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Syrian Arab Republic: 2 Hospitals Attacked and Phosphorous Bombs Used In Syria

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Source: Union of Medical Care and Relief Organizations
Country: Syrian Arab Republic

Toronto, ON- On November 11, 2016 - A hospital in Kafr Zita in rural Hama, was hit by at least two barrel bombs, resulting in severe damage to the facility. Initial reports show no casualties. The hospital provides an average of 1,940 consultations, 339 admissions, 126 major surgeries and 25 deliveries. The facility was rendered completely out of service.

Another hospital in Atareb, rural Aleppo, was targeted today by airstrikes, resulting in damage to the facility. No casualties reported. On a monthly basis the hospital was providing an average of 3,350 consultations, 480 admissions and 285 major surgeries.

A phosphorus attack was reported in Daret Ezzah in the Aleppo directorate. No casualties have been reported but medical staff have raised concerns about the use of prohibited weapons such as phosphorous and their indiscriminate and horrifying impact on civilians.

UOSSM condemns today’s attacks against medical staff and civilians. The blatant disregard for international humanitarian law must stop. We call on the international community to hold those responsible accountable for war crimes and use all pressures at their disposal to come to a peaceful resolution in Syria.

*Hospital names not released to protect facilities and staff.

Media Contact:

Name: Avi D'Souza Global Director Of Communications Phone:(647) 528-5029 Email: press@uossm.org


World: Most child deaths concentrated in 10 Asian, African nations - study

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Source: Thomson Reuters Foundation
Country: Angola, Bangladesh, China, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Nigeria, Pakistan, United Republic of Tanzania, World

by Beh Lih Yi | @BehLihYi | Thomson Reuters Foundation
Friday, 11 November 2016 10:54 GMT

Three fifths of the 5.9 million children who died before their fifth birthday last year lived in just 10 countries

By Beh Lih Yi

KUALA LUMPUR, Nov 11 (Thomson Reuters Foundation) - Sixty percent of the world's 5.9 million children who died before their fifth birthday last year were in 10 countries in Asia and Africa, said a study published on Friday, prompting calls for action to reduce the mortality.

The study published in The Lancet medical journal31593-8/fulltext) said the latest data highlights the inequality in children's death among the 194 countries it studied, even though the number of under-five deaths has fallen by 4 million compared to 2010.

Of the 5.9 million deaths last year, 3.6 million happened in 10 Asian and African countries - India, Nigeria, Pakistan, the Democratic Republic of Congo, Ethiopia, China, Angola, Indonesia, Bangladesh and Tanzania.

The two leading causes were complications due to premature birth and pneumonia, according to researchers from the Johns Hopkins Bloomberg School of Public Health, the London School of Hygiene and Tropical Medicine and the World Health Organization.

The researchers said child survival has improved substantially, although countries failed to meet the U.N. Millennium Development Goal to cut the rate of under-five deaths by two-thirds between 1990 and 2015.

The rate fell by 53 percent over the period.

The slow progress to reduce newborn deaths - in the first 28 days of life - hampered the MDG target, the researchers said. Of the 5.9 million under-five deaths in 2015, 2.7 million were newborns.

"The problem is that this progress is uneven across all countries, meaning a high child death rate persists in many countries," said the study's lead author Li Liu, from the Johns Hopkins Bloomberg School of Public Health in the U.S.

"Substantial progress is needed for countries in sub-Saharan Africa and Southern Asia to achieve the child survival target of the Sustainable Development Goals," she added.

Under the Sustainable Development Goals, which replaced the MDGs last year, all countries aim to reduce under-five mortality to no more than 25 deaths per 1,000 births by 2030.

The researchers recommended breastfeeding, vaccines for pneumonia, malaria and diarrhoea, as well as improving water and sanitation to help with children's survival.

(Reporting by Beh Lih Yi @behlihyi, editing by Alisa Tang. Please credit the Thomson Reuters Foundation, the charitable arm of Thomson Reuters, that covers humanitarian news, women's rights, trafficking, property rights and climate change. Visit http://news.trust.org)

Democratic Republic of the Congo: R.D. Congo – Nord-Kivu : Note d’informations humanitaires no 21 du 09 novembre 2016

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Democratic Republic of the Congo

Ce rapport a été produit par OCHA en collaboration avec les partenaires humanitaires. Il couvre la période du 26 octobre au 09 novembre 2016.

Faits saillants

• Environ 2 800 ménages déplacés ont besoin d’une assistance dans le Territoire de Beni ;

• Près de 3 enfants sur 4 des sites des déplacés du groupement de Tongo, Territoire de Rutshuru, ne sont pas scolarisés.

Aperçu de la situation

Au cours des deux dernières semaines, l’accès humanitaire dans plusieurs localités du Territoire de Rutshuru s’est considérablement réduit du fait de l’insécurité grandissante caractérisée par plusieurs cas d’abus des droits humains notamment des enlèvements et exécutions de civils ainsi que des pillages de biens divers.

D’après les partenaires sur place, la zone de Nyanzale et ses environs, au nord-ouest de Rutshuru centre, a été affectée par une recrudescence des cas de viol, ciblant prioritairement des femmes qui se rendaient aux champs. En moyenne, 15 cas de viol sont enregistrés chaque mois dans la zone.

Cet état des choses résulte de la forte présence de groupes armés aux alentours des villages, causant ainsi la restriction des mouvements de population vers les champs, et par voie de conséquence une importante insécurité alimentaire dans les localités affectées. Il apparait donc important de plaider pour le renforcement de la protection des civils dans cette zone.

Selon des organisations locales, environ 2 500 ménages déplacés vivent actuellement sans assistance humanitaire sur l’axe Kikuku - Kanyabayonga, précisément dans les localités de Birundule, Buheri et Lusogha. Ces ménages ont fui les affrontements entre groupes armés sur l'axe Nyanzale – Kikuku – Bwalanda entre juillet et août 2016. L’évaluation multisectorielle des besoins que devait mener entre septembre et octobre le mécanisme de Réponse rapide aux mouvements de population n’a pu avoir lieu à cause du contexte sécuritaire de la zone caractérisé par la présence de groupes armés, et le risque latent d'affrontements entre ces derniers.

D’après le monitoring de protection du Haut-commissariat des Nations Unies pour les réfugiés (HCR), environ 225 ménages composés de 760 personnes de Mahanga, localité située à 38 kms à l’ouest de Masisi centre, dans le groupement Nyamaboko 1er, en Territoire de Masisi, se sont déplacés dans la nuit du 30 au 31 octobre vers les villages Kasopo et Lushali. Cette population qui avait fui des affrontements entre deux factions d’un groupe armé,plaide pour le déploiement rapide des forces de sécurité dans la zone de Mahanga, en vue de neutraliser les groupes armés et favoriser le retour des déplacés.

Besoins et réponses humanitaires

Assistance multisectorielle

• La mission d’évaluation de la situation sanitaire de Rugesti et Masambo (sud-est de Beni), menée du 31 octobre au 4 novembre par les équipes de Save the Children International (SCI), rapporte la présence de plus de 1 350 ménages déplacés arrivés dans ces deux localités entre août et octobre 2016, en provenance du nord de Beni (localités de Tenambo, Rwangoma, Oicha et Mbelu), parce que fuyant les incursions répétées suivies d’exécutions de civils par des présumés ADF.

• La même mission d’évaluation ayant conclu au caractère alarmant de la situation socio-sanitaire de Rugetsi et Masambo, du fait de la présence de déplacés et d’une sous-utilisation des services des soins, elle a recommandé une intervention d’urgence en santé en faveur de la population déplacée et autochtone. Elle recommande aussi la conduite d’un plaidoyer auprès du Cluster Eau, hygiène et assainissement (EHA) pour renforcer l’accès aux latrines, aux douches et à l’eau potable dans l’aire de santé de Masambo.

Education

• Selon l’ONG AIDES qui gère les sites de Kabizo, Kanaba, Mushababwe et Rushashi, situés à l’ouest de Rutshuru centre, dans le groupement de Tongo, seuls 2 336 enfants sont actuellement scolarisés sur les 8 150 en âge scolaire identifiés dans les quatre sites, (soit 28 %). Par ailleurs, les enfants scolarisés expriment le besoin d’une prise en charge en termes de frais et fournitures scolaires, car leurs parents sont dépourvus de moyens financiers. Les responsables des écoles situées dans les localités qui abritent ces sites estiment que le risque d’abandon scolaire par ces enfants est très élevé si aucune assistance ne leur est fournie.

Santé

• Selon une évaluation sanitaire de Save the Children International (SCI) du 28 au 31 octobre près de 1 500 ménages déplacés se trouvent sur l’axe Kasindi - Lubirihya, au sud-est de Beni., Ces ménages sont arrivés entre août et d’octobre, en provenance des quartiers périphériques de la ville de Beni, des localités de Kokola, Eringeti et autres situées au nord de Beni, pour échapper aux incursions suivies d’exécutions de civils perpétrées par des présumés ADF. Au terme de sa mission, SCI a recommandé une intervention santé en urgence en faveur de ces personnes vulnérables.

Guatemala: Guatemala: Food Insecurity and Drought Appeal no. MDRGT009, Operation Update no. 2

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Source: International Federation of Red Cross And Red Crescent Societies
Country: Guatemala

Summary:

According to the Food Security Outlook Update - August 2016 published by the Famine Early Warning Systems Network (FEWSNET), rainfall is expected to increase, resulting in near-average national harvests for the Primera and Postrera seasons. There are reports of localized damages to staple crops in low-lying areas of the dry corridor, in both the east and the west, due to the erratic distribution of rainfall and cumulative rainfall deficits for the season; however, the damage is less severe than last year.

The poorest households in the Western Temperate Highlands are expected to remain in Crisis (IPC Phase 3) until October 2016, when income-generating opportunities will improve seasonally; The status of these households will be upgraded to “Stressed” (IPC Phase 2) until at least January 2017, when they will have food reserves from their December 2016 harvests at their disposal.

A.2 Summary of measures taken by the National Society

Through the Emergency Public Health Programme, the Guatemalan Red Cross (GRC) conducted a rapid assessment in September 2016 of the food insecurity situation in municipalities in southern El Quiché, Chichicastenango, Chiché and Patzité. To this end, departmental and municipal Ministry of Health authorities were contacted, including those responsible for service provision, nutritional and food security, and water and sanitation. Meetings and field visits were coordinated with local leaders to assess the situation of corn crops, water sources, livelihoods, health, child feeding practices, agricultural practices, subsistence strategies, presence of organizations and community organizing actions.

The collected information allowed for the implementation of a Disaster Relief Emergency Fund (DREF) in December 2015 in three communities in the municipality of Patzité and five communities in the municipality of Chiché. To date, 991 food rations have been distributed using the Mega V system, and eight Nutritional Surveillance Committees have been formed and trained; these are made up of 69 community volunteers, who have provided nutrition-related training to 653 mothers of children less than five years of age.

In order to ensure the quality of the response, a communication mechanism with beneficiaries was established. It consisted in the creation of the “communication box”. The local technicians and volunteers in charge, established a monthly visit to the communities to collect the comments, where every beneficiary had the opportunity to express their concerns and satisfactions in written. The Red Cross revised sporadically the box and took immediate actions when it was necessary

Haiti: Haiti: Hurricane Matthew - Situation Report No. 21 (11 November 2016)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Haiti

This report is produced by OCHA in collaboration with humanitarian partners. It was issued by the Hurricane Matthew Emergency Response Team and covers the period from 9 to 11 November 2016. The next report will be issued on 15 November. Sign up to receive reports of the Emergency Response Team: http://eepurl.com/Kyey5.

For an interactive 3W: https://data.humdata.org/organization/ocha-haiti For detailed sectoral 3Ws: https://goo.gl/Xc9Gn

Main Points

• Displaced families temporarily sheltered in schools have come under increased pressure by local authorities to vacate the premises to allow for the resumption of schooling. Two schools were emptied in Les Cayes.

• The cholera vaccination campaign targeting 820,000 people in 16 communes in Grand’Anse and Sud started on 8 November and will last for a week.

• Some 465,565 people have received food assistance since the hurricane stroke, equating to 58 per cent of the 806,000 who are at extreme food insecurity.

• An increase in malaria suspected cases has been observed over the last few days in Les Cayes, Les Anglais, Port-à-Piment and PortSalut, Abricots, Jérémie, Roseaux, Anse d’Hainault, Dame Marie, and Corail.

1.4 million
People need assistance
Source: Government and UN

436,322
Boys and girls affected (ages 15 to 24)
Source: UNFPA

894,057
Children affected
Source: Government and UN

5,840
Cholera cases suspected (up to 5 November)
Source: Government and UN

Situation Overview

Hurricane Matthew has displaced an estimated 175,509 people, most of whom are now living in some 307 temporary shelters, including 86 schools. Education has been disrupted as a result. UNICEF estimates 150,000 children are out of school either because they are displaced themselves or because their schools have been destroyed, damaged, or are occupied by other displaced families.

This week, both students and their parents have increasingly voiced their anger that children, whose schools are used for shelter, might fall behind or even lose an academic year. Demonstrations took place in Les Cayes and Jérémie. In addition, some schools had been scheduled to be used as polling stations for the upcoming 20 November elections, putting pressure on authorities to accelerate returns.
Local authorities in Les Cayes took steps to start emptying three schools. Reports of evictions in other towns could not be confirmed.

Humanitarian partners have agreed that, where feasible, assistance should be distributed in areas and communities of return rather than at the temporary shelters.

There are serious protection concerns as some highly vulnerable people – due to their age, gender, disability, sexual orientation, or a combination of factors – have been identified in some of the schools. The vulnerable people also include separated and unaccompanied children, single mothers, or singleheaded households, pregnant or lactating women and girls, families at risk of separation, and people with chronic illnesses. Psychosocial distress and lack of privacy in these temporary shelters, which are often overcrowded and lack electricity, water, sanitation, and hygiene, create a situation in which girls and boys face exploitation, abuse, aggression, and sexual and gender based violence (SGBV).

According to IOM figures on the shelters and displacements assessed so far, an estimated 78 per cent of the displaced people owned their home while 22 per cent were tenants before they were affected by the hurricane. Some 52 per cent of the people stated that their homes were entirely destroyed, 38 per cent severed damaged, and 9 per cent somewhat damaged.

In a very short time, Hurricane Matthew also doubled the number of suspected cholera cases in Haiti. According to WHO/PAHO, the figure increased from 2,377 in September to a staggering 4,985 cases by October, and 5,840 by 5 November. The deterioration has been felt more strongly in the departments of Grand’Anse and Sud, where the hurricane hit the hardest. This change represents a drastic jump from 100 cases per month in the first nine months of 2016 to more than 1,200 cases in October. Partners specialized in rapid response to cholera, however, remain optimistic and are working hard to contain the outbreak. To this effect, a cholera vaccination campaign was launched on 08 November by the Ministry of Public Health in les Cayes and Jérémie, with support from humanitarian partners. By mid-November, over 820,000 people will be vaccinated throughout 16 communes in Grand’Anse and Sud.

The delivery of humanitarian assistance continues to be met with tension, either during distribution or in areas that are yet to receive assistance. Looting of trucks transporting humanitarian supplies has been frequent. Tensions could be exacerbated in the run up to the upcoming elections as the delivery of assistance is expected to slow down. This is due to the anticipated reassignment of security forces from escorting humanitarian convoys to securing polling stations.

Syrian Arab Republic: The Siege and Bombing of Eastern Aleppo is Deepening a Desperate Health Crisis

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Source: Médecins Sans Frontières
Country: Syrian Arab Republic

By Pablo Marco, Doctors Without Borders/Médecins Sans Frontières (MSF) Middle East Operations Manager

A humanitarian tragedy is unfolding while the world watches and does nothing. Months of siege and the indiscriminate bombing by the Syrian government and its allies have left the population of eastern Aleppo in desperate straits and its health system in tatters.

There is no way out for the 250,000 people there. Meanwhile, food and medical supplies cannot get in. MSF has been providing medical supplies, drugs, and lifesaving surgical kits to eight hospitals in eastern Aleppo since 2014, sending in trucks every three months. Our teams last succeeded in getting some items through in August, during a brief period when the siege was broken by the opposition.

In the meantime, all eight hospitals have been bombed, one up to six times. Altogether they have been hit 27 times, forcing all work to halt on occasion. Staff are doing all they can to keep going.

But they are overwhelmed: no more than 32 doctors are thought to be left.

These medics work around the clock to help. In the recent period of intense airstrikes, between September 22 and October 19, more than 2,100 people were wounded, including 436 children. Patients die because there are not enough operating theaters and doctors.

Often the wounded are unable to reach a hospital in time. At least six ambulances have been targeted, some destroyed. Spare parts don’t get through. Medical supplies, fuel for generators, drinking water, and almost every other essential are running low.

The medical consequences of living in this environment are deeply shocking. The doctors we support are concerned about a potential increase in malnutrition in young children and in water-borne diseases. Some mothers are too weak to breastfeed, and a lack of formula milk and other basics is leading to preventable deaths. Routine vaccinations are suspended. All this is a big threat to the most vulnerable, including children, pregnant women, and patients with chronic diseases.

What is needed is an end to all indiscriminate airstrikes on civilian areas, respect for medical facilities and patients, and an end to the crippling siege.

The seriously injured or ill must be evacuated to safe areas for treatment. Medical supplies and humanitarian aid must be allowed in, and respite given to a city falling apart day by day, hour by hour, and minute by minute.

occupied Palestinian territory: QRCS to Launch New $224,000 Medical Project in Gaza [EN/AR]

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Source: Qatar Red Crescent Society
Country: occupied Palestinian territory

November 12 th , 2016 ― Doha: Qatar Red Crescent Society (QRCS) has lately signed a memorandum of understanding (MoU) with the Ard El-Insan Palestinian Benevolent Association in Gaza to launch a new project for phenylketonuria (PKU) patients in Gaza, with $224,000 funding from QRCS.

Following the signing ceremony, Dr. Akram Nassar, Head of QRCS Mission in Gaza stated that the seven-month project will help improve the health conditions and mental abilities of PKU children.

He commended the role of the Ard El-Insan Palestinian Benevolent Association, as an organization specialized in the treatment of metabolic disorders, including nutrition disorders, gastrointestinal diseases, and micronutrient deficiency.

Dr. Adnan Al-Wahaidi, Executive Director of the Ard El-Insan Palestinian Benevolent Association, described the project as crucial for PKU patients, who are among Gaza's most deserving patients.

According to him, the project involves an awareness program about the nature and risks of such diseases, to promote medical knowledge of rare and genetic diseases among Gaza's 80 cases and their families.

"The project will focus on providing phenylalanine-free infant formula for young phenylketonurics on a monthly basis. This will help better prevent the disorders resulting from high phenylalanine intake in children. Furthermore, we will hold weekly advising sessions for the families and make regular home visits for follow-up," revealed Dr. Al-Wahaidi.

QRCS has already funded a series of health projects, with a budget exceeding QR 8.3 million, to develop the health care sector in Palestine. These interventions include the equipment of specialist labs at medical education institutions; enhancement of cystoscopy services at Gaza hospitals; support of the Health Emergency, Disaster, and Crisis Management Center; and other major projects.

Phenylketonuria is an inborn error of metabolism that results in decreased metabolism of the amino acid phenylalanine. Untreated PKU can lead to intellectual disability, seizures, behavioral problems, and mental disorder. Babies born to mothers who have poorly treated PKU may have heart problems, a small head, and low birth weight.

Democratic Republic of the Congo: République Démocratique du Congo : Haut-Lomami, Haut-Katanga et Lualaba, Note d’informations humanitaires du 11 novembre 2016

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Democratic Republic of the Congo

Faits saillants

• L’épidémie de choléra à Kilwa s’enlise : L’ONG ALIMA appuie la zone de santé

• Plus de 29 000 déplacés et retournés du Groupement Butumba ont urgemment besoin d’assistance humanitaire

Contexte général

Plus de la moitié des 29 100 personnes déplacées qui ont fui les 17 et 18 octobre 2016, les attaques des plusieurs villages par des Mayi Mayi en Territoire de Bukama (Haut-Lomami), sont retournées chez elles. Les conditions des vies difficiles ont motivé leur retour. D’autres déplacés hésitent encore à rentrer à cause des incendies de leurs habitations. Selon la récente mission d’évaluation rapide du 24 au 29 octobre 2016 effectuée par l’ONG Action mieux être (AME), une centaine d’habitations ont été brulées dans les villages Katala et Kitobongo, laissant de nombreuses familles des sans-abris. La mission indique aussi que les personnes déplacées internes et retournées ont urgemment besoin de vivres, d’articles ménagers essentiels et d’abris.


Haiti: #Matthew/Haïti: la campagne de vaccination contre le choléra est sur la bonne voie

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Source: UN Radio
Country: Haiti

Écouter / Télécharger

Le Ministère de la santé et de la population d’Haïti mobilise un contingent important de superviseurs nationaux, d’infirmières, de travailleurs de la santé et de crieurs ou « crieurs » pour vacciner quelque 800.000 personnes vivant dans 16 communes des départements du Sud et de Grand’Anse, les zones les plus touchées par l’ouragan Matthew il y a un mois.

La campagne, soutenue par l’Organisation panaméricaine de la santé/Organisation mondiale de la santé (OPS/OMS) et d’autres partenaires, a débuté cette semaine et se poursuivra jusqu’au 14 novembre.

L’objectif est de réduire la morbidité et la mortalité causées par le choléra ainsi que de prévenir la propagation de la maladie dans d’autres départements du pays.

Pour assurer une protection collective, chaque personne de plus d’un an vivant dans les 16 communes qui font partie de la campagne recevra une dose du vaccin contre le choléra.

Selon les experts, ce seul vaccin évitera entre 60% et 70% des cas graves de choléra.

Dans le cadre de cette campagne de vaccination, l’OPS / OMS a mobilisé un groupe d’épidémiologistes et d’experts en immunisation pour fournir un appui technique à la campagne.

Les vaccins fournis par l’alliance GAVI sont déjà sur place, et le Corps médical international (IMC), l’UNICEF et d’autres partenaires de vaccination ont préparé les composantes pour la campagne.

Il s’agit notamment de la préservation de la chaîne du froid pour maintenir les vaccins puissants, une mobilisation sociale et un soutien logistique aux brigades de vaccination.

La ministre de la Santé d’Haïti, Daphnée Benoit Delsoin, a souligné que «la vaccination est un outil de lutte contre le choléra, c’est une mesure supplémentaire pour éliminer le choléra en Haïti».

Elle a lancé la campagne aux Cayes et a appliqué première dose du vaccin oral contre le choléra, en présence des autorités locales telles que le maire, le député de la région, le représentant du président au niveau local.

“La vaccination est complémentaire à d’autres mesures préventives”, a déclaré Jean Luc Poncelet, représentant de l’OPS / OMS en Haïti, lors du lancement de la campagne.

Selon lui chaque personne doit être un chef de file dans la lutte contre le choléra, notamment en matière de chloration quotidienne de l’eau à domicile, la consommation d’eau potable, la réhydratation en cas de diarrhée et la recherche de traitements. Aussi, pour éviter les décès, il existe des services de santé qui fonctionnent et sont disponibles.

Depuis que l’ouragan Matthew a frappé Haïti le 4 octobre dernier, il y a eu une augmentation significative des cas suspects de choléra et de décès dans plusieurs localités des départements de Sud et Grand’Anse.

Au-delà de la campagne de vaccination, les autorités nationales ont fortement insisté sur l’importance de fournir de l’eau potable et demandent constamment à la population de pratiquer des mesures d’hygiène des mains et de lavage des aliments avant la consommation.

Le contrôle de l’épidémie de choléra en Haïti fait encore face à de multiples défis. Pour cette raison, le gouvernement et les organisations humanitaires, y compris l’OPS / OMS, appellent la communauté internationale à continuer leurs contributions pour sauver des vies en Haïti.

(Interview: Jean-Luc Poncelet, Représentant de l'OPS/OMS Haïti; propos recueillis par Cristina Silveiro)

World: Le vaccin contre la rougeole a permis de sauver plus de 20 millions de vies mais des centaines d’enfants meurent encore chaque jour

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Source: World Health Organization, Centers for Disease Control and Prevention, UN Children's Fund, GAVI Alliance
Country: Democratic Republic of the Congo, Egypt, Ethiopia, Nigeria, Pakistan, Somalia, South Sudan, World

Communiqué de presse conjoint CDC/GAVI/UNICEF/OMS

10 novembre 2016 | NEW YORK/ATLANTA/GENÈVE - Malgré une baisse de 79% des décès dus à la rougeole dans le monde entre 2000 et 2015, près de 400 enfants meurent encore chaque jour de cette maladie, ont déclaré les principales organisations œuvrant dans le secteur de la santé dans un rapport publié aujourd’hui.

«L’élimination de la rougeole n’est pas une mission impossible», a déclaré Robin Nandy, responsable de la vaccination à l’UNICEF. «Nous avons les outils et les connaissances pour y parvenir; mais il nous manque la volonté politique pour atteindre chaque enfant, même s’ils se trouvent dans des zones éloignées. Sans cet engagement, des enfants continueront de mourir d’une maladie que l’on peut prévenir aisément et de façon peu coûteuse.»

Selon les estimations, des campagnes de vaccination antirougeoleuse de masse ainsi qu’une augmentation mondiale de la couverture par la vaccination antirougeoleuse systématique ont permis de sauver 20,3 millions de jeunes enfants entre 2000 et 2015, selon l’UNICEF, l’Organisation mondiale de la Santé (OMS), l’Alliance GAVI, et les Centers for Disease Control and Prevention (CDC) des États-Unis d’Amérique.

Toutefois, les progrès ont été inégaux. En 2015, 20 millions de nourrissons n’ont pas été vaccinés contre la rougeole et on estime que 134 000 enfants sont morts de cette maladie. La République démocratique du Congo, l’Éthiopie, l’Inde, l’Indonésie, le Nigéria et le Pakistan concentrent la moitié des nourrissons non vaccinés et 75 % des décès dus à la rougeole.

«Il est inacceptable que chaque année des millions d’enfants ne soient pas vaccinés. Nous disposons d’un vaccin sûr et hautement efficace pour mettre un terme à la propagation de la rougeole et sauver des vies», a indiqué le Dr Jean-Marie Okwo-Bele, Directeur du Département Vaccination, vaccins et produits biologiques à l’OMS. «Cette année, la Région des Amériques a été déclarée exempte de rougeole, prouvant ainsi que l’élimination de la maladie est possible. Nous devons désormais éliminer la rougeole dans le reste du monde et cela commence par la vaccination.»

«La rougeole est un indicateur clé de la solidité des systèmes de vaccination d’un pays et bien trop souvent, cette maladie devient une sorte de sentinelle, les flambées étant le premier avertissement de problèmes plus profonds», a déclaré le Dr Seth Berkley, Président de l’Alliance GAVI. «Pour lutter contre l’une des maladies évitables par la vaccination les plus meurtrières qui touchent les enfants, nous avons besoin d’un fort engagement des pays et des partenaires afin de renforcer la couverture par la vaccination systématique ainsi que les systèmes de surveillance.»

La rougeole, maladie virale extrêmement contagieuse qui se propage par contact direct ou par l’air est l’une des principales causes de mortalité chez les jeunes enfants à l’échelle mondiale. Il est possible de prévenir la rougeole par l’administration de deux doses d’un vaccin sûr et efficace.

Dans nombre de pays, les flambées de rougeole, causées par des lacunes dans la vaccination systématique et dans les campagnes de vaccination de masse, continuent de poser de graves problèmes. En 2015, de grandes flambées épidémiques ont été signalées en Égypte, en Éthiopie, en Allemagne, au Kirghizistan et en Mongolie. Les flambées survenues en Allemagne et en Mongolie ont touché des personnes plus âgées, mettant en évidence la nécessité de vacciner les adolescents et les jeunes adultes qui n’ont pas de protection contre la rougeole.

La tendance observée concernant la rougeole est celle d’une résurgence de la maladie dans les pays en conflit ou en situation d’urgence humanitaire du fait des difficultés à vacciner tous les enfants. L’année dernière, des flambées ont été signalées au Nigéria, en Somalie et au Soudan du Sud.

Measles elimination in 4 of 6 WHO regions is the global target at the midpoint of the Global Vaccine Action Plan L’élimination de la rougeole dans quatre des six Régions de l’OMS représente la cible mondiale à mi-parcours de la mise en œuvre du Plan d’action mondial pour les vaccins. «Le monde n’a pas réussi à atteindre cette cible mais nous pouvons parvenir à l’élimination de la rougeole comme nous avons pu le constater dans la Région des Amériques», a indiqué le Dr. Rebecca Martin, Directeur du Center for Global Health, CDC.

«Comme le dit l’adage africain: «il faut un village pour élever un enfant» et il faut ce même village, à l’échelle locale et mondiale, pour protéger les enfants contre la rougeole. Nous pouvons éliminer la rougeole des pays et chacun doit jouer un rôle.

Note aux rédactions

Le Plan d’action mondial pour les vaccins adopté en 2012 par l’Assemblée mondiale de la Santé fixait un objectif consistant à éliminer la rougeole dans quatre régions d’ici 2015. Du fait de l’incapacité de combler les lacunes en matière de couverture vaccinale, l’objectif n’a pas été atteint.

Depuis 2000, quelque 1,8 milliards d’enfants ont été vaccinés contre la rougeole grâce à des campagnes de vaccination antirougeoleuse de masse, avec l’appui de l’UNICEF, membre fondateur de l’Initiative contre la rougeole et la rubéole lancée en 2001 avec l’American Red Cross, la Fondation des Nations Unies, les Centers for Disease Control and Prevention, l’UNICEF et l’Organisation mondiale de la Santé.

L’Alliance GAVI a prévu dans ses programmes près de 1 milliard de dollars (US $) pour la période 2016-2010 afin d’aider les pays en développement à aborder le problème de la rougeole d’une manière globale ce qui contribuera à sauver plus d’un million de vies.

Les dernières données de mortalité par rougeole sont publiées dans le Relevé épidémiologique hebdomadaire de l’OMS et dans le Morbidity and Mortality Weekly Report des Centers for Disease Control and Prevention.

À propos de l’UNICEF

L’UNICEF promeut les droits et le bien-être de chaque enfant, dans toutes ses activités. L’UNICEF œuvre dans 190 pays et territoires du monde entier avec ses partenaires pour faire de cet engagement une réalité, avec un effort particulier pour atteindre les enfants les plus vulnérables et marginalisés, dans l’intérêt de tous les enfants, où qu’ils soient.

À propos de l'OMS

L’OMS est l’autorité directrice et coordonnatrice, dans le domaine de la santé, au sein du système des Nations Unies. Elle est chargée de diriger l’action sanitaire mondiale, de définir les programmes de recherche en santé, de fixer des normes et des critères, de présenter des options politiques fondées sur des données probantes, de fournir un soutien technique aux pays et de suivre et d’apprécier les tendances en matière de santé publique et d’améliorer la sécurité sanitaire mondiale.

À propos de l’Alliance GAVI

L’Alliance GAVI est un partenariat public-privé unique dans le domaine de la santé œuvrant pour sauver la vie des enfants et protéger la santé de la population en élargissant l’accès à la vaccination dans les pays en développement. L’Alliance réunit les pays en développement et les gouvernements donateurs, l’Organisation mondiale de la Santé, l’UNICEF, la Banque mondiale, l’industrie des vaccins, les instituts de recherche, la société civile, la Fondation Bill & Melinda Gates et d’autres partenaires privés.

L’Alliance GAVI utilise des mécanismes de financement novateurs, y compris le cofinancement par les pays bénéficiaires, afin d’assurer un financement durable et la fourniture adaptée de vaccins de qualité. Depuis l’an 2000, l’Alliance GAVI a financé la vaccination de 580 millions d’enfants et évité plus de 8 millions de décès prématurés. Une liste complète des bailleurs de fonds de l’Alliance GAVI est disponible ici. Pour en savoir plus, veuillez consulterwww.gavialliance.org et rejoignez-nous sur Facebook et Twitter.

À propos des Centers for Disease Control and Prevention des États-Unis d’Amérique

Le Center for Global Health des CDC assure la coordination et la gestion des ressources et de l’expertise de l’agence pour faire face à des problèmes mondiaux tels que le VIH/sida, le paludisme, la santé des réfugiés et la santé dans les situations d’urgence, les maladies non transmissibles, les traumatismes ainsi que d’autres affections.

Pour plus d’informations, veuillez prendre contact avec:

Najwa Mekki UNICEF New York Téléphone: +1 917 209 1804 Courriel: nmekki@unicef.org

Christian Lindmeier OMS Genève Téléphone: +41 22 791 1948 Courriel: lindmeierch@who.int

Frédérique Tissandier Gavi, the Vaccine Alliance Téléphone: +41 22 909 29 68 Courriel:ftissandier@gavi.org

Belen Moran Centers for Disease Control and Prevention Téléphone: +1 470 240 8906 Courriel: mmoran@cdc.gov

United Republic of Tanzania: Amref Health Africa in Tanzania Raises US$ 133,041 in Charity Walk to Train Midwives

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Source: Amref Health Africa
Country: United Republic of Tanzania

On a bright sunny morning of November 5, 2016, the Vice President (VP) of The United Republic of Tanzania, Mama Samia Suluhu Hassan led hundreds of enthusiastic Dar es Salaam residents in Amref’s Stand up for African Mothers (SU4AM) fundraising charity walk. The primary objective of the walk was to raise funds for the development of nurse midwives’ efficiency in service delivery by providing them with training and certification.

By the end of the walk, a total of Tsh.290m/- (US$ 133041) was collected from individuals, general public, various development stakeholders, private sector and corporate including Bank M who was the main sponsor of the event. The amount raised will go towards the training of nurses and midwives to provide efficient, modern and quality care to mothers and children in Tanzania.

Mama Samia completed the walk of 4.3 km which started at the Green Ground area in Oysterbay and in her gracing speech after the walk, she started by appreciating Amref Health Africa’s effort in supporting local communities through various health related interventions, including sponsoring education for children from underprivileged families, particularly training on midwifery certificate.

In a speech made before the walk at Green Ground, Oysterbay, Mama Samia affirmed her gratitude for Amref Health Africa in Tanzania’s effort in supporting local communities through various health related projects, including sponsoring education for children from underprivileged families, particularly on midwifery courses.

Addressing the participants who turned up for the charity walk, Mama Samia also called upon the private sector to continue collaborating with the government in the provision of health services in order to attain its ultimate goal of reducing maternal and child mortality rates in Tanzania.

On her part, the Minister for Community Development, Gender, Elders and Children, Ms Ummy Mwalimu, who also graced the event, commended Amref Health Africa in Tanzania for its continued effort towards the reduction of maternal deaths in Tanzania, by extending their support to training nurses and midwives who are key participants of the initiative. "The government is determined to reduce the number of maternal and child mortality rates in Tanzania by allocating enough budget for the health sector” she concluded.

Sierra Leone: Addressing the Biosecurity Governance Challenges Posed by the Ebola Epidemic

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Source: Geneva Centre for Security Policy
Country: Guinea, Liberia, Sierra Leone

On 10 November 2016, as a side event to the 8th Review Conference of the Biological and Toxin Weapon Convention (BWTC), the GCSP co-organised a panel discussion jointly with VERTIC and the Global Emerging Pathogens Treatment (GET) Consortium with the support of the UK Government and the International Law and Policy Institute (ILPI).

The topic was "Adressing the Biosecurity Governance: Challenges Posed by the Ebola Epidemic". The event was chaired by Dr Lorna Miller (UK Delegation).

Dr Akin Abayomi, Professor in the Department of Pathology in the Faculty of Medicine and Health Sciences at the University of Stellenbosch, South Africa, explained how the Ebola-stricken region was previously affected by poverty, insufficient infrastructure, failing governance and conflict, which contributed to the rapid spread of the disease. As part of the response, largely by international actors, some 300,000 samples were collected, some of which are still not accounted for. This major risk required the introduction of guidelines and accountability, especially in view of attempts by non-state armed groups to seek access to pathogens for use as weapons. The Bio-banking and Biosecurity Gap Project, supported by the GET Consortium, helped secure samples, develop adequate legislation, and establish national repositories.

Mr Scott Spence, Programme Director, VERTIC, London (also GCSP Associate Fellow), recalled the activities carried out by his organization to strengthen global capacity to implement the International Health Regulations and the BWTC, introduce biosecurity and biosafety legislation and regulations, and contribute to the prevention of unauthorized use of biological agents. In the Ebola-stricken region, in particular in Sierra Leone, this included analysis of legislative gaps, the drafting of a model law, including detailed provisions on storage, transport, transfer controls, brokering, and disposal of dangerous pathogens and toxins.

Mr Marc Finaud, Senior Programme Advisor, GCSP, recalled the book published by GCSP in 2008: “Global Biosecurity: Towards a New Governance Paradigm”. He outlined the recommendations then proposed but still relevant, in particular on the need for a multi-stakeholder, multi-disciplinary, and multilateral approach of biosecurity, taking into account the whole spectrum of the biorisk (from natural outbreaks to accidental release and deliberate, hostile use of pathogens). He pointed to the Sustainable Development Goals (SDGs) as a new framework for guidance: indeed if all states strengthened their preparedness and capacity to respond effectively to naturally occurring diseases, this would make deliberate use of pathogens less attractive to potential perpetrators.

World: A Practical Guide to Implementation Research on Health Systems

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Source: Institute of Development Studies
Country: World

Lucas, H and Zwarenstein, M

ReportPublisher Future Health Systems

View this publication

This is an open access resource targeted primarily at post-graduate students intending to undertake field research on health systems interventions in resource-poor environments.

The book consists of twelve chapters addressing theory, methodology, analysis, and influencing policy. Each consists of both original text and links to relevant, open access, web-based journal and multi-media materials, including selected case studies.

Uganda: Government intensifies efforts in the fight against Hepatitis B

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Source: Government of Uganda
Country: Uganda

Dokolo – 07 November - Uganda is one of the most affected countries by Hepatitis B – a disease of significant public health importance. The Government is implementing a national Hepatitis B programme as part of this effort and service provider guidelines are now being disseminated in the districts.

This year, the national celebrations for World Hepatitis Day were held under the theme “Know Hepatitis, Act Now” in Dokolo district. This theme involves knowing ones status by getting tested, seeking vaccination as prevention and treatment for those positives who fit the elibility criteria.

The district was identified among the 39 high burden districts of Hepatitis prevalence according to a 2005 sero-survey report. The 39 high burden districts are: Adjumani, Arua, Maracha, Moyo, Koboko, Nebbi, Yumbe, Zombo, Gulu, Amuru, Nwoya, Kitgum, Lamwo, Agago, Pader, Lira, Oyam, Kole, Otuke, Aleptong, Amolatar, Lira, Apac, Dokolo, Soroti, Serere, Amuria, Kumi, Bukedea, Ngora, Katakwi, Moroto, Abim, Kotido, Kaabong, Nakapiripirit, Amudat, Napak and Tororo.

Dokolo was chosen against the background that the Hepatitis B prevalence rate stands at 7.12% compared to HIV/AIDS which stands at 3.5 percent. The district has therefore been prioritized for the first phase of hepatitis vaccination.

It is noted that the regions of Karamoja, West Nile, Northern Uganda and Lango have the highest active infection rates of up to 32 percent which has led to Government intensifying efforts to reduce Hepatitis B prevalence.

Addressing the gathering, Guest of Honor, Minister for Health, Hon. Dr. Jane Ruth Aceng urged the public to take action and acquire knowledge about the disease and go for regular screening and vaccination.

Hon. Aceng also stressed that one should avoid risky sexual behavior as this is a risk factor for Hepatitis B. “Government health facilities provide Hepatitis B vaccination as per the schedule of the three doses and this is free of charge. Endeavor to be screened and vaccinated” she urged the public.

In a bid to intensify efforts towards the fight against Hepatitis, Government has adopted several interventions such as community awareness, mass screening, vaccination of susceptible populations, ensuring full supply of Hepatitis B vaccines and related commodities and supplies, equipping health workers with knowledge and skills on the subject, integration of services and resource mobilization.

Iraq: Japanese emergency grant aid for displaced Iraqis and returnees encourages peace-building, conflict resolution in Iraq [EN/AR]

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Source: UN High Commissioner for Refugees
Country: Iraq, Japan

PLACE: Baghdad, Iraq

Tens of thousands of Iraqis have been-newly displaced as a result of the current military offensive in Mosul. But even greater numbers of Iraqis, displaced since May as a result of conflict in Anbar Governorate, continue to live in very difficult conditions, unable to return home.

Many families have experienced multiple displacements. Continued insecurity, along with the destruction of homes and infrastructure, the high risk of death or injury as a result of explosive remnants of war, and lack of basic essential services, have been key obstacles preventing large-scale returns.

Thanks to generous support from the Government of Japan amounting to US$ 3 million, UNHCR, the UN refugee agency initiated timely projects to provide protection, legal and psychosocial support to displaced Iraqis in Anbar, as well as encouraging peace-building in communities. The Conflict Resolution and Resilience Building (C2RB) pilot project will assess the needs of displaced communities and encourage conflict-resolution. The initiative is taking place in camps, in out-of-camp areas as well as towns and villages where some people have begun returning home in Anbar Governorate, where more than a quarter of a million people have been displaced – including 85,000 who were displaced this year from Falluja and surrounding areas.

“Iraq has undergone multiple conflicts, leaving many people highly traumatised. We wanted to support to this important project to help kick-start efforts to re-build broken communities so that people can work for a better future”, said His Excellency Mr Fumio Iwai, Ambassador of Japan to Iraq.

“We hope this important initiative, generously supported by the Government of Japan, will be a starting point to bring together traumatised and divided communities and help to rebuild trust among them”, said Bruno Geddo, UNHCR’s Representative in Iraq.

“Communities have been torn apart as people have been exposed to extreme violence, forced or pressured to return home in some instances. The goal is for the project to create a nurturing environment and build better relations among families and communities who have undergone displacement and difficult conditions”, he added.

After several months of preparations, formal training of trainers begins next week on conflict resolution and peace building which will also benefit field monitors who will collect data. The trained staff will then begin holding training sessions with displaced and host communities until the end of the year.

UNHCR, also with emergency grant aid from the Government of Japan, has expanded its protection-monitoring capacity in camps and urban areas to reach 85,000 Iraqis who have been displaced by conflict in Falluja and surrounding areas. Through this work, households at risk and in need of specific assistance are identified and supported.

In addition, individual psychosocial support packages are being provided to 15,000 children and youth in the form of art therapy and recreational material. UNHCR is also preparing to distribute 15,000 hygiene kits, specifically designed for women and girls in Anbar.

Protection teams are also providing legal assistance for displaced families through documentation support and legal interventions. Replacing lost or damaged documentation is key in ensuring protection from arrest and detention and allowing freedom of movement, especially for young men and boys who face restrictions resulting from the complex security environment.

ends

For more information please contact:

Caroline Gluck gluck@unhcr.org +964 780 920 7286

Reem Suwaed suwaed@unhcr.org +964 780 195 8468


Syrian Arab Republic: The Siege and Bombing of Eastern Aleppo is Deepening a Desperate Health Crisis

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Source: Médecins Sans Frontières
Country: Syrian Arab Republic

November 11, 2016

By Pablo Marco, Doctors Without Borders/Médecins Sans Frontières (MSF) Middle East Operations Manager

A humanitarian tragedy is unfolding while the world watches and does nothing. Months of siege and the indiscriminate bombing by the Syrian government and its allies have left the population of eastern Aleppo in desperate straits and its health system in tatters.

There is no way out for the 250,000 people there. Meanwhile, food and medical supplies cannot get in. MSF has been providing medical supplies, drugs, and lifesaving surgical kits to eight hospitals in eastern Aleppo since 2014, sending in trucks every three months. Our teams last succeeded in getting some items through in August, during a brief period when the siege was broken by the opposition.

In the meantime, all eight hospitals have been bombed, one up to six times. Altogether they have been hit 27 times, forcing all work to halt on occasion. Staff are doing all they can to keep going.

But they are overwhelmed: no more than 32 doctors are thought to be left.

These medics work around the clock to help. In the recent period of intense airstrikes, between September 22 and October 19, more than 2,100 people were wounded, including 436 children. Patients die because there are not enough operating theaters and doctors.

Often the wounded are unable to reach a hospital in time. At least six ambulances have been targeted, some destroyed. Spare parts don’t get through. Medical supplies, fuel for generators, drinking water, and almost every other essential are running low.

The medical consequences of living in this environment are deeply shocking. The doctors we support are concerned about a potential increase in malnutrition in young children and in water-borne diseases. Some mothers are too weak to breastfeed, and a lack of formula milk and other basics is leading to preventable deaths. Routine vaccinations are suspended. All this is a big threat to the most vulnerable, including children, pregnant women, and patients with chronic diseases.

What is needed is an end to all indiscriminate airstrikes on civilian areas, respect for medical facilities and patients, and an end to the crippling siege.

The seriously injured or ill must be evacuated to safe areas for treatment. Medical supplies and humanitarian aid must be allowed in, and respite given to a city falling apart day by day, hour by hour, and minute by minute.

Iraq: The Iraqi Red Crescent: Increasing in the numbers of displaced people to more than 30 thousand displaced since the events of Nineveh till now

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Source: Iraqi Red Crescent Society
Country: Iraq

The Iraqi Red Crescent Society (IRCS) has announced increasing in the numbers of displaced people from Mosul to more than 30 thousand displaced since the events of Nineveh on the seventeenth of October until now .

The IRCS has reported that the displaced people have been sheltered at Al-khazer and Hasan Al-Sham camps, these two camps shelters (21912) displaced people, while Jada`a camp at Qayarah shelters (6245) displaced, also Zulaykan camp at Al-Shekhan district shelters (2330) person .

The statement has noted that the IRCS relief teams have distributed during this period more than 23 thousand hot meal and 30 thousand food parcels, where the IRCS volunteers have distributed more than 2000 hot meal, adding to distribute fireplaces and cooking equipment for all families in Hasan Al-Sham and Al-khazer camps .

At the same time, The IRCS health teams have provided first aid and psychosocial support lectures, adding to treat the emergency cases and transported it to the hospitals .

Peru: Pedirán declaratoria de emergencia por erupción del volcán Sabancaya

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Source: Redhum
Country: Peru

Perú, 12 de Noviembre 2016
Fuente: La República - PE

Constantes explosiones que botan cenizas producen conjuntivitis, IRAs y EDAs en niños y ancianos. Cultivos y animales en riesgo por el manto blanco.

Rony Gonzáles tiene cinco añitos. No sabe por qué tiene una mascarilla que le cubre la boca y nariz. Su mamá fue la que le ordenó ponerse el tapaboca.

Aunque en el colegio le han explicado que las cenizas del "Apu" Sabancaya le pueden hacer daño, aún no comprende qué es ese "polvo", como él lo llama, que escupe incesante el coloso por su boca.

Rony vive en Achoma, uno de los distritos más cercanos al Sabancaya, que inició su proceso de erupción. Esta mañana es calurosa y hay gente en la plaza principal porque les han informado que llegarán autoridades de Lima. Ministros, la gobernadora regional Yamila Osorio y alcaldes estuvieron presentes.

Ceferina Quicaño cuenta que pocos salen a pasear y evitan tener contacto con el medio ambiente. Achoma se puede convertir en un pueblo fantasma si las emisiones de ceniza del volcán se agudizan.

"La profesora de mi hijo nos ha dicho que nos quedemos en casa y que compremos mascarillas porque es peligroso caminar sin protección", señala mientras se cubre la boca con su chompa. Las mascarillas se han agotado en la posta de salud.

Trina Checa es técnica en la posta del distrito. En solo dos días atendió dos casos de conjuntivitis y siete infecciones respiratorias agudas (IRAs).

"En cuestión de días se incrementó que niños y ancianos vengan con cuadros de EDAs (Enfermedades Diarreicas Agudas)", señaló.

En la posta solo trabajan seis personas: dos obstetras, dos enfermeras, una técnica y personal asistencial.

Explosiones

Tras las continuas explosiones, el Instituto Geológico, Minero y Metalúrgico (Ingemmet) declaró la alerta amarilla para el volcán. A diario se registran 10 estallidos, uno seguido del otro. El último ocurrió ayer a las 10:00 horas. La columna de ceniza alcanzó los 3,000 metros de altura y se expandió en un radio de 40 kilómetros.

El encargado del monitoreo de volcanes de Ingemmet, Domingo Ramos, señala que la ceniza llega pulverizada a los pueblos del valle del Colca y cubre cultivos, animales y casas; como un manto blanco perjudicial para la población.

Emergencia

La gobernadora regional Yamila Osorio señaló que pedirán la declaratoria de emergencia a la Presidencia del Consejo de Ministros (PCM) para atender a la población afectada.

"Parece que la naturaleza se ensañó con la provincia de Caylloma, primero fue el sismo y ahora es el volcán. El alcalde nos ha pedido mascarillas y lentes y mañana (hoy) estarán llegando 10,500", dijo Osorio.

En la Institución Educativa Primaria 40376 Achoma, los alumnos se han ido ausentando por problemas estomacales y molestias en la vista. En el salón de quinto de primaria, de los que quedan la mayoría está con sus mascarillas, excepto un niño llamado Fernando.

La profesora Maribel Achahui explica que hace una semana los estudiantes no pueden salir a jugar al patio del colegio porque está lleno de ceniza. "Si comienzan a patear la pelota, la ceniza se levanta y es peor para ellos", dijo.

Pero si no son los menores que juegan, es le viento que levanta la ceniza del suelo y el olor a azufre se apodera del ambiente. Es mediodía y el cielo se torna oscuro.

Las cenizas del volcán afectan a más de 10 mil pobladores del primer destino turístico de la región. El alcalde provincial Rómulo Tinta dijo que los pueblos de Chivay, Achoma, Maca, Cabanaconde, Huanca, Lluta, Taya, Tapay, Lari, Madrigal, Ichupampa y Corporaque están en riesgo.

"Son unos 2,500 estudiantes en toda la región que están en peligro por las cenizas del volcán", señaló.

Haiti: Haïti : Ouragan Matthew Rapport de situation No. 21 (11 novembre 2016)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Haiti

Ce rapport est produit par le Bureau des Nations Unies pour la Coordination des affaires humanitaires (OCHA) en Haïti en collaboration avec les partenaires humanitaires. Il est publié par OCHA Haïti et couvre la période du 09 au 11 novembre 2016. Le prochain rapport sera publié le 15 novembre. Pour recevoir les rapports de situation de l’équipe de réponse à l’ouragan Matthew : http://eepurl.com/Kyey5. Vous pouvez également visualiser une carte 3W interactive ou une carte 3 W par secteurs.

Faits saillants

  • Les familles déplacées dans les écoles font face à une pression grandissante de la part des autorités locales pour quitter les lieux afin de permettre la reprise des cours. Deux écoles ont été évacuées aux Cayes.

  • La campagne de vaccination contre le choléra ciblant 820 000 personnes dans 16 communes de la Grand’Anse et du Sud a commencé le 8 novembre et devrait durer une semaine.

  • Quelques 456 565 personnes ont reçu une aide alimentaire depuis le passage de l’ouragan, soit l’équivalent de 58 pour cent des 806 000 personnes qui se trouvent en situation d’insécurité alimentaire extrême.

  • Une augmentation des cas présumés de paludisme a été observée au cours des derniers jours aux Cayes, Les Anglais, Port-à-Piment, Port-Salut, Abricots, Jérémie, Roseaux, Anse d’Hainaut, Dame Marie et Corail.

Aperçu de la situation

L’ouragan Matthew a déplacé environ 175 509 personnes, dont la plupart vivent à présent dans quelques 307 abris temporaires, y compris 86 écoles. Ceci affecte l’éducation nationale. L’UNICEF estime que 150 000 enfants n’ont plus accès à l’enseignement, soit parce qu'ils sont eux-mêmes déplacés ou parce que leurs écoles ont été détruites, endommagées ou sont occupées par d'autres familles déplacées.

Cette semaine, les élèves et leurs parents ont exprimé leur colère du fait que les enfants pourraient prendre du retard sur le programme ou même perdre l’année scolaire. Des manifestations ont eu lieu aux Cayes et à Jérémie. En outre, il était prévu que certaines écoles soient utilisées comme bureaux de vote pour les prochaines élections du 20 novembre, poussant les autorités à considérer une accélération des retours. Les autorités locales aux Cayes ont pris des mesures afin que trois écoles soient évacuées. Des rumeurs sur d’éventuelles expulsions dans d'autres villes et villages n’ont pas été confirmées.

Yemen: Emirates Red Crescent delivers equipment to Yemeni hospital

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Source: Emirates News Agency
Country: Yemen

MUKALLA, 12th November, 2016 (WAM) -- The Emirates Red Crescent on Saturday delivered state-of-the-art medical equipment to a hospital in the Hajr district in the southern Yemeni governorate of Hadramaut as part of the UAE's continued efforts to improve healthcare in the country.

Previously, citizens had to spend three hours to travel to another district to receive medical treatment, noted Director-General of the administration in Hajr district Anwar Al Shazeli.

Restoring services at hospitals to ease the suffering of citizens is a priority for the Emirati humanitarian agency, stated the representative of the Emirates Red Crescent in Hadramaut, Abdullah Al Musaferi, as he took delivery of the equipment along with local officials.

The governor's secretary for relief and reconstruction in Hadramaut Dr. Riad Al Jariri thanked the UAE for reviving the healthcare sector and restoring infrastructure in the governorate.

WAM/MMYS

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