Weekly Report on Activities (EHAHAC)

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					                                      Weekly Report
                                  on Activities (EHA/HAC)
                                    Duty Station Bangui / CAR

Reporting Period: from 09/07/07 to 25/07/2007

       WHO provided technical support to improve humanitarian assistance for Sudanese refugees
   living in the north-eastern village of Sam Ouandja
       WHO is to donate ambulances and motorbikes to the MoH to strengthen the provision of
   emergency obstetric care and the immunization programme
       COOPI and MSF are to announce the redeployment of their staff and the continuation of
   humanitarian assistance for the population in the north-west

a) Political, social, security overview for the week
        Security remains fragile in the north despite the presence of international NGOs.
        In the north-east, access to beneficiaries is affected by the ongoing rainy season. Logistic
    constraints have been reported. Despite its very limited capacity the UN Humanitarian Air
    Service remains the best way to deploy staff and equipment in the north-east region.
        The presence of a group of Sudanese rebels called Tora Bora has been reported around Sam
    Ouandja. As the Sudanese civilians, the rebels have fled from Dafok village in western Darfur.
    The CNR (Conseil national des réfugiés) has asked the rebels, whose number is unknown, to

b) Main events of interest/concern for health
        In Bria, 116 Sudanese refugees have been identified among a group of over 1000 IDPs from
    north-east CAR. They arrived at the same time as the 2600 refugees living in Sam Ouandja who
    fled Dafok village last May. These refugees have been supported by the Muslim community in
        The weekly report from Sam Ouandja health centre shows a deterioration of the health and
    nutritional status of the Sudanese refugees; a high prevalence of diarrhoeal diseases, bloody
    diarrhoea and malnutrition is reported.
         The rainy season may contribute to the increased vulnerability of the refugees. A high
    prevalence of acute respiratory infections and malaria cases is reported among children under
        In Sam Oundja region, the presence of three different armed groups (the government forces
    or FACA, the former UFDR rebel group and the Tora Bora Sudanese armed group) is reported
    by the CNR and confirmed during a meeting with the Ministry of Social Affairs. A peace
    agreement has been signed between the FACA and the UFDR.

a) Health problems & Needs of affected populations
        The high prevalence of diseases with epidemic potential reported among Sudanese refugees
    and local populations in Sam Oundja village seems alarming: during the last six weeks a weekly
    average of 412 consultations were conducted, of which an average of 110 were for malaria and
    12 for bloody diarrhoea.
        The health centre is also reporting an average of 13 cases of clinical malnutrition among
    children under five every week.
        Acute respiratory tract infections account for an average of 70 cases per week.
a) WHO activities & needs
         WHO has deployed two nurses and supports the regular provision of essential drugs and
     obstetric kits to the health centre in charge of both the Sudanese refugees and the local
         The WHO nurses conducted a rapid “home by home” assessment at the refugee site; the
     main findings identified precarious living conditions of refugees and the pollution of drinking
     water despite the distribution of water purification tablets supported by UNICEF.
         WHO is lobbying partners to support an international NGO willing to provide health care to
     the Sudanese refugees in Sam Ouandja camp.

b) Other partners’ actions & Ongoing programmes
       UNICEF has supported the international NGO TRIANGLE in setting up a water and
    sanitation programme in Sam Ouandja. Equipment and supplies have been deployed in the
    camp to improve the quality of drinking water.
       Food and seeds distribution activities continue with the support of WFP and FAO.
       IMC has arrived in Sam Ouandja refugee camp to organize a nutritional survey and a rapid
    health assessment. The plan for a quick hand over has been discussed.
       MSF as well as COOPI have announced the deployment of their staff to continue
    humanitarian assistance in the north-western Ouham Pende region. Activities had been scaled
    down after the murder of a MSF volunteer and the escalating violence over the last months.

       The ongoing rapid health and nutrition assessment conducted by International Medical
    Corps among the refugees in Sam Oundja will highlight the humanitarian condition of almost
    2600 refugees.
       The epidemiological data colleted through the health centre over the last six weeks indicates
    a deterioration of the health and nutrition status of Sudanese refugees in Sam Ouandja. WHO
    has sent signal to alert the humanitarian community during the last UNDPT weekly meeting.

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