nlp-thedeep/humsetbias huggingface dataset:
Host community response achievements: in June m 605 households were engaged in cash for work for mask and soap production to support the health response. • As of 30 June, 85,000 Bangladeshis across Cox's Bazar District had received two cloth masks as a measure to mitigate COVID 19 transmission  ( a total of 170,000 masks were distributed in June ) .
Host community response achievements in June: Agricultural inputs were provided to 37,756 households and 12,506 households received training in agriculture. • 40,940 girls and 36,957 boys received high energy biscuits as part of a school feeding programme. • 1,515 households received training and 1,225 households received conditional cash grants for livelihood activities
[ October 2020, Bangladesh ]  Most key informants observed an increase in GBV, specifically IPV. The containment measures, movement restrictions and increased stress have led to a rise in domestic tensions, which often culminates in physical and emotional violence.
[ 3rd Nov 2020, Cox's Bazar ]  HOST COMMUNITY The pandemic and its subsequent containment measures impacted food security and livelihoods, exacerbating existing poverty in the host communities  ( ISCG 04/2020; WFP 04/2020;WFP 05/2020; BBS, 2011 ) .
[ 3rd Nov 2020, Cox's Bazar ]  40% of population in Ukhia and Teknaf are vulnerable  [ REVA 3, December 2019 ]  and are highly susceptible to shocks – 58% of population had Borderline to Poor FCS in May  [ WFP, May 2020 ]
[ 3rd Nov 2020, Cox's Bazar ]  HOST COMMUNITY • Cox's Bazar District remains one of the poorest in Bangladesh, making it highly susceptible to environmental and economic shocks such as cyclones, monsoons, and COVID 19/health pandemics.
[ 30th March 2021, Bangladesh ]  The government rolled out a countrywide mass vaccination campaign on February 7 with doses received from the Serum Institute of India. Bangladesh inked an agreement with Serum in December last year for 30 million doses to be supplied between January and June this year – 5 million each month.
[ 30th March 2021, Bangladesh ]  Currently, those who are 40 years old or above and frontline workers are being prioritised for vaccination. Until Monday, 5,139,679 people received the first dose, according to official data. People can register for vaccination at surokkha.gov.bd. Health experts say two doses of vaccine provide the maximum protection but it is important to properly follow all health guidelines before and after receiving both doses.
[ 3rd Nov 2020, Cox's Bazar ]  COVID 19 Addendum 2% funded Total Requirements US$ 50m Response Plan Funding US$ 1m
Risk communication and community engagement activities were reduced during the month, due to limited partner access to the camps due to the COVID 19 zonal lockdown in the District. • After identification of positive COVID 19 cases in the camps, some refugee communities are not allowing volunteers to enter public areas for community awareness sessions.
In June, the new Cox's Bazar COVID 19 Logistics Hub opened and received four consignments including oxygen and PPE items  ( gowns and surgical masks )  from three partners during the month. The Hub, which includes five Mobile Storage Units and one temperature controlled storage space, will be managed by Handicap InternationalAtlas Logistique  ( HI Atlas ) .
Health systems around the world are being challenged by increasing demand for care of people with COVID 19 while trying to maintain the delivery of routine health services. As part of the response to the COVID 19 pandemic, WHO is coordinating efforts across several regions and departments to support countries in ensuring continuity of essential health services.
In Cox's Bazar, the Health Sector continues monitoring and responding to alerts to timely respond to communicable disease risks including diseases with outbreak potential through the Early Warning and Response System  ( EWARS )  with the support of the many health facilities that continue to report on a weekly basis to WHO's EWARS system.
[ 21st November 2020, Bangladesh ]  Gross domestic product grew by 8.2% last year and the hit from the coronavirus pandemic is expected to be less severe than in other developing economies.
[ 21st Nov 2020, Bangladesh ]  Until now, 2,635,202 tests have been carried out, including 12,643 new ones, and 14.61 percent of the patients turned out to be positive.
The COVID 19 pandemic underscores society's reliance on women both on the frontline and at home. In times of crisis, when resources are strained and institutional capacity is limited, women and girls face disproportionate impacts. In this context, it is essential to strengthen and integrate GBV in health facilities to ensure increased availability of quality CMR/IPV services.
The health sector in collaboration with technical working groups from protection, Gender, GBV, Child protection and PSEA developed an orientation package on the cross cutting themes to accompany health sector trainings on COVID 19. This has since been integrated in the existing health sector training modules.
The spread of rumours and misinformation have created fears among the Rohingya. As a result, many are avoiding health services including immunization, maternal health, family planning and NCDs which is reflected in several health outcomes. The decrease in immunization rates is worrying as it presents a risk for emergence of vaccine preventable diseases  ( VPD ) .
Strengthening infection prevention and control measures at health facilities and SARI ITCs for both refugees and the host community need to be continued to reduce risks of transmission among healthcare workers. Capacity building for health workforce on case management of COVID 19 and MHPSS are important for patient care and to mitigate stress for healthcare workers, COVID 19 patients and close family members.
In June, 655 m3 of relief items were received into common storage, bringing the total storage of relief items to 4,260 m3 of relief items stored on behalf of 19 organisations in three logistics hubs and the COVID 19 Hub in Cox's Bazar District.A second sea shipment for interagency COVID 19 related cargo was received at Madhuchara Logistics Hub.
The reduced income has led to discontinuation or gradually replacement of preferred feminine hygiene products, particularly sanitary pads causing unwanted stress and anxiety among many women.
Challenges faced by women and girls in practicing proper menstrual health and hygiene  ( MHH )  are widely documented; in adequate access to safely managed water and sanitation facilities, lack of affordable menstrual hygiene products, and limited reproductive health services and social support are some of the underlying challenges that can cause adverse effect on women's physical and mental well being,and act as a barrier to their active participation for everyday activities. Therefore, ensuring good menstrual health and hygiene  ( MHH )  is a key requirement for gender sensitive response to the COVID 19 crisis.
ETS installed a data connectivity network in a common meeting area in Cox's Bazar where many staff reside providing connectivity for over 48 staff from nine organisations who are tele working due to COVID 19.
6 CiC Gender Officers and 40 gender volunteers, as well as 42 women's leaders  ( including transgender )  networks and CSOs in camps and host communities led COVID 19 community engagement efforts across 20 camps and host communities to address gender issues related to COVID 19, including by using Gender IEC material
Key bottlenecks for mask making and distribution include lack of distribution capacity in certain camps, delays in approvals for production of masks, high demand for masks throughout the country and delays due to weather.
Partners continued to face challenges in implementing activities due to the zonal lockdown  ( a localised lockdown approach to COVID 19 implemented by the District Authorities )  and movement restrictions
As of 16 July, 1,894 patients with symptoms of mild respiratory tract infections and 14 patients with moderate/severe COVID like symptoms had been identified and referred to health facilities in the camps.
The COVID 19 pandemic is having similar impacts on child protection issues in host communities, with initial reports indicating an increase in both violence in the home and child labour. Evidence globally and across Bangladesh highlights the increase in child protection risks from the spread of COVID 19, compounded by further restrictions on an already limited social services in the communities
In addition, enhanced community based surveillance is operational and Community Health Workers  ( CHWs )  continue to identify and refer suspected COVID 19 cases to health facilities. A significant decrease in the number of samples collected from the host community has been observed since the introduction of fees for testing in government health facilities  ( 379 during the reporting period, compared to 1,030 in the last week of June ) .
WASH Sector partners reached 259,295 individuals through a neighbourhoodbased approach and 240,445 individuals through mass outreach with COVID 19 awareness messages in host and Rohingya communities.
In the camps, WASH Sector partners provided soap to 32,703 households and family hygiene kits to 20,298 households, and installed 3,797 hand washing stations  ( HWS ) , 75 HWS with bucket drums at household level, 19 HWS at public places, 2,227 tippy taps  ( a cost effective hands free device for handwashing )  and 1,495 stools  ( with a bucket and tap )  at household level.
To ensure preparedness for the monsoon season, while minimising contact and the need for refugees to gather, distributions of tie down kits for strengthening shelters in April and May were done in tandem with the distribution of hygiene kits, soap or LPG. The Sector has developed guidance notes and recommendations on distributions and construction safety in light of COVID 19, as well as template designs and design recommendations for pre triage holding areas for new and existing health facilities
CwC WG partners organised 36 cascade training sessions on COVID 19 with 370 staff and volunteers. CwC WG published its 14th COVID 19 Risk Communication and Community Engagement Update, which includes the latest 3 audio recordings, 2 printable resources and 2 video programs on COVID 19 developed by partners.
[ 30th May 2021, Bangladesh ]  May 31 was supposed to the last day of the ban that was extended several times since April 26.
Shelter/NFI Sector partners continued to provide NFI packages, including blankets, floor mats, mosquito nets, tarpaulins, rope, and some solar lamps, to households with older persons. Out of 28,325 households with older persons, Shelter/NFI Sector provided 1,233 households with NFIs at distribution points and made home deliveries of NFIs to 40 households without caretakers.
They have also provided construction and engineering support for new facilities and to ensure access and for the relocation of households. The SMSD Sector collaborates with other Sectors to disseminate approved messaging on regular hand washing, physical distancing, crowd control at distribution centres and community facilities, as well as maintaining complaints and feedback systems to address questions on COVID 19, address rumors, and coordinate the response to requests for assistance. SMSD partners have also provided emergency assistance to households affected by weatherrelated events and fires.
Shelter/NFI Sector partners also distributed 27 NFI packages including blankets, floor mats, mosquito nets, solar lamps, and kitchen utensils to quarantine centres.
Community Outreach Members  ( COMs )  conducted 558 home visits and 117 monitoring assessments reaching 2,558 refugees. 2,246 awareness sessions were also conducted, reaching 5,982 refugees  ( including 1,665 older persons and 91 persons with disabilities ) . 3,970 cloth masks were produced by refugees trained by COMs.
Terms of Reference for Child Protection volunteers assigned to quarantine centres were finalised. GBV SS partners provided psychosocial support to 8,161 individuals  ( 3,323 males, 4,838 females )  and rolled out a booklet on “Self Care and Coping Skills in Stressful Situations' to support community members with coping skills.
In Camp 11, SMSD coordinated with health partners and the community to ensure a dignified burial for the sixth confirmed COVID19 death in the camp. SMSD staff also conducted contact tracing and counselling for family members of the deceased.
Older persons and those with pre existing medical conditions are the most vulnerable to not only to severe COVID 19 but also have a high probability of mortality if they become malnourished.
In the host community, 1,791 caregivers received awareness messages on COVID 19, and 2,696 mothers and caregivers received counselling on infant and young child feeding practices in emergencies and COVID 19 key messages in nutrition facilities
Increased tensions between and within communities expose them to safety, child protection and GBV risks, , and an increased propensity to resort to negative coping mechanisms, including resorting to dangerous onward movements that can also lead them into trafficking and exploitation. The pandemic is also exacerbating psychological distress, adding to the sense of uncertainty about the future
The impacts of COVID 19, as well as the measures taken to control the pandemic, have had a devastating impact on child protection and may have long lasting consequences. Violence against children, both inside and outside of the home, has increased as families are in a confined space, with limited resources and heightened stress.
Burmese Language Instructors visited 41,651 households to meet learners and caregivers and provide support for home based learning. Education Sector partners shared audio awareness messages on COVID 19 and instructions for home based learning to 21 language instructors, parents and community members in 28 camps.
In addition to dissemination of audio messages, partners used 13 handheld microphones to share instructions on home based learning for parents and caregivers across several camps; this approach helped to reach a larger audience than the traditional outreach via telephone.
Furthermore, due to closure of facilities, children no longer have access to many avenues through which to report abuse and seek adequate assistance, such as teachers and child protection staff. Negative coping mechanisms including child labour and child marriage cases are already increasing.
15,099 individuals were reached through community engagement activities including 51 community awareness sessions, 2,782 neighbourhood based inter personal communication sessions, 21 radio group listening sessions, and 69 video/film shows. 83 information service centres  ( 80 in the camps and 3 in the host community )  continued to disseminate information and receive feedback/complaints from the community.
• By the end of June, a total of 257,400 individuals  ( including 172,000 Rohingya and 85,000 Bangladeshis )  over the age of five received two cloth masks, of a target of 1.5 million individuals in the refugee camps and host community. Mask production, procurement and distribution continues to be prioritised to ensure that the remaining 1,242,600 individuals receive masks as soon as possible.
On 14 May 2020, the government of Bangladesh confirmed the first cases of COVID 19 in the refugee camps of Cox's Bazar.1 By early July, that number had grown to 54, with one death.2
The COVID 19 pandemic has exacerbated the risk of GBV for adolescent girls, women, persons with disabilities, transgender and other vulnerable groups. The pandemic appears to have brought an increase in Intimate Partner Violence  ( IPV ) , Domestic Violence, and physical violence among other forms of GBV.
The move to critical activities only, as part of the COVID 19 response, has reduced access for regular repair and maintenance in the camps, with the consequence that more intensive repair and rebuilding of infrastructure will likely be necessary following the monsoon season.
The restrictions imposed by COVID 19 such as lockdown and confinement may lead to increase domestic violence, child abuse and neglect, and sexual exploitation and abuse. Access to life saving health services for survivors may be further disrupted when the perpetrator is at home, survivors fear getting infected at health facilities and associated stigma to accessing such services.
[ 7th December 2020, Bangladesh ]  The latest figures show an infection rate of 15.30% in the last 24 hours. The overall infection rate of the country stands at 16.67%. Currently, 12,833 people are in isolation and 41,863 are quarantined.
Even before the COVID 19 pandemic, the refugees in the camps lacked clean drinking water, latrines and washing facilities. Since the pandemic broke out, their plight has intensified.
Households with decreased income due to COVID19's impact; many have travelled back from cities after losing jobs, resulting in being pushed towards poverty
With the COVID 19 restrictions on access to the camps in place since March, disputes have increasingly been mediated by majhis, community leaders or even organized criminal gangs because of the inconsistent presence of legal actors.
On 20 May 2020, Cyclone Amphan made landfall in south western Bangladesh with windspeeds of 130 to 140 km/h. The cyclone affected 10 million people in 19 districts and displaced 100,000 people. The Government of Bangladesh evacuated 2.4 million people to 12,078 cyclone shelters and other public infrastructure such as schools and mosques which were opened to provide additional space in line with COVID 19 prevention measures.
Some of the incidents reported include arbitrary increase in rents for land on which refugees have built shelters, threats and harassment of refugees to forcibly vacate the land they occupy, physical violence, robbery and extortion.
Some 9,803 refugees have benefitted from structured psychosocial support in 2020. Through our implementing partner, Handicap International, 653 persons with specific needs participated in group based psychosocial support activities, while 966 persons living with disabilities  ( including the elderly )  were supported with physical rehabilitation assistance.
According to a June 16 article, a new modelling study led by researchers in the Department of International Health and the Infectious Disease Dynamics Group at the Johns Hopkins Bloomberg School of Public Health, has found that if left unchecked, a large scale COVID 19 outbreak is likely in the Kutupalong Balukhali camp settlement. The model predicted that 70 to 98 per cent of the population could be infected within the first year after an initial outbreak, with hospitalization needs likely to exceed the current capacity of 340 beds after 55 to 136 days.
Two safe shelters in Cox's Bazar managed by Relief International and Light House continue to be operational, providing support to refugees and members of host communities. Due to COVID 19, medical screening is carried out prior to making referrals to community based safe shelters. Some 219 partner staff benefited from several PSEA training sessions facilitated by UNHCR
As part of prevention activities, including through the Anti Trafficking Working Group that UNHCR co chairs with IOM, UNHCR and its partners conducted anti trafficking awareness raising sessions targeting parents, adolescent boys and girls, and community leaders. Awareness campaigns through posters, billboards and radio shows have reached 3,323 refugees thus far in 2020 with messages specifically addressing the dangers of onward movement in the context of COVID 19.
UNHCR also responds to trafficking incidents reported to protection staff and through the protection hotline, and assists law enforcement agencies in search and rescue operations as appropriate. In the first half of 2020, 903 victims of trafficking and human smuggling were rescued by law enforcement agencies, and a project implemented through UNHCR's partner, TAI, seeks to reintegrate victims of trafficking.
General awareness related to mental health and psycho social wellbeing is also low in the camps. While child protection actors can currently continue their work as an essential service, we must consider the cost of isolation, disruption in routines and the fear surrounding COVID 19 on the wellbeing of children.
Communities are also being engaged in the dialogue on the importance of wearing masks. The Health sector held a meeting with SRH WG,GBV Sub sector, UNFPA and Child Protection Sub sector to review the TOR to assess the impact of COVID 19 on access, reporting and utilization of GBV health services
The COVID 19 pandemic has exacerbated psychological distress and increased the prevalence of domestic violence, physical abuse, child marriage, child labour and neglect. The absence of alternative recreational and learning activities following the closure of all community centers, learning facilities and child friendly spaces has resulted in children and adolescents developing a range of negative coping mechanisms
The health sector discussed two gender mainstreaming actions to be implemented by SARI ITCs with partners, in the Surge Case management operations meeting. Monitoring the implementation of the Gender Action Plan on COVID 19 remains a key priority for the sector.
Preparedness: Share Country level contextualised advocacy and key messages on education sector role in prevention, mitigation, containment of pandemic  ( e.g. school closures to be accompanied by social distancing )
[ 6th December 2020, Bangladesh ]  After an alarming rise in all three major indices of the coronavirus pandemic   body count, daily cases and infection rate   in the past few weeks, Bangladesh on Sunday recorded 1,666 new cases, the lowest since November 17. With these new infections, the overall tally of infection surged to 477,545, and the total death toll rose to 6,838 with 31 people succumbing to the infectious disease in 24 hours.
WHO has provided technical input to quickly respond to rumours and promote community feedback through Communications with Communities  ( CwC )  mechanisms, and is collaborating with partners to disseminate information about safe use of facial masks. Messages on the use of masks were developed in collaboration with Communications with Communities  ( CwC )  and circulated to partners to encourage universal usage in the camps and by host populations.
Through enhanced community based surveillance, community health workers  ( CHWs )  continue to assist people in identifying COVID 19 symptoms. In the past week, 109 814 household visits allowed the identification of 2054 patients with mild symptoms of respiratory tract infections and 6 patients with moderate/severe symptoms. In total, 1167 patients were referred to health facilities.
WHO continues to provide epidemiological data to support operational decision making for the COVID 19 response in Cox's Bazar. As of 09 August 2020, a total of 3539 individuals from the host community in Cox's Bazar district have tested positive for COVID 19: 396 in Chokoria, 286 in Teknaf, 189 in Maheshkhali, 1780 in Sadar, 375 in Ukhia, 266 in Ramu, 154 in Pekua and 93 in Kutubdia.
At BDRCS's request, International Federation of Red Cross  ( IFRC )  launched an Emergency Plan of Action  ( EPoA ) . IFRC through Bangladesh Red Crescent Society  ( BDRCS )  allocated CHF 577,496 from Disaster Relief Emergency Fund  ( DREF )  to respond to the flood. A total number of 960 Red Crescent Youth  ( RCY )  Volunteers are working in all affected branches for emergency response activities. 5 National Disaster Response Team  ( NDRT )  members are currently deployed to assist concerned branch offices in order to facilitate this distribution. 50,000 masks have been provided through duty of care section under DREF allocation to all units working on ongoing flood operation, considering concurrent COVID 19 situation
Increasing the number of samples collected from the camps remains a priority for WHO and the Health Sector. With three more sentinel sites since last week, currently there are 22 sentinel sites.
▪ The floods aggravated the impact of COVID 19 and, 93% of the people's livelihood have been badly hit. Economic activities are significantly hampered in 90 percent of the unions surveyed.
As part of the operational capacity building to enhance preparedness for COVID 19 in Cox's Bazar, WHO conducted a 4 day training for Infection, Prevention and Control  ( IPC )  of COVID 19 with participants from Severe Acute Respiratory Infection  ( SARI )  ITC partners and Government facilities with ongoing direct and indirect support from WHO. So far, 567 government workers and 1320 humanitarian .WHO continues to support partners as co facilitators on a cascade of trainings conducted remotely and on site.
Develop and deliver remote guidance for caregivers/ community volunteers on EiE lifesaving messages re COVID 19, how to facilitate wellbeing and play, how to access specialized services and self care in coordination with child protection actors.
To improve technical knowledge for clinical case management of COVID 19, by the reporting week, WHO has trained 83 Healthcare workers from four Upazila Health complexes.
Due to the Eid holidays, the number of tests per million among the FDMN/Rohingya refugees decreased in week 32, with 362 tests/1million compared to 559 tests/1 million in the previous week. A decreasing trend continues to be observed in the host community with 269 tests/ one million population in week 32 compared to 283 tests/ 1million in the previous week.
Adaption/Development and delivery of guidance for SMC members and caregivers in the host community for life saving messages and mental health and psychosocial support during COVID19 response in line with efforts organized by the MoE and MoPME
WHO provided expertise and structural support on air flow and ventilation for patients to IFRC SARI ITCs. Daily distribution of COVID 19 related items to government agencies and implementing partners continue. Technical support at the IEDCR Field Laboratory in Cox's Bazar Medical College is ongoing, including provision of extension and backup power. WHO supported the transport of test kit supplies from Dhaka to Cox's Bazar.
During the COVID 19 pandemic, effective provision of essential health services remains a high priority in Cox's Bazar. Health Services have been able to continue despite restrictions of movement and closure of other services. All health facilities are open while putting in place adjustments to the COVID 19 context. Health Facilities have established screening, triage and waiting areas for screening, isolation and referral of suspected COVID 19 patients to isolation and treatment centers and SARI ITCs
However, and despite all efforts, since the beginning of the COVID 19 pandemic the number of medical consultations has significantly dropped in Cox's Bazar, with many people avoiding health facilities to prevent COVID 19 infections.
Since April 2020, WHO has provided leadership, coordination, supportive supervision and collaborative support to all health partners and sectors to ensure that: Health facilities are capable of providing clinical care for suspect and confirmed cases of COVID 19, as well as the necessary coordination established for referral, treatment and discharge. Protocols for the management of suspected cases, isolation and referral are already in place, and health workers received training on homebased care for suspect COVID 19 cases. Measures need to be put in place to ensure that routine health services remain available to all site residents and host communities inside the health facility's area. It is important to separate people accessing routine services from suspect and confirmed COVID 19 cases.
Immunization is an essential health service which may be affected by the current COVID 19 pandemic. Disruption of immunization services, even for brief periods, will result in increased numbers of susceptible individuals and raise the likelihood of outbreak prone vaccine preventable diseases  ( VPDs ) , such as measles.
One of the challenges posed by COVID 19 pandemic is making decisions to balance the demands related to COVID 19, while engaging in strategic planning and coordinated action to maintain essential health service delivery. Women's choices and rights to sexual and reproductive health care should be respected regardless of COVID 19 status.
To date, testing remains scarce in both Cox's Bazar and Rakhine State. As a result, the true number of infected may be much higher. Without adequate precautions, they could grow significantly in the months and years to come
In both Myanmar and Bangladesh, the stark reality is that COVID 19 prevention will require not merely short term preventative measures, but a long term, transformational response that is both inclusive and sustainable. Without this, the fallout from a lack of preparation and disease control in both Bangladesh and Myanmar will not only result in the further spread of COVID 19, but will also exacerbate the longstanding crises confronting the Rohingya community
Between November 2017 and December 2019, CBM has reached over 30,000 people in the refugee camps by providing medical care. A further € 1.3 million grant by the German Federal Foreign Office  ( Auswärtiges Amt )  granted to CBM in May 2020 will allow us to continue our inclusive humanitarian work in Cox's Bazar and ensure that no one is left behind, especially during the COVID 19 pandemic.
The health screening desks are operating on 24/7 basis. Passengers will be screened and provided with information on symptoms identification, the importance of quarantine, when and how to seek further consultations or treatment.
Besides the installation of six health screening desks at the airport, IOM has also provided personal protective equipment  ( PPE ) , supported airport authorities to develop standard operating procedures on the management of ill travellers, supplied 300,000 health declaration forms, and trained 148 frontline staff from the Communicable Disease Control of the Directorate General of Health Services, Airport Authority, Civil Aviation, Immigration, Airlines, and Airport Police Services.
IOM has also completed needs and capacity assessments of eight PoEs, donated an ambulance to Shah Amanat International Airport  ( SAIA )  in Chattogram, donated PPE  ( 17,000 pairs of latex gloves, 6,500 face masks, 2,000 gowns, 900 pairs of industrial cleaning gloves, 160 pairs of protective eye goggles, 100 N95 mask, 150 waste disposal bins, 13 no contact thermometers, 3 disinfectant sprayer units, two fumigation machines and two pulse oximeters ) .
Additionally IOM has also supported the Government to develop two SoPs, installed health screening desks/booths at Dhaka Cantonment Railway Station and HSIA, assigned medical support staff to SAIA, supplied IEC materials  ( 900,000 Health declaration forms, 50,000 passenger locator forms, and 100,000 other screening forms ) , and trained 352 frontline workers
SMSD partners supported the Health Sector to conduct “Go and See' visits to health facilities and SARI ITCs for groups of refugees including women, community leaders, teachers, Imams, youth, and people with special needs from 17 camps.
875 individuals received messages on dangerous onward movements and the risks of trafficking during the COVID 19 pandemic through 66 sessions delivered by partners. The Anti Trafficking Working Group  ( ATWG )  finalised audio messaging on anti trafficking in the Rohingya and Chittagonian dialect, which will be disseminated in camps and host communities in July; 13 partners were trained on how to disseminate the messages.
14,706 individuals were reached through sessions on GBV, COVID 19 awareness and prevention, PSEA, flood related GBV risks, mitigation actions, as well as monsoon and cyclone emergency preparedness and response. These sessions were conducted by community support group volunteers and community outreach members, as well as religious leaders in mosques across 18 camps and for the host community in six Unions.
Community support group volunteers and community outreach members conducted awareness sessions on GBV, COVID 19, PSEA, flood related GBV risks through door to door visits in host communities in six Unions.
The COVID 19 zonal lockdown during June further limited access to camps for many partners' staff who faced transport challenges to reach the camps, causing delays in delivery of important GBV services which are critical in a context where GBV cases have increased. In addition, due to movement restrictions and heavy rainfall, fewer people are attending GBV awareness sessions in some camps.
[ 8 April 2021, Bangladesh ]  The government is supposed to get 50 lakh doses of the Oxford AstraZeneca vaccine every month as per a deal between India's Serum Institute and Bangladeshi pharma company Mexico. The country has so far received two shipments of 70 lakh doses of the Covid 19 vaccine. Apart from this, Bangladesh received two consignments of 32 lakh doses of the vaccine as gifts from India.
Plan International: Led the Voluntary National Review 2020 and Youth Perspectives, read here.  Collaborated with Ministry of Education and Press Institute Bangladesh to facilitate a Facebook based live education classes reaching millions of adolescents and children.  Reached 4,862 people, including 2,322 children, with child protection awareness raising messages.
Plan International Distributed hygiene kits reaching 25,500 households in Bhola district.  Distributed menstrual hygiene management kits to 1,454 adolescent girls in Teknaf.  Provided counselling services to 5,631 pregnant women and their husbands, and lactating mothers.  Provided 765 students from 7 high schools with education kits.
The preexisting vulnerabilities of these groups are further aggravated by the disruption in livelihood, household food insecurity, damage to households and assets, displacement, damage to WASH facilities, access to public services including education and health and social distancing measures imposed as a prevention for COVID 19.
The COVID 19 pandemic context creates further challenges to disaster response and recover efforts as measures such as physical distancing need to be observed in order to minimize the risk of infections among the affected people, especially those in emergency shelters
LSP 1: Emergency Shelter and NFI: Protecting people from exposure to harsh weather and COVID infection through assisted owner driven shelter provision with cash, materials and technical support
This is critical as the loss of access to WASH can lead to widespread contamination and spread of water borne diseases and other infections, including COVID 19, due to lack of safe drinking water, handwashing facilities and hand hygiene. Due to the COVID 19 pandemic, the health system is already overburdened and WASH access to reduce transmission chains of infectious diseases is thus particularly urgent, especially given the fact that the virus has been detected in all districts, including those affected by the flood.
4 Many refugees also suffer from low immune status or pre existing chronic illnesses such as hypertension, diabetes, cardiovascular disease, and chronic respiratory disease, which increases their risk of death from COVID 19.
About 39,651 children and youth between 3 to 24 years in Ukhiya and Teknaf are in need of ECCD, basic education and youth vocational training. The needs of host community children are similar, as schools have closed and distance learning models will be needed until schools can open again. Parallel audio learning programming can be developed and implemented for host community children and families which aligns with the efforts of the Ministry of Education and Ministry of Mass and Primary Education.
[ 14th April 2021, Bangladesh ]  The government has enforced a fresh strict lockdown for eight days from Wednesday in an effort to stop the spread of the second wave of the coronavirus pandemic.
WHO continues its support to the Field Laboratory of the Institute of Epidemiology, Disease Control and Research  ( IEDCR )  in the Cox's Bazar Medical College comprising human resources, equipment, supplies/consumables and technical and operational expertise. From early April until 02 August 2020, a total of 27 212 laboratory tests for COVID 19 have been conducted in the lab, of which 22 464 from the Cox's Bazar district. The remainder are from Bandarban and Chittagong districts.
On the other hand, COVID 19 pandemic has overstretched local government and administration capacity and necessary coordination for effective functioning of GBV referral pathway is not happening
Moderate to severe damage of livestock and fisheries production has been reported; initial estimate shows BDT 74.52 million of loss in livestock  ( dead livestock and loss of animal feed ) . COVID 19 had already forced people to sell household assets, in which assets of women like chicken, goats, jewelry were first to go; with flood, people are set to lose maximum household assets.
Prolonged inundation within COVID induced restriction of movement has substantially reduced women's access to market, support services resulting in extremely limited livelihood options for women. It can eventually increase their dependency on loan and other negative coping mechanisms.
People are forced to live in organized shelters as well as on embankments and high roads; and living in congested environment increasing the risk of COVID 19 spread.
In the backdrop of COVID 19 this flood is going to be unprecedented in terms of people's, especially women, girls and other gender diverse people's sufferings. Hence, the need for comprehensive humanitarian programming, with a proper understanding of the demographic and gender dimensions for maximum positive impacts of the humanitarian actions.
Loss of houses, livelihoods, restricted mobility, lack of privacy, disrupted services and inaccessibility   weaken protection measures and resilience of individuals. Adding the COVID 19 pandemic context to flood, the Bangladesh Peace Observatory trend analysis indicates an overall 6% increase in domestic and dowry related violence during the past four months
COVID 19 battered population were already cutting back on food intakes; with intensifying floods the situation is becoming grimmer. Women and adolescent girls in such households affected by flood are now likely to take even smaller portion of food especially protein which has a long term health implications, particularly for adolescent girls and future mothers.
During July 2020, 10 MCH centers of 8 districts have been selected for mass awareness under COVID 19 Response Program. The MCH centers will get support from selected community volunteers for mass awareness raising through Information, Education and Communication  ( IEC )  materials. Three different types of posters are being prepared on basic health etiquettes for COVID 19, use of masks and psychosocial support.
In July, 285 new COVID 19 positive patients have been identified while 310 COVID 19 patients have recovered and discharged. Besides, the technical verification for equipment purchase for HFRCH completed this month.
[ 23 March 2021, COX'S BAZAR | BANGLADESH ]  The fire on Monday has caused massive destruction in the lives of the Rohingya population, who are still recovering from the crisis in 2017. As of 23rd March evening, 13 people have been lost to, and 563 people injured. Casualties Total death: 13 Male: 3, Female: 4, Children: 6 Severely injured: 142 Male: 27, Female: 68, Children: 47
[ December 2020, Cox's Bazar ]  99 percent of all Rohingya refugees received monthly food entitlements through e voucher assistance. A total of 43 shops in 21 e voucher outlets were operational. • Fresh food corners were operational at 11 outlets in December, to provide locally produced fresh food items to 30 percent of Rohingya refugees who were identified as highly vulnerable and to provide income for local farmers through market linkages
With a long term presence in the area, the European Union and its partner Action Against Hunger have been providing both Rohingya refugees and members of host communities with targeted treatment to address malnutrition and health issues. The programme also ensures good sanitation and hygiene practices amidst the ongoing coronavirus pandemic.
UNHCR is managing 2 SARI ITCs, which provide medical care for COVID 19 positive patients from the refugee settlements and the host community. As of 31 July, over 210 patients have received treatment at facilities supported by UNHCR, of which over 30 are currently in patients, close to 150 discharged, and others transferred to facilities such as the ICU care in Cox's Bazar town
ADRA'S RESPONSE: 8,174   Households in Districts of Khulna, Mymensingh, Manikganj and Dhaka have received: Awareness Raising posters and hand outs, Health Sessions, and awareness rallies 2,700   Households in Dhaka, Tongi, Manikganj, Mymensingh, and Khulna have received: Food distribution for poor families 3,000   Households in Mymensingh, Manikganj, Khulna, and Dhaka have received: Food packages
434 peoples  ( 88 men, 84 women, and 262 children )  reached with psychosocial support activities through BDRCS's Community Safe Spaces  ( CSS )  in the camp settings at Cox's Bazar.
In the reporting month, the CBHFA team visited 18,769 households and also conducted 1,493 sanitization sessions with the focus on COVID 19 awareness messaging. A total of 8,488 people  ( 4,100 males and 4,388 females )  participated in the sessions.
Between 16 22July 2020 CwC partners approached 110 386 people in the FDMN/Rohingya camps to provide COVID 19 information. In total, 42 835 neighbourhood based sessions and 9555 community meetings reached 27 256 people with COVID 19 key messages. Furthermore, 7817 people participated in 1363 group sessions and in 413 film sessions.
Out of the cumulative figure of 3,218 cases, 3,156 were among the host communities and 62 in the camp population. The cumulative death toll for the district stood at 59, out of which 53 deaths occurred in the host community and 6 in the camps.
PMO Integrated Preparedness and Response to COVID 19 The Cyclone Preparedness Programme  ( CPP )  and BDRCS, with support from IFRC and the American Red Cross, continue to address the dual threats of monsoon associated hazards and the spread of COVID 19
In June 2020, amidst heavy rainfall and continued COVID 19 transmissions, the authorities introduced a zonal system to contain the spread of the pandemic. The daily COVID 19 update of WHO Bangladesh1 reported that up to 21 July 2020, a total of 3,218 people tested positive in Cox's Bazar district for COVID 19, as per the data shared by the Civil Surgeon's Office in the district – Cox's Bazar's first confirmed case was reported on 23 March 2020.
Between 15 March and 1 July 2020, 781,950 people in camp and host communities were reached through the integrated COVID 19 response. As part of this response, 3,838 volunteers including 3,400 CPP camp volunteers have been mobilized for the dissemination of COVID 19 key messages and handwashing demonstrations in all 34 camps.
[ 30th May 2021, Bangladesh ]  In 50 places, 16 protective dams of the flood control embankment have been destroyed. Until Friday, the level of tidal water had lowered but clogged saline water in water bodies made fresh water and cow food scarce. This resulted in a plague of domestic animals in the char region.
A total of 254,000 IEC materials were produced and distributed, while 93,260 sets of personal protective equipment  ( PPE )  were provided to BDRCS frontline staff and community volunteers. Two BDRCS Integrated Isolation and Treatment Centres  ( IITCs )  with an 80 bed capacity, have also been established in the camp settlement with dry runs conducted.
In June, overall patient flow increased with 12,689 people in camps and host communities provided with healthcare services at 11 Red Cross Red Crescent  ( RCRC )  supported health facilities of BDRCS, compared with the 40 to 60 per cent reduction in patient flow seen in these facilities from April to May this year. The increase in patient numbers indicate that the people in the camps have overcome the initial panic concerning COVID 19. This improvement can be attributed in part to the continuous dissemination of key messages on COVID 19 prevention by CBHFA community volunteers.
During the reporting month, 3,301 people were served at the BDRCS field hospital, with major clinical services provided by the outpatient department  ( OPD ) , pathology, antenatal care  ( ANC )  and different in patient units. There was a 100 per cent increase in patient flow compared to the previous month  ( 1,653 )  although the COVID 19 outbreak and strict containment measures imposed by the government remained.
To control the spread of COVID 19, BDRCS has also been distributing masks, gloves, and hand sanitizers in the adjacent area of these PHCs
Priorities in the months ahead are: • The establishment of three new wards for male, female and pediatric patients. This is because of one of the two Integrated Isolation and Treatment Centres  ( IITCs )  is located in the compound of the Field Hospital and has taken up existing ward space. • Promotion of the hospital's services by Community Volunteers and Trained Birth Attendants  ( TBA )  in their communication with the camp communities.
Each health post treated an average of 33 patients per day. Most health service seekers were from Camp 12  ( supported by the Japanese Red Cross Society )  and camps 19 and 8E  ( supported by the Qatar Red Crescent ) . In addition to the centre based services, these facilities continued with community based health outreach through door todoor visits in the catchment camp areas to educate households on various health topics such as COVID19 prevention and control.
A total of 3297 COVID 19 positive cases have been reported in Cox's Bazar district, of which 66 in the Rohingya camps with 19 individuals currently in institutional quarantine  ( source: Civil Surgeon Office on 26 July 2020 ) .
Community Based Health and First Aid  ( CBHFA )  :A total of 189 trained community health volunteers are working with community and religious leaders to communicate important lifesaving and prevention messages on health and hygiene to camp and host communities. The volunteers are conducting this outreach with the aid of printed, audio and video materials in Burmese, Bangla and English languages. They also disseminate hygiene messages through community based messaging, community engagement, discussions and community sessions.
Map available distance/ continuous education tools and prepare additional relevant content for academic skills as well as mental health and psychosocial support, health, and child protection key messages.
Through enhanced community based surveillance, community health workers  ( CHWs )  continue to identify patients with COVID like symptoms. In the past week, 125 599 household visits allowed the identification of 2433 patients with mild symptoms of respiratory tract infections and 9 patients with moderate/severe symptoms. In total, 1196 patients were referred to health facilities. The new approach aims to address community concerns and increase testing and treatment.
A weekly case conference call has been established between the ICU medical staff at the District Hospital in Cox's Bazar and COVID 19 specialists in other parts of the world to ensure advice is available, including on best practices in dealing with serious cases. A WHO case adviser is also available for support. UNHCR provided upgrades for the ICU facility and medical equipment, as well as supporting a team of medical and support staff for six months.
As of 26 July 2020, a total of 3231 individuals from the host community in Cox's Bazar district have tested positive for COVID 19: 371 in Chokoria, 274 in Teknaf, 147 in Maheshkhali, 1626 in Sadar, 344 in Ukhia, 240 in Ramu, 147 in Pekua and 91 in Kutubdia
They engaged more than 450 Rohingya faith leaders to help spread the word. The team trained hundreds of adults and children on proper handwashing, social distancing and correct mask usage. They dispelled rumours and myths about the virus, and equipped families with the knowledge and skills they needed to protect themselves
320 boxes of 0.5 liter mineral water bottles and 320 boxes of 2 liter mineral water bottles were distributed among DC office, Superintend of Police  ( SP )  office, police station, civil surgeon, hospital, and RCY members at Patuakhali district.