iraq: early warning alert and response network (ewarn ... · al samah/al arkan al rasheediya sphc...
TRANSCRIPT
!C
!C
!C
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GOJALI
YARMIJA
AL AQSA
AL NOOR
ASSUKKER
AL WAHDA
AL JAMIAA
AL QAHIRA
AL ZAHRAA
AL KARAMA
AL JAZEARAL SHARQY
MURAHIBEENAL AZZUHOOR
AL QADISSIYA
AL ARABY PHC
AL SAMAH/Al Arkan
AL RASHEEDIYA SPHCAL RASHEEDIYA MPHC
Gogjali
Al-Hamdaniya
Qayyara
Hamam al-Alil
Aymen
Q-SouthJeddah
Qayyara Airstrip
Hamam al-Alil PHCC C
Al-Sifaina PHC
CAL-Zawiyah PHC
Sulaymaniyah
Salah al-Din
Muthanna
Qadissiya
Baghdad
Babylon
Ninewa
Kerbala
Thi-Qar
Missan
Basrah
Wassit
Dahuk
Kirkuk
Diyala
Anbar
Najaf
Erbil
u
d
Qii-
l
Q
a
Disease Alert # of Cases
9Suspected Pertussis
2Acute flaccid paralysis
Disease Alert # of Cases
Suspected Measles 1
NProduction Date: 18-April-2017Data source: EWARNEmail: [email protected]
Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. All reasonable precautions have been taken by WHO to produce this map. The responsibility for its interpretation and use lies with the user. In no event shall the World Health Organization be liable for damages arising from its use. © WHO 2017. All rights reserved.
Upper Respiratory Tract Infection
Skin Disease Lower Respiratory Tract Infection Acute Diarrhea
Suspected Mumps
Bloody Diarrhea (BD)Leishmaniasis
Suspected Pertusis
Acute Jaundice Syndrome (AJS)Suspected Measles
108,95613,396
6,0648,100
1,311
631
1,710
59Meningitis01
73610
TOTAL REPORTED CASES OF ALL DISEASES IN FEBRUARY
Suspected Chickenpox
942
From week 9 (ending 27 February) to week 12 (ending 26 March) 2017, the total of 365 553 consultations were reported from the health facilities covered by the EWARN system in Iraq, indicating an average of 91 388 patients per week.
Forty four percent (44%) of all the reported communicable disease cases were reported among children below five years while 51% were reported among females. Between 184 and 208 sites submitted their reports in March.
The most common disease incidence reported in Ninewa department of health was acute upper respiratory tract infection at 33% (54 393 cases), followed by acute diarrhoea at 5% (9 089 cases), acute lower respiratory infections at 3% (4882 cases), suspected scabies at 2% (2730 cases), suspected mumps at 1% (995 cases) and Acute Bloody Diarrhoea (858). Refer to disease trend graph.
Seven alerts were generated during this period, 92% of them were positive. The alerts were investigated and responded to within 72 hours by Departments of Health, WHO and health partners.The most reported alert during this period was Acute Flaccid Paralysis with 98%, followed by suspected pertussis and suspected measles alerts with 1%.Sixty health personal were trained in Early Warning Alert and Response Network in all the emergency governorates.
0
1000
2000
3000
4000
5000
6000
Suspected Scabies
Acute Bloody Diarrhoea
Acute Diarrhoea
Wk12Wk11Wk10Wk9Wk8Wk7Wk6Wk5Wk4Wk3Wk2Wk1
Funded by:
Office of U.S.Foreign Disaster Assistance
European Union Humanitarian Aid
IRAQ: Early Warning Alert and Response Network (EWARN) SnapshotDisplacement Crisis in Iraq as of March 2017
# of Consulta ons
LegendAlertsCampHospital
CPHC
1 - 1630
1631 - 5830
5831 - 19452
0
20000
40000
60000
80000
100000
120000
W 12W 11W 10W 9W 8W 7W 6W 5W 4W 3W 2W 1
Distribution of total consultations and number of reporting sites by Week, 2017
Distribution of suspected Leishmaniasis
Disease trend by week
Reporng Sites
Cons
ulta
ons
150
200
250
0
1000
2000
3000
4000
5000
DecNovOctSepAugJulJunMayAprMarFebJan
# of
Cas
es
20162017
# of
Cas
es
Al-Rutba
Heet
Ana
Ramadi
Al-Ka'im
Falluja
HadithaRa'ua
Saudi Arabia
Syria
Syria
Jordan
Dary-4
Dary-3
Dary-2 Dary-1
Al-Rayan
Al-Salam
Al-Abyad
Al-AsfarAl-Batraa
Al-Amal Al-Manshood +
+
+
+
Al-Amal
Habaniya TouristCamp
Al-Qasir
Markazl campAl-Khalidiya camp
Bezabize Central Camp
!
Ameriyat Al-Fallujah
3,408
22,278 30,876
125,922
20,142
13,968
12,420
IDP Camp
!CPHC
¯0 50 10025
Km
Legend
Number of IDPs!
Health House
Mobile Medical Clinic
Further information:
Data of Production: 3/04/2017
Iran
Syria
Saudi Arabia
Turkey
JordanIRAQ
IRAQ: Snapshot of WHO Response Activities in Anbar Governorate1st Quarter - January to March 2017
48%male
52%female
72%above 5
28%under 5
Consultations by sex Consultations by age122,022
Total consultations4,073
RH consultations1,432
MHPSS consultations
11,975 VACCINES PROVIDED
16,938 LABORATORY TESTS PERFORMED
141 LABORATORY OR RADIOLOGICALINVESTIGATIONS
2,337 CASES OF DIABETES MELLITUS
1,642 CASES OF HYPERTENSION
117
71
323
REFERRED CASES FOR MEDICAL ORSURGICAL INTERVENTIONS
MANAGED TRAUMA CASES
REFERRED CASES (INCLUDING EMERGENCY) TO SECONDARY OR TERTIARY MEDICAL CARE
0
10000
20000
30000
40000
50000
Week 4Week 3Week 2Week 1Week 4Week 3Week 2Week 1Week 10
500
1000
1500
2000
RH C
onsu
ltatio
ns
Cons
ulta
tions
Jan February March
Acronyms
*MHPSS - Mental health psycho social support
*RH - Reproductive health
Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinionwhatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. All reasonable precautions have been taken by WHO to produce this map. The responsibility for its interpretation and use lies with the user. In no event shall the
World Health Organization be liable for damages arising from its use.
© WHO 2017. All rights reserved.
Data source: Activity Info., CCCM, DTM, DoH-Anbar
Email: [email protected]
Office of U.S.European UnionHumanitarian Aid Foreign Disaster Assistance
Funded by:
+
Anbar
Najaf
Ninewa
Muthanna
Erbil
Diyala
Wassit
Basrah
Missan
Salah al-Din
Thi-Qar
Kirkuk
Sulaymaniyah
Dahuk
Qadissiya
BabylonKerbala
Baghdad
Iran
Syria
Saudi Arabia
Turkey
Jordan
Kuwait
Indicators
Funded by:
European UnionHumanitarian Aid
Office of U.S.Foreign Disaster Assistance
[Essential medicine]Dahuk
Interagency Emergency Health Kit (Full)
22
Interagency Emergency Health Kit (Basic) 414
Diarrhoeal Disease Kit (DDK)
13 Trauma Kit (A and B)
6
82 Surgical Kit
Medical Kits
IRAQ: Distribution of essential medicines and emergency kits
Disclaimer: The boundaries and names shown and the designations used on this map do not imply official endorsement by WHO or the UN. In no event shall the World Health Organization be liable for
© WHO 2017. All rights reserved.
Production Date: 05-Apr-17Data source: WHO IRAQEmail: [email protected]
damages arising from its use.
Total number of patients treatedTotal number of kits distributed
Trauma Kit A & B1 =100 Interventions
1
1
IEHK (Basic)
IEHK (Full)
Surgical Kit1 =100 Interventions
=10,000 People / 3 Months
=1,000 People
1 IDDK =900 People
531 1,165,409
0
500000
1000000
1500000
2000000
Week 4Week 3Week 2Week 1Week 4Week 3Week 2Week 1Week 4Week 3Week 2Week 1
Med
ical
sto
cks
del
iver
ed
IEHK Basic 30Surgical kit 4
IDDK 1IEHK Basic 40Surgical kit 2
IEHK Basic 40Surgical kit 3
January February March
1st Quarter - January to March 2017
Sulaymaniyah
Salah al-Din
[ ]Essential medicineEssential medicineErbil
Emergency Kit[ ]
Essential medicine[ ]Baghdad
Emergency Kit[ ]
Emergency Kit[ ]
Emergency Kit[ ]
Emergency Kit[ ]
Emergency Kit[ ]
Emergency Kit[ ]
Emergency Kit[ ]Essential medicine[ ]Ninewa
Essential medicine[ ]Anbar
Essential medicine[ ]Kirkuk
96,71534,240
30,400
102,293
94,019
706,639
41,02560,078
Endocrine and anti-diabetic 50,990Analgesic 35,500Anti-infective agents 32,402Supplements 14,000Cardiovascular medicines 8,500Gastrointestinal 8,400Antiallergics and anaphylaxis 7,500Anticonvulsant and antiepileptic 3,000Dermatological medicines 2,860Medicine affecting the blood 2,600Oral rehydration 2,000Respiratory 200Ophthalmological preparations 150Anti-Inflammatory 70IV Fluids 53
Cardiovascular medicines 1,601,026Gastrointestinal 531,720Anti-infective agents 517,630Medicine affecting the blood 190,700Analgesic 149,585Endocrine and anti-diabetic 129,100Supplements 95,010Anti-Inflammatory 92,411Anticonvulsant and antiepileptic 51,000Dermatological medicines 40,130Respiratory 31,370Antiallergics and anaphylaxis 16,040Lipid lowering agents 11,180IV Fluids 8,875Oral rehydration 7,000Ophthalmological preparations 6,050Control medicines 4,766Pentostam 4,150Anti-emetic 2,980Anesthetic 2,355Medical Supply 1,930Oxytocics 1,300Vitamins and minerals 1,000Pain killer 750Anti-Cholinergic 600Sodium Chloride 500Dextrose 5% 100
Supplements 129,600IV Fluids 160
Full IDDK 1IDDK 1IEHK Basic 41Surgical kit 27Trauma kit A & B 1
Full IDDK 1Full IEHK 1IEHK Basic 22Surgical kit 10Trauma kit A & B 1
Full IEHK 5Full IDDK 1IDDK 4IEHK Basic 215Surgical kit 24Trauma kit A & B 9
IEHK Basic 20Surgical kit 12Trauma kit B 2
IDDK 13
Cardiovascular medicines 180,750Anti-infective agents 105,102Medicine affecting the blood 72,000Gastrointestinal 48,500Analgesic 16,020Anticonvulsant and antiepileptic 12,000Lipid lowering agents 10,000Endocrine and anti-diabetic 8,000Dermatological medicines 7,098Antiallergics and anaphylaxis 6,190Anti-Inflammatory 5,260Respiratory 3,910Pentostam 3,300Ophthalmological preparations 2,588Anti-emetic 1,450Anesthetic 30
Cardiovascular medicines 206,320Anti-infective agents 177,983Gastrointestinal 119,144Medicine affecting the blood 78,000Antiallergics and anaphylaxis 47,000Anticonvulsant and antiepileptic 25,000Anti-Inflammatory 20,000Respiratory 13,160Supplements 13,000Analgesic 10,000Endocrine and anti-diabetic 5,000Dermatological medicines 2,536Medical Supply 1,400Oral rehydration 1,300Ophthalmological preparations 630Anesthetic 405
Cardiovascular medicines 124,500Anti-infective agents 69,891Gastrointestinal 49,500Medicine affecting the blood 48,000Anticonvulsant and antiepileptic 10,000Dermatological medicines 4,272Ophthalmological preparations 3,000Respiratory 800
Turkey
Jordan
Iran
Kuwait
SaudiArabia
Syria
Babylon
Baghdad
Dahuk
Erbil
Kerbala
Missan
Muthanna
Najaf
Ninewa
Qadissiya
Salahal-Din
SulaymaniyahKirkuk
Thi-Qar
Wassit
Anbar
Diyala
Basrah
1 km
Hospitals and PHCs in Mosul
Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation ofits frontiers or boundaries. In no event shall the World Health Organization be liable for damages arising from the use of this map.© WHO 2017. All rights reserved.
Data Source:WHO, MOHProduction date: 4/11/2017Document Name: WHO_IRQ_MMC_AMB_DISTRIB_6042017Map size: A3
November 25, 2016
Anbar
Najaf
Ninewa
Muthanna
Erbil
Diyala
Wassit
Salah al-Din
Missan
Thi-Qar
Kirkuk
Sulaymaniyah
Basrah
Qadissiya
BabylonKerbala
Iran
Saudi Arabia
Syria
Turkey
Kuwait
Jordan
2 in Bersive 1 Chamishku, 2 Bajet (Zakho), 1 Rwanga, 1 Shariya2 in Kabarto, 1 in Khanke (Summel), 1 in Garmawa, 1 Esian,1 Sheikhan, 1 in Mamilian, 1 Dawodia, 1 Bardarash, 3 in Duhok(Sheikhan)
Ambulances operated byAnbar/ DoH. 1 in Haditha,2 in Falluja, 1 Ratba,1 in Habaniya, 2 in Ramadi,1 in Heet
Anbar
5 in Samah PHCC, 1 in Haj Alil, 1 in Jadaa, 2 in Qayarah hosp.2 in Qayarah PHCC, 1 in Hamdaniyah hosp., 1 in Rabea PHCC,1 in Bashiqa PHCC, 5 in Sheikhan hosp., 4 in Adhba, 6 inMaamoon, 2 in Shifa hosp., 3 in Hamam Alil
Ninewa
Dahuk
2 Ambulances inErbil loca on.
Erbil
3 Ambulances run by Kirkuk DOH in Kirkuk city
Kirkuk
2 Ambulances in Tikritrun by DoH-Salah al-Din
Salah al-Din
2 Ambulances in Tikritrun by DoH-Salah al-Din
Sulaymaniyah
Ninewa
A
k
49
18
8 9
35
2
2
KuwaTotal number as of April 2017
Currently operational
To be determined
64 96
87
09Office of U.S.European Union
Humanitarian Aid Foreign Disaster Assistance
Funded by:
Mobile Medical Clinics
itait
Distribution of ambulances
>30
>10
>5
<5
06
58
Number of ambulances
9 opera onal MMCs in Dohuk, 2 in Zumma, 1 inSinjar, 1 in Shikhan and Amedi, 3 inTelkaif, 2 DoHDuhok in Telkyef
22 opera onal MMCs 4 in Qayara1 in East Mosul, 1 in Basheqa, 6 in Hamdaniya2 in Debaga, 6 in Hamam Alil, 2 Shikhan
10 opera onal MMCs in Anbar/ DoH. 1 in El-Garma,1 in Falluja, 1 Khalidiya,1 in Ninawa, 3 in Ramadi,3 in Heet
6 MMCs 1 in Al-Dur, 1 Tuz1 in Samarra 3 in Tikrit
2 opera onal MMC’s inBarznja camp
(run by World VisionInterna onal,
1 in DoH Garmyan
3 MMCs owned by Kirkuk DOH 1 in Dibis, 1 in Daquq and 1 Kirkuk
4 MMCs, 2 in Makhmur District, 2 in Erbil Loca on
MissanMissan
8 opera onal MMCs in Baghdad
Anbar
Ninewa
Dahuk
Erbil
Sulaymaniyah
Kirkuk
Salah al-Din
Baghdad
Distribution of mobile medical clinics
Ambulances
>500,000 500,000 - 300,000 300,000 - 100,000 100,000 - 50,000 50,000 <
Number of IDP individuals
IRAQ: Distribution of Mobile Medical Clinics and Ambulances(as of April 2017)
Turkey
Syria
Tilkaif
HamdaniyaMosul
Telafar
Sumel
Dahuk
Akre
ErbilSinjar
Zakho
Mergasur
Amedi
Soran
Shaqlawa
Shikhan
Bajet
Kandala
Berseve 1
Berseve 2ChamishkuDarkar
Dawadia
Kabarto 1
Kabarto 2Khanke
Rwanga
Community
Shariya
Hospitals and PHCs in Mosul
Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation ofits frontiers or boundaries. In no event shall the World Health Organization be liable for damages arising from the use of this map.© WHO 2017. All rights reserved.
Data Source:WHO, MOH, DTM, CCCMProduction date: 4/12/2017Document Name: WHO_IRQ_RESPACT_DOHUK_12042017Map size: A3
November 25, 2016
IRAQ: Snapshot of WHO Response Activities in Dahuk Governorate
January to March 2017
MOBILE MEDICAL TEAMSWHO is supporting twelve (12) mobile medical teamsin Dahuk province (6 preventive, 6 curative) to providehealth services to the IDPs at the entry points (receptioncentres and newly retaken villages in Telkaif district,Ninewa governorate).
HOSPITAL STAFFINGWHO is supporting the referral system in Dahukemergency and Azady general hospitals by recruiting12 junior house office doctors (6 in each hospital) tocope with increased number of patients referred fromIDP camps and frontlines.
WHO is supporting DOH Dahuk (10 teams from 122ambulatory service) for health referral services fromfrontline, newly retaken villages and IDP camps toShikhan and Duhok hospitals.
2017 FIRST QUARTER ACTIVITIES
REFERRAL SERVICES
51% Female49%
Male
94% Above 5 years
06% Under 5 years
80% Measles
20% Polio
68% Hypertension32% Diabetes
694 Emergency medical cases were referred toseconday or tertiary medical care, 10% of the caseswere women with complications during birth.
15,422 TOTAL NUMBER OF CONSULTATIONS
240,007 TOTAL NUMBER OF VACCINES PROVIDED 1,404 TOTAL NUMBER OF NON-COMMUNICABLE DISEASE
Funded by
European UnionHumanitarian Aid
Office of U.S.
Foreign Disaster Assistance
IRAQ
NINEWA
Dahuk
123,678
200,550 53,532
17,820
Rozana
Zaxo Gshti
Zaxo FryakautnZaxoAfratan
Azadi
Afratanu la Daikbun
Chaw
Amedi
Governorate
District
Hospital
IDP Camp
Number of IDPs
Gender
Age
395,580Total number of IDPs
KIRKUK
AL HAWIGA
DABES
DAQUQ
Further informa on: World Health Organiza on Iraq Country Office, [email protected] Data Source: MOH/DOH-Kirkuk/ WHO, IOM/DTM Date of Crea on: 09 April 2017 File name : WHO_IRQ_RESPACT_KIRK_A3_09042017
1,300 39,367
Kirkuk
SALAH AL DIN
NINEWA
ERBIL
SULAYMANIYAH
DIYALA
TOOZ
TIKRIT
MAKHMUR
CHAMCHAMAL
GAYARA
AL-SHIRQAT
KOISNJAQ
AL-DAUR
DASHTE HAWLERDOKAN
IRAQ: Snapshot of WHO Response Activities in Kirkuk Governorate January to March 2017
Number of IDPs
Loca ons visited bymobile teams
DISTRICT
GOVERNORATE
LEGEND
12,281
11,238
Funded by
European UnionHumanitarian Aid
0
3000
6000
9000
12000
15000
MarFebJan0
500
1000
1500
2000
2500
0
2800
5600
8400
11200
14000
MarFebJan 0
20
40
60
80
100
MarFebJan0
70000
140000
210000
280000
350000
MarFebJan
Consulta ons
Total Consultations
Chlorine tabletsdistributed
Water samples testedChildren VaccinatedWomen Vaccinated
Health promo ons Referrals
# of
peo
ple
# of
peo
ple
# of
tabl
ets
The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by WHO or the United Nations.
24,296
Office of U.S.
Foreign Disaster Assistance
MarchFebruary
0
100
200
300
400
500
600
700
NazrawaLaylan 3Laylan 2Laylan 1DaqooqNazrawaLaylan 3Laylan 2Laylan 1Daqooq
MOBILE MEDICAL TEAMSWHO is supporting four (4) mobile medicalteams in Kirkuk province. Five (5) additionalteams are standby for Hawija liberation.
PHARMACEUTICALS
VECTOR CONTROL
REFERRAL SERVICES
WHO is supporting two (2) rounds of vectorcontrol activities (Spring and Autumn).
WHO is supporting four (4) ambulance teams to provide referral services 24/7 in IDPcamps.
2017 FIRST QUARTER ACTIVITIES
CONSTRUCTIONWHO constructed, furnished and equippeda comprehensive PHCC in Laylan 2 camp.
WHO prepositioned three (3) surgical kitsand 20 basic IEHK in Kirkuk in preparationto Hawija operation
2 Mobile Medical Teams
1 Mobile Medical Team
1 Mobile Medical Team
Number of cases received by hospital Type of cases received by hospitals
Number of cases by camp
IRAQ
Daquq
Laylan 1 Laylan 2
Laylan 3
Nazrawa
0 300 600 900 1200 1500
Daquq Hospital
Layaln Main PHCC
Kirkuk Hospital
Azady Teaching Hospital
Pediatric Hospital
30%
23%17%
16%
14%Medical
PediatricSurgical
Other
Gynecology / Obstetrics
2,453
1,234
928
137
117
37
Referral services supported by WHO
Mobile medical teams supported by WHO
Hospital
Mobile Medical Clinic
Camp
Sulaymaniyah
Kalar
Chamchamal
Pshdar
Rania
Dokan
Sulaymaniya
Sharbazher
Halabja
Penjwin
Darbandihkan
Disclaimer: The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoeveron the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation ofits frontiers or boundaries. In no event shall the World Health Organization be liable for damages arising from the use of this map.© WHO 2017. All rights reserved.
Data Source:WHO, MOHProduction date: 4/18/2017Document Name: WHO_IRQ_RESPACT_SULAY_17042017Map size: A3
IRAQ: WHO Response Activities in Sulaimaniyah Governorate(January - March, 2017)
46%male
54%female
76%above 5
24%under 5
Consultations by sex Consultations by age
Total number of consultations by service type Reproductive health consultations
95,832
21,174
10,404
8,448
5,832
4,464
4,110
1,026
642
30
RH Co
nsultat
ions
Consu
ltation
s
0
5000
10000
15000
20000
25000
30000
35000
12-Apr10-Apr5-Apr4-Apr2-Apr31-Mar20-Mar13-Mar6-Mar28-Feb26-Feb2-Feb1-Jan0
500
1000
1500
2000
38%Gynecological
22%Family
34% Antenatal
Planning
06%Postnatal care
68%Secondaryhospital
Temporaryfixed clinic
02%Mobile medical clinic
5,72875,884
ArbatAshti
Office of U.S.European UnionHumanitarian Aid Foreign Disaster Assistance
Funded by:>30000
>20000
>1000
=<1000
Number of IDP’s
WHO supplied one (1) IDDK, fourty (40) basic IEHK and two (2)surgical kits to health facilities in Sulaymaniyah
WHO supplied Personal Protective Equipments (PPE) to supportchemical incidence events
WHO is currently supporting 37 EWARN sites carrying outdisease surveillance in Sulaimaniyah
PHARMACEUTICALS
EWARN
CHEMICAL INCIDENT RESPONSE
IRAQ
HEALTH SERVICEPROVISION
324
5,322VACCINES PROVIDED
8,511
10,533
LABORATORY TESTS PERFORMED
552
486
CASES OF DIABETESMELLITUS
MENTAL HEALTH AND PSYCHOSOCIALSUPPORT CONSULTATION
1,281CASES OF HYPERTENSION
1,898
REFERRED CASES TO SECONDARY OR
REFERRED PATIENTS FOR SURGICALOR SURGICAL INTERVENTIONS
TERTIARY MEDICAL CARE
CASES WITH COMMUNICABLE DISEASESREPORTED BY EWARN