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Week 26 1 July 2018 MINISTRY OF HEALTH Ashanti Regions not on target to achieve the annualized Non-Polio AFP rate of 2.0 per 100,000 population less than 15 years. All regions achieve the surveillance reporting target for Measles and Yellow VOLUME 3 Fever. Timeliness and Completeness of reporting by regions were 97.3% and WEEK 99.1% respectively. 26 st 1 July 2018 The Ghana Weekly Epidemiological Report is a publication of the Ghana Health Service and the Ministry of Health, Ghana © Ghana Health Service 2018 ISSN - 2579-0439 Ghana Weekly Epidemiological Report Vol. 3 Week 26 1 July 2018. i Acknowledgement This publication has been made possible with technical and financial support from the Bloomberg Data for Health Initiative, the CDC Foundation and the World Health Organisation. Ghana Weekly Epidemiological Report Vol. 3 Week 26 1 July 2018. ii Summary of Weekly Epidemiological Data, Week 26, 2018 Summary of Weekly Epidemiological Data for Week 26, 2018 Weekly Spotlight: Ashanti Regions not on target to achieve the annualized Non-Polio AFP rate of 2.0 per 100,000 population less than 15 years. All regions achieve the surveillance reporting target for Measles and Yellow Fever. Timeliness and Completeness of reporting by regions were 97.3% and 99.1% respectively Regional Performance Based on Reporting the expected target for percentage of districts reporting The Western. Region was the best performing region with a (40.0%) for Measles and Yellow Fever. Timeliness and mean score of 97.2%, while Ashanti region was the least completeness of reporting for all notifiable conditions for the performing with a mean score of 83.0%.All regions achieved Week were 97.3% and 99.3% respectively. [Table 1]. Table 1: Ranking of Regional Performance based on selected Surveillance reporting indicators, Ghana, Week 26, 2018 Timeli - Complete- AFP Measles YF Average ness (%) ness (%) Cum. Annualized AFP % % Score % Position Table 4: MeningitisWeek cases andWeek deaths by Region,AFP Ghana,Non -WeekPolio 08, 2018Score District District Region 26 26 Cases AFP Rate (%) reporting reporting (A+B+C+ Cerebrospinal Fluid (CSF) CFR District in District in Region A Cases B Week 26 C DeathsD E D+E)/5 Lab Test Positive (%) Alert Epidemic Western 99.7 100 50 8.2 100 100.0 86.4 97.2 1st Ashanti 1 1 1 100.0 0 0 VoltaBrong -Ahafo† 98.9 11 100 25 2 4.0 100 1 100.0 9.184.0 96.61 2nd 0 GreaterCentral Accra 99.2 0 99.7 48 0 4.0 100 0100.0 0.081.3 96.00 3rd 0 Eastern 1 0 0 0.0 0 0 Brong-Ahafo 94.9 100 45 7.7 100 100.0 81.5 95.3 4th Greater Accra 0 0 0 0.0 0 0 EasternNorthern † 99.6 13 100 28 2 3.7 100 0 100.0 0.073.1 94.52 5th 0 UpperUpper East East † 98.9 9 100 5 9 2.0 100 0 92.3 0.076.9 93.61 6th 0 Upper West† 32 5 4 12.5 5 1 Northern 100 100 30 4.3 100 76.9 80.8 91.5 7th Volta 0 0 0 0.0 0 0 CentralWestern 86 0 95.7 16 0 2.2 100 0 80.0 0.065.0 85.30 8th 0 UpperTotal West (Ghana) 93 67 93 10 19 5.7 100 6 77.7 9.054.5 83.69 9th 1 Ashanti 98.6 99.5 16 1.2 60 80.0 76.7 83.0 10th Ghana 97.3 99.1 273 4.0 100 90.2 76.4 92.6 Table 2: Reported Influenza-Like Illness cases by Region INFLUENZ A-LIKE ILLNESS and District, Ghana, Week 26, 2018 In the week under review, 945 suspected cases were recorded across Region Districts Cases Deaths the country. Ninety-one samples were taken at sentinel sites and sent Ashanti Adansi South 18 0 to the Noguchi Memorial Institute for Medical Research (NMIMR) Asante-Akim South 33 0 [Table 2]. Five cases were subsequently confirmed (H1N1- 4 and Flu Bekwai 10 0 B Yamagata-1). Cumulatively, the dominant Influenza virus subtypes Ejisu-Juaben 45 0 as at Week 26 were A (H1N1) – 209 (54.7%) followed by Flu B YAM Kumasi 269 0 – 166 (43.5%) and few cases of Flu B VIC – 4 and A (H3N2) – 3 Brong-Ahafo Sunyani 4 0 [Figure 1]. Central Asikuma-Odoben- 76 0 Brakwa Cape Coast 42 0 Eastern New Juaben 166 0 Greater Accra Accra 27 0 A (H1N1) Ga East 24 0 H3N2 Ga West 30 0 La-Dade-Kotopon 12 0 Flu B Yamagata Ledzokuku-Krowor 43 0 Flu B VIC Ningo-Prampram 1 0 Shai Osudoku 69 0 Tema 63 0 Upper East Bolgatanga 5 0 Volta Ketu South 5 0 Western Sekondi-Takoradi 3 0 Total 945 0 Figure 1: Number of positive Influenza by Subtyping, Ghana, Week 1 – 26, 2018 Ghana Weekly Epidemiological Report Vol. 3 Week 26 1 July 2018. 1 Summary of Weekly Epidemiological Data, Week 26, 2018 DIARRHOEA ABOVE FIVE YEARS 500 Four regions namely; Ashanti, Eastern, Greater 400 Accra and Upper East recorded a total of 1, 279 cases in Week 26 [Figure 2]. A decline in the 300 number of diarrhoea cases was observed in Week 26 compared to the previous week [Figure 3]. 200 100 Suspected Suspected case 0 Greater Ashanti Eastern Upper East Accra Cases 448 251 468 112 Region Figure 2: Distribution of cumulative Diarrhoea above 5years by Regions, Ghana, 2018 1800 1600 1400 1200 1000 800 Cases 600 400 200 0 Week Figure 3: Trends in Diarrhoea cases above 5 years in Ghana, Week 1 – 26, 2018 MEASLES During the week, 31 suspected cases of Measles were reported [Table 3]. Samples were taken for the cases and sent to the National Public Health Reference Laboratory [NPHRL] for investigation. The results were all negative for Measles but one was confirmed for Rubella. Reporting rates have improved for all regions in comparison with that of 2016 and 2017. Cumulatively, all regions achieved the districts reporting targets (40.0%) as at Week 26 in all the years except the Northern and Upper West regions which failed in 2016 [ Figure 4 ]. Table 3: Reported Suspected Measles cases by Region and District, Ghana, Week 26, 2018 Confirmed Region Districts Cases Deaths Measles Rubella Amansie Central 1 0 0 0 Ashanti Kwabre 1 0 0 0 Dormaa East 1 0 0 0 Nkoranza South 4 0 0 0 Sunyani 1 0 0 0 Brong-Ahafo Tain 2 0 0 0 Tano South 1 0 0 0 Techiman South 2 0 0 0 Central Mfantseman 1 0 0 1 Akuapim South 1 0 0 0 Eastern New Juaben 2 0 0 0 Accra 2 0 0 0 Greater Accra Ada West 1 0 0 0 Ledzokuku-Krowor 1 0 0 0 Upper West Sissala West 2 0 0 0 Biakoye 2 0 0 0 Volta North Dayi 3 0 0 0 Ahanta West 1 0 0 0 Western Prestea-Huni-Valley 2 0 0 0 Total 31 0 0 1 Ghana Weekly Epidemiological Report Vol. 3 Week 26 1 July, 2018. 2 Summary of Weekly Epidemiological Data, Week 26, 2018 120 100 80 60 40 % Districts reporting 20 0 Brong- Greater Upper Ashanti Central Eastern Northern Upper East Volta Western Ahafo Accra West 2016 50 96 80 84.6 62.5 23 76.9 27 92 81.8 2017 36.6 92.5 85 84.6 62.5 38.4 76.9 81.8 96 86.3 2018 80.0 100.0 80.0 100.0 100.0 76.9 92.3 77.7 100.0 100.0 Figure 4: Percentage of Districts reporting at least One Suspected Case of Measles, Ghana 1-26, 2016-2018 . TableACUTE 3: ReportedFLACCID Suspected PARALYSIS Measles cases (SUSPECTEDby Region and District, Ghana, Week 26, 2018 POLIOMYELITIS) Five cases of Acute Flaccid Paralysis (AFP) were reported Summary on Acute Flaccid Paralysis (AFP) [Table 5]. Stool specimens obtained for respective cases Indicators, Week 1 - 26 tested negative for wild polio virus at the Noguchi Memorial Ashanti region remains below the Non Polio-AFP rate of 2.0 Institute for Medical Research Polio Laboratory. per 100,000 population less than 15 years for the week under review. All other regions achieved the annualised Non Polio- Table 5: Suspected Poliomyelitis cases and deaths by AFP rate of 2.0 per 100,000 population less than 15 years. A Region and District, Ghana, Week 26, 2018 total of seven compatibles out of 273 AFP cases have been Region Districts Cases Deaths recorded [Table 6]. Brong-Ahafo Nkoranza North 1 0 Upper Denkyira East 1 0 Sunyani West 1 0 Greater Accra Accra 2 0 Total 5 0 Table 6: Summary on Acute Flaccid Paralysis, Ghana, Week 1 - 26 , 2018 Expected Annualized % Population Reported % Timely Region AFP for Compatible Discarded Non-Polio Adequate Under 15 years AFP Stools the year AFP Rate Stools Ashanti 2,484,707 50 16 0 15 1.2 94 69 Brong- 1,164,263 23 45 1 44 7.7 91 82 Ahafo Central 1,180,617 24 16 1 13 2.2 94 88 Eastern 1,305,965 26 28 0 24 3.7 89 86 Greater 2,085,500 42 48 2 42 4.0 81 79 Accra Northern 1,308,970 26 30 0 28 4.3 97 97 Upper East 483,561 10 5 0 5 2.0 100 100 Upper West 342,806 7 10 0 10 5.7 100 100 Volta 1,083,971 22 25 1 22 4.0 92 92 Western 1,169,233 23 50 2 47 8.2 92 74 Ghana 12,609,592 252 273 7 250 4.0 91 84 Ghana Weekly Epidemiological Report Vol.
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