VOLUME 4 WEEK 49 8th DECEMBER, 2019

 No District in either alert or epidemic phase for Meningitis

 Eastern and Greater Accra regions below the annualized Non-Polio AFP rate of 2.0 per 100,000 population less than 15 years

Summary of Weekly Epidemiological Data, Week 49, 2019

The Weekly Epidemiological Report is a publication of the Ghana Health Service and the Ministry of Health, Ghana © Ghana Health Service 2019 ISSN - 2579-0439

Ghana Weekly Epidemiological Report Vol. 4 Week 49 8 December 2019 i

Summary of Weekly Epidemiological Data, Week 49, 2019

Acknowledgement

This publication has been made possible with technical and financial support from the Bloomberg Data for Health Initiative (www.bloomberg.org), the CDC Foundation and the World Health Organisation

Ghana Weekly Epidemiological Report Vol. 4 Week 49 8 December 2019 ii

Summary of Weekly Epidemiological Data, Week 49, 2019

Summary of Weekly Epidemiological Data for Week 49, 2019

Highlights:

 No District hits either alert or epidemic threshold for Meningitis  Eastern and Greater Accra regions below the annualized Non-Polio AFP rate of 2.0 per 100,000 population less than 15 years  SUMMARY OF PRIORITY

DISEASES AND EVENTS - WEEK Influenza-like illness 778

49, 2019 Acute watery diarrhoea in persons… 589 The total all-cause notifiable disease  Measles 40 morbidity for the week (as per IDSR

Weekly Summary Reporting Form) Diarrhoea with blood 30

was 1,218 with two maternal deaths. Yellow fever (suspected) 12

Disease/Event Influenza-like Illnesses and diarrhea among persons above 5years were the AFP (suspected polio) 12

predominant disease conditions during Meningitis 7 the Week and contributed 92% of the

notifiable diseases’ caseload 0 200 400 600 800 1000 [See Figure 1 and Annex 1] Number of Cases

Figure 1: Reported cases/notifiable disease conditions, Ghana, Week 49, 2019

REGIONAL PERFORMANCE BASED ON

REPORTING Four regions namely; Northern, Western, Upper East and Ashanti with Timeliness and Completeness of reporting for all the perfect score of 100% were the best performing regions in the week notifiable conditions for the Week were both under review whilst Central region was the least performing with a 98.9% and 99.8% respectively. Four regions; mean score of 93.0%. All regions achieved the expected targets Northern, Western, Ashanti and Upper East all (73.8%) for percentage of districts reporting at least a suspected case scored 100% for both indicators [Table 1]. of either Measles or Yellow Fever [Table 1].

Table 1: Ranking of Regional Performance based on selected Surveillance reporting indicators, Ghana, Week 49, 2019

Region Timeli- Complete- Measles YF Average ness (%) ness (%) Cum. Annualized AFP % % Score % Position . Week Week AFP Non-Polio Score District District 49 49 Cases AFP Rate (%) reporting reporting (A+B+C+ A B Week 49 C D E D+E)/5

Northern 100 100 97 4.0 100 100 100 100 1st Western 100 100 49 2.8 100 100 100 100 1st

Ashanti 100 100 77 2.1 100 100 100 100 1st

Upper East 100 100 45 5.0 100 100 100 100 1st Volta 99.5 100 55 3.2 100 100 100 99.9 5th . Brong-Ahafo 98.1 99.5 66 3.7 100 100 100 99.5 6th Upper West 90 99.3 42 7.9 100 100 100 97.9 7th Greater Accra 100 100 71 1.8 89 100 100 97.8 8th

Eastern 99 99 37 1.7 83 100 92.3 94.7 9th Central 99.8 100 51 3.0 100 90.0 75.0 93.0 10th Ghana 98.9 99.8 590 2.8 100 99.0 96.4 98.8

Ghana Weekly Epidemiological Report Vol. 4 Week 49 8 December 2019 1

Summary of Weekly Epidemiological Data, Week 49, 2019

MEASLES INFLUENZA-LIKE ILLNESS (IDSR Weekly During the Week, 37 cases of suspected Measles were recorded Report) across the country [Table 3]. Samples were taken and sent to the A total of 473 cases with no deaths were reported National Public Health and Reference Laboratory [NPHRL] for through IDSR weekly reporting [Table 2]. Laboratory testing and awaiting results. samples were sent from sentinel sites to Noguchi

Memorial Institute for Medical Research (NMIMR) for Table 3: Suspected Measles cases by Region and District, testing and awaiting results. Ghana, Week 49, 2019

Region District Cases Deaths Table 2: Reported Influenza-Like Illness cases by Ashanti Atwima-Kwanwoma 1 0 Region and District, Ghana, Week 49, 2019 Brong Ahafo Asutifi South 1 0 Region District Cases Deaths Asunafo North 2 0 Brong-Ahafo Sunyani 8 0 Asunafo South 2 0 Central Cape Coast 111 0 Banda 1 0 Sunyani 3 0 Assin North 1 0 Nkoranza North 1 0 Greater Sunyani West 1 0 Accra Accra 28 0 Central Assin North 3 0 Adentan 11 0 Eastern West Akim 2 0 Shai Osudoku 118 0 Yilo-Krobo 1 0 Ga West 48 0 Greater-Accra Ga South 2 0 Ga West 5 0 Ga Central 8 0 - 2 0 Ga East 24 0 Upper West Wa 1 0 Tema 90 0 Wa East 1 0 Ledzokuku-Krowor 22 0 Upper East Bongo 2 0 Western Bodi 1 0 Upper East Bolgatanga 4 0 Sekondi Takoradi 1 0 Total 473 0 Shama 2 0 Tarkwa-Nsuaem 2 0 Total 37 0

CHOLERA No cholera case was reported during the Week.

NEONATAL TETANUS MENINGITIS During the week, 5 cases of meningitis were recorded with No case of neonatal tetanus was reported during the week no deaths across the country. No district was in either alert or

epidemic phase. Lumbar Punctures were done for all cases

with none confirmed positive for meningitis [Table 4].

Table 4: Meningitis cases and deaths by Region, Ghana, Week 49, 2019

Cerebrospinal Cerebrospinal CFR District in District in Region Cases Fluid (CSF) Lab Deaths Fluid (CSF) (%) Alert Epidemic Test Positive Ashanti 0 0 0 0 - 0 0

Brong-Ahafo 2 2 0 0 0 0 0 Central 0 0 0 0 - 0 0 Eastern 0 0 0 0 0 0 0

Greater Accra 0 0 0 0 - 0 0 Northern 0 0 0 0 - 0 0

Upper East 1 1 0 0 0 0 0 Upper West 2 2 0 . 0 0 0 0

Volta 0 0 0 0 - 0 0 Western 0 0 0 0 - 0 0

Total (Ghana) 5 5 0 0 0 0 0

Table 5: Maternal Deaths by Region, Ghana, Week 49, MATERNAL DEATHS 2019 During Week 49, two maternal deaths were reported, Region District Deaths one each from Assin North and Nadowli-Kleo districts Central Assin North 1 [Table 5]. Upper West Nadowli-Kaleo 1 Total 2

Ghana Weekly Epidemiological Report Vol. 4 Week 49 8 December 2019

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Summary of Weekly Epidemiological Data, Week 49, 2019

YELLOW FEVER HUMAN RABIES Seventeen cases of suspected Yellow Fever were reported No case of Human Rabies was recorded in Week 49. across the country [Table 6]. Samples were sent to the National Public Health and Reference Laboratory for testing and awaiting results ACUTE FLACCID PARALYSIS (SUSPECTED Table 6: Suspected Yellow Fever cases by Region, Ghana, POLIOMYELITIS) Week 49, 2019 Fifteen cases of Acute Flaccid Paralysis (AFP) were Region District Cases Deaths reported in Week 49 [Table 7]. The stool specimens were tested at the Polio Laboratory at NMIMR and were Ashanti Asante Akim Central 1 0 negative for wild poliovirus. Atwima Mponua 1 0

Atwima Nwabiagya 1 0 Table 7: Suspected Polio cases by Region and District, Kwabre 1 0 Ghana, Week 49, 2019 Brong Ahafo Asunafo South 1 0 Region District Cases Deaths Ahafo-Ano South 1 0 Ashanti Sekyere-Kumawu 1 0 Central Assin North 1 0 Brong Ahafo Asutifi South 1 0 Eastern Ayensuano 1 0 Nkoranza North 1 0 Jaman North 1 0 Greater-Accra Kpone-Katamanso 1 0 . Eastern Ayensuano 1 0 Accra 1 0 Asuogyaman 1 0 Upper East Bongo 1 0 East Akim 1 0

Builsa 1 0 Greater- Upper West Lawra 1 0 Accra Ledzokuku-Krowor 1 0

Sissala West 1 0 Upper East Bolgatanga 1 0 Upper West Lawra 2 0 Volta 1 0 Sissala East 1 0 Kadjebi 1 0 Sissala West 1 0

Western Sefwi-Akontombra 1 0 Jirapa 1 0

Total 17 0 Western Ellembelle 1 0

Total 15 0

. Summary on Acute Flaccid Paralysis (AFP) Indicators, Week 1 – 49, 2019 All regions achieved the annualized Non-Polio AFP rate of 2.0 per 100,000 population less than 15 years in the week under

review except Eastern (1.7) and Greater Accra (1.8) [Table 8]. All regions achieved timeliness and adequacy of stool received by the laboratory.

Table 8 Summary on Acute Flaccid Paralysis Surveillance, Ghana, Week 1 – 49, 2019

Expected . Population Non- Annualized % % Reported Region Under 15 Polio Compatible Discarded cVDPV Non-Polio Timely Adequate AFP years AFP for AFP Rate Stools Stools the year Ashanti 2,466,042 72 77 1 71 0 2.1 93.1 87.5 Brong-Ahafo 1,197,324 33 66 0 58 1 3.7 85.7 83.8 Central 1,076,556 33 51 0 47 0 3.0 90.2 90.2 Eastern 1,384,726 42 37 0 33 0 1.7 97.2 94.4 Greater 2,351,371 73 71 0 61 0 1.8 80.3 80.3 Accra Northern 1,280,890 39 97 1 73 7 4.0 91.9 91.9

Upper East 534972.06 17 45 0 40 0 5.0 90.2 90.2 Upper West 349836.06 11 42 0 41 0 7.9 95.0 95.0 Volta 1095858.96 33 55 0 50 1 3.2 91.7 91.7

Western 1299165.84 36 49 0 48 0 2.8 90.7 90.7 Ghana 13,036,742 389 590 2 522 9 2.8 89.8 88.7

*Circulating Vaccine-Derived Polio Virus

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Summary of Weekly Epidemiological Data, Week 49, 2019

ANNEX 1: SUMMARY OF REPORTED CASES/ EVENTS: WEEK 49 (WEEK ENDING 8 DECEMBER 2019) Disease/Health Event Week 48 Week 49 Cumulative to Week 49 (suspected/confirmed) Cases Deaths CFR Cases Deaths CFR Cases Deaths CFR (susp) (%) (susp) (%) (susp) (%) AFP (suspected polio) 12 0 0 15 0 0 590 0 0

Acute haemorrhagic 0 0 - 0 0 - 0 0 - fever syndrome Adverse events 0 0 - 1 0 0 282 0 0 following immunization Anthrax 0 0 - 0 0 - 0 0 - Acute watery diarrhoea 589 0 0 643 0 0 42,750 0 0 in persons aged ≥5 years Cholera 0 0 - 0 0 - 0 0 - Dengue fever 0 0 - 0 0 - 0 0 - Diarrhoea with blood 30 0 0 27 0 0 1,911 0 0 Dracunculiasis (Guinea 0 0 - 0 0 - 0 0 - worm) Influenza-like illness 778 0 0 473 0 0 23,610 0 0 Maternal deaths - 6 - - 2 - - 104 - Measles 40 0 0 37 0 0 2,304 0 0 Meningitis 7 0 0 5 0 0 891 23 2.6 Neonatal tetanus 0 0 - 0 0 - 12 3 25.0 Plague 0 0 - 0 0 - 0 0 - Public health event of 0 0 - 0 0 - 0 0 - international concern (PHEIC) Human rabies 0 0 - 0 0 - 8 8 100 SARS 0 0 - 0 0 - 0 0 - Smallpox 0 0 - 0 0 - 0 0 - Yellow fever (suspected) 12 0 0 17 0 0 3,047 0 0

NATIONAL TOTAL 1,468 6 - 1,218 2 - 75,405 138 0.05 *CFR does not include maternal deaths

This report and subsequent ones should be shared with regional and district heads as well as heads of other agencies. A feedback addressed to the Editor-In-Chief is welcome

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Editorial Board & Team

Editorial Board Editorial Team

Dr. Anthony Nsiah-Asare Editor Dr. Badu Sarkodie Mr. Gideon Kwarteng Acheampong Dr. Michael Adjabeng

Dr. Emmanuel Kofi Dzotsi Managing Editor Dr. Kwame Amponsa-Achiano Mr. Kwame Acheampong Owusu Dr. David Opare Dr. Franklin Asiedu-Bekoe Editor-In-Chief Mr. Kwame Kodom Achempem Dr. Kenneth Ofosu-Barko Mr. James Addo

Mr. Isaac Baffoe-Nyarko Prof. Kwadwo Koram Dr. Ivy Frances Osei Dr. Ernest Kenu Dr. Phyllis Antwi Ms. Selina Ababio Dr. Dennis Laryea Dr. Sally-Ann Ohene Dr. Chastity Walker

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