Eiectronic Integrated Disease Early Warning and Response System DG for Disease Contraol Surveillance Volume 07,Lssue2,Epi Week 2,(07-13 January,2019)

Ministary Of Public Health Papulation Weekly Epidemiological Bulletin Primary Heath Care Sector Eiectronic Integrated Disease Early Warning and Response System DG for Disease Contraol Surveillance Volume 07,lssue2,Epi week 2,(07-13 January,2019)

Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-2,2019 %

100% % 304000 93 90% 93 80% 303000 70% 302000 •During week no.2,2019, %93(1990/1857) health facilites from 23 Governorates 60% provided valid surveillance data. 50% 301000 40% Percentage 300000 30% Consulttaions 20% 299000 10%

0% 298000 Wk 2 Wk •The total number of consultation reported during the week in 23 Governorates was 1 Wk 303701 compared to 299953 the previous reporting week2 . Acute respiratory tract Reporting Rate Consultations

infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Distribution of Reporting Rates by Governoraes (Epi-Week 2,2019)

% %

100% % %

Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this %

100

100 100

90% 97

100

% %

week. 80% %

91 85

70% 82

% 69 60% 60 50% 40% 30%

20% No. HF Reports HF No. ● A total of 1815 alerts were generated by eDEWS system in week 2, 2019, Of these 10% 1807 alerts were verified as true for further investigations with appropriate response 0%

Reporting Rate Target

Leading causes of morbidity mortality in Epi-Week 2,2019 Proportional morbidity of leading priority diseases, Epi week 2,2019

AVH_A&E; 0.1% AFP; 0.0% Mumps; 0.2% Mal; 5.2% DF; 0.2% Typhoid F; 1.5% AVH_B&C; 0.0% ● (URTI) 18.3%, suspected Malaria (5.2%),(OAD) (9.1%) and (LRTI) (7%)Remain the Meas; 0.2% Sch; 0.2% RB; 0.0% leading causes of morbidity representing a total of (51.8%) Meng; 0.0% Brucellosis; 0.3% Chicken Pox; 0.2% Scabies; 0.1% ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than CL; 0.0% OAD; 9.1% 1% of total morbidity in reporting period Bloody diarrhea represented 0.4% Of this morbidity BD; 0.4% SARI; 0.1% ● All diarrheal disease comprised 12.2% and LRTI 7% of total morbidity in pilot Governorates Pert; 0.0% ILI; 0.8% this week . URTI; 18.3%

LRTI; 7.0% ● All diarrheal disease comprised 12.2% and OAD 9.1% of total morbidity in all age group .

Measles Situition in Yemen Distribution of Governorate Measles cases & Deaths , Epi week 2,2019 Epi Curve of Measles in Yemen During 2017,2018,2019,

160 900

140 800

120 700

100 600

80 500 60 400 40 300 20 200 0

100

wk1 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 wk10wk11wk12wk13wk14wk15wk16wk17wk18wk19wk20wk21wk22wk23wk24wk25wk26wk27wk28wk29wk30wk31wk32wk33wk34wk35wk36wk37wk38wk39wk40wk41wk42wk43wk44wk45wk46wk47wk48wk49wk50wk51wk52 0 2019 465 524 2018 241 218 357 349 377 328 384 459 427 512 532 722 733 820 763 844 631 625 673 451 500 492 394 210 374 348 494 442 482 465 420 438 337 253 369 439 404 428 501 404 451 524 434 489 416 470 427 455 414 494 468 442 No of cases No of Death 2017 80 127 145 166 179 146 178 166 143 174 129 122 123 82 137 90 81 72 98 85 54 53 44 31 19 33 87 74 58 95 91 95 75 91 21 66 80 89 76 109 131 92 97 91 67 130 136 105 103 123 114 116

النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا على شكل وباء :ILI التهاب تنفسي حاد وخيم:SARI التهاب الكبد :AVH الحصبة :Meas داء الكلب :RB التهاب السحايا :Men حمى الضنك :DF مالريا :Mal بلهارسيا :Sch اسهال مائي حاد :AWD التهاب الجهاز التنفسي السفلي:LRTI اسهال حاد اخرى :OAD اسهال مدمم :BD عدوى الجهاز التنفسي العلوي :URTI االيذز :HIV الجذري:CHICKEN دودة غينية:GUINEA حمى مالطيه:BRUCELLOSIS السل:TUPERCULOSIS 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 2 (07-13 January,2019)

27 April , 2017 up to 20 January,2019

GOV

Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Email ([email protected])

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 2 (07-13 January,2019) DIPHTHERIA SITUATION IN YEMEN

Deaths Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Email ([email protected])

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 2 (07-13 January,2019) SARI(Suspected Cases of H1N1)Epidemic Situation in Yemen Map of Yemen Showing Suspected Cases of H1N1 ,Upto 20 Jan 2019 Summary Statistics

Distribution of SARI(Suspected Cases of H1N1) by Governorates Distribution of Confirmed H1N1 Cases by Districts

Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Email ([email protected]) Dengue Fever Situation in Yemen

Morbidity and Mortality of Dengue Fever by Governorates week 1 - 2 /2019 Summary Statistics

Epdemic - Curve of Dengue Fever Cases in 2017,2018 and 2019

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 2 (07-13 January,2019)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-2 ,2019)

URTI LRTI mararia tested cases & confirmed Epi weeks 1-2،2019

20.0% 8.0% 4000

18.0% 7.0% 3500

16.0%

6.0% 3000 14.0%

2500 5.0% 12.0%

2000 10.0% 4.0%

8.0% 1500 3.0%

6.0% 1000 2.0% 4.0% 500

2.0% 1.0%

0 wk2 0.0% wk1

0.0%

WK1 WK2 WK2 WK1 Rapid Test(Postive) Microscope(Postive)

Age and Sex distribution of total consultations of leading diseases (Epi week 2,2019) Number of Alerts Received and Responded (Epi Weeks 1-2,2019)

70000

63004 URTI LRTI Pert BD OAD Typhoid F

60000 AFP Meas AVH_A&E AVH_B&C DF Meng

Sch CL Chicken Pox Mal 50000 250

40991 40000 200

30263 29274 30000 28170 28025 150 24146 21383 19499 20000 19219

100 No. of of No.Alerts

10000 50

0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 19499 28170 29274 40991 21383 Female 19219 28025 30263 63004 24146 Distribution of consultations of leading diseases by Governorates,Epi week 2-2019

Hadramout Sanaa Suspected Disease Abyan Aden Al-Baidha Al-Dhale AlHodaidah Al-Jawf Al-Mahra Al-Mahweet Amana Amran Dhamar Hadramout Hajjah Ibb Lahj Mareb Rayma Sa'adah Shabwah Socotra Taiz Total wady Governorate URTI 2287 4460 1245 1186 4164 1398 509 916 5941 2691 3168 1432 2115 4599 2682 3047 668 527 3414 3865 1455 81 3811 55661 LRTI 379 546 732 394 2171 310 64 562 2328 1245 1589 371 449 1747 1513 1333 290 154 1229 1659 512 53 1676 21306 ILI 230 0 62 0 89 31 0 89 32 90 111 0 0 244 161 29 411 3 80 161 309 11 429 2572 SARI 0 0 12 0 1 0 0 0 24 0 82 0 0 8 3 5 7 0 29 0 0 0 2 173 Pert 0 5 2 0 0 4 1 0 5 23 4 0 0 13 0 5 1 0 27 17 0 0 19 126 BD 28 6 36 9 92 34 0 54 71 127 83 4 5 9 65 30 26 16 101 142 80 5 117 1140 OAD 905 1578 726 567 1263 1009 308 581 3847 1400 2298 568 501 2098 1894 1136 371 259 1725 1907 649 19 1925 27534 Typhoid F 56 60 261 19 420 198 4 127 623 280 765 30 11 15 489 36 74 38 229 313 81 46 442 4617 Meas 7 17 13 31 13 14 14 13 38 48 73 16 10 42 37 14 15 0 68 8 28 0 5 524 AVH_A&E 6 23 1 0 2 2 0 1 106 20 43 21 18 1 25 17 1 0 6 38 18 0 17 366 AVH_B&C 1 3 1 1 0 1 0 0 49 2 9 1 0 2 17 5 0 0 0 0 1 0 8 101 NNT 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 AFP 0 0 1 0 0 1 0 0 2 0 1 0 0 1 1 0 0 0 0 1 0 0 1 9 602 79 0 17 19 59 3 4 10 26 39 94 األمرا58ض المشتبهة Mumps 1 13 20 10 20 11 21 7 61 13 17 Mal 15 306 1 1 6917 105 26 473 136 396 560 5 1 3930 408 25 8 132 282 139 78 0 1885 15829 Meng 0 3 0 0 0 0 0 0 11 0 3 3 0 1 5 0 0 0 3 0 1 0 14 44 DF 21 120 0 9 173 2 3 4 0 0 0 65 1 6 0 41 9 0 0 0 50 0 3 507 VHF 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 2 Sch 2 0 0 16 1 23 0 24 11 108 41 16 6 142 16 11 0 22 91 44 1 0 54 629 CL 1 0 4 0 0 2 0 7 4 1 14 0 1 10 4 20 2 3 10 18 1 0 0 102 RB 1 0 0 2 0 0 0 7 1 3 16 0 2 5 20 0 0 0 0 8 1 0 6 72 Tuberculosis 2 6 1 0 0 3 0 0 6 1 14 0 1 2 8 0 0 1 3 9 0 0 14 71 HIV/ AIDS 1 0 0 0 0 0 0 0 8 0 0 0 0 2 0 0 0 0 0 0 0 0 0 11 Brucellosis 1 0 55 0 12 61 0 6 123 69 287 0 6 131 94 0 11 3 31 18 11 0 11 930 Chicken Pox 5 40 9 8 2 20 0 19 133 46 25 6 5 46 21 5 3 9 51 61 23 0 13 550 Scabies 19 0 1 1 102 2 0 4 16 2 10 0 1 30 0 3 4 5 43 10 8 2 2 265 Guinea Worm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 othr_disease 3404 10614 3647 6080 5184 2827 1567 1718 32196 5293 16650 6304 4305 8146 13442 5636 4397 366 4021 6376 4035 197 10827 157232 total_cons_disease 7375 17879 7265 8425 22092 6358 2517 4991 47455 12946 28018 8903 7605 21885 21731 11554 6302 1682 12413 16018 7611 414 22262 303701 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]) 5 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 2 (07-13 January,2019)

Alert Responded in Epi - Week 2,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Contact with the surveillance coordinator of the district, cases of suspected cholera were diagenosed clinically were diagenosed clinically according to case definition' cases presented Radfan,Al Maqatirah,Al Milah,Halimayn,Tur Radfan Public H,Halimeen rural H,Almilah Hospital,Alanbwa with acute watery diarrhea associated with vomitting leading to moderate dehydration. Chol Lahj 77 0 Al Bahah HC Rapid tests were negative, cases reported immediately to the central lab. Added to the line list and treated by intravenous fluid , ors and antibiotic. Finallay cases improved and discharged.

The focal points of the health facility were contacted , information shared ; cases of Radfan Public H,Alwaht rural H,October public H,Sabr Health suspected Dengue fever were diagenosed clinically according to case definition, rapid test DF Lahj Radfan,Yaffa,Tur Al Bahah,Tuban 41 0 Center,Alfayosh HU,Tour Albaha Hospital,Alhlal HC were positive. Cases added to the line list , treated and lmproved.

Contact with the surveillance coordinator of the district , cases of suspected measles were diagenosed clinically according to case definition. Al Maqatirah,Tuban,Yaffa,Al Meas Lahj Alanbwa HC,Alwaht rural H,October public H,Halimeen rural H Cases presented with fever and skin rash, 14 0 Maflahy,Halimayn,Al Qabbaytah Cases were vaccinated Case added to the line list, treated symptomatically and left the health facility.

Immediate reported was recived by the focal points of the health facility, the cases of suspected whooping cough were diagenosed clinically according to case definition, 3 cases Pert Lahj Yaffa,Tuban October public H,Bin Dayan Dispensary 5 0 were vaccinated unknown and one case was vaccinated, the Cases were treated symptomatically and left the health facility.

EIDEWS team were contact fp, the cases were Pert Aden Al Mansura,Ash Shaikh Outhman Dr.Muna Clinic,Alwahda educational H un vaccination , the cases were not samples collected, treatment were given, investigation 5 0 form were done . includes in line list.

Alburaihi H,Al-Wali Hosp.,Hwailat Dispensar,Khalefah Ash Shaikh Outhman,Al Hospital,Al-Salam Hosp.,Alwahda educational H,Aden EIDEWS team were contact fp, the samples were collected, treatment were given, DF Aden 120 1 Mansura,Sairah,Khur Maksar,Dar Sad German Hosp.,Saber H,Babl Hospital,Kuwait Medical investigation form were done . includes in line list. One case was dead Center,Al Ryadah Hosp.

Attawahi,Al Buraiqeh,Al Mansura,Ash Alkalloa'a Complex.,Be'ar Ahmed HC,Hashed Health eIDEWS team were contacted fp: The cases were diagnoses clinically , the most cases were Meas Aden Shaikh Outhman,Sairah,Khur Maksar,Al Complex,Babl Hospital,Alwahda educational H,Kuwait 17 0 un vaccination , samples were collacted , treatment were given , investigation form were done. Mualla,Dar Sad Medical Center,Other

EIDews team were contacted fp, the cases were vaccinatipn samples Riped test 8 postive Chol Aden Dar Sad,Ash Shaikh Outhman Albasateen medical center,Alwahda educational H 76 0 and diagnoses clinacally

eDEWS team contacted RRT. The cases were diagnoses clinically, one case was vaccination Diph Aden Sairah,Ash Shaikh Outhman Almaidan health complex,Alwahda educational H and one case ather was vaccinated unknown, treatment were given, investigation form were 2 0 done.

eIDEWS team contacted the focal points, the cases were diagnosed clinically according to Meas Abyan khanfir,Sarar,Rosod Rassad H,Alhtat HU,Alrazi .H 7 0 Measles case definition. blood samples were collected

Al Mahfad Hospital,Alkafah HU,Mahnf-Lwdr H,Rowais eIDEWS team contacted the focal points, all suspected cases diagnosed clinically according DF Abyan Al Mahfd,Lawder 21 0 Dispensary to the standard case definition

eIDEWS team visited the focal in Alrazi.H. both cases arravedcomplained of sever watery diarrhoea associated with sever dehydration.one male Chol Abyan khanfir Alrazi .H 2 1 two years old complsin of loss of consciousness and died after 10 min second case female 60 years old received the ORS and I.v fluids. Rdt were negative in both cases

We was communicating with the coordinator of edews in the facility we found these cases of Sabir Al Mawadim,Al Qahirah,Al Misrakh,At Al Aroos Hospital,Yemeni - Suidi H,Almsrakh Hospital,MSF Pert Taiz suspicion of pertussis,the cases were from different areas. .. Action :these cases were treated 19 0 Taiziyah,Ash Shamayatayn,Salh Hospital,Al-Safwah Hosp. at home . Advices have been given to their parents to follow up and review.

Khadir,Al Qahirah,Mawiyah,Ash Rapid response team contacted also focal points by eIDEWS coordinator,cases diagnosed Shamayatayn,Al clinically according to case definition.Stool samples(C/S & serotyping) collected from cases & Dmnat HC,MSF Hospital,Aljoumhri H,Ar Romah Mudhaffar,AlMukha,Maqbanah,At sent to lab (Central labs)for confirmation. Supplements & antibiotics treatment were Chol Taiz center,Khalifa Hospital,Almodafar Hospital,Almkha 288 0 Taiziyah,Al Mudhaffar,Sharab As given(case management) &,the results of stool C/s still pending. .Rapid tests of cholera were Hospital,Mawih Hospital,22 May HC,Other Salam,Sharab Ar Rawnah,As Silw,Sabir Al negative for most collected specimens, so stool C/s not done for that samples.There were Mawadim collection & cluster of cases in the same Place.

Rapid response team and Focal point was contacted by eIDEWS coordinator ,,,, information's shared. samples were collected ,, and will be send to sana'a, , The case was: AFP Taiz Al Maafer Alnshmh H 1 0 .Name :amaani ameen Mohammed ,, Age :96 months. Sex :female . . Residence : taiz governorate &jabal habashi district ,,Date of onset :4 /des..

eIDEWS coordinator contacted focal points and the coordinator of the directorate Meas Taiz At Taiziyah,Al Mudhaffar MSF Hospital,22 May Almodafar HC ,information's shared.Blood samples were collected from the cases and sent for lab 5 0 confirmation & the cases were vaccinated unknown

Focal points were contacted , the suspected DF cases had a history of high fever , retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed clinically.,rapid test of dengue VHF Taiz Al Qahirah Alrwdh H virus was done for some of them ,,which were positive,, Medications have been started, ALL 1 0 cases diagnosis depend on case definition and some of them by rapid test for dengue antibodies and platelets counts,there is cluster of cases in some areas.

The EDEWSS coordinator contacted the focal person. The case was diagnosed clinically by VHF Hadramout Al Mukalla City Fawa alkadima HC case definition. The case was adult male from Fowa Alkadeema zone. Blood sample was 1 0 collected. Symptomatic treatment was given

The EDEWS coordinator contacted the focal person and the district RRT investigate the area. The cases were diagnosed clinically by case definitions. The cases were unvaccinated but 4 Ghail Ba Wazir,Yabauth,Al Mukalla Alghalila HU,University Hospital,Maternity and Childhood H - cases were vaccinated,The RRT visited the area, they provide treatment to the cases with Meas Hadramout 16 0 City,Broom Mukalla,Mifaa HC antipyretic and Vit A . they reffer the unvaccinated children to the health facility and provide health education in the field. the most blood samples were collected and sent to the measles coordinator. All cases improved.

Immediate report was sent by the EDEWS focal person. The cases were clincally by case Al-ShishanHealth Center,Ghail Bawazeer H,Alshahr public Ghail Ba Wazir,Ash Shahr,Al Mukalla definition. The cases were 3 ault males aged 21,24& 38 years. blood samples were collected DF Hadramout H,Bin Sena'a educational H,Ad Dis Al-Shrgyah Hospital,Alborj 65 0 City,Ad Dis . RDT were done. It were positive for dengue Antigen in all samples collected. All cases were Hospital treated with symptomatic treatment All cases improved.

The district RRT investigate the area. The cases were diagnosed clinically by case definition as AWD with moderate dehydration. Symptoms started. No culture sawp were taken , the Chol Hadramout Broom,Hajr Mifaa HC,Hajar aljoul rural H cases were negitive except one case was positive . the wash RRT also informed. Health 2 0 education were done in the field to the target cases and the surrounding . The cases were treated with iv fluid and cover antibiotic. The cases improved.

Al Udayn,Yarim,AlMashannah,Hubaysh,As Saddah, Far Al Udayn,Ibb,Dhi As Alnassr H,Swq- Alrapwa HC,Najd- Aljomai HC,Yarim Immediate notification. eDEWS Coordinator visited hospital. stool samples were collected Sufal,ArRadmah,Mudhaykhirah,Badan,Hazm Chol Ibb Hospital,Mother and Child H,Blad- Almuliki HC,Alradhmah 81 positive and ather cases were negative by rapid test . All cases were improved ,one case 897 1 Al Udayn,As Sabrah,Al Qafr,Al H,Alaaqph HC,Mothikhrh H,Bani- Alasad HU,Other was dead Makhadir,As Sayyani,Ash Shair,An Nadirah,Jiblah

Al Udayn,As Saddah,Al Makhadir,Ash eDEWS focal point s contacted.Information shared ( Samples were collected . The most Meas Ibb Aladin H,Yarim Hospital,Other 37 0 Shair,Yarim,Ibb,Ar Radmah,Badan Cases were un vaccinated but 4 cases were vaccinated

Immediate notification by focal points. Cases were diagnosed clinically and treated Diph Ibb Ar Radmah,Ash Shair,Al Mashannah Alradhmah H,Najd Hawshp H,Alnassr H accordingly Rapid response team visited village of infected persons for reaserch another 3 0 cases ,treated contact persones and health education. the cases were un Vaccinated.

Immediate notification.Patient name Abdullah Ali Ahmmed Aladar 12 months ,old male.From AFP Ibb Ash Shair Other Ash Shair/-Aden - Date of notification 9/1/2019.Date onset of symptoms 1 0 3/1/2019.samples ( 2 from case and 3 from child contact,and send to sanaa,number of vaccination 6 doses

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]) 6 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 2 (07-13 January,2019) Alert Responded in Epi - Week 2,2019 Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Al Kadaf HC,Alkadn HC,Shamsan Center,Alolofi public AlHali,AdDahi,AlHawak,AlQanawis,AlMighlaf Hospital,Bait Alfakih H,salam center,Alkanawes HC,Althawra Chol AlHodaidah ,AlMansuriyah,Bajil,AzZaydiyah,AlMunirah,A public H,Almekhlaf HC,Unit Al Hadidiya ,Almansouria rural 742 0 zZuhrah,Alluheyah, As Salif,Bura,Kamaran H,Alzaydia Rural H,Almuneera H,Alzuhra Rural Hospital,Alluheyah HU,Alsalif Hospital,Alsukhna HC,Other

Alkanawes Private H,Almansouria rural H,Al Mokar Al Qanawis,Al Mansuriyah,Al DF AlHodaidah HC,Alesra'a Specialized H,Alza'afran HC,ALlageuin 173 0 Hali,Bajil,Zabid,Al Khawkhah center,Zabid rural Hospital

Az Zaydiyah,Al Marawiah,Az Zuhrah, Al Meas AlHodaidah Alzaydia Rural H,Alzuhra Rural Hospital,Alhshm Center 13 0 Mina,Bajil

Diph AlHodaidah Ad Dahi,Al Hali,Alluheyah ,Aldhahi Rural H,Zayed HC 3 0

eIDEWS Coordinator contacted the Coordinator of Surveillance in District Information shared. Pert Hajjah Mabyan,Khayran Al Muharraq,Sharas,Abs Sharas HC,Abs Rural Hospital,Mabyan Hospital The cases were diagnosed clinically according to the standard definition , and appropriate 13 0 treatment were given

QaflShamer,BaniQais,AlMiftah,Qarah,Aslem ,AlJamimah,AflahAshShawm,Mabyan,Hajjah Almahabesha Public H,Alshahel Rural Hospital,Khamees eIDEWS Coordinator contacted the Coordinator of Surveillance in District. Information shared City,Abs,Haradh,Hajjah,Kuaydinah,Al Mastaba'a HC,Mabyan Hospital,Almaghraba HC,Ash . It were diagnosed clinically according to standard definition For Cholera , It have been Chol Hajjah Mahabishah,Kuhlan Affar,Mustaba,Bani Al Shaghadira Health Center,Public Republican Hospital,Qafl 649 0 reported cases, Cholera rapid test it's done For some cases, the result were positive for 61 Awam,Kuhlan Ash Sharaf,Al Shamer Kufl-Shamar Rural H,Abs Rural Hospital,Bani Qais cases. Appropriate treatment were given Maghrabah,Khayran Health Center,Aslam HC, Sauid Hospital in Hajja,Other AlMuharraq,AshShaghadirah

eIDEWS Coordinator contacted the Coordinator of Surveillance in District . Information Ash Shaghadirah,Qafl Shamer,Hajjah Sauid Hospital in Hajja,Public Republican Hospital,Abs Rural shared. the cases were diagnosed clinically according to standard definition For measles , Meas Hajjah City,Abs,Aflah Al Yaman,Kuhlan Ash 42 0 Hospital,Kuhlan Alsharaf Dispensary,Other the cases were vaccinated, Investigation form were done.Appropriate treatment were given. Sharaf,Aslem The samples were collected and sent to the central laboratory

eIDEWS Coordinator contacted the Coordinator of Surveillance in District. Information shared . the cases (suspected diphtheria) The diagnosis were clinically (diphtheria). The treatment and anti-toxin have been given. But died . The surveillance coordinator in Hodeidah were Diph Hajjah Hajjah City,Khayran Al Muharraq,Abs,Qarah Public Republican Hospital,Abs Rural Hospital,Other 9 1 informed for the purpose of field investigation of the case area Status of vaccination for cases , the cases were un vaccinated ).The response team in the field investigated the cases and the contacts and the appropriate treatment was given

eIDEWS Coordinator contacted the Coordinator of Surveillance in District . Information shared.It was diagnosed clinically according to standard definition For AFP, Female A 120 AFP Hajjah Khayran Al Muharraq Martyr d. Yasser w Thab Hospital Months, Aealah ali ali whan, from Khayran Al Muharraq District masroh village , Investigation 1 0 form was Done. Appropriate treatment was given. The sample was collected and sent to the central laboratory

eDEWS coordinator contacted focal point, information shared, cases have been diagnosed DF Hajjah Khayran Al Muharraq Martyr d. Yasser w Thab Hospital clinically .According to the standard definition, Cases from different areas , Some cases have 6 0 been rapid test work and the result was positive

eIDEWS coordinator contacted focal points,information's shared,then HF visited by eIDEWS Almalik Hospital,Altabri HC,Al Jraf Complex,As Sabin At Tahrir,Az'zal,As Sabain,Bani coordinator.Blood samples were collected from the cases and sent for lab confirmation & the Meas Amana Hospital,Arwdhah H,Soudi-Garmani H,Maain 38 0 AlHarith,Maain,Shu'Aub Aththaorah onset of fever,skin rash. the cases were unvaccinated but 11 cases were vaccinated against Complex,Scinces and Tecnology H,Other measles

Rapid response team contacted focal points by eIDEWS coordinator,cases diagnosed Jddr HC,Alraisi HC,Al Jraf Complex,Jabr Bn Hyan clinically according to case definition.Stool samples(C/S & serotyping) collected from cases & Aththaorah,Shu'Aub,Assafi'yah,BaniAlHarith, Complex,Azal Complex,Gazah Complex,Omar Al Mokhtar sent to lab (Central labs)for confirmation. Supplements & antibiotics treatment were Chol Amana AsSabain,Maain,Az'zal,At Tahrir,Sana'a Complex,ALRAHBI COMPLEX,As Sabin Hospital,Ibn Khaldon given(case management).Most of them were from Amana governorate & a few of them from 1146 0 Old,AlWahdah, HC,Arwdhah H,Alulfi HC,22 May Hospital,Alkwit educational other governorates from different districts of that governorates,the results of stool C/s still H,Other 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,then HF visited. Information shared.Stool AFP Amana At Tahrir,Maain Alkwit educational H,Aljomhwri H,Scinces and Tecnology H samples collected from the cases & the sample sent for lab confirmation. The cases were 2 1 unvaccinated against polio.one case was dead

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- As Sabin Hospital,Alrazi HC,Scinces and Tecnology Diph Amana As Sabain,Shu'Aub,Maain,Assafi'yah membrane ,swelling of neck lymph-nodes(Bull neck) & difficulty of swallowing & breathing. 9 3 H,Althwrh H Antibiotic treatment was given & case management done.Throat swabs taken into Central Lab for confirmation(Albert stain,Gram stain & Diphtheria C/S) the cases were vaccinated against Diphtheria,3 cases were dead

eIDEWS coordinator contacted focal points,information shared,then HF visited by eIDEWS Pert Amana Bani Al Harith,Maain,Shu'Aub Zaid bn Sultan H,22 May Hospital,Jabr Bn Hyan Complex coordinator.The cases diagnosed clinically according to the case definition. Antibiotics 5 0 treatment were given. The cases were un vaccinated

the edews coordinator contact the focal points after reporting of measles,the cases were Sahar,Sa'da ,Haydan,As Safra,Kitaf wa Al Neshoor Health Center,Haydan Hospital,Al Jumhoori Meas Sa'adah unvaccinated 68 0 Boqee Hospital,Al -Talh Hospital,Al Salam Hospital the cases were diagnosed clincally and treated

e-DEWS coordinator contact the focal points , the cases were diagnosed clinically according Adh Dhahir,Baqim,Sa'da Haydan Hospital,Al Jumhoori Hospital,Dhian HC,Khamis to the case definition and all cases were treated in outpatient the RRT contacted to perform Pert Sa'adah 27 0 ,Majz,Saqayn,Haydan Marran Health Center the investigation and related activities, the most cases were vaccinated

e-DEWS coordinator contact the focal points in Monabbih district after reporting of allot of suspected cholera cases Chol Sa'adah Munabbih Monabbih Rural Hospital 119 0 the cases was diagnosed clincally and some of the tested by RDT the cases treated in the DTCs and ORCs according to their degree of dehydration

Habur Health hospital,Hpoor complex,Al Ashah As Healthhospital,Damag Health center,Al Madan Health Sudah,Huth,Suwayr,Khammer,Shaharah,Iyal hospital,Thula Health hospital,Kharif Rural Hospital,As Sudah eidews team contacted focal point. The cases were diagnosed as clinically as suspected Surayh,Harf Sufyan Habur Zulaymah,Dhi Chol Amran Rural Hospital,As Sawd Health hospital,Amran General cholera. treatment were given. such as intravenous fluid and o. r.' s. all the cases improved 1090 1 Bin,AlAshah,Amran,Raydah,Thula,Bani HospitalAl Gnaya Center,Al Salam Khamir Hospital,Al Madan after taking the treatments.one case was dead Suraim,Kharif,Jabal Iyal Yazid,Al Madan,Al Health hospital,Al Qaflah Rural Hospital,As Sawd Health Qaflah,As Sawd hospital,Other

Iyal Surayh,As Sudah,Al As Sudah Rural Hospital,Al Madan Health hospital,Al Salam eidews team contacted focal points. the cases were diagnosed clinically as suspected Meas Amran 48 0 Madan,Khammer,Harf Sufyan Khamir Hospital,Harf Sufyan H measles. according to case definition . The cases were un vaccinated against measles

eidews team contacted focal points. the cases were diagnosed clinically as suspected Pert Amran Maswar,Khammer Maswar Rural Hospital,Al Salam Khamir Hospital,Other 23 0 pertussis. cases treated with antibiotics

eidews team contacted focal point. and rapid response team visit. case was diagnosed Diph Amran Khammer Al Salam Khamir Hospital clinically. prospect diphtheria. the case treated with antibiotics. case vaccinated against 1 0 diphtheria. case from district Khamer

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]) 7 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 2 (07-13 January,2019)

Alert Responded in Epi - Week 2,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Rapid Respose team visited area according to cases definition suspected measles , the Meas Sanaa Governorate Bani Matar,Al Haymah Ad Dakhiliyah 26September H in Matna,Ghail Alsa'ai HC cases were un vaccinated , the cases deifferant area .Blood samples collected and sent to 8 0 central lab

Al Husn,Nahm,BaniDhabyan, Maswar Alhajla HU,Shawban HU , Sadem HU,Awmara Khwlan,Manakhah,Hamdan,BaniMatar,AlHa H,Almarbak HC, Bani Mansour HC,Bait Alhenami Edews team contacted focal points ,The cases were diagnosed clinically suspected cholera Chol Sanaa Governorate ymahAlKharijiyah,Jahanh,BiladARus,Arhab, HC,Alshaeed Mohamed Aldurra Hospital,Wadi Marhab 1167 0 in DTC andThe cases are recoreded in line list and cases deifferant area Sa'fan,Attyal,Sanhan,Bani Hushaysh,Al HU,Asnaf HU,Alhanak HU,Thomah HU,Almanar Hospital,Alar Haymah Al Kharijiyah, rural H,Other

D /Hassan Tamah Center,Eyal Sukhaim Dhaiban HU,Alhayfa Edews team contacted focal pointThe cases are suspected according to case definition and Pert Sanaa Governorate Arhab 17 0 HC the cases vaccinated .appropriate trea tment given to cases and cases from different area

Rapid Response team visited area according to case definition suspected Diphtheria, the Diph Sanaa Governorate Bani Hushaysh,Bilad Ar Rus Bait Alhenami HC,Sa'adan HC cases were un vaccinated but one case was vaccinated .appropriate treatment given to 6 0 cases and contact of cases

Name: Maram Mahde Gaseim Algadabe Age:48 month Dateof notification:8/1/2019 Dateof AFP Sanaa Governorate Hamdan Alarra HU starting paralysis:7/1/2019 Total polio vaccine doses;6 T.N:737436390 stool sample collected 1 0 and sent to central lab

eIDEWS coordinator contacted focal points and information shared , the cases were Al Redha Clinic,Habban Health Unit,Ataq Central Meas Shabwah Ar-rawdah,Baihan,Ataq,Habban Arma diagnosed according to case definition cases were complain from fever and skin rash , the 28 0 Hospital,Habban Hospital,Bayhan Hospital most cases were un vaccinated, suitable treatment given

eiDEWS coordinator contacted the focal points , the cases clinically diagnosed only Outpatient/Al Ain Clinic,Hantwsh Clinic,Rudum Rural DF Shabwah Ain,Mayfa'ah,Rodhoom,Markhah Assufla according to standard case definition,the patients suffering of fever ,headache and pain 50 0 Hospital,Al Wafa Clinic,Waset Hospital behind the eyes , symptomatic treatment were prescribed,

At Taffah,Al A'rsh,Al Bayda City,AlMalagim,AsSawadiyah,AzZahir,DhiNa' Al-Taffah Center,Alarsh center,Abdrabh Saleh Almhamdi eIDEWS team contacted focal points, the cases were diagnosed clinically as suspected im,Mukayras,Sabah,Rada',AL HC,Alshriah Sare H,Alqrishih HU,Althwrh Hospital,Mother and Chol Al-Baidha cholera using case definitionand rapid test 58 positiv the main saing watery diarrhea 281 1 Sharyah,Wald Rabi',Al Quraishyah,As child HC,Alswadih HC,Thi - Naem HC,Mukayras &vomting some dehydration the paitnts ademittedt, one case was dead Sawma'ah,Ar Ryashyyah,Radman Al Hospital,Other Awad,Nati

IDEWS team contacted points information shared blood sampeles the cases diagnosed Mukayras,Wald Rabi',Al Quraishyah,As Mukayras Hospital,Almnash HC,Alqrishih HU,Alswadih HC,Al- Meas Al-Baidha clinically according to case definition Antibiotics treatment were given, the cases were 13 0 Sawadiyah,At Taffah Taffah Center unvaccination against measls

eDEWS coorinator contacted focal point theIDEWS team contacted point information was non collected Samples the a case diagnosed clinically As suspected Diphtheria using case Diph Al-Baidha Mukayras Areeb HC definition the onset in 30/12/2018 was given Antibiotic management the number of caes 1 0 were one male ther ages were 34 years the case was greater than 5 years his name Latfi Saleh Ahmed Hunin the case from Mukayras from Areeb City non vaccination. agianst Dephtheri

eIDEWS team contacted focal points, the cases were diagnosed clinically according to case Pert Al-Baidha At Taffah Al-Taffah Center 2 0 definition Antibiotics treatment were given, the cases were un vaccinated against pertussisn

eIDEWS team contacted and visit focal point information shared field investgation done stool sample were collected from the case and close contactes in 13/1/2019 samples were sent for AFP Al-Baidha At Taffah Al-Taffah Center confirmatio the date of onset of AFP in 10/1/2019 the case was one mael his name was 1 0 Mohammed Yosif Ahmed Abdullrab Aldahri this age 36 Monthes he was from At Taffah from Alhanash vellage he was vaccinated 6

EDEWS team contact Edews focal points in Qishen Country Hospital . the case was Pert Al-Mahra Qishn Qishn Country Hospital diagnosis according to case defination , susspected pertusis case is male 63 mounths age , 1 0 the case was un vaccinated , treatment was given to case

EDEWS team contact Edews focal point in Hawf Country Hospital . case diagnosis DF Al-Mahra Hawf Hawf Country Hospital according to case defination , susspected Dengue 3 cases female age( 17,18,39) and one 3 0 case male age 12 years , , treatment was given to cases

EDEWS team contact Edews focal points in AlGhaydga Central Hospital . the case was Meas Al-Mahra Al Ghaydah Al Ghaydah Center Hospital diagnosis according to case defination , susspected measles cases in line listing , all cases 14 0 were un vaccinated for measles , treatment were given to case

edews team contactedews team contact focal points , the cases were diagnosed clinically as suspected (meas) using case definition , blood samples were collected , the cases were un vaccinated but one case was vaccinated Meas Hadramout wady Tarim,Al Qatn,Rakhyah Aedeed Dispensary ,Tarim H . 10 0 . symptomatic treatment were prescribed

Wusab As Safil,Mayfa'at Anss,Jabal Ash Banikaws HU,Hamam Ali Hospital,Alwahda university EdeWS coordinator contacted focal points they founds cases diagnosed suspected Chol(Acut sharq,AlManar,Jahran,Anss,Maghirib H,Other,Dhamar public H,Taibah hospital,Aljarf HC,Alhumyat watery diarrhoea and dyhadretion ) cases tested by rapid test And result were negative except Chol Dhamar 963 0 Ans,AlHada,Utmah,DhamarCity,Dawran HC,Wathan HU,Nashmat HU,26September rural H,Ma'abar 267 cases were positive - cases were treated at the health facility and received treatment, one Aness,Wusab Al Ali HC,Kharbah Abuyabes HC,Other case was dead

Alsanam HC,Bin alakwa'a Dispensary,Albaradon H,Alwahda Edewds coordinator visted and contacted of the focal points the cases were diagnosed Jahran,Al Hada,Utmah,Jabal Ash Meas Dhamar university H,26September rural H,Aljma'a HC,Dhamar public according to the standard definition of Meas( fever - Redness of the eye -rash and cold) 73 0 sharq,Dhamar City,Dawran Aness H,Other .Vaccination is not taken - Samples collected

EdeWS team CONTACTED focal point and he found the case diagnosed according to case definition as suspected pret -Patient data: NAME :Ramze Mneer Abdo Mohamed (30 mounth) Pert Dhamar Wusab Al Ali,Jabal Ash sharq Ja'ar HC,Alshifa'a Dispensary and Raneh Mneer Abdoh Mohamed (9 mounth - from Wusab Al Ali district - Jaar village- 4 0 not taken vaccine - The beginning of t he symptoms 30 /12/2018- Reporting date 2/1/2019. All samples collected

EdeWS team visted focal point and he found the case diagnosed according to case definition as suspected AFP ( Flaccid Paralysis- Weakness - ) -Patient data: Aslam Salm Kaad Ahmed (59 mounth - From Wusab Al Ali district - Kbood -Gbl kewar- ALsabahy - village- all dosage AFP Dhamar Wusab Al Ali Other 1 0 taken - The beginning of the symptoms 9 /1/2019- Reporting date 13/1/2019. All samples from the patient and contact the patient were delivered to the coordinatori of paralyss in the province

EIDEWS coordinator contacted coordinator district he found three cases diagnosed suspected Diph according to the standard definitions Patient date 1-:Anesh Ahmed Abdullah Almntasr from Al Hada district-Shargb village(15 years old -not dosage taken - The Diph Dhamar Al Hada Other beginning of the symptoms 31/12/2018/ - Reporting date 3/1/2019 from Alsapaeen hospital 1 0 in Saana -(Note: there have one other case of this same neighbor and other injuries in the remaining contacts(brother) .Treatment has been given as antibiotic and anti toxin - Throat swab taken -

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]) 8 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 2 (07-13 January,2019)

Alert Responded in Epi - Week 2,2019 Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

We contacted the focal points of HF 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 DF Mareb Al Jubah May 22 Hospital,September 26 Hospital hospital's laboratory for serological testing (NS1). This test measures the presence of dengue 9 0 protein (high sensitivity and quality test) which detects the virus antigen .that confirms the result

eIDEWS The coordinator of was contracted the focal points of HF,then the HF visited by eIDEWS coordinator,the cases were measles suspect. cases were reported and no Meas Mareb Al wadi,Harib Al Kari Hospital,( al Wahdah ) Hospital vaccination received from the directorate of cases were Mareb. The fever, rash, the blood 15 0 samples were collected from the patients by the district coordinator and sent to the central laboratory Sana'a for confirmation

Pert Mareb Al wadi ( al Wahdah ) Hospital 1 0

EDEWS team contact focal the Cases were diagnosed clinically as suspected meas.field in Al Matun,Al Maslob,Az Zahir,Al Hamidat,Al Al Maton Health Center,Al Masloob Health Center,Al Meas Al-Jawf vestigtion was done.blood samples were collected form the cases and close contact and sent 14 0 Hazm Humaydat Health Center,Maain Health Center,Other to central Lab in sana.a

EDEWS team contacted focal points. Cases diagnosed clinically as suspected Pert Al-Jawf Al Maslob,Al Hazm Al Masloob Health Center,Hamdan Clinic 4 0 pert.treatments were given cases unvaccinated

EdeWS team visted focal point a he found the case diagnosed according to case definition as suspected Diph ( Sever inflammation with formation of a thick (membranous coating of pharynx ;nose and some time tracheo bronchial) Patient data:NAME :Ayed Hamid Shalaq (7 Diph Al-Jawf Al Maslob Al Masloob Health Center 1 0 years ) : Address : almaslub: Vaccination: all vaccine not taken .The beginning of the symptoms 10/1/2019/, Reporting date: 13/1/2018 (Note: there have already been other cases of this same

The coordinator of the EDEWS received a report from the surveillance officer at the Center Al Ghayl,Az Zahir,Al Khalq,Al Matammah,Al Souq Al Thalooth Health Unit,Al Marashi Health Center,Al for the treatment of the existence of cases in which the doctor suspected that cholera had Chol Al-Jawf Matun,Khob Wa Asha'af,Kharab Al 130 0 Hazm Hospital,Al Khalq Health Center,Other been taken to the health facility and verifying the authenticity of the communication. The Marashi,Al Hazm cases were treated and the solution

EDEWS team contact focal point. Cases diagnosed clinically as suspected AFP.field in AFP Al-Jawf Kharab Al Marashi Al Marashi Health Center vestigtion was done.stool samples were collected form the cases and close contact and sent 1 0 to central Lab in sanaa

Juba Bni Awf HU,Altawilh HC,Numan HU,Al Arkob eIDEWS coordinator contacted focal points, information was shared. all cases were Al Khabt,Ar Rujum,At Tawilah,Al Mahwait HC,Hufash H,Athra HU,Alrujm Hospital,Shbam H,Alkhpt diagnosed clinically according to case definition. the cases were investigated by rapid test for Chol Al-Mahweet City,Milhan,Shibam Kawkaban,Hufash,Bani 405 0 H,Mlhan HealthCenter,Alriadi HU,Bani Sa`d Hospital,Autmah vibrio cholera, 57 cases were positive and ather cases were negative. appropriate treatment Sa'd,Al Mahwait HU,Aljoumhwri H,Other was given according to severity of symptoms and dehydration

eIDWES coordinator contacted focal points, information was shared. The cases were diagnosed clinically according to case definition. investigated and collected blood Al Khabt,Milhan,Al Mahwait City,Shibam Alrujm Hospital,Alkhpt H,Mlhan Health Center,Shbam Meas Al-Mahweet samples,skin rash and the fever appear . the cases were vaccinated except 6 cases were 13 0 Kawkaban, Ar Rujum H,Aljoumhwri H,Alahjer HC,Other un vaccinated against measles . the blood samples were send to central lab for confirm diagnosis

eIDEWS coordinator contacted focal points, information was shared. the cases were Diph Al-Mahweet Al Khabt,At Tawilah Alkhpt H,Altawilh HC diagnosed clinically according to case definition. the cases were un vaccinated vaccinated 3 0 against diphtheria . Focal RRT was visit village and treated

eDEWS coordinator contacted the hospital focal points, the cases were diagnosed suspected Bilad At Ta'am,Al Jabin,Al Kusmah HC,Almithaq H,Alameen Clinic ,Alasshub Chol Rayma AWD and treated accordingly, isolation done , the cases take treatment and go out side 135 0 Jafariyah,Mazhar,Kusmah,As Salafiyah HC,rabouw Almasjedeen Hospital ,Althulaia H,Other hospital , Treatment use WHO protocol ORC but most cases treatment at home

eIDEWS Sent Information About cases suspected cases Of Measles, Further in no Meas Al-Dhale Al Azariq,Qa'atabah,Ad Dhale'e,Damt Daglal Health Center,Alslam H ,Alfakhr HC,Alnassr H,Other 31 0 vestigation and action is ongoing

Qa'atabah,Al Hussein,AlHusha, Al eDEWS team contacted FP, all diagnosed according to case definition, all included in Chol Al-Dhale Alfakhr HC,Dhwran HC,Althlathah Alshuhdaa Alauapl H 61 0 Azariq,Ash Shu'ayb,Ad Dhale'e updated daily line listing

eDEWS team conted focal point information shared inve stigation forms and lab samples and DF Al-Dhale Ad Dhale'e Other waiting for results cases opriate treatment was appro cases were 7 males 7 their given were 9 0 Greater than 5 years ages they came from other they governorates