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Somalia Weekly Update Week-39 Ending 30 Sept 2018

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Somalia Weekly Update Week-39 Ending 30 Sept 2018 Somalia Weekly Update Week-39 Ending 30 Sept 2018 cVDPV2 and cVDPV3 Highlights • The total number of cVDPVs cases isolated from AFP cases is 10 (Four cVDPV2, Five cVDPV3 and one with both cVDPV2 & cVDPV3) • The dates of onset of most recent cVDPV2 is 30 July, 2018 and cVDPV3 is 27 July, 2018; both from Kismayu District of Lower Jubba Region • One new cVDPV2 and one cVDPV3 positive environmental samples were reported this week from Hamar Weyn and Waberi Districts of Banadir province respectively. The two specimens were both collected on 23 August 2018 cVDPV2 and cVDPV3 isolated from AFP cases 2017-2018 5 cVDPV2 4 1 1 3 cVDPV3 cVDPV2/3 (n=1) 2 2 cVDPV2 and cVDPV3 3 1 2 1 0 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 List of cVDPV Cases in Somalia Date of Onset of OPV Doses EPID # Region Province District City/Village Gender Age Results Paralysis IPV OPV Date of last OPV SOM/HRN/BBT/18/002 Central HIRAN BULO BURTI JAMECO MUBARAK Female 72 11/05/2018 0 0 - cVDPV3 & cVDPV3 SOM/MSH/WRS/18/001 Central MIDDLE SHABELLE WARSHEIKH MUNGAB Male 30 16/05/2018 0 6 06/05/2018 cVDPV3 SOM/MSH/WRS/18/003 Central MIDDLE SHABELLE WARSHEIKH BOHI Male 39 23/05/2018 0 0 - cVDPV3 SOM/GDO/DLO/18/002 South Gedo Dolo KABASA IDP Male 24 26/05/2018 0 6 08/05/2018 cVDPV2 SOM/LJB/KSM/18/005 South LOWER JUBA KISMAYO GULWADE Male 24 24/06/2018 0 4 05/05/2018 cVDPV3 SOM/MSH/MDY/18/002 Central MIDDLE SHABELLE MAHADAY SHAAN Male 42 29/06/2018 0 9 05/05/2018 cVDPV3 TABELHA- SH SOM/BAN/DYN/18/003 Cntral BANADIR DANYILE IBRAHIM Male 36 10/07/2018 0 1 05/05/2018 cVDPV2 SOM/LJB/KSM/18/006 South LOWER JUBA KISMAYO ALANLEY Male 156 27/07/2018 0 6 - cVDPV3 SOM/LJB/KSM/18/008 South LOWER JUBA KISMAYO FANOLE DP Female 24 29/07/2018 0 4 10/07/2018 cVDPV2 SOM/LJB/KSM/18/007 South LOWER JUBA KISMAYO FANOLE IDP Male 96 30/07/2018 0 10 - cVDPV2 Summary Environmental Samples and Lab Classification Epidemiological Week-2017 Epidemiological Week-2018 Name of Date of District 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Site Establishment 5 6 Waberi 21-Oct 19 Sept. 2017 1 4 VDPV2 cVDPV2 cVDPV2 cVDPV3 cVDPV2 cVDPV3 cVDPV2 cVDPV3 cVDPV3 cVDPV2 5 5 3 3 3 3 3 3 Shangani Urobo 1 20 Sept. 2017 1 3 Shangani Urobo2 17 Aug. 2018 Hamerew 3 5 5 3 5 5 5 14 Kawma 21 Sept. 2017 1 14 cVDPV2 cVDPV3 cVDPV3 cVDPV3 cVDPV3 cVDPV3 cVDPV2 cVDPV2 cVDPV2 cVDPV2 cVDPV2 oini cVDPV2 Egyt. Hodan 23 Nov. 2017 3 5 3 5 5 3 Hosp cVDPV2 Legend 9 cVDPV3 1 Not scheduled 5 NPENT 10 Sent for sequencing 2 Pending 6 Sabin 11 Scheduled but not collected 3 Negative 7 NPENT + Sabin 12 Sabin 2 4 NEV 8 cVDPV2 13 Sabin + NPEV + NEV SIA Activity Calendar Apr – Dec. 2018 Activity Target area Date Status NID 1 bOPV Somaliland and Puntland 30 Apr- 03 May 2018 Campaign completed NID 1 bOPV South and Central Except Banadir, Lower and Middle Shabelle 5-8 May 2018 Campaign completed Third response round mOPV2 Campaign Banadir, Lowe Shabelle and Middle Shabelle 5-8 May 2018 Campaign completed Synchronized mOPV2 Campaign (with South and Central regions without Banadir, Lower and Middle Shablle regions 9 - 12 Jul 2018 Campaign completed Kenya and Ethiopia), Round 1 synchronized with Kenya response campaign Small scale bOPV Response Banadir, Lower and Middle Shablle regions 23-Jul 2018 Campaign completed Synchronized mOPV2 Campaign (with South and Central regions with out Banadir, Lower and Middle Shabelle regions 4-8 Aug. 2018 Campaign completed Kenya and Ethiopia), Round 2 synchronized with Kenya response campaign mOPV2 Daynile district 19-22 Sept. 2018 Campaign completed Upcoming Campaigns NID 1 bOPV synchronized with Kenya All 19 regions in Somalia (Target: 2,499,010 Children) 1-4 October 2018 Campaign in progress and Ethiopia NID 2 bOPV synchronized with Kenya All 19 regions in Somalia (Target: 2,499,010 Children) 29 Oct-1 Nov 2018 Planned and Ethiopia In 9 regions of South and Central zones sNID mOPV2 19-22 November 2018 Planned (Outbreak areas). To be synchronized with border regions of Kenya and Ethiopia Outbreak response Post Campaign IM Results: Daynile District Somalia – Mogadishu/Banadir region 22 to 25 Sept 2018 Post Campaign IM Results: Daynile mOPV Campaign, 19-22 Sept, 2018 # 12-59 % 12-59 % Total # of 0-59 % of 0-59 % HHs Aware # 0-11 children # 0-11 children % 0-11 children # 12-59 Province District DFA code # HHs Visited children children children (0-59) children children about the Visisted Vaccinated Vaccinated children seen Vaccinated Vaccinated Vaccinated missed missed Campaign BAN DRK SOM-0204006 120 118 104 88% 228 215 94% 92% 27 8% 71% BAN DRK SOM-0204007 190 269 248 92% 389 376 97% 95% 34 5% 88% BAN DRK SOM-0204015 120 97 85 88% 215 211 98% 95% 16 5% 90% BAN DRK SOM-0204018 152 149 148 99% 225 209 93% 95% 17 5% 97% BAN DRK SOM-0204021 30 37 35 95% 59 57 97% 96% 4 4% 100% BAN DRK SOM-0204022 120 76 75 99% 116 116 100% 99% 1 1% 67% BAN DRK Total 732 746 695 93% 1232 1184 96% 95% 99 5% 85% BAN DYN SOM-0203001 120 37 37 100% 311 304 98% 98% 7 2% 100% BAN DYN SOM-0203002 120 184 176 96% 207 202 98% 97% 13 3% 86% BAN DYN SOM-0203003 120 120 120 100% 260 233 90% 93% 27 7% 99% BAN DYN SOM-0203004 161 175 167 95% 198 175 88% 92% 31 8% 77% BAN DYN SOM-0203005 100 97 92 95% 153 147 96% 96% 11 4% 100% BAN DYN SOM-0203006 120 113 102 90% 180 176 98% 95% 15 5% 98% BAN DYN SOM-0203007 161 140 138 99% 341 334 98% 98% 9 2% 84% BAN DYN SOM-0203008 121 154 154 100% 212 211 100% 100% 1 0% 89% BAN DYN SOM-0203009 120 124 122 98% 147 130 88% 93% 19 7% 100% BAN DYN SOM-0203010 120 120 120 100% 216 206 95% 97% 10 3% 100% BAN DYN SOM-0203011 130 165 154 93% 221 203 92% 92% 29 8% 98% BAN DYN SOM-0203012 160 143 132 92% 307 264 86% 88% 54 12% 99% BAN DYN SOM-0203013 120 95 87 92% 161 149 93% 92% 20 8% 100% BAN DYN SOM-0203014 80 99 98 99% 142 140 99% 99% 3 1% 94% BAN DYN Total 1753 1766 1699 96% 3056 2874 94% 95% 249 5% 94% BAN Total 2485 2512 2394 95% 4288 4058 95% 95% 348 5% 91% LSH AFG SOM-1401020 80 36 35 97% 160 152 95% 95% 9 5% 93% LSH AFG SOM-1401021 80 37 35 95% 154 146 95% 95% 10 5% 95% LSH AFG SOM-1401022 80 34 32 94% 152 145 95% 95% 9 5% 95% LSH AFG SOM-1401023 72 34 33 97% 143 137 96% 96% 7 4% 97% LSH AFG SOM-1401025 80 33 31 94% 151 143 95% 95% 10 5% 96% LSH AFG SOM-1401039 71 33 31 94% 150 141 94% 94% 11 6% 97% LSH AFG Total 463 207 197 95% 910 864 95% 95% 56 5% 95% LSH Total 463 207 197 95% 910 864 95% 95% 56 5% 95% Grand Total 2948 2719 2591 95% 5198 4922 95% 95% 404 5% 92% SIAs Vaccines availability and mOPV2 vaccine management • mOPV2 vaccine utilization report/July and Aug 2018rounds • Current mOPV2 balance in Mogadishu: 955 vials (2737 used in Danyle districts) out of the 3693 vials in the cold chain. • Recall and disposal of unusable unopened, empty and partially used vials: All used mOPV2 vials are now in Mogadishu for disposal within 2 weeks. • 48 mOPV2 vials were lost throughout the July and August mOPV2 rounds. • bOPV vaccines for the next 2 rounds (Oct and Nov 2018) are available at country and regional level October bOPV outbreak response to cVDPV3 • SIAs started as planned in Puntland and Mogadishu • Somaliland will start on the 4th of October 2018 • C4D activities started on time: from 25 Sept 2018 for the general population and 30 Sept, a radio drama targeting nomadic communities was broadcasted and will continue during the SIA. Number of children U5 not vaccinated – as per target population/ performance per DFA (district field assistant), Daynile Campaign 404 children under 5 years were captured during the household survey as not having been vaccinated; This totals to an estimated 4,045 children overall. The percentages of non-vaccinated children, as collated by the household survey, were applied to the target population of children U5 and used to approximate the total number of children missed per DFA Reasons for missed children, Daynile Campaign “Children Not Available” was the main reason for “children missed” with 57%, followed by “Poor Team Performance” with 25% and “Refusal” with 18%. The main reason for the child not being available in the Daynile District of Banadir was “Child in School or Madras”, followed by “Parent/ Caretaker Not Available” and “Child in Market, Street or Playground” as well as “Child Travelling”.
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