DEWS-WER-21-2012.Pdf (English)

May 27, 2012 DISEASES EARLY WARNING SYSTEM WER-21 (6th year) DEWS WEEKLY EPIDEMIOLOGICAL REPORT EPREPORT SUMMARY: th th This report includes surveillance data from 19 to 25 May 2012. Out of 302 functional Sentinel sites (SS), 301 (99.7%) have sent their reports in Week-21 of 2012; Out of total 296, 943 events recorded in week-21 of 2012, 95,895 (32.3%) consultations were reported due to DEWS target diseases. Main causes of consultations this week are Acute Respiratory Infections/ARI (19.5%) and Acute Diarrheal Diseases/ADD (11.4%) from total clients in a continuing trend from the week before. 42 deaths caused due to Pneumonia, Diarrheal diseases and Meningitis/Severely ill children, so that 24 deaths due to pneumonia, 8 deaths due to diarrheal diseases and 10 deaths reported due to Meningitis and Severely Ill Children. In this reporting week, four Measles outbreaks reported and investigated in Paktika, Jawzjan, Sar-i-pul, and Kunar. Two suspected Poisoning in Khost and Takhar provinces, one bloody diarrhea among Kandahar prisoners and one pertussis outbreaks in Badakhshan province reported and investigated. REPORTS RECEIVED FROM SITES: As of May 25, 2012, 302 sentinel sites were functioning in eight epidemiological regions, in 34 provinces of Afghanistan . In this reporting week, all 301 sentinel sites have sent their reports on new cases of DEWS target diseases , recorded during the reporting. Out of all events recorded in DEWS sentinel sites, 15 target diseases (priority diseases) are included in DEWS weekly epidemiological reports. Table-1: Status of Reports Received from DEWS Regions during Epidemiological week-21, 2012 Central East Central West North North East West South East South East Total No. of Expected Reports from 51 30 48 36 34 38 35 30 302 Sentinel Sites No. of Reports Received in this 51 30 48 36 34 37* 35 30 301 week In this week the report of Attghar sentinel site, Zabul province of South region did not send its weekly report. Page 1 of 9 DEWS Sentinel Sites: Table-2 DEWS Epidemiological Regions and types of Sentinel Sites in Figure-1(Map) shows the Week-21, 2012 distribution of DEWS sentinel sites, already established in the Type of relevant regions/provinces till May SS East Central West North North East West South East South East Total 25, 2012 by type of health Central facilities. Data on 15 DEWS target CHC/BHC 23 19 33 25 20 29 25 22 196 diseases are being collected from DH 12 7 10 7 9 4 7 4 60 these sentinel sites (SS).The PH/RH/SH 14 4 5 4 4 5 3 4 43 symbols on the map show the Poly Clinic 2 0 0 0 1 0 0 0 3 number of sentinel sites in each Total 51 30 48 36 34 38 35 30 302 region/province, and do not CHC=Comprehensive Health Center, DH=District hospital, PH=provincial indicating the GPS of the SS hospital, RH= Regional hospital, SH= specialized hospital locations. Fig-2: Percentages of DEWS Target DEWS Data in Epidemiological Week-21 of 2012 30.0% Out of total 296,943 clients recorded in week-21 of 2012, 16.7% Diseases by age Group in W21 of (49480) of consultations were reported due to cough and cold and 20.0% 2012 2.8% (8454) of consultations were reported due to pneumonia. In the same reporting period, 11.4% or 33,839 events were reported due to 10.0% diarrheal illnesses (8.2% due to Acute Watery Diarrhea, 2.2% due to Bloody Diarrhea and 1% due to acute watery diarrhea with 0.0% Me Typ ARI ARI Aw Aw AVH Mea Mal dehydration). In comparison with previous week (W20 of 2012) the BD n/SI hFe C&C Pn D Dw ep sle aria percentage of ARI diseases has decreased by 0.4% to 19.5%, whereas C v the percentage of Acute Diarrheal diseases increased by 0.7% to U5% 24.7 6.4% 17.8 3.7% 2.2% 0.1% 0.0% 0.3% 0.6% 0.3% 11.4%.This variation can be due to changes in temperature /weather O5% 13.3 1.4% 4.2% 1.6% 0.5% 0.0% 0.1% 0.0% 0.5% 0.7% during the reporting week.Figure-2 above shows the percentages of Tot% 16.7 2.8% 8.2% 2.2% 1.0% 0.0% 0.1% 0.1% 0.6% 0.6% DEWS target diseases by age groups in week-21 of 2012. Page 2 of 9 Percentage of ARI by weeks and by Age Groups In the epidemiological week-21, a total of 57,934 events of ARI were reported. 24.7 % of total clients less than 5 years of age were cough & Cold patients and 13.3% among the age group 5 years and over. The percentage of C&C (<5 years) Table-4: Percentages of ARI Diseases during 11 recent weeks by age groups and by weeks Disease Age Week Week Week Week Week Week Week Week Week Week Week 11-12 12-12 13-12 14-12 15-12 16-12 17-12 18-12 19-12 20-12 21-12 (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) ARI- C&C <5 Yr. 31.6 29.1 30.3 28.3 27.1 27.6 27.8 25.6 25.0 25.4 24.7 5+ 18.0 17.2 16.3 14.6 15.0 14.3 14.6 14.5 13.8 13.3 13.3 ARI- <5 Yr. 10.2 9.7 9.2 9.0 8.6 8.0 7.5 6.7 6.6 6.1 6.4 Pneumonia >=5 Yr 2.1 2.1 1.9 1.8 1.7 1.4 1.5 1.4 1.3 1.4 1.4 consultations in week-11, in comparison with the percentage of C&C in week-21 of 2012, decreased by 6.9%, whereas in case of 5 years and above decreased by 4.7% to13.3% in this reporting week. The trend of ARI diseases in last 11 weeks can be read in table-4. The percentages of consultations on Pneumonia cases of age group less than 5 years decreased by 3.8% in last 11 weeks, whereas the percentage of age group 5 years and over decreased by 0.7% to 1.4% in last 11 weeks. In the reporting week-21 of 2012, the highest percentage of Cough & Cold has been recorded in Logar and Kapisa provinces with 29% and 24% respectively, whereas the lowest percentages of C&C were reported from Farah province with 8 %. The highest percentages of Pneumonia reported from Sar-i- Pul and Jawzjan provinces with 13% and 7% respectively, whereas the lowest percentage of Pneumonia was recorded in Zabul province with less than1%. (Fig-3) 35% Fig-3: Percentages of ARI from Total Clients in week-21 of 2012 30% 25% 20% 15% 10% 5% 0% BA DA GH HE JO KA KH LO NA PA SA WA KA BD GH PA NI UR KN NU BDS BAL FYB HEL KDZ PKA PIA SAR TAK ZAB BGL FRA KAP LAG M Y A R W N O G N R M R B G O N M U R R Pneumonia 3% 5% 4% 2% 3% 2% 2% 1% 7% 1% 1% 3% 3% 2% 2% 3% 2% 4% 13% 3% 4% 0% 4% 5% 1% 1% 3% 2% 2% 0% 1% 3% 2% 3% Cough&Cold 14%21%16%21%23%19%12%19%16%11%21%17%29%19%14%17%17%17%21%13%20%10%14%18%11% 8% 16%24%15%10%11%20%10%22% Percentages of Diarrheal Diseases by weeks and by Age Groups The table-5 below shows the percentages of diarrheal diseases (Acute watery Diarrhea, Bloody Diarrhea and Acute watery Table-5: Percentages of Diarrheal Diseases from Total Clients during 11 recent weeks by age groups. Disease Age Week Week Week Week Week Week Week Week Week Week Week 11-12 12-12 13-12 14-12 15-12 16-12 17-12 18-12 19-12 20-12 21-12 (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) Acute Watery <5 Years 6.3 7.2 7.7 9.3 10.6 13.2 13.6 13.6 15.3 16.2 17.8 Diarrhea >= 5 Years 1.9 2.2 2.2 2.4 2.7 3.1 3.2 3.4 3.9 4.1 4.2 Bloody Diarrhea <5 Years 2.1 2.0 2.2 2.5 2.6 3.0 2.6 3 3.6 3.0 3.7 >=5 Years 1.0 1.1 1.1 1.1 1.2 1.3 1.2 1.3 1.9 1.5 1.6 Acute W. Diarrhea <5 Years 0.6 0.7 0.7 1.0 1.1 1.5 1.7 1.6 1.8 1.9 2.2 with Dehydration ≥5 Years 0.2 0.2 0.2 0.2 0.2 0.3 0.3 0.4 0.5 0.5 0.5 diarrhea with dehydration) from week-11 to week-21 of 2012, from total clients. Acute watery diarrhea among children less than five years has been increased from 6.3% in week-11 to 17.8% in the reporting week, whereas acute watery diarrhea among age group 5 years and above has increased by 2.3% to 4.2%.(Please refer to Table-5, above).Bloody diarrhea, in age group less than 5 years increased by 1.6% in last 11 weeks, while in case of age group 5 years and above increased by 0.6% in the same period.

Load more