Eiectronic Integrated Disease Early Warning and Response System Volume 08,Lssue06,Epi Week 06,(03-09 February,2020)

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 08,lssue06,Epi week 06,(03-09 February,2020)

Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-6,2020

% %

% 96

100% 96 410000

96 96 90% 405000 •During week no.6,2020, %96(1991/1903) health facilites from 23 80% 400000 70% 395000 Governorates provided valid surveillance data. 60% 390000 50% 385000

Percentage 40% 380000 30% 375000 Consulttaions 20% 370000 10% 365000

•The total number of consultation reported during the week in 23 0% 360000

Wk 2 Wk 6 Wk Wk 3 Wk 4 Wk 5 Wk Governorates was 396960 compared to 376020 the previous reporting week 1 Wk

06. Acute respiratory tract infections lower Respiratory Infections (LRTI), Upper Reporting Rate Consultations Respiratory Infections (URTI), Other acute diarrhea (OAD) and Malaria (Mal) Distribution of Reporting Rates by Governoraes (Epi-Week 06,2020)

were the leading cause of morbidity this week.

% %

100% %

% 100

100 100

90% 97

100

% % 95

80% 90

89 94 70% 89 60% 50% 40% 30%

● A total of 1758 alerts were generated by eDEWS system in week 06, 2020, Of Reports HF No. 20% 10% these 1755 alerts were verified as true for further investigations with 0% appropriate response

Reporting Rate Target

Leading causes of morbidity mortality in Epi-Week 06,2020 Proportional morbidity of leading priority diseases, Epi week 06,2020

Guinea Worm ● (URTI) 15.9%, suspected Malaria (7.9%),(DD) (9.3%) and (LRTI) (6.1%)Remain the Scabies Chicken Pox leading causes of morbidity representing a total of (39.2%) Brucellosis HIV/ AIDS Tuberculosis RB CL ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than Sch VHF 1% of total morbidity in reporting period Bloody diarrhea represented 0.3% Of this DF Meng morbidity Mal Mumps AFP NNT AVH_B&C ● All diarrheal disease comprised 9.3% and LRTI 6.1% of total morbidity in pilot Governorates AVH_A&E Meas this week . Typhoid F OAD BD Pert SARI ILI ● All diarrheal disease comprised 9.3% and OAD 6.9% of total morbidity in all age group . LRTI URTI

0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0%

التهاب تنفسي حاد وخيم:SARI التهاب الكبد :AVH الحصبة :Meas داء الكلب :RB التهاب السحايا :Men حمى الضنك :DF مالريا :Mal بلهارسيا :Sch اسهال مائي حاد :AWD التهاب الجهاز التنفسي السفلي:LRTI اسهال حاد اخرى :OAD اسهال مدمم :BD عدوى الجهاز التنفسي العلوي :URTI االيذز :HIV الجذري:CHICKEN دودة غينية:GUINEA حمى مالطيه:BRUCELLOSIS السل:TUPERCULOSIS النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا على شكل وباء :ILI

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 06, (03-09 February,2020) Epidemiological Situation of Cholera and Diphtheria

GOV

Cases

600

26% 500

400 20% 19% 17% 300 575 200 10% 437 371 416 100 5% 222 0% 2% 110 0 10 39 Unknown (36 - 50 Y) (26 - 35 Y) (16 - 25 Y) (11 - 15 Y) (6 - 10 Y)

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 06, (03-09 February,2020) Epidemiological Situation of Dengue Fever and SARI

Overview of Dengue Fever 2018,2019 & wk1-wk6. 2020

Epidemiological curve of Dengue Fever 2018 /2019-wk6/2020 Distribution of DF Death by Age group from wk1/2019-wk6/2020

Overview of SARI 2018,2019 & wk1- wk 6 2020 )Epidemiological curve of SARI wk1/2017 –wk6/2020

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 06, (03-09 February,2020)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-6 ,2020)

URTI LRTI mararia tested cases & confirmed 18.0% 7.0% 4000

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 1.0% 2.0%

wk2 wk3 wk4 wk5 wk6 0.0% 0.0% wk1

Rapid Test(Postive) Microscope(Postive)

WK1 WK2 WK3 WK5 WK6 WK4

WK2 WK3 WK4 WK5 WK6 WK1

Age and Sex distribution of total consultations of leading diseases (Epi week 6,2020) Number of Alerts Received and Responded (Epi Weeks3-6,2020)

90000 84681 URTI LRTI Pert BD OAD Typhoid F 80000 AFP Meas AVH_A&E AVH_B&C DF Meng

70000 Sch CL Chicken Pox Mal

60000 250 55323

50000 200

39330 40000 38389 34542 34804 150 31500 29214 30000 24735 24616

100 No. of Alerts of No. 20000

50 10000

0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 24735 34542 38389 55323 29214 Female 24616 34804 39330 84681 31500 Distribution of consultations of leading diseases by Governorates,Epi week 6-2020

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 3358 4561 1508 1912 6625 1113 1069 1391 5328 2372 3219 2226 2096 4435 2602 4451 1102 716 3373 3878 1603 74 4026 63038 LRTI 304 535 864 652 5478 316 176 714 2047 1141 1658 498 229 1879 1222 1423 235 149 733 1564 293 25 2177 24312 ILI 120 0 133 0 97 43 0 0 13 102 136 0 0 98 91 28 89 1 128 158 184 2 359 1782 SARI 0 0 1 0 1 0 0 0 22 0 97 0 0 0 2 0 5 1 4 1 0 0 1 135 Pert 3 4 0 0 0 3 4 0 3 7 0 11 5 0 0 9 0 1 10 3 2 0 9 74 BD 54 3 37 11 107 55 7 33 51 82 75 8 6 4 64 71 34 9 65 103 22 0 134 1035 OAD 1143 1688 894 785 1575 743 339 660 3342 1267 2285 793 535 1895 1173 1312 862 359 1011 2056 765 22 1812 27316 Typhoid F 46 52 278 30 386 107 30 129 611 244 887 51 5 9 495 51 43 58 115 349 52 28 487 4543 Meas 3 12 2 3 2 2 1 0 17 11 1 5 3 9 7 3 4 0 4 5 4 0 5 103 AVH_A&E 4 12 6 2 1 1 1 1 97 10 38 28 11 3 13 13 0 1 12 10 16 0 13 293 AVH_B&C 6 2 4 0 0 1 0 0 80 10 15 12 0 5 21 3 0 0 0 0 9 0 9 177 NNT 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 AFP 0 1 1 0 11 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 1 0 1 20 346 37 0 8 21 16 0 5 16 20 30 9 ا10ألمراض المشتبهة Mumps 19 15 17 8 17 7 3 10 39 9 30 Mal 48 641 15 10 20849 44 58 609 190 364 664 0 1 5664 292 89 1 210 509 153 10 0 1034 31455 Meng 0 1 0 0 2 1 0 0 2 0 1 2 0 2 4 3 0 0 0 1 2 0 19 40 DF 72 199 5 3 1955 0 6 9 1 3 2 93 0 38 6 157 24 3 0 0 42 0 142 2760 VHF 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 3 Sch 0 0 1 19 2 9 0 30 57 72 31 8 0 96 11 5 3 20 29 43 2 0 26 464 CL 4 0 3 2 1 2 0 2 22 21 9 0 5 3 3 13 0 1 5 8 2 0 0 106 RB 0 0 37 0 1 0 0 12 132 22 89 0 2 15 93 0 0 1 0 3 0 0 10 417 Tuberculosis 8 8 0 1 8 0 0 0 11 0 11 0 0 6 4 1 0 0 2 12 0 0 7 79 HIV/ AIDS 0 0 0 0 0 0 0 0 16 1 0 0 0 0 2 0 0 0 0 0 0 0 0 19 Brucellosis 2 0 56 0 19 39 0 6 135 17 421 0 3 88 83 0 2 1 12 14 8 1 35 942 Chicken Pox 9 9 2 2 10 9 2 11 72 67 40 19 7 28 45 11 0 12 87 46 12 0 8 508 Scabies 7 1 3 0 6 1 1 12 29 6 20 1 1 44 5 2 0 31 18 20 0 1 24 233 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 4841 11582 4575 4619 16308 3692 2033 6511 49428 8989 21370 7806 4127 13033 12780 10036 4712 1628 6498 8908 5301 326 12270 221373 total_cons_disease 10030 19872 9234 8234 54624 6492 3734 10516 65048 16705 30602 14405 7164 28171 19972 17860 7254 3384 12805 18657 8188 479 23530 396960 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]) 4 )Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 06, (03-09 February,2020)

Alert Responded in Epi - Week 6,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

eidews coordinator visited the health facility, the cases of suspected pertussis were diagenosed clinicaly Alsharif Health Center,Alhilal Dispensary, Makh according to case definition. Pert Lahj Tuban,Yaffa 9 0 Dispensary the cases reprted immediatly to the operation room, recorded in the line list. the cases treated symptomaticaly and left the health facility.

Halimeen rural H, AL jamaheer Dispensary,Ibn Khaldoon Halimayn,Al Hawtah,Habil the focal points were contacted, information shared, the cases of suspected Dengue fever were DF Lahj Hospital,Habil Aljubair rural H, Tur Sena'a Dispensary diagenosed clinicaly according to case definition. cases added to the line list, treated symptomaticaly and 157 0 Jabr,Tuban.Tur Al Bahah,Al Milah ,Alfayosh HU,Tour Albaha Hospital,Alhlal HC improved.

Radfan Public H,Halimeen rural H,Almilah contact with the focal points,the cases of suspected cholera were diagenosed clinicaly according to case Halimayn,Al Had,Al Musaymir,Radfan,Al Hospital,Almusaimeer H,Ibn Khaldoon Hospital,Habil definition. Chol Lahj Hawtah,Al Maqatirah,Al Milah,Habil the cases reported immediatly to the operation room, registerd in the line list. 114 0 Aljubair ruralH,Tour Albaha Hospital, October public Jabr,Tur Al Bahah,Yaffa the cases treated by iv fluid, ors and antibiotic. H,Other the cases finaly left the health facility.

contact with the focal points,the cases of suspected measles were diagenosed clinicaly according to case definition. Meas Lahj Al Had,Tuban Al Amal Health Center,Alfayosh HU the cases were un vaccinated, samples were collected. 3 0 the cases reported immediatly to the operation room, recorded in the line list,the cases treated symptomaticaly and left the health facility.

contact with the focal points , the cases of suspected Diphtheria were diagenosed clinicaly according to case definition. Diph Lahj Al Had Alhaid rural H the cases reported immediatly to the operation room, recorded in the line list. 3 0 the cases treated by antibiotic and improved. RRT supplayed contact with erythromycin as prophlayxises.

contact with the surveillance coordinator, one case of suspected AFP from al qabbayta, was diagenosed clinicaly according to case definition. case was vaccinated 5 AFP Lahj Al Qabbaytah Karesh Health Center 1 0 doses. stool samples collected. case under treatment.

Aden German Hosp.,Almua'ala health complex,Al Sairah,Al Mualla,Khur Maksar,Ash Ryadah Hosp.,Aljumhuria educational H,Durrat Aldar DF Aden 199 1 Shaikh Outhman,Al Mansura,Al Buraiqeh specialized H,Alwahda educational H,Alnakib H,Al-Salam Hosp.,Al-Khaisah center,Other

Pert Aden Al Mansura,Ash Shaikh Outhman Alburaihi H,Alwahda educational H 4 0

Hashed Health Complex,Khor-Maksar AlMansura,KhurMaksar,Sairah Meas Aden Complex.,Alkatee'e health complex,Alwahda educational 12 0 Dar,Sad,Attawahi,Ash Shaikh Outhman H,Altwahi Health Complex,Albasateen medical center

eiDEWS team were contacted fp, the cases were diagnoses clinicaly,samples were collected ,treatment VHF Aden Al Mualla Khalij Aden Hospital 1 2 were given,investigation form were done,2 cases were dead

eIDEWS team were contacted fp: The cases were diagnoses clinically, not samples were collected, Diph Aden Dar Sad,Ash Shaikh Outhman Al Basateen Al Tahri Center,Alwahda educational H 8 0 treatment were given, investigation form were done

Chol Aden Ash Shaikh Outhman,Dar Sad Alwahda educational H,Albasateen medical center 56 0

AFP Aden Ash Shaikh Outhman Alwahda educational H 1 0

RRT in districts visited FP., the cases were diagnosed clinically, RDT'S and stool cultures didn't done . khanfir,Mudiyah,Jayshan,Ahwar, Almosimeer HU,Mudiya Hosp.,Ahwr H,Rassad H,Al treatment were given, investigation forms were done , the cases and their families received complete Chol Abyan 36 0 Rosod,Al Mahfd,Zungobar Mahfad Hospital advices about the ways of prevention and management of cholera infection. the cases included in Cholera line list

RRT visited the FP. the cases were diagnosed clinically (standard dengue case definition), samples DF Abyan khanfir,Al Mahfd,Ahwar Alrazi .H,Ahwr H,Al Mahfad Hospital 72 1 were not collected, treatment were given, investigation forms were done ,one casec was dead

Meas Abyan Sarar,khanfir Amha Hamah HU 3 0

RRT in districts visited the Diphtheria cases,the cases were unvaccinated, The cases diagnosed Diph Abyan khanfir,Al Mahfd,Lawder Dr.Fadaq Clinic,Al Mahfad Hospital 3 0 clinicaly , oral swab didn't collected,

Pert Abyan Ahwar,Lawder Ekhlas Clinic,Mahnf-Lwdr H 3 0

SabirAlMawadim,Maqbanah,Sama, Almodafar Hospital,Aljoumhri H,Khalifa Hospital,Al AtTaiziyah,AshShamayatayn,Hayfan,Jab Loqiah Hospital,Almsrakh Hospital,22 May Almodafar Rapid response team contacted also focal points by eIDEWS coordinator,cases diagnosed clinically al Habashy,Sharab according to case definition.Stool samples(C/S & serotyping) collected from cases & sent to lab (Central Chol Taiz HC,Mawih Hospital,Alnshmh H,MSF Hospital,Al Aroos 1651 1 ArRawnah,AlMisrakh, labs)for confirmation. Supplements & antibiotics treatment were given(case management)There were Hospital,22 MayHC,ArRomahcenter, Khalifa Khadir,AlQahirah,AlMaafer,Mawiyah, collection & cluster of cases in the same Place,one case was dead Hospital,Labs National Center,Other AlMudhaffar, Salh,Sharab AsSalam,

Rapid response team were contacted, information shared, facilities has been visited ,, the suspected DF DF Taiz Salh,AlMudhaffar,AlQahirah, AtTaiziyah Althwrh H,Al wahdah HC,MSF Hospital,Other cases had a history of high fever , retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed 142 1 clinically.and by blatelets counting, All data in the line list,one case was dead

communicating with the coordinator of edews in the facility we found these cases of suspicion of Pert Taiz Ash Shamayatayn,AlMukha,At Taiziyah Khalifa Hospital,Almkha Hospital,Other pertussis,the cases were from different areas. .. Action :these cases were treated at home . Advices 9 0 have been given to their parents to follow up and review..

Rapid response team and Focal point was contacted by eIDEWS coordinator ,,,, information's shared. AFP Taiz Salh Other samples were collected ,, and will be send , , This case was male ,greater than 5 years old,from khadeer 1 0 district, vaccination unknown..

eIDEWS coordinator contacted focal points and the coordinator of the directorate ,information's Meas Taiz Maqbanah,Al Maafer,Al Qahirah Yemeni - Suidi H,Other shared.Blood sample was collected from the case and sent for lab confirmation &the case was 5 0 unvaccinated ,All data in the line lis.

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]) 5 )Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 06, (03-09 February,2020)

Alert Responded in Epi - Week 6,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

AdDis,AlMukalla City,Adh Dhlia'ah, Ad Dis Al-Shrgyah Hospital,Aldhulaia'a HC,Alsadara Immediate report was sent by the EDEWS focal person. The cases were diagnosed clinically. skin rash Meas Hadramout 5 0 Hajr,Ash Shahr HC,Other started, the cases were vaccinated, blood samples were collected. symptomatic treatment were given.

Ar Raidah and Qosaiar,Qhail Ben Asad Aljabal HC,Kusaie'er HC,Maternity and Childhood The district RRT investigated the living area. The cases were diagnosed clinically by case definitionthe, Pert Hadramout 11 0 Yameen,Al Mukalla City,Ash Shahr H - Mukalla,Bani Yameen HOSPITAL,Other most cases were unvaccinated. antibiotic treatment were given.

The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case DF Hadramout Broom,Ash Shahr,Al Mukalla City Mifaa HC,Alborj Hospital definition. blood samples were collected and sent to central lab. All cases were treated by supportive 93 0 treatment in the OPD. all cases improved and discharged.

Maternity and Childhood H - Mukalla,Bin Sena'a The district RRT visited the living area. The cases were diagnosed clinically by case definition. Diph Hadramout Ghail Ba Wazir,Al Mukalla City pharyngeal reaps were collected and sent to central lab, the care were treated by antibiotic. the cases 10 1 educational H improved and disharged. health education were done,one case was dead

Immediate report was sent by the EDEWS focal person. The cases were diagnosed clinically by case Chol Hadramout Hajr Hajar aljoul rural H definition. The cases were from different areas,All cases were treated by ORS and antibiotic. All cases 2 0 improved and discharged.

Immediate report was sent by the EDEWS focal person. The case was 42 months male from Wadi Araf area in Ashihr district. the case was diagnosed clinically by case definition. symptoms started in AFP Hadramout Ash Shahr Alshahr public H 1 0 3_2_2020. The case was not vaccinated. the polio coordinator was informed about the case to follow the stool sample collection.

AlQafr,AlMakhadir,AsSayyani, AshShair,AnNadirah,Jiblah,AlDhihar AlmakhaderHC,AlqaidahH,ALMzahanH, Yahsub AlUdayn,Yarim ,AlMashannah Hospital,Aladin H,Mother and Child Immediate notification. eDEWS Coordinator visited hospital. stool samples were collected 45 positive Chol Ibb 762 0 Hubaysh,AsSaddah,FarAlUdayn,Ibb H,YarimHospital,alHazmHospital,Alshaheed Albadani by rapid test . All cases were improved DhiAsSufal,ArRadmah,MudhaykhirahBad Hospital,Alradhmah H,Other an, Hazm AlUdayn, AsSabrah

eDEWS focal point contacted.Information shared, Samples were Meas Ibb As Saddah,Yarim,An Nadirah,Badan Alsadah HU,Yarim Hospital, Mdar HC,Other 7 0 collected,the cases were vaccination except 2 cases wrere un vaccination

eDEWS Coordinnator Contacted focal points .Information shared.Cases have been diagnosed Clinically. DF Ibb Al Udayn Other 6 0 , cases have been taken .

AlQanawis,AdDahi,AzZuhrah AlHawak,AlHali,AsSalif,AlMunirah Alhshm Center,Althawra public H,Almekhlaf HC,Alzaydia AlMighlaf, AlGarrahi, Alluheyah Rural HAlsalakhana H,Alkanawes HC,Aldhahi Rural eDEWS coordinator contacted the hospital focal points, the cases were diagnosed suspected AWD and Chol AlHodaidah treated accordingly, isolation done , the cases take treatment and go out side hospital , Treatment use 1094 0 AsSukhnah,Zabid,AlMina,AlMarawiahBur H,Almansouria rural H,Bait Alfakih H,Alzaydia Rural WHO protocol ORC,some cases done rapid test and positive for 14 cases a,AlMansuriyah,AzZaydiyah,Bayt Al H,Aljarrahi rural H,Alluheyah HU,Other Faqiah

Al Qanawis,Al Hali,AsSalif,Zabid, Al Hawak,Bayt AlFaqiah, AlMarawiah, AlkanawesHC,Alkanawes PrivateH, Aldhahi RuralH,Hais Focal points were contacted , they informed us that the suspected DF cases had a history of high fever AsSukhnah,AzZaydiyah,AlMina, rural Hospital,Hikmah hospital, Alsalif , retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed clinically. Medications have been DF AlHodaidah started, samples were collected in the lab of hospital for testing by serological test ( NS1) which this test 1955 3 AtTuhayat,Bura,AlMunirah,Alluheyah,Al Hospital,Alhodaidah Hospital,Al HabalHU,Almansouria measure the presence of dengue protein ( high sensitive & quality test) which detect the Antigen of virus Garrahi,Bajil, Ad Dahi,Al Mansuriyah,Az rural H,Bajil Rural Hospital,Other that confirm the result,3 cases were dead Zuhrah, Ad Durayhimi,Kamaran

AFP AlHodaidah Bura Aljaran HU 9 0

eDEWS coordinator contacted the focal points, the cases were suspected measles, vaccination their Meas AlHodaidah Alluheyah, Al Hawak Alluheyah HU,Althawra public H from have ,fever , rash recorded ,the blood samples have been collected from the patient by district 2 0 coordinator and sent to the central laboratory in Sanaa.

Focal points were contacted , the suspected Diphtheria cases had a history of pseudo membrane Diph AlHodaidah Al Hawak Althawra public H around tonsillitis , and sever inflammation, the patients were vaccination , the cases were diagnosed 4 2 clinically. Medications have been started,2 cases were dead

eDEWS coordinator contacted focal points, The suspected AFP,the cases were vaccination, stool AFP AlHodaidah Al Hawak Althawra public H samples were collected from the patient and have close contacts by district coordinator and sent to the 2 0 Central laboratory in Sanaa

Hajjah City,Mabyan,Kuhlan Ash Meas Hajjah Mabyan Hospital,Bani Jel HU,Other 9 0 Sharaf,Qafl Shamer,Aflah Al Yaman

AlMahabishah,KuhlanAffar, Mustaba,BaniAlAwam,Kuhlan Bani Chamakh HC,Bani Qais Health Center,Mabyan AshSharaf,AlMaghrabah,Khayran Hospital,Kuhlan Afar HC,Almahabesha Public AlMuharraq,AshShaghadirah Chol Hajjah H,Alshahel Rural Hospital,Almaghraba HC,Public 593 0 Najrah,AshShahil,AlMiftah,Qafl Shamer, Republican Hospital,Khatwah HC,Qafl Shamer Kufl- BaniQais,Qarah Aslem, Shamar Rural H,Other AlJamimah,Mabyan,Abs,Hajjah ,Kuaydinah,Aflah AshShawm

Sauid Hospital in Hajja,Public Republican Hospital,Abs DF Hajjah Hajjah City,Abs 38 0 Rural Hospital

Diph Hajjah Hajjah City Public Republican Hospital 1 0

Aththaorah,Shu'Aub,Az'zal,At Al Thawrah Complex,22 May Hospital,AL MAHD eIDEWS coordinator contacted focal points,information's shared.Blood samples were collected from the Meas Amana Tahrir,Maain,Bani Al Harith,As Sabain,Al 17 0 COMPLEX,Maain Complex,Other cases and sent for lab confirmation, the onset of fever,skin rash ,the cases were un vaccination Wahdah

eIDEWS coordinator contacted focal points,informations shared,after that HF visited by eIDEWS coordinator.The case diagnosed clinically according to the case definition as suspected Maain,At Tahrir,As Sabain,Al 22 May Hospital,Alkwit educational H,As Sabin diphtheria.Symptoms & signs of a case were,fever,sore throat,grey-whitish pseudo-membrane,swelling Diph Amana 11 1 Wahdah,Bani Al Harith Hospital,Zaid bn Sultan H,Other of neck lymph-nodes(Bull neck) & difficulty of swallowing & breathing. Antibiotic treatment was given & case management done.Throat swab & fixed slides were taken into Central Lab for confirmation(Albert stain,Gram stain & Diphtheria C/S)the cases were vaccination,one case was dead

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed 22 May Hospital,Jabr Bn Hyan Complex,Ottan clinically according to case definition.Stool samples(C/S & serotyping) collected from cases & sent to lab Az'zal,AtTahrir,Sana'aOld,AlWahdah, Complex,Al Jraf Complex,Omar Al Mokhtar Complex,Bni (Central labs)for confirmation. Supplements & antibiotics treatment were given(case management).Most Chol Amana Aththaorah,Shu'Aub,AsSabain, of them were from Amana governorate & a few of them from other governorates ,different districts of that 679 1 - Hwath HC,Alwahda Health Center,Arwdhah H,As Sabin Assafi'yah, Bani AlHarith,Maain governorates,the results of stool C/s still pending. Rapid tests of cholera were negative for most Hospital,Other collected specimens,so stool C/s not done for that negative samples.There were a collection or cluster of cases seen in the same Place,one case was dead

eIDEWS coordinator contacted focal points,information shared.The case diagnosed clinically according Pert Amana Assafi'yah,As Sabain Alaum H,As Sabin Hospital 3 0 to the case definition. Antibiotic treatment were given,the cases were un vaccination

eIDEWS coordinator contacted focal points,then HF visited. Information shared.Stool samples collected AFP Amana At Tahrir Alkwit educational H 1 0 from the case & sent for lab confirmation,the case was unvaccinated against polio.

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]) 6 )Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 06, (03-09 February,2020) Alert Responded in Epi - Week 6,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Sahar,Munabbih,Qatabir,AdhDhahir Ghamer Health Center,Al Ghabir Health Unit,Al Jumhoori the edews focal points contacted , the cases were diagnosed clinically according to the SCD , all cases Chol Sa'adah Sa'da ,Baqim,Razih,Majz,Ghamir,Al Hospital,Qatabir Health Center,Monabbih Rural 164 0 treated in the HU, the line list sent to the EOC Hishuah Hospital,Other

Majz Health hospital,Neshoor Health Center,Al Jumhoori Meas Sa'adah As Safra,Adh Dhahir,Sa'da ,Majz 4 0 Hospital

VHF Sa'adah Adh Dhahir Ghafira Unit 2 0

Pert Sa'adah Sa'da ,Haydan,Kitaf wa Al Boqee Al Jumhoori Hospital,Haydan Hospital,Kitaf hospital 10 0

Al Jumhoori Hospital,Haydan Hospital,Majz Health the edews focals in ri hospital and the surveillance team were contacted , the cases were diagnosed Diph Sa'adah Sa'da ,Qatabir,Haydan,Majz clinically according to the case definition , the case isolated and treated , the RRT contacted to trace 11 0 hospital contacts the sample sent to CPHL

Kharif Rural Hospital,Amran General Hospital,Thula BaniSuraim,Kharif,AlMadan Health hospital,Habur Healthhospital, Al Abraq Health AlQaflah,AsSawd,Maswar,Jabal Iyal Unit,Al Qaflah Rural Hospital,As Sawd Health eidews Coordinator Contacted The Coordinator of Surveillance in district .The cases were diagnoses Chol Amran Yazid,AsSudah,Huth,Suwayr,Khammer, clinically as suspected cholera. according to case definition. All The cases improved After Taking The 288 0 hospital,Raydah Health hos.,Al Ashah Health Shaharah,Harf Sufyan,Habur Zulaymah, Treatments proper hospital,Harf Sufyan H,Al Salam Khamir Hospital,Huth DhiBin,AlAshah Amran Raydah,Thula Health hospital,Other

Eidews Coordinator Contacted focal points and Contacted The Coordinator of Surveillance in districts Kharif,Amran,Thula,Shaharah,Huth,Suwa and visit health facility,the Cases Were diagnoses clinically as suspected Measles. according to Case Meas Amran Raydah Health hos.,Thula Health hospital,Other 11 0 yr,Dhi Bin,Raydah definition. Blood Samples Were Collected Of cases and Sent to Central Lab in Sanaa for confirmation,the Cases were Vaccinated Against Measles

Eidews Coordinator Contacted focal points and Contacted The Coordinator of Surveillance in districts and visit health hospital and investigation the cases were diagnosed clinically as suspected pertusis. Pert Amran Khammer,Huth Al Salam Khamir Hospital,Other 7 0 according to case definition. The Cases Improved After gave the Treatments Antibiotics . Cases from different areas

Eidews team Contacted The Coordinator of Surveillance in district and visit health facility . Case Were AFP Amran Huth Other diagnoses Clinically as Suspected AFP. according to definition case stool samples Collected of case 1 0 and Sent to Central Lab in Sanaa. Case yes Vaccinated. Case from district Huth

eidews coordinator contacted focal points and RRT in districts visit Health Hospital the cases were diagnoses clinically as suspected of dengue DF Amran Amran 22 May hospital 3 0 fevere . according to case definition. Rapid Test were done for some cases the result were positive , All cases were Received the treatment and improvement the cases from different areas

Manakhah,Hamdan,Bani Matar, Alhanak HU,Bait Alsaid HC,Almarbak HC,Hamdan AlHaymah AlKharijiyah,Jahanh,Bilad Hospital, Bani Mansour HC,Bait Alhenami HC,Qaa Al eDEWS coordinator contacted focal points. The cases were diagnosed suspected cholera(AWD) cases Chol Sanaa Governorate ARus,Arhab,Sa'fan,Attyal,Sanhan, Sook Hu,Alshe'eb Alaswad HC,Walan Hospital,22 May tested by rapid test 113 caseswere positive and cases were treated at the health facility and received 1174 0 BaniHushays,AlHaymahAdDakhiliyahAlH Hospital,Alar rural H,Awmara H,Alshaeed treatment usn Nahm, Bani Dhabyan,Khwlan MohamedAldurraHospital,Other

The EDEWS coordinator contacted the focal person. The case was diagnosed clinically by case Diph Sanaa Governorate Jahanh Sadem HU 1 0 definition,the case was vaccination unknown, The case was treated with antibiotic.

The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case Pert Sanaa Governorate Sanhan July 17 Hospital 3 0 definition,the cases were vaccination unknown The cases were treated with antibiotic.

The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case Meas Sanaa Governorate Attyal,Jahanh Shawban HU ,Khawlan private Dispensary 5 0 definition. Skin rash started, The cases were vaccinated , blood samples were collected.

eIDEWS team were contacted with health facilities found the cases suspected cases of pertussis ,the Pert Shabwah Ataq,Markhah Assufla Emergency/Ataq Hospital,Khawrah Health Center cases were diagnosed clinically according to case definition,the cases were received his best treatment 2 0 and improvement

eIDEWS team were contacted with health facilities found one suspected case of measles,the cases Meas Shabwah Ataq,Ain Emergency/Ataq Hospital were diagnosed clinically according to case definition,the cases were vaccination , samples were 4 0 collected ,the cases were received his best treatment and improvement

Azal HC,Rudum Rural Hospital,Bayhan Hospital,Usaylan eIDEWS team were contacted with health facilities found the cases suspected cases of dengue fever DF Shabwah Ataq,Baihan,Rodhoom,Osailan the cases were diagnosed clinically according to case definition , all cases were received their best 42 0 Hospital,Al-Shifa Hospital treatment and improvement

eIDEWS team were contacted with health facilities found two suspected cases of cholera ,the cases Chol Shabwah Baihan,Ataq Bayhan Hospital diagnosed clinically according to case definition , all cases were received their best treatment and 3 0 improvement

eIDEWS team were contacted with health facilities found one probable case of diphtheria 1-Fatama Mohamed Nasser female age 3 years from Job Almohamod village case was diagnosed clinically Diph Shabwah Rodhoom Al Wafa Clinic 1 0 according to case definition vaccination was done one dose only in 28/1/2020 case was received her best treatment and improvement

eIDEWS team were contacted with health facilities found one case AFP 1-Ahamed Shagah Yahya Mobark male age 6 years from Kawas Ben Sabtan village case was diagnosed clinically according to AFP Shabwah Osailan Usaylan Hospital 1 0 case definition vaccination was done samples were collected two stool samples and send it to the central level case was received his best treatment and improvement

Sabah,AsSawadiyah,ArRyashyyah, AtTaffah,Naman,Mukayras,DhiNa'im,ALS Alshriah Sare H,Qaea Rada Center,Mother and child haryah, AlMalagim,Radman eIDEWS team contacted focal point, the cases were diagnosed clinically as suspected cholera using Chol Al-Baidha HC,Mukayras Hospital,Althwrh Hospital,Al-Taffah case definition , the main saing watery diarrhea &vomting some dehydration the paitnts ademittedt with 791 0 AlAwad,AlQuraishyah,AsSawma'ah, Center,Other ORS and IV fluid in good condation the cases from deferrnt organ AlBaydaCity,Rada',WaldRabi',AlA'rsh,Nati , Az-Zahir,Maswarah

eIDEWS team contacted and visit focal point information shared field investgation done stool sample were collected from the case and close contactes in 6/2/2020 samples were sent for confirmation AFP Al-Baidha At Taffah Al-Taffah Center 1 0 the date of onse of AFP in 5/2/2019 the case was one male his name was Hani Abdulkader Abdurabah Alhiashi this age 24 Monthes he was from AtTaffah and the he was vaccinated 2

eDEWS coorinator contacted focal point theIDEWS team contacted point information was non collected Samples the a case diagnosed clinically As suspected Diphtheria using case definition the Diph Al-Baidha Al Bayda City Althwrh Hospital onset in 20/12/2019 was given Antibiotic management the number of caes were one femal ther ages 1 0 were 19 years the case was greater than 5 years the name she his Amat Alhakim Ali Saleh Almradi the case from AlBayda from from Azaah -Mahrak villages she was vaccination. agianst Dephtheri

IDEWS team contacted points intformation shared ,the cases were diagnosed clinically according to Meas Al-Baidha Sabah,Al A'rsh Zkhm HC,Alarsh center case definition, Antibiotics treatment were given , Apear skin rash and the fever ,the cases were 2 0 vaccination

EDEWS team contact Edews focal points, the cases diagnosis according to case defination , Pert Al-Mahra Sayhut Sayhut Country Hospital,Al Amal Clinic 4 0 susspected Pertusis ,treatment were given , contact to RRT districts to doning investigaton

DF Al-Mahra Al Ghaydah Harout Health Unit 6 0

EDEWS team contact Edews focal points in Central Hospital ,the cases diagnosis according to case Chol Al-Mahra Al Ghaydah,Al Masilah Al Ghaydah Center Hospital ,Al Ais Health Centre defination , susspected Cholera cases were in line list ,Cholera rapid test were +ve ,treatment were 4 0 given and send samples to culture and waiting for result

EDEWS team contact Edews focal point in AlAmal Clinic . cases from AlMasilah District ,cases Meas Al-Mahra Sayhut Al Amal Clinic diagnosis according to case defination , susspected Measles case was 1 females (8 ) mounths 1 0 ,treatment was given , and serum sample was teken and send to central level ,

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]) 7 )Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 06, (03-09 February,2020)

Alert Responded in Epi - Week 6,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

edews team contact focal points , the cases were diagnosed clinically as suspected (meas) using case definition , the cases were vaccination, Fever onset , blood samples collected and sent to center lab Meas Hadramout wady Sayun Madwda HC,Other 3 0 Vit A provided . . symptomatic treatment were prescribed

edews team contact focal points , the case was diagnosed clinically as suspected (AFP) using case definition , (1) name: Rajeh Saeed Mohamed Samouda Al-Mahri, age 27 m , date onset 07/02/2020 Vaccine dose : 4 AFP Hadramout wady Rumah Ramah Clinic 1 0 dose Primary diagnosis AFP (T.N) paralysis in the R leg Stool samples: two stool samples collected and five sample from contacts . symptomatic treatment was prescribed

edews team contact focal points , the cases was diagnosed clinically as suspected (pert) using case definition , Pert Hadramout wady Sayun Alghurfa HC,Other 5 0 the cases were vaccination except one case was un vaccination . symptomatic treatment were prescribed

Zeraja rural H,Meshrafa HC,Alrabo'o banighulais Dhamar City,Dawran Aness,Wusab AlAli, HC,Althalouth HC,Rsabh Hospital ,Alkharba rural H,Aljarf Wusab AsSafil ,Mayfa'at Anss, Jabal EdeWS coordinator contacted focal points, he found cases diagnosed suspected Chol(Acut watery Chol Dhamar HC,Kharbah Abuyabes HC,Alwahda university H,Dawran 537 0 Ashsharq AlManar,Jahran, Anss diarrhoea and dyhadretion ) cases were treated at the health facility and received treatment Hospital,Alhumyat HC,Dhamar public H,A Unity Centre Maghirib Ans AlHada,Utmah (residential),Other

Meas Dhamar Dhamar City Alhumyat HC 1 0

contacted the contact and told us that suspected dengue cases had a history of high fever, back pain, muscular pain, and arthralgia. The samples were collected at the hospital's laboratory for serological DF Mareb Harib,Marib City,Al wadi,Jabal Murad Harib Hospital,Al ghurairy center ,( al Wahdah ) Hospital 24 0 testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality test) which detects the virus antigen .that confirms the result

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed Chol Mareb Marib City,Al wadi mgmah al chahuad Complex,( al Wahdah ) Hospital clinically according to case definition & antibiotics treatment were given(case management)There were a 133 0 no collection or cluster of cases seen in the same Place

eIDEWS coordinator contacted focal point,information's shared,then HF,cases visited by eIDEWS coordinator & RRT of al Almadinah district ,Blood samples were collected from the cases and sent for Meas Mareb Marib City,Al Abdiyah mgmah al chahuad Complex,Other lab confirmation , 2 cases were vaccination and one case was un vaccination but the last case was 4 0 vaccination unknown& Vit-A were given to the suspected cases, in order to improve their immunity against complications of measles

Al Khalq,Al Matun,Al Al Khalq Health Center,Al Humaydat Health Center,Al The EDEWS Coordinator received a report from the control officer that there were cases of the doctor's Chol Al-Jawf Hazm,AzZahir,AlHamidat Kharab Al diagnosis. It were cholera, cases without a suspicious examination from different areas. After validation. 145 0 Hazm Hospital,Al Marashi Health Center,Other Marashi Treatments were treated according to the treatment plan

The EDEWS coordinator has contacted the coordinator. The condition were diagnosed clinically by Meas Al-Jawf Al Matun,Al Matammah Hosoon Aal Shanan Health Center 2 0 definition of the condition, Blood samples were not collected. Give antibiotics and vitamin A.

EDEWS team contacted focal points,the Cases diagnosed clinically as suspected pert.treatments were Pert Al-Jawf Al Matun Al Shifa Center 3 0 given,the cases were un vaccines

AlMahwait,alKhabt, Ar Rujum Hufash,Shibam Kawkaban BaniSa`d Hospital,AljoumhwriH, eIDEWS coordinator contacted focal points, information was shared.The cases were diagnosed clinically Chol Al-Mahweet according to case definition, appropriate treatment were given according to severity of symptoms and 110 0 BaniSa'd,AtTawilah,AlMahwait City AlArkobHC,HufashH,NumanHU,HospitalOther dehydration ,Milhan

eIDEWS coordinator contacted focal points, information was shared. the cases were diagnosed clinically Diph Al-Mahweet Al Mahwait City Aljoumhwri H according to case definitionthe cases were un vaccination 2 0

eIDEWS coordinator contacted focal points,information was shared. all cases were diagnosed clinically DF Al-Mahweet Al Khabt Alshafl HU 9 0 according to case definition,appropriate treatment were given according to severity of symptom

As Salafiyah,Mazhar,Bilad At Ta'am,Al eIDEWS Coordination contact focal point in health centre ,the cases diagnosed according to case Chol Rayma Althulaia H,Almithaq H,Wadi Alarid HC,,Az Zilh HC,Other 183 0 Jabin,Al Jafariyah,Kusmah definition as Acute Watery Diahorea , most cases treatment at home

eIDEWS Coordination contact focal points the suspected diphtheria had a history of pseudo Pneumonia s and seve inflammation cases were diagnosed clinically medication have been started v accented The Pert Rayma Al Jabin Althulaia H contact was vaccinated and the antibiotic was given to the appropriate patients and contacts and the 1 0 situation improved and we continue to communicate with the quick response What are the They were given antibiotics procedures performed for each

Chol Al-Dhale Al Azariq,Ad Dhale'e,Juban,Qa'atabah Daglal Health Center,22 May Hospital,Other 10 0

Meas Al-Dhale Qa'atabah,Juban Alslam H ,Other 3 0