Emergency Preparedness and
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Crisis in the Region

Pakistan

WHO steps up emergency response to Pakistan crisis 

 

 

In Jalozai IDP camp, a WHO Officer organizes educational sessions on best practices for water storage.

10 JULY 2009 ¦ ISLAMABAD - The World Health Organization is ramping up its health response to Pakistan's humanitarian crisis by buying ambulances and millions of courses of additional medicines, in addition to building new warehouses to improve health care for the approximately 2 million internally displaced people (IDP) and for the many more hosting them in northwest Pakistan.  

"A massive logistics effort is needed to deliver and safely store life-saving medicines and equipment to affected areas," said Dr Bile. "Equally important is the need to strengthen the system referring patients by ambulance from lower to higher levels of care."

Read the photo essay
Press release

BC-AS--Pakistan-WHO-Refugees/460
WHO: Pakistani refugees risk running out of drugs
RYAN LUCAS

30 June 2009

 

Photo WHO/Jan Brouwer
Provincial Secretary of Health Dr Sohail briefing ADG Dr Laroche and WR representative Dr Bile on 29 June 09 at Yar Hussein IDP camp in Swabi District of NWFP.

 

SLAMABAD, Pakistan (AP) - Refugee camps in Pakistan risk running out of essential medical supplies within "two to three weeks" if donors don't deliver more funds soon, the World Health Organization's top crisis official warned Tuesday.

Shortages of medicine and other supplies heighten the risk that epidemics of cholera, malaria and other infectious diseases could threaten people who fled the army's ongoing assault against Taliban militants.

About 2 million civilians have been uprooted from their homes in the Swat Valley and surrounding districts since the government launched its offensive in April.

Cash-strapped Islamabad is heavily dependent on Western donors to provide for the refugees. The U.N. has appealed to the international community for some $530 million to address the problem - $37 million of which is earmarked for basic health needs.

But Eric Laroche, the World Health Organization's assistant director-general for humanitarian crises, said the international community was failing to deliver the needed funds. So far, money delivered and pledges from donor nations covered only 27 percent of the $37 million, he said.

That shortfall presents a challenge in meeting the refugees' basic health needs, particularly if more funds do not arrive soon.

"Within two to three weeks we won't have any more essential drugs to be treating the people in the camps," Laroche said. "It is not normal, and I don't even find it acceptable."

Hundreds of thousands of refugees have found shelter in refugee camps south of the war zone, while the majority of them have moved in with relatives or strangers.

Laroche, who visited a camp sheltering 31,000 people on Monday, said the conditions were generally "not bad" but warned that the coming rainy season - which usually runs from July through late August - raises the threat of an outbreak of infectious diseases.

He noted that "many of the camps are located in areas that are likely to be flooded," and that an intense rainy season would likely bring "diseases such as acute diarrhea that is going to create a lot of malnutrition, cholera, malaria - so we need to be prepared for that."

He said that in some instances "there are 50 people living in one room, men sleeping outside, so all the conditions for an epidemic are gathered here."

Another problem is the lack of female doctors and nurses to treat women refugees, the vast majority of whom are conservative Pashtuns.

"That is really a problem because as you know with Pashtuns you ... need to be gender sensitive, and Pashtun women will not be treated by men and there we have a major problem," he said.

Copyright 2009 The Associated Press. 
 


Step up health care delivery in IDP hosting communities
ISLAMABAD 27 June, 2009

Urgent support is needed to immediately fill the alarming and widening gap between increasing health needs and available health service provision in communities hosting an acute increase in numbers of Internally Displaced Persons (IDP) in the North West Frontier Province.

"Hundreds of thousands of people are vulnerable and living in a high risk environment, underscoring the need for a well-funded, strategic and coordinated response by the health partners to mitigate these risks," said Dr Khalif Bile, WHO Representative to Pakistan.

To strengthen health systems in this crisis, there is an urgent need to fill the funding deficit (only 27% of the Humanitarian Response Plan funded thus far) to provide gender and culturally sensitive health services.

Press release (27 June, 2009)


WHO to survey the needs of people with disabilities in displacement camps in Pakistan

ISLAMABAD, Pakistan -- World Health Organization (WHO) in collaboration with Institute of Pakistan Orthotic and Prosthetic Sciences (PIPOS), Peshawar is starting a detailed need based assessment survey for the Person With Disabilities (PWDs) residing in the camps.

A representative of WHO informed that the initial assessment has shown that the presence of both physical and sensory (hearing and visual) disabilities who have not received any type of rehabilitative services since the onset of the disability.

He further told that WHO Disability and Polio Rehabilitation team responded promptly to a news published regarding, Akhter Bibi, a poor and helpless but dedicated mother of three disabled children, who carried her 14 year daughter, Rangeena, with disabilities on her back and covered 15 hours distance on her foot.

Akhter Bibi, with tears in her eyes, looking at her smiling daughter, sitting on the wheel chair being pushed by her brother and sister, told that this wheel chair means a world for her, as now her daughter, instead of crawling on the ground all the time shall be moving around.

All what the desperate mother wanted was a wheel chair for her daughter who neither can move her hands nor feet. A wheel chair modified according to her physical disability was delivered to the child by WHO team.
A journey from crawling to moving around Rangeena age, 14 is suffering from Cerebral Palsy (brain damage due to decrease supply of oxygen) with mental retardation, spasticity and advanced fixed deformities of the upper and lower limbs. She cannot walk or move around and have no control over her bladder and bowl. Her two sisters are also suffering from mild mental retardation.

2 June 2009: WHO calls for an immediate funding of the health cluster activities to ensure adequate provision of essential health services and life saving medicines to the 3 million displaced in North West Frontier Province.

WHO declaration: Arabic - English - French

A journey from crawling to moving around
(The News International, 24 May 2009)


Since the summer of last year, 556,000 people have fled from their homes due to the conflict in the North West Frontier Province (NWFP) and Federally Administered Tribal Areas (FATA) of Pakistan. In late April 2009, the fighting escalated leading to an additional rapid and massive displacement of over two millions Internally Displaced Persons (IDPs) leaving humanitarian service providers scrambling to meet the needs. The majority of the IDPs – former and new comers – are distributed among 11 districts of this Province and are either staying with host families or in rented accommodations while a smaller proportion is staying in 26 IDP camps.

The already over burdened and under resourced health system is struggling to provide the necessary health care services to the target population. Timely interventions are needed to avoid an increase morbidity and mortality among these in-country forced migrants. In support to the Ministry of Health, the World Health Organization as the health cluster lead, along with cluster partners, is ensuring that:

  1. a coordinated response is put in place to ensure delivery of health services to the most vulnerable;

  2. the communicable disease surveillance and outbreak response system is expanded and is robust for timely detection of disease, and prevention of outbreaks;

Stocks of necessary medicines and supplies as requested by the Federal Ministry of Health .

Health situation reports

Situation report 3, 19 May 2009 (Arabic )
Situation report 2, 16 May 2009 (Arabic - French)
Situation report 1, 13 May 2009 (French)

Health Cluster Bulletin

Bulletin 6, 3 July 2009
Bulletin 5, 23 June 2009
Bulletin 4, 18 June 2009
Bulletin 3, 8 June 2009
Bulletin 2, 3 June 2009

Maps

Organizations providing health services in IDP camps NWFP Province
 

Related publications


WHO Emergency Handbook
for the Eastern Mediterranean Region

 


Issue 1, 30 August 2009
 



Lives
prepare, respond, rebuild

(pdf, 6 MB)


The WHO e-atlas of disaster risk: volume 1. Exposure to natural hazards