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Weekly Epidemiological Bulletin

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Weekly Epidemiological Bulletin Weekly Epidemiological Bulletin Ministary of public Health Papulation Electronic Disease Early Warning and Response System Primary Health Care Sector DG for Disease Contraol Surveillance Volume 04, Issue 34, Epi week 34, 22 - 28 Aug 2016 H i g h l i g h t s eDEWS Reporting Rates vs Consultations in All Governorates, Epi weeks 1 to 34, 2016 % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % 100% % 180,000 % 96 95 94 94 93 95 95 95 96 95 96 92 92 93 94 90 90 92 90 88 96 87 86 92 84 95 94 96 94 95 95 90% 94 81 160,000 • During week no. 34, 2016; 90% (1105/998) health facilities from 22 governorates 79 80% 140,000 provided valid surveillance data. 70% 120,000 60% 100,000 50% 80,000 40% 30% 60,000 P e r c e n t a g e g a t n e c r e P • The total number of consultations reported during the week in 22 governorates was 20% 40,000 C a i o n s u l t o n s t 148402 compared to 147149 the previous reporting week. Acute respiratory tract infections 10% 20,000 0% - Lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this week. Reporting Rate Consultations Distribution of Reporting Rates by Governorates (Epi-week 34 , 2016) • A total of 966 alerts were generated by eDEWS system in week 34, 2016; Of these 493 100% alerts were verified as true for further investigations with appropriate response. 80% % % % % % % % % % 60% % % % % % % % % % % % % 99 98 98 100 100 100 100 100 100 100 100 100 93 40% 92 90 88 88 88 84 79 80 20% % • Altogether 97 alerts for Pertussis, 57 Other acute diarrhea, 49 each for Bloody diarrhea, 43 0% Typhoid and Paratyphoid Fever and Measles, 43 Malaria, 37 Lower Respiratory Infections, et N o. F p H Ro r s 34 Dengue Fever, 33 Upper Respiratory Infections, 11 each for Influeza Like Illness and Acute Flaccid Paralysis, 6 Meningitis, 4 each for Severe Acute Respiratory Infection and Acute viral hepatitis, 3 each for Cut.Leishmaniasis and Mumps, 2 Schistosomiasis, 1 Reporting Rate Target Neonatal Tetanus were received and responded in system generated. • Online disease surveillance and response system was launched in 4 governorates (Aden, Abyan, Lahj and Taiz) in March 2013 and the expansion phase has stared in 6 Governorates (Sana'a City, Hodaidah, Hajjah, Ibb,Al-Mukalla and Sa'da ) in November 2013. The next expansion phase has 6 Governorates (Amran, Shabwah, Al-Mahrah, Sana'a Gov., HadramoutAl- wady and Dhamar).The last eDEWS expand in new 6 Governorates (Al- Baidha, Mareb, Al-Jawf, Al-Mahweet,Rayma and Al-Dhale). Leading causes of morbidity and mortality in Epi-week 34, 2016 Suspected dengue outbreak in Al-Hodaidah, Lahj,Shabwah & Aden Gov., Epi weeks 1 to a). Suspected dengue outbreak 34, 2016 Suspected Dengue fever cases • 446 suspected dengue cases were reported in 14 governorates, out of these 112 cases 600 reported from Al-Hodidah, 85 Cases from Shabwah, 32 Cases from Aden, and 22 Cases from Lahj, 1 cases with hemorrhagic manifestations were reported in Mareb 500 governorate through the eDEWS system. 400 300 NO. of cases 200 • Surveillance is being intensified to ensure that the ongoing dengue outbreak is 100 effectively monitored and other priority communicable disease are reported through alternative sources including private health facilities, mobile clinics, NGO partners on 0 the ground, health workers in the community, and the general public Aden Lahj AlHodaidah Shabwah Leading causes of morbidity and mortality in Epi-week 34, 2016 Proportional morbidity of leading priority diseases, Epi weeks 1 to 34, 2016 b. Other leading priority diseases 20.0% 18.0% • URTI (13.6%), suspected malaria (3.2%), OAD (10.8%) and LRTI (5.8%) remain the leading 16.0% 14.0% causes of morbidity representing a total of 33.4%. 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% • Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than 1% 0.0% of total morbidity in reporting period. Bloody diarrhea represented 0.5% of this morbidity. DD URTI S.Malaria LRTI LRTI 5.8% OAD 10.9% BD 0.6% • All diarrheal disease comprised 11.3% and LRTI 5.8% of total morbidity in Pilot URTI 13.7% Sch 0.2% Governorates this week. Mal 3.2% Rb 0.1% AVH 0.2% Other_Disease Tuberculosis 0.0% 63.0% Mumps 0.1% • All diarrheal disease comprised 11.3% and LRTI 5.8% of total morbidity in all age group. Chicken Pox 0.1% Brucellosis 0.2% Guinea Worm 0.0% HIV/ AIDS 0.0% URTI=Upper respiratory infections; LRTI=Lower Respiratory Infections; ILI=Influeza Like Illness; OAD=Other acute diarrhea; BD=Bloody diarrhea; Susp. Cholera; SARI=Severe Acute Respiratory Infection; Typh=Typhoid and Paratyphoid Fever; Mumps; Sch=Schistosomiasis; Mal=Malaria; Rb=Rabies; AVH=Acute viral hepatitis; Meng=Meningitis; DF=Dengue fever; VHF=Viral hemorrhagic fever; Meas=Measles; CL=Cutaneous Leishmaniasis; Pert=Pertussis; Diph=Diphtheria; NNT=Neonatal Tetanus This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 1 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 34 ( 22 - 28 Aug 2016 ) Weekly trends of Diarrheal Diseases, Upper Respiratory infections, Suspected Malaria and Lower Respiratory infections ( Epi week 1 to 34, 2015 & 2016) DD 2015 URTI 2015 S.MAL 2015 LRTI 2015 Diarrheal Diseases DD 2016 URTI Sus.Malaria LRTI URTI 2016 S.MAL 2016 LRTI 2016 25.0% 20.0% 8.0% 7.0% 18.0% 7.0% 6.0% 20.0% 16.0% 6.0% 14.0% 5.0% 5.0% 15.0% 12.0% 4.0% 10.0% 4.0% 3.0% 10.0% 8.0% 3.0% 6.0% 2.0% 2.0% 5.0% 4.0% 1.0% 2.0% 1.0% 0.0% 0.0% 0.0% 0.0% Age and Sex distribution of total consultations of leading diseases (Epi week 34, 2016) Vaccine preventable diseases in Epi-weeks 1 to 34, 2016 (28th Dec 2015 to 28th Aug 2016) No.# of Cases Wk- Total No.# of Greater Than Total No.# of Diseases Less Than Five 35000 34 Cases Five Alerts 30000 Measles 91 1817 1151 666 1162 25000 Diphtheria 0 8 7 1 4 20000 Pertussis 446 6163 4075 2088 1649 15000 Number of Consultations of Number Acute Viral 10000 241 6638 3084 3554 233 Hepatitis (A & E) 5000 Acute Flaccid 16 389 208 181 243 Paralysis 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Meningitis 62 1623 1021 602 182 Male 9308 12779 15087 22478 11327 Female 9168 12607 13925 30368 12481 Mumps 136 2300 1091 1209 165 Distribution of consultations of leading diseases by Governorates, Epi week 34 Sana'a Hadramout Al- Suspected Disease Lahj Aden Abyan Taiz Hadramout Ibb Hodidah Hajjah Amana Sa'da Amran Shabwah Al-Mahrah Dhamar Al-Baidha Mareb Al-Jawf Rayma Al-Dhale Total Gov. wady Mahweet Upper Respiratory Infections 678 2621 843 1457 1272 905 2231 1036 945 936 600 614 627 337 643 1227 581 605 455 436 246 910 20205 Lower Respiratory Infections 232 464 297 879 339 376 1426 496 454 207 509 183 259 105 81 588 314 292 304 221 114 407 8547 Other Acute Diarrhea 474 1602 503 914 730 739 3763 954 631 560 644 576 492 210 328 595 391 402 368 327 199 553 15955 Bloody Diarrhea 5 1 22 7 29 52 140 38 4 31 53 13 54 5 2 19 44 67 57 66 32 71 812 Susp. Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schistosomiasis 2 0 1 2 3 4 4 60 31 6 19 5 2 0 0 9 2 0 35 22 27 22 256 Malaria 5 93 6 7 4 168 2292 945 9 67 146 28 53 3 0 243 2 77 162 302 105 30 4747 Meningitis 0 6 0 6 2 1 1 1 15 0 2 0 0 0 0 12 2 11 1 0 2 0 62 Dengue Fever 22 32 76 50 6 0 112 5 0 0 0 1 85 0 3 0 1 44 0 0 2 7 446 Viral Hemorrhagic Fever 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 Rabies 0 0 2 2 0 12 0 4 39 0 18 0 0 0 0 30 6 0 0 3 0 5 121 Measles 1 6 0 4 2 4 1 9 13 13 6 3 1 1 1 1 3 0 8 1 5 8 91 Acute Viral Hepatitis (A & E) 6 11 1 64 8 9 5 14 42 0 13 4 7 0 4 18 14 5 2 1 2 11 241 Neonatal Tetanus 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Acute Flaccid Paralysis 0 4 0 1 0 1 1 0 4 0 1 1 0 0 0 1 0 0 0 0 1 1 16 Cutaneous Leishmaniasis 5 0 0 2 2 2 2 7 3 4 8 4 0 0 2 2 4 0 5 1 8 5 66 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pertussis 7 16 7 4 10 6 17 9 18 62 17 0 18 0 7 25 14 109 40 3 0 57 446 Influeza Like Illness 27 4 135 99 12 11 92 78 1 0 42 46 40 0 0 0 73 46 4 29 12 44 795 Severe Acute Respiratory Infection 0 0 0 0 0 0 14 65 0 2 0 0 0 0 0 51 1 16 0 0 4 3 156 Typhoid and Paratyphoid Fever 28 47 31 103 46 190 329 657 90 49 115 154 58 6 2 393 244 47 251 107 66 23 3036 Mumps 3 12 0 3 4 5 21 19 14 2 2 1 9 0 0 8 2 11 13 0 5 2 136 Tuberculosis 1 15 7 0 0 0 4 8 1 0 4 2 3 0 0 18 3 1 2 1 0 2 72 HIV/ AIDS 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Brucellosis 0 12 0 0 0 10 4 23 3 0 24 2 13 0 0 8 65 26 142 6 8 0 346 Chicken Pox 0 21 8 0 6 0 19 15 2 0 0 0 3 0 0 5 7 3 7 3 16 10 125 Guinea Worm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other_Disease 1950 8419 1945 8418 6198 4942 8510 2497 15647 2979 2512 1742 3247 947 2285 9465 1394 3400 941 1220 369 3481 92508 Total_Consultations 3447 12724 3883 12023 8902 7437 18620 7132 18073 4944 4738 3379 4971 1614 3358 12274 3268 5173 2730 2704 1366 5642 148402 Number of alerts & outbreaks reported and investigated with appropriate response Number of Alerts Received and Responded (Epi weeks 31 and 34, 2016) 2016 Current week 34, 2016 System Gen.
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