Right to Health of Internally Displaced Persons - IDP SriLanka

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Annexure VI Ministry of Healthcare & Nutrition Epidemiological Unit 231, de Saram Place, Colombo 01000, Sri Lanka Telephone: Epidemiologist :(+94-11-)2681548, Epid unit: (+94-11-) 2695112 Fax: (+94-11-)2696583, E-mail: chepid@sltnet.lk and epidunit@sltnet.lk _____________________________________________________ My No. EPID/22/2007 19 April 2007. Deputy Provincial Director of Health Services, Batticoloa. Provisional Guidelines for Emergency Management of Public Health Problems of the Internally Displaced People The following provisional guidelines are recommended to minimize the adverse public health impact and to prevent the spread of communicable diseases of the displaced population living in temporary shelters. 1. Ensuring safety of water Ensure adequate supply of safe drinking water. If pipe-borne water is not available, water to be collected in tanks or barrels and chlorinated. Co-ordinate with the Divisional Secretary to ensure that water supplied by local authorities and other sources is properly chlorinated before distribution. 2. Ensuring safety of food Co-ordinate with the Divisional Secretary to ensure that food supplied by local authorities and other sources are hygienically prepared before distribution. Ensure all the food supplies to the displaced are hygienically stored, prepared and distributed. Strictly monitor the preparation of food in food handling establishments. 81
3. Safe disposal of excreta Ensure adequate sanitary facilities at all temporary camps for the displaced. Where necessary, make arrangements to construct adequate number of temporary latrines according to the guidelines. 4. Disposal of refuse Co-ordinate disposal of garbage by sanitary burial or burning in suitable adjacent areas of temporary shelters. Control flies, insects and rodents by proper use of physical and chemical methods (insecticides and TCLpowder). If garbage is removed daily by the local authorities using tractors, ensure enough barrels (garbage bins) are available in the temporary shelters for collection of garbage. 5. Treatment and management of minor ailments Co-ordinate with the local medical institutions/authorities to establish mobile medical teams to visit temporary shelters for the displaced daily and provide treatment. Refer and transport those that require institutional care. 6. Prevention and control of potential outbreaks In a case of diarrhoea in particular, prompt action must be taken to ensure early treatment and prevention of further spread. In case of contagious diseases such as acute respiratory tract infections and chickenpox, these cases should be isolated and referred to hospitals if necessary. Steps should be taken to control mosquito breeding to prevent and control mosquito borne diseases such as dengue, malaria and JE. 7. Disease surveillance MOH/PHI should visit the camps daily to inquire into unusual occurrence of disease events/outbreaks. Collect and report data related to health events in camps according to the format provided by the Epidemiology unit (annexure). MOH should consolidate the above data weekly and send a consolidated report to RE with a copy to Epidemiology Unit (annexure). 82
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Table of Contents n t 1. Executive
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curative health sector in the selec
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“Despite its status as a 'less-de
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“Right to Health” as a Universa
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According to UN Committee on Econom
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In addition to the above, Article 1
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4. Justifiability i i i t of Right
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In addition, Penal Code contains a
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5. Do the Health Rights of the IDPs
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It is submitted therefore that the
Page 32 and 33: General Curative health situation o
Page 34 and 35: are Functioning only as OPDs and it
Page 36 and 37: Anuradhapura Anuradhapura district
Page 38 and 39: It was found that many heath instit
Page 40 and 41: Health Issues of Internally Displac
Page 42 and 43: as Janakapura , Kiri Ibbanwewa, Ath
Page 44 and 45: equired for the division, but curre
Page 46 and 47: However though there is a scarcity
Page 48 and 49: In Batticaloa West, the drinking wa
Page 50 and 51: Ensuring safety of water Ensure ade
Page 52 and 53: The lack of coordination between th
Page 54 and 55: Regarding the impact of these GLs,
Page 56 and 57: As per the circular No: CGES/ER/95/
Page 58 and 59: are not receiving dry ration since
Page 60 and 61: Nutritional status of pregnant wome
Page 62 and 63: 7.6. Risk of HIV infections Sri Lan
Page 64 and 65: 07.01.2005-General Circular: 01-01/
Page 66: They also face with serious securit
Page 69 and 70: 8.C onclusion The need for physical
Page 71 and 72: 9. Recommendations 1) Improvements
Page 73 and 74: elaborated in the “Guidelines for
Page 75 and 76: ) Regarding the quality of dry rati
Page 77 and 78: Annexure Annexure 1 IDPs Population
Page 79 and 80: Annexure III Statistics relating to
Page 81: Annexure V Carder position as at Se
Page 85 and 86: Annexure VII Health Indicators Isla
Page 87 and 88: Annexure X MCH Clinics at Trincomal
Page 90: Article 25 Right to adequate standa
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Right to Health of Internally Displaced Persons - IDP SriLanka

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