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Biweekly health sector Libya operational updates 1-15 April, 2020Name of organizationType of organizationOngoing activities, accomplishments, issues and challenges for the reported period and upcoming plans (1-15 April 2020)CEFAInternational NGOCEFA distributed on 15.04.2020 medical equipment at Al Jala’a hospital for children as a response of Covid-19 (for OPD usage, emergency and ICU/neonate). Assessment of medicine for Al Jala’a hospital for Pediatricis on going. As CEFA signed a contract on 17th March 2020 with the Italian Cooperation Agency (through EU Trust funds). The project is aimed improving the health service situation in Zawyia Teaching Hospital and in the community of Zawyia, through the provision of Medical equipment and drugs to the hospital, awareness campaigns in the community, trainings to the staff of the hospital and rehabilitation of gynecology and pediatric departments of Zawyia Teaching Hospital. During this start-up phase, CEFA has organized online coordination meetings with the main humanitarian actors working in Zawyia area and with the main local stakeholders both at international and local levels. These meetings are intended to allow to CEFA to avoid overlapping activities and to confirm collaborative communication with the active stakeholders. In order to formalize the collaborations and to better plan actions through a participatory approach, CEFA is negotiating the signature of MoUs with the local partner IOCS, with Zawiya Municipality and with Zawiya Teaching Hospital Direction. CEFA has also requested and obtained the official authorization from Tripoli Ministry of Health for implementing the project activities in the community of Zawiya and in the building of Zawiya Teaching Hospital (target facility for this project). CEFA starts reassessing the needs of the hospitalEmergenza SorrisiInternational NGONot providedHandicap InternationalInternational NGODuring the first half of March, HI teams in Tripoli, Misrata and Benghazi identified and assessed 356 new beneficiaries, including 184 persons with physical and functional limitations due to disability or injury and 172 caregivers, while providing physical and functional rehabilitation and psychosocial support sessions in fixed points/home visits to beneficiaries previously assessed. During the same period, in Tripoli, Misrata and Benghazi, HI's 6 psychosocial workers under the EU-funded AMAL project continued outreach activities by distributing leaflets to inform about HI activities in mental health and psychosocial distress. They also continued identification and assessment of the beneficiaries. Anticipating the extent of the measure to be applied in Libya in terms of restriction of movements and curfew, as of 14 March HI decided to put on hold non-lifesaving activities, awareness and training sessions as well as delivery of services through fixed points (mainly located in PHCs), and start internal preparations for a potential closure of all offices in Libya while ensuring essential staff would still be able to work from home. HI immediately informed beneficiaries and partners, and local authorities accordingly.The following activities were implemented: Concrete measures to protect HI Staff, their families and relatives, such as sensitization on prevention / precautionary measures, barrier gesture, adequate behavior.Set up an information and support campaign to protect all our beneficiaries, with a focus on the most vulnerable and discharged particular beneficiaries that were at the end of the support process and in need of assistive mobility devices. This has been done either by phone or through home visits (providing our health teams with protective equipment to enable them to interact safely with beneficiaries: gloves, masks, hydro-alcoholic gel). Between 25 and 26 March the three bases concluded pending activities in terms of support services, and finalized the offices’ closure. From this moment on, HI activities shifted from direct to remote delivery, with HI health teams working from home by providing physical and functional rehabilitation and psychosocial support follow up sessions over the phone as well as accepting intake of new beneficiaries over the phone if severe/critical cases (i.e. persons with disability and/or injury at risk of complications, persons with disability and/or injury who might develop secondary impairments, persons presenting medium/high signs of psychosocial distress prior to and after the COVID-19 crisis). In addition, end of March HI started planning to train in early April its psychosocial workers to provide psychosocial first aid over the phone to HI beneficiaries in need of one-time targeted psychosocial support to cope with the impact of Covid-19 in their daily life.HelpcodeInternational NGOImplements at early stage a health project to support 6 health facilities in Zawya and Ghat Municipalities (Abu Sorrah village hospital; Bir al Ghanam village hospital; Al Harsa health center; Ghat health center, Awainat health facility; Tahala health facility). Support is mainly in terms of rehabilitation, supply of medical equipment and medical supplies, trainings and awareness. The project is implemented in partnership with the Libyan NGO ODP. During reported period HC established good working relationship with relevant authorities. Further HC continued to identify potential involvement related to covid 19 emergency.International Medical CorpsInternational NGOUnder IMC GIZ funded program: As the project started phase-2 of implementation, 3 new sites had been launched: Sidi Khalifa PHCC at Nalut. Western Gawasim PHCC at Zintan, and Tamanhent PHCC at Bawanis. The launch was amidst the COVID-19 crisis, so a shift in activities to assist the municipalities to respond to COVID-19 pandemic.COVID-19 Training: The capacity building and Trainings in response to COVID-19 had been provided by IMC’s GIZ supported project to NCDC’s Rapid Response Teams, and to Primary health care medical doctors and to nurses. Training to RRTs was provided to 8 teams from 8 municipalities including: Nalut, Janzur, Garaboulli, Misullata, Zawia, Bawanis, Alshati and Om-Alaraneb. Trainings to Medical Doctors and nurses were provided in 3 municipalities: Nalut, Zintan and Garaboulli.Training covered: surveillance, case definition, flow of suspected cases and referrals, using IMC’s module which is based on WHO and NCDC Guidelines, Contact tracing, IPC, Effective and safe use of PPEs, and, Nasopharyngeal Swab: collect, package, maintain and transport samples. Total Number of health workers trained:Total of 140 health workers are trained: Al-bawanis, Om-Alaraneb, Edri Alshati (18) , Al-Garaboulli ( 10), Naulet ( 82), Janzur, Misulata , Alzawia ( 25), Zintan (5) Under IMC OFDA funded program: IMC’s Mobile Medical Units (MMUs) provided primary health care inside 16 polyclinics on semi-static weekly schedule, 4 sites we usually visit were closed. Having said that the daily medical service of our MMUs continued as usual., Included the provision of 718 medical consultations to Internal Displaced People (IDP) and host communities in Tripoli, Benghazi, Sabha, and Misrata. Moreover 6 mental health consultations within IDPs and host community settings. Additionally, 585 people received health sensitization messages related to COVID-19 as a part of health awareness raising activities within IDPs and host community settings. In order to ensure Essential health services provision during COVID-19 in the polyclinics that we are supporting IMC Medical team ensured: Established triage and screening of all patients on arrival for COVID-19; OPD adapted to ensure care is given for acute and urgent presentations, NCD, SRH, reduction in provider encounters chronic diseases ensure longer supplies for stable patients Considered phone consultations, Mental health hotline and referrals, Referrals Only for emergencies (avoid elective referrals). Moreover, IMC medical team have trained all GBV, WGSS, psychosocial support team within IMC facility, on COVID 19 prevention and control measures, PPE, triage, Psychosocial First Aid. By cooperation with NCDC technical team IMC set a sold referral and reporting system, to report and refer all COVID 19 suspected cases through already established EWARN system. IMC Mobile Medical Clinic in Tripoli, funded by EUTF: IMC team were providing PHC and ensuring maximum IPC and staff safety measures in one PHCC serving mixed immigrant, in Hay Al-Andalus area, Nr of consultations done were 56 mixed immigrants and 946 people received health sensitization messages as a part of health awareness to mixed immigrant population for COVID-19. Most common nationalities were Sudanese, Ghanaian, Nigerian, Sierra Leonean, Niger, while the most common morbidities were Anemia, Musculoskeletal, Skin conditions and Upper Respiratory Tract infection.Under IMC, AICS-EUTF Funded Project (Janzor, Zuwara): HR support to NCDC RRT: 5 doctors, 1 nurse (Tripoli, Janzor , Zuwara). COVID -19 training Janzor hospital health workers, training build up the team skills on surveillance, case definition, flow of suspected cases, and referrals. The training All material, practical videos, power point presentations, additional reading resources and NCDC guidelines were provided to participants in a USB-flash drive, in addition to printed material like NCDC guidelines, and NCDC forms.Under IMC, UNFPA funded project (Tripoli and Sabha): In Collaboration with NCDC IMC team conducted training to Al-jalaa Maternity hospital with focus on COVID-19 focusing on Pregnancy, GBV and Mental health. As well as awareness session to Ministry of Social Affairs (MoSA) focusing COVID19 and GBV. The objectives of training: Provide last updated knowledge on the disease, case definition, surveillance, use of (PPESs), case management pregnancy, Lab diagnosis and workplace readiness. Ensure business continuity for SRH care services, GBV and ensure continuity of services during the outbreak. Address mental health issues of mothers, girls and health workers in regard to COVID-19. Ensure awareness of MoSA personnel on covid-19 and as well risk of GBV during outbreaks and ensure continuity of services. IRCInternational NGOThe International Rescue Committee (IRC) has provided over 231 beneficiaries (Migrants, refugees, Internal Displaced People (IDP) and local host communities) with primary healthcare services and conducted about 272 consultations in 7 locations. 3 locations in Tripoli, 4 in Misrata.Under IRC’s UNHCR funded program, the mobile medical team conducted daily visits to Gurji-CDC from 9:00 AM - 11:30 AM due to imposed curfew starting at 2:00 PM. During the first two weeks of April, general practitioner, reproductive and mental health services were successfully provided and 110 medical consultations were conducted. In addition, the IRC has referred 15 cases to public and private clinics. Unfortunately, activities at Zawyet Aldahmani PHC were suspended during the first two weeks of April. This suspension has been implanted by municipality authorities due to the COVID-19 pandemic.The IRC has also successfully initiated Rescue at sea (RAS) visits in Tripoli and have conducted rescue activities on the 7th, 9th and 15th of April. On the 7th of April, the rescue was at Khoms Naval Base and a total of 67 people were rescues. All were male. 64 were between the ages of 18-59 and 3 between the ages of 12-17. All survivors were in good condition and no emergency cases nor fatalities were reported. On the 9th of April, the rescue was conducted at Tripoli Sea Port. A total of 283 survivors were rescued, 274 male and 9 female. 281 survivors were between the ages of 18-59 while only 2 were between the ages of 12-17. IRC medical team conducted 7 consultations and all survivors were in relatively good condition. There were no reports of fatality nor loss. On the 15th of April, The rescue was at Tripoli Navy Base and a total of 51 people were rescued. 42 male and 9 female. 2 were between the ages of 0-4 and 49 between the ages of 18-59. The IRC medical team conducted a total of 12 consultations which were all fairly simple with no emergency cases. Unfortunately, 5 people were reported dead and 7 lost at sea.Under IRC`s SIDA funded program, the mobile medical team continued to conduct regular visits to Sikka detention center in Tripoli, twice a week. 29 consultations were successfully made. Activities in El Harat PHC were suspended since the 26th of March as requested by DoH of Souq El Jumma due to COVID-19. However, we have recently received approval to resume visits twice a week, and will hopefully these visits will increase in the upcoming weeks. The IRC successfully responded to after-hour and weekend emergency calls and have successfully referred the required cases.Under IRC’s DIFD funded program, the mobile medical team usually conduct visits to two PHCCs. Elmgarief PHC and Bab Alhuria PHCC. Visits to both these facilities have unfortunately been suspended due to two main issues. The first issue was the escalating clashes near Elmgarief PHCC which ceased our visits there due to security. The second reason was that Bab Alhuria PHC has become a COVID-19 operation room for local authorities and local authorities modified their own plan of response with huge restrictions of activates on the PHCCs. Therefore all visits to Bab Alhuria have been suspended since March 26, 2020. Hopefully we will resume activity after further negotiations. Under the EUTF, IRC mobile medical team in Misurata conduct visits to 5 locations. 4 in Misurata and 1 in Zlitan however no visits were made to Zlitan from the 1st to 15th of March. This suspension is a result of governmental restriction due to the global crises. Consultations have been made over the phone during the curfew and field visits for these weeks. The total Number of beneficiaries these 2 weeks has been 116 and a total of 133 consultations have been made. COVID-19 awareness sessions have also been conducted on the 2nd and 14th of April and the total number of attendees was 22. On the 2nd of April, there were 10 attendees while on the 14th there were 12. A private specialized clinic has been selected to refer patients in need of secondary and tertiary care and more investigations. The IRC is covering all associated costs such as Lab tests, medical and surgical procedures, medication, admission, etc. A list of lab reagents to be donated to 5 PHC, based on the need and according to the DoH have been prepared and we’re in the process of the procurement. With the support of the UNHCR, the IRC is hosting 44 POCs in the LRC shelter in Misurata. We are providing them with health care and protection and they are staying in the shelter under our responsibility waiting to be evacuated.Under IRC’s EU funded program, the IRC has prioritized continuity of essential services at the PHCs including care of patients with NCDs as well as supporting the MoH to address the impact of COVID-19 pandemic.The IRC Mentors continued to work closely with health facility managers and the DOH in Sooq Al-Jooma, Zliten and Gharyan municipalities to reorganize patient flows, initiate triage and scale up awareness among healthcare workers in order to eliminate COVID-19 infection spread across the healthcare workers and the community. Implementing triage system at the targeted health facilities.The IRC conducted training on COVID-19 infection prevention and control for 34 participants in Sooq Aljooma municipality on April 4, 2020.The IRC has started installation of large size TV screens at the health facilities for health awareness message to the people accessing this health facilities services. Installation in Arada polyclinic is completed and in use already.The IRC supported the NCDC to conducted ToT training on April 6th to 22 rapid response team (RRT) participants in Tripoli who will cascade training to the municipality RRTs.The IRC on April 9th conducted training to 24 health facility staff in Misurata to join the RRTs.On April 15th, the IRC further supported the NCDC team to train 18 NGO participants of rapid response mechanism for COVID-19 in Misurata.The IRC has participated in regular COVID-19 coordination and review meetings chaired by NCDC to ensure harmonized approach to the response.The major challenges faced during this period were associated with the various curfew measures instituted by municipality authorities that limited access to the facilities. Also a number of PHCCs have been closed since the declaration of COVID-19 outbreak limiting access and only relying on remote support.MSF FranceInternational NGOMSF France has responded to COVID-19 by training, so far, a total of 399 Health Care Workers in Zintan/Yefren, Misrata, Zilten and Khoms. To reduce risk of COVID-19 in and out of Detention Centers where we are present, MSF France supported in implementing IPC measures with training, the provision of soap, availability of handwashing points and soap. We have also trained a total of 656 detainees, including DCIM guards. The training focused on awareness and prevention measures for COVID-19. MSF France also supported and continues to enhance the capacity of RRT in Misrata to do active case finding and contact tracing by providing phones, ambulance for sample transportation and vehicle to transport the RRT. MSF France maintained its routine PHC services including referrals, food distribution in Migrant Detention Centers (Souq el Khames; Zliten; Dhar el Jabel; and Khoms DP) except Zwara DC where we have no access. During this reporting period, we conducted a total of 721 OPD consultations in all sites, including in disembarkation point. Total consultations included 92 OPD consultations and drug refills in Tawergha Health Center, and total 313 ANC/PNC consultations in El Medina Health Center in Bani Walid Main morbidities were URTI, skin infections and Gastric disorders.Total number of referrals to hospital for admission were 6We admitted 6 patients with TB in MSF supported TB unit in Misrata, making a total admission of 7 TB patients, including 1 MDR-TB patient.MSF HollandInternational NGONot providedPremiere Urgence InternationaleInternational NGONot providedTerre des Hommes - ItalyInternational NGONot providedExpertise FranceOther (Specify)With MoH & consultants: Drafting of new guidelines for the clinical use of blood in hospital setting. With MoH & WHO (Cairo): Organisation of an online and/or offline one-week training of staff of 7-10 Libyan blood banks (receptionists, nurses & laboratory technicians).With consultants: Preparation of a forthcoming research study in Libya on the limiting factors to individual free blood donations.With consultant: creation of the programme monitoring system.With MoH: creation of transfusion committees in 3 public hospitals.Challenges: Covid 19: Monitoring of latest publications with regards to the use of convalescent plasma or passive immunity using plasma of resolved COVID-19. Covid 19: Explore the possibility to use 7 blood banks to perform serology tests to end lockdown of confined people.GIZOther (Specify)Improve functionality of 2 PHC centers through IMC in Garabulli (Algarabouli Polyclinic) and Janzour?(Janzour Martyrs PHCC) Support to National COVID-19 Response Plan:Pillar 2: Risk Communication and Community Engagement - A rapid assessment was conducted to determine the preparedness status and needs of 16 municipalities**(baseline); Support municipality emergency committees (MECs) in 16 municipalities in planning funds from national level for procurement and activities in the municipalities (in process); Support to NCDC to train the MECs in all 16 municipalities** through the NCDC digital training course (concluded); 9000 posters were printed and are being distributed to the municipalities through MECs. *GIZ PHC project in cooperation with other GIZ projects in Libya**16 Hay-Alandalus, Jadu, Msallata, Al Jufra, Janzour, Wadi Al Bawanis, Al Shargia, Edri El Shati, Al Shweyrif, Tarhouna, Zliten, Nalut, Al Zintan, Ghadamis, Garabulli, Misurata).Pillar 3: Surveillance, RRTs and case investigation - Through IMC, provision of PPE and training RRTs targeting 8 municipalities (Janzour and Garabulli are ongoing)Pillar 9: Essential Services maintained - Agreement with IMC to extend essential services from 5 to up to 10 PHCCsICRCOther (Specify)Not providedIFRCOther (Specify)Not providedLibyan Red CrescentOther (Specify)Not providedUNHCRUN AgencyReflected under IRC and IMCIOMUN AgencyIOM medical teams provided 652 Medical consultations to migrants and IDPs including responding to emergency cases, referral to secondary and tertiary health care facilities, conducted regular medical visits and follow ups (517 Medical Consultation for Males and 135 Medical Consultation for Females) in Different locations all over Libya (Dahr Aljabal DC, Tariq Al-Sikka DC, Al-Sabaa DC, Shouhada Alnasr DC, Abu Issa Dc, Ganfouda DC, Tokra DC , Kufra DC, Souq Alkhoums , Alawaineya and 17 Feb PHC centers).As part of IOM’s work to improve health access services for migrants, IDP’s and conflict affected populations in Libya a 565 medical consultation (395 Medical Consultation for Males and 170 Medical Consultation for Females) was provided using mobile clinics targeted urban locations in Tripoli including Surbana Shelter (Hai Alandalus), Sudanese Shelter (Souq Aljumaa) and Abousalim Shelter Janzour Area.IOM established the Migrant Resource and Response Mechanism (MRRM) program which has been strategically positioned along the migratory route in Zwara, Sabha, Qatroun, Tripoli, Hay alandalus Office and Bani Waleed were IOM doctor provided a total of 894 medical consultations (649 Medical Consultation for Males and 245 Medical Consultation for Females) to migrants living in urban areas as well as vulnerable cases from the host community. IOM MHD gynecologist and obstetrician provided antenatal follow ups to 14 pregnant ladies in the first second and third trimester of pregnancy and supplements were provided.IOM medical doctors responded to 27 Emergencies medical and surgical cases were referred to secondary and tertiary health care facilities in which patients were admitted receiving the required medical intervention. IOM MHD Psychiatrist provided medical consultation to 11 migrants suffering from different psychiatric disorders including psychosis, Bipolar and Major Depressive Disorder in which cases are properly diagnosed, managed and Psychiatric medication were distributed. IOM medical team responded to rescue at sea operations where 395 migrants were rescued, triage was conducted at disembarkation point at which 6 medical consultation were provided.IOM Medical teams conducted hygiene promotion campaigns and awareness sessions on Covid-19 were Flyers were also distributed to staff working in different disembarkation points Tripoli main port, Alhmedeya, Alqasreya and Shouhada Alnasr detention center. UNDPUN AgencyNot providedUNFPAUN AgencyUNFPA?provided support to Al Jala Hospital with 5 ERH kits to ensure access to RH health services for 375 patients. With UNFPA implementing partner IMC and coordination with NCDC, UNFPA?conducted 2 training on?COVID-19 and pregnancy on 1-2 April 2020 in Tripoli. The training targeted 50 Obstetricians, pediatricians, midwives and nurses from Al Jala Hospital.?The training aimed to updated and oriented healthcare providers on preparedness, guidelines and protocols for COVID19, as well as the effective usage of Personal Protection Equipment kits (PPE). Moreover, the training discussed GBV with its relation to the COVID-19 pandemic.Joint initiative between UNFPA & IOM in conducting 2 trainings on COVID19 preparedness, case management and tutorial training on the usage of PPE for frontline healthcare providers from various health facilities across Tripoli 11-15 April 2020. The trainings targeted 50?healthcare providers such gynecologists, pediatricians, emergency, ICU doctors.Challenges:?Armed conflicts and constant shelling around Mitiqa airport have halted operations in weryemma PHC and disrupted health services provision since 31 March 2020.?COVID19 and the increase of curfew hours which imposed restriction on movements of staff and ability to carry on with trainings and provision of support to national stakeholders.?UNICEFUN AgencyMissions and meetings: UNICEF’s Health and Nutrition (H&N) team has launched a Risk Communication and Community Engagement Working Group and arranged for 3 meetings so far; Participated in the national COVID-19 preparedness and response steering committee meetings; Participated in the national COVID-19 preparedness and response plan update meeting in TripoliEmergency response: UNICEF’s H&N team is closely monitoring the COVID-19 and the armed conflict situation impacts and responded as following: Distribution of 7 Inter-Agency Emergency Health kits (IEHK 2017) as part of the preparedness and response to COVID-19 to ensure the continuity of essential health services (pillar 9 of the response). The distribution included; Gherian, Zletin, Surman, Zwara, Aljalaa Maternity and Tripoli University hospitals and Zaweit Adehmani Policlinic, which serves as the COVID-19 triage and filter facility. Dispatching some Anti-Lice and Anti-Scabies to NCDC to be used mainly fro IDPs and migrants suffering from scabies and pediculosis (500 and 1639 bottles accordingly). PHC services support: As per the integrated Maternal and Child Health, immunization and nutrition package in 34 health facilities across the country, we have received and cleared more than 90 % of the supplies, which will be distributed to the targeted 34 health facilities in the coming weeks.EPI support: Capacity buildings: In partnership with NCDC, UNICEF is still looking for the opportunity to cascade the Cold Chain and Vaccine Management and Microplanning trainings in all the vaccination centers. However, it is postponed because of the COVID-19 response. EPI desk review: UNICEF is in close consultations with NCDC and WHO decided to postpone the planned EPI desk review until COVID-19 is controlled.Medical supplies and equipment: UNICEF cleared 13 containers of its lifesaving and essential supplies for the implementation of the integrated MCT and nutrition services package and for the emergency response when needed. Also, we are waiting for some Anti-Retro Viral (HIV) drugs for the PMTCT program as requested by NCDC.Nutrition: UNICEF’s partner, EMDAD, continue to distribute Emergency Food Rations (BP-5) to detained children and pregnant and lactating women at Tumina DCs in Misurata, but they were blocked in some other DCs because of the COVID-19 precautions. UNICEF is coordination with MSF France has dispatched 100 Cartons of RUTF, enough for 300 people mainly for detainees in Zentan detention center.Evidence generation: Preparations for the SMART survey were put on hold because of the COVID-19 pandemic. Cold Chain Inventory was put on hold because of the COVID-19 pandemic too. Effective Vaccine Management (EVM) assessment preparations has been put on hold. Surveillance program support: UNICEF is continuously monitoring the COVID-19 surveillance reports of NCDC and looking forward to receiving EWARN and Measles reports. Health Information System (HIS): The DHIS2 implementation in 24 municipalities’ support is moving forward as follows;Capacity building of the staff on the DHIS2 software was started and the first batch (Janzour, Almaya, Baniwaleed, Subrata, west Alzawia and Zwara) was concluded and the rest will be put on hold until further advises related to COVID-19. Sponsoring the technical support for 2 years by HISP India (Second quarter has been processed. The rest of the IT equipment (laptops) has arrived to our warehouse and will be dispatched to HIC soon. Other activities: UNICEF team is still doing efforts for resource mobilization especially for the COVID-19 response.Emergency Telecommunication Center (WFP)Sector ETS/WFP are running a call centre to support NCDC. The call center is part of the crucial measures being put in place in Libya to prevent further spread of the virus. Feedback received directly impacts on programming decisions. The CFM was requested by the Ministry of Health’s National Centre for Disease Control (NCDC) to serve as a COVID-19 information and monitoring channel. The call centre is now being used to provide information and official guidelines, raise awareness and the virus and how to protect from it, hear back from people about any potential rise in needs and critically, refer cases to the NCDC for follow up. This is part of the health sector strategy under pillar two. In the last week (5 April – 11 April), the call centre answered 3665 calls regarding COVID-19. The majority (3,014) of requested information while the rest (651) wanted to confirm their symptoms. From the start of the COVID response to April 11th the call centre has received 9549 calls. The operators have answered, 6,576 calls and referred over 313 cases to NCDC. The unanswered calls reflects the volume of calls which cannot be answered by the number of operators that we currently are able to support.?WHOUN AgencyA separate update is shared. ................
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