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Week-25 Ending 24 June 2018 Part -I Highlights Highlights

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Week-25 Ending 24 June 2018 Part -I Highlights Highlights Somalia Weekly Update Week-25 Ending 24 June 2018 Part -I Highlights Highlights • VDPV type 2 and type 3 were detected from 2 AFP cases, 3 Contacts and 3 Community samples collected from Bulloburti, Warshakeh and Jemmame West districts of Central and South Somalia. • EPID no: SOM/HRN/BBT/18/002 and the 3 contacts have cVDPV3 The index: • Location of case: JAMECO MUBARAK village –BULO BURTI District-Hiran Region- Central zone • Date Stool collection 1st and 2nd: 13th and 14th May 2018 • Accessibility of the area: The village is inaccessible since 2015 and no SIA activity • Age and OPV dose status [if case]:72 months female, 0 Dose of • Sequencing results: PV-2 VDPV with 43nt difference and 17 nt difference from Sabin • Closest match: genetically linked to the VDPV3 sequence for ES/SOM/BAN/HMW/KAWMA-1/18/006 (Kawma ENV site, emergence group SOM-BAN- Warshaikh 2) • EPID no: SOM/MSH/WRS/18/003 and the contact SOM-MSH-WRS-18-001-C3 The index: • Location of case: Bohi village –Warsheikh District-Middle Shaballe-- Central zone • Date Stool collection 1st and 2nd: 30st and 31th May 2018 • Accessibility of the area: The village is accessible • Age and OPV dose status [if case]:39 months female, 0 Dose of • Sequencing results: PV-3 VDPV with 19nt difference from Sabin • Closest match: The PV3 VDPV is genetically linked to the VDPV3 sequence for ES/SOM/BAN/HMW/KAWMA-1/18/006 (Kawma ENV site, emergence group SOM- BAN-2). The new PV3 viruses are classified immediately are cVDPV3 • EPID no: SOM/LJB/JMW/18/CC1/001 and SOM/LJB/JMW/18/CC1/003 (Community samples) • Location of case: SANGUNI village –Jamamme west District- Lower Jubba Region- South zone • Date Stool collection 1st and 2nd: 24 April 2018 • Accessibility of the area: The district is completely inaccessible • Accessibility of the area: The village is inaccessible since 2015 and no SIA activity • Age and OPV dose status [if case]:18 &36 months females, 0 Dose • Sequencing results: PV-3 VDPV with 16nt difference from Sabin • Closest match: not genetically linked to any other previously sequenced VDPV3s; it is classified as VDPV3 and represents a VDPV3 event Summary Environmental Samples and Lab Classification Epidemiological Week-2017 Epidemiological Week-2018 District Date Name 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 of of Ma Ma Ma Ma Ma Jun Establishmen J. J. J. J. F. F. F. F. M. M. M. M. M. Ap.Ap.Ap.Ap. Jun Sites y y y y y e t e 7 04 11 18 25 01 08 15 22 01 08 15 22 29 05 12 19 26 03 10 17 24 31 14 Waberi 21October 19 Sept. 2017 vDPV2 Urobo 20 Sept. 2017 Shangani 21 Sept. 2017 Hamerew Kawma oini Hodan Egy. Hospital 23 Nov. 2017 No sample collected due to flooding of sewage of flooding to due collected sample No Legend 1 Not scheduled 6 Sabin 11 WPV1+cVDPV2 2 Pending 7 NPENT + Sabin 12 Sent for sequencing 3 Negative 8 cVDPV2 13 Scheduled but not collected 4 NEV 9 WPV1 14 Sabin 2 5 NPENT 10 WPV3 15 Sabin + NPEV + NEV Next steps • Detailed case and field investigation ongoing. • Enhanced active surveillance to search for cases ongoing • Response planned - mOPV2 rounds synchronized with Kenya and Ethiopia: Round 1: 09-12 July and round 2: 04-08 August, 2018 • Identify hot cases through active case search in the community • Evaluate accessibility and security in Hiran Province to ensure good SIA coverage • Conduct high quality SIA using mOPV2 in the accessible settlements of the area • Revitalize social mobilization for polio vaccination and surveillance of paralysis through radio and TV • Review strategies to increase parental awareness prior to rounds and reduce child/parents absence Synchronized Campaign Dates Country Campaign Preparedness • Overall preparedness level: Somalia is ready for the campaigns scheduled for July 9-12, 2018 • Current status update # DFAs to % DFAs to Micro plan revision completed ready for use Region # District # DFAs Monitors/supervisor training completed use ODK use ODK 2-day Master TOT training conducted in Mogadishu to DPOs and selected DFAs and team dispatched to 6 regional hubs Post Campaign IM and LQAS Training currently in progress Cascade training started in the districts and will be completed by June 28th, to be followed by team training Bakool 5 50 19 38% Budget: PO not yet received by zones but disbursement in Bay 5 148 50 34% progress C4D activities: Key activities fully completed Gedo 8 120 43 36% Vaccine distribution: 416,000 doses mOPV2 now in Mogadishu, 340,000 expected this week. Vaccines and L Jubba 3 70 23 33% materials positioned in regional hubs of Baidoa, Gedo and Kismayo but not dispatched to parts of Bakool and Afmadow Galgad 9 86 29 34% districts MOH states/other partners informed and involved in the synchronized mOPV campaign preparation Grand Total 21 388 135 35% Summary of response activities using mOPV2 Three rounds of mOPV2 campaigns mOPV2 response areas mOPV2 rounds IM coverage conducted targeting all <5 (Benadir, Middle 100% and Lower Shabelle) 99% 98% 98% st 97% 97% 97% 1 Round (10-13 Dec. 2017) 95% 96% 96% • Target: 726,699 • Reached: 702,667 (97%) 90% 92% • Missed: 24,032 85% • IM coverage: 97% • LQAS= 98% FM 80% 2nd Round ( 29 Jan-01 Feb 2018) 75% • Target: 741,313 70% • Reached: 715,172 (96%) • Missed: 26,141 65% • IM coverage: 93% M. Shabelle • LQAS= 98% FM 60% Banadir L. Shabelle 55% 3rd Round (05-08 May 2018) • Target: 790,837 50% ROUND I ROUND II ROUND III • Reached: 763,471 (97%) BANADIR 96% 92% 98% • Missed: 27,366 LOWER SHABELLE 97% 97% 96% MIDDLE SHABELLE 98% 97% 99% • IM coverage: 98% FM • LQAS= 98% FM BANADIR LOWER SHABELLE MIDDLE SHABELLE Province District % 0-11m Children Vaccinated Total Missed Children % 12-59-count Vaccinated % Total Under 5 Children vaccinated BAN ADA 98% 14 99% 98% BDB 99% 33 98% 98% DRK 94% 204 95% 95% DYN 98% 65 95% 96% HDN 97% 61 98% 98% rd 3 round mOPV2 Post Campaign HJB 98% 35 98% 98% IM result by district HLW 99% 39 98% 98% HMW 100% 7 99% 100% HWL 99% 38 97% 98% KRN 100% 33 99% 99% MDN 99% 78 97% 98% SBS 97% 60 97% 97% SHN 97% 17 99% 98% WBR 98% 26 98% 98% WDA 100% 26 98% 99% YQA 98% 136 97% 97% BAN Total 98% 872 97% 98% LSH AFG 95% 139 96% 95% WLW 100% 100 96% 96% QRO 99% 35 95% 96% KRT 99% 32 95% 96% BRV 99% 19 94% 95% MAR 96% 72 95% 95% LSH Total 97% 397 95% 96% MSH ADL 100% 0 100% 100% BLD 99% 1 100% 100% JOW 100% 1 100% 100% MDY 100% 2 100% 100% WRS 100% 2 100% 100% MSH Total Graph100% no. 1 6 100% 100% Grand Total 98% 1275 98% 98% 3rd round mOPV2 Post Campaign monitoring results LQAS Vaccination Status by finger marking Finger Mark (FM) Region/Distric t NO FM FM Present Total HH Visited % Vaccinated Interpretation BANADIR 27 913 940 97% ADA 60 60 100% PASS BDB 60 60 100% PASS DRK 4 56 60 93% SATISFACTORY DYN 60 60 100% PASS HDN 5 55 60 92% SATISFACTORY HJB 50 50 100% PASS HLW 4 56 60 93% SATISFACTORY HMW 60 60 100% PASS HWL 3 57 60 95% PASS KRN 2 58 60 97% PASS MDN 2 58 60 97% PASS SBS 1 49 50 98% PASS SHN 1 59 60 98% PASS WBR 2 58 60 97% PASS • LQAS conducted in 24 districts in 24 WDA 1 59 60 98% PASS lots. YQA 2 58 60 97% PASS LSH 6 234 240 98% AFG 2 58 60 97% PASS • Of the 24, 21 have passed, 3 are WLW 60 60 100% PASS QRO 2 58 60 97% PASS satisfactory and non of the lots fail MAR 2 58 60 97% PASS MSH 3 237 240 99% • BLD 2 58 60 97% PASS All districts have coverage above JOW 60 60 100% PASS 90% MDY 1 59 60 98% PASS WRS 60 60 100% PASS Grand Total 36 1384 1420 97% Response activities using mOPV3 using bOPV NIDs round 1 of bOPV campaign conducted targeting all <5 in Somaliland, South Zone and two Regions in Central Zone (Hiran and Galgadud). Somaliland Campaign date: 30 April-03 May 2018 Target: 638,062 Reached: 627,805 (98%) Missed: 2,206 IM coverage: 97% South zone Campaign date: 08-11 May 2018 Target: 467,553 Reached: 457,167 (98%) Missed: 1,049 IM coverage: 95% Central zone (Hiran and Galgaduud) Campaign date: 05-09 May 2018 Target: 213,865 Reached: 199,516 (93%) Missed: 579 National Level: Target: 1,319,480 Reached: 1,284,488 (97%) Missed: 3,824 IM coverage: 96% Summary results of IM result Summary results of LQAs conducted in South and Somaliland in South and Somaliland NID-1 IM Coverage by Region Regions Total Lots Lots Lots 100% lots Pass Satisfacto Fail 99% 99% 99% 96% 96% 96% 96% 90% 95% 95% ry 94% 80% Awdal 5 4 1 0 70% Galbeed 7 4 1 2 60% Saaxil 2 2 0 0 50% Togdheer 7 7 0 0 40% Sool 4 4 0 0 30% Sanaag 4 3 0 1 Bakool 2 2 0 0 20% Bay 1 1 0 0 10% No No NID No NID No No NID No No No NID No No NID No No NID No NID No No IM No No IM Gedo 3 2 0 1 0% Bay Bari Sool Sahil Gedo Hiran Nugal Sanag Awdal L/Juba 1 1 0 0 Bakool Mudug Banadir Togther L.
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