Eritrea Health Update Issue 3 No
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Eritrea Health Update Issue 3 No. 3 10th March – 16th March, 2008 Outbreak Monitoring: Week 11 (10th March – 16th March, 2008) PROFILES ) Eritrea Population: Report on Completeness is maintained at an 3,543,580 - (1997 and Timeliness appreciable level, there is an Projection) unprecedented delay in the ll six Zobas/Regions submission of weekly Number of Zobas submitted reports up reports from the (Regions): 6 Ato week 11. The zoba/regional health offices Southern Red Sea to the central Ministry of Humanitarian and Gash Baka Health. A mechanism Zobas/Regions continue to therefore has to be put in Target population: record the lowest place to facilitate the timely 2.3 Million percentages in terms of submission of reports from timeliness of reporting. the zoba/regional level to Sources of There is a need to work with the central Ministry of humanitarian these two regional health Health. funding: offices to improve the • UN CERF timeliness of reporting. Cerebro-Spinal Meningitis • EU-ECHO (CSM) Although the average To date, there has been no • DFID timeliness of reporting from newly suspected case of the health facilities to the meningitis recorded in 2008 HIGHLIGHTS zoba/regional health offices from any of the zones. Table 1: Average Health facility to Zoba weekly report completeness and Outbreak monitoring timeliness as at week 11(10th – 16th March, 2008) for week 11 Measles and AFP Zoba Total Population Number of HFs Timeliness Completeness Surveillance Anseba 570079 34 Indicators for the First 97.79 100 Quarter in 2008 Debub 942128 60 98.66 99.25 Rapid Assessment Gash Barka 704151 65 57.30 92.70 Mission Report to the Maekel 671941 31 Southern Red Sea 97.66 100 Zone NRS 572546 37 75.42 92.14 SRS 82735 15 38.79 87.88 ERITREA HEALTH Total 3,543,580 242 96.79 80.27 UPDATE Eritrea Health Update c/o WHO, Adi Yakob street N. 173, House N. 88/89, Geza Banda, P.O.BOX 5561 Asmara, Eritrea. Tel. 291 1 200634, Fax 291125155 trea Health Update Eritrea Health Update Other Outbreaks: investigation revealed that 10 of the 19 cases Malaria of AFP were non- polio AFP. A total of 9 Generally, the cases of malaria were cases of AFP are pending classification. maintained below the third quartile threshold level during the period under The annualized non-polio AFP rate review. There was no noticeable crossing of was 5.9 per 100,000 children under the threshold in all the regions. The number the age of 15 years (target > 2) of malaria cases was also well maintained while adequate stool collection below the third quartile threshold level at the within 14 days of the on-set of national level during the period under paralysis was 100% (target > 80%) review. at the national level during the first quarter in 2008, 1st January 2008 to Bloody and Other Diarrhoeas: 31st March 2008. There was no reported outbreak of bloody diarrhoea (shigellosis) from any of the zones At the zonal level, certification during the period under review. At the standard for AFP surveillance national level, the number of bloody indicators was achieved with diarrhoea cases was maintained below the optimal AFP detection and stool third quartile threshold level during the adequacy rates in five of the six period under review regions of the country during the first quarter in 2008. Measles and AFP Situation: During the period, 1st January 2008 to 31st However, Debub Region did not March 2008, a total of 10 suspected cases of achieve certification standard for measles were reported to the national level. AFP surveillance indicators during All the suspected measles cases were the first quarter in 2008, 1st January sporadic and were reported from three of the 2008 to 31st March 2008, as the six regions of the country – Anseba Region annualized non-polio AFP rate was reported a total of 6 cases, Debub Region less than 2 per 100,000 children less reported a total of 3 cases while Gash Baka than 15 years of age. Region reported 1 case. Laboratory investigation revealed that all 10 suspected cases of measles were negative. During the same period, 1st January 2008 to 31st March 2008, a total of 19 cases of AFP were detected and documented. Laboratory Eritrea Health Update - 2 - trea Health Update Eritrea Health Update Table 2: Measles Case Load and Classification by Region, 1st January – 31st March 2008 Zoba/Regio Total Confirmed by Discarded Compatible* n repor lab epidemiological by lab ted linkage Central 0 0 0 0 0 Debub 3 0 0 3 0 Anseba 6 0 0 6 0 G. Barka 1 0 0 1 0 NRS 0 0 0 0 0 SRS 0 0 0 0 0 Total 10 0 0 10 0 Table 3: AFP Surveillance Indicators by Region, 1st January – 31st March 2008 No. of cases N0. with Zoba detected adequate stool NP-AFP Rate % adequate stool Central 3 3 3.0 100% Debub 1 1 1.2 100% Anseba 8 8 10.0 100% Gash Barka 3 3 2.0 100% NRS 3 3 3.8 100% SRS 1 1 10.8 100% National 19 19 5.9 100% Eritrea Health Update - 3 - trea Health Update Eritrea Health Update Figure 1 Anseba Zoba: Malaria weekly trend in 2008 3rd Quartile Yr 2008 120 100 80 60 40 20 Number of cases 0 k 3 6 9 2 5 8 1 4 7 0 3 6 9 2 5 8 1 e 1 1 1 2 2 2 3 3 3 3 4 4 4 5 e w Week number Figure 2 Debub Zoba: Malaria weekly trend in 2008 3rd Quartile Yr 2008 500 450 400 350 cases f 300 o 250 200 150 mber 100 50 Nu 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 Week number - 4 - trea Health Update Eritrea Health Update Figure 3 Maekel Zoba: Malaria weekly trend in 2008 3rd Quartile Yr 2008 120 100 80 cases f 60 er o b m u N 40 20 0 1 4 7 6 9 1 4 6 9 10 13 1 1 22 Week25 number28 3 3 37 40 43 4 4 52 Update Figure 4 Gash Barka Zoba: Malaria weekly trend in 2008 3rd Quartile Yr 2008 1800 1600 1400 1200 1000 Cases er 800 b 600 Num 400 200 0 1 4 7 9 1 3 10 13 16 1 22 25 28 3 34 37 40 4 46 49 52 Week number - 5 - trea Health Update Eritrea Health Update Figure 5 NRS Zoba: Malaria weekly trend in 2008 3rd Quartile Yr 2008 120 100 80 cases 60 er of b 40 Num 20 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 Week number Figure 6 SRS Zoba: Malaria weekly Trend in 2008 3rd Quartile Yr 2008 25 20 cases f 15 er o 10 mb 5 Nu 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 Week number - 6 - trea Health Update Eritrea Health Update Figure 7 Anseba Zoba: Bloody Diarroea weekly trend in 2008 3rd Quartile Yr2008 160 140 120 ases 100 C f 80 er o b 60 m u 40 N 20 0 1 4 7 4 7 0 3 10 13 16 19 22 25 28 31 3 3 4 4 46 49 52 Week Number Eritrea Health update Figure 8 Debub Zoba: Bloody Diarroea weekly trend in 2007 3rd Quartile Yr 2008 400 350 300 250 200 150 ber of cases 100 50 NUm 0 1 4 7 4 7 0 3 10 13 16 19 22 25 28 31 3 3 4 4 46 49 52 Week Number - 7 - trea Health Update Eritrea Health Update Eritrea Health Update Figure 9 Gash Barka Zoba: Bloody diarroea weekly trend in 2008 3rd Quartile Yr 2008 250 eks 200 150 er of we b 100 m 50 Nu 0 1 4 7 0 3 6 9 1 1 1 1 22 25 28 31 34 37 40 43 46 49 52 week Number Eritrea Health Update Figure 10 Maekel Zoba: Bloody Diarroea weekly trend in 2008 3rd Quartile Yr 2008 200 180 160 140 cases 120 f 100 er o 80 mb 60 Nu 40 20 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 Week Number Eritrea Health Update - 8 - trea Health Update Eritrea Health Update Eritrea Health Update Figure11 NRS Zoba: Bloody diarroea weekly trend in 2008 3rd Quartile Yr 2008 80 70 60 50 40 er of cases 30 b 20 10 Num 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 week number Figure 12 SRS Zoba: Bloody Diarroea weekly trend in 2008 3rd Quartile Yr2008 50 40 cases 30 er of 20 b 10 Num 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 week number - 9 - trea Health Update Eritrea Health Update Eritrea Health Update Figure 13 Eritrea: Bloody diarrhoea weekly trend in 2008 3rd Quartile Yr 2008 1000 900 800 700 cases 600 f 500 er o b 400 m 300 Nu 200 100 0 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 1 1 1 1 2 2 2 3 3 3 4 4 4 4 5 week Number Figure 14 Eritrea: Malaria weekly trend in 2008 3rd Quartile Yr 2008 2500 2000 1500 er of cases 1000 b 500 Num 0 1 5 9 1 3 5 13 17 2 25 29 3 37 41 4 49 week number - 10 - trea Health Update Eritrea Health Update Rapid Assessment Mission Report to the Southern Red Sea Zone Diarrhea, Acute Respiratory Infections (ARI), Malnutrition, Tuberculosis and various skin diseases are among the major causes of morbidity in the zone.