Situation report, July 2018

Health Cluster partners are responding to a drought in the northern region where up to 2.2 million people may be affected by water- and vector-borne diseases and malnutrition.
The top two communicable diseases during July were acute diarrhoeal diseases (356 940 cases) and acute respiratory infections (346 407 cases).
Seventy-one (71) attacks on health care were reported in July, including 42 attacks/closures of health facilities, 27 attacks on health personnel and two attacks on ambulances.
A Community Midwifery Education Centre was attacked in Jalalabad where causalities were reported.
In 10 districts of southern Zabul province, 39 out of 46 health facilities closed, depriving more than 300 000 people from basic health care services.
Population movement and returnees from Pakistan and Islamic Republic of Iran continues to place increased demand on health services. In July, a total of 68 617 documented and undocumented individuals returned through Tourkham, Spinboldak, Islam Qala and Milak border crossings, bringing the total returns from Pakistan in 2018 to 19 859 and from Islamic Republic of Iran to 428 264 individuals.
Ten essential Standard Operating Procedures were developed for mass casualty management and trauma.