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Pdf | 384.01 Kb WeeklyEpidemiological Monitor ISSN 2224-4220 Volume 10; Issue no 40, 01 October 2017 Dengue fever cases reported from Khyber Pakhtunkhwa province of Pakistan, Current major event August-September 2017 Dengue in Pakistan No of casaes Suspected cases Lab-confirmed cases The province of Khyber Pakhtunkhwa 14000 of Pakistan has officially notified of an 12000 outbreak of dengue fever in its capital 10000 city-Peshawar. Since mid July to end of September 2017, a total of 52,926 sus- 8000 pected/clinically diagnosed cases of den- 6000 gue fever including 38 associated deaths 4000 have been reported. Of these, 10,893 2000 cases have been laboratory-confirmed by 0 NS1 antigen test (Non- structural pro- 34 35 36 37 38 tein). Samples from the suspected cases Epidemiological week were also tested at the National Institute of Health (NIH) in Islamabad and Den- gue serotype-2 (DEN-2) was identified History of dengue fever outbreaks Update on outbreaks as the causative agent for this outbreak Year Suspected Lab- Deaths in the Eastern Mediterranean Region cases confirmed in Peshawar. cases MERS-CoV in Saudi Arabia; Cholera in Editorial note 2006 4961 1931 41 Somalia; Cholera in Yemen; Chikungunya in Dengue is endemic in Pakistan. Since 2007 2304 1226 18 Pakistan. 2006 (please see the table), the country 2008 2792 2469 17 has faced repeated outbreaks of dengue Current public health events of 2009 1940 1085 13 fever (DF). The biggest outbreak that international concern the country faced, so far, is in 2011 in 2010 15901 11024 40 [cumulative No of cases (deaths), CFR %] Lahore immediately after the flood in 2011 252935 17057 219 2010. Over 200,000 suspected/clinically Avian Influenza: 2006-2017 2013 25689 17843 34 diagnosed cases were reported during Egypt (A/H5N1) [359 (122), 34%] that outbreak. In recent time, the coun- 2017 52926 10893 38 Egypt (A/H9N2) [3 (0) ] try faced another major outbreak in Swat Chikungunya: 2016-2017 valley of Khyber Pakhtunkhwa province haps, led to keeping the number of deaths to a reasonably low number. Pakistan [7,466 (0) ] where more than 25,000 suspected cases were reported. There is now an urgent need to scale up MERS-CoV: 2012-2017 This is the not the first time that the the ongoing response measures to pre- Saudi Arabia [1,721 (671), 38.9%] vent geographic spread of cases. Surveil- province of Khyber Pakhtunkhwa has Cholera: 2016-2017 reported dengue fever cases. Previously lance needs to be strengthened in all the in 2013, small focal outbreaks of DF districts of the province of Khyber Somalia [77,133 (1,159), 1.5%] Pakhtunkhwa as well as in the neigh- were reported in the province and the Yemen [780,886 (2,137), 0.27%] same serotype of dengue (DEN-2) was bouring provincial districts using a Lassa Fever: 2017 reported to have been circulating. This standard epidemiological case definition. year, cases have increased in number, Surveillance data should be used to Nigeria [853 (118), 13.8%] monitor the progression of the outbreak though the geographic spread is limited Avian Influenza A (H7N9): 2013-2017 to the capital city and also in the adjoin- as owing to limitations of surveillance ing districts. system, the size and nature of this out- China [1,557 (605), 38.9%] break is yet to be determined or could Dengue fever: 2017 A WHO field mission was conducted to not be determined. At the same time, asses the situation specially the risk of surveillance data should be used to map Côte d’Ivoire [1231 (2), 0.2%] further spread. It appeared that the out- out cases and mount targeted interven- Wild poliovirus: 2017 break was detected late and as a result, tions for vector control. Entomological Pakistan [5 (0) ] the response was also delayed resulting surveillance also needs to be scaled up in rapid spread of DF cases in the capital in both the affected areas as well as in Afghanistan [6 (0) ] city owing to population movement and the adjoining areas of the Khyber Pakh- Zika Virus Infection: 2015-2017 mobility in the capital city. Since mid- tunkhwa province to guide interventions July, the number of suspected cases re- as well as to early detect any sign of 84 countries and territories have reported transmission so far. ported from DF are huge, however, outbreak spread. improved case management has, per- Published by the World Health Organization (WHO), Eastern Mediterranean Regional Office (EMRO), Cairo, Egypt. For Correspondence: Tel + 20-2-22765273, Fax + 20-2-2765456. E-mail: [email protected] 40 .
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