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DEWS WEEKLY EPIDEMIOLOGICAL REPORT EPREPORT SUMMARY:  This Report Includes Surveillance Data from 4Th July to 10Th August 2012

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DEWS WEEKLY EPIDEMIOLOGICAL REPORT EPREPORT SUMMARY:  This Report Includes Surveillance Data from 4Th July to 10Th August 2012 August 13, 2012 DISEASES EARLY WARNING SYSTEM WER-32(6th Yr) DEWS WEEKLY EPIDEMIOLOGICAL REPORT EPREPORT SUMMARY: th th This report includes surveillance data from 4 July to 10 August 2012. Out of 312 functional Sentinel sites(SS), all 312 (100%) have sent their reports in Week-32 of 2012; Out of total 274,261 Consultations recorded in week-32 of 2012, 90,745 (33.1%) consultations were reported due to DEWS target diseases. Main causes of consultations this week are Acute Respiratory Infections/ARI (13.6%) and Acute Diarrheal Diseases/ADD (17.6%) from total clients in a continuing trend from the week before. 52 deaths caused due to Pneumonia, Diarrheal diseases and Meningitis/Severely ill children, so that 19 deaths due to pneumonia, 20 deaths due to diarrheal diseases and 13 deaths reported due to Meningitis and Severely Ill Children. In this reporting week, three Measles outbreaks reported and investigated in Laghman, Zabul and Urozgan provinces. No other outbreaks have been reported in this reporting week. REPORTS RECEIVED FROM REPORTING SITES: As of August 10, 2012, 312 sentinel sites were functioning in eight epidemiological regions, in 34 provinces of Afghanistan . In this reporting week, all 312 sentinel sites have sent their reports on new cases of DEWS target diseases , recorded during the reporting. Out of all events recorded in DEWS sentinel sites, 15 target diseases (priority diseases) are included in DEWS weekly epidemiological reports. Table-1: Status of Reports Received from DEWS Regions during Epidemiological week-32, 2012 Central East Central West North North East West South East South East Total No. of Expected Reports from 53 30 49 37 34 38 37 34 312 Sentinel Sites No. of Reports Received in this 53 30 49 37 34 38 37 34 312 week Page 1 of 8 DEWS Sentinel Sites: Figure-1(Map) shows the distribution Table-2 DEWS Epidemiological Regions and types of Sentinel Sites in of DEWS sentinel sites, already Week-32, 2012 established in the relevant Type of regions/provinces by August 10, 2012 SS al East Centr al West North North East West South East South East Total by type of health facilities. Data on15 Centr DEWS target diseases are being CHC/BHC 25 19 34 26 20 29 27 26 206 collected from these sentinel sites DH 12 7 10 7 9 4 7 4 60 (SS).The symbols on the map show PH/RH/SH 14 4 5 4 4 5 3 4 43 the number of sentinel sites in each region/province, and do not indicating Poly Clinic 2 0 0 0 1 0 0 0 3 the GPS of the SS locations. Total 53 30 49 37 34 38 37 34 312 DEWS Data in Epidemiological CHC=Comprehensive Health Center, DH=District hospital, PH=provincial Week-32 of 2012 hospital, RH= Regional hospital, SH= specialized hospital Ut of total 274,261 clients recorded in week-32 of 2012, 11.9% (32505) of consultations were reported Fig-2: Percentages of DEWS Target O due to cough and cold and 1.8% (4808) of 30.0% Diseases by age Group in W32 of 2012 consultations was reported due to pneumonia. In the same 25.0% reporting period, 17.6% or 48,287 events were reported due to 20.0% diarrheal illnesses (13.4% due to Acute Watery Diarrhea, 2.7% 15.0% due to Bloody Diarrhea and 1.5% due to acute watery diarrhea 10.0% with dehydration). In comparison with previous week (W31 of 5.0% 2012) the percentage of ARI diseases has decreased by 0.3% 0.0% ARI ARI AwD Men AVH Meas Mala Typh to13.6%, whereas the percentage of Acute Diarrheal diseases AwD BD increased by 0.3% to 17.6%. These variations could be C&C Pn w /SIC ep le ria Fev occurred due to changes in temperature /weather during the U5% 16.4% 3.7% 27.2% 4.1% 3.1% 0.1% 0.1% 0.2% 1.0% 0.5% reporting week.Figure-2 above shows the percentages of O5% 9.7% 0.8% 6.9% 2.0% 0.8% 0.0% 0.1% 0.0% 0.8% 0.9% DEWS target diseases by age groups in week-32 of 2012. Tot% 11.9% 1.8% 13.4% 2.7% 1.5% 0.1% 0.1% 0.1% 0.9% 0.8% Page 2 of 8 Percentage of ARI by weeks and by Age Groups In the epidemiological week-32, a total of 37,313 events of ARI were reported.16.4 % of total clients less than 5 years of age were cough & Cold patients and 9.7% among the age group 5 years and over. The percentage of C&C (<5 years) Table-3: Percentages of ARI Diseases during 11 recent weeks by age groups and by weeks Disease Age Week Week Week Week Week- Week- Week Week Week Week Week 22-12 23-12 24-12 25-12 26-12 27-12 28-12 29-12 30-12 31-12 32-12 (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) ARI- C&C <5 Yr. 22.6 20.7 19.8 18 17.4 16.6 16.6 16.5 16.8 17.3 16.4 5+ 12.4 11.9 11.4 10.7 10.3 10.0 9.5 9.6 10.0 9.7 9.7 ARI- <5 Yr. 5.9 5.8 5.0 4.8 4.6 4.1 4.2 4.0 3.9 3.9 3.7 Pneumonia >=5 Yr 1.2 1.1 1.2 1.1 1.0 1.0 1.0 1.0 0.9 0.9 0.8 consultations in week-22,in comparison with the percentage of C&C in week-32 of 2012, decreased by 6.2%, whereas in case of 5 years and above decreased by 2.7% to 9.7% in this reporting week. The trend of ARI diseases in last 11 weeks can be read in table-4.The percentages of consultations on Pneumonia cases of age group less than 5 years decreased by 2.2% in last 11 weeks, whereas the percentage of age group 5 years and over decreased by 0.4% to 0.8% in last 11 weeks. n the reporting week-32 of 2012, the highest percentage of Cough & Cold has been recorded in Kunar and Nuristan provinces with 19% and 18% respectively, whereas the lowest percentages of C&C were reported from Farah and I Uruzgan provinces with 6% and 7% respectively. The highest percentages of Pneumonia cases reported from Jawzjan and Sar-i-pul provinces with 6% and 5%, whereas the lowest percentage of Pneumonia cases was recorded in Zabul and Uruzgan provinces with 0.00%(almost Zero) and 0.3% respectively. (Fig-3) 30% Fig-3: Percentages of ARI from Total Clients in week-32 of 2012 20% 10% 0% BA DA GH HE JO KA KH LO NA SA WA BD GH PA NI UR KN NU BDS BAL FYB HEL KDZ PKA PIA PAR SAR TAK ZABKABBGL FRA KAP LAG M Y A R W N O G N M R G O N M U R R Pneumonia 1% 2% 2% 1% 2% 1% 1% 0% 6% 1% 2% 1% 1% 2% 1% 1% 2% 2% 5% 2% 3% 0% 2% 3% 1% 0% 1% 1% 2% 1% 0% 3% 2% 3% Cough&Cold 10%13%15%14%13% 9% 8% 14%10% 9% 17%14%17%15%13%14% 9% 11%11%11%14% 8% 9% 11%13% 6% 8% 17%13% 9% 7% 19%10%18% Percentages of Diarrheal Diseases by weeks and by Age Groups The table-4 below shows the percentages of diarrheal diseases (Acute watery Diarrhea, Bloody Diarrhea and Acute watery Table-4: Percentages of Diarrheal Diseases from Total Clients during 11 recent weeks by age groups. Disease Age Week Week Week Week Week Week Week Week Week Week Week 22-12 23-12 24-12 25-12 26-12 27-12 28-12 29-12 30-12 31-12 32-12 (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) Acute Watery <5 Years 19.2 21.0 23.0 23.8 24.7 25.9 25.9 25.0 27.5 27.1 27.2 Diarrhea >= 5 Years 5.4 5.2 5.7 6.4 6.4 6.7 7.0 6.7 7.4 7.0 6.9 Bloody Diarrhea <5 Years 3.5 3.4 3.9 3.9 3.7 3.9 4.1 3.9 4.1 4.1 4.1 >=5 Years 1.6 1.6 1.9 1.9 1.9 1.9 1.9 2.0 2.0 2.0 2.0 Acute W. Diarrhea <5 Years 2.4 2.8 2.5 3 2.9 3.4 3.2 3.1 2.8 2.9 3.1 with Dehydration ≥5 Years 0.6 0.7 0.6 0.7 0.7 0.8 0.8 0.7 0.7 0.6 0.8 diarrhea with dehydration) from week-22 to week-32 of 2012, from total clients. Acute watery diarrhea among children less than five years has been increased from19.2% in week-22 to 27.2% in the reporting week, whereas acute watery diarrhea among age group 5 years and above has increased by 1.5% to 6.9%.(Please refer to Table-5, above).Bloody diarrhea, in age group less than 5 years increased by 0.6% in last 11 weeks, while in case of age group 5 years and above increased by 0.4% in the same period. Acute watery diarrhea with dehydration in age group less than 5 years increased by 0.7% and in case of five years and above increased by 0.2% in last 11 weeks.
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