nlp-thedeep/humsetbias huggingface dataset:
WFP has successfully transferred 80 percent of the refugee population to the digital food assistance modality. More than 700,000 refugees are receiving food through WFP electronic voucher outlets. By September 2020, WFP aims to cover 100 percent of the refugee population to the e voucher support.
[ October 2020, Bangladesh ]  Undocumented migrants outside their own countries are the most vulnerable due to their inability to access services that require proof of identity. However, it is unclear what proportion of migrant workers fall into this category.Undocumented female migrants are likely to be at increased risk of violence and lack of support in comparison to their male counterparts amidst COVID 19
[ 28 September   04 October, Cox's Bazar  ] :4339 community people participated in 645 group sessions and watched 414 videos about the new virus. Among host communities, 6018 people participated in 2005 community awareness meetings and 19 416 participated in 91 listener group sessions on COVID 19
[ 31st Oct 2020, Bangladesh ] Bangladesh on Friday reported 1,604 new coronavirus cases in the last 24 hours, pushing the total caseload to 406,364. Meanwhile, 19 more patients died from Covid 19, taking the fatalities to 5,905. So far, 322,703 patients  ( 79.41 percent )  have recovered    1,422 in the last 24 hours.
Due to COVID 19, HHs reduced the number of meals in day with 38.5% children and 58.9% adults reporting having a maximum two meals a day with about. Only 39.3% adults and 60.7% children reported having three meals daily. Under five children, lactating and pregnant mothers are among the most vulnerable groups to be greatly affected by reduced food stocks in homes as families adopt mitigation measures to cope with reduced incomes in households
[ 04 October, Camp  ]  As of 04 October 2020, a total of 273 COVID 19 cases have been reported among Rohingya/FDMN. With a total of 41 cases, Camp 24 has the highest number of cases to date, further ahead from Camps 2W, 15 and 3 with 24, 21 and 20 cases respectively. To date 16 cases were reported from Camps 6 and 11 from Camp 4. Camps 1W, 2E and 7 had 10 cases each while Camp 17 reported 9 cases. As for Camp 9, 8 cases were reported to date. Camps 1E, 5 and 12 registered 7 cases each. Camps 16, 22 and 26 registered 6. Niapara RC and Camps 10 and 18 identified 5 cases each. The remainder Camps, 19, 27, 25, 4 extension, 8W, 11, 14, 21, 8 E, 23, 13, 20 Extension and Kutupalong have so far less than 5 cases.
As of 20 September 2020, a total of 4376 individuals from the host community in Cox's Bazar district have tested positive for COVID 19: 455 in Chokoria, 356 in Teknaf, 276 in Maheshkhali, 2256 in Sadar, 460 in Ukhiya, 309 in Ramu, 175 in Pekua and 98 in Kutubdia.
Inauguration ceremony was held for the IOM SARI ITC with 120 bed capacity at the camp 20 Extension on Monday, 17 August 2020. Md. Mahbub Alam Talukder, Joint Secretary and the Refugee, Relief and Repatriation Commissioner, Cox's Bazar inaugurated the center.
Fishermen need to sell their catch to earn their livelihood and ensure the continuity of the fish production. Farmers face similar challenges, with limited access to quality inputs and appropriate technology, which affects the upcoming agriculture seasons and hampers the movement of agri food commodities in the local market. This can cause chronic food insecurity
265 partners, government and UNHCR staff trained on SGBV prevention and response.• 746 adolescents participated in targeted programmes.
Partners are already providing food, cash assistance, and agricultural inputs to mitigate impact and avoid disruption of food production chains. In line with National Cash Working Group COVID 19 response guidelines, the reference transfer value for multipurpose cash grants is BDT 4,500
Distribution of High Energy Biscuits and in kind food to 24,000 extremely vulnerable Bangladeshi households across the District has already taken place in Ukhiya and Teknaf and will extend to 71,500 households in the other six Upazilas in Cox's Bazar District that are currently underserved.
Due to COVID 19 pandemic the usual learning activities have been suspended. Nonetheless, UNHCR worked with the education sector partners to disseminate the caregiver led education guidelines in the camps to support caregivers and parents in facilitating some learning in their homes while the facilities remain closed.
26,921 primary health care consultations were provided in health facilities. 112 new admission of COVID 19 patients
410 mental health consultation were conducted and 23,087 refugees participated in group psycho social activities.4,508 new admissions to community management of acute malnutrition programmes reported.
59 WASH facilities constructed, including 53 latrines and 06 taps.6,187 WASH facilities have been maintained, including 1,392 tube wells and 4,795 latrines.
The starting point for the District was only two Intensive Care Unit  ( ICU )  beds in Cox's Bazar at the Sadar Hospital. The Government and humanitarian partners are working intensively increase the number of treatment beds and strengthen the supply chain for essential requirements, such as oxygen, as far as possible.
Since the beginning of July 2020, IPC supportive supervision visits have been conducted in 19 facilities. The visits are a follow up to assessments carried out in February 2020. • WHO completed the first round of training in Infection Prevention and Control for government healthcare workers at the Upazila health complexes. Eighty  eight Health Care workers benefited from the training. The second round of training will begin soon after the Government holidays.
The Gender Hub and the Education Sector co facilitated an awareness raising session on gender implications and gender responsive programming for COVID 19 for 45 participants from partner organisations. A webinar was organized for 78 participants including donors and Heads of Sub Offices in Cox's Bazar, from which an Advocacy Brief was developed, calling all stakeholders to ensure the dignity, equality and safety of women and girls.
26 refugee households received 1st time LPG cylinder while LPG reflls were distributed to 69,700 refugee households.2,461 host community households have received LPG refill.
Provision of essential health services in the context of COVID 19 in Cox's Bazar :To date, the Health Sector has procured 884 emergency reproductive health kits, over 50,000 doses of oxytocin, and 35 fridges and 6 air conditioners  ( for warehouse storage, cold chain )  shared with government facilities and camp based organizations. In addition, other medications for routine care and emergency stabilization, diagnostic equipment  ( glucometers, thermometers, oximeters ) , and anti shock garments for postpartum hemorrhage have been procured for distribution to health partners.
A total of 3757 COVID 19 positive cases have been reported in Cox's Bazar district, of which 79 in the Rohingya camps.
In the camps, partners provided soap to 17,944 households and family hygiene kits to 14,351 households, and installed 2,575 hand washing stations  ( HWS ) : 505 in public places, 21 near latrine blocks, 1,800 tippy taps  ( a cost effective hands free device for handwashing )  and 249 stools  ( with a bucket and tap )  at household level.
As of 02 August 2020, 12 SARI ITCs are active and can receive patients. The ICU/HDU facility at Sadar Hospital with eight ICU and ten HDU beds is also operational. There are 448 and 38 active SARI ITC and isolation beds in the camps
As part of COVID 19 risk prevention measures and infection prevention and control  ( IPC )  compliance in host communities and camps, partners disinfected 55,518 WASH facilities and 6,943 public buildings.
Through enhanced community based surveillance, community health workers  ( CHWs )  continue to assist people identify 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. This new approach aims to address community concerns and increase testing and treatment.
WHO, together with the Ministry of Health and Family Welfare  ( MoHFW )  and Refugee Relief and Repatriation Commissioner office  ( RRRC ) , continues to provide leadership, coordination, supportive supervision and collaborative support to all health partners and sectors responding to the COVID 19 emergency.
In a bid to improve technical knowledge for clinical case management of COVID 19, 83 Healthcare workers completed the training during the first round of capacity building that covered four Upazila Health complexes
Health Sector SAG meeting was held with discussions focusing on home based care during low transmission and inter agency quality assurance and supportive supervision among other issues. During recent inter agency field visit it was observed that COVID 19 messaging need to be sustained in the camps as fears of isolation and separation from family  ( due to COVID 19 associated hospital admissions )  persist. Service gaps such as dental and eye care and access to NCD medications were also shared by stakeholders in visited camps.
46 refugee households received core relief items. 26,106 female menstrual hygiene kits distributed to women age 12 to 59 year old. 45,923 households received double portion of bathing and laundry soap.
In the past week, CHWs provided messages on COVID 19 to 169 510 persons. Since the beginning of the response, CHWG conducted more than 1.35 million household visits and had contacts with a cumulative number of more than 2.5 million adult household members.
CwC WG partners reached 195,168 people in the camps and host community with key COVID 19 messages through community engagement activities, including 57,268 neighbourhood based sessions, 9,422 community consultation meetings, 644 listening group sessions, 434 video/film viewings, and an additional 8,597 sessions led by religious leaders.
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 for healthcare workers from Severe Acute Respiratory Infection  ( SARI )  ITC partners and Government facilities with ongoing direct and indirect support from WHO. So far, 745 government workers and 1320 humanitarian health care workers have been trained.WHO continues to support partners as co facilitators on a cascade of trainings conducted remotely and on site.
As part of the Vitamin A intervention, 7,265 new Severely Acutely Malnourished  ( SAM )  and Moderately Acutely Malnourished  ( MAM )  children were identified and enrolled in nutrition treatment programmes, out of a total of 155,217 children under five screened. During the screening, 132 children with various disabilities were identified and enrolled in disability care services.
3,827 new host community households included to be benifitted from 2020 livelihood projects.• 1,352 refugee households have initiated their livelihood interventions with TUP projects
With 40,000 people per square kilometre, the Rohingya refugee camp is one of the most densely populated places on Earth. Practicing social distancing and other COVID 19 prevention measures is extremely difficult. Refugees come in close contact when they queue for food assistance or fill buckets at the community water point. Most families share a latrine with up to 20 people. They need masks to protect themselves, but sufficient quantities to cover almost 1 million people are in short supply.
A UN Development Programme study1 published in 2018 estimated that prices for essential goods skyrocketed by 50 percent, while daily wages dropped by at least 15 percent. This year, the COVID 19 crisis exacerbated the already critical situation.
Traders report 30 to 35 percent increases in milling costs. Increased rice and red lentil prices also reflect increased demand by humanitarian actors mounting relief efforts to support vulnerable people. Unfavourable terms of trade are evident in the markets. Increased food prices coupled with reduced household income have eroded purchasing power for many households.8 Most food commodity supply chains have been disrupted, in particular, poultry, dairy and fisheries are under stress
During the week, 559 refugees were tested for COVID 19, compared to 507 in the previous week. In the host community, 283 tests were conducted, compared to 333 in the previous week. During recent quality assurance supervision visits in the camps by the Health Sector, it was observed that despite ongoing messaging on COVID 19 in the camps, fears of isolation and separation from family  ( due to hospital admissions associated with COVID 19 treatment )  persist.
The social impact of the COVID 19 pandemic could further undermine cohesion and deepen inequalities between communities. In Cox's Bazar, relations between the refugee and host communities were already becoming increasingly fragile prior to the pandemic. A recent Rapid Gender Analysis10 revealed rapidly deteriorating security dynamics between Rohingya and host communities, stemming from fears around COVID 19 and its economic impact
UN Women with its partners BRAC and Action Aid Bangladesh started masks production in the camps by mobilizing women previously trained in tailoring. Various self mobilised Rohingya women's groups, including the Rohingya Women Empowerment and Advocacy Network and the Rohingya Women for Justice and Peace Network have also mobilized to respond to the Corona virus outbreak including mask production in their homes, thereby demonstrating leadership and empowerment they have developed.
World Refugee day is celebrated on 20th June which has been designated by the United Nations to honour refugees around the world. This year's theme was “Every Action Counts'. This year COVID 19 poses an additional threat to refugees and displaced people. Considering the pandemic, this year it was celebrated in minimal manner by few development organisations with the Rohingya Community people through arranging simple activities such as   mask distribution, recreational activities  ( Introductory speech, storytelling by beneficiaries ) , Art Competition, awareness sessions etc.
While other income generating activities in the camps are put on hold during the lockdown to prevent spread of COVID 19, this mask production project has kept the women engaged, giving them an opportunity to contribute to emergency response efforts, support and protect their community and generate income to sustain their family's basic needs. Being able to come to the Multi Purpose Women Centres to work on mask production together with other Rohingya women, they also say is important for them to get a chance to leave their homes and get their minds off the tension and anxiety among their family members right now
Rohingya Women Speak Up on COVID 19: Concerns, Demands and Solutions :Almost all the information received by women came from humanitarian staff and volunteers, rather than TV, radio or newspaper. Access to information for women and girls is highly dependent on women volunteers that have been providing information through door to door sessions and through women friendly space. Any sectors and agencies working on awareness raisingvolunteers with information and materials to ensure women friendly information dissemination. must ensure an adequate number of female
A total of 7,047 families and 316 persons with disabilities received BDT 1,500 each in June 2020. Thousands of people from the host community were reached with awareness messages, psychosocial support, healthcare from the HCMP sectors in June.
[ 16th October 2020, Bangladesh ]  Bangladesh on Thursday saw another spike in Covid 19 patients as health authorities confirmed the detection of 1,600 new cases across the country in 24 hours, taking the caseload to 3,84,559.
While the average death rate within the camps is unknown, of the 13 sub blocks the Rohingya researchers live in, eight have had deaths since Eid, whereas only two had deaths in the period between March and Eid.
In May, WFP assisted 23,783 pregnant and nursing women and 170,969 children under 5 in the refugee camps and in the host community under the prevention and treatment programmes.
There have also been reports of increased security risks, such as petty theft, burglary, and assault. The local population also perceives the increased presence of alcohol, gambling, and prostitution as a cause of degradation to their society
However, daily wage labour is more unstable and is most vulnerable to external risks such as disasters, strikes, conflicts, and, more recently, the COVID 19 pandemic
[ 16th October 2020, Bangladesh ]  The daily infection rate for Thursday was recorded at 11.34 percent upon testing 14,104 samples during the period. During the same period, 15 more patients died from Covid 19, raising the death toll to 5,608.
Recommendation #7 Government should make child protection, mental health and psychosocial support core components of their COVID 19 response: This support should address fear, stigma, negative coping strategies, and other needs identified through assessments and, whenever possible, build on positive, community proposed coping strategies, promoting close collaboration between communities and health, education, and social welfare services. Government, UN agencies and CSOs should ensure adherence to child protection minimum standards and child safeguarding measures for children who are quarantined or isolated at medical facilities. National preparedness and response plans should include provisions for the protection and care of children.
The response should re evaluate its priority focus on testing and continue to focus on building trust and what Rohingya understand as good quality treatment.
WFP, in partnership with CPs, has trained 1,500 mothers on measuring their children's mid upper arm circumference at home. This is to minimize movement of refugees in the camps during COVID 19.
20 ton crane and two 1.8mØ pipes provided to IOM to repair of the collapsed culvert in Unchiprang, camp 22. Total of 2,488 volunteers engaged in construction sites  ( 15 persons with a disability  ( PwD ) , 316 females and 2,157 males ) .
Recommendation #2 Build resilience of marginalised and most vulnerable children and adolescent boys and girls, including children with disabilities by extending education and life skills: As children and adolescents constitute a significant proportion of the population in Bangladesh  ( 40% children; 20% adolescents ) , empowering this significant cohort of the population can play a strong role in building back better after the crisis. Children and adolescents can be equipped with life skills, including leadership, the ability to powerfully advocate to decision makers, to lead community service projects that serve the needs of those directly around them
Leading up to this time period it should be noted reports of highrisk activities such as the sharing of masks or Tarabi prayers. This is in addition to overcrowded living conditions, and the reliance on public, and often overcrowded, hygiene infrastructure including toilets, bathing facilities and water points.
The first case of COVID 19 in the camps was officially reported on 14 May 2020 in the northern camps of KBE.
3 Clear, responsive and inclusive communication and open channels for raising and addressing concerns is paramount at this time, consistent with accountability to affected populations and Age Gender and Diversity Principles, as is effective and timely tracking and response to rumours. Communication must reach all members of the community, including women, older persons, adolescents, children, and persons with disabilities. Mental health and psychosocial support, services that were already stretched in the camps, will be needed even more
Recommendations #8 Response and recovery efforts must be responsive to the specific needs of women, children and adolescent girls and boys, including the disabled: Government must ensure child & adolescent friendly  ( girls & boys )  quarantine, self isolations and ventilation services across the country. Also Pregnant women with respiratory illnesses must be treated with utmost priority due to increased risk of adverse outcomes, and antenatal, neonatal and maternal health units must be segregated from identified COVID 19 cases.
The preventive messages to stop/slow the spread of COVID 19 are mostly in inaccessible format for people living with disabilities with different impairments  ( physical, sight, hearing etc. ) . There are some people with a disability who frequently need human assistance in their daily life. This can be a potential challenge in case of quarantine or isolation. Any programming must ensure that the special needs of people with a disability are addressed; including ensuring all information is presented in a manner that is accessible and actionable for people with visual, hearing, or cognitive impairments.
The Government and humanitarian partners have mobilized to mitigate and respond to the impact of the virus on the Rohingya refugees and Bangladeshis that live in Cox's Bazar District. Some 860,000 Rohingya refugees currently reside in 34 highly congested camps formally designated by the Government of Bangladesh in Ukhiya and Teknaf Upazilas of Cox's Bazar District; these refugee camps are among the most densely populated places on earth, and the overcrowding and unhygienic conditions increase the potential for the rapid spread of communicable diseases.
Recommendation #3 Expedite Linkages between Food Security, Economic Development and Nutrition to Help Households Recover: By supporting vulnerable poor households to have immediate financial support and access to emerging livelihoods and employment opportunities. By tackling the key pillars of food security, nutrition and livelihoods by ensuring vulnerable families and especially children have access to, and can prepare/consume a healthy diet, while increasing economic opportunities of households to contribute to expanding the local market for nutritious foods
Recommendation #4 Extend Community Health Systems to Ensure Prevention, Treatment and Management of Infectious Diseases among the Most Vulnerable: The Government should expand access to essential health services, especially for the most vulnerable people across the country in both rural and urban communities. This includes children and communities in the Rohinga Camp who are at great risk of infections during lockdown.
Recommendation #5 Government, community groups, faith communities, NGOs and other local stakeholder groups must become more unified in their COVID 19 efforts, and collaborate effectively, in order to scale up and leverage its joint footprint across the country This will be critical to be able to orchestrate the rapid diminishment of COVID 19 transmission at the community level; leveraging efforts by NGOs and other actors ensure that social protection reaches those in the hard to reach areas where the most vulnerable live
Recommendation #6 Increase engagement with faith leaders. Engaging faith leaders in responding to the pandemic is critical to protecting communities and building their resilience. In Bangladesh, faith leaders have been important partners in creating and disseminating messages on disease prevention and delivering messages of hope during this pandemic. Relationships that WV established with faith leaders prior to the pandemic through development programmes proved to be vital channels of communication and trust to provide reliable information on the pandemic in a context of much misinformation. This helped address unwarranted fears and enabled communities to have access to accurate and critical information to protect themselves and children
Recommendation #9 Strengthening Resilience Mechanisms with Infectious Disease Preventative Measures: The compounding effect of seasonal natural hazards  ( e.g. floods, cyclones )  on the COVID 19 pandemic is largely a foreseeable problem and plans developed ahead of time could prevent some of the worst potential impacts from occurring. With the recognition of the increased challenges faced by a double burden of any natural disaster combined with COVID, World Vision is seeking to ensure that disaster management protocols take precautionary and preventative measures to minimize risk of COVID 19 spread during a in a humanitarian emergency situation.
When asked to estimate the percentage of households impacted, the majority reported between 70 80% of households in their block had members within their household with flu like symptoms. The lowest estimate reported by a committee informant was 40%. Of the nine blocks consulted, seven reported deaths from COVID 19 related symptoms, all of which went unreported to humanitarian actors or through official Government of Bangladesh channels.
Additionally, the general population still lack information in details on what to expect and the process across all steps of testing, quarantine and isolation prior to these experiences.
Between 1 and 23 June, an estimated average of 6 individuals per day from Rohingya refugee population consented to testing, down from an average of 11 people per day in May. This is despite the increase in capacity at the end of May with the installment of an extra PCR machine in the field laboratory in Cox Bazar.
Returning migrants from EU Member States due to the COVID 19 outbreak and the existing project beneficiaries are being provided with tele counseling services instead of in person contact. In June, 198 returnees received tele counseling services under the project.
A total of 2,803 COVID 19 positive cases have been reported in Cox's Bazar district  ( including Rohingya camps )  as of 6 July 2020 as per Civil Surgeon Office, Cox's Bazar • Fifty four confirmed cases have been reported in Rohingya camps as of 6 July 2020. A total of 11 individuals are in institutional quarantine in the camps
WHO continues to engage with community staff and responders working with national health authorities, and other partners, to develop, implement and monitor an effective action plan for communicating effectively with the public, engaging with communities, local partners and other stakeholders to help prepare and protect individuals, families and the public's health during the early response to COVID 19
Since the beginning of the response, CHWG conducted 1.1 million household visits and had contacts with a cumulative number of more than 2.17 million adult household members. • Between June 25 and 02 July 2020 through CwC partners, 115,185 people in the FDMN/Rohingya camps were reached with COVID 19 messages through 40,284 neighbourhood based sessions; 26,508 people were consulted on COVID 19 key messages through 13,018 community meetings; 1,564 listener group sessions were organized for 7,955 people; and 459 video/film show sessions held on COVID 19.
Within the host community, 6,193 people were reached through 1,556 community awareness session on COVID 19. COVID 19 messages are being announced through loudspeaker and megaphone on CNG/Tomtom auto rickshaw in Cox's Bazar Sadar, Pekua, Maheskhali and Kutubdia.
Messages have been developed on COVID 19 in general, risks and vulnerabilities,safe and dignified burials, home based care, isolation and quarantine, isolation and treatment centers and other issues. WHO has provided technical input to responses to rumors and community feedback through Communication with Community  ( CWC )  mechanisms
As of 31 May, 45,396 students  ( boys: 21,772 and girls: 23,624 )  were reached. A total of 170,233 mt of high energy biscuits were distributed. Each student received 50 packets of 75 gm biscuits for the month. WFP held a meeting with Sesame Workshop Bangladesh to discuss ways to start new activities during COVID 19.
Dispatch and Referral Unit  ( DRU ) : During this month, DrU responded to 184 referral requests and transported 168 individuals  ( 47% Rohingya, 53% host community ) . This included 44 confirmed Covid 19 cases and 44 suspected Covid 19 cases transported to ITCs, 32 contacts and travelers transported to quarantine centers, 35 humanitarian workers for testing, and 13 discharged Covid 19 cases/contacts transported back to their shelters.
A total of 100 new staff including a clinical supervisor, medical officers, medical assistants, nurse midwives, lab technologist and pharmacy support staff joined were hired during the reporting period.
Case management: IOM is continuing to operate two SARI Isolation and Treatment Centers  ( ITCs )  in camps 2W and 24 with ten and 56 beds, respectively. The ITCs have the capacity to accommodate both men and women with confirmed Covid 19. During the month of July, the ITCs managed 36 new suspected cases and eight confirmed cases.
From May, WFP has been providing door to door high energy biscuits distributions to students in the host community. Safety guidelines were provided to CPs such as wearing a mask and avoiding physical contact with household members to follow during the distributions.
WHO continues to support the Institute of Epidemiology, Disease Control and Research  ( IEDCR )  Field Laboratory in the Cox's Bazar Medical College with human resources, equipment, supplies/consumables and technical and operational expertise. From early April until 6 July, 17,054 tests have been conducted. As of 6 July 2020, a total of 2,803 tests were positive for COVID 19 in Cox's Bazar from the host community. So far, 724 tests have been conducted for Rohingya refugees/FDMN, with 54 positive cases to date
Thirty two staff at the IEDCR Field Laboratory and Medical college received an extensive training on best practices for Biosafety, and COVID 19 sample handling within a Biosafety Level 2 laboratory. The training offered a detailed session on Infection Prevention and Control with focus on proper use of PPE for staff safety
New sentinel sites for testing are being explored. The increase of sentinel sites from 12 to 20 among other measures taken has resulted in positive impact in number of samples collected from the camps. Last week a total of 164 COVID 19 tests were performed; more than double compared to the previous week. However, the decrease in host community samples since introduction of mandatory fees continues to be very concerning.
WHO is supporting the expansion of the district laboratory for increased testing for Rohingya refugees and host community. The current daily sampling capacity is around 500 samples. The laboratory is supporting Chittagong and Bandarban district besides Cox's Bazar. In total 20,827 tests have been conducted.
IOM supported health facilities received PPE including gloves, gowns, face masks, face shields, respirators, goggles, hand sanitizers, coveralls, gum boots and scrubs. This will contribute to ensuring staff safety while maintaining adequate infection prevention control.
Strengthening of Rapid Investigation & Response Team  ( RIRT )  coverage in camps is ongoing for COVID 19 response and required public health interventions in collaboration with other sectors. Recruitment of camp wise 20 Health and Disease Surveillance Officers  ( HDSOs )  is ongoing
To improve documentation of referrals, IOM developed Covid 19 referral forms that have been endorsed by the health sector and approved by government authorities, now being circulated. IOM provided trainings on Enhanced Community Based Surveillance and RCCE to 81 Community Health Workers  ( CHWs )  from four implementing partners aiming to strengthen CHW capacity to contextualize health messaging and address the affected communities' perceptions and concerns on Covid 18 and related services.
A total of 14 contacts were quarantined at Camp 20 Extension in the month of July.
WFP continues to provide the entire refugee population with food assistance through e vouchers  ( 80 percent )  and in kind  ( 20 percent )  modalities. In May, WFP reached a total of 858,569 individuals  ( 185,342 households )  through these modalities. 714,182 individuals and 144,387 individuals were assisted through the e voucher and in kind modalities respectively
5,390m of drainage clearance completed in camp 8W and 11. • Culvert and access road to an isolation and treatment centre in camp 5 complete.Machinery support included a generator from Save the Children transported to a construction site  ( Field Isolation Unit )  in camp 21 and relocate 10 prefabricated units  ( accommodation )  for IOM medical staff working in the Field Isolation Unit.
Cox's Bazar municipality has been declared a “Red Zone' due to high rates of COVID 19 cases. The area is under a strict lockdown with markets only open on Sundays and Thursdays.
The first Rohingya refugee died from the novel coronavirus in the refugee camps in Cox's Bazar while undergoing treatment at an isolation center. So far, there are 30 confirmed cases in the camps and nearly 15,000 Rohingya are under selfisolation as a precautionary measure.
As part of COVID 19 programmatic adaptations, WFP has integrated the Blanket Supplementary Feeding Programme  ( BSFP )  into General Food Assistance, facilitated by the SCOPE platform. Beneficiaries can now receive specialized nutrition products at the WFP food distribution points.A blanket ration of three kgs per month of SuperCereal  ( WSB++ )  is being provided to all households in the refugee camps. In addition, to reduce congestion at the distribution points, beneficiaries have received a double ration of the SuperCereal for the months of June and July.
In collaboration with co operating partners  ( CPs )  BRAC and Action Aid, WFP has started mask production in nine skills development centres in the camps 1E, 4, 7, 8E, 11, 16, 21, and 22. Currently, 106 beneficiaries are involved in the production and 50,000 masks have been produced with 36,539 already handed over to stakeholders
WFP had engaged 40 livelihood programme beneficiaries from host community in mask production to distribute among local members in collaboration with local government. So far, 12,000 masks have been produced.
Under SSHC activities, 6,176 households  ( 27,800 individuals )  have received cash assistance of BDT 4,500 each in Teknaf and Ukhiya during the month of May
WFP has close to 50 mt of High Energy Biscuits prepositioned across 15 containers in the camps and has enough food in its warehouses to feed the entire camp population for 1.5 months.
Nearly seven out of ten families in the refugee community and four out of ten families in the host community had an acceptable diet. • In the host community, seven out of ten respondents mentioned not having enough food to eat, mainly because of lack of money.
Household income levels have been significantly impacted by livelihood disruptions with families generally losing between BDT 1,000 to BDT 3,000 a week.• Food shortages were mentioned as concerns by refugee households and shortages of medication by the host community households.Refugees mentioned the tom toms, NGOs messages and neighbors as being the main sources of information for Covid 19.
In May, 855 m3 of relief items were received into common storage on behalf of five organisations, bringing the total to 4,096 m3 of relief items stored on behalf of 17 organisations in Madhu Chara, Balukhali, Unchiprang and Teknaf logistics hubs. Humanity and Inclusion and Atlas Logistique started the storage services in Unchiprang and transportation service in Cox's Bazar district under the Logistics Sector. In May, 612 m3  ( 74 mt )  relief items were transported for five organisations.
Participants of the IPC Master Trainers training for COVID 19 have been undertaking rolling out of trainings for different categories of health care workers. Modules from the training have been utilized to train different cadres of staff within the SARI ITCs and isolation units reaching 419 and 1,103 government and humanitarian health care workers respectively.
Since February 2020 and in support COVID 19 response in the host community and Cox's Bazar district, WHO has supplied 115 000 pairs of examination gloves, 5300 Face shields, 132 reusable googles, 10 900 N95 or equivalent respirators, 1240 medical gowns, 100 aprons and 815 bottles of hand sanitizer.
An orientation to master trainers was held on July 5th. They will be teaching 100 HCW and CHW supervisor trainers in 2 batches between 6 9 July 2020. The first batch of 43 was complted in the reporting week. The master trainers will roll out training to the remaining 1,400 CHWs and 150 HCWs, who will then be placed into teams and will serve a specific catchment area in the camps, using a nearby health post or facility as a medical support hubs.
The surveillance and immunization medical officers  ( SIMOs )  have conducted IPC training on COVID 19 to 140 government vaccinators and supervisors in readiness for restarting outreach immunization sessions beginning 06 July 2020. • The Civil Surgeon and the RRRC have approved the restarting of routine immunization sessions on an ad hoc basis, as per the Routine Immunization strategy developed in the context of COVID 19 and the Micro Plan. Relevant partners have been requested to accommodate the government vaccinators in facilities with a view to commencing outreach immunization sessions in the first week of July.
As of 8 July 2020, six SARI ITCs are active, and can receive patients. This includes the ICU/HDU facility at Sadar Hospital with ten ICU and eight HDU beds. There are 267 and 112 active SARI and isolation beds respectively in the camps. Efforts are underway to identify potential partners and facilities to boost quarantine capacity from 1,570 to 1,800.
43 COVID 19 IPC trainees trained 1,522 government and humanitarian health care workers on IPC at health facilities. Health Sector partners engaged with Rohingya communities to enhance refugees' confidence in health services in relation to COVID 19 and address challenges of low numbers of COVID 19 samples collected from the camps
As part of COVID 19 risk prevention measures and IPC compliance in the host communities and camps, WASH Sector partners disinfected 47,053 WASH facilities and 2,733 public buildings. 3 handwashing stations have also been installed at main camp entry points, reaching a total of 102 handwashing stations at camp entry points.
CwC WG partners reached 179,196 people in the camps and host communities with key COVID 19 messages through community engagement activities, including 40,284 neighbourhood based sessions; 20 sessions on home care for older persons aged 60 and above; 14,547 community consultations; 1,564 listening groups; 459 video/film viewings, and 4,013 sessions led by religious leaders.
The July cycle of monthly general food assistance for the Rohingya refugees began on 1 July, with the addition of dried fish and lemon to the e voucher food basket, distributed jointly with 25 packets of high energy biscuits per household from the school feeding programme. FSS expanded the pilot initiative to protect older persons in the camps from COVID 19 by extending home deliveries of food rations to Chakmarkul  ( Camp 21 )  and TV Tower outlets  ( Camp 7 )
The Livelihoods Working Group continued coordinating mask production and distributions in the camps and host communities in Ukhiya and Teknaf, with the aim of producing 2 million masks; thus far masks have been distributed to 182,951 people in the camps, and 113,697 in the host communities.
In 28 camps, Education Sector partners shared COVID 19 awareness audio messages and home based learning instructions for out of school children with 33 Burmese Language Instructors  ( BLIs )  for further dissemination in the community. BLIs provided COVID 19 education support and awareness messages to 79,446 learner households and distributed 7,030 caregiver guidelines at the household level.
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 2,866 households with NFIs at distribution points and made home deliveries of NFIs to 7,928 households without caretakers
Rohingya Community Outreach Members  ( COMs )  conducted 753 household visits, reaching 3,481 refugees; and conducted 2,433 COVID 19 awareness sessions reaching 6,166 refugees, including 1,936 older persons and 120 persons with disabilities.
With a continued positive response from refugees on mask making, COMs conducted another training for the Rohingya community, resulting in the production of 3,206 masks. GBV SS partners distributed 340 solar lamps, 140 dignity kits, alongside ongoing cloth masks and soaps in one camp.
SMSD Sector partners oriented 620 Rohingya committee members including 125 females on safe and dignified burials in the context of COVID 19. Committee members received gloves, masks and register books to use during burials. SMSD Sector partners continued to provide infrastructure support to health facilities, upgraded the drainage system for the quarantine facility in Camp 20 Extension, and repaired the road to the Medair health post.
Nutrition Sector partners provided Vitamin A supplements to 57,158 Rohingya children under five, reaching almost 39% of its targeted children. In the camps, Nutrition Sector partners trained 18,663 mothers on measuring Mid Upper Arm Circumference  ( MUAC )  and referring children to the nearest integrated nutrition facilities; and trained 277 frontline workers on mobile nutrition, as part of emergency nutrition support provided in the host community and camps
One of the main contributing factors to the low consent rate amongst Rohingya refugees is that, once tested positive, the individual must be transferred to an Isolation and Treatment facility and their contacts may be transferred to quarantine facilities  ( Health, WASH, CWC Sectors, 06/2020 ) . As of 1 July, only 37 Rohingya refugees were in quarantine facilities in the camps  ( WHO 02/07/2020 ) . The fear and unwillingness to be admitted to these facilities is due to the lack of trust in both the health system and the camp authorities
Children, adolescents, and youth no longer have access to essential services delivered through education and skills programs, such as food  ( through school feeding programs ) , sexual reproductive health awareness and services, and child protection services, all of which have been temporarily suspended
The reduction in livelihood opportunities, changes in assistance, and barriers to assistance will likely result in increased levels of debt, fully depleted assets, and increased reliance on humanitarian assistance that does not fulfil basic needs, leading to protection risks such as eviction, forced and/or exploitative labour, a decrease in overall health, and food insecurity and malnutrition.
Operational agencies have reported that many older people in the camps suffer from chronic illnesses and rely on home based outreach services to deliver medical and psychosocial support. Their mental health is at risk and it is virtually impossible to provide support services during lockdown. This is compounded by the fact that many older people are unable to access alternative online support or have a hearing disability that makes phone communication difficult
There are increased reports of forced  ( majority early )  marriage and human trafficking as people are pushed to rely on negative coping mechanisms, fear for the safety and security of their daughters, or do not feel they have alternative options. The child protection sub sector reported an increase in child marriage and child trafficking in May
All nutrition facilities and services were scaled down to comply with COVID 19 containment measures, to reduce crowds, and to facilitate physical distancing. In addition, outreach services were suspended. In May 2019, 316,296 children under 5 years old were screened for acute malnutrition compared to May 2020, where 100,424 children and Pregnant and Lactating Women  ( PLW )  cumulatively were screened for malnutrition
As of 6 July 2020, 54 cases have been reported from the camps: three cases from camp 1W, two from camp 2E, seven from camp 2W, five from camp 3, one from camp 4, one from camp 5, nine from camp 6, five from camp 7, one from camp 8E, two from camp 8W, two from camp 9, two from camp 10, one from camp 11, one from camp 12, two from camp 14, one from camp 18, one from camp 22, four from camp 24, two from Kutupalong RC and two from Nayapara RC.
WHO is providing training, supplies and technical guidance on Infection Prevention and Control  ( IPC )  to keep patients, staff and the general population safe. Specifically relating to COVID 19, WHO trained 43 master trainers in May 2020. During the intensive four day training, the entire journey of a patient from the community through the Severe Acute Respiratory Infection  ( SARI )  Isolation and Treatment Centers ( ITC )  until discharge is followed, with key emphasis on IPC considerations
WHO has provided training of trainers for Government and partners in the camps and host community. As the TOTs trained earlier by WHO roll out training within their organization, WHO continues to support remotely and on site with updated guidance and training content • In strengthening the MHPSS support and response to stressors in relation to COVID 19, WHO conducted supportive supervision with dedicated On Job Training at two facilities in Camps 17 and 18. So far 12 facilities have been visited.
IOM is continuing COVID  19 awareness raising efforts through information dissemination on proper hygiene practices, wearing mask, and maintaining social distance. In July 38, 023 people of which 74 percent were men and 26 percent women, received awareness messaging on COVID 19 form IOM DRR stakeholders in different Upazillas of COX's Bazar
IOM donated sports equipment to 35 schools in Teknaf. The donated items will support youth development through sports involvement and extracurricular activities. Considering the restrictions on the movement and need to practice social distancing, after opening the schools, the school committee will determine the appropriate time to integrate use of the sports items once having received Government approval.
The ACAPS NPM hub and IOM's CWC teams collaborated to produce a new edition of the Covid 19 Explained series titled, "The stories being told: Rohingya Report of the epidemic".
Covid 19 related messages were disseminated to 6,977 persons  ( 2,085 men, 1,570 women, 1,621 girls, 1,701 boys ) .
IOM's regular distribution effort delivered 1,639 soaps, 2,526 masks, 62 sanitary pads, 178 dignity kits and 2,037 thamis to the women and girls to support beneficiaries' regular hygiene and menstrual hygiene maintenance.
Shelter teams completed the construction of the isolation and treatment centre in Leda, Camp 24, handling it over to IOM's health unit for operation. additionally, at the Inter Sector Coordination Group  ( ISCG )  Ukhiya compound, a bamboo canopy designed to accommodate health training was competed. Meanwhile, a final screening point was installed, now amounting to a total of five in Camps 9, 22, 24 and 25, as well as at Pan Bazar. All are now in use.
Teams also provided partners 28 back sprayers so that they may spray the chlorine solution to ensure disinfection of WASH facilities and key communal spaces. Since the beginning of the Covid 19 responses, IOM has provided a total of 189 backpack sprayers and 3,253 kg of 65% HTH chlorine.
During the month, 365 samples were collected and transported from IOM facilities; a total of 28 tested positive.
BRAC has been providing emergency cash support to the marginalised people of Cox's Bazar. Supported by the Swiss Agency for Development and Cooperation  ( SDC ) , BRAC has provided BDT 1,500 to 11,000 households in the host community.
[ 30 March 2021, Cox's Bazar ]  LPG Package: On 29 March 2021, 430 scope cards were distributed to Rohingya Refugees' households. The main NFI gap identified is clothes support. The Guidance Note and Packages for Clothing and Bedding  ( NFI )  Kit is finalized and will be shared with Partners after SNFI SAG endorsement.