EWARN & Diseases / Surveillance Bulletin

Epidemiological Reporting REPORTING TOTAL TOTAL Week Period SITES CONSULTATION EWARN

3 Aug. 2020 32 84 17291 3569 9 Aug. 2020

Municipalities surveillance status. Hospital surveillance status

Leading causes of morbidity By week 32 : 2020, AURI is still the leading cause of morbidity, with ALRI and AD. In table 1: number of cases for each disease and percentage from total consultations.

Condition Number of cases Percentage from total consultations Acute Upper Respiratory Infections 1939 11 % (AURI) Acute Lower Respiratory Infections 428 2.5 % (ALRI) Acute Diarrhea (AD) 896 12 % Table 1: number of cases for leading causes of morbidity and their percentage from total consultations

AURTI are generally mild in nature, commonly caused by viruses, sometimes with bacteria. ALRTI epidemiologically includes acute bronchitis, bronchiolitis, influenza and pneumonia.

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Morbidity Patterns:

Figure ((1,2,3)) shows a distribution of reported cases on municipalities for week 32:

Figure 1: distribution of (AURI) Cases of week 32

Figure 2: distribution of (ALRI) Cases of week 32

Figure 3: distribution of (AD) Cases of week 32

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Distribution of AURI, ALRI, and AD Cases by Municipality for Week 32/2020:

Figure 4: Distribution of AURI, ALRI, and AD cases by municipality for week 32: 2020

AURI reported cases were mainly coming from: Alabyar, Almarij, Ashati, Baniwaleed, , Derna, Igdabya, Subrata and Zwara while the highest numbers of ALRI reported cases coming from Baniwaleed and Subrata. AD reported cases mainly from Albaida, Almarij and Baniwaleed.

Figure 5: Trend of AURI, ALRI and AD by weeks to week 32 / 2020

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Vaccine preventable diseases (VPD):

Disease No. of Cases

Measles 10 Pertussis 0 Meningitis 9 Afp 0 Table 2: vaccine preventable diseases reported cases

In week 32 :2020,  the total number of new cases of fever and rash (Suspected Measles) was 10 cases: (6) Sebha, (1) Igdabya, (1) , (1) Albaida, (1) Baniwaled , blood sample sent to measles lab for confirmation.  0 reported cases of Pertussis .  0 Reported case acute flaccid paralysis (AFP).  9 Meningitis cases reported from : (6) Benghazi, (2) Tripoli and (1) Sebha.  Zero reported case of Neonatal tetanus, and diphtheria in this week last reported case was in 2016.

Water-Borne Diseases:

By week 32 : 2020  Total number of acute diarrhea (AD) reported cases in week 32 was (896) cases.  Total number of bloody diarrhea reported cases was (BD): (10) cases: distributed on following municipalities (7) Baniwaleed, (2) Benghazi and (1) Alwahat.  Total number of acute jaundice syndrome (AJS) reported cases was (33) Cases distributed on following municipalities (8) Almarij, (5) Baniwaleed, (5) Ashati, (3) Benghazi, (3) Albaida, (3) Igdabya, (2) Ghat, (2) Tripoli and (2) Aljofra .

Other Infectious Diseases:

 Leishmaniasis In Week 32: The number of the cutaneous Leishmaniasis reported cases was (27) cases from (5) Tawergha and (22) Baniwaleed.

 FOODPOIS: The number of the cutaneous FOODPOIS reported cases was (22) cases from: (7) Almarij, (4) Oupari, (3) Benghazi, (3) Ghat, (2) Traghen, (2) Ashati and (1) Albaida.

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 COVED-19:

In Week 32 : The number of COVID-19 reported cases was (195) suspected cases: (49) Sebha, (30) , (24) Ashati, (18) Aljmail, (16) Qasser Alakhiar, (11) Ghdames, (8) Igdabya, (7) Tripoli, (6) Alwahat, (6) Oupari, (4) Regdalin, (2) Traghen and (1) Alkofra.

Summary of Reported Cases Week 32 : 2020

Percentage from Percentage from Disease № of Cases Consultation EWARN

AURI 1939 11.214% 54.329% ALRI 428 2.475% 11.992% AD 896 5.182% 25.105% BD 10 0.058% 0.280% AJS 33 0.191% 0.925% Leishmaniasis 27 0.156% 0.757% Measles 10 0.058% 0.280% Meningitis 9 0.052% 0.252% Food poisoning 22 0.127% 0.616% COVID-19 159 0.920% 4.455% Table 3: Summary of Reported Cases Week 32 : 2020

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