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Ministary Of Public Health Papulation Epidemiological Bulletin Primary Heath Care Sector Weekly DG for Diseases Control & Surveillance Eiectronic Integrated Disease Early Warning and Response System Volume 07,lssue37,Epi week 37,(9- 15 September,2019) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-37,2019 % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % 95 97 97 % % 96 96 96 96 96 96 96 96 96 96 96 95 95 95 95 95 95 95 95 95 95 95 95 95 % 94 94 94 94 100% 94 400000 93 92 96 93 93 90% 350000 80% 300000 70% •During week no.37,2019, %94(1991/1873) health facilites from 23 Governorates 60% 250000 provided valid surveillance data. 50% 200000 40% 150000 Percentage 30% Consulttaions 100000 20% 10% 50000 0% 0 Wk 2 Wk 6 Wk 7 Wk Wk 1 Wk 3 Wk 4 Wk 5 Wk 8 Wk 9 Wk Wk 11 Wk 16 Wk 21 Wk 26 Wk 30 Wk 31 Wk 35 Wk Wk 12 Wk 13 Wk 14 Wk 15 Wk 17 Wk 18 Wk 19 Wk 20 Wk 22 Wk 23 Wk 24 Wk 25 Wk 27 Wk 28 Wk 29 Wk 32 Wk 33 Wk 34 Wk 36 Wk 37 •The total number of consultation reported during the week in 23 Governorates was Wk 10 357422 compared to 356936 the previous reporting week 37 . Acute respiratory tract Reporting Rate Consultations infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Distribution of Reporting Rates by Governoraes (Epi-Week 37,2019) % % % % % % % % 100% % % % % Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this % 98 % % 100 98 100 % 100 98 98 100 100 90% 97 % 100 100 100 98 99 % % 93 % 98 week. 80% % 91 89 83 73 70% % 64 60% % 50% 48 40% 30% 20% No. HF Reports HF No. 10% A total of 1793 alerts were generated by eDEWS system in week 37 2019, were verified 0% as true for further investigations with appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 37,2019 Proportional morbidity of leading priority diseases, Epi week 37,2019 Guinea Worm Scabies ● (URTI) 13.5%, suspected Malaria (4.7%),(DD) (15.8%) and (LRTI) (5.1%)Remain the Chicken Pox Brucellosis leading causes of morbidity representing a total of (39.1%) HIV/ AIDS Tuberculosis RB CL Sch ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than VHF DF 1% of total morbidity in reporting period Bloody diarrhea represented 0.4% Of this Meng Mal morbidity Mumps AFP NNT AVH_B&C AVH_A&E ● All diarrheal disease comprised 15.8% and LRTI 5.1% of total morbidity in pilot Governorates Meas Typhoid F this week . OAD BD Pert SARI ILI LRTI ● All diarrheal disease comprised 15.8% and OAD 9.5% of total morbidity in all age group . URTI 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% Measles Situition in Yemen Distribution of Governorate Measles cases & Deaths , Epi weeks1- 37,2019 Epi Curve of Measles in Yemen During 2017,2018,2019 1200 900 800 1000 700 800 600 600 500 400 400 200 300 0 200 100 wk1 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 wk10 wk11 wk12 wk13 wk14 wk15 wk16 wk17 wk18 wk19 wk20 wk21 wk22 wk23 wk24 wk25 wk26 wk27 wk28 wk29 wk30 wk31 wk32 wk33 wk34 wk35 wk36 wk37 wk38 wk39 wk40 wk41 wk42 wk43 wk44 wk45 wk46 wk47 wk48 wk49 wk50 wk51 wk52 0 2019 465 524 562 594 620 615 837 590 384 304 245 220 196 195 163 177 135 125 106 83 84 63 37 114 161 148 140 141 135 120 115 42 58 105 101 89 89 2018 241 218 357 349 377 328 384 459 427 512 532 722 733 820 763 844 631 625 673 451 500 492 394 210 374 348 494 442 482 465 420 438 337 253 369 439 404 428 501 404 451 524 434 489 416 470 427 455 414 494 468 442 No of cases No of Death 2017 80 127 145 166 179 146 178 166 143 174 129 122 123 82 137 90 81 72 98 85 54 53 44 31 19 33 87 74 58 95 91 95 75 91 21 66 80 89 76 109 131 92 97 91 67 130 136 105 103 123 114 116 النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا على شكل وباء :ILI التهاب تنفسي حاد وخيم:SARI التهاب الكبد :AVH الحصبة :Meas داء الكلب :RB التهاب السحايا :Men حمى الضنك :DF مﻻريا :Mal بلهارسيا :Sch اسهال مائي حاد :AWD التهاب الجهاز التنفسي السفلي:LRTI اسهال حاد اخرى :OAD اسهال مدمم :BD عدوى الجهاز التنفسي العلوي :URTI اﻻيذز :HIV الجذري:CHICKEN دودة غينية:GUINEA حمى مالطيه:BRUCELLOSIS السل:TUPERCULOSIS This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 1 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37 (9-15 September,2019) GOV Distribution of suspected cholera cases by age group ( 1 Jan- 27 September 2019) Distribution of associated deaths by age group ( 1 Jan- 27 September 2019) Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 2 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37 (9-15 September,2019) Dengue Fever and Measles Outbreak SITUATION IN YEMEN Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Email ([email protected]) Deaths This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 3 Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37 (9-15 September,2019) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-37 ,2019) URTI LRTI mararia tested cases & confirmed Epi weeks 1-37,2019 20.0% 8.0% 4500 18.0% 4000 7.0% 16.0% 3500 6.0% 14.0% 3000 5.0% 12.0% 2500 10.0% 4.0% 2000 8.0% 3.0% 1500 6.0% 1000 2.0% 4.0% 500 2.0% 1.0% 0 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 0.0% wk1 wk13 wk14 wk15 wk16 wk17 wk35 wk36 wk37 wk11 wk12 wk18 wk19 wk20 wk21 wk22 wk23 wk24 wk25 wk26 wk27 wk28 wk29 wk30 wk31 wk32 wk33 wk34 0.0% wk10 WK3 WK6 WK9 WK1 WK2 WK4 WK5 WK7 WK8 WK14 WK17 WK20 WK25 WK28 WK31 WK36 WK10 WK11 WK12 WK13 WK15 WK16 WK18 WK19 WK21 WK22 WK23 WK24 WK26 WK27 WK29 WK30 WK32 WK33 WK34 WK35 WK37 WK2 WK4 WK6 WK1 WK3 WK5 WK7 WK8 WK9 WK13 WK15 WK22 WK24 WK31 WK33 WK35 WK11 WK12 WK14 WK16 WK17 WK18 WK19 WK20 WK21 WK23 WK25 WK26 WK27 WK28 WK29 WK30 WK32 WK34 WK36 WK37 WK10 Rapid Test(Postive) Microscope(Postive) Age and Sex distribution of total consultations of leading diseases (Epi week 37,2019) Number of Alerts Received and Responded (Epi Weeks 34-37,2019) 80000 74758 URTI LRTI Pert BD OAD Typhoid F 70000 AFP Meas AVH_A&E AVH_B&C DF Meng 60000 Sch CL Chicken Pox Mal 350 50000 48882 300 40000 250 34802 32472 32916 33227 200 30000 28344 25775 23486 22857 150 20000 of No.Alerts 100 10000 50 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 23486 32472 33227 48882 25775 Female 22857 32916 34802 74758 28344 Distribution of consultations of leading diseases by Governorates,Epi week 37-2019 Hadramout Sanaa Suspected Disease Abyan Aden Al-Baidha Al-Dhale AlHodaidah Al-Jawf Al-Mahra Al-Mahweet Amana Amran Dhamar Hadramout Hajjah Ibb Lahj Mareb Rayma Sa'adah Shabwah Socotra Taiz Total wady Governorate URTI 2592 3172 1272 981 5461 954 600 907 4802 2008 2560 1482 1605 3646 2266 3880 532 582 2947 3224 1185 60 1427 48145 LRTI 256 323 771 176 4301 328 53 392 1905 951 1331 328 245 1375 1187 1240 145 132 590 1141 257 33 626 18086 ILI 180 0 16 0 90 42 0 0 9 21 48 5 0 61 29 1 96 1 50 164 125 3 82 1023 SARI 0 0 13 0 0 0 0 0 1 13 79 0 0 0 0 0 0 0 19 0 8 0 0 133 Pert 1 2 0 0 0 23 0 0 2 6 3 4 0 0 11 7 0 0 5 6 0 0 1 71 BD 51 4 57 10 140 48 2 81 86 155 113 8 2 2 69 26 18 10 138 135 41 0 75 1271 OAD 1236 1928 1160 658 3380 1043 390 699 4477 1940 2563 673 421 2752 1971 1727 468 387 1690 2477 833 13 984 33870 Typhoid F 36 43 326 11 429 159 12 94 579 271 826 28 9 8 513 35 63 64 191 325 73 25 141 4261 Meas 1 17 4 4 3 2 0 0 11 1 5 1 1 5 10 0 1 0 13 4 2 0 4 89 AVH_A&E 9 12 2 2 2 0 1 1 117 13 49 19 8 7 21 30 0 1 5 16 20 0 19 354 AVH_B&C 3 1 3 0 2 2 0 0 69 7 11 7 1 4 16 0 0 0 3 1 5 0 5 140 NNT 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 AFP 0 1 0 0 0 1 0 0 4 1 0 0 0 0 1 0 0 0 0 0 0 0 3 11 247 7 2 7 24 15 1 2 11 14 14 6 5 اﻷمراض المشتبه10ة Mumps 15 8 6 10 17 16 0 2 37 18 Mal 34 141 1 0 8181 81 29 490 217 571 498 3 1 3657 398 70 36 241 826 218 1 0 1282 16976 Meng 0 0 0 0 3 1 0 0 11 2 1 1 0 0 9 0 0 0 2 0 0 0 17 47 DF 159 85 0 8 11 0 0 0 0 0 0 8 5 37 2 86 14 0 0 0 30 0 230 675 VHF 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Sch 1 0 1 17 1 16 0 25 32 91 31 10 0 91 10 1 1 11 44 28 0 0 12 423 CL 0 0 2 3 0 2 0 0 3 2 14 1 1 2 1 12 0 3 7 5 0 0 6 64 RB 0 0 28 0 1 0 0 6 87 32 104 0 1 10 87 0 0 1 0 11 0 0 4 372 Tuberculosis 1 6 0 1 9 2 1 0 11 0 3 0 0 4 5 2 0 0 2 4 0 0 4 55 HIV/ AIDS 0 0 0 0 0 0 0 0 4 1 0 3 0 0 2 0 0 0 0 0 8 0 0 18 Brucellosis 2 0 62 0 11 58 0 5 166 41 185 0 11 140 54 0 8 0 16 18 12 0 7 796 Chicken Pox 3 19 2 7 8 8 2 4 60 56 33 11 1 22 35 11 1 14 103 48 8 0 2 458 Scabies 24 1 0 0 52 0 1 3 9 6 12 0 0 32 3 1 0 21 30 17 0 0 5 217 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 0 othr_disease 3946 7988 5451 7880 13701 3291 1995 4392 52293 6256 20905 7092 4366 10624 11712 11171 5352 1182 6325 9091 4688 257 4347 204305 total_cons_disease 8583 14163 10041 9864 41596 6467 3090 7810 67074 15676 31330 10031 6694 24297 20429 18445 6973 2933 13501 19627 7215 393 11190 357422 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.