Eiectronic Integrated Disease Early Warning and Response System

Ministary Of Public Health Papulation Epidemiological Bulletin Primary Heath Care Sector Weekly DG for Diseases Control & Surveillance Eiectronic Integrated Disease Early Warning and Response System

Volume 08,lssue37,Epi week37,(07-13 September,2020)

Highlights eDEWS Reporting Rates vs Consultations ,Epi Weeks 1-37,2020

% % %

% % % %

% % %

97 97 97

% % % %

96 96 96 96

% % % %

100% % 350000

95 95 95 95

93 93 93

92 92 92

91 91 91 91

90 90 90 90 90

89 88

•During week no.37,2020, %88 health facilites provided valid surveillance data. % 87

90% 86

82 300000 80% 70% 250000 •The total number of consultation reported during the week was 229265 60% compared to 234541 the previous reporting week 37 Acute respiratory tract 200000 infections lower Respiratory Infections (LRTI), Upper Respiratory Infections 50% 150000

Percentage 40%

(URTI), Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of Consulttaions morbidity this week. 30% 100000 20% 50000 10%

● A total of 1042 alerts were generated by eDEWS system in week 37- 2020, Of 0% 0

Wk 2 Wk 3 Wk 4 Wk 5 Wk 6 Wk 7 Wk 8 Wk 9 Wk

these 1039 alerts were verified as true for further investigations with 1 Wk

Wk 23 Wk 25 Wk Wk 10 Wk 11 Wk 12 Wk 13 Wk 14 Wk 15 Wk 16 Wk 17 Wk 18 Wk 19 Wk 20 Wk 21 Wk 22 Wk 24 Wk 26 Wk 27 Wk 28 Wk 29 Wk 30 Wk 31 Wk 32 Wk 33 Wk 34 Wk 35 Wk 36 Wk 37 Wk appropriate response Reporting Rate Consultations

Leading causes of morbidity mortality in Epi-Week 37,2020 Proportional morbidity of leading priority diseases, Epi week 37,2020

Scabies Chicken Pox ● (URTI) 12.7%, suspected Malaria (8.7%),(DD) (9.9%) and (LRTI) (5.8%)Remain the Brucellosis HIV/ AIDS leading causes of morbidity representing a total of (37.1%) Tuberculosis RB CL Sch VHF DF ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than Meng Mal 1% of total morbidity in reporting period Bloody diarrhea represented 0.3% Of this Mumps AFP morbidity NNT AVH_B&C AVH_A&E Meas Typhoid F ● All diarrheal disease comprised 9.9% and LRTI 5.8% of total morbidity in pilot OAD BD Governorates this week . Susp. Cholera Diph Pert SARI ILI ● All diarrheal disease comprised 9.9% and OAD 8.2% of total morbidity in all age group LRTI . URTI 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0%

التهاب:SARI التهاب الكبد :AVH الحصبة :Meas داء الكلب :RB التهاب السحايا :Men حىم الضنك :DF مالريا :Mal بلهارسيا :Sch اسهال ما يئ حاد :AWD التهاب الجهاز التنف يس السف يل:LRTI اسهال حاد اخرى :OAD اسهال مدمم :BD عدوى الجهاز التنف يس العلوي :URTI االيذز :HIV الجذري:CHICKEN دودة غينية:GUINEA حىم مالطيه:BRUCELLOSIS السل:TUPERCULOSIS النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا عل شكل وباء :ILI تنف يس حاد وخيم

This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 1 ) Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020)

Epidemiological Situation of Cholera and Diphtheria

GO V

This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 2 ) Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-37,2020)

URTI LRTI mararia tested cases & confirmed 16.0% 8.0% 3500

14.0% 7.0% 3000

12.0% 6.0% 2500

10.0% 5.0% 2000

8.0% 4.0% 1500

6.0% 3.0% 1000

4.0% 2.0% 500

2.0% 1.0%

wk1 wk3 wk5 wk7 wk9

wk11 wk15 wk17 wk19 wk21 wk23 wk25 wk27 wk29 wk31 wk33 wk35 wk37

0.0% 0.0% wk13

1 3 7 9 5

1 3 5 7 9

11 13 15 17 21 23 25 27 29 33 35 37 19 31

13 15 17 19 21 23 25 27 29 31 33 35 37

11 Rapid Test(Postive) Microscope(Postive)

WK WK WK WK WK

WK WK WK WK WK WK WK WK WK WK WK WK WK WK

Age and Sex distribution of total consultations of leading diseases (Epi week 37,2020) Number of Alerts Received and Responded (Epi Weeks 34-37,2020)

60000

URTI LRTI Pert BD OAD Typhoid F

50210 50000 AFP Meas AVH_A&E AVH_B&C DF Meng

Sch CL Chicken Pox Mal 250 40000

32050 200 30000

150 21137 21207 19539 19603 20000 18428

16994 No. of Alerts of No. 15023 15075 100

10000 50

0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 15023 19539 21137 32050 16994 Female 15075 19603 21207 50210 18428 Distribution of consultations of leading diseases by Governorates,Epi week 37-2020

Suspected Disease Al-Baidha AlHodaidah Al-Jawf Al-Mahweet Amana Amran Dhamar Hajjah Ibb Mareb Rayma Sa'adah Sanaa Governorate Taiz Total

URTI 1134 5599 1030 822 3332 2114 2387 3235 1961 531 584 2350 3369 670 29118 LRTI 609 3945 309 289 970 861 1225 1462 1041 157 102 700 1291 273 13234 ILI 104 45 76 0 21 0 29 49 9 58 0 30 194 27 642 SARI 0 0 0 0 7 1 46 0 0 0 0 1 0 0 55 Pert 3 0 5 29 5 8 5 0 0 0 0 8 0 1 64 BD 29 81 56 30 47 82 107 5 49 34 41 55 127 29 772 OAD 718 1999 979 501 2365 1825 2267 1901 1306 531 333 1343 2434 382 18884 Typhoid F 210 472 148 123 561 283 862 0 518 108 55 124 382 111 3957 Meas 2 83 0 5 8 2 2 8 7 0 2 58 1 2 180 AVH_A&E 6 1 5 1 70 8 25 3 18 3 2 13 19 10 184 AVH_B&C 2 3 5 0 51 9 9 3 13 0 0 0 1 1 97 NNT 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 AFP 1 0 3 0 6 0 0 0 0 0 0 6 0 0 16 158 2 26 22 0 4 14 20 األمراض المشتبهة Mumps 11 5 6 6 24 4 14 Mal 9 11650 96 446 123 539 628 4448 334 37 282 634 260 458 19944 Meng 0 1 0 0 3 0 1 2 0 0 0 3 0 45 55 DF 8 55 0 2 0 0 0 17 0 109 0 3 1 28 223 VHF 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 Sch 2 2 24 15 38 68 10 90 14 1 20 38 41 15 378 CL 3 0 8 1 15 11 5 9 1 0 2 0 16 1 72 RB 30 0 0 11 98 11 59 1 61 0 0 0 0 5 276 Tuberculosis 1 3 0 0 9 1 7 5 12 0 2 2 9 2 53 HIV/ AIDS 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 Brucellosis 40 9 36 2 102 47 366 73 75 15 1 19 22 5 812 Chicken Pox 0 0 6 3 33 31 9 18 15 24 22 48 39 0 248 Scabies 0 6 1 7 26 15 9 38 5 4 12 17 17 0 157 Guinea Worm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 othr_disease 4253 15676 4638 4091 31687 9987 16635 10781 12818 4410 1565 4247 9051 4129 133968 total_cons_disease 7717 40271 7536 7023 40927 16060 25109 22936 18729 6112 3063 9823 17602 6357 229265

This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 3 ) Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020)

Alert Responded in Epi - Week 37,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease AtTaiziyah,Maqbanah,AsSilw,Salh Ar Romah center,22 May HC,Al Mashgab Hospital,Mawih Chol Taiz Mawiyah,Sama,Khadir,Hayfan Sharab Ar 161 0 Hospital,Dmnat HC,Hifan H,Other Rawnah

Pert Taiz Salh Al-Safwah Hosp. 1 0

Meas Taiz Salh,Sharab Ar Rawnah Al-Safwah Hosp. 2 0

DF Taiz Salh,Al Qahirah Al-Safwah Hosp.,Al wahdah HC 28 0

eDEWS focal points,Information shared, Samples were collected Meas Ibb As Saddah,Mudhaykhirah,Al Mashannah Alsadah HU,Mothikhrh H,Mother and Child H,Other 7 0 ,the Cases were vaccinated except 2 cases were un vaccination

AlUdayn,Yarim,Hazm,AlUdayn, AsSabrah,AshShair,AnNadirah,JiblahArRad Immediate notification. eDEWS Coordinator visited hospital, stool samples were collected ,7 Dar Al Sharq HC,Yarim Hospital,Alshaheed Albadani mah,AlMashannah,Hubaysh cases were positive by rapid test and other samples were negative from some samples Chol Ibb Hospital,Almakhader HC,Alqaidah H,Aladin H,Najd Hawshp 315 0 AsSaddah,FarAlUdayn,Ibb,Dhi All cases were improved. H,Aldhalmh HC,Other AsSufal,Badan,AlDhihar,AlQafr AlMakhadir,AsSayyani,Mudhaykhirah

Focal points were contacted , he informed us that the suspected DF cases had a history of high fever , retro- bulbar pain ,myalgia and arthralgia,the cases were diagnosed clinically. DF AlHodaidah Al Hali,Al Qanawis,Zabid,Bajil Alhodaidah Hospital,Alkanawes Private H,Al Mokar HC 55 0 Medications have been started, samples were collected in the lab of hospital for testing by serological test which this test measure the presence antibodies IgG & IgM .

AlHawak,AlHali,AtTuhayat,Jabal Ras AdDurayhimi,AlGarrahi,AlMarawiah Deir zblh H,AlMokarHC,Aldhahi Rural H,AlBaidha AlGarbiah eIDEWS coordinator contacted the focal points, information was shared, The cases were Bura,AlMansuriyah,AzZaydiyah,Bayt HC,Bait Alfakih H Almansouria rural H,Almughtaribeen diagnosed clinically according to case definition,some cases were investigated by rapid test Chol AlHodaidah 629 0 AlFaqiah,AlQanawis,AzZuhrah HC,AlhshmCenter,ZayedHC,Alkanawes HC,Alsalakhana for vibrio cholera and result were positive for 13 cases, Appropriate treatment were given AsSukhnah,Zabid,AlMina,Alluheyah,Al H,salamcenter,Alzaydia RuralH,Aljarrahi rural H Other according to severity of symptoms and dehydration. Munirah,Al Mighlaf

The eDEWS coordinator called the contact person and the case was suspected of Meas AlHodaidah At Tuhayat,Al Hali, As Salif Almudmn HU,Alsalakhana H measles,the cases were vaccination except one case was un vaccination, fever, rash 83 1 registered,one case was dead

Contact was made, suspected cases of diphtheria had a history of pseudomembranous Diph AlHodaidah Al Hawak,At Tuhayat Althawra public H,Other tonsillitis, acute inflammation were diagnosed, the patients were un vaccinated clinically. 6 2 Medicines have started,2 cases were dead

Bani AlAwam,AshShaghadirah Qarah,Sharas,Kushar,Haradh,Hajjah Bani Qais Health Center,Mabyan Hospital,Almahabesha Khayran AlMuharraq,AlMaghrabah Public H,Ash Shaghadira Health Center,Al Miftah Chol Hajjah 289 0 Wadhrah,AlMiftah,AshShahil HC,Almaghraba HC,Abs Rural Hospital,Qafl Shamer Kufl- AlJamimah,Kuaydinah,Qafl Shamer Shamar Rural H,Public Republican Hospital,Other Abs,Hajjah City

Mabyan,Ash Shahil,Sharas,Kuhlan Public Republican Hospital,Ash Shaghadira Health Center,Al- Meas Hajjah 8 0 AshSharaf,HajjahCit,AshShaghadirah Qaeda HC,Sharas HC,Other

DF Hajjah Bani Qais,Khayran Al Muharraq Al Masray Center,Martyr d. Yasser w Thab Hospital 17 0

Diph Hajjah Abs,Aslem Abs Rural Hospital,Other 3 0

eIDEWS coordinator contacted focal points,information's shared,Blood samples were Az'zal,Assafi'yah,AtTahrir,AsSabain,Maain,S collected from the cases and sent for lab confirmation,the cases were unvaccinated against Meas Amana Jabr Bn Hyan HC,Alulfi HC,As Sabin Hospital,Maain Complex 8 0 hu'Aub measles, Vit-A were given to the cases in order to support their immunity against complications of measles.

Rapid response team contacted focal points by eIDEWS coordinator,the cases were diagnosed clinically according to case definition.Stool samples(C/S & serotyping) collected Omar Al Mokhtar Complex,Ibn Khaldon HC,Arwdhah H,,22 from cases & sent to lab (Central labs)for confirmation. Supplements & antibiotics treatment Aththaorah,Shu'Aub,AsSabain,Bani Chol Amana May Hospital Bni - Hwath HC,Jabr Bn Hyan Complex,Jddr were given(case management)Most of them were from Amana governorate & a few of them 258 0 AlHarith,Maain,Az'zal ,Assafi'yah HC,Al Jraf Complex,Ottan Complex,Gazah Complex,Other from other governorates from different districts of that governorates,the results of stool C/s still pending. .Rapid tests of cholera were negative for most collected specimens, so stool C/s not done for that samples.There were no collection or cluster of cases in the same Place.

eIDEWS coordinator contacted focal points,information shared,then HF visited by eIDEWS Pert Amana As Sabain,Az'zal As Sabin Hospital,Azal Complex coordinator.The cases diagnosed clinically according to the case definition. Antibiotics 5 0 treatment were given,the cases were un vaccination

eIDEWS coordinator contacted focal points,informations shared,after that HF visited by eIDEWS coordinator.The case diagnosed clinically according to the case definition as suspected diphtheria.Symptoms & signs of a case were,fever,sore throat,grey-whitish pseudo- Diph Amana As Sabain,Al Wahdah,Bani Al Harith As Sabin Hospital,Almadinah H membrane,swelling of neck lymph-nodes(Bull neck) & difficulty of swallowing & breathing. 4 0 Antibiotic treatment was given & case management done.Throat swab & fixed slides were taken into Central Lab for confirmation(Albert stain,Gram stain & Diphtheria C/S)the cases were vaccination

eIDEWS coordinator contacted focal points,then HF visited. Information shared,Stool AFP Amana Assafi'yah,At Tahrir,Maain Althwrh H,Aljomhwri H,Scinces and Tecnology H samples collected from the cases & sent for lab confirmation,the cases were vaccination 6 0 except one case was un vaccination against polio

edews focal points contacted , the cases were diagnosed clinically , not RDT performed and Monabbih Rural Hospital,Al Jumhoori Hospital,Majz Health Chol Sa'adah Munabbih,Baqim,Sa'da,Majz not samples collected . the cases treated in the HC according to the management protocol 70 0 hospital,Other the line list updated and the information shared

the e-DEWS focal points in the hospital were contacted, the reported case verified, the cases Al -Talh Hospital,Majz Health hospital ,Al Salam Hospital,Al Munabbih,AsSafra,Sa'da,AdhDhahir diagnosed clinically according to the standard case definition, the cases treated at the OPD in Meas Sa'adah Jumhoori Hospital,Monabbih Rural Hospital,Ghafira 58 0 Majz,Haydan,Kitaf wa Al Boqee,Sahar the health center, the line list updated and the information shared. DRRT informed to perform Unit,Other field investigation and household response activities

Qatabir,Razih,Haydan,Sa'da,Kitaf wa Al edews coordinator conduct the focal in haydah Hospital after report of cases pertusess cases Pert Sa'adah Qatabir Health Center,Al Salam Hospital,Kitaf hospital 8 0 Boqee,Ghamir,Majz , the cases were diagnsed clinically and treated in the health center.RRT vistrd

the edews focal points contacted , the cases were diagnosed clinically according to the standard case definition ,the cases referred to the Diphtheria isolation in i hospital and Diph Sa'adah Sa'da Qahza Health Center,Al Jumhoori Hospital 33 1 centers , the cases receive the proper management , the contacts traced by the district RRT , the line list updated and the information shared,one case was dead

DF Sa'adah Sa'da altakhasasy hospital 3 0

the edews focal points contacted , the health facility visited and the investigation performed. AFP Sa'adah Sa'da,Majz Al Jumhoori Hospital,Dhian HC the cases ,from sehar districts ,. the samples collected and sent to the central lab , the RRT 6 0 visit the patient home and perform the investigation

Zulaymah,Kharif,AlAshah,AsSudah 22 May hospital,Al Sanaaniah Health Center,Harf Sufyan eidews coordinator contacted focal points and The coordinator of surveillance in districts , the BaniSuraim,Amran,Raydah,Maswar Huth Chol Amran H,Maswar Rural Hospital,Huth Health hospital,Al Madan cases were diagnoses clinically as suspected cholera AWD.according to case definition.all 153 0 Dhi Bin,Harf Sufyan,Jabal Iyal Health hospital,Habur Health hospital,Other the cases improved After Taking The Treatments proper Yazid,Suwayr,AsSawd,AlMadan Thula,Habur

Eidews coordinator contacted focal points and The coordinator of surveillance in districts and visit health hospital and centers,The cases were diagnoses clinically as suspected Pert Amran Khammer,Huth,Al Ashah Al Salam Khamir Hospital,Other 8 0 pertussis.according to case definition, the cases Improved after gave the treatments proper,the cases were vaccination except 2 cases were un vaccination

Eidews coordinator contacted the coordinator of surveillance in districts ,the cases Were diagnoses clinically as suspected Measles. according to Case definition, Blood samples were Meas Amran Huth,Raydah Raydah Health hos.,Other 2 0 collected of cases and send to central lab in sanaa for confirmation,the cases were vaccinated against Measles

This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 4 ) Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020)

Alert Responded in Epi - Week 37,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Jahanh,Bilad Arus,Attyal,Bani 22 May Hospital,Bani Siham HC Ka'a Alreka HC,Bait Alhaisa eDEWS coordinator contacted focal points,The cases were diagnosed suspected HushaysAlHaymahAdDakhiliy,Sa'fanNahm,K HU,Al wheda Manakha rural Hospital,Walan Hospital,Bait Chol Sanaa Governorate cholera(AWD) 10 cases were positive from some cases by rapid test and cases were treated 301 0 hwlan,Manakhah,Hamdan Bani Alhenami HC,Bait Al Shatarah Hu,Hamdan Hospital,Alshaeed at the health facility and received treatment Matar,Sanhan, Al Haymah Al Kharijiyah Mohamed Aldurra Hospital,Alshe'eb Alaswad HC,Other

The EDEWS coordinator contacted the focal person. The case was 19 months male The Meas Sanaa Governorate Bilad Ar Rus Other case was diagnosed clinically by case definition. Skin rash started in 10_9_2020. The case 2 1 0 dose vaccination . blood sample was collected.

Sabah,AtTaffah,Naman,Mukayras eIDEWS team contacted focal points, the cases were diagnosed clinically as suspected Dar Najd Health,Mukayras Hospital,Mother and child DhiNa'im,ALSharyah,AlMalagim,Nati cholera using case definition, rapid test 16 positive and the main saing watery diarrhea Chol Al-Baidha HC,Dthran HC,Alshriah Sare H,Althwrh Hospital,Al-Taffah 456 0 Rada',AzZahir,AsSawadiyah,Radman &vomting some dehydration the paitnts ademittedt in Sare Hospital with ORS and IV fluid in Center,Other AlAwad AlQuraishyah,AlBayda City good condation the cases from deferrnt organ

eIDEWS team contacted focal points, the cases diagnosed clinically according to case Pert Al-Baidha At Taffah,Mukayras Al-Taffah Center,Areeb HC 3 0 definition Antibiotics treatment were given,the cases were vaccinated against pertussisn

IDEWS team contacted points, information shared , the cases diagnosed clinically according Meas Al-Baidha At Taffah,Dhi Na'im,Al Malagim Al-Taffah Center,Other to case definition Antibiotics treatment were given,samples were collected and the cases were 2 0 un vaccination against measls

eIDEWS team contacted and visit focal points information shared field investgation done. AFP Al-Baidha Al Bayda City Mother and child HC 1 0 stool samples were collected from the case ,the case was vaccination

eDEWS coorinator contacted focal points, Diph Al-Baidha Dhi Na'im,Al Bayda,Al Bayda City Althwrh Hospital,Other Samples were not collected and diagnosed clinically As suspected Diphtheria using case 4 0 definition,the cases were un vaccination eIDEWS team contacted focal points, the cases were diagnosed clinically as suspected DF Al-Baidha Naman Other 8 0 cholera using case definition the cases 4 male and 4 femal,5 cases greater than 5 years

Wusab AsSafil,Mayfa'at Anss,Jahran Alwahda university H,Ezzan Center,Dawran Hospital,Dheba EideWS coordinator contacted focal points he found cases diagnosed suspected Chol(Acut Dhamar City,Dawran Aness, Maghirib HC,Souk Aleffa HC,Zeraja rural H,Aljarf HC,Alhumyat Chol Dhamar watery diarrhoea and dyhadretion ) cases not tested by rapid test - cases from different area- 242 0 Anss,Wusab AlAli,AlHada,Utmah,Anss HC,Kharbah Abuyabes HC,Rsabh Hospital,Dhamar public cases were treated at the health facility and received treatment AlManar, H,Other Eidewds coordinator contacted of the coordinator districts and he found that cases were diagnosed according to the standard definition of pert - cases from different districts,the Pert Dhamar Dawran Aness,Jahran d\abduallah mosaa Clinic,Alwahda university H 5 0 cases were Vaccination unknown , treatment and education health given .reporting date 0n 10/9 /2020

focal point contacted with coordintor districts and he found case diagnosed according to the Meas Dhamar Wusab Al Ali,Dhamar City Aldan rural H,Alhumyat HC 2 0 standard definition ,the cases were unVaccination,Samples were collected

Diph Dhamar Dhamar City,Jahran Dhamar public H,Alwahda university H 3 0

contacted the contact and told us that suspected dengue cases had a history of high fever, back pain, muscular pain, and arthralgia. The samples were collected at the hospital's DF Mareb Al wadi,Sirwah,Marib City,Harib Harib Hospital,( al Wahdah ) Hospital,Alateer Hospital ,Other 109 0 laboratory for serological testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality test) which detects the virus antigen .that confirms the result Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed clinically according to case definition.Stool samples collected from cases for May 22 Hospital,Mahiliyah Hospital,( al Wahdah ) Chol Mareb Al Jubah,Mahliyah,Sirwah,Al wadi screening test only . Supplements & antibiotics treatment were given ,the results of stool 86 0 Hospital,Other Rapid tests of cholera 7 positive .There were a no collection or cluster of cases seen in the same Place eIDEWs team contact focal points,the Cases diagnosed clinically as suspected AFP.field in AFP Al-Jawf Al Hamidat,Rajuzah,Kharab Al Marashi Al Humaydat Health Center,Bart Rajuzah Hospital vestigtion were done.stool samples were collected form the cases and close contact and sent 3 0 to central Lab in Sana'a

Rajuzah,Bi'rat Al Anan,Kharab Al Marashi,Al Al Shifa Center,Bart Al Anan Rural Hospital,Al Marashi Health The eIDEWS Coordinator received a report from the control officer that there were cases of Chol Al-Jawf Matammah,Al Matun,Al Center,Hosoon Aal Shanan Health Center,Al Masloob Health the doctor's diagnosis,the cases without suspicious examination from different areas. After 96 0 Hamidat,AlHazm,AzZahir,AlMaslob Al Khalq Center,Al Humaydat Health Center validation. Treatments were treated according to the treatmen plan

VHF Al-Jawf Al Matammah Hosoon Aal Shanan Health Center 1 0

eIDEWs team contacted focal points,the Cases diagnosed clinically as suspected Pert Al-Jawf Al Matun,Kharab Al Marashi Al Shifa Center,Al Marashi Health Center 5 0 pert.treatments were done ,the cases were un vaccination

eIDEWS coordinator contacted the focal points, information was shared. The cases were Bani Sa'd,AtTawilah,AlMahwait City diagnosed clinically according to case definition, some cases were investigated by rapid test Chol Al-Mahweet Milhan,AlMahwait,alKhabt,ArRujum Alwast HU,Alahjoul asfl HU,Lahbol Health Unit,Other 74 0 for vibrio cholera and the result were negative. Appropriate treatment were given according to Hufash,Shibam Kawkaban severity of symptoms and dehydration.

The Governorate epidemiological surveillance coordinator was investigated and the AlKhabt,Shibam Kawkaban,BaniSa'd At information collected, eIDWES coordinator contacted him, information was shared, blood Meas Al-Mahweet Alahjer HC,Alkhpt H,Bani Sa`d Hospital,Other 5 0 Tawilah samples were collected,skin rash were appear,the cases were vaccinated against measles,. The blood samples were send to central Lab in Sanaa for investigation.

eIDEWs team contacted focal points,All cases were diagnosed clinically according to cases Pert Al-Mahweet At Tawilah,Shibam Kawkaban Shbam H,Other definition, The cases were vaccination unknown except 2 cases were vaccination against 29 0 pertussis.

Diph Al-Mahweet Al Mahwait City Aljoumhwri H 1 0

eIDWES coordinator contacted focal points, information was shared.The cases were Meas Rayma Bilad At Ta'am Alhurih HU diagnosed clinically according to case definition,The blood samples were collected and send 2 0 to central Lab in Sanaa ,the cases were vaccination

eIDEWS coordinator contacted the focal points, information was shared, The cases were diagnosed clinically according to case definition, The cases were investigated by not rapid Chol Rayma Kusmah,Mazhar,Al Jafariyah,Al Jabin Ad Diar HU,Althulaia H,Az Zilh HC 38 0 test for vibrio cholera excpet one case was investigated and result negative,Appropriate treatment were given