Disease surveillance in refugee camps was already a major part of outbreak response. Contact tracing in refugee camps has become especially important to minimize COVID-19 transmission. In places like Cox’s Bazar, the largest refugee camp in the world, the World Health Organization now tests over 500 samples for COVID-19 a day.
But unlike the rest of the world, measures like physical distancing are difficult in refugee camps. Most refugee camps are more densely populated than the Diamond Princess, a cruise ship where an outbreak of COVID-19 led to transmission four times faster than in Wuhan. Additionally, low literacy levels make distribution of health and safety information difficult. In Cox’s Bazar, the UNHCR is addressing these challenges using Community Outreach Members and recorded voice messages sent to mobile phones. Both of these platforms allow the communication of information about mask usage, contact tracing, and quarantine and isolation. Internet services were recently restored to Cox’s Bazar and have allowed the UNHCR to send 211,336 broadcast calls to refugees. These calls provide COVID-19 info to decrease transmission. All of these efforts have led to positive cases in these camps now decreasing while the rest of the world spikes.
Ultimately, COVID-19 is affecting minorities and low income communities disproportionately. This is especially true for refugees. Evidence shows that an inclusive approach to COVID-19 response is required. Important factors for COVID-19 planning for refugees include creating sanitary and less crowded living conditions, as well as ensuring that refugees are not trapped by states of emergency and lockdowns.
-Olivia
https://www.dhakatribune.com/bangladesh/rohingya-crisis/2020/11/18/who-336-rohingyas-infected-with-covid-19-in-refugee-camps-till-october
https://www.rescue.org/covid-19-threatens-refugee-camps#:~:text=People%20in%20refugee%20camps%20in,times%20faster%20than%20in%20Wuhan.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30791-1/fulltext
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