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Ethiopian Weekly Epidemiological Bulletin Wk -25

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Ethiopian Weekly Epidemiological Bulletin Wk -25 Ethiopian Public Health Institute (EPHI) የኢትዮጵያ የህብረተሰብ ጤና ኢንስቲትዩት EPIDEMIOLOICAL BULLETIN Epidemiological * As of 06 September 2020, 58,672 confirmed COVID 19 cases,918 deaths and 21,307 Bulletin recoveries have been reported in Ethiopia. 35, (24-30 August, * The national surveillance completeness and timeliness rate were 94% & 86% respectively. 2020 ) * Dengue fever outbreak is ongoing in Dire Dawa City, A total of 167 Cases without deaths were reported as of 04 September 2020. * Following detection two cVDPV2 in Oromia region, mOPV2 vaccination planned as reponse to interrupt cVDPV2 transmission. NEW EVENT * Several Woredas of Oromia and Afar regions hit by severe flooding after heavy rain and 1 thousands displaced. * Cholera outbreaks continued in SNNPR, Sidama and Oromia regions during the reporting week. SNNP region continues to record the highest number of Cholera cases. * Measles outbreak continued in Oromia and Amhara region during the reporting week. * A total of 25,400 confirmed and clinical malaria cases without death reported during week. Ongoing Out- break * A total of 6,809 SAM cases and 5 death reported, showed 825(12%) cases increment as com- 5 pared to previous week. * A total of 14 Maternal deaths reported during this week, showed 7(33%) decrement com- pared to previous week. * A total of 107 Perinatal deaths were reported nationally during the reporting week. * The ongoing Cholera outbreak requires robust response activities in order to control this out- Newly occured break and break chains of transmission and engage the community in these activities. outbreak 0 * The response to Cholera, Dengue fever, Measles and AFP/Polio outbreak should be linked to existing COVID-19 activities in order to use resources efficiently. * As flooding plays an important role in the outbreak and the spread of infectious diseases, Cli- mate-based disease early warning as a means of improving preparedness for, and response to, epidemics are outmost impotance. Epi /Bulletin/ Week 35,2020 Page Number 1 Ethiopian Public Health Institute Weekly Epidemiological Bulletin 35, 2020 Flood: Flooding that followed heavy rain affected many woredas located within the Awash Basin particularly in Wonji, Fentale, Metehara, and parts of Adama cities in Oromia. In Afar region, Dufti, Aysaita, Amibara, Geleau, Afambo and Gewane Weredas and cities are among these affected by the flooding. Cholera: is ongoing in SNNPR and Oromia region, a total of 232 suspected Cholera cases without death were reported during the week. The highest 166(72%) were reported from SNNPR followed by 63(27%) were from Oromia region and 3(1%) from Sidama region. See below Figure. Epi /Bulletin/ Week 35, 2020 Page Number 2 Ethiopian Public Health Institute Weekly Epidemiological Bulletin No 35, 2020 Weekly Diseases Summary The weekly surveillance data received from regions is summarized in Table 1 below. Table 1: Summary of surveillance data, Weeks 1-35, 2020, Ethiopia. AFP: A total of 5 suspected AFP cases were reported during the week. Highest 2(40%) suspected cases were reported from Amhara region folllowed by 1(20%) was from Tigray and Oromia region for each. Following detection two cVDPV2 in Oromia region, mOPV2 vaccination planned to interrupt cVDPV2 transmission and limit emergence of new VDPV2 strains in outbreak response Zones and woredas. Dengue fever: Outbreak ongoing in Dire Dawa City, Atotal of 167 Cases without deaths were reported as of 04 Sep- tember 2020. A total of 31 of suspected cases samples were tested to detect dengue virus (DENV) and 9/31(29%) samples were positive for Dengue virus. Active surveillance is enhanced, further epidemiological ivestigation and response to the outbreak is ongoing by Dire Dawa city Health bureau and team deployed from EPHI/PHEM. Anthrax: A total of 13 suspected Anthrax cases without death were reported during the week. Highest 10(77%) suspected cases were reported from Amhara region followed by 2(15%) were reported from Tigray region and 1(8%) were reported from SNNPR. Rabies: Nationally 76 suspected rabies cases without death were reported during the week, which showed 28(27%) decrement of cases as compared to last week. Highest 28(37%) suspected rabies cases were reported from Tigray region followed by 17(23%) were from SNNP region and 16(21%) were Benishangul Gumuz region. Epi /Bulletin/ Week 35,2020 Page Number 3 Ethiopian Public Health Institute Weekly Epidemiological Bulletin No 35, 2020 Measles: During the week, a total of 88 suspected measles cases and 4 Measles associated deaths were reported, which showed 32(36%) cases increment as compared to last week. The highest 54(61%) suspected measles cases were from Oro- mia region followed by 21(24%) was reported from Amhara region. All of 4 deaths were reported from SNNPR region. See figure below. Neonatal tetanus (NNT): No suspected Neonatal case and death reported nationally during the week. Perinatal Death: A total of 107 Perinatal deaths were reported nationally during this week., which showed 10(9%) Perinatal deaths increment as com- pared to last week. Highest 46(43%) deaths were from Amhara region. followed by 17(16%) of deaths were from Oromia re Maternal Death: A total of 14 maternal deaths were reported nationally during this week, showed 33%(7 maternal deaths) decreament as compared to the previous week. Highest 4(29%) maternal deaths were from Oromia region fol- lowed by 3(22%) were reported from Amhara region and 2(14%) were reported from SNNPR and Benishangul Gumuz region for each. See figure below. Epi /Bulletin/ Week 35, 2020 Page Number 4 Ethiopian Public Health Institue Weekly Epidemiological Bulletin No 35, 2020 Malaria: A total of 25,400 confirmed and clinical cases without death were reported during the week, which showed 1535(6%) cases increment as compared to the last week. Highest 7,950(32%) cases were from Amhara region followed by 4,348(17%) cases were from SNNP region and 3029(12%) cases were from Tigray region. See figure below. Epi /Bulletin/ Week 35, 2020 Page Number 5 Ethiopian Public Health Institute Weekly Epidemiological Bulletin No 35, 2020 Severe Acute Malnutrition (SAM): During the week, a total of 6809 SAM cases and 5 deaths were reported, which showed 825(12%) cases increment as compared to last week. The highest 2913(43%) SAM cases were reported from Oro- mia followed by 1539(23%) from Somali region and 852(13%) from SNNP region. Of total 5 deaths reported, 2 deaths were reported from Oromia region, 2 deaths were from SNNPR and 1 death was reported from Tigray region. See figure below. Scabies: A total of 4,322 scabies case were reported during the week, showed 755(15%) cases decrement as compared to the last week. Highest 2098(49%) scabies cases were from Amhara followed by 1347(32%) cases were from Oromia and 412(10%) from SNNP region. Relapsing fever (RF): A total of 38 relapsing fever (RF) cases without death were reported during the week, showed 40(51%) cases decrement as compared to the last week. Highest 16(42%) RF cases were reported from Oromia region- followed by 10(26%) were reported from Somali and 8(21%) were reported from Addis Addis city Meningitis: A total of 77 suspected meningitis cases and 1 death was reported during the week, which showed 3(4%) case decrement as compared to last week. The highest 32(42%) suspected cases were from Oromia region followed by 25(33%) cases from Somali region and 7(9%) were from Amhara region. One meningitis associated death was reported from Uraga Hospital, Guji Zone of Oromia region. See figure below. Epi /Bulletin/ Week 35, 2020 Page Number 6 Ethiopian Public Health Institute Weekly Epidemiological Bulletin No 35, 2020 Epi /Bulletin/ Week 35, 2020 Page Number 7 Ethiopian Public Health Institute Weekly Epidemiological Bulletin No 35, 2020 COVID 19 Situation Proposed Action • In Ethiopia the total number of confirmed COVID -19 cases • Public health measures such as physical dis- raised to 58,672 Recoveries 21,307 and 918 deaths recorded as tancing, mask wearing in public places and of 06 September, 2020. hand hygiene remain of highest importance • Globally 27,300,463 confirmed COVID-19 cases, 19,372,563 for prevention of COVID 19. Recovered and 893,120 deaths were reported as of 06 Septem- ber 2020, in a 213 countries/territories/ areas. • The ongoing Cholera disease outbreak Public health action requires robust response activities in order to control this outbreak and break chains of • Ethiopian Public Health Institute (EPHI), in collaboration with transmission and engage the community in WHO and other health partners, are responding to the outbreak these activities. in the affected woredas. • Response Teams have been deployed to all outbreak affecte • The response to Cholera, Dengue fever, woredas and continued remote support is being provided to all AFP/Polio and measles outbreak should be regions. linked to existing COVID-19 activities in order to use resources efficiently. The Epidemiological Bulletin is published by the Ethiopian Public Health Institute Editor in Chief: Mulugeta Asefa Public Health Emergency Management Center, Early Warning & Information System Management Directorate Address: P.O. Box 1242, Swaziland Street, Addis Ababa Telephone: +251-112-765-340, Toll Free: 8335/8665, Fax: +251- 112-758-634 Website: www.ephi.gov.et Epi /Bulletin/ Week 35, 2020 Page Number 8 Ethiopian Public Health Institute.
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