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Addis Ababa University, College of Health Sciences School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Mengistu Temesgen (BSc) (EFETP) Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the Degree of Master of Public Health in Field Epidemiology. June, 2018 Addis Ababa COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Mengistu Temesgen (BSc) EFETP Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the Degree of Master of Public Health in Field Epidemiology. Advisor(s): - 1. Dr. Abiy Girmay (MD, MPH, PhD) 2. Dr. Adamu Addisie (MD, MPH, PhD June, 2018 [ Addis Ababa COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 Addis Ababa University School of Graduate Studies Compiled Body of Works in Field Epidemiology By Mengistu Temesgen (BSc) Ethiopian Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _______________________________ ____________________ Chairman, School Graduate Committee ______________________________ ___________________ Advisor ______________________________ ___________________ Examiner _______________________________ ___________________ Examiner ________________________________ _____________________ COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 Acknowledgment I would like to thank and appreciate my mentors Dr. Abiy Girmay and Dr. Adamu Addisie for their continuous support and guidance through execution of all my outputs. I also want to Thank and appreciate the help and cooperation of Regional health bureau, zonal health departments, woreda health office and health facilities during Surveillance Data Analysis, Health Profile, Outbreak Investigation, Surveillance System Evaluation. Finally I would like to acknowledge Ethiopian Public Health Institute (EPHI) for their financial and logistic support. I Mengistu Temesgen Denboba AAU SPH EFETP COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 Table Contents Acknowledgment ........................................................................................................................................... I Table Contents .............................................................................................................................................. II List of Tables ............................................................................................................................................... III List of Figures .............................................................................................................................................. IV List of Abbreviations .................................................................................................................................... V List of Annexes ............................................................................................................................................ VI Executive Summary .................................................................................................................................... VII Chapter 1:- Outbreak Investigation of Dengue Fever in Dire Dawa Administration, a Case Control study, Ethiopia from July, 13/17 To August, 10/2017 ............................................................................................ 1 Chapter 2 :- Outbreak Investigation of Typhoid Fever in Ethio Somali, a Descriptive study, Ethiopia from March 6/2017 till March 20/2017. ..................................................................................................... 21 Chapter 3. Rubella Surveillance Data Analysis of Amhara Region, Ethiopia from 2007 to 2016. ............ 34 Chapter 4. Evaluation of malaria surveillance system in North Gondor Zone, Amhara Region. March 15 - 30/2018 ....................................................................................................................................................... 50 Chapter 5. Health profile Assessment of Tiyo woreda, Arsi zone, Oromia, February 15 -30/2017 ........... 90 Chapter 6. Scientific Manuscripts for peer Reviewed Journals .............................................................. 136 Outbreak Investigation of Dengue Fever in Dire Dawa Administration, a Case Control study, Ethiopia from July, 13/17 To August, 10/2017. .................................................................................................. 136 Chapter 7: Abstract for Scientific Presentation ......................................................................................... 146 Surveillance Data Analysis of Rubella in Amhara Region, Ethiopia, from 2007-2016 ....................... 146 Chapter 8. Proposal for Epidemiologic Research project: - Prevalence of Severe Acute Malnutrition and Associated Factors of Children from 6-59 months age group in Tiyo woreda, Arsi zone, Oromia Region, Ethiopia. .................................................................................................................................................... 147 II Mengistu Temesgen Denboba AAU SPH EFETP COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 List of Tables Table 1:- Results of bivariate analysis of the possible factors associated with the increased risk of dengue infection. .................................................................................................................................. 11 Table 2:- Results of Multivariate Analysis of the possible factors associated with the increased risk of dengue infection. .................................................................................................................................. 12 Table 3: Laboratory Result for Rubella IgM Antibody Testing of Suspected Measles Cases, Amhara Region, 2007– 2016 ............................................................................................................................. 43 Table 4:- Rubella IgM Confirmed Cases by Zones, Amhara, 2007-2016. .......................................... 46 Table 5:- Population Distribution Profile by Kebele of Tiyo Woreda, 2008E.C ............................... 100 Table 6:- Student’s Enrolment by Sex and Grade in Tiyo woreda, 2008 E.C ................................... 102 Table 7:- School Dropout by Sex and Grade Tiyo woreda, 2008 E.C ............................................... 103 Table 8:- Immunization Coverage by Type of Antigen, Tiyo woreda, 2008 E.C .............................. 105 Table 9:- Health Facilities by Type, Tiyo Woreda, 2008 EC ............................................................ 106 Table 10:- Number of Health Professionals and Other Administrative Staff Employed, Tiyo Woreda, 2008 EC ............................................................................................................................................. 107 Table 11:- List of Top Ten Leading Causes of OPD, Tiyo Woreda, 2008 EC .................................. 108 Table 12:- Problem Identification and Priority Setting, Tiyo Woreda, 2008EC. .............................. 116 III Mengistu Temesgen Denboba AAU SPH EFETP COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 List of Figures Figure 1:- Dengue Fever cases by Date of onset, Dire Dawa, August, 2017 ................................................ 7 Figure 2:- Dengue Fever Cases by Health facilities, Dire Dawa, August, 2017. .......................................... 9 Figure 3:- Dengue Fever Cases by Kebeles, Dire Dawa, August,2017 ........................................................... 9 Figure 4:- Administration map showing Typhoid fever Outbreak Affected woreda, somali, Ethiopia, March 2017 ................................................................................................................................................. 24 Figure 5:- Typhoid Fever Outbreak Cases by Kebeles, Somali, Afder, Hargele district, March 2017....... 26 Figure 6:- Date of Cases seen at health facility, Somali, Afder, Hargele, March 2017 .............................. 27 Figure 7:- Water Supply source, Somali, Afder, Hargele, March 2017 ...................................................... 28 Figure 8:- Laboratory Testing of Rubella Serum Specimen Procedure ...................................................... 42 Figure 9:- Trends of Rubella Confirmed Cases, Amhara, 2007- 2016 ....................................................... 44 Figure 10:- Distribution of Rubella IgM Confirmed Cases by Age Category, Amhara, 2007- 2016 ......... 45 Figure 11:- Rubella IgM Confirmed by Place of Residence, Amhara, 2007- 2016 .................................... 46 Figure 12:- Flow Chart of the Surveillance Reporting System and Feedback of North Gondar zone ........ 58 Figure 13:- Map of Tiyo Woreda, Arsi,zone, Oromia,2008 Ec. ................................................................. 98 IV Mengistu Temesgen Denboba AAU SPH EFETP COMPILED BODY OF WORK IN FIELD EPIDEMIOLOGY 2018 List of Abbreviations IgM....................................... Immunoglobulin M CRS...................................... Congenital Rubella Syndrome RRT...................................... Rapid Response Team SAM..................................... Severe Acute Malnutrition TB…………………………. Tuberculosis WHO.................................... World
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