MEKONG BASIN DISEASE SURVELLANCE (MBDS) Cross-Border Exchange Information

MBDS Foundation Secretariat

MEKONG BASIN DISEASE SURVELLANCE (MBDS) MBDS XB Model,,p Sites and Report Format

MEKONG BASIN DISEASE SURVELLANCE (MBDS) CHINA 9 16 4 17 23 LAOS 2 12 MYANMAR 22 VIETNAM 1 5 7 10 11 3 8 14 13 18 21 25 24 19 Start 2003 Start 2008 Start 2009 THAILAND 6 15 20 CAMBODIA Start 2011 From 2012

MEKONG BASIN DISEASE SURVELLANCE (MBDS) 1. Savannakhet (Laos) - Mukdaharn (Thailand) 14. Mae Sot (Thailand) - Myawaddy (Myanmar) 2. Savannakhet (Laos) - Quang Tri (Vietnam) 15. Chanthaburi (Thailand) – Battambang and Pailin 3. Champasak (Laos) - Stung Treng (Cambodia) (Cam bo dia) 4. Luang Namtha (Laos) - Mengla (China) 16. Lang Son (Vietnam) – Ping Xiang (China) 5. Bo Kaeo (Laos) - Chiang Rai (Thailand) 17. Quang Ninh (Vietnam) – Dong Xiang (China) 6. Sakaeo (Thailand) - Banteay Meacheay 18. Svay Rieng (Cambodia) - Tay Ninh (Vietnam) (Cambodia) 19. Kampong Cham (Cambodia) - Tay Ninh 7. Takaeo (Cambodia) - An Giang (Vietnam) (Vietnam) 8. Kampot (Cambodia) - Kien Giang (Vietnam) 20. Koh Kong (Cambodia) - Trat (Thailand) 9. Lai Chau (VIET) - Jinping (CHI-Y) 21. Kammouane (Laos) - Nakorn Phanom (Thailand) 10. Chiang Rai (Thailand) - Tachilek (Myanmar) 22. Khammouane (Laos) - Quang Ninh (Vietnam) 11. Champasak (Laos) - Ubon Ratchathani 23. Mong Cai (Vietnam) – Dong Xing(China) (()Thailand) 24. Nan (()Thailand) – Sayyy()abury (Laos) 12. Borikhamxay (Laos) - Ha Tinh (Vietnam) 25. Kawthaung(Myanmar) – Ranong (Thailand) 13. Vientiane (Laos) - Nongkhai (Thailand)

MEKONG BASIN DISEASE SURVELLANCE (MBDS) MBDS Cross border information exchange

Schedule of exchange and content :

• Within 24 hours of Diagnosis: H1N1/H5N1, AFP, SARS, Cholera/ Severe Diarrhea, Encephalitis, Tetanus, Meningitis, Diphtheria, PHEIC • Every Monday of the week: Leptospirosis, Chikungunya, Dengue Fever, Typhoid Fever , Measles • Every 5th day of each Month: Malaria, Pneumonia • Ql(EhQuarterly (Every three mont h)hs): HIV/AIDS, Tu bercu los is

MEKONG BASIN DISEASE SURVELLANCE (MBDS) MBDS XB Report Format XXXXX Provincial Health Office, Country XXXXXX province MBDS Cross-Border Coordinator No. XX /Country Name MBDS Cross – Border Reporting Between XXXXX (Country Name)/ XXXXX (Country Name)

Report: ¨ within 24 hours; ¨ weekly no: ¨ Month: ¨ Quarterly no: Date: DD / MM - DD / MM, YYYY

Cumulative from 01st week Date Affected Areas Risk factors/Presuma ID Diseases Current week/month/quarter Remark to 52nd week 2014founded villages ble causes Cases Deaths Cases Deaths 1 H1N1/ H5N1 2 AFP 3 SARS 4 Cholera /Severe Diarrhea 5 Encephalitis 6 Tetanus 7 Meningitis 8 Diphtheria 9 PHEIC 10 Leptospirosis 11 Chikungunya 12 Dengue fever 13 Typhoid fever 14 Measles 15 Malaria 16 Pneumonia 17 HIV/AIDs 18 Tuberculosis Remark: Bold letters are border districts Reported by: XXXXX 24 Hours Report Monthly Report Weekly Report Quarterly Report

MEKONG BASIN DISEASE SURVELLANCE (MBDS) MBDS XB y MBDS XB Tha iland • MBDS XB Cambodia - Mukdahan - Chiang Rai - Stung Treng - Banteay Meacheay - Sakaeo - Nongkhai - Takaeo - Kampot - Nan - Ubon Ratchathani - Battambang and Pailin - Svay Rieng - Mae Sot - Chanthaburi - Kampong Cham - Koh Kong -Trat -Nakorn Phanom - Ranong y MBDS XB Laos • MBDS XB Vietnam - Savannakhet - Champasak - Quang Tri - An Giang - Bo Kaeo - Borikhamxay - Kien Giang - Lai Chau - Vientiane - Luang Namtha - Ha Tinh - Lang Son - Khammouane -Sayyyabury - Quang Ninh - Tay Ninh y MBDS XB China • MBDS XB Myanmar - Mengla - Jinping - Tachilek - Myawaddy - Ping Xiang - Dong Xing - Kawthoung Remark : Initializing : Planning MEKONG BASIN DISEASE SURVELLANCE (MBDS) Percentage of MBDS XB Exchange Report Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Average percentage of exchange report separate by country (Jan – May 2014)

100

80 70.8 63.7

53.3 60

37.0 40

20 2.9

0 Cambodia China Laos Myanmar Thailand Vietnam

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Average percentage of exchange report separate by XB (Jan – May 2014)

100.0100.0 100.0100.0 100.0 98.5 100.0 98.5 100 91.8 93.3 91.8

83.6

66.7 66.7

57.0 60

46.7

40 33.3 31.5

18.8 17.3 20

6.7 6.7

0 Tak Nan Trat engla aharn xiang gkhai xiang abury pasak g Son akaeo akaeo cheay Kaeo amtha Giang Giang athani anong chilek haung ntiane Kong ng Tri ampot inping a Tinh Treng ng Rai i Chau Cham amxay waddy nakhet d g t d n g g t n g a a yy n n o o S a S e a e a a T h T J h J h h m M m M a a a a a RR g g g g NN h K K H H T B L Sa La Vi An No Pin Qu Ko Don My Chi Kaw Muk Kien Cha Stun Savan Borik Luang Kampon Ubonratc Banteay Me

Cambodia China Lao PDR Myanmar Thailand Vietnam MEKONG BASIN DISEASE SURVELLANCE (MBDS) Analysis on MBDS XB reported cases Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Within 24 hours Report

• Diseases of report: • H1N1 / H5N1, • AFP, • SARS, • Cholera / Severe Diarrhea, • Encephalitis, • Tetanus, • Meningitis, • Diphtheria and • PHEIC

MEKONG BASIN DISEASE SURVELLANCE (MBDS) H1N1 / H5N1 reported cases from MBDS XB (Jan – May 2014)

There was totally one case of MBDS region in March (2 years old girl) from Kandal village, Watt Ang commune, BanteayMeas district of Kampot cross border site of Cambodia and this case was died.

MEKONG BASIN DISEASE SURVELLANCE (MBDS) AFP reported cases from MBDS XB (Jan – May 2014)

There were totally 3 cases from 3 cross border sites of Laos. One case from Sepone district of Savannakhet cross border site in May, one case from Champasack cross border site in April and another one case from Borikhamxay cross border site in April.

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Cholera /Severe Diarrhea (AWD) reported cases from MBDS XB separate by country (Jan – May 2014)

4000

3500

3000 CbdiCambodia 2500 China

2000 Laos

1500

1000

500

0 Jan Feb Mar Apr May

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Cholera /Severe Diarrhea (AWD) reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Laos 3000 900 800 2500 Banteaymeanchey 700 Kampot 2000 600 Borikhamxay Koh Kong 500 Champasak 1500 Stung Treng 400 1000 Takaeo 300 200 500 100 0 0 Jan Feb Mar Apr May Jan Feb Mar Apr May

China, there were totally 7 cases from Dongxing cross border site of Guangxi in January.

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Encephalitis reported cases from MBDS XB (Jan – May 2014)

There were totally 11 cases from 2 cross border sites of Thailand. One case from Sakaeo cross border site in January and 10 cases from Ubonratchathani cross border site in February (6 cases) and March (4 cases).

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Tetanus reported cases from MBDS XB (Jan – May 2014)

There were totally 4 cases of MBDS region, 2 cases from Champasack cross border site of Laos in March and April. And another 2 cases from Nan cross border site of Thailand in January.

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Meningitis reported cases from MBDS XB separate by country (Jan – May 2014)

12 Cambodia 10 Laos

8 Thailand

0 Jan Feb Mar Apr May

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Meningitis reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Laos 16 5

14 4 12 Champasak Banteaymeanchey 10 3 Takaeo Savannakhet 8 Vientiane 6 2

4 1 2

0 0 Jan Feb Mar Apr May Jan Feb Mar Apr May

Thailand 7

5 Nan

4 Sakaeo

0 Jan Feb Mar Apr May

MEKONG BASIN DISEASE SURVELLANCE (MBDS) No cases for SARS, Diphtheria and PHEIC in MBDS XB report during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Weekly Report

• Diseases of report: • Leptospirosis, • Chikungunya, • Dengue fever, • Typhoid fever and • Measles

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Leptospirosis reported cases from MBDS XB separate by country (Jan – May 2014)

3 Thailand

Vietnam 2

0 1 2 3 4 5 6 7 8 9 10111213141516171819202122 week

No report received from Myanmar during Jan – May 2014 No cases for Leptospirosis in Cambodia, China and Laos during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Leptospirosis reported cases from MBDS XB separate by XB (Jan – May 2014)

Thailand 5

Mukdahan

4 Nan

Nongkhai

3 Ranong

Sakaeo

2 Tak

Trat

1 Ubonratchathani

0 12345678910111213141516171819202122 week

Vietnam, only one case from An Giang cross border site in January (week 4).

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Chikungunya reported cases from MBDS XB (Jan – May 2014)

There were totally 3 cases of MBDS region, 2 cases in January (week 2) and another one case in February (week 7) from Champasack cross border site of Laos.

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Dengue fever reported cases from MBDS XB separate by country (Jan – May 2014)

30 Cambodia

25 Laos

20 Thailand Vietnam 15

0 12345678910111213141516171819202122 week

No report received from Myanmar during Jan – May 2014 NfDfiChidiJNo cases for Dengue fever in China during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Dengue fever reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Laos 20 10 18 9 Banteaymeanchey 16 8 Bo Kaeo 14 Kampot 7 Borikhamxay 12 Koh Kong 6 Champasak 10 5 Stung Treng 8 4 Savannakhet Takaeo 6 3 4 2 2 1 0 0 12345678910111213141516171819202122 12345678910111213141516171819202122 week week

Thailand Vietnam 25 30

Mukdahan 25 20 Nan Nongkhai 20 15 Ranong An Giang 15 Sakaeo 10 Tak 10 Trat 5 Ubonratchathani 5

0 0 12345678910111213141516171819202122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 week week

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Typhoid fever reported cases from MBDS XB separate by country (Jan – May 2014)

300

250

200 Cambodia

China 150 Laos

Thailand 100

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 week

No report received from Myanmar during Jan – May 2014 NfThidfiVitdiJNo cases for Typhoid fever in Vietnam during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Typhoid fever reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia 180 China, there were totally 3casesfrom Mengla 160 Banteaymeanchey 140 cross border site of Yunnan, 2 cases in January 120 Kampot (week 2) and another one case in April (week 15). 100 Koh Kong

80 Stung Treng

60 Takaeo 40 20 0 12345678910111213141516171819202122 week

Laos Thailand 6 5

5 Mukdahan 4 Bo Kaeo Nan 4 Nongkhai Borikhamxay 3 Ranong 3 Champasak Sakaeo 2 Tak 2 Savannakhet Trat

1 1 Ubonratchathani

0 0 1 2 3 4 5 6 7 8 9 10111213141516171819202122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 week week

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Measles reported cases from MBDS XB (Jan – May 2014)

Cambodia 3 Laos

2 Thailand

0 1 2 3 4 5 6 7 8 9 10111213141516171819202122 week

No report received from Myanmar during Jan – May 2014 NfThidfiChidVitdiJNo cases for Typhoid fever in China and Vietnam during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Measles reported cases from MBDS XB separate by XB (Jan – May 2014)

Laos Thailand 5 5

Mukdahan 4 4 Nan Bo Kaeo Nongkhai 3 Borikhamxay 3 Ranong

Champasak Sakaeo 2 2 Tak Savannakhet Trat 1 1 Ubonratchathani

0 0 1 2 3 4 5 6 7 8 9 10111213141516171819202122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 week week

Cambodia, there were totally 2 cases from Banteaymeanchey cross border site in March (week 11 and week 12).

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Monthly Report

• Diseases of report: • MMalariaalaria aandnd • Pneumonia

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Malaria reported cases from MBDS XB separate by country (Jan – May 2014)

600

500 Cambodia

China 400 Laos

300 Thailand

Vietnam 200

100

0 Jan Feb Mar Apr May

No report received from Myanmar during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Malaria reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Laos 160 180 140 160 Banteaymeanchey

120 140 Borikhamxay Kampot 120 100 Savannakhet Stung Treng 100 80 Takaeo 80 60 60 40 40 20 20 0 0 Jan Feb Mar Apr May Jan Feb Mar Apr May

Thailand 600 China, there were totally 2 cases from Mengla Mukdahan 500 Nan cross border site of Yunnan in March and May.

400 Nongkhai Ranong Vietnam, only one case from An Giang cross 300 Sakaeo

Tak 200 border site in January. Trat

100 Ubonratchathani

0 Jan Feb Mar Apr May

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Pneumonia reported cases from MBDS XB separate by country (Jan – May 2014)

5000

4500

4000 Cambodia 3500 Laos 3000 Thailand 2500 Vietnam 2000

1500

1000

500

0 Jan Feb Mar Apr May

No report received from Myanmar during Jan – May 2014 No cases for Pneumonia in China during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Pneumonia reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Laos 3500 450

400 3000 Banteaymeanchey 350 Bo Kaeo 2500 Kampot 300 Borikhamxay 2000 Stung Treng 250 Champasak 200 1500 Takaeo Savannakhet 150 1000 100 500 50

0 0 Jan Feb Mar Apr May Jan Feb Mar Apr May

Thailand 800 Mukdahan 700 Nan 600 Nongkhai Vietnam, there were totally 152 cases from 500 Ranong An Giang cross border site in January. 400 Sakaeo

300 Tak

200 Trat

100 Ubonratchathani

0 Jan Feb Mar Apr May

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Quarterly Report

• Diseases of report : • HIV/AIDs and • Tuberculosis (TB)

MEKONG BASIN DISEASE SURVELLANCE (MBDS) HIV/AIDS reported cases from MBDS XB (Jan – May 2014)

70 65

50 42

40 Quarter 1 29 30

20 15

0 Cambodia China Laos Thailand

No report received from Myanmar and Vietnam during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) HIV/AIDS reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Yunnan, China

100 16 14

14 80 12

60 Quarter 1 10 Quarter 1 8 28 40 6

4 1 20 1 2

0 0 Kampot Stung Treng Jinping Mengla

Laos Thailand

40 35 50 40 35

40 30

25 Quarter 1 30 Quarter 1 19 20

20 15

2 10 6 10 5 5

0 0 Borikhamxay Savannakhet Mukdahan Nongkhai Ranong Trat

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Tuberculosis reported cases from MBDS XB (Jan – May 2014)

700 605

600

500

Quarter 1 400

261 300

200 150 62 100

0 Cambodia China Laos Thailand

No report received from Myanmar and Vietnam during Jan – May 2014

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Tuberculosis reported cases from MBDS XB separate by XB (Jan – May 2014)

Cambodia Yunnan, China 597 56 600 60

500 50

400 Quarter 1 40 Quarter 1

300 30

200 20 6 100 8 10

0 0 Kampot Stunggg Treng Jinping Mengla

Laos Thailand

120 108 102 200 148 180 100 160 140 80 120 Quarter 1 Quarter 1 60 100 80 40 27 60 24 40 2 20 20 0 0 Borikhamxay Savannakhet Mukdahan Nongkhai Ranong Trat

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Acknowledgement 6 MOH from Member Countries, MBDS XB Coordinators - Dr. Keo Pic hsovann : BtBanteay MhMeacheay - Mrs. MthMuth Sen : Stung Treng

- Dr. Tum Kimly : Takaeo - Ms. Orlathah : Savannakhet

- Ms. Vanida Bounnhoseng : Champasak - Mrs. Ketchanh Sisavath: Bo Kaeo

- Ms. Sisouphane Phousawat : Borikhamxay - Dr. Phonetavy Khodsimeung : Vientiane

- Mr. Ekachai Ngamsaeng : Mukdaharn - Mr. Phinit Srisai : Chiang Rai

- Mr. Somkeat Thonglek : Sakaeo - Ms. Khanueng Khamrangsee: Nan

- Ms. Duangsamorn Buranapiyawong : Nongkhai - Dr. Le Viet: Quang Tri

- Dr. Vo Huy Danh: An Giang - Dr. Qin Ming Fang : Mengla and Jinping

- Mr. Ngo Manh Vu : Lang Son - Dr. Li Huiyang : Pingxiang, Dongxing

- Mr. PiPairo te Chuch at :Ranong - MBDS LNT : Luang NthNamtha

- Mr. Keo Lim : Kampot - Mrs. Var Vanna : Kampong Cham

-Mr. Nop Sokun : Koh Kong -Mr. Somnuk Ketkowit : Trat

- Mr. Bang Duong : Ha Tinh - Mr. Pham Thanh Ngoc : Lai Chau

- Ms. Waleerat Apaibunditkul : Ubon Ratchathani - Ms. Wiraporn Khomnasang: Tak

- Dr. Toe Thiri: Myawaddy, Tachilek, Kawthaung MEKONG BASIN DISEASE SURVELLANCE (MBDS) Acknowledgement

Rockefeller Foundation

RAND - Dr. Melinda Moore - Dr. David Dausey

InSTEDD - Mr. Nicolas di Tada - Mr. Eduardo Jezierski

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Thank you very much

MBDS Foundation Secretariat

MEKONG BASIN DISEASE SURVELLANCE (MBDS)