Somalia CSR Week 42 Epidemiological Bulletin
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Somalia CSR Week 42 Epidemiological Bulletin Vol 1 Issue 42 ( 17th-23rd October 2016) This bulletin is jointly published by the WHO Somalia and Health cluster using data collected from EWARN sites by CSR officers Highlight 23 suspected cases of AWD/cholera were reported compared to 37 cases in week 41, no new confirmed case or death attributed to cholera during the week 14 suspected cases and zero deaths of whooping cough were reported,11 of which were reported in Banadir One suspected case of AFP was reported Burua district Togdheer region in Somali land Table 1. Summary of epidemic prone diseases in each zone in Somalia week 42 Somali Punt South Central Total Total SN Disease /Event land land zone zone week 42 week 41 1 Influenza like Illness 508 806 10 1278 2602 917 2 SARI 39 101 23 212 375 957 3 Acute Flaccid Paralysis 1 0 0 0 1 0 4 Acute Watery Diarrhoea 0 0 2 21 23 37 5 Other Diarrhoea 615 329 66 1832 2842 1832 6 Bloody Diarrhoea 70 5 4 5 84 49 7 Bacterial Meningitis 0 0 0 0 0 4 8 Neonatal tetanus 0 0 0 0 0 0 9 Acute Jaundice Syndrome 1 0 0 0 1 2 10 Viral Haemorrhagic Fever 0 0 0 0 0 0 11 Confirmed Malaria 10 13 154 367 544 576 12 Diphtheria 0 0 0 0 0 0 13 Measles 6 1 14 59 80 70 14 Whooping cough 0 0 1 13 14 15 15 Other consultations 7066 8059 8612 31551 55288 59161 16 Total consultations 8316 34817 43133 45882 SARI- Severe Acute Respiratory Illness, the cases shown in the table include both live and dead cases Timelines All zones submitted reports late to regional offices due to poor network and insecurity is some of the areas. Completeness A total of 247 health facilities reported to state surveillance offices in week 42 compared to 281 in week 42. Of these 52 reports were received from Puntland,31 from the South,73 from Somali land and 91 from Central zone. There were no reports received from Gedo region 1 | P a g e Acute Watery Diarrhoea/Cholera There was no new AWD/Cholera case confirmed in all the regions during the week. Cumulatively 23 cases and zero deaths were reported during week 42 compared to 37 in week 41. Active cases of Cholera are still reported in Banadir (21) and Beletweyne (2). Since the beginning of the year, a cumulative number of 13,698 AWD/Cholera cases and 496 (CFR 3.6%) deaths were reported in 25 districts. Of these 6, 502 (47.5%) are women while 7,946 (58.0%) are children below 5 years. As shown in the curve there has been a gradual reduction in number of cases from 1,853 cases and 187 deaths (CFR 10.0%) in week 15 to 31 cases and zero deaths in week 42. The most affected districts regions include Bandir, Lower Juba, Middle Juba and Hiraan Measles The number of suspected cases reported increased from 70 in week 41 to 80 in week 42. No measles deaths were reported. Most of the cases are reported from Banadir (35),Galgadud (14) and Lower Juba (11) regions. Blood samples were collected and sent to the lab awaiting confirmation Bloody diarrhoea The number of dysentery cases have continued to increase from 49 in week 41 to 84 in week 42. The most affected regions are Eil-Afweine district in Sanag (46), Toghdeer (13), with 9 cases coming from Burao district, Awdal (7) and 5 cases in Bari. AFP/Polio as extracted from Polio bulletin for week 42 There were no AFP/Polio suspected cases that were reported during the week. It’s now 2 years since the last case of AFP/Polio was reported in Somalia. However, one suspected case of AFP was reported in Togdheer region in Buruo district. Disease burden As shown in fig 3 the highest cause of morbidity during the week was Other diarrhoea (2842) cases), SARI (375 cases) ILI (2602) cases and Malaria (544) cases. Epidemic prone diseases reported during the week include 84 cases of dysentery in Somali land and 1 suspected case of AFP. 2 | P a g e Somali land As shown in table 1 a total of 8316 total consultations made in 73 health facilities compared to 9,504 in week 42. The highest cause of morbidity was OAD with 615 cases followed by ILI where 508 cases were reported. No health events were reported from the zone. 70 cases of dysentery were reported from Somali land with majority of cases coming from Eil-afweine district Punt land ILI and OAD is the commonest cause of morbidity in Puntland . 806 cases of ILI and 329 cases of OAD were reported in week 42. There were no public health events reported during the week. South zone Malaria still remains the highest cause of morbidity in the regions. Water borne diseases especially diarrhoea is also common. There is limited information form this state due to insecurity in many districts. No reports were received from Gedo region during the week Central Zone The central zone sill accounts for the majority of epidemic prone diseases in Somalia with 59 cases of measles reported of which 35 came from Banadir. 11 cases of whooping cough were also reported in Bandir region. Water borne diseases are still a challenge due to the limited access to safe water and sanitation in the IDPs which are more in Mogadishu compared to any other region 3 | P a g e Table 2. Number of epidemic prone diseases reported in different regions of Somalia in week 42 Other Total ILI SARI OAD AWD BD WC Meas Diph NNT Mal Men AFP VHF AJS consu Consultations Awdal 145 0 110 0 7 0 1 0 0 2 0 0 0 0 1257 1522 M.Jeex 0 3 75 0 4 0 1 0 0 8 0 0 0 0 1803 1894 Sahil 86 19 89 0 0 0 0 0 0 0 0 0 0 0 862 1056 Sanag 9 13 91 0 46 0 0 0 0 0 0 0 0 0 960 1119 Sool 131 0 106 0 0 0 0 0 0 0 0 0 0 0 916 1153 Togdheer 137 4 144 0 13 0 4 0 0 0 0 1 0 1 1268 1572 Bakool 0 0 0 0 0 0 0 0 0 19 0 0 0 0 1587 Bay 10 23 29 0 2 0 0 0 0 64 0 0 0 0 4351 Gedo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 lower Juba 0 0 21 2 1 0 11 0 0 60 0 0 0 0 2137 Middle Juba 0 0 16 0 1 1 3 0 0 11 0 0 0 0 537 Ayn 2 0 5 0 0 0 0 0 0 0 0 0 0 0 51 Bari 690 0 180 0 5 0 0 0 0 13 0 0 0 0 3204 karkaar 0 78 46 0 0 0 1 0 0 0 0 0 0 0 1180 Mudug 31 19 31 0 0 0 0 0 0 0 0 0 0 0 1822 Nugal 80 3 54 0 0 0 0 0 0 0 0 0 0 0 1185 Sanaag 1 0 5 0 0 0 0 0 0 0 0 0 0 0 324 Sool 2 1 8 0 0 0 0 0 0 0 0 0 0 0 293 Banadir 918 98 326 21 0 11 35 0 0 77 0 0 0 0 12784 14482 Galgadud 46 11 45 0 0 0 14 0 0 88 0 0 0 0 3625 3851 Hiraan 200 41 230 0 0 0 9 0 0 11 0 0 0 0 3515 4017 Lower Shabelle 57 19 131 0 2 2 0 0 0 113 0 0 0 0 7189 7564 Middle Shabelle 48 5 64 0 0 0 1 0 0 78 0 0 0 0 3349 3558 South Mudug 9 38 78 0 3 0 0 0 0 0 0 0 0 0 1089 1345 Total 2602 375 1884 23 84 14 80 0 0 544 0 1 0 1 55288 43133 ILI-Influenza Like Illness, SARI-Severe Acute Respiratory Illness, OAD-Other Diarrhoeas, AWD-Acute watery Diarrhoea, BD-Bloody Diarrhoea, WC-Whooping cough, Meas- Measles, Diph- Diptheria, NNT Neonatal tetanus, Mal-confirmed Malaria, Men-Bacterial Meningitis, AFP-Acute Flaccid Paralysis,VHF-Viral Haemorrhagic fever,AJS-Acute Jaundice Syndrome. Sool and Sanaag regions report to both Punt land and Somalia land and this may lead to duplication of data No CSR reports were received from Gedo during the week For more information, contact the surveillance team lead, WCO-Somalia, Mogadishu Email [email protected] 4 | P a g e .