JezK

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Envelope-to: hedayatullah.noor@jack.ngo
Delivery-date: Thu, 07 Jul 2022 08:18:07 -0400
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In-Reply-To: <AM0PR05MB4786B3D745A9851234ED9CCDA0839@AM0PR05MB4786.eurprd05.prod.outlook.com>
From: Dr Shafiqullah Habibi <shafiq.habibi@gmail.com>
Date: Thu, 7 Jul 2022 16:47:03 +0430
Message-ID: <CAC7SQYjM9rW0NVKeN82qK-MpE_eS+EkGaUzfRBXkQaZu5GR+aw@mail.gmail.com>
Subject: Re: FW: Protocol for AWD treatment
To: Matiullah Amanzai <mamanzai@unicef.org>
Cc: "ohpm.helmand.pm@gmail.com" <ohpm.helmand.pm@gmail.com>, "nimroz@cha-net.org" <nimroz@cha-net.org>, 
	"sehat-nimroz@cha-net.org" <sehat-nimroz@cha-net.org>, 
	"urozgan.move@gmail.com" <urozgan.move@gmail.com>, "dr.basirm@gmail.com" <dr.basirm@gmail.com>, 
	"ahmadzai.drlal@gmail.com" <ahmadzai.drlal@gmail.com>, "nesarjawid@gmail.com" <nesarjawid@gmail.com>, 
	Shams Tutakhail <mam.zabul.afghanistan@intersos.org>, 
	Obaidullah Ishaq <obaidishaq211@gmail.com>, "mohdhaqbin96@gmail.com" <mohdhaqbin96@gmail.com>, 
	"hedayatullah.noor@jack.ngo" <hedayatullah.noor@jack.ngo>, 
	"mam1.zabul.afghanistan@intersos.org" <mam1.zabul.afghanistan@intersos.org>, 
	"paiman.kbdc@gmail.com" <paiman.kbdc@gmail.com>, "ajmalnasiri4@gmail.com" <ajmalnasiri4@gmail.com>, 
	"Ibrahim.almas2011@gmail.com" <Ibrahim.almas2011@gmail.com>, MoPH Kandahar <moph.kandahar@gmail.com>, 
	Helmand PHD <helmand.moph2020@gmail.com>, 
	"mohammadullahrohami369@gmail.com" <mohammadullahrohami369@gmail.com>, Inuwa Yau <iyau@unicef.org>, 
	Fuad Mohammed Mohammed Shamsan <fshamsan@unicef.org>, Emal Mujadidi <emujadidi@unicef.org>, 
	"moph.nimroz@gmail.com" <moph.nimroz@gmail.com>, "zabul.zabul@moph.gov.af" <zabul.zabul@moph.gov.af>, 
	zabul phd <zabul.phd@gmail.com>, Abdul Hanan <drhanan1967@yahoo.com>, 
	Ahmadullah <ahmadullahahmadi944@gmail.com>, Ajmal Habibi <ajmalhabibi.aj@gmail.com>, 
	Ghulam Saeed Hasan <ghulamsaeedhassan@gmail.com>, 
	Muhammad Naseem Saheem <naseem.saheem1386@gmail.com>, Mohammad Qahir Zia <dr_zia20@yahoo.com>, 
	Dr Najeeb Afghan <najeeb.hel18@gmail.com>, Saifrahman Omer <saif.rahmanomer2020@gmail.com>, 
	Shamsurrahman <dr.shamsurrahman@gmail.com>, Tanya Karim <tanya.karim999@gmail.com>, 
	Mir Mohammad Usman Sadat <ohpm.mne.director@gmail.com>, Farhad Paiman <farhadpaiman@gmail.com>, 
	Masoud Sarwari <masoudsarwari@gmail.com>, Tahir Timory <Tahir.timory2@gmail.com>
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Amanzai sahib salaam,

I hope your time has been great. This is to acknowledge that we
received your email and you really have mentioned a very essential point
and we all as health services providers must pay attention to it. At least
to differentiate AWD from Cholera. I have experienced this just in these
few days in Helmand. Thank you so much.

Regards,

Dr Shafiqullah Habibi
Deputy technical manager
OHPM Organization
SEHATHMANDI Project/ Helmand Province
Contact #: 0795 130 950 - 070 5303493

On Thu, Jul 7, 2022 at 1:36 PM Matiullah Amanzai <mamanzai@unicef.org>
wrote:

> Dear Implementing Partners in the South Region,
>
> Please refer to the email below regarding the AWD treatment protocol.
>
> You are kindly requested to adhere to the standard treatment protocol of
> AWD response to avoid irrational use of drugs.
>
> The operational guideline for cholera epidemic response is attached for
> your reference.
>
> Best regards
>
>
>
> =D8=AF =D8=AA=D8=B7=D8=A8=DB=8C=D9=82 =DA=A9=D9=88=D9=88=D9=86=DA=A9=D9=
=88 =D9=87=D9=85=DA=A9=D8=A7=D8=B1=D9=88 =D8=A7=D8=AF=D8=A7=D8=B1=D9=88 =D8=
=AF =D9=BE=D8=A7=D9=85 =D9=88=DA=93 !
>
> =DA=85=D8=B1=D9=86=DA=AB=D9=87 =DA=86=DB=90 =D8=AF=DB=90 =D9=88=D8=B1=DA=
=81=D9=88 =DA=A9=DB=90 =D8=AF =D8=AD=D8=A7=D8=AF =D8=A7=D9=88=D8=A8=D9=84=
=D9=86 =D8=A7=D8=B3=D9=87=D8=A7=D9=84 =D9=88=D8=A7=D9=82=D8=B9=D8=A7=D8=AA =
=D8=B2=DB=8C=D8=A7=D8=AA =D8=B4=D9=88=D9=8A =D8=AF=D9=8A =D9=86=D9=88 =D8=
=AF =D9=86=D9=88=D9=85=D9=88=DA=93=DB=90
> =D9=86=D8=A7=D8=B1=D9=88=D8=BA=DB=8D =D8=AF =D8=AF=D8=B1=D9=85=D9=84=D9=
=86=DB=90 =D8=AF =D9=BE=D8=B1=D9=88=D9=BC=D9=88=DA=A9=D9=88=D9=84 =D8=A7=DA=
=93=D9=88=D9=86=D8=AF =D9=84=D8=A7=D9=86=D8=AF=DB=90 =D8=A7=DB=8C=D9=85=DB=
=8C=D9=84 =D9=BE=D8=B1 =D8=A7=D8=B3=D8=A7=D8=B3 =D8=AA=D8=A7=D8=B3=DB=90 =
=D9=BC=D9=88=D9=84=D9=88 =DA=85=D8=AE=D9=87 =D9=BE=D9=87 =D8=AF=D8=B1=D9=86=
=DA=9A=D8=AA
> =D8=BA=D9=88=DA=9A=D8=AA=D9=86=D9=87 =DA=A9=DB=8C=DA=96=D9=8A =DA=86=DB=
=90 =D8=AF =D8=AF=D8=B1=D9=85=D9=84=D9=86=DB=90 =D9=84=D9=BE=D8=A7=D8=B1=D9=
=87 =D8=B3=D9=BC=D9=86=DA=89=D8=B1=DA=89 =D9=BE=D8=B1=D9=88=D9=BC=D9=88=DA=
=A9=D9=88=D9=84 =D8=AA=D8=B9=D9=82=DB=8C=D8=A8 =DA=A9=DA=93=D8=A6 =D8=AA=D8=
=B1=DA=85=D9=88 =D8=AF =D8=AF=D8=B1=D9=85=D9=84=D9=88
> =D8=A8=D8=A7=D9=84=D8=AE=D8=B5=D9=88=D8=B5 =D8=AF =D8=B2=D8=B1=D9=82=D9=
=8A =D9=85=D8=A7=DB=8C=D8=B9=D8=A7=D8=AA=D9=88 =D8=AF =D8=A8=DB=90 =DA=81=
=D8=A7=DB=8C=D9=87 =DA=A9=D8=A7=D8=B1=D9=88=D9=86=DB=90 =DA=85=D8=AE=D9=87 =
=D9=85=D8=AE=D9=86=DB=8C=D9=88=DB=8C =D9=88=D8=B4=D9=8A.
>
> =D8=AF =DA=A9=D9=88=D9=84=D8=B1=D8=A7 =D8=AF =D8=A7=DB=8C=D9=BE=DB=8C=DA=
=89=DB=8C=D9=85=DB=8C =D9=84=D8=A7=D8=B1=DA=9A=D9=88=D8=AF =D8=AF =D9=84=D8=
=A7 =DA=89=DB=8C=D8=B1=D9=88 =D9=85=D8=B9=D9=84=D9=88=D9=85=D8=A7=D8=AA=D9=
=88 =D9=84=D9=BE=D8=A7=D8=B1=D9=87 =D8=AF =D8=AF=DB=90 =D8=A7=DB=8C=D9=85=
=DB=8C=D9=84 =D8=B3=D8=B1=D9=87 =D9=85=D9=84 =D8=AA=D8=A7=D8=B3=DB=90
> =D8=AA=D9=87 =D8=AF=D8=B1=D8=A7=D8=B3=D8=AA=D9=88=D9=84 =DA=A9=DB=8C=DA=
=96=D9=8A.
>
> =D9=BE=D9=87 =D8=AF=D8=B1=D9=86=DA=9A=D8=AA
>
> =DA=89=D8=A7=DA=A9=D9=BC=D8=B1 =D8=A7=D9=85=D8=A7=D9=86=D8=B2=DB=8C
>
>
>
>
> *------------------------------------------------------------------------=
---------------------------------------------------------*
>
> Dr. Matiullah Amanzai
>
> Health Specialist| *Health Section*
>
> UNICEF Afghanistan, Kandahar Field Office | District #5, Opposite Aino
> Mina, Kandahar-Kabul Road
>
> Mobile: +93 709027563
>
> Follow us on Facebook <https://www.facebook.com/afghanistanunicef/>,
> Twitter <https://twitter.com/UNICEFAfg>, YouTube
> <https://www.youtube.com/user/UNICEFAfghanistanKBL>, Instagram
> <https://www.instagram.com/unicefafghanistan/> and Website
> <https://www.unicef.org/afghanistan/>
>
> *For every child, Health*
>
>
>
>
>
>
>
>
>
> *From:* Pravin Khobragade <pkhobragade@unicef.org>
> *Sent:* Wednesday, July 6, 2022 5:09 PM
> *To:* Emal Mujadidi <emujadidi@unicef.org>; Matiullah Amanzai <
> mamanzai@unicef.org>; Mohammad Khaled Sadiq <ksadiq@unicef.org>; Abdul
> Naseer Amin <anamin@unicef.org>; Aysha Ghafoori <aghafoori@unicef.org>;
> Mohammad Nafi Kakar <mnkakar@unicef.org>; Abdul Wahid Wahidi <
> awwahidi@unicef.org>; Ghulam RabbaniWardak <grwardak@unicef.org>; Sayed
> Abdul Hakim Danish <sdanish@unicef.org>
> *Cc:* Fouzia Shafique <fshafique@unicef.org>
> *Subject:* Protocol for AWD treatment
> *Importance:* High
>
>
>
> Dear colleagues,
>
>
>
> We have received reports from select areas (not naming in this email) tha=
t
> the treatment protocols for AWD management is not being followed. AWD cas=
es
> with no or some dehydration are being administered IV fluids. Hence this =
is
> a request to advice the implementing partners / BHPS NGOs / MHNT NGOs to
> adhere to the standard treatment protocols.
>
>
>
> *Level of dehydration*
>
> *Treatment protocol*
>
> *Place of treatment*
>
> No dehydration
>
> Plan A: ORS
>
> Home, ORP
>
> Some dehydration
>
> Plan B: ORS
>
> In ORP with observation for 2-4 hours.
>
> If after 2-4 hours, if the patient has no dehydration, then continue ORS
> at home
>
> If after 2-4 hours, if the patient deteorates and becomes severely
> dehydrated, then admit the patient for IV fluids
>
> Severe dehydration
>
> Plan C: Ringer lactate IV, ORS
>
> In-patient care for IV administration
>
> Shift to ORS once vomiting stops and there are no signs of severe
> dehydration
>
>
>
> - ORS quantity dependent on age, severity of dehydration and
> malnutrition status
> - Zinc to be administered to cases 2 months =E2=80=93 5 years age as p=
er age
> - Feeding to continue
> - Antibiotics as per the protocol (especially in cases of Cholera)
>
>
>
> Please see the attached operational guidelines of Afghanistan, refer to
> pages 64-66 on the treatment protocol.
>
>
>
> *Thanks and best wishes,*
>
>
>
>
>
> *Dr Pravin H Khobragade*
>
> Senior Health Specialist (Emergency), Health Section
>
> Mobile: +93-799987607
>
>
>
> United Nations Children=E2=80=99s Fund
>
> Afghanistan Country Office, UNOCA Compound, Jalalabad Road, Kabul,
> Afghanistan
>
> Follow us on https://www.facebook.com/afghanistanunicef/,
> https://twitter.com/UNICEFAfg/,
>
> https://www.instagram.com/unicefafghanistan/, and at
> https://www.unicef.org/afghanistan/
>
>
>
>
>
>
>
>
>

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<div dir=3D"ltr">Amanzai sahib salaam,<div> </div><div>I hope your time =
has been great. This is to acknowledge that we received=C2=A0your email and=
 you really have mentioned a very essential point and we all as health serv=
ices providers must pay attention to it. At least to differentiate=C2=A0AWD=
 from Cholera. I have experienced this just in these few days in Helmand. T=
hank you so much.</div><div> </div><div> </div><div>Regards,</div><di=
v> </div><div>Dr
Shafiqullah Habibi 
Deputy technical manager=C2=A0 
OHPM Organization 
SEHATHMANDI Project/ Helmand Province=C2=A0 
Contact #: 0795 130 950 - 070 5303493</div></div> <div class=
=3D"gmail_quote"><div dir=3D"ltr" class=3D"gmail_attr">On Thu, Jul 7, 2022 =
at 1:36 PM Matiullah Amanzai &lt;<a href=3D"mailto:mamanzai@unicef.org" tar=
get=3D"_blank">mamanzai@unicef.org</a>&gt; wrote: </div><blockquote clas=
s=3D"gmail_quote" style=3D"margin:0px 0px 0px 0.8ex;border-left:1px solid r=
gb(204,204,204);padding-left:1ex">

<div lang=3D"EN-US">
<div>
Dear Implementing Partners in the South Region,</=
u>
Please refer to the email below regarding the AWD tr=
eatment protocol.
You are kindly requested to adhere to the standard t=
reatment protocol of AWD response to avoid irrational use of drugs.<=
/u>
The operational guideline for cholera epidemic respo=
nse is attached for your reference.
Best regards
=C2=A0

=D8=AF =D8=AA=
=D8=B7=D8=A8=DB=8C=D9=82 =DA=A9=D9=88=D9=88=D9=86=DA=A9=D9=88 =D9=87=D9=85=
=DA=A9=D8=A7=D8=B1=D9=88 =D8=A7=D8=AF=D8=A7=D8=B1=D9=88 =D8=AF =D9=BE=D8=A7=
=D9=85 =D9=88=DA=93 !

=DA=85=D8=B1=D9=
=86=DA=AB=D9=87 =DA=86=DB=90 =D8=AF=DB=90 =D9=88=D8=B1=DA=81=D9=88 =DA=A9=
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=D9=88=D9=84 =D8=A7=DA=93=D9=88=D9=86=D8=AF =D9=84=D8=A7=D9=86=D8=AF=DB=90 =
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=86=DB=8C=D9=88=DB=8C =D9=88=D8=B4=D9=8A.

=D8=AF =DA=A9=
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=D9=BE=D9=87 =
=D8=AF=D8=B1=D9=86=DA=9A=D8=AA

=DA=89=D8=A7=DA=
=A9=D9=BC=D8=B1 =D8=A7=D9=85=D8=A7=D9=86=D8=B2=DB=8C</=
p>
=C2=A0
<span=
 style=3D"font-size:8pt;font-family:Arial,sans-serif;color:rgb(0,176,240)">=
---------------------------------------------------------------------------=
------------------------------------------------------</=
u>
Dr. =
Matiullah Amanzai=C2=A0<b=
>=C2=A0
Heal=
th Specialist|=C2=A0Health Section=

UNIC=
EF Afghanistan, Kandahar Field Office=C2=A0|=C2=A0Di=
strict
 #5, Opposite Aino Mina, Kandahar-Kabul Road</spa=
n>
Mobi=
le: +93 709027563
Foll=
ow us on=C2=A0<a href=3D"https://www.facebook.com/afghanistanun=
icef/" target=3D"_blank">Facebook</a>,=C2=A0<a href=3D"https://twitte=
r.com/UNICEFAfg" target=3D"_blank">Twitter</a>,=C2=A0<a href=3D"https=
://www.youtube.com/user/UNICEFAfghanistanKBL" target=3D"_blank">YouTube</a>,=C2=
=A0<a href=3D"https://www.instagram.com/unicefafghanistan/" tar=
get=3D"_blank">Instagram=
</a>=C2=A0and=C2=A0<a href=3D"https://www.uni=
cef.org/afghanistan/" target=3D"_blank">Website</a>=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=

For every child, =
Health
=C2=A0<=
/span>
<img border=3D"0" width=3D"287" height=3D"3=
7" style=3D"width: 2.9895in; height: 0.3854in;" id=3D"gmail-m_-133832705946=
7099577gmail-m_-4852950819344721428Picture_x0020_4" src=3D"cid:181d8821fa38=
55d353">
=C2=A0

=C2=A0<u=
>
=C2=A0
<div>
<div style=3D"border-right:none;border-bottom:none;border-left:none;border-=
top:1pt solid rgb(225,225,225);padding:3pt 0in 0in">
From: Pravin Khobragade &lt;<a href=3D"mailto=
:pkhobragade@unicef.org" target=3D"_blank">pkhobragade@unicef.org</a>&gt; <=
br>
Sent: Wednesday, July 6, 2022 5:09 PM 
To: Emal Mujadidi &lt;<a href=3D"mailto:emujadidi@unicef.org" target=
=3D"_blank">emujadidi@unicef.org</a>&gt;; Matiullah Amanzai &lt;<a href=3D"=
mailto:mamanzai@unicef.org" target=3D"_blank">mamanzai@unicef.org</a>&gt;; =
Mohammad Khaled Sadiq &lt;<a href=3D"mailto:ksadiq@unicef.org" target=3D"_b=
lank">ksadiq@unicef.org</a>&gt;; Abdul Naseer Amin &lt;<a href=3D"mailto:an=
amin@unicef.org" target=3D"_blank">anamin@unicef.org</a>&gt;; Aysha Ghafoor=
i &lt;<a href=3D"mailto:aghafoori@unicef.org" target=3D"_blank">aghafoori@u=
nicef.org</a>&gt;; Mohammad Nafi Kakar &lt;<a href=3D"mailto:mnkakar@unicef=
.org" target=3D"_blank">mnkakar@unicef.org</a>&gt;; Abdul
 Wahid Wahidi &lt;<a href=3D"mailto:awwahidi@unicef.org" target=3D"_blank">=
awwahidi@unicef.org</a>&gt;; Ghulam RabbaniWardak &lt;<a href=3D"mailto:grw=
ardak@unicef.org" target=3D"_blank">grwardak@unicef.org</a>&gt;; Sayed Abdu=
l Hakim Danish &lt;<a href=3D"mailto:sdanish@unicef.org" target=3D"_blank">=
sdanish@unicef.org</a>&gt; 
Cc: Fouzia Shafique &lt;<a href=3D"mailto:fshafique@unicef.org" targ=
et=3D"_blank">fshafique@unicef.org</a>&gt; 
Subject: Protocol for AWD treatment 
Importance: High
</div>
</div>
=C2=A0
Dear colleagues,
=C2=A0
We have received reports from select areas (not nami=
ng in this email) that the treatment protocols for AWD management is not be=
ing followed. AWD cases with no or some dehydration are being administered =
IV fluids. Hence this is a request
 to advice the implementing partners / BHPS NGOs / MHNT NGOs to adhere to t=
he standard treatment protocols.
=C2=A0
<table border=3D"0" cellspacing=3D"0" cellpadding=3D"0" style=3D"border-col=
lapse:collapse">
<tbody>
<tr>
<td width=3D"150" valign=3D"top" style=3D"width:112.25pt;border:1pt solid w=
indowtext;padding:0in 5.4pt">
Leve=
l of dehydration
</td>
<td width=3D"144" valign=3D"top" style=3D"width:1.5in;border-top:1pt solid =
windowtext;border-right:1pt solid windowtext;border-bottom:1pt solid window=
text;border-left:none;padding:0in 5.4pt">
Trea=
tment protocol
</td>
<td width=3D"528" valign=3D"top" style=3D"width:5.5in;border-top:1pt solid =
windowtext;border-right:1pt solid windowtext;border-bottom:1pt solid window=
text;border-left:none;padding:0in 5.4pt">
Plac=
e of treatment
</td>
</tr>
<tr>
<td width=3D"150" valign=3D"top" style=3D"width:112.25pt;border-right:1pt s=
olid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid wi=
ndowtext;border-top:none;padding:0in 5.4pt">
No dehydration
</td>
<td width=3D"144" valign=3D"top" style=3D"width:1.5in;border-top:none;borde=
r-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid windo=
wtext;padding:0in 5.4pt">
Plan A: ORS 
</td>
<td width=3D"528" valign=3D"top" style=3D"width:5.5in;border-top:none;borde=
r-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid windo=
wtext;padding:0in 5.4pt">
Home, ORP
</td>
</tr>
<tr>
<td width=3D"150" valign=3D"top" style=3D"width:112.25pt;border-right:1pt s=
olid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid wi=
ndowtext;border-top:none;padding:0in 5.4pt">
Some dehydration 
</td>
<td width=3D"144" valign=3D"top" style=3D"width:1.5in;border-top:none;borde=
r-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid windo=
wtext;padding:0in 5.4pt">
Plan B: ORS 
</td>
<td width=3D"528" valign=3D"top" style=3D"width:5.5in;border-top:none;borde=
r-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid windo=
wtext;padding:0in 5.4pt">
In ORP with observation for 2-4 hours. </u=
>
If after 2-4 hours, if the patient has no dehydratio=
n, then continue ORS at home
If after 2-4 hours, if the patient deteorates and be=
comes severely dehydrated, then admit the patient for IV fluids</=
u>
</td>
</tr>
<tr>
<td width=3D"150" valign=3D"top" style=3D"width:112.25pt;border-right:1pt s=
olid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid wi=
ndowtext;border-top:none;padding:0in 5.4pt">
Severe dehydration 
</td>
<td width=3D"144" valign=3D"top" style=3D"width:1.5in;border-top:none;borde=
r-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid windo=
wtext;padding:0in 5.4pt">
Plan C: Ringer lactate IV, ORS
</td>
<td width=3D"528" valign=3D"top" style=3D"width:5.5in;border-top:none;borde=
r-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid windo=
wtext;padding:0in 5.4pt">
In-patient care for IV administration =

Shift to ORS once vomiting stops and there are no si=
gns of severe dehydration
</td>
</tr>
</tbody>
</table>
=C2=A0
<ul style=3D"margin-top:0in" type=3D"disc">
<li style=3D"margin-left:0in">ORS quantity dependent on age, severity of de=
hydration and malnutrition status
</li><li style=3D"margin-left:0in">Zinc to be administered to=
 cases 2 months =E2=80=93 5 years age as per age
</li><li style=3D"margin-left:0in">Feeding to continue=
</li><li style=3D"margin-left:0in">Antibiotics as per the protocol (=
especially in cases of Cholera)
</li></ul>
=C2=A0
Please see the attached operational guidelines of Af=
ghanistan, refer to pages 64-66 on the treatment protocol.</p=
>
=C2=A0
Thanks and best wishes,=

=C2=A0</span=
>
=C2=A0</span=
>
Dr Pravin H Khobragade<spa=
n style=3D"text-transform:uppercase">
Senior Health Specialist (Eme=
rgency), Health Section
Mobile: +93-799987607

=C2=A0</span=
>
United Nations Children=E2=80=
=99s Fund
Afghanistan Country Office, U=
NOCA Compound, Jalalabad Road, Kabul, Afghanistan<=
u>
Follow us on
<a href=3D"https://www.facebook.com/afghanistanunicef/" target=3D"_b=
lank">https://www.facebook.com/afghanistanunicef/</a>,
<a href=3D"https://twitter.com/UNICEFAfg/" target=3D"_blank">https://twi=
tter.com/UNICEFAfg/</a>,

<a href=3D"https://www.in=
stagram.com/unicefafghanistan/" target=3D"_blank">https://www.instagram.com/uni=
cefafghanistan/</a>,
 and at <a href=3D"https://www.unicef.org/afghanistan/" target=3D"_b=
lank">https://www.unicef.org/afghanistan/</a>=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0

=C2=A0<=
/span>
<img width=3D"398" height=3D"1" style=3D"width: 4.1458=
in; height: 0.0104in;" src=3D"cid:181d8821fa24cff311"><u=
>=C2=A0
 
<im=
g border=3D"0" width=3D"401" height=3D"51" style=3D"width: 4.177in; height:=
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>
=C2=A0
</div>
</div>

</blockquote></div>

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