Special Supliment-1-20102010.Pub

Special Supplement Flood Response in Pakistan 22 November 2010

Highlight

• Between 12 - 18 November 2010 (epidemiological week no. 46), a total of 11 alerts reported and responded. 7 alerts were reported from KPK and 4 were from Sindh. • Out of total 11 alerts 3 were for Viral Hemorrhagic Fever (VHF), 3 were for Diphtheria, 2 were for Acute Watery Diarrhea including death from DTC Taluka hospital Hala district Hyderabad, 2 were for Measles and 1 alert for ARI with death from IDP camp Togh Sarai, district Hangu.

This information is published jointly by the Federal Ministry of Health, Government of Pakistan and World Health Organization (WHO), Pakistan. For correspondence: Tel: +92-051-9255184-5; fax: +92-051-9255083; E-mail: [email protected]; [email protected] 01 Special Supplement: Flood Response in Pakistan Table-1: Follow-up alerts reported in week 45, 2010.

• Each alert below was responded within 24 hours.

1. In case of VHF alert, the team raised awareness in the household and community regarding mosquito control and prevention of bites and early referral of hemorrhagic cases. At hospital level, the team shared information regarding case management of DHF. 2. In case of AWD alert, the team visited the community and assessed the source of drinking water for the affected population and pro‐ vided Aqua‐tabs and /or Life Straw filters for household purification. The team provided materials to the LHWs for IEC regarding hy‐ giene and personally conveyed the messages door‐to‐door while distributing soap. ORS was provided for early treatment of mild cases in the community. Referrals were arranged to the DTC or local hospital for severe cases. The Environmental Health unit arranged chlori‐

Date of alert Alert Province District Location (detailed) Age (yr) Sex Action taken / Notes Alert was reported, sample was found positive for Measles. Active surveil‐ 6-Nov-10 Measles KPK Mardan BHU Charbanda (Qadarshah Kaley) 2 M lance has revealed no further cases. Probable diphtheria case, lab result negative. Contacts identified and 6-Nov-10 Diph KPK Charsadda Hisara Village 4 F treated prophylactically.

8-Nov-10 AWD Balu Jaffarabad CH Usta Muhammad 13 M Sample found positive for V. Cholera Ogawa, See number 2 above.

8-Nov-10 VHF Sind Ghotki Raja Colony Dahraki 22 M Sample was negative for DF, see number 1 above.

15d, 8d, Patients are improving, active surveillance ongoing. MNCH Task Force 8-Nov-10 NNT Sind Ghotki Ghotki F, M, F 17d notified.

8-Nov-10 AWD Balu Jaffarabad Gola Murad Khan Mohalla - Jhat Pat 2 F Sample was found negative for cholera, See number 2 above.

8-Nov-10 AWD Sind Nausheroferoz TH Moro 2.5, 3 M,M Sample collected and sent to NIH, See number 2 above.

9-Nov-10 AJS Balu Lasbela DHQ Lasbela ** ** On investigation chronic cases of Hepatitis B and C were found.

Probable diphtheria case, lab result negative. Contacts identified and 10-Nov-10 Diph KPK Peshawar Lady Reading Hospital (Haseen Abad) 8 M treated prophylactically. 21 NNT cases including 17 deaths reported from DHQ hospital 16 July to 23 10-Nov-10 NNT Balu Naseerabad DHQ Naseerababd ** ** Oct. TT coverage less than 5% in district. MNCH Task Force and EPI formu‐ lating response.

11-Nov-10 VHF Balu Jaffarabad Sohabat pur (Saleem Khoso Village) 2 M Sample collected and sent to NIH. See number 1 above.

11-Nov-10 AWD Sind Hyderabad DTC Hyderabad (Lajpat Road) 12 M Sample found positive for V. Cholera Ogawa, See number 2 above.

Bishti lashkar Khan Village, Khawand Bux M, M, M, 7 suspected measles cases identified right after campaign, having been 5, 18m, 4, 11-Nov-10 Measles Ghotki Sudrani Village, Near Almehran School M, M, M, Sind 9m, 3, 1, 5 during incubation phase. No further cases identified. Active surveillance Ghotki City, Sobho Chachar Village F ongoing.

DHQ Mardan, Rashakai Nowshera, 11-Nov-10 AWD Mardan 7m, 16m M, M KPK Karkawand Mohallah Sample was found negative for cholera, See number 2 above.

4, 5, 5, 3, F, F, M, 18m, 18m, F, M, F, 11-Nov-10 Measles Kashmore Kabil Khan Bhayo Village Sind 54m, 4, 3, M, M, F, Samples collected and sent to NIH, active surveillance under process. 18m, 18m F, M Table-2: Alerts and Outbreaks (Week 46, 2010)

Date of alert Alert Province District Location (detailed) Age (yr) Sex Action taken / Notes

1 death reported from Togh Sarai IDP Camp district Hangu. Health and 12-Nov-10 ARI KPK Hangu Togh Sarai IDP Camp, Hangu 1 M hygiene sessions were conducted. Straw filter and bed net was provided. DHQ Timergara (Sahib Abad Village - 13-Nov-10 AWD Lower Dir 60 F KPK Upper Dir) Sample was found negative for cholera, See number 2 above.

DHQ Timergara (Sahib Abad Village - 13-Nov-10 VHF Lower Dir 10, 7, 10 M, M, F KPK Upper Dir) Sample collected and sent to NIH. See number 1 above.

14-Nov-10 VHF Sind Ghotki Ghota Hospital 10, 1 M, M Suspected cases were found, See number 1 above.

M, M, F, Ten deaths identified as probable measles by treating physician in Dadu. 4, 2, 4, 2, F, F, M, Specimens collected on ten other cases of suspected measles in the IDP 16-Nov-10 Measles Dadu IDPs Camp Dadu 2, 2, 2, 2, Sind F, M, F, 3, 18m camps. Children up to age 5 years vaccinated against measles in all tent M camps in Dadu in the days before Eid. Lady Reading Hospital (P.O Tangi - Probable diphtheria case, lab result negative. Contacts identified and 16-Nov-10 Diph KPK Peshawar 5 M Charsadda) treated prophylactically. Lady Reading Hospital (P.O Saabu Khel - Probable diphtheria case, lab result negative. Contacts identified and 16-Nov-10 Diph KPK Peshawar 3 F Banu) treated prophylactically. 41m, 44m, 16-Nov-10 Measles Nausheroferoz TH Kandiaro F, M, F Sind 4 Samples collected and sent to NIH, active surveillance under process.

17-Nov-10 VHF KPK Abbottabad Ayub Teaching Hospital (Oghi Mansehra) 16 M Sample collected and sent to NIH. See number 1 above.

Probable diphtheria case, sample collected and sent to NIH. Contacts Lady Reading Hospital (P.O Latambar - identified and treated prophylactically. Immunization response planned 18-Nov-10 Diph KPK Peshawar 4 F Karak) with Pentavalent to extend up to age 7 years in four Ucs this month. Second round at end of December. 1 death was reported due to severely malnourished and came to DTC DTC Taluka hospital Hala (Village Qasim 21-Nov-10 AWD Hyderabad 8 F Sindh Bhughio) Hyderabad Taluka hospital Hala with the complain of diarrhoea. The patient was remained on ATT.