Higher Medical Public Committee-Aden

Conflict in Aden governorate:

Heavy conflict persists with devastating consequences for trapped civilians. Aden governorate is divided into eight districts: Crater (especially Sierra), Al-Mu’alla, At Twahi, Khormaksar, Al-Mansoura, Sheikh Othman, Dar Saad, and Al-Buraiqeh. Basic utilities have collapsed in most if not all districts in Aden. Electricity is completely unavailable in Crater, Al-Mu’alla, At Twahi, and Khormaksar, which have been most affected by this conflict in terms of destruction, targeting, and systematic siege; and the majority of local residents there have displaced to the districts of Sheikh Othman, Dar Saad, Al-Buraiqeh (or Brega) and Al-Mansoura, which houses the majority of IDPs (Internally displaced personals) in Inma city (now most population dense area in the governorate). And no one is safe anywhere in Aden, as these districts have recently been heavily shelled by the Houthi armed groups and Pro-Saleh forces, including Enma.

Statistics on causalities and death (26March-1July 2015): 6307 and 644, respectively. Note, that these numbers do not included the cases that present to MSF (Doctors Without Borders) or to the health facilities that communications with has been lost.

Health situation in Aden governorate:

The health system in the province is indeed facing imminent collapse. Numerous critical health facilities have been attacked, forcing them to shut down. Local health workers continue to be targeted and with salaries (or an incentives) remaining non-existent; as such, their level of commitment has reduced, resulting severe shortages of health staff across all active facilities.

Outbreak in Fibril Illnesses:

Malaria, mainly P. falciparum class (the more aggressive of the classes) and Dengue fever is now endemic in Aden governorate, which was not the case prior to this conflict (began on March 2015). Many health facilities lack the tool needed for their accurate diagnosis with fever being an overlapping syndrome. In effect, their mistreatment has been numerous and a serious issue.

According to Dr. Nasr Haidara, Director of Epidemiological Surveillance in Aden, from April-June of 2015, approximately 1786 (with 37 deaths) cases of febrile illnesses has been reported across health facilities in Aden. He notes that this is an underestimate as many are purchasing drugs from the black market and self treating at home. Furthermore, not all facilities keep track of the cases that present.

The International Medical Corps (IMC), along with other stakeholders, have been supporting all efforts to combat the dramatic increase in cases of febrile illnesses. This has included: vector control measures–insecticide spraying (which has been effective)–and promoting public health awareness. This campaign began on 10 June 2015 and has been executed under the supervision of Dr. Abdulnasser Alwali, Chairman of Higher Medical Public Committee-Aden (HMPCA). The preventative intervention campaign, however, has been hindered by insecurity and interruption in fuel supply. Furthermore, transport vehicles have been damaged (intentionally) by the opposing party and many have been confiscated; this has been reported to officials in Sana’a on numerous occasions, as of yet, we have only received promises for their return .

While Khormaksar, Crater, Al Malla, and Twahi districts have been difficult to reach, due to insecurity, they are the most endemic areas for febrile illnesses with the highest cases of death being reported (especially in Crater):

Major Constraints:

Insecurity: health staff and volunteers are constantly targeted and threatened
Aden governorate remains under siege and the needed supplies are not able to reach us in a timely manner
No financial support or budget, as banks in Aden remain shutdown from the central bank in Sana’a
Not enough transport vehicles and interrupted fuels supplies
Internet connection and telecommunication networks are frequently disrupted

For more information, please contact:

Dr. AbdulNasser Alwali (Aden, Yemen)
Chairmain of HMPCA
Cell: +967733791544
Al_waly44@hotmail.com

[Reported in English by Omran Alsalahi (oalsalahimd@gmail.com), Dr. Mohamed S. Alsalahi (alsalahimd@me.com)]

July 7, 2015

From 27 June to 5 July 2015, we report 70 new cases (41 males, 25 females, 4 children) of acute fever secondary to infectious disease (i.e. malaria, Dengue fever, and unknown) and 0 deaths. This brings the total number of cases to 795, including 13 deaths.

Note:
-These statistics are an underestimate as they do not include the security comprised areas, where acess to health services remains severely constrained.

Higher Medical Public Committee-Aden (HMPCA)

For more information, please contact:
Dr. AbdulNasser Alwali (Aden, Yemen)
Chairmain of HMPCA
Cell: +967733791544
Al_waly44@hotmail.com

[Reported in English by Omran Alsalahi oalsalahimd@gmail.com]

حصيلة إحصائيات الترصد الوبائي للحميات (ملاريا، ضنك، اخرى) ليوم الأحد الموافق 5 يوليو 2015:

الاصابات: 70 حالة ( 41 ذكور- 25 اناث، 4 اطفال)

الوفيات: لا يوجد

ليصل إجمالي الحالات من تاريخ 27 يونيو 2015 إلى 5 يوليو 2015:

الاصابات: 795 حالة

الوفيات: 13 حالة

ملاحظة:

-الاحصائيات لا تشمل المناطق التي لم نستطيع الوصول اليها ولا الحالات التي لم تصل للمرافق الصحية.

اللجنة الطبية الشعبية العليا -عدن

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HMPCA Needs Assessment (21 July 2015): Medicine and Supplies for Aden Governorate

Wednesday, July 22, 2015