Summary Key Points:
Mortality
In the first half of 2016, 91 mortalities were reported from Zaatri camp with a Crude Mortality Rate (CMR) of (0.2/1,000 population/month; 2.3/1,000 population/year) which is comparable to the reported CMR in 2015 and 2014 but is lower than both the reported CMR in Syria prior to the conflict in 2010 (0.33/1,000 population/month; 4.0/1,000 population/year) and the reported CMR in Jordan in 2014 according to the Department of Statistics (0.51/1,000 population/month; 6.1/1,000 population/year).
Among the 91 deaths, 15% were neonatal with a neonatal mortality rate of 9.7/1,000 livebirths which is lower than the reported neonatal mortality rate in Zaatri camp for 2015 (14.5/1,000 livebirths) as well as Jordan’s neonatal mortality rate of 14.9/1,000 livebirths; 30% were children under 5, and 43% of total mortalities were elderly above 60 years of age.
Reporting of NNM and neonatal audits has improved in 2016 taking into consideration age in terms of days, months and years, thus the NNMR is 2015 is likely to be overestimated.
Ischemic heart disease, cardiovascular disorder and cerebrovascular disease accounted for approximately 48% 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 half of 2016 which was 79,526, 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. 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 thecamp. 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 half of 2016 might be underestimated or overestimated.
Morbidity
There were 59.2 full time clinicians in Zaatri camp during the first half of 2016 covering the outpatient department (OPD) with 29 consultat ions/clinician/day on average which is comparable with 2015 and is within the acceptable standard (<50 consultations/clinician/day).
Thirty six alerts were investigated during the first half 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), dental conditions and influenza like illness (ILI) were the main reasons to seek medical care in the first half of 2016.
Reporting on watery diarrhea cases has significantly improved in the first half of 2016 with a decrease by approximately 50% compared to the first half of 2015. There is still over-reporting on watery diarrhea where cases that do not meet the case definition are being recorded on HIS.
For chronic health conditions, hypertension, diabetes and asthma were the main reasons to seek medical care in the first half of 2016 as well as 2015 and 2014.
Mental health consultations accounted for 1.5% of total consultations. There is a marked decrease in reported mental health consultations (30%) as compared to the first and second halves of 2015 and the reasons behind this are being explored. Severe emotional disorders (including moderate- severe depression) and epilepsy/seizures were the two main reasons to seek mental health care during the first half of 2016, as well as 2015 and 2014.