Addis Ababa University, College of Health Sciences, School of Public Health
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Addis Ababa University, College of Health Science, School of Public Health, June 2019 Addis Ababa University, College of Health Sciences, School of Public Health Ethiopia Field Epidemiology Training Program (EFELP) Compiled Body of Works in Field Epidemiology By: Mukemil Hussen (Bsc. in Public health officer) Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment for the Degree of Master of Public Health in Field Epidemiology June, 2019 Addis Ababa, Ethiopia Addis Ababa University, College of Health Science, School of Public Health, June 2019 Addis Ababa University, College of Health Sciences, School of Public Health Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By: Mukemil Hussen Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment for the Degree of Master of Public Health in Field Epidemiology Advisors: Dr. Abiy Girmay (MD, PhD) Mr. Sefonias Getachew (MPH, PhD) June 2019 Addis Ababa AAU-CHS-SPH-EFETP Compiled Body of Works by: Mukemil Hussen Page ii Addis Ababa University, College of Health Science, School of Public Health, June 2019 Addis Ababa University School of Graduate Studies Compiled Body of Works in Field Epidemiology By: Mukemil Hussen Ethiopia Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board Chairman, School Graduate Committee _________________________ ___________________ Advisor _________________________ ___________________ Examiner _________________________ ___________________ Examiner _________________________ ___________________ AAU-CHS-SPH-EFETP Compiled Body of Works by: Mukemil Hussen Page iii Addis Ababa University, College of Health Science, School of Public Health, June 2019 Acknowledgements My deepest gratitude goes to my mentors; Dr. Abiy Girmay and Mr. Sefonias Getachew; Academic mentor. And also for Mr. Getaneh Abraha; field base mentor in EPHI for the constructive and valuable suggestions and comments given to me. Next I will give my heartfelt thanks to Centers for Disease Control and Prevention (CDC), EFETP and Ethiopian Public Health Institute (EPHI) for providing technical and financial support. My appreciation also goes to dedicated Residents Advisor Mr. Abdunnasir Abagero and Abigiya Wondimagegnehu; Academic Coordinators of Field Epidemiology Training Program for their unreserved mentoring, advice and guidance for the completion of this document. I would like to thank all instructors of the School of Public Health-AAU for their efforts in sharing their knowledge. Finally, I would like to acknowledge staffs of national Public Health Emergency Management and Ethiopia Public Health Institute for their valuable support during the residency period. AAU-CHS-SPH-EFETP Compiled Body of Works by: Mukemil Hussen Page iv Addis Ababa University, College of Health Science, School of Public Health, June 2019 Table of Contents Acknowledgements ................................................................................................................... iv Lists of Figures ....................................................................................................................... viii Lists of Tables ......................................................................................................................... xiii Lists of Maps ...........................................................................................................................xvi List of Abbreviations.............................................................................................................. xvii Executive Summary .................................................................................................................xix CHAPTER-I ...............................................................................................................................1 1. Outbreak Investigations ...........................................................................................................1 1.1. Measles Outbreak Investigation in two neighboring hard to reach woreda of Afar Region, Ethiopia, November 2018: Case control study. ............................................................................2 1.2. Descriptive epidemiology of a cholera outbreak in Amibara district, Afar, Eastern Ethiopia, 2019 17 1.3. Reemergence of Chikungunya fever in Ethiopia after 3 years, 2019: epidemiological and entomological investigations ..................................................................................................... 37 CHAPTER-II ............................................................................................................................ 56 2. Surveillance Data Analysis Report ........................................................................................ 56 2.1. Dysentery Surveillance Data Analysis report in Afar region, Eastern Ethiopia 2013-2017 GC. ........................................................................................................................................... 57 CHAPTER-III ........................................................................................................................... 78 3. Evaluation of Surveillance System ........................................................................................ 78 3.1. Evaluation of Malaria surveillance system in Addis Ababa city Administration, Ethiopia, March, 2018 .............................................................................................................................. 79 CHAPTER-IV ........................................................................................................................... 99 4. Health Profile Description Report .......................................................................................... 99 AAU-CHS-SPH-EFETP Compiled Body of Works by: Mukemil Hussen Page v Addis Ababa University, College of Health Science, School of Public Health, June 2019 4.1. Health Profile Description Report of Woreda 06, Nifas Silk Lafto Sub City, Addis Ababa, March 2018 ............................................................................................................................. 100 CHAPTER-V .......................................................................................................................... 124 5. Scientific Manuscript for Peer Reviewed Journals ............................................................... 124 5.1. Reemergence of Chikungunya fever in Ethiopia after 3 years, 2019: epidemiological and entomological investigations ................................................................................................... 125 5.2. Dysentery Surveillance data analysis of Afar region, Ethiopia, 2018................................. 138 CHAPTER-VI ......................................................................................................................... 149 6. Abstracts for Scientific Presentations .................................................................................. 149 6.1. Measles Outbreak Investigation in in two neighboring hard to reach districts of Afar Region, Ethiopia, November 2018: Case control study. ........................................................................ 150 6.2. Descriptive epidemiology of a cholera outbreak in Amibara district, Afar, Eastern Ethiopia, 2019. ....................................................................................................................................... 151 6.3. Reemergence of Chikungunya fever in Ethiopia after 3 years, 2019: epidemiological and entomological investigations ................................................................................................... 152 6.4. Dysentery Surveillance Data Analysis report in Afar region, Eastern Ethiopia 2013-2017 GC. ......................................................................................................................................... 153 CHAPTER-VII ....................................................................................................................... 154 7. Narrative Summary of Disaster Situation ............................................................................. 154 7.1. Health risk assessment and response among internally displaced population in Fafan Zone, Somali region, August 2018 .................................................................................................... 155 CHAPTER-VIII ...................................................................................................................... 169 Protocol/Proposal for Epidemiologic Research Project ............................................................ 169 8.1. Assessment of immunization status and factors affecting its among children aged 12-23 months old in Adaar Woreda, Zone 01, Afar regional state, Eastern Ethiopia, 2019 ............... 170 CHAPTER-IX ......................................................................................................................... 179 AAU-CHS-SPH-EFETP Compiled Body of Works by: Mukemil Hussen Page vi Addis Ababa University, College of Health Science, School of Public Health, June 2019 9. Other Additional Outputs ............................................................................................... 179 9.1. Ethiopian Weekly Epidemiological Bulletin ....................................................................