These are the summary of activities for the day, 31st August 2003



Drs Khatib, Siamevi, Burckle, Teprey, Bolay, Ms Melanie, and Prof. Cheik Ndiaye visited Tubmanburg to observe the ongoing immunization campaign and meet with local LURD officials.


The team first visited the three-immunization points at the MSF clinic, Vincent area and Joseph town where immunization of children 6 months to fifteen years against measles was progressing steadily. Some severely malnourished children were also seen at some of the points. The team interacted with the immunization teams and some community leaders.

Health facilities

The team visited the looted and abandoned Tubmanburg Government hospital, the only referral hospital in the area. The team visited the wards, the theater and the surroundings.

The team then visited the LURD Military clinic. There were patients on admission for road traffic injuries, diarrhea and other diseases. The officer in-charge of the clinic informed the team that very serious cases are referred to the MSF mobile clinic and at times further referred to Monrovia hospitals. They reported having seen 28 cholera cases in the last two days. None of them however died. Two diarrhea patients were receiving treatment at the time. Stool samples were taken and brought to Monrovia for investigation.

The officer in-charge complained of lack of qualified manpower, drugs, minor surgical equipment and bandaging materials at the clinic. The main cases seen include Malaria, ARI, diarrhea and injuries due to road traffic accidents. There is also an increase in Sexually Transmitted Infections.

Meeting with LURD Chief of Staff

The team later paid a visit to the residence of General Sheriff, the Chief of staff of LURD, one of the rebel groups which controls this area of the country. The team was warmly received. Dr. Khatib introduced the team members and informed him of the objective of our visit. He explained to him that WHO would resource funds to rehabilitate the static health system in the area and then continue to the other neighboring counties of Lofa and Ghakpolu. He deployed the unhygienic state of the hospital structure and called on him to ensure the place was cleaned. He also informed him that health workers will soon be posted to the area. He thanked him for receiving the various health teams since the area became accessible. Dr. Siamevi also thanked him for accepting the delegation.


A total of 553 children, 6months to 15 years were vaccinated against measles and 222 children under five years were administered Vit. A doses respectively. (See table for details of the 3 days since Tubmanburg Immunisation started).


The usual morning and evening meetings were not held today.