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Outbreak Investigation Part of This Document ADDIS ABABA UNIVERSITY, COLLEGE OF HEALTH SCIENCE, SCHOOL OF PUBLIC HEALTH Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Daniel Tamirat Dinku (BSc) 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 26, June, 2017 Addis Ababa Complied BOW (dtdtamrat@ yahoo.com) Page 1 ADDIS ABABA UNIVERSITY, COLLEGE OF HEALTH SCIENCE, SCHOOL OF PUBLIC HEALTH Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Daniel Tamirat Dinku 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 Mentors 1. Pro. Fikre Enquselassie 2. Mr. Wondimu Ayele 26, June, 2017 Addis Ababa Complied BOW (dtdtamrat@ yahoo.com) Page 2 ADDIS ABABA UNIVERSITY SCHOOL OF GRADUATE STUDIES Compiled Body of Works in Field Epidemiology By Daniel Tamirat Dinku Ethiopian 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 Complied BOW (dtdtamrat@ yahoo.com) Page 3 ACKNOWLEDGMENTS There are many contributors those were directly or indirectly participated in the fruitfulness of this document starting from individuals to institutions. First of all, I would like to thank in a very special way my Mentor, Pro. Fikre Enquselassie , Mr. Wondimu Ayele instructor at Addis Ababa University, who worked with me hand in hand, and vigorously, right from guidance on investigation and assessment phase to the final and most technical phase of this document. Second, I would like to thanks Dr. Adamu Adisie, Mr. Endashwu Shiberu , Dr. Lucy Boulanger , Dr.Tatek Ambesse , and Mr. Abdulnaser Abagero for their kind and constructive inputs. The comments and suggestions you all gave me during field base stay were give brightness for this document. Third, I would also like to thank my colleagues, Public Health Emergency Management staffs, and my classmates, cohort VII Field Epidemiology Training Program Residents, for their input during my presentations for parts of this document. Forth, I would like to thank all study participants for their patience and hospitality to provide clinical specimens and epidemiological information for outbreak investigation part of this document. Fifth, my gratitude goes to SNNP regional health bureaus, zonal health departments, woreda health offices and health facilities those were participated during investigation and assessment for their kind assistance and guidance. Finally, I would also extend my acknowledgement to Ethiopian Public Institute (EPHI), Ethiopian Public Health Association (EPHA), and CDC for covering all the coasts used to conduct all separated papers indicated in this document. Complied BOW (dtdtamrat@ yahoo.com) Page 4 TABLE OF CONTENT Table of Contents ACKNOWLEDGMENTS ........................................................................................................................... IV TABLE OF CONTENT.................................................................................................................................II LIST OF TABLES....................................................................................................................................... IV LIST OF FIGURES .................................................................................................................................... VII LIST OF MAPS ........................................................................................................................................... IX LISTS OF PHOTOS .................................................................................................................................... IX LIST OF ANNEX..........................................................................................................................................X ACRONYM AND ABBREVIATION......................................................................................................... XI EXECUTIVE SUMMARY .......................................................................................................................XIII CHAPTER I - OUTBREAK INVESTIGATION ...........................................................................................1 1.1 AWD OUTBREAK INVESTIGATION AT ARBAMINCH ZURIA WOREDA, GAMOGOFA ZONE SNNPR, JUNE 2016 .................................................................................................................................................1 1.2 MALARIA OUTBREAK INVESTIGATION IN DASSENCH WOREDA, SOUTH OMO ZONE, SNNPR, SEPTEMBER 2016....................................................................................................................................29 CHAPTER II- MALARIA SURVEILLANCE DATA ANALYSIS REPORT............................................51 2.1 MALARIA SURVEILLANCE DATA ANALYSIS IN SOUTH OMO ZONE, SNNPR ETHIOPIA , FROM 2003 TO 2007EFY...................................................................................................................................................51 CHAPTER III-EVALUATION OF SUREVILLANCE SYSTEM ..............................................................74 3.1 EVALUATION OF SOUTH OMO ZONE MALARIA SURVEILLANCE SYSTEM November 2016 ..............74 CHAPTER IV- HEALTH PROFILE DISCRIPTION REPORT................................................................137 4.1DASSENCH WOREDA HEALTH PROFILE ANALYSIS SOUTH OMO,SNNPR ,2016 ...............................137 CHAPTER V-SCIENTIFIC MANUSCRIPTS FOR PEER REVIEWED JOURNALS............................164 5.1 AWD OUTBREAK INVESTIGATION IN ARBAMINCH ZURIA WOREDA, GAMOGOFA ZONE, SNNPR, JUNE 2016 .............................................................................................................................................164 CHAPTER VI- ABSTRACT FOR SCIENTIFIC PRESENTATION ........................................................176 6.1 INVESTIGATION OF AWD OUTBREAK IN ARBANINCH ZURIA WOREDA, SNNP REGION, ETHIOPIA,JUNE 2016.............................................................................................................................176 Complied BOW (dtdtamrat@ yahoo.com) Page II 6.2 MALARIA OUTBREAK INVESTIGATION IN PASTORALIST COMMUNITY OF DASSENCH WOREDA ,SOUTH OMO ZONE ,SNNPR REGION, ETHIOPIA'S , SEPTEMBER 2016................................................177 CHAPTER VII-NARRATIVE SUMMARY OF DISASTER SITUATION VISITED.............................178 7.1 THE "BELG SEASON' HUMAN HEALTH AND NUTRITION EMERGENCY NEEDS ASSESSMENT IN GAMOGOFA ZONE, SNNPR, JUNE 2016 ................................................................................................178 HHAPTER VIII – PROTOCOL/PROPOSAL FOR EPIDEMIOLOGIC RESEARCH PROJECT ...........202 8.1 Assessment of Prevalence and associated risk factor of Malaria in SalaMago Woreda of South Omo Zone, SNNPR, Ethiopia, September 2017 .............................................................................................202 CHAPTER IX – TRAINING......................................................................................................................222 9.1 ACUTE WATERY DIARRHEA (AWD) OUTBREAK CONTROL ..............................................................222 CHAPTER X – PUBLIC HEALTH EMERGENCY MANAGEMENT WEEKLY BULLETIN .............231 10.1. Public Health Emergency Management Week 41 Bulletin (2016)...............................................232 10.2. Public Health Emergency Management Week 39 Bulletin (2016)...............................................236 Complied BOW (dtdtamrat@ yahoo.com) Page III LIST OF TABLES Table 1Attack Rate by Kebeles Arba Minich zuria worda,GamoGofa Zone ,SNNPR. June 2016 ................................................................................................................................................................................... 13 Table 2: Distribution of cases by kebele and Sex, and Sex specific attack rate ,Arba Minich zuria worda,GamoGofa Zone ,SNNPR......................................................................................................... 13 Table 3: Demographic Characteristics of Cases and Control for AWD outbreak,Arba Minch Zuria Woreda,Gamo Gofa Zone,SNNPR,June13/2016 to July27/2016 ......................................... 14 Table 4: Bivariate and Multiariate analysis of risk factors for AWD Outbreak Areba Minich Zuria woreda, Gamo Gofa Zone SNNPR July 2016................................................................................. 15 Table 5:- Number and type of Water Treatment Chemical Distributed in ArebaMinch Zuria woreda June 2016.............................................................................................................................................. 19 Table 6:- Number of inspected and newly constructed latrine in ArebaMinch Zuria woreda June 2016 .............................................................................................................................................................. 19 Table 7:- Different Institution Inspected During AWD Outbreak In ArbaMinch Zuria Woreda
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