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EWARN Weekly Summary Report Early Warning Alert and Response Network

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EWARN Weekly Summary Report Early Warning Alert and Response Network EWARN Weekly Summary Report Early Warning Alert and Response Network Post-Typhoon Yolanda Week 11 | Epidemiological Week No. 6 | 19th January to 25th January 2014 HIGHLIGHTS This week, 75 health facilities reported 13,544 total consultations in typhoon-affected areas of Region VI and VIII by SPEED Acute respiratory infection accounted for 31% of total consultations, most among SPEED conditions reported in the current reporting period. Ormoc City’s major responses to the increased dengue cases includes social preparation, environmental sanitation/health education and advocacy, environmental control measures (clean up drive), vector and larva control and surveillance The Regional Epidemiology and Surveillance Unit (RESU) reported seven cases and one death from suspected typhoid fever from Kananga, Leyte. A field investigation was done and rectal swabs were sent to the Eastern Visayas Regional Medical Center (EVRMC) for culture and sensitivity Two suspected cases with one death from acute watery diarrhea were reported from Jaro, Leyte on 29 Jan 2014. Investigation is on-going. OVERALL SPEED REPORTING FROM TYPHOON-AFFECTED AREAS Overall, the number of facilities reporting remained relatively stable in the current week, with 75 facilities reporting this week and 78 last week. Total consultations declined by 4%, from 14,064 last week to 13,544 this week. Biliran in Eastern Visayas continued reporting this week. Areas reporting to SPEED in current week Region VI Capiz Iliolo Region VIII Biliran Eastern Samar Leyte Total consultations by municipality: REGION VI (Western Visayas): Capiz: Dao (60), Ivisan (174), Mambusao (204), Panay (43), Sapi-An (46) Sigma (197), Tapaz (209); Iloilo: Ajuy (87), Iloilo City (121), Janiuay (43) REGION VIII (Eastern Visayas): Biliran: Biliran (127), Cabucgayan (209), Naval (185); Eastern Samar: Balangiga (605), Balangkayan (168), City Of Borongan (85), General Macarthur (226), Giporlos (327), Guiuan (464), Hernani (98), Lawaan (206), Llorente (246), Maydolong (300), Mercedes (155), Quinapondan (162), Salcedo (871); Leyte: Alangalang (164), Albuera (308), Babatngon (181), Barugo (173), Burauen (151), Calubian (84), Carigara (770), Dulag (317), Isabel (236), Kananga (321), Leyte (286), Macarthur (55), Matag-Ob (133), Merida (560), Ormoc City (2926), Palo (22), Palompon (90) Pastrana (35), Santa Fe (32) Tabango (166), Tacloban City (767), Tolosa (210), Tunga (39) The proportion of consultations due to acute respiratory infection increased in this reporting week (19 Jan – 25 Jan) from 28% to 31%, and it remained the leading cause of consultation amongst the SPEED conditions. Fever and rash and AHF remained at less than 1%. Acute watery diarrhea fell from 3% in the previous three weeks to 2% this week. SPEED Syndrome ARI = Acute respiratory infection AWD = Acute watery diarrhea AHF = Acute hemorrhagic fever Page 1 of 6 EWARN weekly summary| 19th January to 25th January 2014 PROVINCIAL SUMMARIES (SOURCES INCLUDE: EVENT-BASED SURVEILLANCE, PIDSR, SPEED) REGION VI – WESTERN VISAYAS CAPIZ PROVINCE Reporting: Reporting in Capiz has declined from 16 total health facilities in the week beginning with 29 Dec to 7 facilities in the current reporting week (19-25 Jan). Consultations: The total number of SPEED consultations declined from 2,156 to 933 over the past week. Leading causes of morbidity include acute respiratory infection (28%), high blood pressure (5%), skin diseases and fever (3%), animal bite (2%) and open wounds and bruises, conjunctivitis and acute asthmatic attack (1%). More than half of the consultations were “others” (53%). There were four consultations for acute watery diarrhea in Tapaz and Sapi-an municipalities and three for acute bloody diarrhea also in Tapaz. Alerts: There were six reported cases of fever and rash, which were referred to the RESU for further investigation. ILOILO PROVINCE Reporting: Reporting from Iloilo included 2 Rural Health Units, 1 Hospital, and 1 Foreign Medical Team. Consultations: The total number of SPEED consultations declined from 298 to 251 over the past week. Leading causes of morbidity include acute respiratory infection (56%), wounds (13%), fever (11%), hypertension (6%) and acute watery diarrhea (4%). Alerts: No alerts reported for the week 19-25 Jan 2014. REGION VIII – EASTERN VISAYAS BILIRAN PROVINCE Reporting: Reporting from Biliran included 3 Rural Health Units and 1 Hospital. Consultations: The total number of SPEED consultations increased by 33% (391 to 521) over the past week. Leading causes of morbidity include acute respiratory infection (61%), skin diseases and high blood pressure (9%), wounds (6%), acute watery diarrhea (4%) and fever with other symptoms (3%). Acute hemorrhagic fever was <1% of consultations. Alerts: Eight fever and rash alerts were reported from the municipalities of Naval (Biliran Provincial Hospital) and Biliran (Biliran RHU). These were referred to the RESU for further investigation. Page 2 of 6 EWARN weekly summary| 19th January to 25th January 2014 EASTERN SAMAR PROVINCE Reporting: Reporting from Eastern Samar included 14 Rural Health Units, 7 Hospitals, and 5 Barangay Health Stations. Consultations: The total number of SPEED consultations increased from 1,416 to 3,913 over the past four weeks. Leading causes of morbidity were acute respiratory infection (51%), skin diseases (12%), hypertension (10%), wounds (6%) and diarrhea (4%). Alerts: There were 7 SPEED reports of fever with rash from Guian (4), Salcedo (2) and Gen Macarthur (1). Cases were investigated by the Provincial Health Office and DOH Regional Office VIII. Serology with the use of Dried Blood Spot was taken and samples were submitted to RITM. 7 cases of acute hemorrhagic fever (AHF) were also reported from Guiuan (3), Balangiga (2), Mercedes (1), and Salcedo (1). These cases were investigated by the staff of Provincial Epidemiology and Surveillance Unit. They conducted information and education campaign (IEC) on the prevention and control of Dengue including distribution of IEC materials. Fogging operations were conducted on barangays with cases. LEYTE PROVINCE Reporting: Reporting from Leyte included 18 RHUs, 11 hospitals, 4 BHS and 1 mobile clinic. Consultations: The total number of SPEED consultations remained relatively stable in the current week with 7,296 this week and 7,295 last week (12 Jan). Leading causes of morbidity were acute respiratory infection (30%), wounds (15%), high blood pressure (6%), skin diseases, fever (4%) and animal bite, acute watery diarrhea (2%). Twenty seven consultations of fever and rash were reported from Tacloban City (Eastern Visayas Regional Medical Center, Tacloban City Hospital), Ormoc City (Ipil Health District), Calubian (Northwestern Leyte District Hospital), Tolosa (Tolosa MHO), Tabango (Tabango MHO), Barugo (Barugo MHO), and Merida (Merida MHO). Meanwhile, 23 consultations for suspect AHF were reported from Tacloban City (Bethany Hospital, Eastern Visayas Regional Medical Center, Tacloban City Hospital), Ormoc City (Ormoc District Hospital, Clinica Gatchalian and Hospital), Palompon (Dr Manuel B. Veloso Memorial Hospital and Dulag (Dulag MHO).There were 203 diarrhea cases reported from Leyte, the highest number of cases were from Ormoc City (38), Tacloban City (34), Albuera (17), Palompon (12), Alang-alang, Dulag and Kananga (11). Alerts: Follow-up on dengue cases in Ormoc City: The Ormoc City Epidemiology and Surveillance Unit recorded 20 dengue cases during the current reporting period (19 Jan). The City’s major response activities are now focused on social preparation, environmental sanitation/health education and advocacy, environmental control measures (clean up drive), vector and larva control and monitoring and surveillance. Meanwhile, PIDSR of Region 8 reported seven cases and one death of typhoid fever from Barangay Aguiting, Kanaga, Leyte. Three were hospitalized and one case was positive for typhoid and one case was positive for the rapid test kit for typhoid. The Regional Epidemiology and Surveillance Unit (RESU) conducted an investigation. Rectal swabs were collected and sent to the Eastern Visayas Regional Medical Center (EVRMC) for culture and sensitivity. RESU also reported two cases of acute watery diarrhea with one death from Barangay Diaz, Jaro, Leyte. Investigation is currently being conducted. Page 3 of 6 EWARN weekly summary| 19th January to 25th January 2014 MAPS Location of SPEED notifications of fever with rash 19th to 25th Jan 2014, Regions VI and VIII (red=hospital blue=other facility) Location of SPEED notifications of acute hemorrhagic fever 19th to 25th Jan 2014, Regions VI and VIII (red=hospital blue=other facility) Page 4 of 6 EWARN weekly summary| 19th January to 25th January 2014 FOCUS ON: DENGUE KEY FACTS Dengue is a mosquito-borne viral infection. The infection causes flu-like illness, and occasionally develops into a potentially lethal complication called severe dengue (previously known as dengue hemorrhagic fever). The global incidence of dengue has grown dramatically in recent decades. Dengue is found in tropical and sub-tropical climates worldwide, mostly in urban and semi-urban areas. This includes the Philippines. Severe dengue is a leading cause of serious illness and death among children in some Asian and Latin American countries. There is no specific treatment for dengue/ severe dengue, but early detection and access to proper medical care lowers fatality rates to below 1%. Dengue prevention and control depends on effective vector control and sensible personal
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