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Addis Ababa University College of Health Sciences, School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP)

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Addis Ababa University College of Health Sciences, School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) Addis Ababa University College of Health sciences, School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) Compiled Body of Works in Field Epidemiology and Laboratory Training Program (EFELTP) By: Gebrekristos Negash Submitted to the School of Graduate studies of Addis Ababa University in partial fulfilment for the degree of Master of Public Health in Field Epidemiology 6/6/2012 Addis Ababa, Ethiopia I Addis Ababa University, College of Health Sciences School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) Compiled Body of Works in Field Epidemiology and Laboratory Training Program (EFELTP) By: Gebrekristos Negash Submitted to the School of Graduate studies of Addis Ababa University in partial fulfilment for the degree of Master of Public Health in Field Epidemiology Advisor Zegeye Hailemariam ((MPH, DVM, MTVM) May/ 2012 Addis Ababa, Ethiopia II ADDIS ABABA UNVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By: Gebrekristos Negash Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _________________________ ___________________ Chairman, School Graduate Committee _________________________ ___________________ Advisor _________________________ ___________________ Examiner _________________________ ___________________ III Acknowledgments I would like to appreciate Dr. Zegeye Hailemariam, my mentor and program coordinator from Federal ministry of health, for his dedication and commitment in giving me continuous comment when I write up this body of work. I would like to express my grateful to the Ethiopian Field Epidemiology and Laboratory Training Program former Resident advisor Dr. Richard Luce, Dr. Lucy Boulanger, EFELTP resident advisor and Dr. Adamu Addisse, Academic coordinator of the program for their unreserved technical and administrative support, advice and motivation in achieving this output. My recognition also goes to Mr. Alemayehu Bekelle program coordinator from Ethiopian public health association and Hailu Sebagades as well as Gidey Gebrelibanos field supervisors from Tigray regional health bureaus for their support during all field attachment activities. I like to put across my great full appreciation to the organizations: Addis Ababa University, Federal Ministry of Health, CDC/Ethiopia, Ethiopian Public Health Association, Tigray Regional Health Bureau, District Health Offices, Health Centres and all other sectors who gave me all technical as well as financial support during my all residency time. At last but not least, Acknowledgment also goes w/ro Raheal Hagos, Mr.Tekleab Gebresilassie, all HMIS experts and surveillance experts of TRHB, who supported me in different aspects. IV Table of contents Contents Acknowledgments .................................................................................................................................. IV Table of contents ..................................................................................................................................... V List of tables .......................................................................................................................................... VII List of figures ......................................................................................................................................... X List of Annexes ....................................................................................................................................... XI List of Abbreviations/acronyms ............................................................................................................ XIII Preface ................................................................................................................................................. XIV Chapter 1: outbreak investigations .......................................................................................................... 1 1.1 Measles outbreak investigation in western and north western zone of Tigray region, Ethiopia in October 2010 -January 2011 ................................................................................................................ 1 1.2An outbreak investigation of anthrax in Tanqua Abergele district, Tigray region, Ethiopia may 2011. Chapter 2 – Surveillance data analysis ................................................................................................... 20 2.1 Surveillance data analysis of AWD in Tigray region, Ethiopia, 2006-2009 ....................................... 20 Chapter 3 – Surveillance system evaluation ........................................................................................... 30 3.1 Surveillance system evaluation of Malaria, west zone, Tigray Region, Ethiopia, June 2011 ........... 30 Chapter 4. – Health profile of Ahferom Health office Tigray, Ethiopia, 2010 ......................................... 73 Table 4.6 Professional to population ratio in Ahferom district in 2010................................................ 79 4.4.7 Child health .................................................................................................................................. 84 Chapter 5–Scienstific manuscript for peer review journals ..................................................................... 92 5.1. Atypical Measles Outbreak—Western and North western Zones of Tigray Region, Ethiopia, October 2010 ─ January 2011 ............................................................................................................ 92 Chapter 6 – Abstracts for Scientific Presentation ................................................................................... 98 6.1. Atypical Measles Outbreak—Western and North-western Zones of Tigray Region, Ethiopia, October 2010 ─ January 2011 ............................................................................................................ 98 6.2 Anthrax outbreak investigation in Tanqua abergele district Tigray region, Ethiopia may 2011. ..... 99 6.3 Suspected Pertussis outbreak investigation- in Berhaile, Afar region Ethiopia December- January 2011 ................................................................................................................................................ 100 Chapter 7. Disaster management situation visited .............................................................................. 101 7.1. Meher rapid emergency needs assessment on non-food (health, nutrition, water, hygiene and sanitation, and education in Tigray region December 2011. .............................................................. 101 V Chapter 8. Research project proposal .................................................................................................. 144 Retrospective assessment of dog bites injury in Tigray regional state, Ethiopia from January 2007- January 2011. ...................................................................................................................................... 144 Chapter 9 – Other Additional Output Report ........................................................................................ 159 9.1 Narrative summary of Tigray Regional Health Research Laboratory activity .............................. 159 9.2 Investigation of rumours on food poisoning outbreak in Afar region, Ethiopia June 2011 ....... 163 9.3 Suspected meningitis outbreak assessment in Asgedetsimbla, Tigray region June 2011. ............ 164 9.3 Assessment of exposure to trace metals in AKaki sub city Addis Ababa July 2011. ...................... 165 9.4 Retrospective assessment of Chronic Liver Disease in selected health facilities of Tigray and Amhara region August 21- September 14/2011 ............................................................................... 165 9.5 Integrated supportive supervision (ISS) in Tigray region October 2011. .............................. 166 9.6 Trainings and conferences ......................................................................................................... 166 VI List of tables Table 1.1 .1. Distribution of suspected cases and deaths due to measles in western and north western zone of Tigray region ,Ethiopia October to January 2010/11 .................................................................... 6 Table 2 Distribution of AWD cases and deaths in 2006-2009 in Tigray region by time and zone ............ 23 Table 32.2 Distribution of AWD cases and deaths by Time and place in the year 2006-2009 in Tigray region, Ethiopia ..................................................................................................................................... 24 Table 4.4. Number of Health Professional working under Ahferom Health office................................... 77 Table 4.5. Human Resource in the last eight years 2010 ......................................................................... 78 Table 6.4 coverage Health extension workers in Ahferom district, Tigray region in 2010. ................ Error! Bookmark not defined. Table 8 3a:Ffood security prospects for the year 2012,Tigray region .......... Error! Bookmark not defined. Table 2.1 Distribution of AWD cases and deaths in 2006-2009 in Tigray region by time and zone------------------------------------------------------------------------------------------------------------22 Table 2.2 Distribution of AWD cases and deaths by Time and
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