WORLD HEALTH ORGANIZATION ORGANIZATION MONDIALE DE LA SANTE Department of Emergency and Humanitarian Action WEEKLY UPDATE - AFGHANISTAN August 13,2001 Coordination WHO office in Ghazni facilitated the Monthly Health Coordination Committee Meeting attended by PHD Ghazni, SCA/SRO, NAC, Ibn Sina, IAHC, MSF, and PEMT Ghazni. The participants discussed the reports reached the WHO Ghazni office on the outbreak of cholera in different parts of Paktika and Khost provinces and agreed to adopt concrete action. The agencies shared information concerning available cholera supplies: The PHD Ghazni/MSF has already made necessary preparation in Ghazni provincial hospital to accept the patients with acute watery diarrhoea. The SCA representative has indicated that the SCA provides health personnel and cholera supplies Assessment: WHO team from Ghazni visited Khair Kot district of Paktika province to assess the reported cholera outbreak there. The team visited Khair Kot MOPH/BHC, SCA C1 Clinic and two other private clinics there. Cholera in Ghazni Cholera in Ghazni: According to the report reached to WHO Ghazni office from health facilities functioning in Paktika province, 14 persons including two young women have been died and more than 250 patients have been affected by acute watery diarrhoea there. The health staffs of clinics have volunteered to chlorinate all water sources in affected villages. This is the second time that WHO team visiting the area and transporting medical supplies there Training WHO conducted one-week training course for X-ray technicians at Mirwais Hospital in Kandahar City. X-ray technicians from Kandahar, Helmand, Urozgan, Zabul and Nemroz provinces and from Kandahar's hospital attended thetraining. Mowlavi Abdul Salam, Regional Public Health Director drew the attention of the participants to their responsibilities and requested them to utilize this opportunity to serve the people. Three post-graduate training courses were conducted for 50 participants in Ghani Khail Rural Hospital, for 46 participants in Regional Public Health Hospital (Jalalabad) and for 26 female participants in Jalalabad University Hospital last week. Management of severe and complicated malaria cases at the district level and epidemic preparedness and response were the subjects.. WHO team visited Faizabad and conducted a survey of Roll Back Malaria (RBM) in Faizabad. WHO trained 28 surveyors and the surveyors started the survey on 11 August in Faizabad. Internally Displaced Persons(IDPs) IDPs-Southern & Northeastern regions: WHO team from Kandahar visited the IDPs camps in Qala shamir, Mirakhor of Maiwand district of Kandahar province and transported essential drugs to the camps. Health mobile team of Ibnsina is providing health services with immunization to the IDPs once in a week.. Approximately 510 families from Reg district are settled in three locations (Qalai shamir, Mirakhor and Mandozai).. Shortage of potable drinking water is the main problem of the Kandahar IDPs as they are drinking polluted water from an uncovered shallow well. The WHO team visited Naozad district and identified approximately 590 families who came from Badghis and Ghor provinces. These IDPs are located around the district center. Immediate need of these IDPs are food items and safe drinking water. One health facility and MCH clinic are accessible for the IDPs. WHO facilitated a Health Coordination Committee Meeting at Faizabad Hospital attended by UNICEF, UNOPS, SCA, MSF, Afghan aid, SNI, MCI, OXFAM, ARCS, FOCUS. All the health concerned agencies presented their reports about nutrition in Badakhshan. The participants discussed IDPs and their health situation and assistance to the IDP Clinics. MSF reported that, 25% of attendants of IDP Clinic in Khwajabuhauddin was malaria cases, 10 to 15% was diarrheal diseases. WHO Faizabad related plans for technical and material support to IDPs clinic in Khwajabauddin. Basic Development Needs Program (BDN) WHO chaired the Meeting of the Community Shoura and Cluster representatives of Layaba Village in Badakhshan selected for implementation of WHO BDN program. WHO team welcomed the participants and briefed them about the aim of the meeting. The team read the summary of the survey conducted by the members of the Shoura and Cluster representatives. They talked on how to solve their main problems. The director of MOPH and the Provincial Governor in their speeches appreciated the program. The Governor thanked WHO for assisting this poor people of Badakhshan. He said that, the main purpose of the WHO BDN program is to support people to utilize their skill and knowledge and to involve community in decision-making process and to be self-reliance. The meeting decided to select a technical committee and make a work plan on health, education and agriculture for improving living standard of the people. Sub-National Immunization Days (NIDs) The quality of all polio eradication activities has seen incremental improvements. However, to ensure that polio is eradicated from Afghanistan, efforts should be further intensified. Afghanistan programme has planned to conduct sub-