Despite lacking capacity and resources, the health system in the northwest Syria is using innovative approaches for the containment of COVID-19. Lessons drawn from previous outbreaks in the region, such as the polio outbreak in 2013 and the annual seasonal influenza, have enabled the Early Warning and Response Network, a surveillance system to develop mechanisms of predicting risk and strengthening surveillance for the new pandemic. Social media tools such as WhatsApp are effectively collecting health information and communicating health messaging about COVID-19. Community engagement has also been scaled up, mobilizing local resources and encouraging thousands of volunteers to join the 'Volunteers against Corona' campaign. Bottom-up local governance technical entities, such as Idleb Health Directorate and the White Helmets, have played key leadership role in the response. These efforts need to be scaled up to prevent the transmission of COVID-19 in a region chronically affected by a complex armed conflict.
Keywords: COVID-19; Idleb; Social distancing; Surveillance; Syria; infectious disease; population-based and preventative services; war.
© The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health.
Emergence of a Novel Coronavirus (COVID-19): Protocol for Extending Surveillance Used by the Royal College of General Practitioners Research and Surveillance Centre and Public Health England.JMIR Public Health Surveill. 2020 Apr 2;6(2):e18606. doi: 10.2196/18606. JMIR Public Health Surveill. 2020. PMID: 32240095 Free PMC article.
Coronavirus 2019 and health systems affected by protracted conflict: The case of Syria.Int J Infect Dis. 2020 May 8;96:192-195. doi: 10.1016/j.ijid.2020.05.003. Online ahead of print. Int J Infect Dis. 2020. PMID: 32389845 Free PMC article.
Identification and Monitoring of International Travelers During the Initial Phase of an Outbreak of COVID-19 - California, February 3-March 17, 2020.MMWR Morb Mortal Wkly Rep. 2020 May 15;69(19):599-602. doi: 10.15585/mmwr.mm6919e4. MMWR Morb Mortal Wkly Rep. 2020. PMID: 32407299
Communicable disease surveillance and control in the context of conflict and mass displacement in Syria.Int J Infect Dis. 2016 Jun;47:15-22. doi: 10.1016/j.ijid.2016.05.011. Epub 2016 May 18. Int J Infect Dis. 2016. PMID: 27208635 Review.
Polio infrastructure strengthened disease outbreak preparedness and response in the WHO African Region.Vaccine. 2016 Oct 10;34(43):5175-5180. doi: 10.1016/j.vaccine.2016.05.070. Epub 2016 Jul 1. Vaccine. 2016. PMID: 27378681 Review.