Addis Ababa University, College of Health Sciences
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Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Woubayehu Kassa Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology November,2014 Addis Ababa Addis Ababa University College of Health Sciences School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Woubayehu Kassa Abera Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology Advisor Dr. Adamu Addissie Dr. Negussie deyassu November, 2014 Addis Ababa ii ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By Woubayehu Kassa Abera Ethiopian Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _________________________ ___________________ Chairman, School Graduate Committee _________________________ ___________________ Advisor _________________________ ___________________ Examiner _________________________ ___________________ Examiner iii Acknowledgment First of all I really forward my gratitude to my mentors Dr Adamu Addisise (AAU academic coordinator of Field epidemiology) and, Dr Negussie Deyessu for their help, guidance and encouragement to finish this program successfully Secondly i would like to thank Dr.Lucy Bolanger (Resident Advisor of Field Epidemiology) and Abba Greenlife for their unlimited guidance and help in all the way during my academic stay in the university Thirdly I would like to thank, Dr.Desalege Dalecha Dr.Zegeye Hailemariam and Mr. Alemayehu Bekele for their kind and constructive inputs.. Finally, I would also like to thank my class mates, Public Health Emergency Management staffs for their input during the preparation of this document ,and I would also extend my acknowledgement to Ethiopian Public Health Institute (EPHI), Ethiopian Public Health Association (EPHA), CDC and African Field Epidemiology Network (AFENET) for covering all the coasts used to conduct this program v Table of Contents Acknowledgments ...................................................................................................................... v Table of Contents....................................................................................................................... vi List of Tables ........................................................................................................................... viii List of Figures ............................................................................................................................ x Lists of Maps ............................................................................................................................. xi List of Annexes......................................................................................................................... xii Abbreviations/Acronyms ......................................................................................................... xiii Executive Summary .................................................................................................................. XiV CHAPTER I– OUTBREAK INVESTIGATION .............................................................................. XVi 1.1. Acute febrile illness outbreak with first report of dengue fever - Diredewa city administration, Ethiopia ,November/2013 .................................................................................. 1 1.2. Investigation of suspected hepatites E outbreak South Sudan refugee , Gambela ,Ethiopia ,2014Error! Bookmark not defined.…………………………………………………17 CHAPTER II – SURVEILLANCE DATA ANALYSIS REPORT ....................................... 27 Acute Flaccide paralysis in Ethiopia from 2008-2010 .............................................................. 28 CHAPTER III – EVALUATION OF SURVEILLANCE SYSTEM .................................... 40 Evaluation of Paediatrics bacterial meningitis (PBM) sentinels Surveillance System in Black Lion and Yekatit 12 Hospitals, Addis Ababa ,Ethioia 2012 ............................................ 41 CHAPTER IV – HEALTH PROFILE DISCRIPTION REPORT ....................................... 53 Sendafa Beka Health pofile description 2013 .......................................................................... 54 CHAPTER V – SCIENTIFIC MANUSCRIPTS FOR PEER REVIEWED JOURNALS ... 65 5.1. Acute febrile illness outbreak with first report of dengue fever - Diredewa city administration, Ethiopia ,November/2013 ................................................................................ 66 vi CHAPTER VI – ABSTRACT FOR SCIENTIFIC PRESENTATION ................................ 79 6.1. Acute febrile illness outbreak with first report of dengue fever - Diredewa city administration, Ethiopia ,November/2013 ................................................................................ 80 6.2. Acute flacide Paralysis in Ethiopia from 2008-2010 ........................................................... 81 6.3.Evaluation of Pediatrics bacterial meningitis (PBM) sentinels Surveillance –system in Black lion and Yekatit 12 hospital Addis Ababa , Ethiopia ,2013 .............................................. 82 6.4. Investigation of suspected Hepatities E outbreak in south sudan refugee camp Gambela ,Ethiopia, 2014 ......................................................................................................................... 84 CHAPTER VII – NARRATIVE SUMMARY OF DISASTER SITUATION VISITED ..... 86 Belg Human Health and Nutrition Emergency Needs Assessment-East and , West Harerega Zones, Oromia, Ethiopia, June 2013 ......................................................................................... 87 CHHAPTER VIII – PROTOCOL/PROPOSAL FOR EPIDEMIOLOGIC RESEARCH PROJECT ....................................................................................................... 104 8.1.Prevalence and determent factors for hepatitis B infection among pregnant women in Addis Ababa, September 2014 ................................................................................................ 105 CHAPTER IX – Other additional out puts ......................................................................... 120 Public Health Emergency Management Week 51 Bulletin (2014) ........................................... 121 Influenza Sentinel Surveillance site Training during performace evaluation review meeting . 128 vii List of Tables Table 1: The distribution of Acute febrile illness by Age distribution, Diredewa from Oct14- December 31, 2013 ............................................................................................................... 6 Table 2: Bivariate analysis for different exposures, Dira dewa city administration control- Ethiopia October 14-21,2013……. ............................................................................................. 8 Table 3: Multi-variate analysis of risk factors associated with dengue fever, Dire Dawa, 2013.. ....................................................................................................................................... 22 Table 4: Clinical manifestation of hepatitis E cases in Kule and Letchor Refugee camp from june 30- August 15,2014 ........................................................................................................... 22 Table 5: virological classfication of Acute flacid paralysis in Ethiopia from 2008-2010 ............ 33 Table 6: Vaccine status of cases in Ethiopia from 2008-2010 ................................................... 33 Table 7: Stool adequace rate by year and region from 2008-2010.............................................. 35 Table 8: Non polio Acute flaccid paralysisrate by region from 2008-2010 ............................... 36 Table 9: Total population of sendafa beka town by sex, and Age distribution ................................................................................................................................................. 57 Table 10: Number of students by cycle in sendafa town 2005 E.C............................................. 58 Table 11:Number of students who drop out their education in sendafa town ,2005 EC .............. 58 Table 12: Number of human resource in sendafa beka town .................................................... 59 Table 13: immunization coverage of < 1 yrs children and pregnant women ............................... 60 Table 14: Top ten leading cause of OPD visits .......................................................................... 61 Table 15: TB indictors .............................................................................................................. 62 Table 16: I The distribution of Acute febrile illness by Age distribution, Diredewa from Oct14-December 31,2013 ......................................................................................................... 71 Table 17: Bivariate analysis for different exposures, Dira dewa city administration, Ethiopia October 14-21 ,2013 ................................................................................................................. 72 Table 18: Multi-variate analysis of risk factors associated with dengue fever, Diredewa ,2013 .......................................................................................................................................