Eiectronic Integrated Disease Early Warning and Response System Volume 07,Lssue48,Epi Week 48,(25 November-01 December,2019)

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 07,lssue48,Epi week 48,(25 November-01 December,2019)

Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-48,2019

% %

% % % % % % % % % % % % %

% % % % % % % % % % % % % % % % % %

% % % % % %

97 97

96 96 96 96 96 96 96 96 96 96 96 96 96

95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95

94 94 94 94 94 94

100% % 450000

96 93 90% 93 400000 •During week no.48,2019, %95(1991/1884) health facilites from 23 80% 350000 70% 300000 Governorates provided valid surveillance data. 60% 250000 50% 200000

Percentage 40%

150000 Consulttaions 30% 20% 100000 10% 50000

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

Wk3 Wk5 Wk8 Wk 1 Wk 2 Wk 4 Wk 6 Wk 7 Wk 9

Wk 10 Wk 15 Wk 20 Wk 25 Wk 30 Wk 32 Wk 35 Wk 37 Wk 42 Wk 47 Wk Wk 12 Wk 13 Wk 14 Wk 16 Wk 17 Wk 18 Wk 19 Wk 21 Wk 22 Wk 23 Wk 24 Wk 26 Wk 27 Wk 28 Wk 29 Wk 31 Wk 33 Wk 34 Wk 36 Wk 38 Wk 39 Wk 40 Wk 41 Wk 43 Wk 44 Wk 45 Wk 46 Wk 48 Wk Governorates was 395131 compared to 397352 the previous reporting week 11 Wk

48. 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 48,2019)

% %

were the leading cause of morbidity this week. %

100% %

100

97 100

90% 100

100

94 91

80% %

89 87

70% 81 60% 50% 40% 30% 20% ● A total of 1989 alerts were generated by eDEWS system in week48, 2019, Of Reports HF No. 10% these 1986 alerts were verified as true for further investigations with 0% appropriate response

Reporting Rate Target

Leading causes of morbidity mortality in Epi-Week 48,2019 Proportional morbidity of leading priority diseases, Epi week 48,2019

Guinea Worm ● (URTI) 16%, suspected Malaria (6.8%),(DD) (10.8%) and (LRTI) (6.2%)Remain the Scabies Chicken Pox leading causes of morbidity representing a total of (39.8%) 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 10.8% and LRTI 6.2% of total morbidity in pilot Governorates AVH_A&E Meas this week . Typhoid F OAD BD Pert SARI ILI ● All diarrheal disease comprised 10.8% and OAD 7.4% 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 48 (25 November-01 December,2019) Epidemiological Situation of Cholera

GOV

Distribution of suspected cholera cases by age group ( 01 Jan- 07 December 2019) Distribution of associated deaths by age group ( 01 Jan- 07 December 2019)

Maps Officer / Fawaz Al-Khalidi - Mobile (771422601)

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 48 (25 November-01 December,2019) Epidemiological Situation of Dengue Fever and SARI

Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Email ([email protected])

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 48 (25 November-01 December,2019)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-48 ,2019)

URTI LRTI mararia tested cases & confirmed Epi weeks 1-48,2019 20.0% 8.0% 4500

18.0% 4000 7.0%

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%

2.0% 1000

4.0%

1.0% 500 2.0%

0.0%

wk4 wk7 wk2 wk3 wk5 wk6 wk8 wk9

0.0% wk1

wk12 wk15 wk20 wk23 wk28 wk31 wk34 wk39 wk42 wk47 wk10 wk11 wk13 wk14 wk16 wk17 wk18 wk19 wk21 wk22 wk24 wk25 wk26 wk27 wk29 wk30 wk32 wk33 wk35 wk36 wk37 wk38 wk40 wk41 wk43 wk44 wk45 wk46 wk48

WK6 WK7 WK1 WK2 WK3 WK4 WK5 WK8 WK9

WK2 WK4 WK7 WK9 WK1 WK3 WK5 WK6 WK8

WK15 WK16 WK17 WK25 WK26 WK34 WK35 WK36 WK44 WK45 WK10 WK11 WK12 WK13 WK14 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK27 WK28 WK29 WK30 WK31 WK32 WK33 WK37 WK38 WK39 WK40 WK41 WK42 WK43 WK46 WK47 WK48

WK10 WK12 WK14 WK15 WK17 WK20 WK22 WK25 WK27 WK30 WK32 WK33 WK35 WK37 WK38 WK40 WK43 WK45 WK48 WK13 WK16 WK18 WK19 WK21 WK23 WK24 WK26 WK28 WK29 WK31 WK34 WK36 WK39 WK41 WK42 WK44 WK46 WK47 WK11 Rapid Test(Postive) Microscope(Postive)

Age and Sex distribution of total consultations of leading diseases (Epi week 48,2019) Number of Alerts Received and Responded (Epi Weeks 45-48,2019)

90000

URTI LRTI Pert BD OAD Typhoid F 79557 80000 AFP Meas AVH_A&E AVH_B&C DF Meng

70000 Sch CL Chicken Pox Mal 250 60000 55441

50000 200

39098 39732 40000 34952 35170 150 31686 30000 26623 27759 24872

100 No. of of No.Alerts 20000

50 10000

0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 24872 34952 39098 55441 27759 Female 26623 35170 39732 79557 31686 Distribution of consultations of leading diseases by Governorates,Epi week 48-2019

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 2807 4472 1380 1051 6609 1334 691 1662 6486 2464 3405 1791 2366 3943 2433 4428 1311 675 3855 4140 1566 143 4300 63312 LRTI 290 510 746 150 4775 287 84 840 2633 1154 1768 359 361 1887 1462 1263 478 153 781 1760 278 84 2289 24392 ILI 239 0 103 0 93 108 0 0 28 83 131 5 0 90 75 0 176 0 79 217 208 20 575 2230 SARI 0 0 0 0 0 0 0 0 33 6 125 0 0 0 0 0 0 0 52 0 0 0 0 216 Pert 1 2 0 1 0 19 0 0 9 4 19 2 4 0 0 12 0 0 17 9 0 0 7 106 BD 98 0 85 7 117 77 2 61 84 105 89 1 12 3 46 23 84 17 125 106 28 0 89 1259 OAD 1238 2013 853 627 1742 882 385 663 3802 1457 2079 714 552 1830 1431 1471 663 340 1679 2128 930 20 1599 29098 Typhoid F 39 44 267 7 439 178 14 127 611 281 991 59 7 4 326 29 88 50 146 339 49 36 461 4592 Meas 3 2 8 1 4 5 0 0 11 6 12 5 3 3 9 1 1 0 5 0 1 0 5 85 AVH_A&E 5 13 9 0 0 2 8 8 132 11 37 35 3 5 26 12 6 1 19 10 18 0 51 411 AVH_B&C 4 3 2 0 3 2 0 0 86 5 11 34 0 2 14 2 0 0 1 0 3 0 13 185 NNT 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 11 AFP 1 2 1 0 4 0 0 0 2 0 0 0 0 5 0 0 1 0 0 0 0 0 1 17 331 11 0 1 21 34 0 6 19 15 28 12 17 األمراض المشتبه24ة Mumps 4 14 6 10 18 22 3 7 39 20 Mal 42 314 2 0 15408 153 18 673 216 580 618 0 0 5212 299 72 30 202 659 369 6 0 1903 26776 Meng 0 1 0 0 0 1 0 0 4 4 3 2 0 1 3 0 0 0 0 1 0 0 25 45 DF 32 196 2 1 3465 1 0 93 6 9 9 55 1 592 16 151 344 4 6 21 46 0 1860 6910 VHF 0 8 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 9 Sch 0 0 0 8 1 36 0 24 58 86 16 13 0 139 17 8 1 11 48 51 0 0 10 527 CL 0 0 2 0 0 4 0 0 5 18 13 1 1 12 2 5 1 3 7 8 1 0 2 85 RB 0 0 26 0 3 1 0 7 40 14 96 0 0 15 64 0 0 0 0 4 0 0 3 273 Tuberculosis 2 1 1 0 10 2 0 1 13 0 31 0 0 1 6 0 2 0 0 11 0 0 7 88 HIV/ AIDS 0 0 1 0 0 0 0 0 8 0 1 5 0 0 0 0 0 0 0 0 0 0 0 15 Brucellosis 3 0 51 0 2 59 0 15 141 36 430 0 5 167 73 0 9 1 19 11 14 0 9 1045 Chicken Pox 1 12 4 0 9 11 0 6 40 28 23 25 4 11 21 16 9 15 48 18 3 0 12 316 Scabies 13 2 3 0 22 0 0 5 12 16 13 1 1 35 1 1 3 13 27 16 0 0 0 184 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 3846 10107 4385 6758 19207 3461 2238 4066 56289 8193 17180 7469 4100 11026 11143 10381 6207 869 6731 8908 4590 238 10594 217986 total_cons_disease 8725 18230 8809 8599 54224 6771 3452 9124 72010 15190 28595 11194 7859 25704 18726 16881 9360 2558 14853 20120 7835 541 25771 395131 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 48 (25 November-01 December,2019)

Alert Responded in Epi - Week 48,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Alsharif Health Center,Tebah Dispensary,Alwafa Clinic eidews coordinator visited the health facilitys, the cases of suspected whooping cough were diagenosed Pert Lahj Tuban,Yaffa,Al Maflahy clinicaly according to case definition. 12 0 ,Alhilal Dispensary cases added to the line list , treated symptomaticaly and left the health facility.

Tur Sena'a Dispensary ,Radfan Public H,Halimeen rural Yaffa,Radfan,Halimayn, the focal points were contacted, information shared,the cases of suspected Dengue fever were DF Lahj H,Tour Albaha Hospital, AL jamaheer Dispensary,Habil diagenosed clinicaly according to case definition. cases recorded in the line list , treated symptomaticaly 151 0 TurAlBahah,Habil Jabr, Tuban Aljubair rural H,Alhlal HC and improved.

eidews coordinator visited DTC , the cases of suspected cholera were diagenosed clinicaly according to Tuban,Yaffa,AlMaqatirah, Al Almilah Hospital,October public H,Halimeen rural case definition. Chol Lahj Musaymir,Tur Al Bahah,Al H,Almusaimeer H,Tour Albaha Hospital,Radfan Public 87 0 Had,Radfan,Al Hawtah,,Al Milah H,Ibn Khaldoon Hospital,Other 46 RDT were positive.cases reported immediatly to the operation room, recorded in the line list. cases treared by iv fluid,ors and antibiotic. cases finaly improved and discharged.

contact with the surveillance coordinator, the cases of suspected Diphtheria were diagenosed clinicaly according to case definition. Diph Lahj Al Had,Tuban Alhaid rural H,Alfayosh HU cases reported immediatly to the oeration room , recorded in the line list. 3 0 cases treated by penicillin and improved. RRT visited contact and supplyed them by erythromycin.

contact with the focal points, 1 case of suspected measles was diagenosed clinicaly according to case Meas Lahj Al Musaymir Akka'an HU definition. 1 0 case added to the line list, treared symptomaticaly and left the health facility.

eIDEWES team were contact fp, the cases were diagnoses clinically, Samples were collected, AFP Aden Al Mansura,Ash Shaikh Outhman Dr.Muna Clinic,Alwahda educational H 2 0 treatment were given, investigation form were done

Albasateen medical center,Almua'ala health eIDEWES team was contact fp, the cases were different areas, diagnoses clinically, samples were Chol Aden Dar Sad,Al Mualla,Ash Shaikh Outhman 80 0 complex,Alwahda educational H collected, treatment were given, investigation form were done,one case only was positive by RDT

Al Mualla,Sairah,Ash Shaikh Aden German Hosp.,Hwailat Dispensar,Alwahda eIDEWS team were contacted fp: the cases were different area, diagnosis clinically, samples were DF Aden Outhman,Dar Sad,Al Mansura,Al educational H,Al-Salam Hosp.,Al Ryadah Hosp.,Khalefah 196 1 collected, treatment were given, investigation form were done,one case was dead Buraiqeh Hospital

Aden German Hosp.,Al-Wali Hosp.,Al Ryadah eiDEWS team were contacted fp,the cases were diagnosed clinically,samples not collected ,treatment VHF Aden Al Mansura,Dar Sad,Al Mualla 8 2 Hosp.,Khalij Aden Hospital were given,investigation form were done,2 cases were dead

eiDEWS team were contacted fp,the cases were diagnoses clinically,vaccination were done,treatment Pert Aden Al Mualla,Dar Sad Almua'ala health complex,Al Ryadah Hosp. 2 0 were given,investigation form were done.

Eidews team were contacted fp: the cases were diagnoses linically, vaccination were done,samples Diph Aden Attawahi,Ash Shaikh Outhman Altwahi Health Complex,Alwahda educational H 10 1 were collacted, treatment were given, investigation form were done,one case was dead

elDWES team were contacted fh :The cases were diagnosis clinically, unknown vaccination and Meas Aden Ash Shaikh Outhman,Dar Sad Alwahda educational H,Al Ryadah Hosp. 2 0 samples, treatment were given, investigation from were done.

eIDEWS team contacted the F.P,the cases were vaccination,investigation were done , Blood Samples Meas Abyan khanfir,Mudiyah Jaar HU,Mudiya Hosp. 3 0 not collecte d

RRT in districts visited FP., the cases were diagnosed clinically, RDT's were positive for 2 cases but stool culture didn't done , treatment were given, investigation form were done , the cases family and the Chol Abyan Mudiyah,Sarar,khanfir,Al Mahfd,Jayshan Mudiya Hosp.,Alrazi .H,Al Mahfad Hospital 54 0 neighboring families received complete advices about the ways of prevention and management of cholera infection. the cases included in Cholera line list

eIDEWS team contacted the FP. ,the cases diagnosed clinically (standard dengue case definition), DF Abyan khanfir,Al Mahfd,Ahwar Ahwr H,Alrazi .H,Al Mahfad Hospital,Ekhlas Clinic 32 0 samples were not collected, treatment were given, investigation forms were done

RRT in districts level visited the Family house ,the cases were un vaccination, The cases were Diph Abyan Mudiyah,Lawder,Al Mahfd Mudiya Hosp.,Rowais Dispensary,Al Mahfad Hospital diagnosed clinically in districts. oral swab didn't collected, and there he received antibiotic only and not 5 1 receive anti toxoid,one case was dead

RRT in Sabbah district visited the F.P. in Sabbah HC. the case was 1 male (Mohammed Saleh Alawi Salem) 48 months old. from Sabbah city. the vaccination status was unknown . He discovered as case AFP Abyan Sibah Spah HC 1 0 of AFP in Alsadaka hospital. In 30 Nov.The team visited the region of reported case and immediate case investigation done to discover any new cases there. and stool Sample collected and sent to Sana,a city

RRT visited the reported case in Alwadhe'a city . the propable case was 1 female 3 years old, (Fatemah Mohammed Alkhader)from Alwadhe'a city . the patient diagnosed in Mahnf hospital in Lawdar district. Pert Abyan Al Wade'a Alwadhee H She received all the doses of pertussis vaccine . The suspected case diagnosed clinically according to 1 0 the standard case definition. He received antibiotics & regular interest . investigation form done , RRT in Alwadhe'a district investigated the region for quick research on other new cases

SabirAlMawadim,Maqbanah,Sama,AtTaiz Almodafar Hospital,Aljoumhri H,Khalifa Hospital,Al Rapid response team contacted also focal points by eIDEWS coordinator,cases diagnosed clinically iyah,Hayfan AshShamayatayn,Jabal Loqiah Hospital,Almsrakh Hospital,22 May Almodafar according to case definition.Stool samples(C/S & serotyping) collected from cases & sent to lab (Central Chol Taiz Habashy,Sharab, ArRawnah, AlMisrakh HC,Mawih Hospital,Alnshmh H,MSF Hospital,Al Aroos labs)for confirmation. Supplements & antibiotics treatment were given(case management) rapid test :107 1937 0 Khadir,AlQahirah,AlMaaferMawiyah,AlMu Hospital,22MayHC,ArRomahcenter, Khalifa case positive & the results of stool C/s still pending. .There were collection & cluster of cases in the dhaffar, Salh,Sharab AsSalam Hospital,Labs NationalCenter,Other same Place.

SharabArRawnah,AlQahirah,AlWaziyah, Al wahdah HC,Almodafar Hospital,Althwrh H,Alrwdh Rapid response team were contacted, information shared, facilities have been visited ,, the suspected DF cases had a history of high fever , retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed DF Taiz Sabir Al Mawadim,Salh, Al H,22 May H,Aljoumhri H,26 September Hospital,22 May 1860 0 clinically.and by blatelets counting, ,rapid test of dengue virus were done for some of cases ,which were Mudhaffar,AlMukha,Al Misrakh Almodafar HC,Althwrh HC,Al-Riyad Hospital,Other positive,, Medications have been given,there are cluster of cases in some areas,All data in the line list..

Hayfan,AtTaiziyah, AlMisrakh ,Mashraa eIDEWS coordinator contacted focal points and the coordinator of the directorate ,information's Meas Taiz MSF Hospital,Almsrakh Hospital,Other shared.Blood samples were collected from the cases and sent for lab confirmation &the cases were un 5 0 Wa Hadnan vaccination except 2 cases were vaccination,All data in the line list..

the communicating with the coordinator of edews in the facility we found these cases of suspicion of Pert Taiz At Taiziyah MSF Hospital pertussis,the cases were from different areas. .. Action :these cases were treated at home . Advices 7 0 have been given to their parents to follow up and review..

rapid response team have been contacted,information shared, Diph Taiz AtTaiziyah,AlWaziyah, Mawza MSF Hospital,Other 6 0 These cases of suspicion of diphtheria are from districts

Rapid response team and Focal points was contacted by eIDEWS coordinator ,,,, information's shared. AFP Taiz Al Qahirah Yemeni - Suidi H samples were collected ,, and will be send , , There is one case ,from almaafer district, female, 5 years 1 0 old, & vaccination unknown..

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 48 (25 November-01 December,2019)

Alert Responded in Epi - Week 48,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

Daw'an,Al Mukalla City,Ar Raidah and Alshahr public H,Fawa alkadima HC,Al Tayseer Medical The EDEWS coordinator contacted the focal person, The cases were diagnosed clinically, samples were DF Hadramout collected, 35 s were positive for df antigen tested by df NS1 RDT.All cases were treated by supportive 55 0 Qosaiar,Ash Shahr Complex,Other treatment all cases improved and discharged

Hajar aljoul rural H,Alsadara HC,Bin Sena'a educational the EDEWS coordinator contacted the focal person. the cases were diagnosed clinically by case Chol Hadramout Al Mukalla City,Hajr definition, RDT were positive in 9 cases , not stool culture were collected. the cases were treated by iv 12 0 H,Other fluids ORS and antibiotic. the cases improved and discharged

The EDEWS coordinator contacted the focal person. the cases were diagnosed clinically by case Meas Hadramout Ash Shahr,Adh Dhlia'ah,Al Mukalla Aldhulaia'a HC,Alhajlain HU,Other definition,the cases were vaccination except 2 cases were un vaccination, blood samples were collected, 5 0 symptomatic treatment were given

The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case Pert Hadramout Ghail Ba Wazir Al-Ghail Dispensary definition. the cases were one male aged and his mother. the cases were unvaccinated. antibiotic 2 0 treatment were given. The district RRT investigated the living area. health education were performed.

the EDEWS coordinator visited the health facility. the cases were diagnosed clinically by case definition. the cases were from Shabowa gov. all case's were not vaccinated. pharyngeal swaps were collected. all Diph Hadramout Al Mukalla City Maternity and Childhood H - Mukalla of the samples were negative all of the cases were admitted to the isolation department. DAT was given 3 0 to 2 cases. antibiotic was given to all cases. the EDEWS coordinator of Shabowa gov was informed.all cases improved and discharged

AlQafr,AlMakhadir,AsSayyani AshShair,AnNadirah,Jiblah Almakhader HC,Alqaidah H,AL AlDhihar,AlUdayn,Yarim Immediate notification. eDEWS Coordinator visited hospital,stool samples were collected and positive by MzahanH,YahsubHospital,Aladin H,Mother and Child rapid test for 64 cases Chol Ibb AlMashannahHubaysh,AsSaddah,FarAlU 1229 0 H,Yarim Hospital,al-Hazm Hospital,Alshaheed Albadani dayn,Ibb,DhiAsSufal, ArRadmah Hospital,Alradhmah H,Other All cases were improved Mudhaykhirah,Badan Hazm AlUdayn, AsSabrah

Yarim,Jiblah,AlMashannahAlUdayn,AsSa eDEWS focal point contacted.Information shared,Samples were collected ,the cases were vaccination Meas Ibb Yarim Hospital,Al Saleh hospital,Jplh .H,Aladin H,Other 9 0 yyani, Badan except 4 cases were un vaccination

eDEWS Coordinnator Contacted focal points.Information shared.Cases have been diagnosed Clinically. DF Ibb Al Dhihar,Al Udayn Alameen H,Other According to the Standard definition. 16 0 ,most cases have been taken rapid test

Immediate notification by focal points. Cases were diagnosed clinically and treated accordingly . All Diph Ibb Al Mashannah Alnassr H 2 0 cases were Vaccinated .Cases from different area. One case from Taiz

AdDahi,AzZuhrah,AlHawak,AlHali,AsSalif ,AlMunirah,AlMighlaf,AlGarrahi,Alluheyah Alhshm Center,Althawra public H,Almekhlaf HC,Alzaydia eDEWS coordinator contacted the hospital focal points, the cases were diagnosed suspected AWD and ,JabalRas,AsSukhnah,Zabid,AlQanawis Rural HAlsalakhana H,Alkanawes HC,Aldhahi Rural treated accordingly, isolation done , the cases take treatment and go out side hospital , Treatment use Chol AlHodaidah 2114 0 ,AlMina,AlMarawiah,AlHajjaylah,Kamaran H,Almansouria rural H,Bait Alfakih H,Alzaydia Rural WHO protocol DTC, cases done rapid test for sever cases (total samples by rapid test done and 25 test ,Bura,AlMansuriyah, AzZaydiyah, Bayt Al H,Aljarrahi rural H,Alluheyah HU,Other were positive Faqiah

Bura,Al Qanawis,Al Marawiah,AlHawak, Alkanawes Private H,Tihama Hospital,Alesra'a Focal points were contacted , he informed us that the suspected DF cases had a history of high fever , AlHajjaylah,AlMansuriyah,Hays,AsSukhn Specialized H,ALNoor Hospital,Alzaydia Rural H,Al retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed clinically. Medications have been DF AlHodaidah ah,AzZaydiyah,AdDahi,AlMina,AlHali,AsS Habal HU,Aldhahi Rural H,Alsalakhana H,Aljarrahi rural started, samples were collected in the lab of hospital for testing by serological test ( NS1) which this test 3465 12 alif,JabalRas,AlGarrahi,AtTuhayat,BaytAl H,Alzuhra Rural Hospital,Bajil Rural Hospital,Zabid rural measure the presence of dengue protein ( high sensitive & quality test) which detect the Antigen of virus Faqiah,AlMunirah,Bajil Zabid,Az Zuhrah Hospital,Alhshm Center,Bait Alfakih H,Other that confirm the result,12 cases were dead

eDEWS coordinator contacted focal points, The suspected AFP ,the cases were vaccination except one AFP AlHodaidah Ad Dahi,Al Marawiah, Al Hawak Aldhahi Rural H,Alkhalifa HC,Althawra public H case was un vaccination, stool samples were collected from the patient and have close contacts by 4 0 district coordinator and sent to the Central laboratory in Sanaa

eDEWS coordinator contacted the focal points, the cases were suspected measles the cases were Meas AlHodaidah Al Hali,Bajil Alsalakhana H,Dior Salem HU vaccination, the blood samples have been collected from the patient by districts coordinator and sent to 4 0 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 patient vaccination , the cases were diagnosed clinically. 11 0 Medications have been started, ALL cases only depend on case definition,refer to ALthwora

HajjahCity,BaniQais, Dr.Abdalh Assar Center,Public Republican Aslem,Abs,AflahAlYaman,Kuaydinah,Kha Hospital,Aslam HC,Martyr d. Yasser w Thab eDEWS coordinator contacted focal points, information shared, cases have been diagnosed clinically DF Hajjah .According to the standard definition DF ,the Cases from different areas , Some cases have been rapid 592 2 yran Al Muharraq,AlMaghrabah Hospital,Khamees Mastaba'a HC,Abs Rural test work the result were positive Appropriate treatment were given,2 cases were dead Mustaba,Kushar Hospital,Other

AlMahabishah,KuhlanAffar Mustaba,Bani AlAwam, Bani Chamakh HC,Bani Qais Health Center,Mabyan KuhlanAshSharaf,AlMaghrabah,Khayran Hospital,Kuhlan Afar HC,Almahabesha Public AlMuharraqNajrah,AshShaghadirah, eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts. Information shared .It have Chol Hajjah H,Alshahel Rural Hospital,Almaghraba HC,Public been reported cases of suspected cholera , The cases were diagnosed clinically (Acute watery diarrhea) 686 0 AshShahil,AlMiftah,Hajjah Republican Hospital,Khatwah HC,Qafl Shamer Kufl- the cases from different area. It were given the appropriate treatment QaflShamer,BaniQais Shamar Rural H,Other Qarah,Aslem,AlJamimahMabyan,Abs,Ku aydinah AflahAshShawm

eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts . Information shared.It were diagnosed clinically according to standard definition For measles ,the cases were vaccination, Meas Hajjah Mabyan,Kuhlan Ash Sharaf Mabyan Hospital 3 0 Investigation form were Done.Appropriate treatment were given. The samples were collected and sent to the central laboratory

Hajjah City,Al Mahabishah,Bakil Al Public Republican Hospital,Almahabesha Public H,Qafl eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts. Information shared.It were AFP Hajjah diagnosed clinically according to standard definition For AFP, Investigation form were Done. Appropriate 5 0 Mir,Abs,Qafl Shamer Shamer Kufl-Shamar Rural H,Other treatment were given. The samples were collected and sent to the central laboratory

eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts. Information shared.We received a report from Abs Rural Hospital, 7 cases 4 male and 3 female (suspected diphtheria) The Diph Hajjah Abs Abs Rural Hospital diagnosis were clinically (diphtheria) all cases greater than five years, the cases were un vaccinated the 7 0 cases from Different areas The response team in the field investigated the cases and the contacts and the appropriate treatment were given

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'a Complex,Al Jraf Complex,Ibn Khaldon HC,Omar Al (Central labs)for confirmation. Supplements & antibiotics treatment were given(case management)Most Chol Amana Old,AlWahdah,AththaorahShu'Aub,AsSa of them were from Amana governorate & a few of them from other governorates ,different districts of that 943 1 Mokhtar Complex,Bni - Hwath HC,Alwahda Health bain Assafi'yah Bani AlHarith Maain governorates,the results of stool C/s still pending. Rapid tests of cholera were negative for most Center,Arwdhah H,As Sabin 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

AlWahdah,Az'zal,AtTahrirAssafi'yah,Maai eIDEWS coordinator contacted focal points,information's shared.Blood samples were collected from the Meas Amana Azal Complex,Gazah Complex,Alrazi HC,Alulfi HC case and sent for lab confirmation & the onset of fever,skin rash,the cases were unvaccinated against 11 0 n,Shu'Aub measles. Vit-A were given to the case,in order to support her immunity against complications of measles.

As Sabain,Shu'Aub,Aththaorah,Al As Sabin Hospital,ALFAWARES HEALTH CENTER,Al eIDEWS coordinator contacted focal points,information shared,then HF visited by eIDEWS Pert Amana coordinator.The cases diagnosed clinically according to the case definition. Antibiotics treatment were 9 0 Wahdah Thawrah Complex,Alahli H given,the cases were un vaccination

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 48 (25 November-01 December,2019) Alert Responded in Epi - Week 48,2019

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

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 As Sabin Hospital,Unimax International Hospital,22 May diphtheria.Symptoms & signs of a case were,fever,sore throat,grey-whitish pseudo-membrane,swelling Diph Amana As Sabain,Maain,Bani Al Harith 9 1 Hospital,Zaid bn Sultan H 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

RRT contacted the focal point & visited the HF.He told us that suspected dengue cases 3 cases had a history of high fever, back pain, muscular pain, and arthralgia. The samples were collected at the DF Amana Maain Scinces and Tecnology H 6 0 hospital's laboratory for serological testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality test) which detects the virus antigen .that confirmed

eIDEWS coordinator contacted focal point,then HF visited. Information shared.The number of cases were two,one female & one male.Stool sample collected from the 1st case on 14/01/2019 & the sample sent for lab confirmation.The date of onset of AFP was on 02/01/2019.The 1st case her name RANA FATH ABDULLAH AL-ANESSI,her age 27 months,from Dhamar governorate,Al Manar district,Thaheb AFP Amana At Tahrir Aljomhwri H area.She was vaccinated against polio(13 doses).Stool sample collected from the 2nd case on 2 0 16/01/2019 & the sample sent for lab confirmation.The date of onset of AFP was on 12/01/2019.The 2nd case his name MOSTAFA SALEEM AL-SAYAJI,her age 72 months,from Amana governorate,Ma'ain district,Al-Dayree area.He was vaccinated against polio(13 doses).There were no collection of cases seen in the same place.

Munabbih,Sa'da,Qatabir, Baqim,Adh Al Jumhoori Hospital,Majz Health hospital ,Monabbih the edews focal points contacted , the cases were diagnosed clinincally according to the SCD , the Chol Sa'adah Dhahir,Sahar, Majz,Razih,Ghamir,Al Rural Hospital,Qatabir Health Center,uasnim cases treated at the health facility according to the management protocol , the line list updated and the 315 0 Hishuah HU,Ghamer Health Center,Ghafira Unit,Other information shared

Majz Health hospital ,Dhian HC,Qatabir Health the surveillance team contacted , the cases diagnosed clinically and managed at the HU . the RRT Pert Sa'adah Majz,Qatabir,Haydan 17 0 Center,Haydan Hospital informed

The edews focal point contacted , the case was diagnosed clinically according to the standard case Diph Sa'adah Sa'da ,Majz Majz Health hospital ,Al Jumhoori Hospital,Dhian HC definition ,the case referred to the Diphtheria isolation in Aljumhori hospital , the case receive the proper 10 0 management , the contacts traced by the district RRT , the line list updated and the information

Majz Health hospital,Al Jumhoori Hospital,Saqayn eIDEWS contacted to respond to cases suspect measles cases in aljumhori hospital, the HF visited the Meas Sa'adah Majz,Sa'da,AlHishuah, Saqayn cease, all ceases dignosed callinically most cease were api linked ,the supportive mangmant (in 5 0 Hospital awutpetient)all cease Un vaccinat,Not blood samples

BaniSuraim,Kharif, Kharif Rural Hospital,Amran General Hospital,Thula AlMadan,AlQaflah,Suwayr Health hospital,Habur Healthhospital, Al Abraq Health AsSawd,Maswar, JabalI yal Unit,Al Qaflah Rural Hospital,As Sawd Health Eidews Coordinator Contacted The Coordinator of Surveillance in Districts, The cases were diagnoses Chol Amran Yazid,AsSudah, Huth, clinically as suspected cholera. According to case definition , All The cases improved After Taking 487 0 hospital,Raydah Health hos.,Al Ashah Health Khammer,Shaharah,Harf The Treatments proper.cases from different areas hospital,Harf Sufyan H,Al Salam Khamir Hospital,Huth Sufyan,HaburZulaymah, Dhi Bin, Health hospital,Other AlAshah,Amran Raydah,Thula

Eidews Coordinator Contacted The Coordinator of Surveillance in Districts And visit sahab health IyalSurayh,Raydah,Thula,Khammer,Dhi Raydah Health hos.,Thula Health hospital,AlSalam center,the Cases Were Diagnoses clinically as suspected Measles. According to Case definition, Blood Meas Amran 6 0 Bin Khamir Hospital, Other Samples Were Collected Of case and Sent To Central Lab in Sanaa for confirmation,the Cases were Vaccinated Against Measles.

Eidews Coordinator Contacted The Coordinator of Surveillance in Districts And visit raydah health Pert Amran Raydah,Maswar Raydah Health hos.,Maswar Rural Hospital hospital. The cases were diagnosed clinically as suspected pertusis. according to case definition. The 4 0 Cases improved after gave the Treatments proper,the cases were vaccinated

eidews Team contacted focal points, the cases were diagnoses Diph Amran Raydah,Amran Raydah Health hos.,22 May hospital clinically probable Diphtheria . and Rapid Response Team visit Health Hospital Raydah. and Visit the 4 0 contacts and gives antibiotics cases Treatment with antibiotics

Eidews coordinator was contacted focal point. and visit 22may hospital. the cases suspected cases of dengue DF Amran Amran 22 May hospital fevere The cases were diagnosed clinically according to case 9 0 definition. Rapid Test were done for some cases the Result were positive. All cases were Received the treatment and improvement .the cases different areas Manakhah,Hamdan,Bani Matar,Jahanh,AlHaymah Alhanak HU,Bait Alsaid HC,Almarbak HC,Hamdan AlKharijiyah,,Bilad ARus, 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 Arhab,Sa'fan,Attyal, Sook Hu,Alshe'eb Alaswad HC,Walan Hospital,22 May tested by rapid test 203 cases were positive and cases were treated at the health facility and received 1943 0 Sanhan,BaniHushaysh AlHaymah Hospital,Alar rural H,Awmara H,Alshaeed treatment AdDakhiliyah AlHusn,Bani Dhabyan MohamedAldurraHospital,Other Khwlan,Nahm

Rapid Respose team visited area according to case definition suspected Dengue fever, rapid test DF Sanaa Governorate Al Haymah Al Kharijiyah,Sa'fan Almanar Hospital,Wadi Har HC 21 1 Dengue fever positive ,one case was dead

The EDEWS coordinator contacted the focal persons,The cases were diagnosed clinically by case Pert Sanaa Governorate Bilad Ar Rus, Al Haymah Al Kharijiyah Walan Hospital,Souk Alsabt HC 9 0 definition,the cases were vaccination unknown,The cases were treated with antibiotic.

The EDEWS coordinator contacted the focal persons,The cases were diagnosed clinically by case Diph Sanaa Governorate Bilad Ar Rus,Sa'fan,Attyal Walan Hospital,Dahualdar HC definition,2 cases were vaccination unknown and 2 cases other were vaccination, The cases were 4 0 treated with antibiotic.

eIDEWS team were contacted with health facilities found cases probable case of Diphtheria ,the cases Diph Shabwah Mayfa'ah,Ataq,Rodhoom Dr Bamehrez Clinic,Teab Al Atfal Clinic,Al-Noor Clinic diagnosed clinically according to case definition,the cases were un vaccination except one case was 5 0 vaccination ,the cases received his best treatment and improvement

eIDEWS team were contacted with health facilities found cases suspected cases of dengue fever. from Usaylan Hospital,Bayhan Hospital,Emergency/Ataq different villages of districts,the cases diagnosed clinically according to case definition, rapid test were DF Shabwah Osailan,Baihan,Ataq,Ain 46 1 Hospital,Ain General Hospital positive for some cases, all cases were received their best treatment and improvement,one case was dead

Bayhan Hospital,Rudum Rural Hospital,Emergency/Ataq eIDEWS coordinator was contacted with health facilities found cases suspected case of cholera,the Chol Shabwah Hateeb,Baihan,Rodhoom cases were diagnosed clinically accord to case definition, rapid test were positive for 10 cases,the cases 11 0 Hospital received have best treatment and improvement

eIDEWS team were contacted with health facilities found one suspected case of measles.1-Knan Salem Mobark male age 10 month from Alhy alsnaey. case diagnosed clinically accord to case definition Meas Shabwah Ar-rawdah Al Redha Clinic 1 0 vaccination was done one dose given sample was collected one blood sample case was received his best treatment and improvement

Sabah,AsSawadiyah AtTaffah,Naman,MukayrasALSharyah Zkhm HC,Alshriah Sare H,Qaea Rada Center,Mother eIDEWS team contacted focal points, the cases were diagnosed clinically as suspected cholera using case definition , the rapid test 51 positive and the main saing watery diarrhea &vomting some Chol Al-Baidha AlMalagim, RadmanAlAwad, Nati, and child HC,Mukayras Hospital,Althwrh Hospital,Al- 746 0 dehydration the paitnts ademittedt in Hospital and with ORS and IV fluid in good condation the cases AlQuraishyah,AlBayda City,Rada',Wald Taffah Center,Other from deferrnt organ,one case was dead Rabi',AzZahir

WaldRabi',Sabah,AtTaffah,Mukayras,Nati Zkhm HC,Al-Taffah Center,Areeb HC,Abdrabh Saleh IDEWS team contacted points information shared , the cases diagnosed clinically according to case Meas Al-Baidha definition Antibiotics treatment were given,the samples were collected,the cases were un vaccination 8 0 Radman Al Awad,As Sawadiyah Almhamdi HC,Other except 2 cases were vaccination against measls

eIDEWS team contacted and visit focal point information shared field investgation done stool sample were collected from the case and close contactes in 2/12/2019 samples were sent for confirmation the AFP Al-Baidha As Sawadiyah Other 1 0 date of onse of AFP in 27/11/2019 the case was one male his name was Noor Aldeen Mgahid Hadi this age 156 Monthes he was from ALsawadiyah and the he was vaccinated 7

EDEWS team contact Edews focal points in `Qishen Country Hospital ,6 cases from Qishen District Chol Al-Mahra Al Ghaydah,Qishn Al Ghaydah Center Hospital ,Qishn Country Hospital ,cases diagnosis according to case defination , susspected Cholera ,Cholera rapid test were +ve for 6 9 0 cases only ,treatment were given then samole send to culture 0n sample was +ve to cholera

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 48 (25 November-01 December,2019) Alert Responded in Epi - Week 48,2019 Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

edews team contact focal points , the cases were diagnosed clinically as suspected (pert) using case definition , the cases were vaccination except one case was un vaccination and one case other was Pert Hadramout wady Wadi Al Ayn,Tarim Babkr H,Tarim H 4 0 vaccination unknown symptomatic treatment were prescribed

edews team contact focal points , the cases were diagnosed clinically as suspected (meas) using case definition , the cases were vaccination Meas Hadramout wady Hagr As Sai'ar,Al Qatn Alraydah Health Unit,Other 3 0 fever onset , blood samples were collected . symptomatic treatment were prescribed

alfadly Clinic,Alwahda university H,Bin alakwa'a Eidewds coordinator contacted of the coordinator districts and he found that cases was diagnosed Pert Dhamar Dawran Aness,Jahran,Jabal Ash sharq according to the standard definition of pert,different area,the cases were un vaccination , treatment and 19 0 Dispensary education health given

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 eIDEWS coordinator District contacted focal points he found cases diagnosed suspected Chol(Acut Chol Dhamar HC,Kharbah Abuyabes HC,Alwahda university H,Dawran watery diarrhoea and dyhadretion )the cases tested by rapid test And result were postive for 30 cases, 752 0 Ashsharq AlManar,Jahran, Anss Hospital,Alhumyat HC,Dhamar public H,A Unity Centre all cases received treatment Maghirib Ans AlHada,Utmah (residential),Other

EIDEWS coordinator contacted coordinator district he found the cases diagnosed suspected Diph Diph Dhamar Jahran,Mayfa'at Anss,Dhamar City Alwahda university H,Dhamar public H according to the standard definitionst,the cases were un vaccination,Treatment have been given as 3 0 antibiotic and anti toxin - Throat swab not taken

Edewds coordinator contacted of the focal points and he found that the cases was diagnosed according Meas Dhamar Al Hada,Dhamar City Zeraja rural H,alhkmh dispensary ,Aljadad HC 12 0 to the standard definition of Meas( fever -rash ) the cases were un vaccination, Samples were collected

VHF Dhamar Dawran Aness Bin alakwa'a Dispensary 1 0

May 22 Hospital,September 26 Hospital,alhayat Harib,AlJubah,Majzar, the contacted the contact and told us that suspected dengue cases had a history of high fever, back dispensary ,Rahabah hospital,Al ghurairy center ,( al pain, muscular pain, and arthralgia. The samples were collected at the hospital's laboratory for DF Mareb Raghwan,Mahliyah, Rahabah,Marib 344 1 Wahdah ) Hospital,Bid Bidah Hospital,Al magid serological testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality City,Al wadi,Bid Bidah Dispensary ,Al Regio center ,Other test) which detects the virus antigen .that confirms the result,one case was dead

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed Al Kari Hospital,( al Wahdah ) Hospital,Al Taheel HC,Al clinically according to case definition.Stool samples collected from cases for screening test only . Chol Mareb Bid Bidah,Madkhal,Al wadi,Jabal Murad 17 0 vatha HC Supplements & antibiotics treatment were given(case management) ,the results of stool Rapid tests of cholera 10 positive .There were a no collection or cluster of cases seen in the same Place

eIDEWS coordinator contacted focal point,then HF visited(Alwahdah hospital). Information shared.Stool sample collected from the case in 27/11/2019 & the sample sent for lab confirmation.The date of onset of AFP Mareb Al wadi ( al Wahdah ) Hospital AFP was in 20/11/2019.The case was one male,his name Mohammed Hamed Awath Jumailan ,his age 1 0 1 years,from Mareb governorate,Alwadi district, Alkhalaeet area.He was vaccinated against polio(4 doses)

eIDEWS coordinator contacted focal point,information's shared,then HF,cases visited by eIDEWS coordinator & RRT of Hareeb district . Blood sample was collected from the case and sent for lab confirmation in 30 - 11 -2019 & the onset of fever , skin rash in 29- 11 - 2019 . The case was one Meas Mareb Harib Harib Hospital male,his name Abood ABDULLAH Saif ,his age 7 month . He was from Mareb governorate, hareeb 1 0 district, Khbarah area. He was unvaccinated against measles. All possible actions done by RRT of Hareeb district done,in order to control the infection to other close contacts & Vit-A was given to the suspected cases, in order to improve their immunity against complications of measles

Imam Ali Center,Al Mabna Health Unit,Al Masloob Health The EDEWS coordinator has contacted the coordinator,The condition were diagnosed clinically by Meas Al-Jawf Al Matun,Az Zahir,Al Maslob definition of the condition,the cases from different districts and villages,the cases were vaccination,Blood 5 0 Center samples were not collected. Symptom therapy and antibiotic giving were given and vitamin A

Al Khalq,Kharab Al Marashi,Al Matun,Al Al Khalq Health Center,Al Marashi Health Center,Al EDEWS team contacted focal points,the Cases diagnosed clinically as suspected pert.treatments were Pert Al-Jawf 19 0 Maslob Masloob Health Center given,the cases were un vaccines

Al Khalq Health Center,Al Maton Health Center,Al Al Khalq,Al Hazm,Al Maslob,Al The EDEWS Coordinator received a report from the control officer that were cases of the doctor's Chol Al-Jawf Marashi Health Center,Al Humaydat Health Center,Al diagnosis. It were cholera, 3 cases were positive by rapid test ,without a suspicious examination from 126 0 Hamidat,Al Matun,Kharab Al Marashi Hazm Hospital different areas. After validation. Treatments were treated according to the treatment plan

AlMahwait,alKhabt, ArRujum Bni Alhmadi HU,Alrujm ,Mlhan Health Center,Bani Sa`d eIDEWS coordinator contacted focal points, information was shared. all cases were diagnosed clinically Chol Al-Mahweet ,Hufash,Shibam Kawkaban,BaniSa'd Hospital,Aljoumhwri H,AlArkobHC,HufashH,NumanHU, according to case definition, some cases were investigated by rapid test for vibrio cholera and 12 cases 451 0 ,AtTawilah,AlMahwait City ,Milhan Hospital,Other were positive , appropriate treatment were given according to severity of symptoms and dehydration

eIDEWS coordinator contacted focal points,information was shared. all cases were diagnosed clinically DF Al-Mahweet Al Mahwait,Al Khabt,Milhan,Bani Sa'd Al Arkob HC,Bani Sa`d Hospital,Other according to case definition, investigated by RDT for dengue fever,20 cases were positive ,appropriate 93 0 treatment were given according to severity of symptom

AlJafariyah,AlJabin Kusmah,Mazhar Alathneen Alrahb Center ,MCH HC,Almithaq H,Aden DEWS coordinator contacted the hospital focal points, the cases were diagnosed suspected AWD and Chol Rayma 203 0 AsSalafiyah,Bilad AtTa'am HC,Wadi Alarid HC,Althulaia H,Az Zilh HC,Other treated accordingly, isolation done , the cases take treatment and go out side hospital

alhalat alty tama alaiktishaf halatayn tama tahwiluha 'iilay mustashifi bayt alfaqiyat muhafazat alhadidat DF Rayma Al Jafariyah Alhadiah HC 4 0 halatan talaeat 'iijabiin bialfahs alsarie alhalat tama almuealaja

AlAzariq,AlHussein,Juban eDEWS team contacted FP , all diagnosed according to case definition, all included in updated daily line Chol Al-Dhale Damt,AshShu'ayb Ad Damt HC,Alnassr H,Daglal Health Center,Other 55 0 listing Dhale'e,Qa'atabah AlHusha

eIDEWS team was contacted fp:the cases were diagnoses clinically, vaccination were done, samples Meas Al-Dhale Ash Shu'ayb Alshaib Dispensary 1 0 were collected , treatment were given, investigation form were done.

eIDEWS team was contacted fp: The case was female age 7 m from ,diagnoses clinically , vaccination Pert Al-Dhale Al Hussein Alquph HU 1 0 was done, , treatment was given, investigation form was done.