Emergency health

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| Press release

Philippines: Mounting health crisis after super typhoon

Kuala Lumpur/Manila, January 6, 2022 - The International Federation of Red Cross and Red Crescent Societies (IFRC) warns of a mounting health crisis in the eastern Philippines after Super Typhoon Rai destroyed hospitals and affected more than 7.3 million people. Philippine Red Cross is scaling up critical healthcare on islands devastated by the typhoon, locally known as Typhoon Odette, to prevent further spread of COVID-19, and deadly waterborne diseases including gastroenteritis and acute watery diarrhoea. There have been more than 400 cases of diarrhoea and gastroenteritis in typhoon-affected areas, with 141 health facilities damaged by the storm, according to Philippine Government agencies. Philippine Red Cross Chairman Richard Gordon said: “Philippine Red Cross health teams are providing vital care at emergency medical tents on Siargao Island, boosting health services at the hospital, which was severely damaged by the typhoon, losing much of its roof. “We’re urgently sending more health teams, hygiene kits and resources, including safe water supplies and water filtration systems to Siargao island, Cebu, Palawan and Bohol, to prevent the spread of disease.” IFRC Head of Philippine Delegation Alberto Bocanegra said: “It is extremely concerning that people have been getting very sick and even dying in areas smashed by this typhoon, which has left millions without access to clean drinking water, hospitals and health facilities. “Red Cross is urgently ramping up healthcare and providing clean water to prevent severe illness and death from diseases like gastroenteritis and diarrhoea.” The IFRC is appealing for 20 million Swiss francs to provide more than 400,000 people with immediate relief, including food supplies, restored access to clean water, and longer-term support to help families rebuild their homes and shattered livelihoods. For more information or to arrange an interview, contact: Asia Pacific Office: Antony Balmain, +60 12 230 8451, [email protected] IFRC Philippine Delegation, Karina Coates, +61 (0) 404 086 006 [email protected]

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Actions must speak louder than words: Five asks to achieve equity in vaccine delivery

In June 2020, a few months into the COVID-19 pandemic, the United Nations and the International Red Cross and Red Crescent Movement jointly called on governments, the private sector, international and civil society organizations to accelerate efforts to develop, test, and produce a safe and affordable “people’s vaccine” to protect everyone, everywhere and bring the crisis to an end. A people's vaccine should protect the affluent and the poor, the elderly as well as the young, forcibly displaced persons, migrants regardless of their immigration status, and other often neglected populations, both in urban areas and in rural communities. Fifteen months later, thanks to extraordinary scientific and technological advances, as well as global collaboration and mutual reliance in regulatory aspects, multiple safe and effective vaccines against COVID-19 are available and being administered in countries around the world. Yet, despite lofty rhetoric about global solidarity, the goal of a “people’s vaccine” is far from being reached. Equitable vaccine distribution is a political, moral, and economic priority which has so far been largely neglected. Profits and short-sighted vaccine nationalism continue to trump humanity when it comes to the equitable distribution of vaccines. Though more than 48 per cent of the world’s population has received at least one dose of the vaccine, that percentage drops to barely 3 per cent in low-income countries. The situation is particularly worrying in countries in humanitarian crisis which need almost 700 million more doses to reach the World Health Organization’s target of vaccinating 40 per cent of their populations by the end of the year. Over half of the countries with a humanitarian appeal do not have enough doses to vaccinate even 10 per cent of their population. Seven of the poorest in the world only have enough doses to reach less than 2 per cent of their population (Burundi, Cameroon, Chad, the Democratic Republic of the Congo, Haiti, South Sudan, and Yemen). Wealthy countries with access to large quantities of vaccines have generously pledged to donate their excess doses to low- and middle-income countries via COVAX. However, far too few of these donations have been received. Supply of doses to the most vulnerable continues to be constrained by export restrictions and an unwillingness of countries to give up their place in the production supply line to COVAX, even if they cannot use those doses immediately. The Humanitarian Buffer, part of the COVAX Facility, has been open for applications since June 2021. The Buffer is a measure of last resort to ensure the world’s displaced and other vulnerable populations are reached with COVID-19 vaccines. It is also part of the efforts to curb inequity, which would otherwise jeopardize social and economic recovery in humanitarian settings. We therefore need to urgently boost supply, share vaccines, and ensure that everyone has access. But having vaccine doses available is only part of the solution to this crisis. We must ensure that the vaccine makes it from the airport tarmac into the arms of the most vulnerable – including refugees, migrants, asylum seekers, marginalised groups, people who are stateless, and those living in areas controlled by armed groups and/or affected by armed conflict. There must be greater investment in local delivery mechanisms and capacity, not only to guarantee that vaccines are delivered quickly and fairly, but also to strengthen national health systems for more effective pandemic preparedness and response. All around the world, efforts to curb the pandemic are undermined by mistrust that leads to vaccine hesitancy. More than ever, it is important to work with and within communities, including through social media and community networks, to build trust and strengthen confidence on the efficacy and safety of vaccines. Activities that strengthen support for local actors and address misinformation are key to ensuring the successful delivery of vaccines to local communities, especially those most at-risk. The United Nations and the International Red Cross and Red Crescent Movement remain steadfast in their commitment to ensure equitable and effective access to COVID-19 vaccines across the globe. As the pandemic requires the international community to take extraordinary measures, today we unite our voices again to say it is time for actions to speak louder than words. --- It is a humanitarian imperative and our shared responsibility to ensure that lives everywhere are protected, not only in the few countries that have the means to buy protection. We call on governments, partners, donors, the private sector, and other stakeholders: to scale up COVID-19 vaccine supply and access to COVAX including through donations from high-income countries to donate vaccines to those countries and regions that remain inequitably served; to increase the funding and support to local actors to ensure that vaccines leave capital airports and reach everyone, including through investment both in the local health systems required for delivery and in community engagement to enhance acceptance and confidence in COVID-19 vaccines as well as vaccines in general; to strengthen the capacity for COVID-19 vaccine production and distribution worldwide, particularly in low- and middle-income countries; to accelerate the transfer of technology and know-how: investments made now will last well beyond this public health emergency and will strengthen the global capacity for response to future epidemics and pandemics; to request the lifting of all remaining barriers (by manufactures) to allow humanitarian agencies access COVID-19 doses, including through waiving the requirement for indemnification, particularly where the most vulnerable populations can only be reached by humanitarian agencies using the COVAX Humanitarian Buffer. For more information Tommaso Della Longa, IFRC,+41 79 708 43 67, [email protected] Crystal Ashley, ICRC, +41 79 642 80 56, [email protected] Anna Jefferys, UNOCHA, + 1 347 707 3734, [email protected]

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A true hero of a COVID-19 Intensive Care Unit in Hungary

Rebeka Szilágyi was working as a midwife in a hospital in Budapest when the COVID-19 pandemic hit and she decided to join the Hungarian Red Cross’ H-HERO Health Emergency Response Unit. Her story illustrates the struggles and rewards of frontline volunteers: “When the first wave of coronavirus reached Hungary and the pressure on hospitals intensified, I worked in a COVID-19 ward for six weeks. So when numbers started to rise again in autumn I volunteered, telling my boss that I would be happy to go back. “One day in November I got a phone call saying that the Intensive Care Unit (ICU) was in dire need of help. I expected that this would be a much bigger and serious task than it was in the spring – and I was right. I have been working in the ICU for seven months now, and I don’t regret it at all: I would come again. “The COVID-19 Intensive Care Unit where I volunteer is like an enclosed arena where you have to fight a new enemy day in and day out. You never know what challenges you’re facing that day, because every patient is different even if the illness is common to all of them. “At first, it bothered me that after a few minutes I would be warm under the plastic coverall, double mask, glasses and three gloves, but later I didn't even notice them. Now I get caught up in tasks and sometimes realise that four or five hours have passed without me taking a sip of water, eating a bite or just sitting down. It’s a job that – as we say – can’t be finished, just stopped. “We don’t spare time or energy for our patients, and it’s difficult to accept that sometimes nothing can be done. Our hearts squeeze as sobbing relatives come in to say goodbye to a loved one. That was the case with a patient I had a small conversation with recently, and who was put on ventilation in my shift. I saw that COVID-19 was finally crushing his system. Smiling photos of grandchildren and relatives appeared from his belongings as I prepared the inventory of his personal items. I let out a sigh, and my own family came to mind. And the people I saw the day before in the supermarket, not keeping their distance, the mask pulled down to their chin... And the social media posts where they debated how severe the situation is, how effective vaccines are. “Our team in the hospital is fantastic. We are like a small family. On the toughest days, we keep our spirits up together. I truly look up to my colleagues: from doctors, nurses and other medics to cleaning staff, each and every one of them are true heroes! I am proud to be one of them, to work with them. “The situations I have experienced over the last months have left a deep impression on me. I have learned a lot in terms of humility and perseverance in addition to professional knowledge. The desire to help – the reason why I chose healthcare for a living – has become stronger in me. But, along with my colleagues, I am of course looking forward to the end of this devasting pandemic.” Hungary has registered more than 808,000 confirmed cases and 30,000 deaths linked to COVID-19. With support from the International Federation of Red Cross and Red Crescent Societies (IFRC), the Hungarian Red Cross has significantly scaled up both prevention and response activities. These include awareness-raising initiatives; direct support to hospitals with equipment, material resources and volunteers, logistical assistance, help with testing and vaccination, and operating the dispatch centre of the national ambulance service.

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Emergency health

The IFRC and our 191 National Societies striveto reduce illness and death, improve health and maintain people’s dignity during emergencies.Our emergency health team works to improvethequality, reliability, predictability andflexibilityof our health services around the world in preparation for emergencies.

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Physical, but not emotional, distance

Diego Gómez is 38 years old, he is an emergency medical technician, and for nine years he has been working as a paramedic in the Metropolitan Committee of the Costa Rican Red Cross, in the Canton of San José, the capital city of the country. Every day he carries out his duties with an Advanced Support Unit. Together with a driver he transfers patients to the hospital, many of them with symptoms compatible with COVID-19. According to Diego, things have changed a lot since the pandemic began. “Normally we treat emergency medical cases, but with the onset of the pandemic, calls related to the virus increased a lot… there was very little information, and the health system quickly became saturated. We realized that there were many scared people thinking that they had contracted the coronavirus and many felt very lonely and anguished without knowing what to do.” The service in which Diego works consists of four ambulances and as soon as the urgent care notice arrives, protocol are set in motion to try and determine if the person who is going to be treated could be infected with the virus. The family or the patient reports on their symptoms and checks are done to see if they have had close contact with people with coronavirus. When the team arrives at the patient's home and the suspicion of possible contagion is confirmed, their transfer to the nearest available medical center is organized. “Many of the patients we serve are older adults with other health conditions, such as obesity or diabetes. The hardest thing is that they have to travel alone in the ambulance and many older people have to say goodbye to their family, because they cannot be accompanied in the context of the pandemic... it is a hard time for them and for us too". Diego also tells us that he and three of his colleagues had to quarantine for 15 days, due to contact with a patient who had to be treated in the ambulance for cardiac arrest, and it turned out to be COVID-19 positive. According to Diego, during the days of isolation his feeling was one of frustration, and then one of vulnerability, "for the first time I saw myself on the side of the sick and that affected me a lot, I had to accept that it is part of the work we do. Now we have new protocols, and all the cases we attend are treated as suspects, until proven otherwise, that is why we use protective filter masks, a surgical gown, protective glasses, etc. I live with my mother who is older, and I always try to respect security measures ... even if we have to keep physical distance with our elders, that does not mean that we have to keep emotional distance. It is always possible to show affection over the phone, or exchange virtual hugs over video calls”, he concludes. The Costa Rican Red Cross has been working on the frontline of this health emergency, so far more than 8000 cases of confirmed or suspected COVID-19 patients have been transferred and more than 41000 incidents have been carried out for the same cause. Campaigns have also been carried out in communities promoting the implementation of protection measures.

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Lesvos, Greece: A good-hearted girl in need of heart surgery

By Georgia Trismpioti, IFRC 22-year-old Nour from Syria was lying under an olive tree in distress. She was nine months pregnant with her fifth child and feeling unwell. That is where I found her, and immediately called for assistance. Two nurses from the Hellenic Red Cross came to examine her health condition and give her comfort. Nour’s family decided to flee to Turkey after their house in Syria was destroyed by a bomb. They attempted to cross the border but were turned back five times before they succeeded. She just couldn’t give up – she wanted to give her children a “better life and a brighter future.” From Turkey, the family crossed the Aegean Sea to Greece only to find themselves in the notorious Moria camp on the island of Lesvos. A year ago, when they had settled down in Moria, Nour realized that she had to fight yet another battle. Her 3-year-old daughter, Tabia (which means good-hearted in Arabic), was diagnosed with a congenital heart defect, “a hole in the heart”, which has a mortality rate of 90 per cent before age 10. “I have to save Tabia. She needs to be treated otherwise her life is at risk. We had an appointment at the Tzaneio hospital in Athens for a surgery, but the fires destroyed all my hopes,” said Nour. After devastating fires destroyed Moria camp, Nour and her family were not allowed to leave the island, so they were not able to transfer Tabia to the hospital in Athens for her surgery appointment. “My life is a daily struggle here in Lesvos. There’s dust, noise, lack of water, everything,” said Nour. “It's better than living in the street but still is so bad. I don’t want to give birth here.” Thanks to coordinated actions with IOM and UNHCR, it was quickly decided to transfer Nour and her family to a safer and more appropriate place for her to give birth. Upon hearing the good news, Nour held my hands tightly saying with a sparkling smile, “Thank you so much. Red Cross nurses made me feel that I am respected again because there are people who care about me.” How Tabia’s heart condition is going to be treated is still a concern.

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I thought I could do it, so I did it

By Olivia Acosta Mariela Bareiro is 43 years old, and she has a degree in nursing, but she stopped practicing two years ago due to a family tragedy from which she is still recovering. "When the Paraguayan Red Cross launched an appeal for volunteers to provide information about the pandemic to the population, I didn't think about it, I needed to do something, to feel useful... I thought I could do it, so I did it”. And that's how Mariela's adventure began on June 8th at the National Call Center. This service, which receives more than a thousand calls a day, consists of a free line set up to guide and attend to citizens' questions and concerns regarding COVID-19, implemented by the Ministry of Public Health and Social Welfare of Paraguay. Mariela dedicates 18 hours a week to this job in the morning, along with 18 volunteers from the Paraguayan Red Cross. Her mission is to provide information on prevention and isolation measures and to schedule appointments for coronavirus testing. "Most people call us to report symptoms of COVID-19, we check them and schedule appointments so they can be tested as soon as possible and confirm if they have the virus. But many times the calls they receive require another type of intervention: "Many people call us because they are very sad, they have lost their loved ones because of the pandemic and they need to vent. We receive training in emotional support, to be able to help them in those hard moments. According to Mariela, many people who live alone feel a lot of anxiety when they present symptom of coronavirus and call to know what to do. "That is when we have to do a good listening, reassure them and finally give precise instructions for them to follow. He remembers a 54-year-old man who had lost his wife and two children: "He had symptoms, but he said he didn't care about having the virus, because he was alone and had no one left... quite often there are some difficult calls like this one. Hopefully all this will help us to be more empathetic, more supportive and more humane". On some occasions, they also receive calls from people who need urgent help: "I remember a dramatic case of a 43-year-old woman who fell down at home and hit her head. Her two daughters, who asked for help from the neighbors, called us because no one wanted to help… both had tested positive for COVID-19 a few days earlier. We had to refer the case to the hospital", she recalls. Mariela started as a volunteer 8 years ago at the Red Cross branch in Ñemby, one of the cities in the Central Department of Paraguay, in the youth Area. She has 4 children who are also volunteers for the organization, the youngest is 13 years old, she tells us. "What I do fills me up and makes me passionate, I feel useful and I give the best of myself," she concludes with a smile. The Paraguayan Red Cross is implementing health, water and sanitation activities to respond to the pandemic. 120 mobile washing stations have been installed in strategic locations and more than 5,000 family hygiene kits have been distributed. The Paraguayan Red Cross is also monitoring health status of vulnerable populations at risk of beeing infected by the virus and works in shelters to support the population returning to the country and having to carry out quarantine. In addition, The Paraguayan Red Cross supports several hospitals in the country in the transfer of COVID-19 patients.

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The importance of good communication in times of COVID-19

Information saves lives; and in the context of the COVID-19 pandemic, where there has been an excess of information and false rumors, the Bolivian Red Cross has been developing different actions against disinformation, and to reach out with clear messages to the population. In times of isolation, social media become a great way to stay close to people, and to bring them relevant and reliable information. The Bolivian Red Cross has developed a digital strategy that includes messages presented in an educational way, and videos where volunteers provide advice on different topics such as new ways to greet, how to use masks, how to wash hands, among others. This strategy also includes a series of sessions broadcast on Facebook Live, which have been very well received, since they are not only a way to provide information, but also to listen to the population, and to be able to attend and answer their questions. The first transmission was Myth and Truths about COVID-19, which has reached more than 8,500 users, and which received a series of queries from the public such as “How to disinfect food?” “What care should be taken with a person with disabilities and the elderly?” “Can masks be reused?” and more; all these questions were answered on the broadcast. Since that first transmission, topics such as stress management or relaxation techniques for isolation times, domestic violence, and what comes after COVID-19, have been touched upon. “We consider that the use of social media helps us not only to be able to give information, but also to know what people are thinking, what are their main concerns and doubts around COVID, and this allow us to be able to adjust the messages, so that they can address those information gaps. In addition, it has been a way to involve volunteers who are complying mandatory isolation, and who can help from their homes. In this way, although physically distance, the Red Cross remains close.”, says Mariela Miranda, Head of Communications for the Bolivian Red Cross. But it is known that not everyone has access to the internet, for this reason, messages have also been broadcast through radio spots in Spanish, Quechua, Aymara and Guarani, in different parts of Bolivia. Also, volunteers have been spreading prevention measures in markets, such as hand washing and social distancing, using megaphones. “I want to thank the Bolivian Red Cross for all their work, for all their love and the effort they make, informing and educating us with all the information they provide, whether it is to protect, prevent, or follow a protocol regarding day-to-day health.”, says Ale Marin, one of the most active users in BRC social media. The Bolivian Red Cross is committed and will continue to provide information to all those who require it, in order to clarify doubts and questions of those who need it.

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Philippine Red Cross identified as key humanitarian partner of government in fight against COVID-19 under landmark Bayanihan to Heal as One Act

The Bayanihan to Heal as One Act has been signed into law last March 23, 2020 to ramp up efforts to fight COVID-19, including social safety nets and PhilHealth medical assistance to health workers and volunteers who risk their own lives in order to save the lives of others. Government will provide emergency subsidy to around 18 million low income households, to ensure that families have access to food and other basic needs in light of the heavy economic cost of the pandemic. “Finally! The Senate has adopted our amendments. Kung kinaya ng ibang bansa na lampasan ang pandemic na ito, kaya rin natin. To the Filipino people – yes, we can and yes, we will. Fight we must, win we must!”, said PRC Chairman and Senator Richard Gordon via Facebook, referring to his crucial amendments to the law, paving way for the P100,000 safety net for each healthcare worker infected by COVID-19, and a P1 million allocation each for bereaved families of healthcare workers who pass away in the line of duty. To better address COVID-19, the legislation identifies Philippine Red Cross as a key partner of the government in the distribution of goods and services to prevent and respond to the effects of the pandemic. As “auxiliary” to the public authorities in the humanitarian field, the Philippine Red Cross, supported by its worldwide Red Cross Red Crescent Movement partners, is mandated by the Philippine Red Cross Act (RA 10072) and international law to provide life-saving humanitarian aid, alleviating the suffering of people wherever they may be found. The Bayanihan to Heal as One Act emphasizes and strengthens this auxiliary role of the prime humanitarian volunteer organization in the country, to support and supplement government efforts in these challenging and volatile times. Even prior to the passage of the Bayanihan to Heal as One Act, Philippine Red Cross staff and volunteers had been mobilizing resources and providing relief assistance and pandemic prevention kits to communities, through Red Cross Chapters in Luzon, Visayas and Mindanao. 1,137 liters of disinfectant solution had been donated to the Bulacan Red Cross Chapter, which it will then distribute to hospitals, barangay tanods, and other community frontliners. The Davao de Oro Red Cross Chapter provided tents to serve as 14-day quarantine facilities for some passengers traveling from other parts of the Philippines, with Compostela Red Cross Chapter providing beds and water, ensuring respect for human dignity in humanitarian aid. Philippine Red Cross Headquarters had also set up a 24/7-hour Red Cross hotline (1158) to address questions regarding COVID-19 symptoms and precautions, with volunteer doctors advising whether hospitalization may be required. Volunteer social workers also provide mental and psychosocial support to callers as part of Philippine Red Cross’ support to mental health. This helps decongest overwhelmed medical facilities by providing a first layer screening. There have been 128 calls received, the highest volume on March 24 after the new law was passed. There are currently 53 call center volunteers, and Philippine Red Cross welcomes more volunteers to serve the increasing volume of callers each day.

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Iraqi Red Crescent paramedic: 18 hours of work is not enough

Imad Sabah’s life changed more than 15 years ago, when he met an Iraqi Red Crescent Society’s volunteer collecting donations for displaced people in Anbar. When Imad heard how people had to leave all their belongings behind and seek safety away from home, and how the Red Crescent was supporting them, he was touched and decided to join the RC himself. Since that date, as a RC volunteer and an active member of the emergency response team, Imad has been an important part of the ongoing humanitarian work of the Iraqi Red Crescent Society during many difficult situations Iraq has witnessed over the years. After joining the Red Crescent, Imad Sabah has been trained on various humanitarian skills such as first aid, psychological support, disaster management and response. Imad, who always carries his first aid bag with him, has saved the lives of hundreds of people. Lately, since the demonstrations started in Baghdad, he has been leading the emergency first aid team rescuing the wounded either on site in Tahrir Square or transporting them to nearby hospitals. Working for more than 18 hours a day, Imad and his team refuse to leave the site of the demonstrations even during their breaks. “I don’t feel tired, even though this work is very stressful. My team and I work in Tahrir Square in Baghdad, where we provide first aid for the injured. For more critical cases, we transport the injured to hospital and help the medical staff to manage the influx of people”, Imad explains. The best reward Imad and his team get is from the people they help. “We feel their love and appreciation. As soon as they see our logo, they allow us to help them, they give us access and they trust us. This is the best kind of a reward: access to those who need us.” On a personal level, Imad has recently married another Iraqi Red Crescent volunteer - with whom he promised to spend the remaining 6 hours, after 18 hours a day saving lives.

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| Press release

IFRC to bring humanitarian aid into Venezuela

Caracas/Panama/Geneva, 29 March 2019— The President of the International Federation of Red Cross and Red Crescent Societies (IFRC) has announced that IFRC will have unhindered access to bring humanitarian aid into Venezuela to support a major scale up of medical care and other assistance by the Venezuela Red Cross. The announcement comes after a series of meetings this week in the Venezuelan capital Caracas with institutions and humanitarian, social and political groups. Speaking at a press conference in Caracas, IFRC President Francesco Rocca said: “The IFRC will be able to scale up health activities across the country in a manner that is independent, neutral, impartial and unhindered, reaching more vulnerable people.” “In a country torn apart by the struggle between powers, the power of humanity has prevailed. This is a crucial step forward in expanding humanitarian services in Venezuela, with a specific focus on health, saving more lives, and alleviating the suffering of vulnerable people who are facing a dire situation.” With IFRC support, the Venezuelan Red Cross currently runs a network of 8 hospitals and 33 medical clinics. It also offers community-based medical screenings, consultations and disease prevention and hygiene programs. The Venezuelan Red Cross has more than 2,600 volunteers working across the country, including 500 who deliver first aid. “As we scale up our operations, we can count on the committed Venezuelan Red Cross volunteers to reach people in need, whoever they are and wherever they are, with health care as the priority,” said Mr Rocca.

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“I have seen my children suffering” – tackling chicken pox in Bangladesh’s mega-camp

Three-year-old Mohammed Sofit lies on the cold bare earth inside his family home. For the past 24 hours he has been suffering from chicken pox – an all too familiar ailment in the sprawling Kutapalong camp, built into steep hillsides close to the Myanmar-Bangladesh border. While the common childhood illness is generally low risk, chronic overcrowding in the camps near Cox's Bazar mean the disease is able to spread rapidly among the population. With over 34,500 cases of the disease reported since December, the worry is that this illness risks compounding many other vulnerabilities of the people who live here. “I have seen my children suffering” Fatema Khatun, a mother of four, lives nearby in her small shelter in the Kutapalong mega-camp in Cox’s Bazar, Bangladesh. Among her four children, three are already affected by the recent outbreak of chicken pox. Fatema’s youngest daughter, one-year-old Nusrat has been suffering from chicken pox for five days. Two of her other children have had the tell-tale itching for two days. “I wasn’t much worried at the beginning,” said Fatema. “Everyone in my neighborhood was saying it will go away, but I have seen my children suffering for the past few days. That’s when I came here, and it takes an hour of walk to get here.” Fatema visited one of a handful of Red Cross clinics in the area. They treat a wide variety of health conditions among the people displaced by violence in Rahkine, Myanmar. Perhaps unsurprisingly, the recent chicken pox outbreak is spreading fast in the densely populated settlements in Cox’s Bazar. The nature of the disease, as any parent knows, is that it is very contagious. But it is also particularly miserable condition in the hot, stuffy tents that perch precariously on these hillsides. “Stay clean and washed” Abdus Sattar lives in a nearby area of the mega-camp. Two of Abdus’ five children have chicken pox. Abdus was asked to come to the clinic close to his home on the advice of a Red Cross and Red Crescent community mobilizer. These volunteers, recruited from the camp, go door-to-door to ensure people are getting appropriate and timely information. At present, they are spending a lot of time speaking to families about chicken pox. “After talking to the doctor, I came to know about the dos and don’ts during this period,” said Abdus. “My children should not scratch the body. We should cut the nails short, stay inside the mosquito net, drink plenty of water and stay clean and washed.” It has been a month since the beginning of the chicken pox outbreak, and still patients come with a fever, a cough, itching, and scabs. In severe cases these scabs can become infected. Dr. Faisal from the Bangladesh Red Crescent Society is working in the clinic that saw Abdus. “This disease is a contagious kind,” he said. “We are advising patients to stay in their homes. Non-affected family members should come to the health center to receive advice and medicine.” Health messages on the wireless Noor Mohammad usually attends a community safe space run by the Red Cross and Red Crescent to weave fishing nets with his friends. This week the 65-year-old has instead listened to a radio programme, broadcast to community groups on mobile speakers via USB, about the chicken pox outbreak. “It’s been two days since one of my grandsons has been affected by chicken pox,” said Noor. “Today I have listened to the radio show and got to know what should be done. I also learned that the nails must be trimmed, the person must be kept clean and needs to have a shower once a day. I will go home today and tell my daughter to do the necessary things.” Caring for a newborn Back in the home of Mohammed Sofit, his mother Saynuwara sits quietly by his side. “My husband is working,” she said stoically. “So we have not had time to take him to the clinic.” Beside young Mohammed lies her young daughter Tamana. She is just 16 days old. Checking the temperature of her son, Saynuwara said: “I feel a pain in my stomach because we cannot go home. I worry about my children’s future – there is no education here.” With support from IFRC and sister National Red Cross and Red Crescent Societies, the Bangladesh Red Crescent Society has been tackling the chicken pox outbreak from the very first day it began. To date, we have provided health care to 1,451 people suffering from the disease at six health facilities in the mega camp. 191 volunteers continue to go door-to-door of 13,370 households and disseminate key messages to 66,850 community members to ensure that people receive correct medical advice for this and other health conditions.

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Philippines: Red Cross responds to deadly measles outbreak

More than 8,440 cases of measles – including 136 deaths from the disease - have been recorded in several regions of the Philippines, including the capital city Manila. In response, the authorities are working with the Philippine Red Cross and the World Health Organization to ramp up public information campaigns and vaccination activities in Metro Manila, Central Luzon, and Mindoro, Marinduque, Romblon and Palawan. The Red Cross is also employing interventions to increase vaccine coverage and care and support for people currently in hospitals. Although cases of measles have been on the increase in the Philippines in recent years, there was a 547 per cent spike from 4,000 cases in 2017 to 21,818 cases in 2018. More than 200 people died, most of them children.

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