICRC Provided alqaim hospital with dressing kit. Provided hygiene parcels to 250 syrian refugees. Provided 20 wheel chairs for disabled Syrian refugees. Provided dressing & burn kit and basic medical equipment to border clinic.