Ewars W9 2021

Epidemiological Highlights

Week 9 (1-7 March 2021)

1 | Epidemiological Highlights Week 8, 2021 Highlights: COVID-19

As of week 09, (1–7 Mar 2021) there are 421 confirmed cases of COVID- 19 (SARS-CoV-2), 31 488 samples were tested. This week (week 09), 15 new confirmed cases detected, 927 samples were tested, test positivity was 1.6%.

As of this week (week 09) • Median age of tested and confirmed cases is 10 (0-120) and 18 (0-90) years • Female among tested and confirmed cases is 55% and 53% • All 34/34 camps have confirmed cases (C24-58, C2W-41, C3-33, C15-28, C6-25) • A total of 10 deaths from COVID-19 with the case fatality rate 2.4% • The incidence is 49.0 per 100,000 people with the growth rate 0.6% • The overall positivity of all samples tested was 1.3%

2 | Epidemiological Highlights Week 8, 2021 Highlights: COVID-19

COVID-19 positive cases (n=421) by week of test 50

Numbercases of 20

EW1 EW2 EW3 EW4 EW5 EW6 EW7 EW8 EW9

EW10 EW11 EW12 EW13 EW14 EW15 EW16 EW17 EW18 EW19 EW20 EW21 EW22 EW23 EW24 EW25 EW26 EW27 EW28 EW29 EW30 EW31 EW32 EW33 EW34 EW35 EW36 EW37 EW38 EW39 EW40 EW41 EW42 EW43 EW44 EW45 EW46 EW47 EW48 EW49 EW50 EW51 EW52 EW53 EW01 EW02 EW03 EW04 EW05 EW06 EW07 EW08 EW09 2020 2021 Epidemiological Week

Male Female

3 | Epidemiological Highlights Week 8, 2021 Highlights: COVID-19

Number of positive case (n=421)

1800 1.0%

1600

1400

1200

1000

0.5%

800 Number of tests of Number 600 rate Test positivity

400

200

0 0.0%

EW9

EW1 EW2 EW3 EW4 EW5 EW6 EW7 EW8 EW9 EW1 EW2 EW3 EW4 EW5 EW6 EW7 EW8

Positive Negative Test positivity rate

4 | Epidemiological Highlights Week 8, 2021 Highlights: COVID-19

Age and sex distribution (%) (n=421)

>60 yrs 4% 0% F-53%

51-60 yrs 4% 3%

41-50 yrs 1% 3%

31-40 yrs 4% 6%

21-30 yrs 8% 13%

11-20 yrs 7% 9%

0-10 yrs 19% 19%

25% 15% 5% 5% 15% 25%

Female Male

Deaths by age and sex (%) (n=10) F-50% >60 yrs 40%

51-60 yrs 30%

41-50 yrs 10%

31-40 yrs

21-30 yrs

11-20 yrs

0-10 yrs 10%

Female Male

5 | Epidemiological Highlights Week 8, 2021 Highlights: COVID-19

Severity of reported cases at presentation (n=418) Did the case report at least 1 co-morbidity (n=418)

Missing, 5.7% Yes Asymptomatic, 6.2% Severe, 6.7% 8.6%

Moderate, 11.7%

Mild, 67.2% No 93.8%

Source: Go.Data

6 | Epidemiological Highlights Week 8, 2021 Highlights: COVID-19 Contact Tracing

▪ Total 418 (out of 421) confirmed cases have been investigated by Rapid Investigation and Response Team (RIRT) and captured through go.data.

▪ Total 1,605 contacts have been identified and registered for follow up

▪ Out of those, 1,398 (87%) contacts have been completed the follow up

▪ Thirteen (13) contacts (1%) tested positive during follow up period

▪ Average number of contacts is ~4 per positive case

▪ No geo clusters have been found out in camps

7 | Epidemiological Highlights Week 8, 2021 EWARS Reporting Updates

▪ Total 170 health facilities registered in EWARS

▪ Only 132/170 weekly reports received on time in week 9

▪ Timeliness for this week is 78%

▪ Seventy-four (74) alerts were triggered in week 9

▪ All alerts were reviewed and verified by WHO EWARS team, the number is less than that of previous week (82 in week 8).

8 | Epidemiological Highlights Week 8, 2021 Highlights:

▪ Acute Respiratory Infection (19.0%), Diarrheal Diseases (4.4%) & Unexplained Fever (1.0%) are the diseases with highest proportional morbidity in week 9.

▪ Suspected SARI death under enhanced Community-based mortality surveillance has been continued since week 28, 2020. Seventy-three (73) suspected SARI deaths have been reported so far and reviewed subsequently by Rapid Investigation and Response Team (RIRT) for COIVD-19.

▪ Total 9 SARI deaths were considered as death due to probable COVID-19 till date.

9 | Epidemiological Highlights Week 8, 2021 Diphtheria

One (1) suspected diphtheria case was reported in go.data in week 9

A total of 9 234 case-patients were reported since 2017 to till date • Confirmed = 343 • Probable = 2 802 • Suspected = 6 089

Total case reported in 2021 = 48 • Confirmed = 1 • Probable = 24 • Suspected =23

Last confirmed case was reported in week 1 (4 January 2021)

In total 47 deaths were reported, last death reported on 25 October 2019.

10 | Epidemiological Highlights Week 8, 2021 Diphtheria

Total number of diphtheria case reported in EWARS from 2020- 2021 W9 16

6 Numberofreported case

EW3 EW4 EW5 EW6 EW7 EW8 EW9

EW 1 EW 2 EW 3 EW 4 EW 5 EW 6 EW 7 EW 8 EW 9 EW 1 EW 2 EW

EW 10 EW 11 EW 12 EW 13 EW 14 EW 15 EW 16 EW 17 EW 18 EW 19 EW 20 EW 21 EW 22 EW 23 EW 24 EW 25 EW 26 EW 27 EW 28 EW 29 EW 30 EW 31 EW 32 EW 33 EW 34 EW 35 EW 36 EW 37 EW 38 EW 39 EW 40 EW 41 EW 42 EW 43 EW 44 EW 45 EW 46 EW 47 EW 48 EW 49 EW 50 EW 51 EW 52 EW 53 EW 2020 2021

Confirm Probable Suspected

11 | Epidemiological Highlights Week 8, 2021 Measles

Total number of Measles case reported in EWARS from 2020- 2021 W9

700

600

500

400

300

Number of reported case of Number 200

100

EW1 EW3 EW4 EW5 EW6 EW7 EW8 EW9 EW1 EW2 EW3 EW4 EW5 EW6 EW7 EW8 EW9

EW 2 EW

In week 9, 13 suspected measles cases were reported through weekly reporting. In total 129 cases reported in 2021, out of those 114 cases reported through case-based surveillance and samples collected for laboratory confirmation.

12 | Epidemiological Highlights Week 8, 2021 Diarrhoeal Disease

Total number of AWD case reported in EWARS from 2018-2021 W9 7000

6000

5000

4000

3000

2000 Numberreported of case

1000

EW1 EW2 EW3 EW4 EW5 EW6 EW7 EW8 EW9

2018 2019 2020 2021

▪ A total of 3,348 cases of diarrhoeal diseases reported in EWARS in week 9.

▪ Among which 2,198 cases (2.9%) reported as acute watery diarrhoea (AWD), remaining 790 (1.0%) and 360 (0.4%) cases as other and bloody diarrhea, respectively.

13 | Epidemiological Highlights Week 8, 2021 Cholera Surveillance

• Total eight (8) Cholera RDT positive/culture cases reported as of W9 2021. Out of those 1 was confirmed and remaining 7 were discarded by culture.

• In 2020, total 28 RDT/Culture positive cases for Cholera detected through sentinel testing. Specifically, 5 became confirmed by culture - 2 from Ukhiya Host, 1 from Teknaf host and 2 from Refugees.

2018 2019 2020 2021 W9

RDT positive for Cholera 49 258 28 7

Culture Confirmed for Cholera 7 184 5* 1 *3 culture confirmed cases were RDT negative in 2020

14 | Epidemiological Highlights Week 8, 2021 Community-based Mortality surveillance

• In week 9, 44 deaths were recorded - • 64% (n=28) were due to causes classified as “Others” • 14% (n=6) as still birth (Born Dead) • 2% (n=1) as maternal Death • 2% (n=1) as injury. • 18% (n=8) as neonatal (<28 days old)

• Out of reported deaths, 29.6% occurred in health facilities, 61.4% at homes and 9.0% from community/public places.

• Partners to report all mortalities into EWARS platform using both case and event-based reporting as applicable.

15 | Epidemiological Highlights Week 8, 2021 Community-based Mortality Surveillance

16 | Epidemiological Highlights Week 8, 2021 Bangladesh

Rohingya Emergency Response

Early Warning, Alert and Response System (EWARS)

Epidemiological Bulletin W9 2021

Ministry of Health and Family Printed: 10:07 Tuesday, 09 March 2021 UTC Welfare Bangladesh

Contents

Highlights Alert Slide 1 Table 1 Coverage Slide 7 Table 8 Ukhia (Northern group) alerts by site/zone Table 2 Early warning performance Map 5 Ukhia (Northern group) alerts site/zone Table 3 Alert performance Slide 8 Table 9 Ukhia (Southern group) alerts by site/zone Map 6 Ukhia (Southern group) alerts site/zone Slide 9 Table 10 Teknaf alerts by site/zone Early Warning Map 7 Teknaf alerts site/zone Slide 2 Map 1a Ukhia completeness by site/zone Slide 10 Table 11 Performance by type of alert Map 1b Teknaf completeness by site/zone Table 12 Risk Assessment Slide 3 Table 4 Ukhia (Northern group) performance by site/zone Map 2 Ukhia (Northern group) completeness by site/zone Slide 4 Table 5 Ukhia (Southern group) performance by site/zone Sources of data

Map 3 Ukhia (Southern group) completeness by site/zone 1. Weekly EWARS Reporting Form Slide 5 Table 6 Teknaf performance by site/zone 2. Mortality Case Report Form Map 4 Teknaf completeness by site/zone 3. Event-based Surveillance Form Slide 6 Table 7 Performance by partner

W9 2021

Highlights W9 2021

Table 1 | Coverage Table 3 Alert performance indicators

# % W9 Cumulative (2021)

866,457 - Estimated total Rohingya population1 74 650 Total alerts raised

866,457 100% Total population under surveillance 100% 100% % verified

175 - Total number of health facilities 0% 0% % auto-discarded

170 97% Number of EWARS reporting sites 0% 0% % undergoing risk assessment

0% 1% % completed risk assessment Table 2 | Early warning performance indicators

W9 Cumulative (2021)

132 1478 Number of weekly reports received

78% 87% Completeness

78% 81% Timeliness

1 Source: UNHCR. Bangladesh: Joint Goverment of Bangladesh- UNHCR Population Factsheet. 31 December 2020.

1 W9 2021

Early Warning | Ukhia and Teknaf

Map 1a | Ukhia completeness by camp Map 1b | Teknaf completeness by camp

1 Camp 1E 1 Nayapara RC 2 Camp 4 2 Camp 27 Jadimura 4 3 Camp 1W 1 3 Camp 24 Leda 4 Camp 7 3 4 Camp 21 Chakmarkul 5 Camp 5 21 5 Camp 26 Nayapara 6 Camp 2E 6 Camp 22 Unchiprang 19 9 7 Camp 11 2 6 7 Camp 23 Shamlapur 8 Camp 8E 16 8 Camp 25 Ali Khali 9 Camp 2W 22 6 10 Camp 10 5 4 11 Camp 20 7 12 Camp 8W 13 Camp 17 13 12 14 Camp 18 8 15 Camp 19 16 Camp 4 Ext 17 11 17 Camp 20 Ext 14 10 18 18 Camp 9 19 Camp 3 20 Camp 16 21 Kutupalong RC 15 7 22 Camp 6 23 23 Camp 12 26 24 Camp 15 25 Camp 14 26 Camp 13 8 3 25 15 24 2 20

Completeness Completeness

0 25% 50% 75% 100% 0 25% 50% 75% 100%

2 W9 2021

Early Warning | Ukhia (Northern Group)

Table 4 | Performance by camp (W9 2021) Map 2 | Completeness by camp

Northern 1 Camp 1E Reporting Performance group 2 Camp 4 3 Camp 1W 1 # health # reports 4 Camp 7 3 facilities received Completeness Timeliness 5 Camp 5 12 6 Camp 2E Ukhia Northern Group 11 8 7 Camp 8E 2 6 8 Camp 2W 10 Camp 1E 4 3 75% 75% 9 Camp 8W 13 10 Camp 4 Ext 5 4 Camp 1W 4 4 100% 100% 11 Camp 3 12 Kutupalong RC Camp 2E 3 3 100% 100% 13 Camp 6 9 7 Camp 2W 2 2 100% 100% Camp 3 6 5 83% 83% Camp 4 6 6 100% 100% Camp 4 Ext 1 1 100% 100% Camp 5 5 4 80% 80%

Camp 6 4 1 25% 25% Camp 7 6 3 50% 50% Camp 8E 7 6 86% 86% Camp 8W 6 4 67% 67% Kutupalong 2 1 50% 50% RC

Completeness

0 25% 50% 75% 100%

3 W9 2021

Early Warning | Ukhia (Southern Group)

Table 5 | Performance by camp (W9 2021) Map 3 | Completeness by camp

1 Camp 11 Southern Reporting Performance group 2 Camp 10 3 Camp 20 # health # reports 4 Camp 17 facilities received Completeness Timeliness 5 Camp 18 6 Camp 19 Ukhia Southern Group 7 Camp 20 Ext 8 Camp 9 4 Camp 10 4 5 125% 125% 9 Camp 16 10 Camp 12 Camp 11 9 7 78% 78% 11 Camp 15 12 Camp 14 7 3 8 Camp 12 6 5 83% 83% 13 Camp 13 5 2 Camp 13 9 6 67% 67% 6 Camp 14 7 5 71% 71% 1 10 Camp 15 9 8 89% 89% 13 Camp 16 5 4 80% 80% Camp 17 6 4 67% 67%

Camp 18 5 3 60% 60% 12 Camp 19 6 5 83% 83% Camp 20 3 3 100% 100% 11 Camp 20 Ext 2 2 100% 100% 9 Camp 9 6 4 67% 67%

Completeness

0 25% 50% 75% 100%

4 W9 2021

Early Warning | Teknaf

Table 6 | Performance by camp (W9 2021) Map 4 | Completeness by camp

Teknaf Reporting Performance 1 Nayapara RC 2 Camp 27 Jadimura 4 # health # reports 3 Camp 24 Leda facilities received Completeness Timeliness 4 Camp 21 Chakmarkul Ukhia Teknaf 5 Camp 26 Nayapara 6 Camp 22 Unchiprang 7 Camp 23 Shamlapur Camp 21 4 3 75% 75% 8 Camp 25 Ali Khali Chakmarkul 6 Camp 22 4 3 75% 75% 7 Unchiprang Camp 23 3 2 67% 67% Shamlapur Camp 24 Leda 1 1 100% 100% Camp 25 Ali 3 3 100% 100% Khali Camp 26 4 4 100% 100% Nayapara Camp 27 1 1 100% 100% Jadimura

Nayapara RC 2 2 100% 100% 8 3

Completeness

0 25% 50% 75% 100%

5 W9 2021

Early Warning | Partner performance

Table 7 | Performance by partner (W9 2021)

Partner Performance Reporting Partner Performance Reporting

# reports # reports # sites received Completeness Timeliness # sites received Completeness Timeliness

BDRCS 12 8 67% 67% FH/MTI 3 3 100% 100% BRAC 11 11 100% 100% PHD 10 10 100% 100% CARE 4 4 100% 100% PWJ 1 1 100% 100% FHM 0 0 RHU 3 3 100% 100% FRNDS 12 0 0% 0% RI 3 3 100% 100% GK 10 10 100% 100% RTMI 11 11 100% 100% HMBDF 1 1 100% 100% SCI 7 7 100% 100% IOM 23 17 74% 74% TdH 1 1 100% 100% IRC 2 2 100% 100% MSF 9 3 33% 33% MoH 7 2 29% 29% Hope 4 4 100% 100% Medair 2 2 100% 100%

6 W9 2021

Alert | Ukhia (Northern Group)

Table 8 | Performance by camp Map 5 | Number of alerts by camp

1 Camp 1E Northern W9 Cumulative (2021) group 2 Camp 4 3 Camp 1W 1 4 Camp 7 3 # alerts % verif. # alerts % verif. 5 Camp 5 12 6 Camp 2E Alerts Northern group 11 8 7 Camp 8E 2 6 8 Camp 2W 10 Camp 1E 2 100% 13 100% 9 Camp 8W 13 10 Camp 4 Ext 5 4 Camp 1W 3 100% 30 100% 11 Camp 3 12 Kutupalong RC Camp 2E 5 100% 47 100% 13 Camp 6 9 7 Camp 2W 4 100% 21 100% Camp 3 3 100% 40 100% Camp 4 4 100% 24 100% Camp 4 Ext 0 0% 5 100% Camp 5 2 100% 28 100% Camp 6 0 0% 19 100% Camp 7 1 100% 7 100% Camp 8E 1 100% 9 100% Camp 8W 2 100% 36 100% Kutupalong 1 100% 7 100% RC

# of alerts

0 2 5 10

7 W9 2021

Alert | Ukhia (Southern Group)

Table 9 | Performance by camp Map 6 | Number of alerts by camp

Southern 1 Camp 11 W9 Cumulative (2021) group 2 Camp 10 3 Camp 20 4 Camp 17 # alerts % verif. # alerts % verif. 5 Camp 18 6 Camp 19 Alerts Northern group 7 Camp 20 Ext 8 Camp 9 4 Camp 10 3 100% 26 100% 9 Camp 16 10 Camp 12 Camp 11 2 100% 24 100% 11 Camp 15 12 Camp 14 7 3 8 Camp 12 6 100% 29 100% 13 Camp 13 5 2 Camp 13 2 100% 24 100% 6 Camp 14 3 100% 18 100% 1 10 Camp 15 1 100% 18 100% 13 Camp 16 3 100% 26 100% Camp 17 2 100% 17 100%

Camp 18 2 100% 31 100% 12 Camp 19 2 100% 8 100% Camp 20 3 100% 18 100% 11 Camp 20 Ext 1 100% 12 100% 9 Camp 9 1 100% 30 100%

# of alerts

0 2 5 10

8 W9 2021

Alert | Teknaf

Table 10 | Performance by camp Map 7 | Number of alerts by camp

Teknaf W9 Cumulative (2021) 1 Nayapara RC 2 Camp 27 Jadimura 4 3 Camp 24 Leda # alerts % verif. # alerts % verif. 4 Camp 21 Chakmarkul Alerts Northern group 5 Camp 26 Nayapara 6 Camp 22 Unchiprang 7 Camp 23 Shamlapur Camp 21 1 100% 5 100% 8 Camp 25 Ali Khali Chakmarkul 6 Camp 22 0 0% 8 100% 7 Unchiprang Camp 23 2 100% 8 100% Shamlapur Camp 24 Leda 1 100% 12 100% Camp 25 Ali 1 100% 5 100% Khali Camp 26 4 100% 25 100% Nayapara Camp 27 0 0% 3 100% Jadimura

Nayapara RC 1 100% 8 100% 8 3

# of alerts

0 2 5 10

9 W9 2021

Alert | Event risk assessment

Table 11 | Performance by type of alert Table 12 | Risk assessment

Event W9 Cumulative (2021) W9 Cumulative (2021)

# alerts % verif. # alerts % verif. 0 5 Low risk

Indicator-based surveillance 0 1 Moderate risk Malaria 0 0% 0 0%

Measles 8 100% 91 100% 0 1 High risk Bloody Diarr. 0 0% 0 0% AFP 0 0% 4 100% 0 0 Very high risk Meningitis 1 100% 7 100% Haem. fever 0 0% 1 100% (susp.) NNT 0 0% 0 0% Unexp. fever 3 100% 25 100% AWD 7 100% 50 100% ARI 4 100% 46 100% AJS 0 0% 6 100% Varicella (Susp.) 7 100% 17 100% Suspected 0 0% 0 0% COVID-19

Event-based surveillance

EBS total 9 100% 43 100%

10 W9 2021

For more help and support, please contact:

Dr. Shownam Barua Medical Officer - Civil Surgeon Office (MO-CS) Ministry of Health and Family Welfare Cox's Bazar, Bangladesh Telephone: +88 01723350483 Email: [email protected]

Dr. Feroz Hayat Khan National Professional Officer (Disease Surveillance & Epidemiology) World Health Organization Cox's Bazar, Bangladesh Notes Telephone: +88 017 0120 2994 WHO and the Ministry of Health and Family Welfare gratefully acknowledge all partners who have Email: [email protected] reported the data used in this bulletin.

The data been collected with support from the EWARS project. This is an initiative to strengthen early warning, alert and response in emergencies. It includes an online, desktop and mobile application that can be rapidly configured and deployed in the field. It is designed with frontline users in mind, and built to work in difficult and remote operating environments. This bulletin has been automatically published from the EWARS application.

More information can be found at http://ewars-project.org

Sign-up for an account with EWARS Bangladesh at http://bd.ewars.ws Ministry of Health and Family Welfare Bangladesh Bangladesh

Rohingya Emergency Response

Early Warning, Alert and Response System (EWARS)

Annex W9 2021

Ministry of Health and Family Printed: 10:11 Tuesday, 09 March 2021 UTC Welfare Bangladesh

Proportional morbidity

Figure 1 | Proportional morbidity (W9 2021) Disease W9 2021

0.0% # cases % morbidity # cases % morbidity Acute Respiratory Infection (ARI) Unexplained fever Acute Watery Diarrhoea Acute Jaundice Syndrome (AJS) AWD 2,198 2.9% 25,384 2.9% Bloody diarrhoea Measles/Rubella

Other diarrhoea Other Bloody diarr. 360 0.5% 3,523 0.4% * Varicella (susp.) Vector-borne disease Other diarr. 790 1.0% 8,455 1.0% * Combines malaria and dengue cases (suspected and confirmed) Susp. Varicella 324 0.4% 1,171 0.1%

ARI 14,503 19.0% 173,022 19.8%

Measles/Rub. 13 0.0% 137 0.0%

AFP 0 0.0% 5 0.0%

Susp. menin. 0 0.0% 13 0.0%

AJS 5 0.0% 93 0.0%

Susp. HF 0 0.0% 0 0.0%

Neo. tetanus 0 0.0% 0 0.0%

Adult tetanus 0 0.0% 0 0.0%

Malaria (conf.) 1 0.0% 2 0.0%

Malaria (susp.) 1 0.0% 11 0.0%

Dengue (conf.) 0 0.0% 1 0.0%

Dengue (susp.) 0 0.0% 0 0.0%

Unexpl. fever 787 1.0% 7,822 0.9%

Sev. Malnut. 19 0.0% 301 0.0%

Inj./Wounds 1,694 2.2% 22,499 2.6%

Other 55,688 72.9% 632,851 72.3%

Total 75,623 100% 875,566 100%

1 W9 2021

Trend in consultations and key diseases

Figure 2 | Trend in proportional morbidity for key diseases (W9)

100.0%

80.0%

60.0% % morbidity

40.0%

20.0%

0.0% W01 2020 W05 2020 W09 2020 W14 2020 W18 2020 W23 2020 W27 2020 W31 2020 W36 2020 W40 2020 W44 2020 W49 2020 W53 2020 W05 2021 W09 2021

Other consultations Acute Watery Diarrhoea (AWD)

Acute Respiratory Infection (ARI) Other diarrhoea * Unexplained fever Vector-borne disease

Acute Jaundice Syndrome (AJS) * Combines malaria and dengue cases (suspected and confirmed)

2 W9 2021

Acute Respiratory Infection | Trend

Figure 3 | Trend in number of cases over time (W38 2017 - W9 2021)

27,500

25,000

22,500

20,000

17,500

15,000

12,500

10,000

7,500

5,000

2,500

0 W01 2018 W13 2018 W26 2018 W40 2018 W01 2019 W14 2019 W27 2019 W40 2019 W01 2020 W14 2020 W27 2020 W40 2020 W53 2020

Total ARI cases - Cox's Bazar

3 W9 2021

Acute Respiratory Infection | Maps and Alert Management

Map 1 | Map of cases by camp (W9 2021)

a. Ukhia | Number of cases b. Ukhia | Number of alerts c. Teknaf | Number of cases d. Teknaf | Number of alerts

Map legend Alert management (W9 2021) Figure | % sex Figure | % age Number of cases

0 1 100 200 500 Number of alerts 0 0% 0 0 0 0

0 1 10 Alerts Verified Low Risk Moderate High Risk Very High Alert threshold Risk Risk Twice the average number of cases over the past 3 weeks. Source: IEDCR Male Female >=5 < 5

4 W9 2021

Measles | Trend

Figure 4 | Trend in number of suspected cases over time (W38 2017 - W9 2021)

700

650

600

550

500

450

400

350

300

250

200

150

100

0 W01 2018 W13 2018 W26 2018 W40 2018 W01 2019 W14 2019 W27 2019 W40 2019 W01 2020 W14 2020 W27 2020 W40 2020 W53 2020

Total suspected measles/rubella cases - Cox's Bazar

5 W9 2021

Measles | Maps and Alert Management

Map 2 | Map of cases by camp (W9 2021)

a. Ukhia | Number of cases b. Ukhia | Number of alerts c. Teknaf | Number of cases d. Teknaf | Number of alerts

Map legend Alert management (W9 2021) Figure | % sex Figure | % age Number of cases

0 1 10 20 50 Number of alerts 8 100% 0 0 0 0

0 1 10 Alerts Verified Low Risk Moderate High Risk Very High Alert threshold Risk Risk 1 case. Source: IEDCR Male Female >= 5 < 5

6 W9 2021

Acute Jaundice Syndrome | Trend

Figure 5 | Trend in number of cases over time (W38 2017 - W9 2021)

160

140

120

100

0 W01 2018 W13 2018 W26 2018 W40 2018 W01 2019 W14 2019 W27 2019 W40 2019 W01 2020 W14 2020 W27 2020 W40 2020 W53 2020

Total suspected AJS cases - Bangladesh

7 W9 2021

Acute Jaundice Syndrome | Maps and Alert Management

Map 3 | Map of cases by camp (W37 2017 - W9 2021)

a. Ukhia | Number of cases b. Ukhia | Number of alerts c. Teknaf | Number of cases d. Teknaf | Number of alerts

Map legend Alert management (W9 2021) Figure | % sex Figure | % age Number of cases

0 1 10 20 50 Number of alerts 0 0% 0 0 0 0

0 1 10 Alerts Verified Low Risk Moderate High Risk Very High Alert threshold Risk Risk A cluster of 3 or more cases seen in a health facility. Source: IEDCR Male Female >= 5 < 5

8 W9 2021

Acute Watery Diarrhoea | Trends

Figure 6 | Trend in number of cases over time (W38 2017 - W9 2021)

5,500

5,000

4,500

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0 W01 2018 W13 2018 W26 2018 W40 2018 W01 2019 W14 2019 W27 2019 W40 2019 W01 2020 W14 2020 W27 2020 W40 2020 W53 2020

Total AWD cases - Bangladesh

9 W9 2021

Dengue | Trends

Figure 7 | Trend in number of cases over time (W38 2017 - W9 2021)

0 W01 2018 W13 2018 W26 2018 W40 2018 W01 2019 W14 2019 W27 2019 W40 2019 W01 2020 W14 2020 W27 2020 W40 2020 W53 2020

Total Dengue Cases - Suspected - Bangladesh Total Dengue Cases - Confirmed - Bangladesh

11 W9 2021

Dengue | Maps and Alert Management

Map 4 | Map of cases by camp (W37 2017 - W9 2021)

a. Ukhia | Number of cases b. Ukhia | Number of alerts c. Teknaf | Number of cases d. Teknaf | Number of alerts

Map legend Alert management (W9 2021) Figure | % sex Figure | % age Number of cases

0 1 100 200 500 Number of alerts 0 0% 0 0 0 0

0 1 10 Alerts Verified Low Risk Moderate High Risk Very High Alert threshold Risk Risk Twice the average number of cases over the past 3 weeks. Source: IEDCR Male Female >= 5 < 5

12 W9 2021

Varicella (Susp.) | Trends

Figure 7 | Trend in number of cases over time (W38 2017 - W9 2021)

9,000

8,000

7,000

6,000

5,000

4,000

3,000

2,000

1,000

0 W01 2018 W13 2018 W26 2018 W40 2018 W01 2019 W14 2019 W27 2019 W40 2019 W01 2020 W14 2020 W27 2020 W40 2020 W53 2020

Total Varicella Cases - Suspected - Bangladesh

13 W9 2021

Varicella (Susp.) | Maps

Map 4 | Map of cases by camp (W37 2017 - W9 2021)

a. Ukhia | Number of cases c. Teknaf | Number of cases

Map legend Figure | % sex Figure | % age Number of cases

0 1 100 200 500

Male Female >= 5 < 5

14 W9 2021

For more help and support, please contact:

Dr. Shownam Barua Medical Officer - Civil Surgeon Office (MO-CS) Ministry of Health and Family Welfare Cox's Bazar, Bangladesh

Telephone: +88 01723350483 Email: [email protected]

More information can be found at http://ewars-project.org

Sign-up for an account with EWARS Bangladesh at http://bd.ewars.ws Ministry of Health and Family Welfare Bangladesh