Medical systems Collaboration and Communications (C2) blog

December 26, 2008

Update 6 on EBOLA-RESTON, PORCINE – PHILIPPINES (06), FAO/OIE/WHO

Filed under: Current Operations, Disease — dandeakin @ 20:02
Tags: , , , , , , , ,

Detection of Ebola-Reston virus in pigs; FAO/OIE/WHO offer assistance to the Philippines

—————————————————————————————-

Following the detection of the Ebola-Reston virus in pigs in the Philippines, the UN Food and Agriculture Organization (FAO), the World Organisation for Animal Health (OIE) and the World Health Organization (WHO) announced today [23 Dec 2008] that the government of the Philippines has requested the 3 agencies send an expert mission to work with human and animal health experts in the Philippines to further investigate the situation.

An increase in pig mortality on swine farms in the provinces of Nueva Ecija and Bulacan in 2007 and 2008 prompted the Government of the Philippines to initiate laboratory investigations. Samples taken from ill pigs in May, June and September 2008 were sent to international reference laboratories which confirmed in late October that the pigs were infected with a highly virulent strain of Porcine reproductive and respiratory syndrome (PRRS) as well as the Ebola-Reston virus.

Although co-infection in pigs is not unusual, this is the 1st time globally that an Ebola-Reston virus has been isolated in swine. It is not, however, the 1st time that the Ebola-Reston virus has been found in the Philippines: it was found in monkeys from the Philippines in outbreaks that occurred in 1989-1990, 1992, and 1996.

The Ebola virus belongs to the Filoviridae family (filovirus) and is comprised of 5 distinct species: Zaire, Sudan, Cote d’Ivoire, Bundibugyo and Reston. Zaire, Sudan and Bundibugyo species have been associated with large Ebola hemorrhagic fever (EHF) outbreaks in Africa with high case fatality ratio (25-90 percent) while Cote d’Ivoire and Reston have not. Reston species can infect humans but no serious illness or death in humans have been reported to date.

Since being informed of this event in late November [2008], FAO, OIE and WHO have been making every effort to gain a better understanding of the situation and are working closely with the Philippines Government and local animal and human health experts.

The Department of Health of the Philippines has reported that initial laboratory tests on animal handlers and slaughterhouse workers who were thought to have come into contact with infected pigs were negative for Ebola Reston infection, and that additional testing is ongoing. The Bureau of Animal Industry (BAI) of the Philippines Department of Agriculture has notified the OIE that all infected animals were destroyed and buried or burned, the infected premises and establishments have been disinfected and the affected areas are under strict quarantine and movement control. Vaccination of swine against PRRS is ongoing in the Province of Bucalan. PRRS is not transmissible to humans.

The planned joint FAO/OIE/WHO team will work with country counterparts to address, through field and laboratory investigation, important questions as to the source of the virus, its transmission, its virulence and its natural habitat, in order to provide appropriate guidance for animal and human health protection. Until these questions can be answered, the FAO and the WHO stressed the importance of carrying out basic good hygiene practices and food handling measures.

Ebola viruses are normally transmitted via contact with the blood or other bodily fluids of an infected animal or person. In all situations, even in the absence of identified risks, meat handling and preparation should be done in a clean environment (table top, utensils, knives) and meat handlers should follow good personal hygiene practices (e.g., clean hands, clean protective clothing). In general, hands should be regularly washed while handling raw meat.

Pork from healthy pigs is safe to eat as long as either the fresh meat is cooked properly (i.e., 70 centigrades [160 DEG F] in all part of the food, so that there is no pink meat and the juices run clear), or, in the case of uncooked processed pork, national safety standards have been met during production, processing and distribution.

Meat from sick pigs or pigs found dead should not be eaten and should not enter the food chain or be given to other animals. Ill animals should be reported to the competent authorities and proper hygiene precautions and protection should be taken when destroying and disposing of sick or dead pigs. The Philippines Department of Agriculture has advised the Philippine public to buy its meat only from National Meat Inspection Services certified sources.

As a general rule, proper hygiene and precautionary measures (wearing gloves, goggles and protective clothing) should also be exercised when slaughtering or butchering pigs. This applies both to industrial and home-slaughtering of pigs. Children and those not involved in the process of slaughtering should be kept away.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[ProMED-mail's request for information on any known additional attempts to screen for filoviruses in porcine tissues, particularly from PRRS-affected tropical/subtropical countries, either by the PIADC lab or by others/elsewhere, is hereby repeated. - Mod.AS]

[A map showing the location of the Philippines is available at:

<http://www.worldatlas.com/webimage/countrys/asia/ph.htm>

- CopyEd.EJP]

[see also:

Ebola-Reston, porcine - Philippines (05) 20081220.4008 Ebola-Reston, porcine - Philippines (04): RFI 20081216.3946 Ebola-Reston, porcine - Philippines (03) 20081214.3932 Ebola-Reston, porcine - Philippines (02) 20081212.3910 Ebola-Reston, porcine - Philippines 20081211.3896

1997

----

Ebola-Reston - Philippines (04) 19970202.0228 Ebola-Reston - Philippines 19970126.0154

1996

----

Ebola Reston - Philippines (5) 19960617.1120 Ebola Reston - Philippines 19960424.0784 Ebola Reston - Texas, USA (08) 19960422.0770] ………………..arn/ejp/lm

December 16, 2008

Ebola-Reston virus: disease situation in Philippine swine — an unfolding situation

Filed under: Disease — dandeakin @ 18:40
Tags: , , , ,

EBOLA-RESTON, PORCINE – PHILIPPINES (04): REQUEST FOR INFORMATION

*****************************************************************

A ProMED-mail post

<http://www.promedmail.org>

ProMED-mail is a program of the

International Society for Infectious Diseases <http://www.isid.org>

[In response to Pat Doyle's questions in ProMED-mail posting 20081214.3932, the following FAO (Food & Agriculture Organisation) update has been forwarded by Stephen Apatow, for which ProMED-mail is grateful. - Mod.AS]

Date: Mon 15 Dec 2008

Source: UN Food & Agriculture Organisation (FAO), EMPRES (Emergency Prevention System) [edited] <http://www.fao.org/ag/againfo/programmes/en/empres/ebola_111208.html>

Ebola-Reston virus: disease situation in Philippine swine — an unfolding situation

———————————————————————-

Over the last few weeks, FAO has been engaged with officials at the Department of Agriculture in Manila and other national and international agencies (World Health Organization, World Organisation for Animal Health, US agencies — Department of Agriculture and Centers for Disease Control and Prevention, and Australia’s Animal Health Laboratory) to better understand the laboratory findings of Ebola-Reston virus in pigs. It is the 1st time that this virus, a known primate pathogen, has been identified in a food-producing animal.

This laboratory finding came about after field investigations and sample collection was undertaken by the Bureau of Animal Industry (BAI), Department of Agriculture of the Philippines, because of suspected outbreaks of porcine reproductive and respiratory syndrome (PRRS), which had been affecting several swine production areas in the Philippines characterized by greater virulence then that described decades earlier in North America and Europe. Such increased virulence in the PRRS virus (an arterivirus) has also been seen in China and Viet Nam recently.

The increased awareness and investigation, prompted the BAI to send samples to a laboratory with experience in PRRS characterization, as well as rule out other swine pathogens, such as porcine circovirus, classical swine fever (a pestivirus), or Nipah virus (a

paramyxovirus) using classical and molecular diagnostic laboratory techniques.

During the laboratory investigations, viral particles and generic sequencing results showed that several of the swine samples were indeed infected with PRRS virus, circovirus, other agents…, and Ebola-Reston. No ebolavirus had ever been found in swine tissues before.

Communicated by:

Stephen M Apatow

Humanitarian Resource Institute

<s.m.apatow@humanitarian.net>

[The submitter added the following comment: "Now that we know that the pathogen has been isolated in the mixing vessel of the pig populations, what new genomic challenges may evolve that might present a threat to the international community? -- One thing is clear, we need to be on top of this game."

The FAO-EMPRES website above includes also the following Q & A, where subscribers may find useful additional information on the issue:

- What is Ebola, what is Reston, what is Ebola-Reston?

- Sudan Ebola virus

- Tai (Ivory Coast) Ebola virus

- Bundibugyo (Uganda) Ebola virus

- And what is Marburg?

- Hunting for the Ebola reservoirs

- So what is happening in the Philippines?

- Does Reston-Ebola cause disease in pigs?

- Can humans become infected with Reston-Ebola from eating pork?

- What precautionary measures should be observed throughout the food chain?

- What about exports and imports?

- What other animals are known to be infected?

In order to evaluate the realistic animal and public health implications of the recent findings in the 4 Luzon pig farms, a scientific report by the investigating laboratory at the Plum Island Animal Disease Center, including data on the agent's genotyping and its pathogenicity in animal models, is requested.

According to an APHIS (Animal and Public Health Information System) Emerging Disease Notice "Porcine Reproductive and Respiratory Syndrome (PRRS) in Vietnam and China" of August 2007, samples of the virus from the PRRS outbreak in Viet Nam "were being sent to an international laboratory for further testing and characterization;" see <http://www.aphis.usda.gov/vs/ceah/cei/taf/emergingdiseasenotice_files/prrschinavietnam2007.pdf>.

Detailed results of the said investigations (published or otherwise) will be highly appreciated. It will be also interesting to note if the samples from Viet Nam included tissues of affected porcines; in case affirmative -- were they tested for other disease agents in addition to the PRRS virus, and what were the results? - Mod.AS]

[see also:

Ebola-Reston, porcine - Philippines (03) 20081214.3932 Ebola-Reston, porcine - Philippines (02) 20081212.3910 Ebola-Reston, porcine - Philippines 20081211.3896 Porcine reprod. & resp. syndrome - Viet Nam (05): RFI 20080802.2362] ……………………………..arn/mj/dk

December 9, 2008

Global Health Policy

Filed under: Education, Tactics, Techniques and Procedures — dandeakin @ 15:10
Tags: , ,

December 09, 2008

The public versus private debate: inching toward the middle….

Posted by April Harding at 11:35 AM

An exchange in the pages of PLoS Medicine underscores a promising trend in global health: a shift toward more pragmatism and less name-calling on the role of the private sector in developing country health systems.

Discussions of the private health sector in developing countries have long been dominated by dogmatism on both sides. For public-sector-purists, the existence and rapid growth of the private sector in the 80s and 90s was a symptom of what was wrong with developing country health systems, and good policies were those that would strengthen the public sector in such a way as to lead to the fading away of the private sector. For the private-sector-believers, the growing private sector revealed the unfixable problems of the public sector, and made it clear that to achieve sectoral goals you’d have to engage the private sector. The public-sector-purists thought the private-sector believers were anti-poor, since they believed only the public sector could look after their interests. The believers though the purists were in denial about the fixable-ness (and pro-poorness) of the public sector.

For years, this, rather sterile, debate raged – with relatively little benefit. In the past 2 years, this debate has moved on. Both the purists and the believers have shifted to the middle, with growing consensus on the need to work with the private sector (broadly defined), if not where this ranks in the long list of health policy priorities for developing countries

Signs of the growing pragmatism, and desire for constructive debate include:

• an editorial written by two WHO staff, presenting a number of illustrative cases of successful public-private engagement, who concluded

“These cases show that without engaging private providers, poor quality and sometimes harmful care will continue, they show that private providers can help expand access in rural, as well as urban, areas…”

• the very practical position taken by the World Bank in their 2007 Strategy for the health sector which states

“improving HNP(health, nutrition, and population) results requires the Bank to provide sound policy advice to client countries on how to ensure effective regulation to enhance equity and efficiency as well as synergy and collaboration between the private and public sectors to improve access to services for the poor”

• And most recently, the interesting debate in PLoS Medicine (LINK above), which presents a number of growing areas of agreement, and, naturally, some areas where disagreement persist.

While there is still much that the two camps disagree on, notably the appropriateness of engaging the for-profit sector, the growing pragmatism is definitely a positive development.

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WHO warns that up to 60,000 may become infected with Cholera in Zimbabwe

Filed under: Current Operations — dandeakin @ 15:03
Tags: , , ,
WHO: Zimbabwe cholera may worsen

Mugabe is under pressure to step down as the cholera death toll nears 600 people [AFP]

The World Health Organisation (WHO) has warned that up to 60,000 people in Zimbabwe could become infected with cholera if the epidemic is not checked.

The WHO said the number of cases in the country is rising because of a lack of safe drinking water and medical facilities.

At least 589 people have been killed by cholera and there are almost 14,000 known cases of the disease, WHO said on Tuesday.

Three major hospitals  have closed because of the deepening economic crisis, and hundreds of Zimbabweans have been forced to seek treatment in neighbouring South Africa.

Zimbabwe’s information minister insisted on Tuesday the epidemic was “under control”.

The government has accused Britain and the US of planning an invasion, as pressure mounts for Robert Mugabe, the president, to step down amid the deteriorating health situation, food shortages and economic collpase.

“The British and the Americans are dead set on bringing Zimbabwe back to the UN Security Council,” George Charamba, a presidential spokesman, said in the state-run Herald newspaper.

“They are also dead set on ensuring that there is an invasion of Zimbabwe but without themselves carrying it out. In those circumstances, they will stop at nothing.”

Under pressure

Meanwhile, George Bush, the US president, has called for an end to Mugabe’s “tyranny” and urged African leaders who have not yet done so to “join the growing chorus” pushing for his ouster.

“As my administration has made clear, it is time for Robert Mugabe to go,” Bush, who hands over to Barack Obama on January 20, said in a statement on Tuesday.

Bush’s call followed tough action by the European Union which on Monday increased diplomatic pressure on the Zimbabwe government, broadening sanctions on Mugabe and his inner circle while Nicolas Sarkozy, the French president, added his voice to growing calls for Mugabe’s resignation.

“We have a serious humanitarian crisis in Zimbabwe. We have cholera. Do they think that we can eradicate cholera with guns?”

Salva Rweyemamu,
the spokesman for Jakaya Kikwete,
the AU chairman and Tanzanian president

Raila Odinga, Kenya’s prime minister, has also called on African nations to consider sending troops to Zimbabwe “to take control of the country and ensure urgent humanitarian assistance”.But the African Union has made it clear that it did not back calls for tougher action on Zimbabwe, saying only dialogue could solve the country’s many problems and that sending in troops or removing Mugabe by force were not options.

“We have a serious humanitarian crisis in Zimbabwe. We have cholera. Do they think that we can eradicate cholera with guns?” said Salva Rweyemamu, the spokesman for Jakaya Kikwete, the AU chairman and Tanzanian president.

Doctors in Zimbabwe say the death toll could be much higher than the nearly 600 reported.

The UN children’s agency Unicef said on Tuesday that it needed $17.5m to tackle the epidemic.

The disease has spread to neighbouring South Africa where a camp in Madimba on the border with Zimbabwe is accommodating hundreds of cholera-infected Zimbaweans seeking medical treatment.

Al Jazeera’s Hoda Abdel-Hamid, reporting from the camp, said: “It is a huge problem because Zimbabweans keep pouring into South Africa.

“Health authorities say that since November 15 they have registered about 630 cases here in South Africa. They say at the moment about 57 patients are in hospital and there have been eight deaths.”

Caroline Hooper-Box from the aid organisation Oxfam told Al Jazeera that the situation in Zimbabwe is expected to get worse as the rain season is just about to start.

“The problem is that Zimbabwe’s health and sanitation system is completely disintegrated. Cholera is a waterborne disease, and as the rain starts to fall, cholera spreads, further and faster. We’re expecting things to become quite a lot worse, quite quickly,” she said.

National emergency

Zimbabwe has declared a national emergency and appealed for international aid to fight the disease.

Basic foodstuffs in the country are running out, prices of goods are doubling every 24 hours, and the 100 million Zimbabwean dollar a week limit for bank withdrawals buys only three loaves of bread.

Nearly half the population is expected to need emergency aid next month, according to the United Nations.

Mugabe blames Western sanctions for Zimbabwe’s crisis, while his critics accuse him of increasingly authoritarian rule.

The crisis has been accelerated by political deadlock between Mugabe and Morgan Tsvangirai, the opposition leader,  over implementation of a power-sharing deal brokered by South Africa.

Source: Al Jazeera and agencies

Zimbabwe: oral rehydration salts can reduce death rate

Zimbabwe: Oral Rehydration Salts can substantially reduce cholera mortality rates – WHO Source : World Health Organization Date : 09 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/MUMA-7M69HD?OpenDocument

December 6, 2008

Cholera kills at least 575 as Zimbabwe declares national emergency

Filed under: Current Operations — dandeakin @ 11:10
Tags: , , , , , ,

Cholera kills at least 575 as Zimbabwe declares national emergency
Zimbabwe’s government has declared a national emergency over a cholera epidemic that has killed at least 575 people and affected about 12,500 since the outbreak began in August, according to the latest figures released by the UN, the Agence France-Presse (AFP) reported on Friday (December 5). This comes after authorities initially ignored calls to declare a national disaster, blaming the crisis on Western sanctions. The country has also pleaded for international help to pay for food, drugs and hospital equipment as the failure of the country’s health care system is one of the most devastating effects of an economic collapse that has left the country crippled. Elisabeth Byrs, the UN’s Office for the Coordination of Humanitarian Affairs spokeswoman said “the entire health system is collapsing, there are no more doctors, no nurses,  and no specialists.” Help from the government is virtually non-existent  as President Robert Mugabe’s government has been paralyzed since he lost a first-round election in March, but later claimed victory after opposition leader Morgan Tsvangirai pulled out due to an increase in political violence. The AFP reported that the breakdown of Zimbabwe’s infrastructure has helped the cholera outbreak thrive. On Friday (November 28), WHO spokesperson Fadela Chaib told Reuters that lack of clean drinking water and adequate toilets were the main triggers for the cholera epidemic and there were too few clinics and health care workers to contain the disease.  In the capital, Harare, the  Zimbabwe National Water Authority was forced to halt water service on Monday (December 1) saying it had run out of chemicals needed to purify the water from the cholera bacteria.  Water service was restored to most areas on Tuesday (December 2), but residents said the water coming out of the taps was filthy and authorities said they only had enough water treatment chemicals to last 12 weeks. To make matters worse,  the Limpopo River, which lies between the border of Zimbabwe and South Africa, has tested positive for cholera, local media reports told the UN Integrated Regional Information Networks (IRIN) on Wednesday (December 3). Wednesday also saw clashes between police and a group of Zimbabweans protesting for more government response for the worsening crisis, the AP reported. In response to the national emergency, Britain announced a US$14.7 million (10 million pounds) emergency aid package to provide life-saving assistance and response to the escalation of the outbreak. The International Committee of the Red Cross (ICRC) has donated over 13 tons of medical supplies, while the WHO has committed to supplying US$340,000 worth of drugs and supplies. In addition, the US government, through the US Agency for International Development (USAID) is funding an additional US$600,000 to help battle the outbreak plaguing Zimbabwe. The State department noted that the aid comes in addition to a US$4 million emergency USAID program to improve water quality, sanitation and hygiene. The AP reported that South Africa is also sending more military doctors to treat cholera victims who have fled their collapsing homeland to get help. On Friday, Oxfam also warned Zimbabwe that the cholera epidemic threatened 300,000 people already weakened by lack of food, AFP said. According to the WHO, this has been the worst outbreak of cholera in the country which has killed 3,000 people and shows no signs of slowing down.
http://news.xinhuanet.com/english/2008-11/29/content_10428550.htm
http://reliefweb.int/rw/rwb.nsf/db900SID/MCOI-7LYMWW?OpenDocument&rc=1&cc=zwe
http://news.yahoo.com/s/ap/20081204/ap_on_re_af/af_zimbabwe
http://news.yahoo.com/s/afp/20081205/wl_afp/zimbabwehealthcholera
http://www.hindustantimes.com/StoryPage/StoryPage.aspx?sectionName=&id=76df37dd-c99a-4cc7-a8fd-7003bcabb067&&Headline=Zimbabwe+cholera+crisis+spurs+South+African+action
Zimbabwe cholera epidemic claims 575 lives:UN

December 5, 2008

Measles deaths worldwide down by 74%

Filed under: Uncategorized — dandeakin @ 14:24
Tags: , , , , , , ,

Joint News Release WHO/UNICEF/American Red Cross/CDC/UN Foundation

WHO/47

The Eastern Mediterranean region achieves measles goal three years early

ATLANTA/GENEVA/NEW YORK/WASHINGTON – Measles deaths worldwide fell by 74% between 2000 and 2007, from an estimated 750 000 to 197 000. In addition, the Eastern Mediterranean region* which includes countries such as Afghanistan, Pakistan, Somalia, and the Sudan has cut measles deaths by a remarkable 90% — from an estimated 96 000 to 10 000 — during the same period, thus achieving the United Nations goal to reduce measles deaths by 90% by 2010, three years early.

The progress was announced today by the founding partners of the Measles Initiative: the American Red Cross, the United States Centers for Disease Control and Prevention (CDC), the United Nations Foundation (UN Foundation), UNICEF and the World Health Organization (WHO). The data will be published in the 5 December edition of WHO’s Weekly Epidemiological Record and CDC’s Morbidity and Mortality Weekly Report.

“This achievement is a tribute to the hard work and commitment of countries in the Eastern Mediterranean region to combat measles,” said Dr Margaret Chan, WHO Director-General. “With only two years until the 2010 target date, I urge all countries affected by measles to intensify their efforts to immunize all children against the disease.”

The significant decline in measles deaths in the Eastern Mediterranean region was the result of intensified vaccination campaigns including several countries with hard-to-reach areas. In 2007, more than twice the number of children were immunized in the region through such campaigns as compared to 2006.

“There are thousands of health workers and volunteers from our Red Cross and Red Crescent family who deserve much of the credit for this success. They give their time to literally go door-to-door informing, educating and motivating mothers and caregivers about the critical need to vaccinate their children,” said Bonnie McElveen-Hunter, Chairman of the Board of the American Red Cross. “This mobilization helps us to consistently reach more than 90% of the vulnerable population and save countless lives.”

The African region was the largest contributor to the global decline in measles deaths, accounting for about 63% of the reduction in deaths worldwide over the eight-year period. In 2007, measles outbreaks occurred in a number of African countries due to gaps in immunization coverage, reinforcing the need to continue immunization support.

“It’s absolutely wonderful that so many children are off to a healthy start in life thanks to the progress we’ve made in combating measles through immunization,” said Dr Julie Gerberding, CDC Director. “Other children’s lives are still at risk, however, so it’s time we refocus our attention on sustaining our immunization efforts in countries where rates are low.”

The progress in South-East Asia has been limited — with just a 42% decline in measles deaths. This is due to the delayed implementation of large-scale vaccination campaigns in India, which currently accounts for two thirds of global measles deaths. Political commitment in India is essential if the 2010 global goal is to be achieved.

“The progress that has been made shows what can be achieved through measles vaccination campaigns, but much more needs to be done,” said Ann M. Veneman, Executive Director of UNICEF. “It is a tragedy that measles still kills more than 500 children a day when there is a safe, effective and inexpensive vaccine to prevent the disease.”

The world’s success in reaching the 2010 measles goal depends on ensuring that all children receive two doses of measles vaccine including one dose by their first birthday, strengthening disease surveillance systems, and providing effective treatment for measles.

“Progress also depends on addressing the considerable funding gap,” said Kathy Calvin, Executive Vice President and Chief Operating Officer for the UN Foundation. “The shortfall stands at US$ 176 million for 2009-2010, of which US$ 35 million is urgently needed for 2009. With continued funding and increasing ownership and commitment of countries, we can sustain our progress and achieve our goal by 2010. We ask our supporters to stay with us and strongly encourage new supporters to join us in our effort to save lives.”

Background

The Measles Initiative is a partnership committed to reducing measles deaths globally. Launched in 2001, the Initiative—led by the American Red Cross, the United Nations Foundation, the U.S. Centers for Disease Control and Prevention, UNICEF and the World Health Organization—provides technical and financial support to governments and communities on vaccination campaigns and disease surveillance worldwide. The Initiative has supported the vaccination of more than 600 million children in more than 60 countries helping reduce measles deaths by 74% globally and 89% in Africa (compared to 2000).

Other key partners in the fight against measles include Becton, Dickinson and Company, the Bill & Melinda Gates Foundation, the Canadian International Development Agency, The Church of Jesus Christ of Latter-day Saints, the GAVI Alliance, the International Federation of Red Cross and Red Crescent Societies, the Izumi Foundation, the Kessler Family Foundation, Merck Co., the Vodafone Foundation, and countries and governments affected by measles.

* The countries in the WHO Eastern Mediterranean region are Afghanistan, Bahrain, Djibouti, Egypt, Iran (Islamic Republic of), Iraq, Jordan, Kuwait, Lebanon, Libyan Arab Jamahiriya, Morocco, Oman, Pakistan, Qatar, Saudi Arabia, Somalia, Sudan, Syrian Arab Republic, Tunisia, United Arab Emirates and Yemen.

For more information, please contact:

Hayatee Hasan, WHO, Geneva, +41 79 351 6330, hasanh@who.int

Christian Moen, UNICEF, New York, +1 212 …, cmoen@unicef.org

Christy Feig, American Red Cross, Washington, DC, +1 …, feigc@usa.redcross.org

Steven Stewart, CDC, Atlanta, +1 404 639 8327, znc4@cdc.gov

Amy DiElsi, UN Foundation, Washington, DC, +1 …, adielsi@unfoundation.org

Related links:

WHO Measles Fact Sheet: http://www.who.int/immunization/newsroom/measles/en/index.html

Weekly Epidemiological Record. Progress in global measles control and mortality reduction 2000-2007: http://www.who.int/wer/2008/en/

WHO/UNICEF Global plan for reducing measles mortality 2006-2010: http://whqlibdoc.who.int/hq/2005/WHO_IVB_05_11_eng.pdf

Still photos and B-roll are available from recent campaigns from feigc@usa.redcross.org

All American Red Cross disaster assistance is provided at no cost, made possible by voluntary donations of time and money from the American people. The Red Cross also supplies nearly half of the nation’s lifesaving blood. This, too, is made possible by generous voluntary donations. To help the victims of disaster, you may make a secure online credit card donation or call 1-800-HELP NOW (1-8…) or 1-8… (Spanish). Or you may send your donation to your local Red Cross or to the American Red Cross, P.O. Box 37243, Washington, D.C. 20013. To donate blood, please call 1-800-GIVE-LIFE (1-800-448-3543), or contact your local Red Cross to find out about upcoming blood drives..

© Copyright, The American National Red Cross. All Rights Reserved.

Sudan: Humanitarian Action in Darfur, weekly bulletin no. 43, 04 Dec 2008

Source:

UN Office for the Coordination of Humanitarian Affairs

Key overall developments

- World AIDS Day was celebrated in Sudan this

week. A number of events were held including

an Internal Awareness Training on HIV/AIDS

organized by the WHO and a UNICEF release of

58,000 fact sheets and posters covering ABC,

stigma and voluntary counseling and testing to

the Sudan National AIDS Programme (SNAP) for

distribution by implementing partners.

Needs and response by sector

Education

North Darfur

- In coordination with the State Ministry of

Education (SMoE) and UNICEF, the NGO Plan

Sudan conducted training for 80 education

inspectors from Abu Shouk IDP Camp, As Salaam

IDP Camp, ZamZam IDP Camp and El Fasher Town

on the technical supervision of education

activities to assist in ensuring quality

delivery of education. UNICEF in conjunction

with the SMoE released five classroom kits,

three recreation kits, two pupil kits and ten

metal poles to Um Haraz school of Kilamandu

Locality benefiting 250 school age children.

South Darfur

- World Vision distributed 20 plastic sheets

to two schools.

Food Security and Livelihoods

North Darfur

- With winter approaching, Oxfam has begun

distributing winter seeds and tools in

Kebkabiya, as part of a project to improve

food security for 3,247 vulnerable families in

the area. The seeds and tools have been

provided by FAO. 46 families in the town also

received Oxfam donkey carts, to help support

livelihoods opportunities and increase their

ability to earn an income.

- In Kebkabiya, Oxfam and local partner KSCS

distributed 4,130 tree seedlings to families

in nearby rural villages as part of efforts to

support the local environment and people’s

livelihoods.

South Darfur

- World Vision distributed 334 metric tonnes

of food to 27,837 displaced people at six

points: Sakaly, Sakaly West, Mosey, Dereg 1&2,

Duma and Adwa.

- They provided 60 households in Nyala and Edd

al Fursan with knowledge on how to care for

their goats and trained 95 women in Norley,

Dambaloya, Diri, Umzaifa and Edd Alfursan

centres in cheese-making, fodder cultivation,

and gave them 450 kg worth of seeds.

- World Vision trained 113 farmers in Diri and

Alhoda to serve as trainers to other farmers ?

each to train ten other farmers in crop

production issues. They also trained 185

farmers, 140 in Copoalmor and 45 in Fondog, in

crop harvesting and post-harvest management.

Furthermore they trained 34 women in Rahed

Albirdi in the importance of vegetables and

vegetable production, and land preparation for

production in the winter season (dry season),

which starts mid December.

- World Vision also trained 120 farmers (30

female, 90 male) in Nimri Village on the

important of seedlings and how to plant and

irrigate them. It also distributed 600

seedlings to the farmers.

- Further, World Vision trained 30 farmers in

the northern area of South Darfur on how to

improve crop production and generate

high-quality fodder. The farmers prepared 50

plots for vegetable production.

- World Vision conducted ten mentoring visits

to promote coping mechanism activities to

enhance resilience of marginal households in

order to restore and maintain their food

security. It visited eight fodder farms in

Rahaid Albirdi, Aldelaib, Fondog and Umshoka.

Also, it visited seven farms (20 farmers) in

the northern area of South Darfur.

- World Vision worked with farmers in ten

villages in Galdi and Umgadity area to

establish seed banks. It also set up one

vegetable garden in Galdi, where 60

beneficiaries are involved in various

agricultural activities, including water

harvesting.

- World Vision distributed 1.2 metric tonnes

of chicken feed to women groups involved in

varied agricultural projects in Galdi.

Health and Nutrition

North Darfur

- The Accelerated Child Survival initiative

(ACSI) “PULSE” campaign was launched in the

North Darfur state. The campaign focuses on

immunization, distribution of bed nets,

de-worming, mid upper arm circumference (MUAC)

screening for malnutrition, and the

communication of sanitation and hygiene

education messages. MUAC screening is limited

to El Fasher locality ? El Fasher town, El

Fasher rural, Tawilla, Korma, and ZamZam IDP

Camp ? where there are UNICEF supported

programmes.

- In preparation for World AIDS Day, UNICEF

released 58,000 fact sheets and posters

covering ABC, stigma and voluntary counseling

and testing, to the Sudan National Aids

Programme (SNAP) for distribution by

implementing partners. Radio Jingles have been

provided to SNAP for use on local radio.

- WHO, together with the State Ministry of

Health (SMoH), has conducted field visits to

Kebkabiya for three days which facilitated the

SHC team training on infection preventions

targeting medical staff in Kebkabiya hospital.

- WHO supported SMoH in training 25 Primary

Health Care supervisors on Health Information

and Management System (HIMS) for five days.

The aim of the course was to familiarize the

PHC coordinators of SMoH and INGOs with modern

tools and critical approaches of planning and

management of health system.

South Darfur

- With UNICEF support emergency obstetric care

(EmOC) training for 25 medical doctors started

and is due to last for seven days as part of

the safe motherhood programme.

- WHO responded to a notification of suspected

Hemorrhagic Fever cases by sending a rapid

response team for investigation. Infection

control measures such as strict barrier

nursing techniques were introduced in all

hospitals in the area. The health personnel

were briefed on the nature of disease and its

route of transmission and infection control

procedures.

- WHO conducted a training of trainers to 18

doctors in Nyala Teaching Hospital on

Integrated Management of Child Illness (IMCI).

The training lasted for 11 days.

- Training was also conducted in Eldein on the

“Community Component of the IMCI” Program. The

duration of training was six days and targeted

21 community volunteers.

- WHO conducted three days training on “Safe

Blood Transfusion” for 15 employees at Kass

Rural hospital.

- WHO also donated drugs, anesthesia reagents

and consumable supplies to Nyala Teaching

hospital and the house to house Polio Campaign

was launched across the State.

- World Vision provided primary healthcare to

999 patients in Mershing and Manawashi. It

handled 158 antenatal cases, 234 children with

nutrition-related cases, and mobilised

community health activities that benefited

more than 4,000 people.

- World Vision handled 602 consultations in

its clinics in the central area of South

Darfur. It attended to 61 pregnant women and

children under five in the same area and

continued providing basic health care and

health education to hundreds of beneficiaries.

- World Vision distributed 2.4 metric tonnes

of supplementary food for children under five.

- World Vision visited 150 households in the

central and northern areas of South Darfur

State to conduct health education on

preventive and control measures, including

hygiene issues.

- World Vision also conducted awareness

sessions on water-borne diseases in Otash,

Genena and Galdi.

- World Vision provided immunisation coverage

(DPT3, Polio3, pentavalent) to 293 children

and 133 women at its clinics in the central

area of South Darfur. It also provided vitamin

supplementation to 307 people and oral

rehydration salts (ORS) to 176 children under

five.

- World Vision provided 200 information,

education and communication (IEC) materials

for use as visual aids in clinics and during

health education sessions.

West Darfur

- Through UNICEF full support, the training on

Integrated Management of Childhood Illness

(IMCI) modified case management for a total of

39 Community Health Promoters (CHPs) has been

successfully completed in Zalingei.

- With UNICEF support, the Expanded Programme

of Immunization (EPI) team managed to reach

Golo in Jebel Marra with the required

vaccinations and Accelerated Child Survival

Initiative (ACSI) related supplies. The second

round of the acceleration campaign for routine

immunization targeted 4,039 children <1years;

4,713 pregnant women targeted for Tetanus

Toxoid vaccination.

- WHO with the collaboration of State Ministry

of Health (SMOH) and NGOs conducted a training

for the doctors and medical assistants in

Zalingei locality, on “Active case finding”,

“Outbreak investigation” and “Malaria

management and control” for 23 participants

from different health facilities of Eastern

Corridor from 26th to 28th of Nov 2008.

- WHO organized an Internal Awareness Raising

Training on HIV/AIDS and was attended by 25

support staff (drivers, cleaners and other non

medical staff) on 25th of November.

Protection and Human Rights

South Darfur

- With UNICEF support, 33 animators in IDP

camps benefited from training on centre

management, facilitation skills and

psychosocial support. Another 13 social

workers, 14 youth committee leaders and eight

volunteers were trained on communication and

facilitation skills.

West Darfur

- UNICEF Child Protection facilitated one

session on inter-agency standing committee

guidelines on psychosocial support in

emergency settings, in the workshop organized

by the United Nations Population Fund (UNFPA).

The session was attended by 25 participants

from the Ministry of Social Welfare (MoSW),

the State Council for Child Welfare (SCCW),

Administration localities, Family and Child

Protection police unit, and Community Based

Organizations (CBOs).

- UNICEF collaborated with UNFPA in the 16

days of activism for elimination of

gender-based violence (GBV) through supporting

awareness-raising activities within the basic

schools.

- UNICEF released child protection supplies ?

one pupil kit, two recreational kits, and two

pre-school kits ? to the Ministry of Education

as a part of supporting school activities

during the 16 days of activism. A further

seven classroom kits and 14 recreational kits

were released to Zalingei youth

center/Ministry of Youth and Ministry of

Social Welfare

Water and Sanitation

North Darfur

- A SMoH team continued to conduct water

quality control of 25 water source in El

Fasher town and 13 in Abu shook and Asalam IDP

camps with support from WHO/DFC Q3.

- As part of a three days field visit the WHO

conducted an environmental health assessment

that cover water quality control, solid waste

management in Kebkabiya town and medical waste

in Kebkabiya hospital and vector control

activities materials. In water quality 26

water points were covered.

South Darfur

- SMoH, supported by WHO, did routine water

quality control activities in Nyala town and

Ed Daein IDP camps (Elneem and Khor Omer).

- World Vision rehabilitated a hand pump in

Nabaga to provide sufficient and safe water to

the area’s residents.

- As part of its efforts to improve access of

water supply and sanitation facilities, World

Vision formed Watsan committees in seven

villages (Fondog, Alsiasaban, Umbaliana,

Aldelaib, Haialmatar, Alsikahadee and Umshoka)

in Rehed Albirdi.

- World Vision identified two boreholes in

Ubjaradil community and selected the following

villages for latrine construction: Haialmatar

(25), Fondog (30), Saisaban (25), Sikahadeed

(30) and Aldelaib (40).

- World Vision drilled a borehole to support

its agriculture project in Shadida.

- World Vision conducted water source

disinfection and chlorine monitoring in

households in Manawashi and Mershing. It also

repaired two broken hand pumps in Al Masgid

camps.

- World Vision visited 730 households in

Manawashi and Mershing and provided them with

received hygiene messages on such topics as

hand washing.

- World Vision completed the construction of

80 new latrines in Kramjie. Also, World Vision

continued to construct a latrine

superstructure in Manawashi and Mershing and

identified the households to benefit from 100

new latrines to be constructed in Khorabashi

camp.

- World Vision conducted water analysis for

five new boreholes in Yara, Labas, Grongo and

Ferdos.

- World Vision distributed latrine-digging

tools to five villages in Yara corridor and

conducted a cleanup campaign in which 70

people participated.

- World Vision established three water

trenches in Galdi and Umgadity.

West Darfur

- WHO carried out routine water quality tests

in Geneina and Zalingei localities.

If you have inputs for the next edition or

questions and comments on this one, or other

media and public enquiries, please contact:

Nahla Zarroug, Information Analyst, United

Nations, Khartoum, Sudan, Email:

zarroug@un.org, Telephone: +249-9-12160065

For other media and public enquiries, you may

also contact:

Orla Clinton, Public Information Officer,

United Nations, Khartoum, Sudan, Email:

clinton@un.org, Telephone: +249-9-12174454

Imad Hassanein, Media Officer, United Nations,

Khartoum, Sudan, Email: hassaneini@un.org,

Telephone: +249-9-12178035

December 3, 2008

2008 WHO Confirmed Human Cases HPAI H5N1

Filed under: Uncategorized — dandeakin @ 18:02
Tags: , , , , ,

ReliefWeb Maps Updates

Please find below a list of updated information from the ReliefWeb Site. If you do not have Web access and wish to receive the full documents via Email, simply copy the reference to a desired document (including the link), reply to this message and paste the reference into the body of the new Email. Please limit each request to a single document.

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REGION: AFRICA

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Country: Cameroon

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

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Country: Central African Republic (the)

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

Title – Déplacement interne en République Centrafricaine (au 26 Nov 2008) Source – Internal Displacement Monitoring Centre Format – jpg ; 172 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LREB8?OpenDocument

Title – Internal displacement in the Central African Republic (as of 26 Nov

2008)

Source – Internal Displacement Monitoring Centre Format – jpg ; 166 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LRE82?OpenDocument

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Country: Congo (the)

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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Country: Democratic Republic of the Congo (the)

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

Title – République Démocratique du Congo: Province du Nord Kivu – Déplacements internes dans la Région du Grand Nord (au 27/11/2008) Source – United Nations Office for the Coordination of Humanitarian Affairs Format – jpg ; 1813 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LTBAK?OpenDocument

Title – North Kivu, Democratic republic of the Congo: Status of refugee situation – 24 November 2008 Source – World Health Organization Format – png ; 431 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRB7B?OpenDocument

Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

Title – WHO: Operation access to the Democratic Republic of the congo – first emergency delivery – 19 November 2008 Source – World Health Organization Format – png ; 394 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRB3R?OpenDocument

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Country: Equatorial Guinea

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

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Country: Ethiopia

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Title – Ethiopia: Flood (as of 20 Nov 2008) Source – United Nations Office for the Coordination of Humanitarian Affairs Format – jpg ; 86 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LRERN?OpenDocument

Title – Ethiopia: National Hotspot Map (as of 24 Nov 2008) Source – United Nations Office for the Coordination of Humanitarian Affairs Format – jpg ; 130 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LREUN?OpenDocument

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Country: Gabon

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

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Country: Ghana

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Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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Country: None

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Title – The USAID FEWS NET Weather Hazards Impacts Assessment for Africa (November 27 – December 3, 2008) Source – Famine Early Warning System Network, United States Agency for International Development Format – pdf ; 259 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSBKJ?OpenDocument

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Country: Sao Tome and Principe

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Title – West and Central Africa: Flood preparedness (as of 26 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 1020 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRH7H?OpenDocument

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Country: Somalia

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Title – Flood Watch Somalia (as of 25 Nov 2008) Source – Famine Early Warning System Network, Food and Agriculture Organization of the United Nations, United States Geological Survey Format – pdf ; 431 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LRD67?OpenDocument

Title – Somalia: Rainfall Forecast – 3 day accumulated precipitation forecast (25 – 27 Nov 2008) Source – Famine Early Warning System Network, Food and Agriculture Organization of the United Nations, United States Geological Survey Format – pdf ; 193 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LRK5T?OpenDocument

Title – Somalia: Rainfall Forecast – 3 day accumulated precipitation forecast (27 – 29 Nov 2008) Source – Famine Early Warning System Network, Food and Agriculture Organization of the United Nations, United States Geological Survey Format – pdf ; 233 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LTDSR?OpenDocument

Title – Somalia: Rainfall Forecast – 3 day accumulated precipitation forecast (30 Nov – 02 Dec 2008) Source – Famine Early Warning System Network, Food and Agriculture Organization of the United Nations, United States Geological Survey Format – pdf ; 232 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWD68?OpenDocument

Title – Somalia: Pirate Attack Density in the Gulf of Aden (2008) as of 26 Nov 2008 Source – UNOSAT Format – pdf ; 1179 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSHXB?OpenDocument

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Country: Uganda

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Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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REGION: AMERICAS

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Country: Brazil

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Title – Brasil: Inundaciones y deslizamientos (al 26 de noviembre 2008) Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb, Red de Información Humanitaria para América Latina y el Caribe Format – pdf ; 675 Kb Date – 02 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LXAT6?OpenDocument

Title – Brazil: Floods and Landslides (as of 26 Nov 2008) – Location Map

Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 761 Kb

Date – 26 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/DDLO-7LRR7M?OpenDocument

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Country: Colombia

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Title – Colombia: Onda Fría (al 25 nov 2008) – Mapa de Ubicación Source – Red de Información Humanitaria para América Latina y el Caribe, United Nations Office for the Coordination of Humanitarian Affairs – ReliefWeb Format – pdf ; 236 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSC53?OpenDocument

Title – Colombia: Cold Wave (as of 25 Nov 2008) – Location Map Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 234 Kb

Date – 26 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LREPR?OpenDocument

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Country: Costa Rica

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Title – Poblados Susceptibles a Inundaciones en Costa Rica y Panamá (al 25 de nov 2008) Source – Centro del Agua del Trópico Húmedo para América Latina y El Caribe Format – pdf ; 244 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSCSB?OpenDocument

Title – Poblados Susceptibles a Inundaciones en Costa Rica y Panamá (Generado po CATHALAC 25 Noviembre 2008 Source – Centro del Agua del Trópico Húmedo para América Latina y El Caribe Format – jpg ; 961 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRBLK?OpenDocument

Title – The MFEWS Central America Weather Hazards and Benefits Assessment For November 27 – December 03, 2008 Source – Famine Early Warning System Network Format – pdf ; 423 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSD7E?OpenDocument

Title – Corregimientos Afectados / Inundaciones y Deslazamientos – Provincias de Chirqui, Bocas del Toro y Comarca Ngobe Bugle, 23-25 de Noviembre 2008 Source – Government of Panama Format – pdf ; 5268 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSBHT?OpenDocument

Title – Costa Rica and Panama: Floods (as of 01 Dec 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 412 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LWHG2?OpenDocument

Title – Costa Rica: Floods (as of 27 Nov 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 653 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LTEYB?OpenDocument

Title – Costa Rica: Inundaciones (al 25 nov 2008) – Mapa de Ubicación Source – Red de Información Humanitaria para América Latina y el Caribe, United Nations Office for the Coordination of Humanitarian Affairs – ReliefWeb Format – pdf ; 141 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSCAD?OpenDocument

Title – Costa Rica: Floods (as of 25 Nov 2008) – Location Map Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 140 Kb

Date – 26 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LRH7H?OpenDocument

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Country: El Salvador

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Title – The MFEWS Central America Weather Hazards and Benefits Assessment For November 27 – December 03, 2008 Source – Famine Early Warning System Network Format – pdf ; 423 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSD7E?OpenDocument

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Country: Guatemala

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Title – Mapa de la Ubicación de Albergues Habilitados para la Temporada de Frio a Nivel Municipal (al 24 de Noviembre 2008) Source – Coordinadora Nacional Para La Reduccion de Desastres Format – pdf ; 112 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSCZK?OpenDocument

Title – The MFEWS Central America Weather Hazards and Benefits Assessment For November 27 – December 03, 2008 Source – Famine Early Warning System Network Format – pdf ; 423 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSD7E?OpenDocument

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Country: Haiti

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Title – Haiti: Road Conditions Map (24 Nov 08) Source – Logistics Cluster Format – pdf ; 555 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSCNA?OpenDocument

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Country: Honduras

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Title – The MFEWS Central America Weather Hazards and Benefits Assessment For November 27 – December 03, 2008 Source – Famine Early Warning System Network Format – pdf ; 423 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSD7E?OpenDocument

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Country: Nicaragua

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Title – The MFEWS Central America Weather Hazards and Benefits Assessment For November 27 – December 03, 2008 Source – Famine Early Warning System Network Format – pdf ; 423 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSD7E?OpenDocument

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Country: Panama

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Title – Poblados Susceptibles a Inundaciones en Costa Rica y Panamá (al 25 de nov 2008) Source – Centro del Agua del Trópico Húmedo para América Latina y El Caribe Format – pdf ; 244 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSCSB?OpenDocument

Title – Poblados Susceptibles a Inundaciones en Costa Rica y Panamá (Generado po CATHALAC 25 Noviembre 2008 Source – Centro del Agua del Trópico Húmedo para América Latina y El Caribe Format – jpg ; 961 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRBLK?OpenDocument

Title – The MFEWS Central America Weather Hazards and Benefits Assessment For November 27 – December 03, 2008 Source – Famine Early Warning System Network Format – pdf ; 423 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LSD7E?OpenDocument

Title – Corregimientos Afectados/Inundaciones y Deslizamientos – Provincia de Chiquiri, Bocas del Toro y Comarca Ngobe Bugle, 23 – 26 de Noviembre

2008

Source – Government of Panama

Format – pdf ; 922 Kb

Date – 28 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LTDFK?OpenDocument

Title – Panamá: Corregimientos Afectados/Inundaciones – Provincia de Darien y Comarca Embera, 27 – 29 de Noviembre 2008 Source – Government of Panama Format – pdf ; 89 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWEF7?OpenDocument

Title – Panamá: Corregimientos Afectados/Inundaciones y Deslizamientos – Provincia de Chiquiri, Bocas del Toro y Comarca Ngobe Bugle, 23 – 28 de Noviembre 2008 Source – Government of Panama Format – pdf ; 4747 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWG96?OpenDocument

Title – Panamá: Corregimientos Afectados/Inundaciones y Deslizamientos – Provincia de Chiquiri, Bocas del Toro y Comarca Ngobe Bugle, 23 – 29 de Noviembre 2008 Source – Government of Panama Format – pdf ; 1682 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWF6B?OpenDocument

Title – Panama: Inundaciones y Deslizamientos (al 25 de Nov 2008) Source – Government of Panama Format – pdf ; 949 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSBF7?OpenDocument

Title – Republica de Panama (Declaration de Alertas 24 de Nov. 2008) Source – Government of Panama Format – pdf ; 2594 Kb Date – 27 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSB8W?OpenDocument

Title – Sistema Nacional de Proteccion Civil – Estimacion Preliminar de Areas Afectadas por Inundaciones y Deslizamientos – Tierras Altas/Provincia de Chiriqui (al 23 de Noviembre 2008) Source – Government of Panama Format – pdf ; 308 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LTDQB?OpenDocument

Title – Sistema nacional de protección civil – República de Panamá (declaración de alertas 28 de Nov.) Source – Government of Panama Format – pdf ; 1220 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWF3H?OpenDocument

Title – Ubicacion de Albergues/ Inundaciones y Deslizamientos – Provincia de Chiriqui y Bocas del Toro, 23 – 26 de Noviembre 2008 Source – Government of Panama Format – pdf ; 857 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LTDBU?OpenDocument

Title – Costa Rica and Panama: Floods (as of 01 Dec 2008) – Situation Map Source – International Federation of Red Cross And Red Crescent Societies Format – pdf ; 412 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LWHG2?OpenDocument

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REGION: ASIA

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Country: India

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Title – Tropical Cyclone Nisha (as of 28 Nov 2008) – Location Map Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 182 Kb

Date – 28 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LTL9A?OpenDocument

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Country: Kyrgyzstan

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Title – Kyrgyzstan: Energy/Water/Food Insecurity (as of 28 Nov 2008) – Location Map Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 227 Kb

Date – 01 Dec 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LWJHM?OpenDocument

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Country: Myanmar

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Title – Myanmar: Cyclone Nargis – Who/What /Where – Agriculture (as of 11 Nov 2008) Source – Myanmar Information Management Unit Format – pdf ; 283 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWJ9G?OpenDocument

Title – Myanmar: Cyclone Nargis – Who/What /Where – Early Recovery (as of

07 Nov 2008)

Source – Myanmar Information Management Unit Format – pdf ; 281 Kb Date – 01 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/MCOT-7LWJP2?OpenDocument

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Country: Pakistan

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Title – USAID Humanitarian Assistance to Pakistan: Earthquake, Balochistan Province (as of 25 Nov 2008) Source – United States Agency for International Development Format – pdf ; 1023 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRBG5?OpenDocument

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Country: Sri Lanka

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Title – Sri Lanka: Tropical Cyclone Nisha (as of 26 Nov 2008) – Location Map Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 163 Kb

Date – 27 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LSGUK?OpenDocument

Title – Tropical Cyclone Nisha (as of 28 Nov 2008) – Location Map Source – United Nations Office for the Coordination of Humanitarian Affairs

- ReliefWeb

Format – pdf ; 182 Kb

Date – 28 Nov 2008

URL Address -

http://www.reliefweb.int/rw/rwb.nsf/db900SID/LPAA-7LTL9A?OpenDocument

Title – Sri Lanka: Floods and Affected Population – Jaffna District / November – December 2008 Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 1542 Kb Date – 02 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LXJUH?OpenDocument

Title – Sri Lanka: Jaffna District – Number of Families Affected by Floods (as of 30 Nov 2008) Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 678 Kb Date – 02 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LXAYY?OpenDocument

Title – Sri Lanka: Muttur & Seruvila DS Division – Trincomalee District – High Security Zone Muttur (East) / Sampoor (as of 25 Nov 2008) Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 286 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LRE4C?OpenDocument

Title – Sri Lanka: Number of Families Affected by Floods, 27th November

2008 – 10:00 hrs

Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 2209 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LTE7F?OpenDocument

Title – Sri Lanka: Number of Families Affected by Floods, 27th Novermber

2008 – 16:00 hrs

Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 1257 Kb Date – 28 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LTEU4?OpenDocument

Title – Sri Lanka: Trincomalee District – IDP information updated as of 02 October 2008 & Access information updated as of 24 November 2008 Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 246 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7LRDYG?OpenDocument

Title – Overview of Flood Waters in Jaffna Peninsula, Sri Lanka (as of 01 Dec 2008) Source – UNOSAT Format – pdf ; 1586 Kb Date – 02 Dec 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LXB44?OpenDocument

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Country: Timor-Leste

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Title – Timor-Leste: Population Density by District (as of 21 November

2008)

Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 701 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRBTT?OpenDocument

Title – Timor-Leste: Population Density by Sub District (as of 21 Nov 2008) Source – United Nations Office for the Coordination of Humanitarian Affairs Format – pdf ; 816 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRBWW?OpenDocument

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Country: United Arab Emirates (the)

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Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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REGION: EUROPE

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Country: Italy

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Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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Country: Norway

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Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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Country: Switzerland

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Title – WHO moves resources to the Democratic Republic of the Congo through partnerships – 19 November 2008 Source – World Health Organization Format – png ; 181 Kb Date – 26 Nov 2008 URL Address – http://www.reliefweb.int/rw/rwb.nsf/db900SID/JOPA-7LRAWV?OpenDocument

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