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Afghanistan: Geo-political conditions conducive to Epidemics

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1 Afghanistan: Geo-political conditions conducive to Epidemics
22 years of war Front line Insecure areas Remote areas Drought Earthquakes Cholera outbreak in July-September2000 Jauzjan Badakhshan Kunduz Takhar Balkh Samangan Sar-e- Pol Faryab Baghlan Kapisa Badghis Parwan Laghman Kunar Bamyan Herat Kabul Ghor Nangarhar Logar Uruzgan Paktya Ghazni Farah Paktika Zabul Nimroz Kandahar Helmand

2 Measles Outbreaks 1-3/2000 Districts without EPI fixed centers

3 Afghanistan: current urgent problems
Internally displaced populations Cholera outbreaks Jauzjan Badakhshan Kunduz Takhar Balkh Samangan Sar-e- Pol Faryab Baghlan Kapisa Kunar Badghis Parwan Laghman Bamyan Herat Kabul Ghor Nangarhar Logar Uruzgan Paktya Ghazni Farah Paktika Zabul Risk for measles outbreaks, ARI and further spread of cholera! Nimroz Kandahar Helmand

4 Afghanistan: estimated populations
Mazar-I-Sharif has a population of 1,000,000 (half of them are IDPs). Northen Region area(km2) census estimates Herat '270 Badghis '063 Badakhshan '306 Takhar '089 Baghlan '256 Jauzjan Badakhshan Kunduz Takhar Balkh Samangan Sar-e- Pol Faryab Baghlan Kapisa Badghis Parwan Laghman Kunar Bamyan Herat Kabul Ghor Nangarhar Logar Uruzgan Paktya Ghazni Farah Paktika Zabul Nimroz Kandahar Helmand Source: The 1997 population figures are taken from the UNFPA database. The 1996 estimates are informal estimates

5 WHO structure and functions in Afghanistan
WHO has 9 suboffices inside Afghanistan a nd a support office in Islamabad: 1. office in Jalalabad 32 staff 2. Suboffice in Kabul 12 staff 3. Suboffice in Faizabad 8 staff 4: Suboffice in Kundoz 6 staff 5. Suboffice in Ghazni 6 staff 6. Suboffice in Mazar 7 staff 7. Suboffice in Bamyan 5 staff 8. Suboffice in Herat 9 staff 9. Suboffice in Kandahar 7 staff 10. Support office in Islamabad 27 staff Jauzjan Badakhshan Kunduz Takhar Balkh Samangan Sar-e- Pol Faryab Baghlan Kapisa Kunar Badghis Parwan Laghman Bamyan Herat Kabul Ghor Nangarhar Logar Uruzgan Paktya Ghazni Farah Paktika Zabul The total number of staff is about 119 both in and outside Afghanistan. The WHO suboffices: provide technical assistance to the local health authorities MCH, immunization, training, etc..) serve as epidemiological surveillance stations supervise and manage WHO projects in their regions. monitor drug distribution to basic services and hospitals. represent WHO in all field-based coordination activities with UN agencies and NGOs All suboffices regularly report to WR-Afghanistan office. Nimroz Kandahar Helmand


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