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Weekly Epidemiological Bulletin Electronic Disease Early Warning and Response System

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Weekly Epidemiological Bulletin Electronic Disease Early Warning and Response System Weekly Epidemiological Bulletin Electronic Disease Early Warning and Response System Volume 02, Issue 5, Epi week 5, 27 Jan. - 2 Feb. 2014 H i g h l i g h t s eDEWS Reporting Rates vs Consultations in All Governorates, Epi weeks 1 to 5, 2014 100% Consultations Reporting Rate 75,000 ● During week no 5, 2014; 96% (236/247) health facilities from 10 governorates 96% 90% 96% 96% 95% 96% 70,000 65,000 provided valid surveillance data. 80% 60,000 70% 55,000 50,000 ● The total number of consultations reported during the week in 10 60% 45,000 50% 40,000 governorates was 71794 compared to 70778 the previous reporting week. 35,000 40% 30,000 P e r c e n t a g g e at nc e r e P Acute respiratory tract infections (ARI), acute diarrhea (OAD) and suspected 30% 25,000 s ni oat l ut o s n C 20,000 malaria (S.Mal) were the leading cause of morbidity this week. 20% 15,000 10% 10,000 1 2 3 4 5 Wk Wk Wk Wk Wk ● A total of 111 alerts were generated by eDEWS system in week 5, 2014; Of Wk these, 83 alerts were verified as true for further investigations with appropriate response. Distribution of Reporting Rates by Governorates (Epi-week 5, 2014) ● Altogether 41 alerts Measles, 14 Petrussis, 9 C.Leishmaniasis, 6 AVH, 3 each 100% for Acute Flaccid Paralysis, NNT and Meningitis, 2 Dengue fever, 1 each for % % % % 80% % % % % 96 96 92 96 % % Bloody Diarrhea and OAD were received and responded. 100 60% 100 100 100 92 40% 84 20% ● Online disease surveillance and response system was launched in 4 N o H F R e p o r t s o r t p R eF H o N 0% governorates (Aden, Abyan, Lahj and Taiz) in March 2013 and the expansion phase has started in 6 Governorates (Sana'a City, Hodaidah, Hajjah, Ibb, Al- Mukalla and Sa'da) in November 2013. Ongoing on site trainings to improve Reporting Rate weekly reporting and immediate notification are underway in all governorates. Target Leading Priority Diseases - 10 Governorates (Epi-week 5, 2014) 124 districts from 10 Governorates reported to eDEWS in week 5, 2014 ● URTI (13.5%), suspected malaria (2.6%), OAD (7%) and Pneumonia (4.1%) remain the leading causes of morbidity representing a total of 27.2%. ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than 1% of total morbidity in reporting period. Bloody diarrhea represented 0.4% of this morbidity. ● All diarrheal disease comprised 7.5% and Pneumonia 4.1% of total morbidity in All Governorates this week. ● All diarrheal disease comprised 4.3% and Pneumonia 2.3% of total morbidity in the <5 years age group. Trends for Leading Priority Diseases in 10 Governorates - Epiweeks 1 to 5, 2014 Proportional Morbidity for Leading Priority Diseases - Epiweek 5, 2014 18.0% Pneu, 4.1% DD URTI S.MAL Pneumonia 16.0% OAD, 7.0% 14.0% BD, 0.4% URTI, 13.5% 12.0% Sch, 0.1% 10.0% 8.0% S.Mal, 2.6% 6.0% Others, 71.6% Rb, 0.2% 4.0% AVH, 0.1% 2.0% 0.0% Wk1 Wk2 Wk3 Wk4 Wk5 *Acute Diarrhea=OAD; Bloody Diarrhea=BD; S.Malaria=Mal; Acute Respiratory Infections=ARI Cases (n=71,794) URTI=Upper respiratory infections; Pneu=Pneumonia; OAD=Other acute diarrhea; BD=Bloody diarrhea; AWD=Acute Watery Diarrhea; Sch=Schistosomiasis; Mal=Malaria; Rb=Rabies; AVH=Acute viral hepatitis; Meng=Meningitis; DF=Dengue fever; VHF=Viral hemorrhagic fever; Meas=Measles; CL=Cutaneous Leishmaniasis; Pert=Pertussis; Diph=Diphtheria; NNT=Neonatal Tetanus This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 715 695 482; WHO/EHA Office; Email: [email protected] 1 Suspected Disease Lahj Aden Abyan Taiz Hadramout Ibb Hodaidah Hajjah Amana Sa'da Total URTI 567 1881 999 833 615 763 571 403 1328 1711 9671 Pneumonia 115 157 305 204 53 733 611 308 318 117 2921 OAD 234 687 166 318 153 739 506 389 917 939 5048 BD 3 8 2 13 1 162 108 2 4 10 313 AWD 0 0 0 0 0 0 0 0 0 0 0 Schistosomiasis 1 0 1 5 1 5 0 7 28 9 57 Malaria 5 56 29 43 4 92 825 693 12 136 1895 Meningitis 0 4 0 43 0 1 4 2 3 1 58 Dengue Fever 0 2 0 1 0 0 19 0 0 0 22 Viral Hemorrhagic Fever 0 0 0 0 0 0 0 0 0 0 0 Rabies 2 0 1 28 0 2 3 2 71 0 109 Measles 11 12 0 6 10 7 11 0 17 24 98 Acute Viral Hepatitis (A & E) 4 14 1 29 2 14 6 0 16 1 87 Neonatal Tetanus 1 0 0 2 0 0 2 0 0 0 5 Acute Flaccid Paralysis 1 0 0 1 0 0 1 2 1 0 6 Cutaneous Leishmaniasis 1 0 0 1 0 0 1 5 29 12 49 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 Pertussis 3 1 0 0 4 7 2 0 2 6 25 OtherUn 2 8 1 2 0 0 25 0 13 0 51 Other Consultations 2299 4319 2584 5915 2361 6099 9285 1469 13248 3800 51379 Total Consultations 3249 7149 4089 7444 3204 8624 11980 3282 16007 6766 71794 2013 - 2014 Current week 5, 2014 System Gen. Alerts ( week 5) Diseases Alerts Outbreaks Alerts Outbreaks TRUE FALSE AWD 0 0 0 0 0 0 Pertussis 337 7 14 0 14 2 Measles 817 0 41 0 41 4 AFP 90 0 3 0 3 3 Schistosomiasis 28 0 0 0 0 1 Bloody Diarrhie 29 0 1 0 1 14 AVH 190 2 6 0 6 1 Denque fever 125 0 2 0 2 0 Meningitis 97 0 3 0 3 0 CL 138 1 9 0 9 3 NNT 36 0 3 0 3 0 OAD 15 0 1 0 1 0 VHF 4 0 0 0 0 0 Pneumonia 27 0 0 0 0 0 Total 1933 10 83 0 83 28 Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease eDEWS team contact focal point, surveillance coordinator was informed, cases were diagnosed Pertussis Lahj Labaos Labaos Hospital clinically using case definition by doctor in clinic, cases were treated as per standard protocol for 3 0 Pertussis. The case was reported by eDEWS focal point in Laboose Hospital, the case admitted to hospital on 27/2/2014 were it was diagnosed by a pediatric specialist as NNT. The case died on the second day. NNT Lahj Labaos Labaos Hospital 1 1 The director of reproductive health program was informed where she contact the DG of the district. A full report with further investigation will be conducted. Saber,alhwatah,Alana Tuban, Alhwatah, .eDEWS team contact focal point, information shared; the case was diagnosed clinically using case Measles Lahj d,alarah,alsharif,al- 12 0 alarah,Al - had definition, blood samples were collected from just 8 cases. hadHFS eDEWS team contact focal point, cases were diagnosed clinically using case definition, after further AVH Lahj Radfan Radfan Hospital 3 0 investigation, there was no cluster of cases. All patients were treated adequately. Al Meidan,Ash Shaab Craiter,Al Muala,At Charitable,Al By cotact with eDEWS focal point we were informed that 3 cases were detected by duty doctor, Measles Aden Tawahi,Ash Shaikh Muala,At Tawah,Kod investigation forms were filled and blood sample was collected from just 4 cases . Both investigation 9 0 Outhman, Al Othmani and Al forms and blood sample were sent to Sanaa at 04/02/2014 Wahdah HFS By contact with eDEWS focal point we were informed that 2 cases were reported by duty doctor and Al Bureiqa and Ash Ash Shaab and Al Pertussis Aden one case by OPD , the cases were diagnosed by case definition. all cases were treated according to the 3 0 Shaikh Outhman Wahdah HFS. standard protocol of pertussis. Ash Shaikh By cotact with eDEWS focal point we were informed that the case was seen by duty doc.,investigation AVH Aden Al Wahdah Hosp. 4 0 Outhman form was filled and blood saple wasn't taken . The informations obtained from focal point indicate that 3 cases were admitted and underwent the Ash Shaikh Meningitis Aden Al Wahdah Hosp. measures of Meningitis surveillance programme in the hospital by filling investigation forms and LP 4 0 Outhman investigation, one case was seen in OPD. The cases come from two different governorates. 22 May Hospital,Al- At Taiziyah,Salh,Al Wehda,Al- Focal point contacted, information shared, sample was collected , and will be send to the centrla lab. Measles Taiz Misrakh and Al 6 0 Thawrah,Al Misrakh In Sanaa. Qahirah and Sweden HFS HF was visited ,, information shared , samples were sent to the HF lab. With negative results (No Meningitis Taiz Al Qahirah Sweden Hospital 43 0 growth) ,, only 33 samples recorded at the HF lab. 3 samples test results were positive for Hepatitis A, patients are from different areas (No alert AVH Taiz Al Qahirah Sweden Hospital 16 0 threshold = collection of 3 cases from the same area) The suspected NNT death case aged 10 days male child from Demnat Khadier brought to hospital NNT Taiz Al Qahirah Sweden Hospital on: 1/02/2014 . C/O fever convulsion and inability to breast feed(sucking) , he was admitted into 0 1 hospital , anti-tetanus toxoid doses , antibiotic therapy and I.V fluids have been give , date of death: 4/02/2014.
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