Eiectronic Integrated Disease Early Warning and Response System Volume 07,Lssue50,Epi Week 50,(09-16 December,2019)

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 07,lssue50,Epi week 50,(09-16 December,2019)

Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-50,2019

% %

% % % % % % % % % % % % %

% % % % % % % % % % % % % % % % % % % %

% % % % % %

97 97

96 96 96 96 96 96 96 96 96 96 96 96 96

95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95

94 94 94 94 94 94

100% % 450000

96 93 90% 93 400000 •During week no.50,2019, %95(1991/1896) health facilites from 23 80% 350000 70% 300000 Governorates provided valid surveillance data. 60% 250000 50% 200000

Percentage 40%

150000 Consulttaions 30% 20% 100000 10% 50000

•The total number of consultation reported during the week in 23 0% 0

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

Wk14 Wk16 Wk23 Wk25 Wk30 Wk32 Wk37 Wk39 Wk46 Wk48 Wk 11 Wk 12 Wk 13 Wk 15 Wk 17 Wk 18 Wk 19 Wk 20 Wk 21 Wk 22 Wk 24 Wk 26 Wk 27 Wk 28 Wk 29 Wk 31 Wk 33 Wk 34 Wk 35 Wk 36 Wk 38 Wk 40 Wk 41 Wk 42 Wk 43 Wk 44 Wk 45 Wk 47 Wk 49 Wk 50 Governorates was 415196 compared to 399050 the previous reporting week Wk 10

50. Acute respiratory tract infections lower Respiratory Infections (LRTI), Upper Reporting Rate Consultations Respiratory Infections (URTI), Other acute diarrhea (OAD) and Malaria (Mal)

Distribution of Reporting Rates by Governoraes (Epi-Week 50,2019)

% % were the leading cause of morbidity this week. %

100% %

100

100 100

90% 97

100 97

100

% %

80% %

87 86 70% 83 60% 50% 40% 30% 20% ● A total of 2063 alerts were generated by eDEWS system in week50, 2019, Of No. HF Reports 10% these 2059 alerts were verified as true for further investigations with 0% appropriate response

Reporting Rate Target

Leading causes of morbidity mortality in Epi-Week 50,2019 Proportional morbidity of leading priority diseases, Epi week 50,2019

Guinea Worm ● (URTI) 16.5%, suspected Malaria (7.7%),(DD) (10.1%) and (LRTI) (6.4%)Remain the Scabies Chicken Pox leading causes of morbidity representing a total of (40.7%) Brucellosis HIV/ AIDS Tuberculosis RB CL ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than Sch VHF 1% of total morbidity in reporting period Bloody diarrhea represented 0.3% Of this DF Meng morbidity Mal Mumps AFP NNT AVH_B&C ● All diarrheal disease comprised 10.1% and LRTI 6.4% of total morbidity in pilot Governorates AVH_A&E Meas this week . Typhoid F OAD BD Pert SARI ILI ● All diarrheal disease comprised 10.1% and OAD 7% 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% 16.0% 18.0%

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 النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا على شكل وباء :ILI

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 50 (09-16 December,2019) Epidemiological Situation of Cholera

GOV

Maps Officer / Fawaz Al-Khalidi - Mobile (771422601)

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 50 (09-16 December,2019) Epidemiological Situation of Dengue Fever and SARI Highest Governorates/ Districts with Suspected DF during last 3 Weeks ( wk49,50,51)

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

Deaths

Distribution of Death SARI by age group ( Oct, Nov, Dec) 2018/2019

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]) 3 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 50 (09-16 December,2019)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-50 ,2019)

URTI LRTI mararia tested cases & confirmed Epi weeks 1-50,2019 20.0% 8.0% 4000

18.0% 7.0% 3500

16.0%

6.0% 3000

14.0%

5.0% 2500 12.0%

2000 10.0% 4.0%

8.0% 1500 3.0%

6.0% 1000 2.0%

4.0% 500 1.0% 2.0%

0.0%

wk2 wk5 wk8 wk3 wk4 wk6 wk7 wk9

0.0% wk1

wk11 wk14 wk17 wk20 wk23 wk26 wk45 wk48 wk10 wk12 wk13 wk15 wk16 wk18 wk19 wk21 wk22 wk24 wk25 wk27 wk28 wk29 wk30 wk31 wk32 wk33 wk34 wk35 wk36 wk37 wk38 wk39 wk40 wk41 wk42 wk43 wk44 wk46 wk47 wk49 wk50

WK1 WK2 WK3 WK4 WK5 WK6 WK7 WK8 WK9

WK10 WK11 WK12 WK13 WK14 WK15 WK16 WK17 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK25 WK26 WK27 WK28 WK29 WK30 WK31 WK32 WK33 WK34 WK35 WK36 WK37 WK38 WK39 WK40 WK41 WK42 WK43 WK44 WK45 WK46 WK47 WK48 WK49 WK50

WK1 WK2 WK3 WK4 WK5 WK6 WK7 WK8 WK9

WK10 WK11 WK12 WK13 WK14 WK15 WK16 WK17 WK18 WK19 WK20 WK21 WK22 WK23 WK50 WK25 WK26 WK27 WK28 WK29 WK30 WK31 WK32 WK33 WK34 WK35 WK36 WK37 WK38 WK39 WK40 WK41 WK42 WK43 WK44 WK45 WK46 WK47 WK48 WK49 WK24 Rapid Test(Postive) Microscope(Postive)

Age and Sex distribution of total consultations of leading diseases (Epi week 50,2019) Number of Alerts Received and Responded (Epi Weeks 47-50,2019)

100000

URTI LRTI Pert BD OAD Typhoid F 90000 86880 AFP Meas AVH_A&E AVH_B&C DF Meng 80000 Sch CL Chicken Pox Mal 70000 250

60000 57714 200 50000

42153 40683 40000 38785 150 35954 34063 30555 30000 100

24247 24162 No.of Alerts

20000

50 10000

0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 24247 35954 40683 57714 30555 Female 24162 38785 42153 86880 34063 Distribution of consultations of leading diseases by Governorates,Epi week 50-2019

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 3335 4864 1366 1003 7028 1489 721 1878 7226 2908 4083 2063 2559 4209 2613 4411 1225 636 4383 4823 1735 76 3790 68424 LRTI 326 588 816 134 5094 432 88 1037 2795 1515 2328 493 401 1683 1624 1308 618 167 738 1977 292 28 2003 26485 ILI 218 0 110 0 90 129 0 20 74 67 120 0 2 126 58 0 167 0 243 255 352 4 669 2704 SARI 0 0 2 0 2 0 0 2 128 27 155 0 0 0 4 0 0 0 6 9 0 0 8 343 Pert 3 13 1 2 1 11 0 0 3 4 10 1 7 0 1 6 0 0 16 2 32 0 7 120 BD 45 1 65 11 136 97 37 62 72 81 91 5 16 5 39 29 58 14 97 88 48 0 158 1255 OAD 1264 1795 797 587 1725 893 292 696 3646 1473 2488 874 558 1844 1432 1451 668 328 1613 2264 810 30 1407 28935 Typhoid F 42 49 245 10 403 150 11 141 677 240 1476 48 7 9 455 50 110 55 140 289 63 31 470 5171 Meas 2 18 4 4 1 1 0 0 11 11 2 1 1 13 7 5 0 0 11 2 0 0 5 99 AVH_A&E 6 15 1 1 3 2 7 7 103 7 38 37 6 0 18 16 3 0 8 22 14 0 37 351 AVH_B&C 3 1 6 0 1 0 0 0 91 6 7 14 0 3 18 3 8 0 0 1 3 0 14 179 NNT 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 AFP 0 1 0 0 0 0 0 0 3 0 2 0 0 0 1 2 1 0 0 0 1 0 2 13 388 27 0 4 23 29 2 6 25 34 42 13 4 األمراض المشتب23هة Mumps 6 26 2 7 3 16 10 27 46 13 Mal 65 405 0 3 20315 91 98 521 190 572 858 1 1 5424 396 114 32 216 780 279 5 0 1457 31823 Meng 0 2 0 0 3 4 0 0 15 1 3 4 0 2 3 0 0 0 1 0 0 0 23 61 DF 23 224 33 11 3950 0 0 42 13 4 2 39 2 512 5 177 284 3 4 2 98 0 833 6261 VHF 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 Sch 1 0 1 7 4 32 0 41 66 124 26 14 1 123 9 1 3 11 56 52 4 0 31 607 CL 1 0 1 0 0 4 0 1 15 5 19 2 0 9 1 8 2 2 13 12 1 0 2 98 RB 0 0 45 0 0 0 0 23 70 11 92 0 2 5 50 0 0 0 0 2 0 0 2 302 Tuberculosis 2 7 2 1 22 5 4 0 14 1 15 0 0 5 2 1 0 0 0 7 1 0 6 95 HIV/ AIDS 0 0 0 0 0 0 0 0 6 0 0 0 0 0 1 0 0 0 0 0 0 0 0 7 Brucellosis 2 0 47 0 0 61 0 1 153 59 427 0 6 161 90 0 4 2 14 15 10 0 8 1060 Chicken Pox 5 10 3 0 8 14 3 4 54 16 17 15 3 14 27 12 15 21 43 26 5 0 25 340 Scabies 13 0 0 0 36 0 0 6 8 2 12 0 0 36 8 1 0 4 21 10 0 0 1 158 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 4838 14335 4470 7205 18294 4288 2351 4294 48665 9620 21101 8820 4657 12089 10210 10563 6274 880 6054 10024 4691 258 10499 224480 total_cons_disease 10385 22693 8911 9002 59075 7943 3623 9158 65899 17430 34602 14249 8826 27110 18425 18300 9498 2536 14777 21864 8210 427 22253 415196 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 50 (09-16 December,2019)

Alert Responded in Epi - Week 50,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

contact with the focal points,the cases of suspected measles were diagenosed clinicaly according to case definition. Meas Lahj Al Milah,Al Had,Radfan Balla Health Unit,Aljanab HU,Radfan Public H 5 0 The cases reported immediatly to the opration room, recorded in the line list. the cases treated symptomaticaly and left the health facility.

Radfan,AlMaflahy,Yaffa Tur Sena'a Dispensary ,Radfan Public H,AL Amal eidews coordinator visited the health facility, the cases of suspected Dengue fever were diagenosed DF Lahj Halimayn,AlHawtah,Tuban, Tur Al Center,Halimeen rural H,Ibn Khaldoon Hospital, AL clinicaly according to case definition. 177 1 Bahah,Al Musaymir jamaheer Dispensary,Alhlal HC,Almusaimeer H,Other The cases added to the line list, treated symptomaticaly and improved,one case was dead

contact with the focal point , the cases of suspected cholera were diagenosed clinicaly according to case definition. Radfan,AlMilah,AlMusaymir Radfan Public H,Almusaimeer H,Almilah 37 cases positive by RDT Chol Lahj 83 0 AlHad,Yahr,AlHawtah Halimayn,Yaffa Hospital,October public H,Halimeen rural H the cases reported immediatly to the operation room, registerd in the line list. the cases treated by iv fluid, ors and antibiotic. the cases finaly improved and left the health facility.

immediate reports was recived by the focal points, the cases of suspected pertussis were diagenosed clinicaly according to case definition. Pert Lahj Al Maflahy,Yaffa Almaflehi rural Hospital,October public H 6 0 The cases added to the lie list. The cases treated symptomaticaly and left the health facility.

contact with the focal points ,the cases of suspected Diphtheria were diagnosed clinicaly accordig to case definition. Diph Lahj Yaffa,Al Had Tebah Dispensary,Alhaid rural H 7 0 The cases reported immediatly to the operation room , recorded in the line list. The cases treated by penicillin and improved.

eidews coordinator visited the health facility, the cases of suspected AFP,the cases were diagenosed clinicaly according to case definition,the cases were vaccination, rcorded in the line list. AFP Lahj Al Madaribah and Ras Alara,Al Had Alshat Hospital 2 0 stool samples were collected and sent to the central lab. the cases under treatment.

eIDEWES team were contact by f.p, the cases were Al Buraiqeh,Al Mansura,Ash Aden German Hosp.,Alburaihi H,Masafi Aden H,Al-Wali diagnostic clinically, treatment were given. most samples were DF Aden ShaikhOuthman,AlMualla, Hosp.,Hwailat Dispensar,Alwahda educational 224 0 collected KhurMaksar,Attawahi,Dar Sad H,Aljumhuria educational H,Al Ryadah Hosp. Investigation form were done.

Dar Sad,Al Buraiqeh,Ash Shaikh eIDEWS team were contacted fp: The cases were diagnoses clinically ,the cases were un vaccination Pert Aden Madinat Alsha'ab health complex,Alwahda educational H except 2 cases were vaccination and 4 cases other vaccination unknown, treatment were given, 13 0 Outhman,Al Mansura investigation form were done

eIDEWS team were contacted fp: The cases were different area , diagnoses clinically, samples were VHF Aden Al Mansura Aden German Hosp.,Al-Wali Hosp. 3 0 collected, treatment were given ,investigation form were done.

Almua'ala health complex,Hashed Health Complex,Khor- Al Mualla,Sairah,Al Buraiqeh,Ash Shaikh Maksar Complex.,Al-Memdara Complex.,Alwahda eiDEWS team were contacted fp,the cases were diagnoses clinically ,vaccination were done except 5 Meas Aden Outhman,Khur Maksar,Al Mansura,Dar cases were un vaccination and 4 cases other were vaccination unknown, ,samples were 18 0 educational H,Albasateen medical center,Dar Saad Sad collected,treatment were given ,investigation form were done Complex

eDEWS team were contacted fh :diagnosis clinically, the cases were un vaccination samples were Diph Aden Ash Shaikh Outhman,Dar Sad Alwahda educational H,Al Basateen Al Tahri Center collected 8 0 treatment were given, investigation from were done.

eIDWES team were contacted fh :The case was Saber Abdou Ali/male /age, 144m /from Alshab, AFP Aden Ash Shaikh Outhman Alwahda educational H 1 0 diagnosis clinically, treatment was given, investigation from was done.

Babl Hospital,Albasateen medical center,Alwahda eIDEWS team were contacted fp: The cases from different area , diagnoses clinically, samples were Chol Aden Sairah,Dar Sad,Ash Shaikh Outhman 58 0 educational H collected, treatment were given ,investigation form were done,9 cases were positive by RDT

RRT in districts visited FP. the cases diagnosed clinically, RDT's were positive in 11 cases . stool khanfir,Jayshan,Mudiyah culture didn't done , treatment were given, investigation forms were done , the cases and their families Chol Abyan Mudiya Hosp.,Al Mahfad Hospital,Mahnf-Lwdr H,Ahwr H 71 0 Sarar,AlMahfd,Sibah,Ahwar Lawder received complete advices about the ways of prevention and management of cholera infection. the cases included in Cholera line list

eIDEWS team contacted the F.P.one case was vaccination and one case other was un vaccination, Meas Abyan khanfir,Lawder Alkood HC 2 0 Investigation were done, Blood Samples were collected

eIDEWS team contacted the FP. the cases were diagnosed clinically (standard dengue case definition), DF Abyan Al Wade'a,Al Mahfd Azan HC,Al Mahfad Hospital 23 0 samples were not collected, treatment were given, investigation forms were done

RRT in districts level visited the Family house,the cases were un vaccination,diagnosed both cases Diph Abyan khanfir,Lawder Alrazi .H,Mahnf-Lwdr H 4 0 clinicaly and reffered , swab didn't collected, anti toxoid given there

RRT visited the reported cases in Lawdar villages .the propable cases were 3 males (Saleh Mohammed Saleh) 60 months old from Algoof-Lawder, unvaccinated. (Ali Abdullah Omar) 84 Months old from Alqa'a - Lawder, unvaccinated and (Ahmed Abdrubah Alzabedi) 24 months old from Lawder City, the patient Pert Abyan Lawder Mahnf-Lwdr H 3 0 received 2 doses of pertussis vaccine . The suspected cases diagnosed clinically according to the standard case definition. they received antibiotics & regular interest . investigation form done , RRT in Lawdar district investigated the region for quick research on other new cases

Sharab Ar Rawnah,Al Misrakh,Khadir,AlQahirah, Al Aroos Hospital,22 May HC,Ar Romah AlMaafer,Mawiyah,Salh, Rapid response team contacted also focal points by eIDEWS coordinator,cases diagnosed clinically center,Almodafar Hospital,Aljoumhri H,Khalifa according to case definition.Stool samples(C/S & serotyping) collected from cases & sent to lab (Central Chol Taiz AlMudhaffar,Sama, 1375 0 Hospital,Al Loqiah Hospital,22 May Almodafar HC,Mawih labs)for confirmation. Supplements & antibiotics treatment were given(case management)rapid test :43 SabirAlMawadim,Maqbanah,AtTaiziyah,A Hospital,Alnshmh H,MSF Hospital,Other cases positive &the results of stool C/s still pending. .There were collection & cluster of cases in the shShamayatayn,Hayfan,JabalHabashy, same Place.. Sharab As Salam

communicating with the coordinator of edews in the facility we found these cases of suspicion of Pert Taiz Sama,Salh Alnjid HC,Al-Safwah Hosp. pertussis,the cases were from different areas, Action :these cases were treated at home . Advices have 7 0 been given to their parents to follow up and review

Sama,Al Mudhaffar,Al Misrakh,Ash eIDEWS coordinator contacted focal point and the coordinator of the directorate ,information's Meas Taiz 22 May HC,Almsrakh Hospital,Other 5 0 Shamayatayn shared.Blood samples were collected from the cases and sent for lab confirmation &the cases were vaccination unknown except one case was vaccination, All data in the line lis

At Taiziyah,AlMukha,Al Altawn H,Al Wafa Center,Yemeni - Suidi H,22 May Rapid response team were contacted, information shared, facilities have been visited ,, the suspected Qahirah,AlMudhaffar,Salh, H,Althwrh H,Alrwdh H,Labs National Center,Mohammed DF cases had a history of high fever , retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed DF Taiz 833 0 AlWaziyah,SharabArRawnahMaqbanah, Al-Dourah HC,Al Loqiah Hospital,Al-Riyad Hospital,Al clinically.and by blatelets counting, ,rapid test of dengue virus was done for some of cases ,,which were Mawza wahdah HC,Aljoumhri H positive,, Medications have been given,,,there is cluster of cases in some areas,All data in the line list..

Rapid response team and Focal point were contacted by eIDEWS coordinator ,,,, information's shared. AFP Taiz Al Qahirah Yemeni - Suidi H samples were collected ,, and will be send , , There are 2 cases,2 male ,greaterm than 5 years old,from 2 0 alqahersh district, vaccination unknown..

rapid response team has been contacted,information shared, These cases of suspicion of diphtheria is from districts,the cases were diagnosed clinically . , Rapid response team visit the residence of the Diph Taiz Al Waziyah,Sharab Ar Rawnah Other cases, they give the antibiotics to some cases complain of throat infection and there is no other 2 0 suspected cases ,information shared ,

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 50 (09-16 December,2019)

Alert Responded in Epi - Week 50,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Immediate report was sent by the EDEWS focal person,The cases diagnosed clinically by case Meas Hadramout Ghail Ba Wazir Rashwaira HU 1 0 definition,the cases were vaccinated, blood samples were collected,symptomatic treatment were given

Kaninat sharjalrak HU,Bin Sena'a educational H,Alshahr Immediate report was sent by the EDEWS focal person. the cases were diagnosed clinically by case Chol Hadramout Hajr,Al Mukalla City,AshShahr definition. RDT were positive for 7 cases,stool culture were collected and sent to central lab. the result 9 0 public H was pending, the cases were treated by iv fluids and ORS. the cases improved and discharged.

Alborj Hospital,Alshahr public H,Al Tayseer Medical The EDEWS coordinator contacted the focal person. the cases were diagnosed clinically by case DF Hadramout Al Mukalla City,Ash Shahr definition,RDT were done. All cases were treated by supportive treatment in the inpatient department. all 29 0 Complex cases improved and discharged

The EDEWS coordinator contacted the focal person. the case was diagnosed clinically by case Pert Hadramout Daw'an Badha charitable H 1 0 definition. the case was treated by antibiotic.

The EDEWS coordinator visited the health facility. The cases were diagnosed clinically by case Diph Hadramout Al Mukalla City Maternity and Childhood H - Mukalla definition, pharyngeal swaps ,the cases were given with antibiotic. the cases were treated in an isolated 5 0 room. the case developed myocarditis,the cases were vaccination except one case was un vaccination

AnNadirah,ArRadmah,Yarim Hubaysh,Mudhaykhirah Yarim Hospital,al-Hazm Hospital,Alshaheed Albadani Badan,HazmAlUdayn, Immediate notification. eDEWS Coordinator visited hospital, stool samples were collected, 48 positive Hospital,Alradhmah H,Almakhader HC,Alqaidah H,AL by rapid test . Chol Ibb AsSabrah,AlQafr,AsSaddahAlMakhadir, 1186 0 Mzahan H,Yahsub Hospital,Aladin H,Mother and Child AsSayyani AshShair,Jiblah,AlDhihar, H,Other All cases were improved AlUdayn,AlMashannah FarAlUdayn,Ibb,DhiAsSufal

AsSaddah,AlUdayn,Badan, Hazm Al eDEWS focal points contacted.Information shared, Samples were Meas Ibb Alsadah HU,Aladin H,al-Hazm Hospital,Other 7 0 Udayn,AlMashannah collected ,the cases were vaccination

Immediate notification by focal point,the cases were diagnosed clinically and treated accordingly Rapid Diph Ibb Ar Radmah,Al Udayn,Al Mashannah Alradhmah H,Aladin H,Alnassr H response team visited village of infected persons for reaserch another cases ,treated contact persones 4 0 and health education,the cases were un Vaccinated

AFP Ibb Al Dhihar Alkhansaa Dispensary Immediate notification.Patient , samples were collected and send to sanaa,the case was vaccination 1 0

Immediate notification by focal point. Case was diagnosed clinically and treated accordingly.case was Pert Ibb Dhi As Sufal Alqaidah H 1 0 Vaccinated

AdDahi,AzZuhrah,AlHawak, AlHali,AsSalif,AlMunirah Alhshm Center,Althawra public H,Almekhlaf HC,Alzaydia AlMighlaf,AlGarrahi,Alluheyah,JabalRas, eDEWS coordinator contacted the hospital focal points, the cases were diagnosed suspected AWD and Rural HAlsalakhana H,Alkanawes HC,Aldhahi Rural treated accordingly, isolation done , the cases take treatment and go out side hospital , Treatment use Chol AlHodaidah AsSukhnah,Zabid, 1841 0 H,Almansouria rural H,Bait Alfakih H,Alzaydia Rural WHO protocol DTC, cases done rapid test for sever cases (total rapid test done were test,26 test were AlQanawis,AlMina,AlMarawiah,AlHajjayla H,Aljarrahi rural H,Alluheyah HU,Other positive h,Kamaran,Bura, AlMansuriyah, AzZaydiyah, Bayt Al Faqiah

Jabal Ras,Al Qanawis,Al Hawak,Bayt Al Alamal Hospital,Alsalif Hospital,Alkanawes Private H,Al Focal point were contacted , he informed us that the suspected DF cases had a history of high fever , Faqiah,Al Hali,AsSukhnah,AsSalif,Al Hawak HC,Bait Alfakih H,Hikmah hospital,Aljarrahi rural retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed clinically. Medications have been DF AlHodaidah Garrahi,AzZaydiyah,AlHali, started, samples were collected in the lab of hospital for testing by serological test ( NS1) which this test 3950 9 H,ALNoor Hospital,Tihama Hospital,Jerbh AdDahi,Hays,AzZuhrah,Bajil, measure the presence of dengue protein ( high sensitive & quality test) which detect the Antigen of virus Center,Alesra'a Specialized H,Zabid rural Hospital Zabid,Alluheyah,AlMunirah,AlMarawiah that confirm the result,9 cases were dead

Coordinator contacted the hospital focal points, the case was diagnosed suspected Pret and treated Pert AlHodaidah Al Hali Alsnaee HC 1 0 accordingly, the case was vaccination unknown

Focal points were contacted , the suspected Diphtheria cases had a history of pseudo membrane around tonsillitis , and sever inflammation, the patient vaccination , the cases were diagnosed clinically. Diph AlHodaidah Al Hawak,Zabid Althawra public H 13 0 Medications have been started, ALL cases only depend .on case definition

eDEWS coordinator contacted the focal point, the case was suspected measles which case was femel Meas AlHodaidah Al Hawak Althawra public H vaccination their from has ,fever , rash recorded in 8-12 ,Hospital recorded in 9-12, the blood sample 1 0 have been collected from the patient by district coordinator and sent to the central laboratory in Sanaa.

Kuhlan Affar,Abs,Bakil Al Mir,AshShahil, eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts . Information shared.It were Kuhlan Afar HC,Kuhlan Ash Sharaf HC,Abs Rural diagnosed clinically according to standard definition For measles , the cases were un vaccination except Meas Hajjah Kuhlan Ash Sharaf,Al Mahabishah,Qafl 13 0 Hospital,Almahabesha Public H,Other 3 cases were vaccination, Investigation form were done.,Appropriate, treatment were given,The samples Shamer were collected and sent to the central laboratory

HajjahCity,BaniQais, Dr.Abdalh Assar Center,Public Republican Aslem,Abs,AflahAlYaman, Hospital,Aslam HC,Martyr d. Yasser w Thab eDEWS coordinator contacted focal points, information shared, cases have been diagnosed clinically DF Hajjah Kuaydinah,Khayran .According to the standard definition DF ,the Cases from different areas , Some cases have been rapid 512 1 Hospital,Khamees Mastaba'a HC,Abs Rural AlMuharraq,AlMaghrabah test work the result were positive Appropriate, treatment were given,one case was dead Hospital,Other Mustaba,Kushar,Bakil Al Mir AlMahabishah,KuhlanAffar Mustaba,Bani AlAwam, KuhlanAshSharaf,AlMaghrabah,Khayran Bani Chamakh HC,Bani Qais Health Center,Mabyan AlMuharraqNajrah Hospital,Kuhlan Afar HC,Almahabesha Public eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts,Information shared .It have Chol Hajjah AshShaghadirah,AshShahil H,Alshahel Rural Hospital,Almaghraba HC,Public been reported cases of suspected cholera , The cases were diagnosed clinically (Acute watery 782 0 AlMiftah,Hajjah,QaflShamer Republican Hospital,Khatwah HC,Qafl Shamer Kufl- diarrhea)It was given the appropriate treatment BaniQais,Qarah,Aslem Shamar Rural H,Other AlJamimah,Mabyan,Abs Kuaydinah AflahAshShawm

eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts. Information shared . We received a report from Abs Rural Hospital, 13 cases 6 male and 7 female (suspected diphtheria) The Diph Hajjah Abs Abs Rural Hospital diagnosis were clinically (diphtheria) 1 cases less than five years and 12 cases greater than five years, 5 13 0 case were vaccinated , the Cases from different areas . The response team in the field investigated the cases and the contacts and the appropriate treatment were given

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed Az'zal,AtTahrir,Sana'aOld 22 May Hospital,Jabr Bn Hyan Complex,Ottan clinically according to case definition.Stool samples(C/S & serotyping) collected from cases & sent to lab AlWahdah,Aththaorah Complex,Al Jraf Complex,Ibn Khaldon HC,Omar Al (Central labs)for confirmation. Supplements & antibiotics treatment were given(case management)Most Chol Amana of them were from Amana governorate & a few of them from other governorates ,different districts of that 884 0 Shu'Aub,AsSabain, Assafi'yah Bani Mokhtar Complex,Bni - Hwath HC,Alwahda Health governorates,the results of stool C/s still pending. Rapid tests of cholera were negative for most AlHarith,Maain Center,Arwdhah H,As Sabin Hospital,Other collected specimens,so stool C/s not done for that negative samples.There were a collection or cluster of cases seen in the same Place.

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 Maain,AtTahrir,AsSabain, Sana'a diphtheria.Symptoms & signs of a case were,fever,sore throat,grey-whitish pseudo-membrane,swelling Diph Amana Alkwit educational H,As Sabin Hospital,Alraisi HC,Other 9 0 Old,Shu'Aub of neck lymph-nodes(Bull neck) & difficulty of swallowing & breathing. 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

Aththaorah,BaniAlHarith, eIDEWS coordinator contacted focal points,information's shared.Blood samples were collected from the Meas Amana Al Jraf Complex,Alrwdh HC,Arwdhah H,Alraisi HC,Other cases and sent for lab confirmation & the onset of fever,skin rash, the cases were un vaccination, Vit-A 11 0 AsSabain,Sana'a Old,Maain were given to the cases in order to support her immunity against complications of measles.

eIDEWS coordinator contacted focal points,then HF visited. Information shared & the samples sent for AFP Amana Aththaorah,Bani Al Harith AL ATRAF HC lab confirmation.The date of onset of AFP ,the cases were vaccination except one case was un 3 0 vaccination,There were no collection of cases seen in the same place.

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 50 (09-16 December,2019) Alert Responded in Epi - Week 50,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

eIDEWS coordinator contacted focal points,information shared,then HF visited by eIDEWS Pert Amana As Sabain As Sabin Hospital coordinator.The cases diagnosed clinically according to the case definition. Antibiotics treatment were 3 0 given,the cases were un vaccination,There were no collection of cases seen in the same place.

RRT contacted the focal point & visited the HF.He told us that suspected dengue cases 7 cases had a history of high fever, back pain, muscular pain, and arthralgia. The samples were collected at the DF Amana At Tahrir,As Sabain Aljomhwri H,As Sabin Hospital 13 0 hospital's laboratory for serological testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality test) which detects the virus antigen .that confirmed.

Munabbih,Sa'da,Qatabir, Baqim,Adh Al Jumhoori Hospital,Majz Health hospital ,Monabbih the edews focal points contacted , the cases were diagnosed clinincally according to the SCD , the Chol Sa'adah Dhahir,Sahar Majz,Razih,Ghamir,Al Rural Hospital,Qatabir Health Center,uasnim cases treated at the health facility according to the management protocol the line list updated and the 431 0 Hishuah,Kitaf wa Al Boqee HU,Ghamer Health Center,Ghafira Unit,Other information shared

Qatabir Health Center,Dhian HC,Majz Health hospital the surveillance team contacted , the cases diagnosed clinically and managed at the HU . the RRT Pert Sa'adah Qatabir,Majz,Ghamir,Haydan 16 0 ,Ghamer Health Center informed

Baqim,Sa'da ,Kitaf uasnim HU,Al Jumhoori Hospital,Majz Health hospital elDEWS team contacted focal points,information shared, blood samples were not collected from the Meas Sa'adah 11 0 waAlBoqee,Majz,Ghamir ,Other cases, the onset of fever,skin rash and other information were recorded in the line list .no blood samples

the edews focal point contacted , the cases diagnosed clinically as Probable diphtheria cases according Diph Sa'adah Majz,Sa'da Majz Health hospital ,Al Jumhoori Hospital to the case definition , the cases were isolated and treated , the contact traced, the line list updated and 6 2 information shared,2 cases were dead

the edews focal points contacted, the cases diagnosed as Dengue fever by the clinically and a paiered serum samples were collected, all cases was positive IgG and IgM for dengue, with high titer, the cases DF Sa'adah Majz Dhian HC 4 0 from districts (dahyan). the cases were received the proper ,management and the surveillance team at the district level contacted to perform the investigations , the data collected and the information shared

BaniSuraim,Kharif,AlMadan Kharif Rural Hospital,Amran General Hospital,Thula AlQaflah,Suwayr,AsSawd Health hospital,Habur Healthhospital, Al Abraq Health Maswar,JabalIyalYazid Unit,Al Qaflah Rural Hospital,As Sawd Health eidews Coordinator Contacted The Coordinator of Surveillance in districts And visit DTC. The cases Chol Amran AsSudah,Huth,Khammer were diagnoses clinically as suspected cholera. according case definition . All The cases Improved 524 0 hospital,Raydah Health hos.,Al Ashah Health Shaharah,HarfSufyan,Habur After Taking The Treatments proper hospital,Harf Sufyan H,Al Salam Khamir Hospital,Huth Zulaymah,DhiBin,AlAshah Amran Health hospital,Other ,Raydah,Thula

Amran,Thula,JabalIyalYazid eidews Coordinator Contacted focal points,the case were diagnosed clinically as suspected Measles. Meas Amran 22 May hospital,Hababah Health Center,Other according Case definition, Blood Samples were collected of cases and sent to central lab in sanaa for 11 0 Huth,Raydah, HaburZulaymah confirmation, the cases were vaccinated except one case was under age vaccination Against measles

eidews Team contacted focal point and Rapid Response team in district visit Health Hospital. case were diagnoses Diph Amran Amran 22 May hospital 1 0 clinically probable diphtheria .and Rapid Response Team Visit the contacts and gaves antibiotics . case Treatment with antibiotics and anti toxin . case from district amran

eidews coordinator contacted the focal point .and visit Health Hospital. the cases were diagnoses clinically as suspected of dengue DF Amran Amran 22 May hospital 4 0 fevere . according to case definition. Rapid Test were done for some cases the Result were positive. All cases were Received the treatment and improvement . the cases from different areas

eidews Coordinator Contacted The Coordinator of Surveillance in district and visit health hospital. The Pert Amran Khammer Al Salam Khamir Hospital cases were diagnosed clinically as suspected pertusis. according case definition. The Cases 4 0 Improved After gave the Treatments Antibiotics.cases from different areas

Manakhah,Hamdan,BaniMatarJahanh,Al Alhanak HU,Bait Alsaid HC,Almarbak HC,Hamdan Haymah,AlKharijiyah,BiladARus,Arhab,S Hospital, Bani Mansour HC,Bait Alhenami HC,Qaa Al a'fan, eDEWS coordinator contacted focal points, The cases were diagnosed suspected cholera(AWD) cases Chol Sanaa Governorate Sook Hu,Alshe'eb Alaswad HC,Walan Hospital,22 May tested by rapid test 201 cases were positive and cases were treated at the health facility and received 1677 0 Attyal,Sanhan,BaniHushaysh,AlHaymahA Hospital,Alar rural H,Awmara H,Alshaeed treatment dDakhiliyah,AlHusn,Bani Dhabyan MohamedAldurraHospital,Other Khwlan,Nahm

The EDEWS coordinator contacted the focal person. The cases was diagnosed clinically by case Pert Sanaa Governorate Bani Matar 26September H in Matna 2 0 definition. Unknown vaccination status. The cases was treated with antibiotic.

The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case Diph Sanaa Governorate Manakhah,Jahanh Alqadam center,Alshaeed Mohamed Aldurra Hospital definition,one case was vaccination unknown and one case other was vaccination,The cases were 2 0 treated with antibiotic.

Rapid Respose team visited area according to case definition suspected Dengue fever and one case DF Sanaa Governorate Manakhah Al wheda Manakha rural Hospital 2 1 daed and rapid test Dengue fever positive and cases were treated

The EDEWS coordinator contacted the focal person, The cases were diagnosed clinically by case Meas Sanaa Governorate Attyal,Hamdan Shamlan Hospital 2 0 definition, Skin rash started ,the cases were vaccination,blood samplse were collected.

Al Harjah Health Unit,Usaylan Hospital,Dr Saleh eIDEWS team were contacted with health facilities found cases suspected cases of dengue fever from Baihan,Ataq,Osailan,Ain,Nisab,Markhah different areas were collected in HU cases were diagnosed clinically according to case definition rapid DF Shabwah Abdurahman Medical clinic,Bayhan Hospital,Al Karmoom 98 2 Assufla test were positive for 21 cases , all cases were received their best treatment and improvement,2 cases Hospital were dead

Azal HC,Teab Al Atfal Clinic,Hantwsh Clinic,Habban eIDEWS team were contacted with health facilities found cases suspected case of cholera , diagnosed Pert Shabwah Ataq,Mayfa'ah,Habban clinically according to case definition,the cases were un vaccination except 3 cases were vaccination, 32 0 Hospital samples were collected , all cases were treated and improved

eIDEWS team were contacted with health facilities found cases suspected cases of cholera from Chol Shabwah Ataq,Rodhoom Emergency/Ataq Hospital,Rudum Rural Hospital different districts were collected in Ataq hospital cases were diagnosed clinically according to case 10 0 definition, rapid test were positive for 6 cases,cases were received their best treatment and improvement.

eIDEWS team were contacted with health facilities found one probable case of diphtheria 1-Thamer Diph Shabwah Ataq Afiah Hospital Yaser Benabdalhak male age 15 years from Alansar street case was diagnosed clinically according to 1 0 case definition vaccination was done case was referred to Almoklla hospital because no DAT available

eIDEWS team were contacted with health facilities found AFP case 1-Seaaf Mohamed Seaf Badas male age 24 month Algoary village Rodhoom district case was diagnosed clinically according to case definition AFP Shabwah Mayfa'ah Dr Bamehrez Clinic 1 0 vaccination was not done samples was collected two stool samples.case was received best treatment and improvement.

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 50 (09-16 December,2019) Alert Responded in Epi - Week 50,2019 Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Sabah,AsSawadiyah AtTaffah,Naman,MukayrasALSharyah Zkhm HC,Alshriah Sare H,Qaea Rada Center,Mother eIDEWS team contacted focal points the cases were diagnosed clinically as suspected cholera using case definition, the rapid test 71 positive and the main saing watery diarrhea &vomting some Chol Al-Baidha AlMalagim, RadmanAlAwad, Nati, and child HC,Mukayras Hospital,Althwrh Hospital,Al- 901 1 dehydration the paitnts ademittedt in HC with ORS and IV fluid in good condation the cases from AlQuraishyah,AlBayda City,Rada',Wald Taffah Center,Other deferrnt organ,one case was dead Rabi',AzZahir,Ar Ryashyyah

eIDEWS team contacted focal points the cases were diagnosed clinically , the cases 22 male and 11 femal and the 3 male caes less than 5 years and 19 male greater than 5 years and 3 femal caes less than 5 years and 8 femal caes greater than 5 years and the main saing fever and Abdomenal DF Al-Baidha Nati Alghilh Health Center pain 33 0 musel pain joint pain and the paitnts ademittedt in Masoer HU the cases from deferrnt organ from Nati from masoer and Alrdmah and Al rdaah villages

eDEWS coorinator contacted focal points theIDEWS team contacted point information was not Diph Al-Baidha As Sawadiyah Other collected Samples the a case diagnosed clinically As suspected Diphtheria using case definition,n 1 0 Antibiotic was given ,the case was un vaccination

IDEWS team contacted points information shared blood saeIDEWS team contacted focal point the Meas Al-Baidha Wald Rabi',Naman Other cases were diagnosed clinically according to case definition Antibiotics treatment were given,the cases 4 0 were un vaccination against measls

eIDEWS team contacted focal point the case diagnosed clinically according to case definition Antibiotics treatment was given the number of cases were one male he name Rihaam Saleh Hussain Almsiadi he Pert Al-Baidha Sabah Zkhm HC ages 8 monthes and onset in 2/12/2019 respectively the case from Qarn Qased HC 1 0

and there are no collction of case un vaccinated against pertussisn

EDEWS team contact Edews focal point in `Qishen Country Hospital . case from Qishen District ,case Chol Al-Mahra Al Ghaydah Al Ghaydah Center Hospital diagnosis according to case defination , susspected Cholera case was female 25 years age ,Cholera 1 0 rapid test was +ve ,treatment was given then sample send to culture 0n sample was +ve to cholera

edews team contact focal points , the cases were diagnosed clinically as suspected (pert) using case definition , Pert Hadramout wady Al Qatn,Thamud,Wadi Al Ayn Alkutn Public H,Thamud HC,Other 7 0 the cases were un vaccination, symptomatic treatment were prescribed

edews team contact focal points , the case was diagnosed clinically as suspected (meas) using case definition , Meas Hadramout wady Amd Amd Cooperative Center (1) name: Yasmine Abdel Rahman Mohamed, age 11 m , vaccine 1 dose fever onset 14/12/2019, blood 1 0 sample collected . symptomatic treatment was prescribed

edews team contact focal points , the cases were diagnosed clinically as suspected (cholera) using case definition , main sign : sever dehydration , vomiting , Chol Hadramout wady Al Qatn,Tarim Tarim H,Other 3 0 Lab : Rapid test positive for one case Invtstigation done by RRT Treatment : ORS, iv fluid , anti biotic.

DhamarCity,DawranAness, Wusab AlAli, Zeraja rural H,Meshrafa HC,Alrabo'o banighulais Wusab AsSafil HC,Althalouth HC,Rsabh Hospital ,Alkharba rural H,Aljarf EdeWS coordinator contacted focal point he found cases diagnosed suspected Chol(Acut watery Chol Dhamar Mayfa'atAnss,JabalAshsharq HC,Kharbah Abuyabes HC,Alwahda university H,Dawran diarrhoea and dyhadretion ) the cases tested by rapid test And result were postive for 16 cases, all 825 0 AlManar,Jahran,AnssMaghirib Hospital,Alhumyat HC,Dhamar public H,A Unity Centre cases received treatment- Ans,AlHada,Utmah (residential),Other

Eidewds coordinator contacted of the coordinator districts and he found that cases were diagnosed Pert Dhamar Dawran Aness alfadly Clinic,Other according to the standard definition of pert, the cases were un vaccination,treatment and education 10 1 health given,one case was dead

Edewds coordinator contacted of the focal points and he found that the case was diagnosed according Meas Dhamar Al Manar,Dhamar City Hamam Ali Hospital,Ezzan Center 2 0 to the standard definition of Meas( fever -rash ) the cases were un vaccination, Samples were collected

EdeWS team visted focal points and he found the cases diagnosed according to case definition as AFP Dhamar Dhamar City,Jahran Taibah hospital,Alwahda university H 2 0 suspected AFP,the cases were un vaccination

Alateer Hospital ,September 26 Hospital,Harib contacted the contact and told us that suspected dengue cases had a history of high fever, back pain, Harib,AlJubah,Majzar,Mahliyah,Marib Hospital,May 22 Hospital,( al Wahdah ) Hospital,Al muscular pain, and arthralgia. The samples were collected at the hospital's laboratory for serological DF Mareb 284 2 City,Alwadi,Sirwah, Rahabah,Bid Bidah ghurairy center ,Mahiliyah Hospital,Rahabah hospital,Bid testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality test) Bidah Hospital which detects the virus antigen .that confirms the result ,2 cases were dead

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed Mahliyah,Alwadi,BidBidah, Sirwah,Harib Mahiliyah Hospital,Bid Bidah Hospital,( al Wahdah ) clinically according to case definition.Stool samples collected from cases for screening test only . Chol Mareb 20 0 Al Qaramish Hospital Supplements & antibiotics treatment were given(case management),the results of stool Rapid tests of cholera 11 positive .There were a no collection or cluster of cases seen in the same Place

eIDEWS coordinator contacted focal point,then HF visited(Alfethi center). Information shared.Stool sample collected from the case in 13/12/2019 & the sample sent for lab confirmation.The date of onset AFP Mareb Al wadi Al vatha HC of AFP was in 9/12/2019.The case was one male,his name Mohssen Abdullah Mohssen Ojaim ,his age 1 0 1 years,from Mareb governorate,Alwadi district, Alqashoaa area.He was vaccinated against polio(2 doses)

Ard Alganateen Clinic,Al Shifa Center,Al Marashi Health EDEWS team contacted focal points, Cases diagnosed clinically as suspected pert,treatments were Pert Al-Jawf Al Matun,Al Ghayl,Kharab Al Marashi 11 0 Center given, the cases were un vaccination

Al Khalq,AlHazm,AlMaslob, Al Al Khalq Health Center,Al Maton Health Center,Al Hamidat,Al Matun,Kharab The EDEWS Coordinator received a report from the control officer that there were cases of the doctor's Chol Al-Jawf Marashi Health Center,Al Humaydat Health Center,Al diagnosis. It was a cholera, the cases without a suspicious examination from different areas. After 180 0 AlMarashi,Khob Wa Asha'af, Bi'rat Al Hazm Hospital,Bart Al Anan Rural Hospital validation. Treatments were treated according to the treatment plan Anan,Al Ghayl

The EDEWS coordinator has contacted the coordinator. The condition was diagnosed clinically by definition of the condition. The number of cases was 1 from different districts and villages. Number 1 Meas Al-Jawf Al Maslob Al Masloob Health Center 1 0 female case vaccination number of cases . Blood sample was not collected. Symptom therapy and antibiotic giving were given and vitamin A

AlMahwait,alKhabt, ArRujum Bni Alhmadi HU,Alrujm ,Mlhan Health Center,Bani Sa`d eIDEWS coordinator contacted focal points, information were shared. all cases were diagnosed clinically according to case definition, some cases were investigated by rapid test for vibrio cholera and the result Chol Al-Mahweet Hufash,Shibam Kawkaban Hospital,Aljoumhwri H,AlArkobHC,HufashH,NumanHU, 332 0 were positive for 9 cases, appropriate treatment were given according to severity of symptoms and BaniSa'd,AtTawilah,AlMahwaitCity ,Milhan Hospital,Other dehydration

eIDEWS coordinator contacted focal point,information was shared. all cases was diagnosed clinically DF Al-Mahweet Al Khabt,Al Mahwait,Milhan,Bani Sa'd Alshafl HU,Bani Sa`d Hospital,Other according to case definition,some cases were investigated by RDT for dengue fever result 4 cases were 42 0 positive appropriate treatment was given according to severity of symptom

AlJafariyah,AlJabin,Kusmah, Mazhar Alathneen Alrahb Center ,MCH HC,Almithaq H,Aden eIDEWS Coordination contact focal points in health centre , cases diagnosed according to case Chol Rayma 191 0 AsSalafiyah,Bilad AtTa'am HC,Wadi Alarid HC,Althulaia H,Az Zilh HC,Other definition ,most cases treatment at home

eIDEWS Coordination contact focal point the suspected diphtheria had a history of pseudo tonsillitis s and seve inflammation cases were diagnosed clinically medication have been started v accented The Diph Rayma Al Jafariyah Alhadiah HC contact was vaccinated and the antibiotic was given to the appropriate patients and contacts and the 1 0 situation improved and we continue to communicate with the quick response What are the procedures performed for each

Al Azariq,Juban,Qa'atabah,Al eDEWS team contacted FP, all diagnosed according to case definition, all included in updated daily line Chol Al-Dhale Daglal Health Center,Ghnih Hourh HU,Alnassr H,Other 61 0 Husha,Damt,Ad Dhale'e,Al Hussein listing

eIDEWS team were contacted fp: the cases were diagnoses clinically, vaccination were done, samples Meas Al-Dhale Juban,Al Hussein,Ad Dhale'e 22 May Hospital,Other 4 0 were collected , treatment were given, investigation form were done.

eDEWS team conted focal points information shared investigation forms and lab samples and waiting for DF Al-Dhale Qa'atabah Other 11 0 results cases opriate treatment were appro

eIDEWS team was contacted fp: the cases were diagnoses clinically , vaccination were done, , Pert Al-Dhale Ad Dhale'e Alnassr H 2 0 treatment were given, investigation form were done.