Date: Tue, 2 Apr 2019 18:54:39 +0200

Beirut, April 2, 2019 (AFP) - More than 40,000 displaced people in north-western Syria have seen their camps flooded by heavy rains in the past three days, a United Nations spokesman said Tuesday.   Around 14 camps were affected in the north-western province of Idlib, David Swanson of the UN Office for the Coordination of Humanitarian Affairs told AFP.

The Idlib region, controlled by Syria's former Al-Qaeda affiliate, is home to more than 3 million people -- more than half of them displaced by the country's eight-year war.   Civil defence workers known as the White Helmets have been working to save people and their scant belongings from the rising muddy waters.   "For the second day in a row, White Helmets... continue to respond to the catastrophic situation in the northern Syria camps," they said on Twitter late Monday.

One video posted by the group on Sunday showed brown water cascading out of a flooded tent.   In another published the same day, civil defence workers clung on to a rope as they waded through a brown torrent above knee level.   The downpour has affected tens of thousands of civilians, displaced persons, crops and livestock in Idlib, as well as in the Aleppo and Hasakeh provinces since Saturday, Swanson said.

In Aleppo province, tents were destroyed in several camps for the displaced and a hospital in the countryside had to shut down due to the flooding.   Syria's war has killed more than 370,000 people and displaced millions since starting in 2011 with the brutal repression of anti-government protests.   Tens of thousands of displaced Syrians in the north of the country depend on handouts from humanitarian aid groups, including food, blankets and heating fuel for the winter months.

Thursday 7th March 2019
http://www.emro.who.int/syr/syria-news/unexploded-mines-pose-daily-risk-for-people-in-northern-syria.html

6 March 2019 - Um Hassan, from rural Aleppo, was collecting truffles in the countryside to sell in local markets. At the end of a long day of backbreaking work in harsh winter conditions, she and her children climbed into a crowded lorry to begin their journey home. Half-way through their trip, the lorry drove over an unexploded mine. Um Hassan’s 10-year old daughter Lolo was killed instantly and two of her other children were seriously injured.

Lolo was one of six people killed in the explosion. Another 15 people were rushed to the WHO-supported University Hospital in Aleppo. Um Hassan’s husband was frantic with worry when his family did not return home. He had no way of getting in touch with his wife and she was unable to get in touch with him. Like many people living in poverty in rural areas of Syria, the family has no mobile phone or landline.

“This is such a tragic event,” said Elizabeth Hoff, WHO Representative in Syria. “Although the security situation in the north has improved recently, tens of thousands of landmines and other unexploded devices continue to pose a severe threat to millions of innocent people. WHO is working to strengthen trauma care and emergency services in Aleppo and other northern governorates, but the underlying problem remains. Sustained efforts must be made to clear mines and other hazards from former conflict areas. Until then, people like Um Hassan and her family will be at risk of similar incidents.”

For Um Hassan and many others like her, there is no choice but to continue working every day, despite the risks. “Life is difficult and we have to keep working in our fields, no matter how hard,“ said Um Hassan. “Our survival depends on it.”

Date: Tue 8 Jan 2019
Source: Reliefweb, UN Children's Fund report [edited]
<https://reliefweb.int/report/syrian-arab-republic/young-people-rural-hama-syria-join-unicef-s-efforts-raise-awareness-skin>

Years of conflict and damage to the infrastructure in Hama have contributed to creating an environment where the parasitic skin disease Leishmaniasis can spread within the local communities. The disease, known locally as the 'Aleppo Boil', is spread by the bite of infected sand-flies that thrive in the piled-up waste and damaged sewers in the streets of Hama.

UNICEF, with its partners, is helping fight Leishmaniasis through awareness-raising campaigns in 13 of the most affected villages of Hama and its rural villages. Health workers in Hama are training young people on how to lead group discussions and peer-to-peer information sessions about the causes, detection and treatment of Leishmaniasis. Young people were also trained on the behavioural changes necessary to foster an environment unfavourable for the disease.

Recurring displacement of infected children and families coupled with incorrect practices when it comes to livestock keeping have further spread the infection in rural Hama. "I didn't know that dung could be a place for the 'Aleppo Boil' parasite to live," says Amira, a local livestock keeper from Jarjisa in rural Hama who took part in one of the sessions. Amira's husband and 3 children were all infected with Leishmaniasis.

UNICEF through 13 volunteer mobile teams, comprised of health workers and young people, helped raise the awareness of children, families, frontline health workers, community leaders, school teachers and livestock keepers in Hama and the rural outskirts, aiming to put an end to the epidemic.  [Byline: Lina AlQassab]
======================
[Leishmaniasis has been one of the infections surging during the Syrian civil war and ProMED has reported repeatedly on this emerging infection. CL caused by _L. tropica_ is still endemic in Aleppo but also in Edlib, Lattakia, Tortous, Hama, and Damascus. CL caused by _L. major_ is found in and around Damascus. VL caused by _L. infantum_ is found in the northwest in the provinces of Al Ladhiqiyah, Idlib, and Halab. The reservoirs for _L. tropica_ are humans, and not all cases are treated, and the study by Alvar et al. estimated that the human reservoir is increasing. The reservoirs for _L. major_ are small rodents, and for _L. infantum_, dogs. - ProMED Mod.EP]

[HealthMap/ProMED map available at:
Hama Governorate, Syria: <http://healthmap.org/promed/p/24710>]
Date: Fri, 21 Dec 2018 15:50:28 +0100

Beirut, Dec 21, 2018 (AFP) - Air strikes by the US-led coalition killed 13 jihadist fighters and 14 of their relatives Friday in eastern Syria, a war monitor said.   The strikes came two days after US President Donald Trump's decision to pull troops out of Syria raised fears the Islamic State group would use the vacuum to regroup.   "At least 27 people were killed this morning in Al-Shaafa," Rami Abdel Rahman, the head of the Britain-based Syrian Observatory for Human Rights, told AFP.

He said eight children were among the 14 civilian victims and added several people were seriously wounded in the strikes.   The raids targeted IS positions in Al-Shaafa, one of the two main villages in the last pocket of territory still controlled by IS in the Euphrates River valley.   Close to 1,000 IS fighters have been killed since Kurdish-led forces, backed by coalition air strikes, launched an operation on that pocket in September.

Trump said he was ordering a withdrawal of the estimated 2,000 US troops in Syria because IS had been defeated, an assessment rubbished by many, including in his own camp.   On Friday, the leadership of the Kurdish force that has spearheaded the fight against IS warned it might have to pull back from the anti-jihadist front if a US withdrawal invites a Turkish military assault against them.   According to the Observatory, 545 members of the Kurdish-led Syrian Democratic Forces were killed battling IS since the start of the operation on September 10.
Thursday 29th November 2018
http://www.emro.who.int/syr/syria-news/who-update-reported-chemical-event-aleppo.html?format=html

29 November 2018 – At around midnight on 24 November 2018, WHO received unconfirmed reports of patients arriving in health facilities in Aleppo with symptoms that might be consistent with exposure to chemical agents. At approximately the same time, the United Nations Department of Safety and Security office in Syria reported unconfirmed information that the Al-Zahraa, Al-Khaldiyyeh and Nile Street areas of Aleppo city had been shelled with rounds of mortar fire that included an unknown type of gas. According to unconfirmed reports, dozens of patients were being admitted to Aleppo’s two public hospitals.

WHO activated its emergency procedures to assist the public health response in Aleppo and immediately distributed the supplies requested by the two public hospitals and the Syrian Arab Red Crescent (SARC). WHO has been informed that all patients had been discharged from the hospitals as of 25 November after receiving treatment. According to the Aleppo Directorate of Health, 122 patients were received by the two hospitals.

WHO has been helping the country prepare for the management of chemical events since 2012. The Organization has issued clinical management protocols, trained clinicians on the management of patients who have been exposed to chemical agents, distributed personal protective equipment to hospitals and health care facilities, and raised Syrians’ awareness of how to protect themselves against exposure and when to seek treatment. In Aleppo, WHO has trained 265 clinicians on immediate decontamination, referral, triage and treatment measures.

WHO reiterates the United Nations Secretary-General’s statement that any confirmed use of such weapons, by any party to the conflict and under any circumstances, is abhorrent and a clear violation of international law.
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