nlp-thedeep/humsetbias huggingface dataset:
[ 16 29 August 2021, Cox's Bazar ]  During the reporting period, two health sector case management working group meeting along with two case conference call for SARI ITCs and two case conference call for ICU/HDU of Cox's Bazar District Hospital were conducted. The SARI ITC bed ocupancy rate is currently 54%  ( Ukhiya 61% and Teknaf 43% ) . For the admitted patients, 73% of them are categorized as mild patients, 16% moderate, 10% severe and 1% as critical cases. At the 250 Bed District Sadar Hospital, the Intensive Care Unit  ( ICU )  has 10 beds while the High Dependency Unit  ( HDU )  has 15 beds and the Severe Care Unit  ( SCU )  has 13 beds  ( all of the beds are functional ) . At the end of the reporting period, 21 beds are occupied with suspected and confirmed COVID 19 patients.
[ 1 July 2021, Cox's Bazar ]  Host: The COVID 19 pandemic hit the local economy with 51 percent of the host community population reported as moderately or highly vulnerable in 2020, up from 41 percent in 2019. This increase can be attributed to the economic contractions experienced during COVID 19 lockdowns, which led to a decline in economic activity, especially in the informal sector, which absorbs most of the host community labour force
[ 2 September 2021, Cox's Bazar ]  Between 27 July and 1 September 2021, Cox's Bazar has experienced over 1,300 mm of rainfall   over 200 mm just between 27 28 August. Rains are expected to continue in the week ahead.
[ 13 September 2021, Bangladesh ]  In the past week  ( epidemiological week 36, 2021 ) , Bangladesh reported 15 957 new cases, a 23.7% decrease compared to the previous week; the case rate per 100 000 population per week is 9.4. The country reported 368 new deaths, a 32.8% decrease; the death rate per 100 000 per week is 0.2. The weekly new test is 182 718  ( daily average: 26 103 ) , a 6.1% decrease compared to the previous week; the test rate per 100 000 per week is 108; the weekly average test positivity rate  ( TPR )  is 8.7%, TPR decreased by 18.8% from the previous week. Overall Case Fatality Ratio  ( CFR )  is 1.76% which was 1.75% last week.
[ June 2021, Cox's Bazar ]  At least 100 violent incidents occurred throughout the district in June including 34 assaults, nine cases of gang violence and weapon possession, eight abductions, five robberies, and six rape cases.
[ 16 22 August 2021, Bangladesh ] Acute Respiratory Infection  ( 16.1% ) , Diarrheal Diseases  ( 5.0% ) . Unexplained Fever  ( 0.9% )  are the diseases with highest proportional morbidity in week 33. ▪ Suspected SARI death under enhanced Community based mortality surveillance has been continued since week 28, 2020. – One hundred twenty six  ( 126 )  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.
[ 16 22 August 2021, Bangladesh ] One  ( 1 )  suspected diphtheria case was reported in go.data in week 33
A total of 9 297 case patients were reported since 2017 to till date
• Confirmed = 343
• Probable = 2 803
• Suspected = 6 151
Total case reported in 2021 = 112
• Confirmed = 1
• Probable = 25
• Suspected = 85
[ 2 September 2021, Cox's Bazar ]  Over 4,571 latrines, 1,552 bathing cubicles, 826 tube wells and 202 tap stands have been damaged or contaminated, and 31 Faecal Sludge Treatment Plants have been affected in the camps by the monsoons. Immediate repairs have been carried out on 3,619 latrines, 1,068 bathing spaces, 47 piped water network, 578 tube wells and 106 tap stands, 23 Faecal Sludge Treatment Plant sites and 35 Solid Waste Management sites.
[ 6 September 2021, Bangladesh ]  Between 8 March 2020 and 5 September 2021, according to the DGHS Press Release there were 1 514 456 COVID 19 cases confirmed by RT PCR, GeneXpert, and Rapid Antigen tests, including 26 563 related deaths  ( CFR 1.75% ) . Bangladesh is among the top 27 countries contributing to 0.69% of the COVID 19 cases of the world.
[ 30 August 2021, Bangladesh ]  Between 8 March 2020 and 29 August 2021, according to the DGHS Press Release there were 1 493 537 COVID 19 cases confirmed by RT PCR, GeneXpert, and Rapid Antigen tests, including 26 015 related deaths  ( CFR 1.74% ) . Bangladesh is among the top 26 countries contributing to 0.69% of the COVID 19 cases of the world.
[ 21st September 2021, Cox's Bazar ]  Food assistance: • Due to Covid 19 restrictions beneficiaries are allowed to visit e voucher outlets 1 time per month
[ July 2021, Cox's Bazar ]  Seven members of the host community including three females have been killed in road accidents, 10% of total unnatural deaths in the district.
[ 06   12 September 2021, Cox's Bazar ]  During week 35  ( 30 August  05 September 2021 ) , 04 suspected Severe Acute Respiratory Infection  ( SARI )  deaths were recorded; the total increased to 68 in 2021. All deaths were investigated by RIRT as a part of COVID 19 response and of these, 09 came out as probable COVID 19 deaths.
[ June   July 2021, Cox's Bazar ]  A slight decline in utilization of essential health services was observed, likely linked to the worsening COVID 19 situation and effects of the heavy monsoon rains. Delays in seeking healthcare for nonCOVID 19 related conditions are likely to result in poorer health outcomes, and partners continue to promote uninterrupted access to essential health care.
[ June   July 2021, Cox's Bazar ]  Partners built 7,198 new shelters in the camps affected by the March 2021 fire , a resource intensive activity that was not planned under the JRP. The shelter design that was approved by the RRRC for rebuilding the fire affected camps has generally not been accepted by the refugee community due to its small size. The humanitarian community is concerned that continuing to provide this design for shelters that do not provide privacy to refugee families may increase the likelihood of protection issues and cases of child marriage. Discussions are ongoing regarding the provision of previously approved larger shelters that would provide more dignified living conditions.
[ June   July 2021, Cox's Bazar ]  764 functional beds at isolation and treatment facilities, including SARI ITCs as of July 2021  ( target 600 ) .  ( OB2, IN6 ) .
[ June   July 2021, Cox's Bazar ]  An average of 2.8* health consultations/person/year was achieved as of July 2021.  ( OB1, IN2 )
[ June   July 2021, Cox's Bazar ]  WASH infrastructure was significantly damaged as a result of monsoon rains in end July. In the camps and in the host communities, partners repaired 60% of the damaged latrines and bathing cubicles, 72% of the damaged tube wells, and nearly 50% of the damaged tap stands. COVID 19 restrictions contributed to delays in the response by limiting access for technicians.
[ June   July 2021, Cox's Bazar ]  Critical case management and systems strengthening activities for the refugee and host communities are under funded for the remainder of 2021.
[ June   July 2021, Cox's Bazar ]  In the COVID 19 context, the humanitarian community has witnessed increases in child protection concerns including violence, child marriage, child labour, and psychological and emotional abuse. • In June and July, 1,469 case management cases were recorded  ( 669 girls, 800 boys ) , yet due to restrictions on protection activities, only emergency cases were addressed, often through volunteers providing life saving support. Challenges with internet connectivity and electricity limit the ability for humanitarian actors to provide remote support.
[ June   July 2021, Cox's Bazar ]  A substantial reduction of humanitarian actors in the camps, including protection actors, during the COVID 19 lockdown has reduced refugees' access to key protection services such as registration, legal aid, psychosocial support, community engagement, and referrals for critical services. Vulnerable individuals, especially persons with disabilities and limited mobility, have faced significant challenges following monsoon rains and other emergency situations
[ June   July 2021, Cox's Bazar ]  Since March 2021, authorities have restricted home based learning and training for Burmese Language Instructors  ( BLIs ) . Limitations on the use of radios, phones, and tablets remain, therefore widening the critical gaps in access to education for refugee children and youth. Until Learning Centres are reopened, support for home based learning is needed to avoid a lost generation of Rohingya lacking the basic education and skills to reintegrate in Myanmar when return becomes possible.
[ June   July 2021, Cox's Bazar ]  The COVID 19 lockdown and 50% reduction in presence of nutrition service providers in the camps during the COVID 19 pandemic has limited the ability to provide consistent and quality nutritional care.
[ June   July 2021, Cox's Bazar ]  Processes for local registration, visa, and licensing processes for international IQARUS staff have taken longer than expected with the Bangladesh Investment Development Authority  ( BIDA )  due to documentation requirements, travel restrictions, and the COVID 19 lockdown.
[ June   July 2021, Cox's Bazar ]  The use of temporary shelter materials and limitations on carrying out shelter and DRR activities during the COVID 19 lockdown has increased risks during the monsoon season and contributed to more costly shelter repairs. Consistent access for shelter repairs and household level site improvement are needed, as well as permission for use of more durable shelter materials that withstand inclement weather.
[ June   July 2021, Cox's Bazar ]  Remote provision of PSS and case management during the COVID 19 lockdown was inhibited by poor network connections, refugees' hesitation to share confidential information over the phone, the gender divide in accessing connectivity, and practical barriers to using phone devices.
[ June   July 2021, Cox's Bazar ]  Following an increase in COVID 19 infections detected in June 2021, operational capacity at the 12 Severe Acute Respiratory Infection Isolation and Treatment Centres  ( SARI ITCs ) , which serve refugees and the host community, was scaled up to increase active bed capacity from 475 to 641 beds. High occupancy rates were observed, due in part to the continued mandatory admission of mild cases, comprising 80% of admissions. Cumulative COVID 19 Case Fatality Rates amongst the Rohingya refugees remained <1.5%. The number of sentinel testing sites was increased from 33 to 38, and a 29% increase in testing was observed among the refugee population by end June, compared to the first quarter of the year. In July, testing rates decreased slightly, likely due to the heavy monsoon rains and associated transportation and access constraints for patients.
[ June   July 2021, Cox's Bazar ]  The initiative of the Government of Bangladesh to include Rohingya refugees in its national vaccination campaign was welcomed globally, and the humanitarian community supported preparations to begin providing the vaccines in August 2021. Over 43,000 persons over age 55 will be targeted in the first round, and as more vaccines become available, it is expected that additional age groups and categories of volunteers may be included in the coming months
[ June   July 2021, Cox's Bazar ]  During the reporting period and earlier in the year, COVID 19 movement restrictions impeded the supply chain of materials and labor for site development activities. This challenge, compounded by restrictions on approved activities during the COVID 19 lockdown, negatively impacted monsoon preparedness and DRR activities that are critical to the safety of Rohingya refugees. Inconsistent construction quality and field level coordination of contracted services contributed to additional challenges and setbacks in providing quality infrastructure.
[ June   July 2021, Cox's Bazar ]  Some awareness raising activities in the camps and host communities were limited by COVID 19 lockdown restrictions, yet they are part of the COVID 19 Risk Communication and Community Engagement  ( RCCE )  strategy endorsed by the RRRC and Civil Surgeon's office. Ensuring the widespread circulation of information is critical to curbing the spread of the virus, as well as preventing the spread of rumours, which have contributed to stigma and place vulnerable populations at greater risk.
[ August 2021, Cox's Bazar ]  Rohingya Community: Damage status: 110 LCs are damaged due to rain. 14 LCs has been repaired. 
COVID 19 Intervention: A total number of 656 children, adolescent, and youth  ( Female 596; Male 60 )  benefitted from remote guidance on COVID 19 prevention through 11 Facilitators, Caregivers, Volunteers and BLI  ( Female 8, Male 3 ) .
[ August 2021, Cox's Bazar ]  Host community: A total number of 25,252 children, adolescent, and youth  ( Female 12,792; Male 12,460 )  benefitted from Wash, sanitization item and masks on COVID 19 prevention through 42,245 children  ( 21,869 girls and 20,376 boys )  got food support.
[ 13 September 2021, Bangladesh ]  According to Bangladesh's telecom operators' association, only 41 percent of its 169 million population have smartphones, with students in rural districts suffering further due to a lack of high speed internet.
[ 13 September 2021, Bangladesh ]  Students have been instructed to ensure hygiene and maintain distance from their peers in classrooms. The benches that used to fit four five students now host only two at most. They have also been barred from bringing any home cooked food on the premises.
[ 13 September 2021, Bangladesh ]  To reopen the schools, almost 97 percent of the country's teachers and staff were vaccinated, according to the government.
Bangladesh on Sunday ( 10 Sep )  recorded 51 deaths from COVID 19, taking the total death toll to 26,931. With 1,871 new infections recorded, the number of total infections is more than 1.5 million.
[ April  June 2021, Cox's Bazar ]  COVID 19 vaccination campaign for the Rohingya community was initially planned to kick off in late March with a target of 129,698 people over the age of 40 years and front line workers  ( Community Health Workers, Education and Nutrition volunteers )  to receive the first dose. After several months of delay, the vaccination campaign for the refugees is scheduled in August, with a revised eligibility criterion targeting those 55 years and above only. Pre printed vaccination cards were to be provided to those 55 years and above at household level. The vaccination campaign will be supported by over 450 staff from partner organizations.
[ April  June 2021, Cox's Bazar ]  Injuries accounted for three percent  ( 25,846 )  of the OPD consultations during the reporting period. Most of the injuries were reported in children under five years  ( 70 percent ) . Following the fire incident reported in quarter one, of the six health facilities that were damaged or destroyed, all have resumed health services.
[ April  June 2021, Cox's Bazar ]  With the assistance of the Camp Health Focal Points  ( CHFPs ) , the Health Sector conducted quarter two  ( April June )  Health Facility Monitoring covering 140 health facilities in all 34 camps with 42 partners participating. The report from this exercise highlighted the following; At present, in patient capacity does not meet Sphere standards. Despite the recommendation from Cox's Bazar MPEHS for all PHCs to provide BEmONC services, only 57 percent  ( 24 out of 42 )  provided all signal functions at the time of the monitoring exercise.
[ April  June 2021, Cox's Bazar ]  Only 37 percent of the assessed facilities provided HIV Counselling and Testing while ANC and delivery services were available in more facilities, signalling an inadequate access point for screening for HIV in pregnancy for Prevention of Mother to Child Transmission  ( PMTCT )  services at this time.  Provision of LARC  ( implants and Intrauterine Device  ( IUDs )  was not common. Only 33 percent provided Implants and 20 percent provided IUDs. This may be partly explained by low demand from the community, calling for increased sensitization
[ April  June 2021, Cox's Bazar ]  UNICEF and Department of Public Health Engineering  ( DPHE )  conducted the second round of community point source water quality surveillance  ( Jan April 2021 ) . The surveillance targeted 167 health facilities  ( eight field hospitals, 112 HPs and 47 PHCs. Storage water and drinking water samples from the health facilities were analysed for E. coli and ph. Sanitary inspections were also conducted using observation methods. Most  ( 93% )  of the health facilities met the Bangladesh Standard for safe drinking water  ( E. coli contamination 0 CFU3 /100ml ) , four percent were at intermediate risk  ( 1 10 CFU/100ml ) , two percent were at high risk  ( 11  99 CFU/100ml )  and 0.6 percent were at very high risk  ( >100 CFU/100ml ) . An analysis of 327 sterile and 327 unsterile water source samples showed that 96 percent of each sample are free from E. Coli contamination. This matches WHO and Bangladesh standards.
[ 23 29 August 2021, Bangladesh ]  Total 2,653  ( out of 2,883 )  confirmed cases have been investigated by Rapid Investigation and Response Team  ( RIRT, a camp wise CT network. Contact tracing has been done by CT supervisors with 6,227 contacts registered in the Go.Data for follow up, out of 9,678 contact identified through field investigation by RIRT. 3,526  ( 57% )  contacts successfully completed the follow up.Two hundred and eighty three  ( 8.0% )  contacts became tested positive for COVID19 during the incubation period.
[ 06   12 September 2021, Bangladesh ]  A total of 17 community leaders  ( 5 Imams, 6 Majhis & 6 others )  were sensitized in 01 advocacy meeting on the COVID 19 vaccination. 17 complaints, 413 feedbacks, and 656 queries were responded to in 14 Information and Feedback Centers  ( IFC ) . Approximately 200,000 people were reached through 195 mosques based loudspeakers by 200 Religious leaders on key COVID 19 behavioral messages. A total of 04 Radio Magazines and 03 Phone in Live on COVID 19 vaccination and prevention were broadcasted by Bangladesh Betar and Radio Naf.
[ 14th September 2021, Bangladesh ]  In the month of August, the country recorded the highest number of 7,698 dengue cases in 2021. In July, 2,286 people were diagnosed with dengue and 12 died while in June 272 cases were recorded with no deaths. Health authorities have been recording over 200 dengue cases per day since August 1.
[ 30th August  5th September 2021, Cox's Bazar ]  Refugee: • Till 05 September 2021, 2,922 COVID 19 cases were confirmed among the Rohingya refugees from 60,079 samples tested since the beginning of the outbreak. In week 35, of the 1,218 samples tested, 39 were positive; Test Positivity Rate  ( TFR )  is 3.2%  much lower than 7.0% recorded in the preceding week. To date, a total of 32 COVID 19 deaths were recorded  CFR of 1.1%
[ 06   12 September 2021, Bangladesh ]  In addition, maintaining social distance CHWs conducted 19,688 small group sessions engaging 50,486 persons. Their messages were focused on signs and symptoms of COVID 19, risk factors, testing, infection prevention measures, and quarantine & isolation centers. Community health partners are continuing an integrated RCCE approach to raise community awareness to reduce vaccine hesitancy, to build trust between health partners & the community, and alleviate vaccine related anxiety to ensure the maximum COVID 19 vaccine uptake.
[ 06   12 September 2021, Cox's Bazar ]  Until 12 September 2021, 2,975 COVID 19 cases were confirmed among the Rohingya refugees from 61,366 samples tested since the beginning of the outbreak. In week 36, of the 1,287 samples tested, 53 were positive; Test Positivity Rate  ( TFR )  is 4.1%  much lower than 7.0% recorded in the preceding week. To date, a total of 32 COVID 19 deaths were recorded  Crude Fatality Rate  ( CRF )  of 1.1%.
[ 14th September, Bangladesh ]  Public universities can resume in person academic activities any day after September 27 if all of the students can complete registration for Covid 19 vaccines by that date. The VCs of a number of universities told the meeting that around 50% of students had already taken their first dose of the vaccine. If the remaining students can complete their registration in due time, the universities will reopen after September 27.
[ 06   12 September 2021, Cox's Bazar ]  Host Community   A total of 204 COVID 19 confirmed cases were reported in the district during 06  12 September 2021. Currently, a total of 7,072 contacts are in home quarantine as of 12 September 2021.
[ 30th August  5th September 2021, Cox's Bazar ]  Refugee: . • Rapid Investigation and Response Teams  ( RIRT )  investigated a total of 2,696  ( 92% )  out of 2,922 COVID 19 confirmed cases among FDMN/Rohingya refugees. Contact Tracing Supervisors have traced 9,849 contacts so far; Of which, 6,425 contacts are registered in GO.DATA. Out of these, 3,749  ( 58% )  contacts have completed their quarantine period and 288 household contacts were tested positive within the incubation period. • During week 34  ( 23  29 August 2021 ) , 04 suspected Severe Acute Respiratory Infection  ( SARI )  deaths were recorded; the sum increased to 64 in 2021. All deaths were investigated by RIRT as a part of COVID 19 response and of these, 09 came out as probable COVID 19 deaths.
[ 30th August  5th September 2021, Cox's Bazar ]  As of 05 September 2021, across 13 operational SARI ITCs in the camps, there are 641 active and 276 standby beds. Of these beds, 47% were occupied. 74% of the admitted cases complained of mild sign & symptoms. Additionally, at the 250 Bed District Sadar Hospital, 10 Intensive Care Unit  ( ICU ) , 15 High Dependency Unit  ( HDU ) , and 13 Severe Care Unit  ( SCU )  beds are functional. 18  ( 47% )  beds of these are occupied at present.
[ 26th  29th August 2021, Cox's Bazar ]  Refugee: 36 943 people received the first dose of COVID 19 vaccine during the first round of COVID 19 vaccination campaign in the Rohingya refugee camps, which reached 86% of the target population. • WHO Risk Communication and Community Engagement  ( RCCE )  team provided support to Immunization and Vaccine Development  ( IVD )  team for the documentation of COVID 19 vaccination program in the refugee camps. • The Government of Bangladesh has received approval from the International Coordinating Group  ( ICG )  on Vaccine Provision to launch an OCV vaccination campaign for Rohingya refugees.
[ 26th  29th August 2021, Cox's Bazar ]  A total of 741 refugee cases were admitted to DTC and other health facilities with AWD isolation capacity. Out of the cases, 21% were severely dehydrated, 29% had some dehydration and 49% showed no sign of dehydration at the time of admission among refugees. As of 11 August 2021, around 1400 Community Health Workers  ( CHWs )  have been trained on key messages on health/hygiene promotion and prevention of acute watery diarrhea, following a training of 120 CHW supervisors and managers in previous weeks. UNHCR, as chair of the Community Health Working Group  ( CHWG ) , has organized and facilitated the training. UNHCR is also supporting with printing and distribution of hygiene promotion and AWD prevention IEC materials to help enhance awareness and prevention measures in the camps, other agencies are providing support as well.
[ 26th  29th August 2021, Cox's Bazar ]  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.
[ 26th  29th 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 ) .
[ 26th  29th 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.
[ January   June 2021, Cox's Bazar ]  In line with Government directives to mitigate the spread of COVID 19, humanitarian partners were required to reduce the scale of activities conducted in the camps and host communities. This reduced footprint seriously impacted the implementation of planned activities. Home gardening activities in the camp, which are season dependent, were hampered and delayed due to such restrictions, also resulting in the suspension of operation of production centres. This left refugee volunteers without an income, while the level of self reliance attained by livelihood programme participants has deteriorated.
[ 26th  29th 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.
[ 26th  29th August 2021, Cox's Bazar ]  Both Refugee and Host:As part of the Non communicable Diseases  ( NCDs )  program, during the reporting period, a total of 10 554 patients  ( host community and Rohingya refugees )  from Ukhiya and Teknaf were reported in DHIS 2 to have sought care with noncommunicable diseases. Hypertension was reported with the highest percentage of 35% followed by Diabetes Mellitus with 31% of all NCD patients. The NCD Core Group conducted supportive supervision visits on implementation of the national protocol on hypertension and diabetes mellitus in camps 8W and 18 to identify opportunities for improved NCD service delivery. Regarding communicable diseases, a total of 11 872 patients from the host community and the Rohingya refugee camps from Ukhiya and Teknaf were reported through DHIS 2. Acute Watery Diarrhea  ( AWD )  was reported with highest proportion of 46% followed by unexplained fever which was about 22%.
[ 1st August to 31st August 2021, Cox's Bazar ]  Refugee: Funding: • At 29% funded, the ETS in Bangladesh still requires additional funding of US$2.8 million to maintain and expand lifesaving communications services in 2021. The total annual required budget is US$3.9 million. Funding in 2021 has been received from the Korea International Cooperation Agency  ( KOICA )  and the US Bureau for Humanitarian Assistance  ( USAID ) .
[ 26 August 2021, Bangladesh ]  Although Bangladesh has not ratified the UN Refugee Conventions, it is a signatory to several other international law treaties and instruments that provide a framework for refugee protection. The Constitution of Bangladesh provides additional safeguards for the legal protection of non citizens in Bangladesh.
[ 25 June  31 July 2021, Cox's Bazar ]  Traders reported supply disruptions due to the lockdown and restriction of movement in and out of the camps, which reduced the already general low stock levels in camp markets. By the end of July, availability of rice, okra, eggplant was limited and prices increased. Fresh food, especially vegetable prices, were above BDT 50 per kg, and rice price in the camps was between 7 13 BDT higher than the nearby host markets. On the other hand, red lentil prices were 1 5 BDT less than the host markets.
[ 25 June  31 July 2021, Cox's Bazar ]  Fortified Soybean Oil price did not show significant changes from June to July but continue to be 27 30% higher than the same time last year. By July, a liter of bottled soybean oil reached a maximum retail price of BDT 150, BDT 3 less than June 2021. The effect of Bangladesh Vegetable Oil Refiners and Bonospoti Manufacturers Association fixing oil price at 149 BDT/liter was somewhat visible in July.
[ 25 June  31 July 2021, Cox's Bazar ]  Vegetables price spike continues in July all over Cox's Bazar due to continued heavy downpour. Although traders expected the prices to go down in July when the effect of Eid is not prevailing in the markets anymore, prices for most fresh commodities like potato, egg plant, tomato, green chilly and cucumber were rising due to continued rainfall and high transportation cost.
[ 25 June  31 July 2021, Cox's Bazar ]  Rice BR29 price decreased from June to July by 10 12% in Cox's Bazar Sadar and Ukhia, whereas a 5% increase observed in Chattogram markets reflected a continuation of price increases for the period of May June. Rice price of July was still 17 26% higher than the same time last year in Chattogram and Cox's Bazar Sadar. Traders expected prices to reduce in the coming days.
[ 25 June  31 July 2021, Cox's Bazar ]  Onion price showed an upward trend in Ukhia and decreased in Cox's Bazar Sadar from June to July. It remains 39  42% above the same time last year, with prices ranging between 40 to 44 BDT/kg. High transport costs and high labor cost due to unavailability of labor driven by the lockdown escalated the price.
[ 25 June  31 July 2021, Cox's Bazar ]  The already limited access to income generating activities was further constrained due to the movement restriction leading to a progressive reduction of purchasing power. To cope with the situation households sell assistance to access cash to meet essential needs and adopt other coping strategies like seeking credit, borrowing money, etc. The top 4 most reported commodities sold from assistance were oil, lentil, sugar, and rice, in decreasing order
[ 3rd September, 2021 ]  Refugee: Life in the congested camps that are home to over 880,000 Rohingya refugees was already tough, but the COVID 19 pandemic has brought new hardships    limiting movements, closing learning canters and reducing on site assistance provided by aid organizations. Then came a massive fire in March that reduced nearly 10,000 shelters to ashes and killed 11 refugees. The fire was followed by a particularly wet monsoon season that brought more than 700mm of rain in just one week between 27 July and 3 August, inundating more than 400 local villages, washing away shelters and triggering flooding and landslides that killed some 20 people, 10 of which were refugees. Some 24,000 refugees were forced to abandon their homes and belongings.
[ 30th August to 12th September 2021, Cox's Bazar ]  Refugee: Among the Rohingya refugee population, the number of confirmed COVID 19 cases has also decreased in the past weeks. In week 36, a total of 53 positive cases were registered in the Rohingya refugee camps with a test positivity rate of 4.1%, in comparation to the 105 confirmed cases in week 34, with a test positivity rate 7.0%. As of 12 September 2021, a total of 2975 COVID 19 cases have been reported among the Rohingya population.
[ 30th August to 12th September 2021, Cox's Bazar ]  Following the successful completion of the 1st round of the COVID 19 vaccination campaign on 10  23 August 2021, the 2nd round will commence on 18 September 2021 for Rohingya refugees aged 55 years and above. • The International Coordination Group  ( ICG )  on Vaccine Provision has approved the Government of Bangladesh's application for a 02 dose Oral Cholera Vaccine  ( OCV )  campaign for Rohingya refugees and nearby host population above 1 year  ( approximately 1.4 million )  in Ukhia and Teknaf. The start date of the campaign is expected to be in October. • On 6 9 September, WHO and IOM, as co chairs of the Emergency Preparedness and Response Technical Committee in Cox's Bazar, conducted a 4 day training course on "Emergency & Trauma Care" to equip frontline health providers with basic trauma and surgical skills, as well as knowledge and understand of an effective incident command system for emergency response.
[ 30th August to 12th September 2021, Cox's Bazar ] WHO continues to provide epidemiological data to support operational decision making for the COVID 19 response in Cox's Bazar. As of 12 September 2021, a total of 16 974 individuals from the host community in Cox's Bazar district have tested positive for COVID 19: 1265 in Chokoria, 251 in Kutubdia, 1115 in Moheshkhali, 605 in Pekua, 993 in Ramu, 7206 in Sadar, 2662 in Teknaf and 2877 in Ukhiya.
[ 30th August to 12th September 2021, Cox's Bazar ] 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 45% 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.
[ 30th August to 12th September 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 2 786 confirmed cases  ( out of 2 975 to date )  have been investigated by RIRTs by 12 September 2021, with contact tracing activities being conducted and captured through Go.data, including 6 710 contacts. Out of these, 3 953  ( 59% )  contacts have seen their follow up visits completed and were released from quarantine. 289  ( 7.3% )  tested positive cases during the follow up period. WHO is closely supporting contact tracing through the Camp Health and Disease Surveillance Officers  ( CHDSOs ) .
[ 30th August to 12th September 2021, Cox's Bazar ]  Since 1 January, there have been 194 cases  ( 150 from Rohingya refugees and 44 from host community )  of Acute Watery Diarrhoea  ( AWD )  that have been tested positive Rapid Diagnostic Tests  ( RDTs ) /bacteriological culture confirmed cases for cholera  ( data as of 12 September ) , of these 70 were culture confirmed, 93 negative and 31 awaited for culture result. In the past three weeks  ( week 34 36 )  the total number of culture confirmed cases 8.
[ 30th August to 12th September 2021, Cox's Bazar ] With a total of 181 cases, Camp 24 has the highest number of cases to date ahead of Camp 3 with 180 cases, Camp 2W with 164 cases, Camp 15 with 162 cases and Camp 21 with 161 cases. To date, 158 cases have been reported from Camp 158, 156 cases have been reported from Camp 4, 138 cases from Camp 1W and 125 cases from Camp 20 extension. In Camp 5 and 9, 112 cases have been registered. Camp 2E has 109 cases reported. 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.
[ 30th August to 12th September 2021, Cox's Bazar ] Between weeks 35 36, 92 new confirmed cases were detected from 2 413 samples tested, the test positivity was therefore 4.1%. As of 12 September 2021, the cumulative incidence is 61.6 per 100 000 people. The overall positivity of samples tested is 4.8%. Among the cases, 1.8% showed severe symptoms at the time of admission while 4.3% reported at least one co morbidity. 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, 32 deaths due to confirmed COVID 19 have been reported in the camps with a case fatality ratio of 1.0%.
[ June 2021, Cox's Bazar ]  Refugees: The COVID 19 pandemic has surged throughout the district, as well as the country since late May. The refugee camps in Cox's Bazar went into a full lockdown in early June. Restrictions have been imposed on the rest of the camps although a request for a vaccine rollout in the camps was made for the Rohingyas, it did not begin during the month. 32 Rohingyas received instructions on how to follow the rules by loudspeakers in the camps to help maintain the rules of lockdown, as the local news outlets highlighted
[ June 2021, Cox's Bazar ]  Both Host and Refugees: The first week of the June saw a sharp rise in Covid19 positive cases than the month of May, there were 534 positive tests in the district including 177 Rohingya. During the month, two Rohingya and 15 host community people were reported to have died of COVID 19. The total number of deaths in the district at the end of June stood at 126  ( including 18 Rohingya ) .
[ June 2021, Cox's Bazar ]  Refugees: At least 102 people fled Bhasan Char in May to return their original camps in Cox's Bazar. In June, a total of 35 Rohingyas were arrested by security forces in several different parts of Noakhali and Chattogram district on their way back to Cox's Bazar refugee camps from Bhasanchar
[ June 2021, Cox's Bazar ] both Host and Refugees: The monsoonal downpour resulted in 16 deaths by drowning in June – a 60% increase in drowning deaths on May. Six Rohingyas, including four young girls, were found dead in the Naf River in Teknaf after a boat capsized in the river that was reportedly crossing the river illegally with the Rohingya on board. Four members of the host community  ( including three children )  died in drownings on 26 June in Teknaf, Chakaria and Moheshkhali.
[ June 2021, Cox's Bazar ]  Law enforcement seized 1.1 million yaba tablets in June a slight decrease in numbers from the seizures in May  ( 1.89 million )  and decrease of 50% from April  ( 2.28 million )  yaba pills. This has resulted in the 2021 monthly average to fall from 2.4 million  ( until April )  to 1.3 million tablets  ( until June ) .
[ June 2021, Cox's Bazar ]  The month of June saw a 12% increase in unnatural deaths from May in Cox's Bazar. Compared to May, Homicide decreased by 25%, fatalities on the roads though remain the same, and drowning increased by 60%. With the arrival of the annual monsoon, 41% of all unnatural deaths during the month can be linked to the inclement weather  ( drowning, lightning strikes, and landslides )
[ June 2021, Cox's Bazar ]  Refugees: The Border Guard Bangladesh  ( BGB )  seized the largest total  ( 480,000 )  of yaba tablets in the month. The single largest confiscation during the month was of 323375 Yaba pills by the Armed Police Battalion  ( APBn )  when they arrested three Rohingyas including one woman from Camp 8 on 14 June. 15 On 22 June, BGB made the second largest seizure with 70000 yaba tablets in Palongkhali, Ukhiya.
[ June 2021, Cox's Bazar ] Refugees: After five months being relocated to the island of Bhasan Char camp off the coast of Bangladesh, there has been increased concern about a diarrhoea outbreak which has impacted about one third of the camp population and killed at least three Rohingya reported on 15 June by Daily Star.
[ June 2021, Cox's Bazar ]  Refugees: On 11 June, police arrested 12 Rohingyas  ( six male, four female and two children )  in Noakhali. 24 Five days later, police again arrested a youth fleeing Bhasanchar in Subarna Char – another island in Noakhali district. 25 On 17 June, police arrested nine Rohingyas including four women and three children from Swandwip, Chattogram.
[ 22 September 2021, Cox's Bazar ] Both Host and refugees: The government announced that learning centres could reopen for children in grades two to four after a drop in positive testing rates for COVID 19 nationally and in Cox's Bazar to around 5% this week from over 30% in early August. Bangladeshi schools reopened on September 12 but Rohingya children were still waiting to resume their education.
[ August 2021, Cox's Bazar ]  Rohingya volunteers reached 7,786 individuals through door to door sessions on COVID 19 awareness including vaccination and monsoon related topics. In host community, a total 1,231 individuals were also reached. IOM's partner PULSE Bangladesh reached 3,434 individuals from the host community by phone on COVID 19 preventive measures, Psychosocial Support  ( PSS )  and protection related issues.
[ August 2021, Cox's Bazar ]  Quarantine Facility, located in Camp 20 Extension, is continuing to quarantine contacts of reported cases in order to encourage early containment of the outbreak. For this reporting period, 12 contacts were quarantined in this facility that o ers follow up and health check up services from World Concern/Medair, IOM MHD's implementing partner, from the attached health post.
[ 30th August to 12th September 2021, Cox's Bazar ]  In response to the surge of Acute Watery Diarrhea  ( AWD )  cases in Cox's Bazar, a rapid mapping conducted by WHO and partners in line with the Multisectoral Acute Watery Diarrhea Response Plan  ( August 2020 )  has identified 72 isolation beds for AWD are functional at this time, with additional 400 beds on stand by that could be activated on short notice. Out of these standby beds, 160 are SARI ITC standby capacity beds that could be repurposed for AWD if the epidemiological situation requires. Diarrhea Treatment Centers  ( DTC )  in Leda remain open for strengthened case management of AWD patients and are ready to expand the capacity.
[ 30th August to 12th September 2021, Cox's Bazar ]  A total of 863 refugee cases were admitted to DTC and other health facilities with AWD isolation capacity. Out of the cases, 22% were severely dehydrated, 30% had some dehydration and 46% showed no sign of dehydration at the time of admission among refugees. As of 11 August 2021, around 1400 Community Health Workers  ( CHWs )  have been trained on key messages on health/hygiene promotion and prevention of acute watery diarrhea, following a training of 120 CHW supervisors and managers in previous weeks. UNHCR, as chair of the Community Health Working Group  ( CHWG ) , has organized and facilitated the training. UNHCR is also supporting with printing and distribution of hygiene promotion and AWD prevention IEC materials to help enhance awareness and prevention measures in the camps, other agencies are providing support as well.
[ 30th August to 12th September 2021, Cox's Bazar ]  During the reporting period, two health sector case management working group meeting along with two case conference calls for SARI ITCs and two case conference calls for ICU/HDU of Cox's Bazar District Hospital were conducted. The SARI ITC bed ocupancy rate is currently 46%  ( Ukhiya 50% and Teknaf 41% ) . For the admitted patients, 73% of them are categorized as mild patients, 16% moderate, 10% severe and 1% as critical cases. At the 250 Bed District Sadar Hospital, the Intensive Care Unit  ( ICU )  has 10 beds while the High Dependency Unit  ( HDU )  has 15 beds and the Severe Care Unit  ( SCU )  has 13 beds  ( all of the beds are functional ) . At the end of the reporting period, 20 beds are occupied with suspected and confirmed COVID 19 patients.
[ 30th August to 12th September 2021, Cox's Bazar ]  In week 36  ( 6 12 September )   a total of 13 RDT positive cases were reported, all samples are waiting for culture result and 2 additional culture positive cases were identified from RDT negative sample. In week 35  ( 30 August  5 September )   a total of 8 RDT positive cases were reported  ( 3 were culture confirmed and 5 waiting for culture result ) , 1 additional culture positive casewas identified from RDT negative samples. In week 34  ( 23 29 August )   a ttal of 4 RDT positive cases were reported  ( 1 was culture confirmed, 2 discarded and 1 waiting for culture result ) , 1 additional culture positive case was identified from a RDT negative sample.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, 4, 7 and 15. Out of these camps with culture confirmed cases, only Camp 15 has reported more than one case.
[ 30th August to 12th September 2021, Cox's Bazar ]  During the reporting period, one new probable maternal death has been reported. In total 94 probable maternal/deaths of women of reproductive age  ( WRA, 12 49 years )  have been reported in 2021, of which 23deaths have been reported from facilities and directly undergone review by Maternal and Perinatal Mortality Surveillance and Response  ( MPMSR ) . Investigation of mortality due to suspected potential infectious causes i.e. SARI, Measles, Cholera, Diphtheria etc. is ongoing in the camps along with death due to maternal causes, as high priority. In week 35 36, 5 suspected Severe Acute Respiratory Infection  ( SARI )  deaths were reported. In total 69 deaths have been reported in 2021. All deaths have been investigated by RIRT as a part of COVID 19 response and 9 were considered as death due to probable COVID 19. In 2020, a total 85 suspected SARI deaths were reported through community based mortality surveillance. Of these, all were verified and 9 considered death due to probable COVID 19. So far in 2021, 2 deaths at community level were investigated that were eventually considered as death due to suspected cholera.