1. Bangladesh Flood, Health & Nutrition Situation-2004 UN Flash Appeal for Health & Nutrition H &N Sub-group Presentation WHO, UNFPA, UNICEF Presented by: Dr. K Akram, WHO

2. Flood Situation as on 3 rd August’04 Flood Situation as on 3 rd August’04   Affected Districts: 38   Death Toll : 716   Affected Population: 30m (24% of total Popln)   Temporary Shelters: 4830 Flood 2004   Temporary TC: 823

5. DiseaseRates of Illness in 1988 Flood (n= 46,470) Rates of Illness in 1998 Flood (n= 15,797) Diarrhoeal Disease34.7%40.1% Respiratory Disease17.4%20.3% Intestinal worms10.1%12.2% Skin infection05.8%07.4% Eye Infection02.2%05.6% Ear Infection01.8%04.8% Injuries with infection05.1%04.3% Fever06.5%03.9% Other diseases16.4%01.4% TOTAL100% Comparison of morbidity pattern of 1988 and 1998 Flood in Bangladesh

6. 1.The direct intervention will be carried out by government and NGOs agencies with technical support provided by UN agencies (WHO, UNICEF, UNFPA). 2. The procurement of logistics and other supply materials will be made by UN agencies. 3. Maintain and strengthen regular liaise with the health services of the GOB and other NGO partners in receiving reports regarding outbreaks of impending communicable diseases and carry out interventional activities as per needs Strategies:

7. Health and Nutrition Group: Assistance Provided by WHO, UNFPA and UNICEF Health (WHO):  In-house Crises Management Team formed & is meeting daily at the NDSC, IEDCR and during holidays and providing assistance to the DGHS and the Control room.  WHO is providing Computer, Printer, Fax machine and minor renovation works to enable smooth functioning.  The Divisional Coordinators and Districts surveillance medical officers (SMO) from WHO are providing technical supports to the Civil Surgeons and sending daily reports to FCMT.  WPT, Bleaching Powder, Intravenous Cholera Saline, Antibiotics like Tetracycline, Ciprofloaxacin, Paracetamols tablets and syrups, Co-trimoxizole syrup and tablets, Erythromycin and Amoxycillin tablets and syrup, Anti-snake venom.  Procurement of Medicine and supplies to the following Offices: 1. 1.DGHS 2. 2.BMA 3. 3.Red Crescent Society 4. 4.DPHE 5. 5.Sylhet City Corporation

8. UNFPA support to Flood - 2004 Medicine* - Basic medicine required for pregnant, lactating and 0 - 5 children: The following are included in each kit: * Medicine to cover 8,000 clients/patients in each district * ORS - 10,000 /each district * Cholera Saline - 200 each district *WFP Biscuits*: In addition to above, WFP biscuits are also being distributed by these teams. The qty per districts are as follows: Brahmanbaria: 540 ctns (4.0 mt) Hobiganj:: 540 ctns (4.0 mt) Narhsingdi/Kishroreganj: 400 ctns. (3.0 mt) Bogra 540 ctns. (4.0 mt) Dhaka: 500 ctns (3.75 mt) *UNFPA Subkit 6*: Delivery Subkit - 30 kits arrived at the airport and are under custom clearance. We are expecting another 70 kits from HQs. *UNFPA Subkit 12:* Transfusion - 10 kits arrived at the airport and are under custom clearance.

9. UNICEF’s support to Flood – 2004 Procured WPT ( 5 million distributed, 5 million in pipeline) Procured ORS for medical centers and temporary shelters (0.5 million delivered, 4.5 million in pipeline) Procured IV fluid to combat diarrhea dehydration (25,000 500 ml distributed to health facilities, 150,000 500 ml and 75,000 1000 ml in pipeline) Procuring measles vaccines (8,800 vials), AD syringes (100,000) and recantation syringes (120,000) and safety boxes (1250) for measles vaccination campaign in flood shelters Procuring 100 MT blended food for infants and young children in flood shelters

10. Future plans: The H&N groups (WHO, UNICEF, UNFPA) will meet for Detailed work plan Monitoring mechanism, implementation Composition of groups: WHO, UNICEF, UNFPA, Red Crescent has joined Other players: ICDDR, B and/or Other NGOs