Summary Key Points
Mortality
In the first quarter of 2016, 51 mortalities were reported from Zaatri camp with a Crude Mortality Rate (CMR) of (0.2/1000 population/month; 2.4/1000 population/year) which is equivalent to the reported CMR in Zaatri camp for 2015 and 2014 and is lower than both the reported CMR in Syria prior to the conflict in 2010 (0.33/1000 population/month; 4/1000 population/year)1 as well as the reported CMR in Jordan in 2013 according to two sources; World Bank Indicators and Jordan Department of Statistics respectively; (0.33/1000 population/month; 4/1000 population/year)1 and (0.48/1000 population/month; 5.7/1000 population/year).
Among the 51 deaths, 18% were neonatal with a neonatal mortality rate of 10.8/1000 livebirths which is lower than the reported neonatal mortality rate in Zaatri camp for 2015 (14.5/1000 livebirths) as well as Jordan’s neonatal mortality rate of 14.9/1000 livebirths; 35% were children under 5. Ischemic heart disease, cardiovascular disorder and cerebrovascular disease accounted for approximately 50% of all reported mortality cases.
CMR is influenced by the size of the population. Thus, despite the fact that CMR was calculated based on the median population in Zaatri in the first quarter of 2016 which was 79,422, it should be kept in mind that there may have been some fluctuations through the year due to people moving in and out of the camp as well as refugees leaving the camp back to Syria. Furthermore, the cases of deaths reported in Zaatri are the cases that took place inside the camp as well as cases referred to health facilities outside the camp. Nevertheless, this system does not capture death cases that take place outside the camp who have not followed the usual referral procedures; i.e. cases that by themselves directly approached health facilities outside the camp and have not been reported by their family members back in the camp.
Taking the two above mentioned factors into consideration, the calculated CMR for Zaatri in the first quarter of 2016might be underestimated or overestimated.
Morbidity
There were 56.6 full time clinicians in Zaatri camp during the first quarter of 2016 covering the outpatient department (OPD) with 29 consultations/clinician/day on average which is comparable with 2015 and is within the acceptable standard (<50 consultations/clinician/day).
Seventeen alerts were investigated during the first quarter of 2016 for diseases of outbreak potential; watery diarrhea, bloody diarrhea, acute jaundice syndrome, acute flaccid paralysis, suspected measles and suspected meningitis.
For acute health conditions upper respiratory tract infections (URTI), influenza like illness (ILI) and dental conditions were the main reasons to seek medical care in the first quarter of 2016. Acute health conditions accounted for approximately 65% of total OPD consultations.For chronic health conditions, hypertension, diabetes and asthma were the main reasons to seek medical care in the first quarter of 2016 as well as 2015 and 2014.
Severe emotional disorders (including moderate- severe depression) and epilepsy/seizures were the two main reasons to seek mental health care during the first quarter of 2016 as well as 2015 and 2014.