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Libya: EWARN & Diseases Surveillance Bulletin

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Libya: EWARN & Diseases Surveillance Bulletin EWARN: Early Warning Alert and Response Network Libya: EWARN & Diseases Surveillance Bulletin 2018: Epidemiological Week: 09 Reporting Period: 26 February – 04 March 2018 Highlights Number of reporting sites in week 09: One hundred and fourteen (114) submitted their weekly reports complete and in timely manner. Total number of consultations in week 09: 42,878 marking a decrease of 3,596 to last week consultation of 46,474. The number of consultations for other disease this was week was 36,424. NCDC and WHO | EWARN & Diseases Surveillance Bulletin 1 Leading causes of morbidity in week 09: Acute Upper Respiratory Infections (AURI) (n=4681; 10.92% of consultations number), Acute Lower Respiratory Infections (ALRI) (n=1254; 2.92%) and acute diarrhea (AD) (n=1168; 2.72%) remained the leading causes of morbidity this reporting week. Number of alerts in week 09: Thirteen (13) alert were generated through EWARN. (details: see Alerts and Outbreaks Section). The health authorities of each municipality have the capacity to respond to outbreaks. The alerts were discussed with the focal person and respected surveillance officers of the municipalities. (Details: see Alert and Outbreak Section). NOTE: In all the figures below that represent trends, numbers from week 9 in 2018 were compared to three different averages from 2017 representing the following: The average value for epidemiological weeks 01 – 52 in 2017, representing the entirety of 2017. The average value for epidemiological weeks 39 – 52 in 2017, representing the period of reporting that followed the first EWARN training workshop in September of 2017. The average value for epidemiological weeks 49 – 52 in 2017, representing the period of reporting that followed the second EWARN training workshop in December of 2017. No of reporting sites in Libya comparing averages of weeks, week 1 - 52 2017, weeks 39 -52 2017, weeks 49 - 52 2017 and week 01 - 09 2018 140 120 100 80 60 119 121 118 104 40 86 20 40 0 Weeks 1 Weeks Weeks Week 01 Week 02 Week 03 Week 04 Week 05 Week 06 Week 07 Week 08 Week 09 - 52 2017 39 - 52 49 - 52 2018 2018 2018 2018 2018 2018 2018 2018 2018 2017 2017 Figure 1. Distribution of reporting health facilities NCDC and WHO | EWARN & Diseases Surveillance Bulletin 2 Morbidity Patterns: During week 09, the proportions of AURI and ALRI decreased in comparison with the previous week as it can be seen in figure 2. Comparing average cases of AURI, ALRI and AD of all of 2017, beyond 1st EWARN workshop, beyond 2nd EWARN workshop and week 01 - 09 2018 7000 6000 5000 4000 3000 2000 1000 0 Weeks 39 Weeks 49 Week 01 Week 02 Week 03 Week 04 Week 05 Week 06 Week 07 Week 08 - 52 2017 - 52 2017 2018 2018 2018 2018 2018 2018 2018 2018 AURI ALRI AD Figure 2. Distribution of AURI, AD and ALRI in week 1 – 52 2017 and 09 2018 2018 Epidemiological week 09: Below is the distribution of the leading causes of morbidity by municipalities for the epidemiological week 09. NCDC and WHO | EWARN & Diseases Surveillance Bulletin 3 Distribution of common disease by municipalities for week 09, 2018 100% 90% 80% 70% 60% 50% ALRI 40% AD 30% AURI 20% 10% 0% Sert JALO GHAT ZLETIN ZAWIA SABHA Tobruk YEFRIN ZWARA KHOMS ESBEAA MRADA OUBARI GARIAN ALKOBA ZENTAN MORZIG TAZIRBU ALMARIJ ALJOFRA ALBAIDA DARNAH BENGAZI NESMAA MEZDAH ALAJILAT IGDABYA ALABYAR ALKOFRA ALSWANI SUBRATA Ghdames ALJEMAIL TRAGHEN DAWOON TARHUNA REGDALIN IMSALATA ALZAHRAA MISURATA Aljaghboub ALAZIZIYAH BANIWALED ASHATI EASTASHATI ASHATI West ASHATI Souq Eljomaa Souq ALQARABOULI TRIPOLI central TRIPOLI Qasir BenGhashir Qasir Figure 3. Distribution of common disease by municipalities for week 09, 2018 Trend of pertussis: In total 313 cases of suspected pertussis have been reported from EWARN sites this year. This week 44 cases were reported and they are distributed as follow: Almarij (1), Imsalata (29), Bengazi (12) and Albaida (2). NCDC and WHO | EWARN & Diseases Surveillance Bulletin 4 Distribution of S. pertussis reported cases by week and by municipality up to week 09, 2018 ALABYAR ALAJILAT ALBAIDA Aljaghboub ALJEMAIL ALJOFRA ALKOBA ALKOFRA ALMARIJ ASHATI ASHATI EAST ASHATI West BANIWALED BENGAZI DARNAH ESBEAA GARIAN GHAT Ghdames IGDABYA IMSALATA JALO KHOMS MEZDAH MISURATA MORZIG MRADA OUBARI Qasir Ben Ghashir REGDALIN SABHA Sert SUBRATA SURMAN TARHUNA 1 0 0 33 0 14 0 29 30 0 14 2 01 7 0 24 17 7 0 30 8 12 7 0 0 7 12 12 0 11 9 3 9 7 0 8 0 4 0 3 0 1 1 01 01 2 10 10 2 2 3 2 WEEK 01 2018WEEK 02 2018WEEK 03 2018WEEK 04 2018WEEK 05 2018WEEK 06 2018WEEK 07 2018WEEK 08 2018WEEK 09 2018 Figure 4. Distribution of suspected pertussis cases reported by week and by municipality week 09 2018. Trend of Acute Upper Respiratory Infections During week 09, a total of 4681 cases were reported (10.92% of total consultations) and are summed up in table 1 below: Municipality AURI cases Municipality AURI cases ALJOFRA 71 ALAJILAT 158 ALKOFRA 79 ALSWANI 32 ALMARIJ 279 ASHATI EAST 74 BANIWALED 216 ASHATI West 24 BENGAZI 714 Tobruk 1 GARIAN 26 Qasir Ben Ghashir 92 IGDABYA 352 YEFRIN 100 IMSALATA 497 MEZDAH 18 NCDC and WHO | EWARN & Diseases Surveillance Bulletin 5 KHOMS 98 TRAGHEN 26 MISURATA 122 ALABYAR 57 MORZIG 27 ALZAHRAA 11 MRADA 10 JALO 13 REGDALIN 44 TAZIRBU 60 SABHA 30 ZENTAN 105 ZAWIA 194 ALQARABOULI 171 ZLETIN 47 DARNAH 111 ZWARA 142 ESBEAA 43 TRIPOLI central 47 2 Aljaghboub 55 105 Souq Eljomaa SUBRATA 81 Ghdames ALKOBA 192 94 Sert Table 1. Summary of AURI cases by Municipality in week 09 Figure 5 below shows the trend of AURI cases in the period from week 01 2017 to week 09/2018 through the EWARN system. Moreover, Figure 6 shows the trend of AURI cases percentage from the total consultations in the period between week 39 and week 09/2018. The cumulative AURI during this year reached 45,631 cases. Benghazi reported 16% of all cases (7140). Trend of the disease showed peaks of over the past two months. NCDC and WHO | EWARN & Diseases Surveillance Bulletin 6 DISTRIBUTION OF AURI CASES BY WEEK, WEEK 1 - 52, 2017 AND WEEK 09, 2018 7000 6000 5000 4000 3000 2000 1000 0 Week 01 Week2017 02 Week2017 03 Week2017 04 Week2017 05 Week2017 06 Week2017 07 Week2017 08 Week2017 09 Week2017 10 Week2017 11 Week2017 12 Week2017 13 Week2017 14 Week2017 15 Week2017 16 Week2017 17 Week2017 18 Week2017 19 Week2017 20 Week2017 21 Week2017 22 Week2017 23 Week2017 24 Week2017 25 Week2017 26 Week2017 27 Week2017 28 Week2017 29 Week2017 30 Week2017 31 Week2017 32 Week2017 33 Week2017 34 Week2017 35 Week2017 36 Week2017 37 Week2017 38 Week2017 39 Week2017 40 Week2017 41 Week2017 42 Week2017 43 Week2017 44 Week2017 45 Week2017 46 Week2017 47 Week2017 48 Week2017 49 Week2017 50 Week2017 51 Week2017 52 2017 WWeek 01WWeek 2018 02WWeek 2018 03WWeek 2018 04WWeek 2018 05WWeek 2018 06WWeek 2018 07WWeek 2018 08WWeek 2018 09 2018 Figure. 5 Distribution of AURI cases by week, week 1 – 52, 2017 and week 09, 2018. Percentage of AURI cases from the total consultation number by week, week 39 - 52, 2017 and week 09, 2018 16.00 14.00 12.00 10.00 8.00 14.79 13.38 13.7513.71 6.00 12.21 12.65 12.25 12.42 11.5411.33 10.92 10.21 9.15 4.00 8.53 8.33 7.06 7.52 7.26 6.48 6.40 6.04 5.46 2.00 1.44 0.00 week week week week week week Week Week Week Week Week Week week week Week Week Week Week Week Week Week Week Week 39 40 41 42 43 44 45 46 47 48 49 50 51 52 01 02 03 04 05 06 07 08 09 NCDC and WHO | EWARN & Diseases Surveillance Bulletin 7 Figure.6 Distribution of AURI percentage by week, week 39 – 52, 2017 and 09, 2018 Trend of Acute Lower Respiratory Infection: During week 09, a total of 1254 cases of acute lower respiratory infections were reported (2.92% of total consultations) and are summarised by municipality in Table 2 below: Municipality ALRI cases Municipality ALRI cases 21 98 ALJOFRA ALKOBA ALMARIJ 64 17 ALBAIDA BANIWALED 54 ALAJILAT 85 BENGAZI 92 ASHATI EAST 15 GARIAN 7 Tobruk 21 Qasir Ben IGDABYA 33 Ghashir 88 IMSALATA 23 YEFRIN 15 KHOMS 4 MEZDAH 19 MISURATA 98 TRAGHEN 37 MORZIG 7 ALABYAR 10 REGDALIN 44 JALO 3 SABHA 21 TAZIRBU 20 ZAWIA 38 ALKOBA 7 ZLETIN 28 ALBAIDA 41 TRIPOLI central 50 ZENTAN 51 Souq Eljomaa 23 DARNAH 11 Ghdames 8 ESBEAA 44 Sert 32 SUBRATA 73 Table 2. Summary of ALRI cases by Municipality in week 09 Figure 7 below shows the trend of ALRI cases in the period from week 01 2017 to week 09/2018 through the EWARN system. Moreover, Figure 8 shows the trend of ALRI cases percentage from the total consultations in the period between week 39 and week 09/2018. The cumulative ALRI during this year reached 11,853 cases. Baniwaled reported 10% of all cases (1168). Trend of the disease showed peaks of cases reported over the past two months. NCDC and WHO | EWARN & Diseases Surveillance Bulletin 8 1200 1400 1600 1800 2000 1000 200 400 600 800 0 Week 01 2017 Week 02 2017 Week 03 2017 Week 04 2017 DISTRIBUTION OF ALRI CASES BY WEEK, WEEK 1 Week 05 2017 Week 06 2017 Week 07 2017 Figure. Week 08 2017 Week 09 2017 Week 10 2017 Week 11 2017 7 Week 12 2017 Distribution of AL of Distribution Week 13 2017 Week 14 2017 52, 2017 AND WEEK 09, 2018 Week 15 2017 Week 16 2017 Week 17 2017 Week 18 2017 NCDC and WHO and NCDC Week 19 2017 Week 20 2017 Week 21 2017 RI c Week 22 2017 Week 23 2017 ases by w week, ases Week 24 2017 Week 25 2017 Week 26 2017 Week 27 2017 Week 28 2017 | EWARN & Diseases Surveillance Bulletin Surveillance & Diseases EWARN | Week 29 2017 Week 30 2017 Week 31 2017 eek 1 eek Week 32 2017 Week 33 2017 Week 34 2017 – Week 35 2017 52 Week 36 2017 , 2017 Week 37 2017 Week 38 2017 Week 39 2017 Week 40 2017 and week 09 and Week 41 2017 Week 42 2017 Week 43 2017 Week 44 2017 Week 45 2017 Week 46 2017 Week 47 2017 , 2018 Week 48 2017 Week 49 2017 Week 50 2017 .
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