nlp-thedeep/humsetbias huggingface dataset:
[ 8 August 2021, Bangladesh ]  3.8 Experience in seeking emergency health services A considerable number of emergency patients faced problems while seeking services from hospitals during the pandemic: In response to whether the respondents or their family members had taken any emergency healthcare services due to accidents or violence, the survey found that 5% of households sought emergency healthcare services slightly more by rural level households compared to the urban ones  ( 5.1% vs.4.8% ) . More than half of the emergency health service seekers  ( 52% )  were victims of street accidents, 38.2% had accidents at the workplace, 4.1% were injured during the fighting and 1.6% had taken emergency healthcare services that occurred due to torture at home
[ 23 August 2021, Bangladesh ]  Out of the 1 461 998 COVID 19 cases registered as of 22 August 2021, 93.3%  ( 1 363 874 )  recovered, 5.0%  ( 72 842 )  were active cases, and the remaining died  ( previously mentioned as CFR ) . In epidemiological week 33, the average number of COVID 19 weekly active cases decreased by 23.8% compared to the previous week  ( 85 346 this week and 112 028 in the previous week ) ; during the same time, weekly recovery decreased by 18.4%  ( 71 176 in the current week and 87 251 in the previous one ) .
[ 23 August 2021, Bangladesh ]  As of 22 August 2021, according to the DGHS Press Release, 8 649 517 COVID 19 tests  ( RT PCR 90.8%, GeneXpert 0.9%, and Rapid Antigen 8.3% )  were conducted in the country with an overall positivity rate of 16.90%  ( 15.16% in the last 24 hours )  by 732 laboratories/test centres. So far, 74.1% of the samples  ( 6 405 556 )  have been tested for COVID19 in government facilities  ( RT PCR 55/133, GeneXpert 50/53, and Rapid Antigen 495/546 ) . During the last week, 23 Rapid Antigen test centres have been added to the network of COVID 19 testing facilities.
[ 23 August 2021, Bangladesh ]  Points of Entry  ( PoE )  & Quarantine: During week 33  ( 16 – 22 AUG 2021 ) , the number of international flights arrived at the international airports has decreased by 1% than the week before  ( 167 and 169 flights, respectively ) . Still the number of incoming passengers has increased by 6%  ( 23 691 and 22 323 persons, respectively ) . In the reported week, 1 621 travellers were sent to Institutional Quarantine, and 24 052 were sent for Home Quarantine after passenger screening at the Points of Entry
[ 23 August 2021, Bangladesh ]  Incidence of COVID 19 cases continues to decrease for three weeks in a row leading to a decrease in death numbers; daily Infection rate  ( TPR )  drops below 16% after 2 months; COVID restrictions relaxed following the gradual decrease of cases and deaths, tourist destinations re opened on the condition to operate at half capacity; • 0.78 million doses of the COVID 19 vaccine  ( Oxford/AstraZeneca Japan )  arrived this week; Bangladesh allowed students aged at least 18 years to register for the COVID 19 vaccine.
[ 23 August 2021, Bangladesh ] In the past week  ( epidemiological week 33, 2021 ) , Bangladesh reported 43 096 new cases, a 33.9% decrease compared to the previous week; the case rate per 100 000 population per week is 25.5. The country reported 1 107 new deaths, a 27.3% decrease; the death rate per 100 000 per week is 0.7. The weekly new test is 240 996  ( daily average: 34 428 ) , a 17.2% decrease compared to the previous week; the test rate per 100 000 per week is 143; the weekly average test positivity rate  ( TPR )  is 17.9%, TPR decreased by 20.2% from the previous week. Overall Case Fatality Ratio  ( CFR )  is 1.73% which was 1.70% last week.
[ 23 August 2021, Bangladesh ]  In the epi week 33, all divisions experienced a negative increment of weekly new cases; the highest decrease was observed in the Barishal division, 48.6%  ( 1 469 this week and 2 859 in the previous week ) , followed by the Mymensingh division 46.0%  ( 1 399 this week and 2 592 in the previous week ) , Chattogram division 43.6%  ( 7 385 this week and 13 093 in the previous week ) , Khulna division 41.0%  ( 2 623 this week and 4 448 in the previous week ) , Sylhet division 38.8%  ( 2 294 this week and 3 750 in the previous week ) , Rangpur division 38.0%  ( 1 302 this week and 2 099 in the previous week ) , Rajshahi division 36.1%  ( 2 136 this week and 3 343 in the previous week ) , and Dhaka division 25.8%  ( 24 488 this week and 33 023 in the previous week ) . The Dhaka division reported the highest number of new cases  ( 24 488 ) , 57 new cases per 100 000/week with a decrease of 25.8% in weekly cases; and the Rangpur division reported the lowest number  ( 1 302 )  of new cases, the former reported 7 new cases per 100 000/week
[ 23 August 2021, Bangladesh ]  7. Vaccination: As of 22 August 2021, 35 357 413 people registered in the Surokkha COVID 19 vaccine application portal, out of which 16 948 622 people received 1st jab and 5 428 345 competed for the two doses schedule. Approximately, 10% and 4% population of the country received 1st and 2nd doses of the COVID 19 vaccine, respectively.
[ 23 August 2021, Bangladesh ]  Oxford/AstraZeneca  ( SII and Japan ) : Since the beginning of the COVID 19 vaccination campaign a total of 11 037 487 doses of vaccine were administered, 5 826 155 people received their 1st dose and 5 211 332 received the 2nd dose. The 2nd dose inoculation for the Oxford/AstraZeneca  ( SII and Japan )  vaccine will continue until 26 August 2021. 781 440 doses of Oxford/AstraZeneca vaccine came to Bangladesh on 21 August 2021 from Japan. With this shipment, the total amount of dispatched vaccines from Japan stands at over 2.4 million. This delivery is a part of Japan's commitment to supplying over 3 million vaccine doses under the COVAX Facility.
[ 11 August 2021, Cox's Bazar ]  Water networks supply the vast majority of the camp areas. 89% of the planned networks are completed and functional, while some blocks in various camps, network implementation is on going, in expansion and some construction works are yetto start. The Water Network Construction Status Mapping shows those areas still undergoing varying degrees of coverage  ( camps 2E, 5, 6, 7, 8E, 9, 20, 20ext, 11, 12, 18, 14, 15, 16, 21 and KTP RC ) . Due to solar operation and ground water extraction limitations, communities rely as well on a high number of deep or shallow tube wellsfor domestic purposes and sanitation needs
[ 11 August 2021, Cox's Bazar ]  There remain concerns for wells dug within the first years of the response where certainty of depths not always known, and, as such,the potential for contamination from surface intrusion is present. Moreover, there is no guarantee that households living in an area where water is supplied by piped network are actually taking chlorinated water and/or the extent to which they are additionally using alternative water sources such as shallow tube wells. This might be due to reasons such as taste preference, ease of supply of hand pumps throughout the day, proximity of wells compared to tap stands and so on.
[ 11 August 2021, Cox's Bazar ]  Water containers status, latrines status, presence of open defecation visible around the assessed households, knowledge of AWD preventive behavior and presence of soap are proxy indicatorsthat are assessed during JAT's deployment. Below  (  Figure 11 and 12 )  are some visualizations ofthe main findings: 67% of the householdwater containers are clean; 60% of the householdswater containers are kept covered, 42% are in good conditions and 24% are kept elevated from ground; on the other hand, 17% of the containers have been reported not clean  ( multiple choices possible ) ; 79% of the households had soap at the moment of the assessment; 65% of the latrines in use by the HH is clean, 46% fully functional, however 11% in need of some sort of improvement/rehabilitation  ( multiple choices possible ) ; 89% of the JAT investigators did not spot any open defecation in the surrounding of the latrine.
[ 11 August 2021, Cox's Bazar ]  Considering only the culture positive cases: 63% of the HH assessed collectwater from a tap stand; of these 72% are safe, while the remaining sample is under further follow up from the WASH Sector; 69% of the HH assessed collectwater from a tube well; of these, 18% are contaminated by E. Coli. From these data it is clear that a high number of the households assessed by the JAT team reported fetching water for drinking both from tap stands/chlorinated water supply and tube wells. This suggests that different types of water are potentially mixed together, in so impacting the safety of the whole batch of water available for drinking.
[ 6th August 2021, Cox's Bazar ]  Refugees: According to UN agencies, harsh camp living conditions combined for many with the lingering effects of personal and collective trauma compound mental stress and anxiety among Rohingya. Reported levels of mental distress among DRP are high.
[ 6th August 2021, Cox's Bazar ]  Refugees: In the DRP camps, reports note limited availability of disability friendly essential services such as WASH. In terms of healthcare and provision for assistive medical devices, most DRP surveyed were unaware of these services.
[ 6th August 2021, Cox's Bazar ]  Refugees: In Bangladesh, the DRP population remains vulnerable in terms of sexual and gender based violence, sexually transmitted infections  ( STIs ) , unintended pregnancies, and maternal deaths and illnesses. Reported use of contraception among Rohingya is low, in part for cultural reasons. Most Rohingya are religiously and culturally conservative Muslims, and considerable stigma is associated with sex and sexuality in their culture.
[ 6th August 2021, Cox's Bazar ]  Host: However, as COVID 19 response and rebuilding advance, a better understanding is required about which types of WASH focused programming have been most successful in eliciting desired behavioral traits  ( e.g., hygiene practices like handwashing, as well as menstrual hygiene for DRP women ) . WASH facilities in HC areas surrounding the camps must also be examined in context to the prevention of coronavirus in the current pandemic. Lastly, further work also needs to shed light on whether a capital intensive WASH strategy  ( e.g., installing new facilities )  versus labor intensive strategies  ( e.g., promotion )  that may be different from other strategies used among HC populations in prior WASH programs.
[ 6th August 2021, Cox's Bazar ]  Both Host and Refugees: Additional evidence on disability inclusion, particularly for children, is needed to improve early child development and education outcomes among HC and Rohingya populations. Additional research is required to inform programmatic decisions to increase the regularity of support, introduce more targeted and/or expansive services, and enable community centered approaches. The intersectionality of gender and disability must also be more carefully examined to ensure inclusive programming, particularly with regards to dignified access to key facilities.
[ 11 August 2021, Cox's Bazar ]  Case Management Seventy two  ( 72 )  isolation beds for AWD are functional at this time, with additional 384 beds on standby that could be activated on short notice. ( Of these standby beds, 144are SARI ITC standby capacity beds that could be repurposed for AWD if the epidemiological situation required.
Target camps continue to be identified ( 1E,2E, 5, 7, 8E, 9, 13, 18, 20 extension and KTP RC )  based on at least one culture confirmed case in camp in last 30 days and/or 2 or more RDT positive cases from same sub block in last 14 days for intervention. Targeted camps have undertaken additional and enhanced preventive measures, including relating to WASH and health/hygiene promotion
[ 11 August 2021, Cox's Bazar ]  Refugee/Host: Highlights o Since 1 May 2021, there have been 138cases ( 114from Rohingya refugees and 24 from host community )  of Acute Watery Diarrhea  ( AWD ) that have tested positive by Rapid Diagnostic Tests ( RDTs )  for cholera  ( data as of 11 August 2021 )  bringing the total to 158  ( 121 from Rohingya refugees and 37 from host community )  in 2021, of these 58 were culture confirmed. In past three weeks  ( week 29 31 )  the total number of culture confirmed cases was 7.
[ 11 August 2021, Cox's Bazar ]  In week 31  ( 2 8 August ) , 10 RDT positive cases were reported and have undergoneculture for confirmation, and 1 additional case was culture confirmed from RDT negative samples whereas in week 30 ( 26 July  1 August ) , 7 RDT positive cases were reported  ( 3 culture confirmed, 1 discarded and 3 awaited for culture result )  and again 1 additional case was culture confirmed from RDT negative samples, In week 29  ( 19 25 July ) , 8 RDT positive cases werereported  ( 2 culture confirmed, 2 discarded and 4 awaited ) .
[ 11 August 2021, Cox's Bazar ]  Figure 2 shows the geographic distribution of cases in 2021 in last 30 days,fromcamp 1E, 1W, 2E, 2W, 3, 5, 7, 8E, 8W, 9, 10, 12, 13, 17, 18, 19, 20 Extension, 24 and Kutupalong Registered Camp  ( KRC )  as of available results on 11 August 2021. Out of these, some camps have reported more than one case i.e. 1W,1E, 2E, 7, 8E, 8W, 9, 12, 13, 17 18, 19 and KRC. Two or more RDT positive cases have been identified in same subblocks fromcamp17  ( 7 cases from sub block H109 ) , camp 10, 13 and 18  ( 3 cases from sub blocks  F39, D3 and H64 respectively )  and KRC, 2E, 3, 6, 9, 19 and 20 Extension  ( 2 cases from sub blocks  F, A1, AA2, E3 11, C3, D14 and S2B4 respectively ) .
[ 11 August 2021, Cox's Bazar ] Host/Refugee:In Figure 8, patients with severe dehydration during admissions in 2021 until 11 Augustis reflected. A total of 452cases were admitted to Diarrheal Treatment Centers  ( DTC )  and other health facilities with AWD isolation capacity. Out of the cases, 22% were severely dehydrated while among host cases the proportion was fairly less at 14% in compare with that of refugees. In 2021, from all health facilities in the camps, 2 suspected AWD deaths were notified through facility based mortality reporting. Subsequent investigation/verbal autopsy has revealed the deaths were likely caused by severe dehydration due to suspected cholera.
[ 16th August 2021, Bangladesh ]  Following the government guidance and instruction, with immediate effect until further notice, scheduled international passenger flights shall continue as per their approved time slots under Summer 2021 schedule. Mentionable that Air Bubble flights will remain suspended until further notice issued separately.
[ 26th August 2021, Cox's Bazar ]  Refugees: The necessity of updating family/ individual registration cards is a significant concern for many families who face problems getting ration in the camps. Many complaints continue to be made about the registration process across all camps. This pans from the suspension of registration during the Covid 19 lockdown that was reported in the January March monitoring report of IRC, and still, the problem is not fully solved. In camp 21, only newborn registration is happening, and in camp 16, marriage registration took place in the past three months. In other camps, there is no registration. The CIC is holding up registration for the newly married couple for the last year but registers some exceptional cases in camp 1 E. Modification of family register cards is necessary for the newly married couples who change camps, relocate to another shelter, move to a new block, have a newborn baby, return from abroad, or for separated couples, etc.
[ 26th August 2021, Cox's Bazar ]  Refugees: In sub block G 10, there is only one tube well and in G 2, most of the tube wells are nonfunctional. Water collection in G 14 is also a problem due to heavy rain in June, and movement restrictions. Therefore the community in that sub block go to other areas i.e. G 10, where conflicts and social tension increased.
[ 16th August 2021, Bangladesh ]  7. Capacity restrictions for all types of flights:  ( i )  Outgoing flights from Dhaka: No capacity restriction for Narrow Bodied  ( Single Isle )  aircraft. Wide Bodied  ( Twin Isle )  aircraft shall carry a maximum of 280 passengers, except B777 and B747 aircraft shall be entitled to carry up to 350 passengers.  ( ii )  Incoming flights to Dhaka: A maximum of 140 passengers in the Narrow Bodied  ( Single Isle )  aircraft and 200 passengers by the Wide Bodied  ( Twin Isle )  aircraft can be carried.  ( iii )  Incoming and outgoing flights: In both the cases of Narrow Body or Wide Body aircraft, at least the last row of the economy class and one seat of business class  ( unless otherwise instructed )  cabin shall be kept vacant for any suspected COVID  19 positive passenger ( s ) . Moreover, all health directives including disinfection, social distancing etc. procedure at the airport or in the aircraft shall strictly to be complied following the other directives of CAAB.
[ 11 August 2021, Cox's Bazar ]  A mapping exercise confirmed 72 active isolation beds are open and available for management of AWD, with additional 384which could be activated if required  ( Note: including 144 that are also on standby for SARI ITC capacity, these numbers may change as the situation evolves.
[ 6th August 2021, Cox's Bazar ]  Both Host and Refugees: While agriculture remains the largest source of income among the HC, the DRP are generally restricted to paid volunteer work opportunities within camp settings. More than half of HC households reported agriculture related employment as their main source of income. For DRP, livelihood options are restricted and regulated within the camps.
[ 6th August 2021, Cox's Bazar ]  Both Host and Refugees: Recently, the ban on cash for work programs in camps and the COVID 19 lockdown have been reported as reducing labor force participation among DRP. There have also been reports of decreased labor participation among HC during the pandemic.
[ 6th August 2021, Cox's Bazar ]  Host: Poor hygiene and sanitation conditions, along with seasonal effects, can further increase the vulnerability of camp residents who utilize makeshift infrastructure. These factors also affect hosts living in areas with poor WASH facilities.
[ 6th August 2021, Cox's Bazar ]  Refugees:  Evidence shows disabled persons among DRP are still facing challenges to access basic services in the camps, including appropriate healthcare facilities. Access to disability friendly WASH facilities including drinking water, bathing, and latrines poses barriers for DRP.
[ 6th August 2021, Cox's Bazar ]  Host: Several organizations providing education in the camps report difficulties with recruitment and retention of pedagogical staff for the learning centers due the lack of qualified teachers in host communities. Of those whom they are able to recruit, the dropout rates given the conditions are quite high. Female teachers, especially, terminate their contracts because of poor working conditions, weak gender sensitive planning, and low salaries.
[ 8 August 2021, Bangladesh ]  3.3 Experience of seeking regular healthcare services during the pandemic: More than half of the households reported sickness of their family members during the pandemic: Among all the respondents, about 60.8% reported that they or their family members fell into sickness at least once from April to August. The most common diseases or sickness experienced by the respondents and their family members during the lockdown period are common cold  ( 72.4% ) , common fever  ( 71.8% ) , high blood pressure  ( 14.8% ) , diabetes  ( 12.9% )  and hypertension  ( 8.0% ) . This is to mention that 2.1% of households had coronavirus infected patients. Among the family members who fell into sickness during the lockdown were mostly aged between 20 and 60. Within this age group, female household members were more affected by different diseases than their male counterparts male in 55.1% households compared to female in 64.6% households.
[ 3rd August 2021, Cox's Bazar ]  Before 2014, adults were able to obtain NIDs without birth certificates. Most people who turned 18 before 2014 likely used their NIDs to access services; as a result, many adults in Cox's Bazar may not have birth certificates. However, the amendment to the registration act now requires a birth certificate to apply for an NID and access other services.
[ July 2021, Cox's Bazar ]  The increasing number of covid positive tests in Ukhiya Upazila has resulted in locals claiming that NGO workers were responsible for spreading the virus among residents.
[ 3rd August 2021, Cox's Bazar ]  Without proof of age or identity, limited access to formal justice systems increases the protection needs of children, particularly those from vulnerable households.
[ 8 August 2021, Bangladesh ]  The most common services sought by them include regular counselling  ( 48.6% ) , psychotherapy  ( 35.1% ) , telemedicine treatment  ( 29.7% ) , etc. However, a good number of households reported that they did not seek treatment during the pandemic through some of their family members needed the services. The reasons behind not taking the services include the risks associated with COVID 19  ( 55.81% ) , financial crisis  ( 63.26% ) , unavailability of doctors  ( 20.93% ) , closure of nearest health clinics  ( 18.14% ) , etc.
[ 8 August 2021, Bangladesh ]  3.10 Experience in seeking health services for persons/children with disabilities: Around half of the persons/children with disabilities could not seek treatment due to the fear of corona infection during the pandemic: The surveyed households have 102 persons/children with disabilities. Less than half of them  ( 44.1% )  obtained specific health services rural level households took more service compared to the urban ones  ( 49.1% vs. 38.8% ) . Care for accidents  ( 53.3% ) , regular check up  ( 51.1% )  in this special group of individuals and children were the commonest type of treatment obtained from healthcare centres. However, seven  ( 15.6% )  persons/children with disabilities had to take emergency treatment.
[ 3rd August 2021, Cox's Bazar ]  It is common practice for families in Cox's Bazar to register births just before children are enrolled in school. The temporary suspension of registration has most likely affected children born between 2012–2016 who need to access education now. Loopholes in the law currently allowing children to attend school without birth documentation may be closed in the future.
[ 8 August 2021, Bangladesh ]  Communication gap: The key informants observed the need for proper communication from the central level to the grassroots level which was missing to some extent during the pandemic. For that reason, essential health services were hampered to some extent.
[ 8 August 2021, Bangladesh ]  Many pregnant women also self excluded to get necessary health services, especially regular check up, which is inescapable during pregnancy. On the other side of the coin, it was found that there was negligence from the supply side to provide services during pregnancy. More than half of the pregnant women stated that no family planning or health workers visited them to check their health condition during their pregnancy in times of the pandemic situation. This is also alarming that many of the delivery was executed at home and by untrained midwives. This is more alarming that many of the new mothers did not receive any postnatal service and get their 0 28 day babies vaccinated in seven days. Moreover, many of the under five children were not vaccinated during the pandemic, from April to August. This will have a potential long term impact if measures are not taken.
[ 3rd August 2021, Cox's Bazar ]  At the time of writing, only 12 of the 71 union parishads and all four municipalities have resumed birth registration under the high court ruling . Birth registration is only partially operational across Cox's Bazar district, and its residents face additional challenges now that the process has changed and is different from that of the rest of the country.
[ 22  28 August 2021, Cox's Bazar ]  74 Rohingya men have been arrested from Boalkhali, they had settled there after fleeing the camps
[ 3rd August 2021, Cox's Bazar ]  The lack of birth registration makes children more vulnerable to child marriage and child labour. Cox's Bazar has been cited as one of six districts  ( out of 64 )  with the highest incidence of child labour in the country, with 9.4% of children aged 10–14 in the region  ( compared to the national average of 6% )  engaged in labour.
[ 3rd August 2021, Cox's Bazar ]  The inability to register for a birth certificate after 2017 may have affected those who turned 18 in the same year or later, with repercussions on income generation both in country and abroad that will affect socioeconomic status and movement.
[ 3rd August 2021, Cox's Bazar ]  There is no accurate information on the number of children born in Cox's Bazar since 2017. The added logistical and administrative costs of obtaining those documents may prevent vulnerable households from being able to register new or late births.
[ 3rd August 2021, Cox's Bazar ]  The inability to procure a birth certificate between 2017–2020 may result in a range of implications for adults born in those years – from access to income generation to freedom of movement. A person whose birth was not registered will not automatically receive a national identity  ( NID )  card at age 18.
[ 3rd August 2021, Cox's Bazar ]  NIDs in Bangladesh are only issued for citizens aged 18 and older. While birth registration is critical for children, families usually do not make it a priority until they need to access education or services, and not all service providers routinely demand birth certificates.
[ 3rd August 2021, Cox's Bazar ]  People with economic and social vulnerabilities who require social service support the most are also those who face challenges in accessing birth registration and birth certificates. For example, it is mainly women and adolescent mothers who lack access to information on birth registration, likely because of pre existing sociocultural limitations. These pre existing limitations can also require them to access social services, such as economic empowerment programmes, maternal and infant healthcare, and financial support for widows.
[ 3rd August 2021, Cox's Bazar ]  Parents and caregivers of unregistered children often use informal identification documents that can be easily forged, creating additional child protection risks, particularly related to child trafficking. Children without a birth certificate have trouble accessing legal protection and justice because authorities may be unable to determine their exact ages
[ 3rd August 2021, Cox's Bazar ]  The Cox's Bazar district administration implemented new conditions for birth registration once the process resumed. Before the suspension, applications were submitted to a registrar who knew all residents in the area, and the reference process did not take long. Most people received their certificates within a few hours or days. When registration services resumed in 2020, new committees were formed under the registrar at the district and sub district levels to help reference all birth registration applications. These committees have been overwhelmed with new applications and the backlogged applications from before 2017. As a result, many applicants have not yet received their birth certificates.
[ 3rd August 2021, Cox's Bazar ]  Because of the prolonged suspension of birth registration services, at the time of writing, people in Cox's Bazar could provide alternative means of verifying identity when applying for further documentation or availing services. For example, references from local government officials could be used to apply for NIDs, register a marriage, enroll in school, and access other services. However, these options are not accessible to everyone, and procuring them can be costly and time consuming.
[ 3rd August 2021, Cox's Bazar ]  Nationally, birth registration rates increase sharply for children aged four to six years because parents often wait until their children reach school age to register. Consequently, the children significantly affected by the suspension of birth registration are those born between 2012–2016, who need access to education now.
[ 3rd August 2021, Cox's Bazar ]  Refugees: The presence of refugee camps has also resulted in multiple checkpoints in Cox's Bazar. To move within or leave the district, people must present documentation proving Bangladeshi citizenship at these checkpoints. Adults aged 18 or older must provide either a birth certificate or an NID, and parents travelling with children without birth certificates could be suspected of child trafficking.
[ 3rd August 2021, Cox's Bazar ]  Although nationally birth certificates are required to enroll children in school, in Cox's Bazar, the current practice involves a local government representative providing references for children enrolling in primary school by declaring that they know the family and requesting access to services without requiring a birth certificate. The headmaster of the primary school then issues proof of enrolment that allows the child to access secondary education.
[ 22  28 August 2021, Cox's Bazar ]  Of concern, child labor is on the rise in the beach area of Cox's Bazar. That is why the rate of education in this area is declining rapidly
[ June 2021, Cox's Bazar ] Refugees: Coverage of illegal Rohingya movement has been dominating local and national news sources during the month. A total of 84 Rohingyas were detained in the various parts of Bangladesh for their unauthorized movement from camps.
[ 22 September 2021, Cox's Bazar ]  Refugees: More than 164,000 Rohingya children in the Cox's Bazar refugee camps in Bangladesh returned to learning centres today after one of the longest disruptions to schooling globally due to COVID 19.
[ 22  28 August 2021, Cox's Bazar ]  This week 16 patients died of COVID 19 while the number of new patients who tested COVID positive decreased to 552. Since the beginning of the pandemic, a total of 21,563 patients have tested COVID positive while the number of patients who died of COVID 19 reached 263  ( including 31 Rohingya ) .
[ 22  28 August 2021, Cox's Bazar ]  The current law and order situation in all Rohingya camps is deteriorating day by day. The Rohingyas are involving many illegal activities such as drug smuggling, robbery, murder etc. Even some Rohingyas are forming small groups with firearms for doing illegal activities in host communities near to their camps. In the last four years, law enforcement agencies filed 1014 cases where 2687 were arrested for their involvement in various crimes after their arrival in Bangladesh from Myanmar.
[ 23 29 August 2021, Bangladesh ]  Acute Respiratory Infection  ( 15.1% ) , Diarrheal Diseases  ( 4.8% )  & Unexplained Fever  ( 0.9% )  are the diseases with highest proportional morbidity in week 34.
[ 22  28 August 2021, Cox's Bazar ]  88 Rohingya were arrested this week for illegal movement outside the camps including seven who were attempting to flee from Bhashan Char  ( BC ) . On 22 August, APBn arrested three Rohingya men while they were attempted to flee BC; they were charged under the Foreigners Act, 1946. The next day, four Rohingya men were arrested by the police in the Mohammadpur UP, Hatiya Upazila, Noakhali. They were suspected to be members of a racket who smuggle Rohingyas out of BC. On similar grounds, nine other Rohingya men were arrested in Bhashan Char on 26 August. Later in the week, 74 Rohingya men were detained in Chittagong's Boalkhali Upazila as they were working there as day labourers on local farmland.
[ 16 22 August 2021, Bangladesh ] Total 2,578  ( out of 2,778 )  confirmed cases have been investigated by Rapid Investigation and Response Team. Contact tracing has been done by CT supervisors with 5,832 contacts registered in the Go.Data for follow up, out of 9,402 contact identified through field investigation by RIRT. 3,393  ( 58% )  contacts successfully completed the follow up. Two hundred and seventy three  ( 8.0% )  contacts became tested positive for COVID19 during the incubation period.
[ 16 22 August 2021, Bangladesh ] As of this week  ( week 33 )  • Median age of tested and confirmed cases is 11  ( 0 120 )  and 22  ( 0 100 )  years • Female among tested and confirmed cases is 54% and 52% • All 34/34 camps have confirmed cases  ( C3 171, C24 170, C2W 158, C15 151 and C17 147 )  • A total of 30 deaths from COVID 19 with the case fatality rate 1.1% • Cases per million in last 7 days 117.5, change in last 7 days 1%
[ 26th  29th August 2021, Cox's Bazar ]  Host Community: Regarding COVID 19 vaccination for Bangladeshi host community, the Government of Bangladesh has revised the age limit for the vaccination registration to 25 years old, students above 18 years and other priority groups. Pregnant women and lactating mothers are now also eligible for the vaccination as per decision of Bangladesh Government.
[ 23 29 August 2021, Bangladesh ]  Suspected SARI death under enhanced Community based mortality surveillance has been continued since week 28, 2020.
– One hundred thirty  ( 130 )  suspected SARI deaths have been reported so far and reviewed subsequently by Rapid Investigation and Response Team  ( RIRT )  for COIVD19.
– Total eleven  ( 11 )  SARI deaths were considered as death due to probable COVID 19 till date.
[ 23 29 August 2021, Bangladesh ]  As of this week  ( week 34 )  • Median age of tested and confirmed cases is 11  ( 0 120 )  and 21  ( 0 100 )  years • Female among tested and confirmed cases is 54% and 52% • All 34/34 camps have confirmed cases  ( C3 179, C24 174, C2W 160, C15 154 and C17 152 )  • A total of 30 deaths from COVID 19 with the case fatality rate 1.0% • Cases per million in last 7 days 122.1, change in last 7 days 4%
[ 23 29 August 2021, Bangladesh ]  Two  ( 2 )  suspected diphtheria case was reported in go.data in week 34. A total of 9 299 case patients were reported since 2017 to till date
• Confirmed = 343
• Probable = 2 803
• Suspected = 6 153
Total case reported in 2021 = 113
• Confirmed = 1
• Probable = 25
• Suspected = 87
[ 29 August – 04 September 2021, Cox's Bazar ]  The weekly numbers of people who tested positive and died of COVID 19 have continued to lower. This week only five patients died of COVID 19 making the death toll of 268 since the beginning of the pandemic. the number of new patients who tested COVID positive has further decreased to 401 from the last week's 552. So far, a total of 21,964 patients have tested COVID positive in the district since the beginning of the pandemic.
[ 05 – 11 September 2021, Cox's Bazar ] The weekly numbers of people who tested positive have continued to decrease – from the last week's 401 to 244 this week. So far, a total of 22,208 patients have tested COVID positive in the district. However, the number of patients who died of COVID 19 has increased this week, bringing the total number of COVID related death to 295  ( including 31 Rohingya )  since the beginning of the pandemic.
[ 05 – 11 September 2021, Cox's Bazar ] This week 28 Rohingya have been detained while fleeing from the Bhashan Char camp. On 8 September, 19 Rohingya  ( including four women and seven children )  were detained in Sitakundu Upazila of Chattogram after they fled from Bhashan Char. The next day, the police detained another nine Rohingya at Mirsharai in Chattogram, who had also left Bhashan Char.
[ 05 – 11 September 2021, Cox's Bazar ] In the Rohingya camps in Cox's Bazar, 22 more Rohingya were detained by the Armed Police Battalion  ( APBn )  for illegal movement. On 5 September, 12 Rohingya  ( including seven women and girls )  were detained from Camp 4 who have recently settled down there illegally. On 7 September, ten Rohingya males  ( including four children )  were detained by the APBn from a camp in Kutupalong while they were attempting to move out of the camp illegally.
[ 13 September 2021, Bangladesh ]  Between 8 MAR 2020 and 12 Sep 2021, according to the DGHS Press Release there were 1 530 413 COVID 19 cases confirmed by RT PCR, GeneXpert, and Rapid Antigen tests, including 26 931 related deaths  ( CFR 1.76% ) . Bangladesh is among the top 28 countries contributing to 0.68% of the COVID 19 cases of the world.
[ 23 29 August 2021, Bangladesh ]  As of week 34,  ( 23 29 Aug 2021 )  58,861 cumulative samples have been tested and 2883 total confirmed cases of COVID 19 reported. The average test positivity rate now stand at 4.9%. This week  ( week 34 ) , 105 new confirmed cases detected out of 1,490 samples tested and weekly test positivity rate was 7.0%.
[ January   June 2021, Cox's Bazar ]  Over 300 additional lightning arresters across all camps are needed to protect refugees from the ongoing threat of lightning strikes.
[ January   June 2021, Cox's Bazar ]  The ongoing countrywide lockdown and global supply chain disruption due to COVID 19 continues to delay the delivery and installation of equipment for many of UNHCR's power supply projects.
[ 12 18 September 2021, Cox's Bazar ]  Drowning remains a major concern in the district six more lives were lost this week including three males who have washed ashore on Seagull Point in Cox's Bazar.
[ 12 18 September 2021, Cox's Bazar ]  24 Rohingya have been detained this week linked to illegal movement from the Bhshan Char  ( BC ) . On 14 September, six Rohingya men suspected to be human smugglers have been arrested by the police from BC. Two days later, 18 BC fleeing Rohingya  ( including 10 children )  were detained in Noakhali District.
[ 13 September 2021, Bangladesh ]  According to DGHS, as of 12 Sep 2021, the country's current institutional quarantine capacity is represented by 629 centres across the 64 districts, receiving 31 991 persons. A total of 103 944 individuals were placed in quarantine facilities, and 97 716  ( 94% )  of them have already been released. Over the same period, 373 858 individuals were isolated in designated health facilities, and 324 622  ( 87% )  were released.
[ 1st August to 31st August 2021, Cox's Bazar ] Refugee: Challenges: • Rainfall and adverse weather conditions continue to impact on ETS operations, causing flooding in the camps and damage to communications equipment. • There are continued delays in obtaining approval to import telecommunications equipment and utilize the network
[ 19   25 September 2021, Cox's Bazar ] Besides the murders committed during the Union Parishad  ( UP )  elections, the majority of violent incidents this week were cases of political violence leaving at least 10 people injured.
[ 16 29 August 2021, Cox's Bazar ]  The median age of tested and confirmed cases was 11  ( 0 120 )  & 21  ( 0 100 )  years, respectively and ratio of females among tested and confirmed cases was 54% and 52%, respectively. Though the median age of tested samples remained below 10 years, a significant proportion has been tested among 50+ years: 706 per 10 000 population, following that of 0 9 years with 867 tests per 10 000 population as highest number. The test positivity was highest 7.7% in 30 39 years age cohort and the age specific mortality 2.6 per 10 000 population observed among 50+ years during the period. In total, and since the outbreak began, 30 deaths due to confirmed COVID 19 have been reported in the camps with a case fatality ratio of 1.0%.
[ 16 29 August 2021, Cox's Bazar ]  Host/Refugee: Currently, 641 beds are functional in 13 Severe Acute Respiratory Infection Isolation and Treatment Centers  ( SARI ITCs )  in the camps with provision of oxygen to assist both the Rohingya refugee population and the nearby host communities of Cox's Bazar. The bed occupancy of these SARI ITCs is 54% at the end of the reporting period. Moreover, the capacity of general isolation beds in the district is 517. The Intensive Care Unit/High Dependency Unit  ( ICU/HDU )  at the Cox's Bazar Sadar Hospital has a capacity of 43 beds for severe and critical patients. During the past weeks, an increase in the bed occupancy at the ICU has been observed, indicating the increased demand of hospitalization due to severe disease presentation at admission.
[ 1 July 2021, Cox's Bazar ]  Refugee: evidenced by the major January and March fires in Teknaf and Ukhiya megacamps respectively, ensuring refugees' safety and wellbeing remains a serious challenge with population density reaching 60,000 persons per km2
[ 16 29 August 2021, Cox's Bazar ]  Host/Refugee: Since 1 May 2021, there have been 150 cases  ( 123 from Rohingya refugees and 27 from host community )  of Acute Watery Diarrhea  ( AWD )  that have tested positive by Rapid Diagnostic Tests  ( RDTs ) /bacteriological culture confirmed cases for cholera  ( data as of 29 August 2021 )  bringing the total to 170  ( 130 from Rohingya refugees and 40 from host community )  in 2021. Of the 170 cases, 63  ( 51 from Rohingya refugees and 12 from host community )  have been culture confirmed. In the past three weeks  ( week 32 34 )  the total number of culture confirmed cases was 3.
[ 16 29 August 2021, Cox's Bazar ]  Active case finding with a uniform line list has been rolled out by CHWG partners since early July, in support of community based surveillance. CHWG with Health Sector support developed AWD surveillance which was rolled out as of week 27  ( 4th July ) . At the end of the reporting period, over 270 000 household visits have been conducted, out of which over 2 900 AWD cases were referred to the health facility for further case management. Furthermore, over 10 000 Oral Rehydration Solution  ( ORS )  sachets and over 9 700 zinc tablets have been distributed at community level.
[ 16 29 August 2021, Cox's Bazar ]  Host/Refugee: In 2020, a total of 28 RDT positive cases for Cholera were detected through sentinel testing, 5 of which were confirmed by culture – 2 from Ukhiya host community, 1 from Teknaf host community and 2 from the refugee camps. It is important to note that a Cholera outbreak occurred in late 2019 with a reported number of 239 RDT/ culture positive cases and in response a mass Oral Cholera Vaccine  ( OCV )  vaccination campaign was conducted with over 160 000 children of 1 <5 years being vaccinated with a 2  doses regimen.
[ 16 29 August 2021, Cox's Bazar ]  Host/Refugee: Since the onset of the outbreak in 2017, Diphtheria surveillance is ongoing in the camps. The total number of diphtheria cases reported is 9299 to date  ( 3016 in 2017; 5330 in 2018; 614 in 2019; 226 in 2020 and 113 as of week 34, 2021 ) . In total, 9053 cases were reported in the camps and 246 from the host community, with 47 deaths registered in the refugee camps and none in the host community. While the first Diphtheria case was detected on 10 November 2017, the first death occurred on 29 December 2017 and the last death on 25 October 2019.
[ 16 29 August 2021, Cox's Bazar ]  During the reporting period, no new probable maternal death has been reported. In total 78 probable maternal/deaths of women of reproductive age  ( WRA, 12 49 years )  have been reported in 2021, of which 21 deaths have been reported from facilities and directly undergone review by Maternal and Perinatal Mortality Surveillance and Response  ( MPMSR ) .
[ 16 29 August 2021, Cox's Bazar ]  Refugee: Between early April 2020 and August 2021, a total of 212 937 tests for COVID 19 have been conducted, of which 192 010 are from Cox's Bazar district and the remainder from Bandarban and Chittagong districts. An increase in the number of tests conducted among the Rohingya refugees was observed in weeks 33 34 as compared to weeks 31 32, from 2 546 to 2 493 tests. Among the host community an decreased number was tested as well; from 8 107 tests in weeks 31 32 to 4 797 tests in week 33 34. Currently, 42 sample collection sites are operating for suspected COVID 19 patients.
[ 16 29 August 2021, Cox's Bazar ]  Host/Refugee: Contaminated water and poor sanitation are linked to transmission of diseases such as cholera, diarrhoea, dysentery, hepatitis A, typhoid, and polio. Absent, inadequate, or inappropriately managed water and sanitation services expose individuals to preventable health risks. This is particularly the case in humanitarian settings such as Cox's Bazar where refugee and host community families struggle to access clean water and health facilities face many challenges to provide quality care due to lack of safe water.
[ 1 July 2021, Cox's Bazar ]  Refugee: The COVID 19 pandemic created a double layered crisis and heightened vulnerabilities among refugees with 96 percent being reported as moderately and highly vulnerable by end 2020.
[ 16 29 August 2021, Cox's Bazar ]  Host: While the overall positivity of samples tested in the district is 12.8%, a considerable decrease of positive cases has been observed among the host community in recent weeks. In week 34, 329 cases tested positive, with a test positivity rate of 12.8%, in comparison with week 32 when 718 positive cases were registered with a test positivity rate of 19.4%. To date, a total of 236 deaths have been reported in the host community, with a case fatality ratio of 1.4%.
[ 16 29 August 2021, Cox's Bazar ]  Refugee: Among the Rohingya refugee population, the number of confirmed COVID 19 cases has remained stable in the past weeks. In week 34, a total of 105 positive cases were registered in the Rohingya refugee camps with a test positivity rate of 7.0%, in comparation to the 100 confirmed cases in week 32, with a test positivity rate 7.6%. As of 29 August 2021, a total of 2 883 COVID 19 cases have been reported among Rohingya. With a total of 17 cases, Camp 3 has the highest number of cases to date ahead of Camp 24 and 2W with 174 and 160 cases, , Camp 15 with 154 cases, Camp 17 with 152 cases and Camp21 with 151 cases. To date, 150 cases have been reported from Camp 4, 132 cases have been reported from Camp 1W, 120 cases from Camp 20 extension and 111 cases from Camp 9. In Camp 5, 110 cases and camp 2E 100 cases have been registered. Camp 1E, 4 Ext, 6, 7, 8E, 8W, 10, 11, 12, 13, 14, 16, 18, 19, 20, 22, 23, 25, 26, 27, Kutupalong RC and Nayapara RC so far had less than 100 cases. 7 cases have been registered from Zero Point and 5 amongst new arrivals.
[ 16 29 August 2021, Cox's Bazar ]  A Camp wise dedicated Contact Tracing  ( CT )  network  ( 34 supervisors and 311 volunteers )  has been embedded in the Rapid Investigation and Response Teams  ( RIRTs )  for COVID 19. A total of 2 653 confirmed cases  ( out of 2 883 to date )  have been investigated by RIRTs by 29 August 2021, with contact tracing activities being conducted and captured through Go.data, including 5 227 contacts. Out of these, 3 526  ( 67% )  contacts have seen their follow up visits completed and were released from quarantine. 285  ( 8.0% )  tested positive cases during the follow up period. WHO is closely supporting contact tracing through the Camp Health and Disease Surveillance Officers  ( CHDSOs ) .
[ 16 29 August 2021, Cox's Bazar ]  In week 34, 4 Rapid Diagnostic Test  ( RDT )  positive cases were reported,  ( all 4 awaiting for culture, in addition 1 case was culture confirmed from RDT negative sample. In week 33  ( 16 22 August ) , 2 RDT positive cases were reported 1 was culture confirmed and 1 was awaiting for culture result. In week 32  ( 9 15 August )  9 RDT positive cases were reported  ( 1 was culture positive and 8 were discarded ) . In line with the Multisectoral AWD response plan, a joint Health and WASH Sector investigation takes place for each case, followed by the implementation of household and sub block level measures. Areas of focused intervention have been identified based on at least one culture confirmed case in camp in last 30 days and/or 2 or more RDT positive cases from same sub block in last 14 days, where WASH, health and community engagement activities are undertaken/intensified at sub block/camp level as appropriate. In 2021, at least one confirmed cholera case was reported in last 30 days, from camps 1E, 6, 8E,13 and 15. Out of these camps with culture confirmed cases, two camps have reported more than one case namely: 1E and 13.