This leaflet provides valuable information on the steps to take in decision-making for preparedness and response to acute diarrhoeal diseases in complex emergencies. It will help in identifying key issues relevant to diarrhoeal disease control in complex emergencies, and to prepare and guide the response to an outbreak.

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Health authorities in Central America have been deploying field teams for damage assessment, surveillance, water and sanitation and mental health assessments, after heavy rains caused flooding and landslides in El Salvador, Guatemala, Honduras and Nicaragua.

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A series of quakes occurred in Guatemala on September 19 and as a result three people are reported dead, 11 are missing, 4,500 people affected and 2,885 persons are in shelters, according to the National Coordinator for Disaster Reduction (CONRED).

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Torrential rains during the night of August 24 at the Department of Santa Rosa, Guatemala, caused overflowing of the San Juan River and affected the area of Cuilapa and the colony El Avispero of Nueva Santa Rosa.

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In order to analyze the lessons learned by the health sector in the emergency caused by floods and landslides during the months of December 2010 and January 2011, a workshop on lessons learned, challenges and conclusions was held in Panama.

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