Eiectronic Integrated Disease Early Warning and Response System Volume 08,Lssue10,Epi Week 10,(02- 08 March,2020)

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 08,lssue10,Epi week 10,(02- 08 March,2020)

Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-10,2020

% % %

97 97 97

96 96

100% 96 420000

96 96 90% 410000 •During week no.10,2020, %97(1991/1923) health facilites from 23 80% 70% 400000 Governorates provided valid surveillance data. 60% 390000 50% 380000

Percentage 40% 30% 370000 Consulttaions 20% 360000 10%

•The total number of consultation reported during the week in 23 0% 350000

Wk 1 Wk 2 Wk 3 Wk 4 Wk 5 Wk 6 Wk 7 Wk 8 Wk 9 Wk

Governorates was 398436 compared to 395626 the previous reporting week 10 Wk

09. 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 10,2020)

were the leading cause of morbidity this week.

% %

100% %

100

97 100

90% 100

100

95 93

80% 88

% 95

70% 81 60% 50% 40% 30%

No. HF Reports HF No. 20% A total of 1651 alerts were generated by eDEWS system in week 10,2020, were 10% verified as true for further investigations with appropriate response 0%

Reporting Rate Target

Leading causes of morbidity mortality in Epi-Week 10,2020 Proportional morbidity of leading priority diseases, Epi week 10,2020

Guinea Worm ● (URTI) 14.9%, suspected Malaria (6.1%),(DD) (9%) and (LRTI) (5.7%)Remain the Scabies Chicken Pox leading causes of morbidity representing a total of (35.7%) 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 9% and LRTI 5.7% of total morbidity in pilot Governorates this AVH_A&E Meas week . Typhoid F OAD BD Pert SARI ILI ● All diarrheal disease comprised 9% and OAD 6.8% 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%

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 10, (02- 08 March,2020) Epidemiological Situation of Cholera and Diphtheria

GO V

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 10, (02- 08 March,2020) Epidemiological Situation of Dengue Fever and SARI

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 10, (02- 08 March,2020)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-10,2020)

URTI LRTI mararia tested cases & confirmed 18.0% 7.0% 4000

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% 500 1.0% 2.0%

wk1 wk3 wk4 wk6 wk7 wk8 wk9 wk5

0.0% 0.0% wk2

wk10

WK1 WK2 WK3 WK4 WK5 WK6 WK8 WK9

WK7 Rapid Test(Postive) Microscope(Postive)

WK1 WK2 WK4 WK5 WK6 WK7 WK9 WK3 WK8

WK10 WK10

Age and Sex distribution of total consultations of leading diseases (Epi week10,2020) Number of Alerts Received and Responded (Epi Weeks 7-10,2020)

100000

URTI LRTI Pert BD OAD Typhoid F 90000 86034 AFP Meas AVH_A&E AVH_B&C DF Meng 80000 Sch CL Chicken Pox Mal 70000 250

60000 55238 200 50000

39714 40000 37939 150 33715 33954 33024 29292 30000

24457 24767 100 No. of Alerts of No.

20000

50 10000

0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 24457 33715 37939 55238 29292 Female 24767 33954 39714 86034 33024 Distribution of consultations of leading diseases by Governorates,Epi week 10-2020

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 3413 4324 1290 867 6111 1166 907 1284 5025 2301 3075 2557 2334 3888 2740 4231 700 735 3220 3708 1710 82 3908 59576 LRTI 310 524 841 97 4569 305 297 728 2042 996 1628 587 313 1588 1456 1281 290 188 670 1477 254 31 2249 22721 ILI 224 0 84 0 95 51 53 0 15 33 68 4 0 76 90 1 103 2 101 264 192 2 311 1769 SARI 0 0 2 0 3 0 0 0 17 0 125 0 0 0 5 0 0 1 3 0 0 0 1 157 Pert 1 7 0 0 0 8 7 0 14 8 1 1 6 0 6 11 1 0 7 3 10 0 7 98 BD 60 3 44 4 112 70 4 33 68 71 94 3 4 4 80 15 41 14 103 120 26 4 149 1126 OAD 1169 1496 734 596 1468 772 341 663 3107 1199 2210 780 457 1763 1521 1303 598 386 1557 2369 781 24 1781 27075 Typhoid F 62 56 262 7 398 111 20 156 673 252 1136 80 9 10 566 59 42 57 151 342 61 21 510 5041 Meas 0 23 3 2 7 1 1 2 12 10 4 2 3 6 11 7 0 3 7 6 5 0 2 117 AVH_A&E 11 17 5 1 1 1 4 3 85 9 29 28 11 4 28 12 0 2 17 12 12 0 25 317 AVH_B&C 3 7 3 0 2 2 1 0 93 10 10 10 0 8 27 2 2 0 2 5 3 0 13 203 NNT 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 3 AFP 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 2 0 0 0 1 6 352 22 5 4 27 29 1 8 13 25 28 18 3 األمراض المشتبهةMumps 13 8 4 5 5 8 2 20 63 9 32 Mal 66 580 4 6 14047 63 75 512 195 400 596 1 0 5407 374 66 5 226 617 221 6 0 858 24325 Meng 0 3 0 0 4 0 0 0 7 2 2 5 0 3 5 1 0 0 2 0 1 0 11 46 DF 18 275 1 9 1332 1 1 6 0 1 0 43 2 17 1 31 29 1 2 2 24 0 174 1970 VHF 1 2 0 0 3 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 7 Sch 1 0 0 16 4 8 0 30 60 57 25 6 0 118 12 9 2 12 65 32 1 0 47 505 CL 2 0 0 0 0 3 0 1 20 9 10 0 3 8 5 11 4 6 15 3 0 0 1 101 RB 0 0 39 0 2 0 0 13 100 16 90 0 0 11 79 0 0 2 0 7 2 0 8 369 Tuberculosis 7 14 1 0 14 0 0 0 10 1 13 0 0 8 9 1 3 0 2 6 1 0 2 92 HIV/ AIDS 0 2 0 0 0 0 0 1 10 0 0 0 0 1 3 0 0 0 0 0 0 0 0 17 Brucellosis 3 0 46 0 4 38 1 8 138 64 506 0 8 93 94 0 10 16 13 18 6 0 29 1095 Chicken Pox 5 7 12 2 10 6 22 4 70 34 51 37 13 50 51 19 38 15 96 47 22 0 19 630 Scabies 10 1 0 0 14 1 0 20 24 9 6 2 2 44 0 0 3 12 24 19 1 2 5 199 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 4979 13249 5230 8229 14108 3494 2414 5210 54171 10993 20093 11449 4739 14066 14610 10678 5262 1466 5872 9140 5391 573 13818 239234 total_cons_disease 10407 20647 9153 9612 43278 6355 4152 8809 68262 16965 30596 15790 7963 27839 22595 18354 7169 3308 13543 19221 8689 744 24985 398436 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 10, (02- 08 March,2020)

Alert Responded in Epi - Week 10,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

immediate report were recived by the focal points, the cases of suspected pertussis,the cases were Makh Dispensary,Almaflehi rural Hospital,Radfan Public diagenosed clinicaly according to case definition. Pert Lahj Al Maflahy,Radfan,Yaffa 11 0 H,Al Hakmah Center,Other the cases reported immediatly to the operation room, added to the line list. the cases treated symptomaticaly and left the health facility.

HabilJabr,AlQabbaytah, contact with the focal points, the cases of suspected cholera,the cases were diagenosed clinicaly Tour Albaha Hospital,Ibn Khaldoon AlMusaymir,AlMilah,Radfan, according to case definition. Chol Lahj Hospital,Almusaimeer H,Almilah Hospital,Radfan Public the cases reported immediatly to the operation room, recorded in the line list. 100 0 Yaffa,Halimayn,Tur Al Bahah, H,Halimeen rural H the cases treated by iv fluid, ors and antibiotic. AlHad,AlHawtah, the cases finaly left the health facility.

eidews coordinator visited the health facility, the cases of suspected Dengue fever were diagenosed DF Lahj Tuban Tur Sena'a Dispensary , AL jamaheer Dispensary clinicaly according to case definition. 31 0 The cases recorded in the line list, treated symptomaticaly and improved.

eidews coordinator visited the health facility, the cases of suspected measles, the cases were Tuban,Al Had,Habil Jabr,Radfan,Al diagenosed clinicaly according to case definition. Meas Lahj Alwaht rural H,Bnsalm Clinic,Al Hakmah Center,Other the cases were un vaccinated. 7 0 Qabbaytah the cases reported immediatly to the operation room, recorded in the line list.samples collected the case treated symptomaticaly and left the health facility.

contact with the focal points, the cases of suspected of Diphtheria,the cases were diagenosed clinicaly Diph Lahj Al Had Alhaid rural H,Other according to case definition. cases reported immediatly to the opration room, registerd in the line list. 4 0 cases treated by antibiotic and improved.

eIDEWS team were contacted fh :The cases were diagnosis clinically,the cases were vaccination and Pert Aden Ash Shaikh Outhman,Al Mansura Dr.Muna Clinic,Alwahda educational H,Alnakib H 7 0 not samples, treatment were given, investigation from were done.

Hashed Health Complex,Almua'ala health complex,Al Al Mualla,Dar Sad,Ash Shaikh eIDEWS team were contacted fh ,the cases were diagnosis clinically, the cases were vaccination, the Meas Aden Shifa'a HC,Alwahda educational H,Dar Saad 23 0 Outhman,Al Mansura,Sairah,Al Buraiqeh samples were collected and treatment were given, investigation from were done. Complex,Khalefah Hospital,Other

Almua'ala health complex,Aljumhuria educational H,Al AlMualla,AlBuraiqeh,Sairah Ryadah Hosp.,Kabouta Complex,Alwahda educational eiDEWS team were contacted fp,the cases from different area, samples were collected,5 cases were DF Aden KhurMaksarAshShaikOuthman, 275 5 H,Aden German Hosp.,Al-Salam Hosp.,Al-Wali dead AlMansura Dar Sad Hosp.,Other

eiDEWS team was contacted fp,there were 2 cases,1_Mohammed Jameel Almaktari,male 12 year VHF Aden Al Mualla Khalij Aden Hospital old,from Mualla district,no sample was collected, 2 0 .2_ Hana Ahmed Salem,female,24 year old,from Alshekh Othman,sample was collected.

eIDEWS team were contacted fh :The cases were diagnosis clinically,the cases were un vaccination and Chol Aden Dar Sad,Ash Shaikh Outhman Albasateen medical center,Alwahda educational H 42 1 not samples, treatment were given, investigation from were done,one case was dead

eIDEWS team were contacted fh :The cases were diagnosis clinically,the cases were un vaccination and Diph Aden Ash Shaikh Outhman Alwahda educational H 7 0 not samples, treatment were given, investigation from were done.

RRT in districts visited the Diphtheria cases ,the cases were un vaccination, they received there Diph Abyan Lawder Al Azi Dispensary management of Diphtheria as Antibiotic (crys.Penicilline inj.) without Anti-toxoid (finished). The cases 3 0 were diagnosed clinicaly and oral swab didn't collected, pencilline given in Diphtheria department

RRT districts visited FP. the cases were diagnosed clinically, RDT'S were positive in 2 cases .stool khanfir,Rosod,AlMahfd,Jayshan cultures didn't done . treatment were given, investigation forms were done , the cases and their families Chol Abyan Alrazi .H,Rassad H,Al Mahfad Hospital,Mudiya Hosp. 46 0 Ahwar,Mudiyah,Lawder received complete advices about the ways of prevention and management of cholera infection. the cases included in Cholera line list

eIDEWS team contacted,all cases the patients came from different villages of districts. the cases were DF Abyan Rosod,Al Mahfd,Lawder Rassad H,Al Mahfad Hospital,Mahnf-Lwdr H diagnosed clinically (standard dengue case definition), samples were not collected,RDT not done. 18 0 treatment were given, investigation forms were done

RRT visited the reported case in Amajl subdistrict Lawder district .the propable case was 1 male (Abdulqafoor Naser Ahmed) 48 months old . He unvaccinated. The case diagnosed clinically according Pert Abyan Lawder Amajl HC 1 0 to the standard case definition. He received antibiotics & regular interest . investigation form done , RRT in Lawder district investigated the region for quick research on other new cases

eIDEWS team contacted the FP. In Rowais Dispensary. the case was male (Abdulrahman Khaled Saleh), 25 years old, from Alamair Street Mudiyah district . . the case diagnosed clinically (standard VHF Abyan Lawder Rowais Dispensary 1 0 dengue hemorrhagic fever case definition), samples were not collected, treatment was given there then the case send to Aden to complete his treatment , investigation forms was not done

Hayfan,JabalHabashy,Sharab Alnshmh H,MSF Hospital,Al Aroos Hospital,22 ArRawnah, AlMisrakh,Khadir,AlQahirah, Rapid response team contacted also focal points by eIDEWS coordinator,the cases were diagnosed MayHC,ArRomahcenter, Khalifa Hospital,Labs National AlMaafer, Mawiyah,AlMudhaffar, clinically according to case definition.Stool samples(C/S & serotyping) collected from cases & sent to lab Chol Taiz Center,Almodafar Hospital,Aljoumhri H,Khalifa (Central labs)for confirmation. Supplements & antibiotics treatment were given(case management) rapid 1033 0 Salh,Sharab AsSalam,Dhubab,Sabir Hospital,Al Loqiah Hospital,Almsrakh Hospital,22 May test :25 case positive. . &,the results of stool C/s still pending. .There were collection & cluster of cases AlMawadim,Maqbanah, Almodafar HC,Mawih Hospital,Other in the same Place.. Sama,AtTaiziyah,AshShamayatayn,

eIDEWS coordinator contacted focal points and the coordinator of the directorate ,information's Meas Taiz Sabir Al Mawadim,At Taiziyah Al Aroos Hospital,MSF Hospital shared.Blood samples were collected from the cases and sent for lab confirmation & the cases were 2 0 vaccination, All data in the line lis

Rapid response team were contacted, information shared, facilities have been visited ,, the suspected Salh,Jabal Habashy,Al Waziyah,Al Al wahdah HC,Labs National Center,Althwrh DF cases had a history of high fever , retro- bulbar pain ,myalgia and arthralgia, cases were diagnosed DF Taiz 174 0 Qahirah H,Mohammed Aldorah HC,Yemeni - Suidi H,Other clinically.and by blatelets counting, ,rapid test of dengue virus were done for some of cases ,,which were positive,, Medications have been given,,,there are cluster of cases in some areas, All data in the line list..

Pert Taiz At Taiziyah MSF Hospital 7 0

Rapid response team and Focal point was contacted by eIDEWS coordinator ,,,, information's shared. AFP Taiz Al Qahirah Mohammed Al-Dourah HC samples were collected ,, and will be send , , This case was female ,less than 5 years old,from jabal 1 0 habashi district, vaccination :5 doses..

receiving an immediate report from the coordinator of edews in the facility about this case of suspicion of diphtheria which was ,one male , Age : 3 years old . . Residence : almodaffer district,taiz governorate .. the case was diagnosed clinically as a suspected case of diphtheria,, ,,..we write all data about the Diph Taiz Al Mudhaffar Althwrh HC case in the line list .. action :we inform the Rapid response team to visit the facility which receive the 1 0 case and they found data recorded in the hospital and the case was complained of fever and membrane in the throat and difficulty of swallowing,,after that the team has been visit the house of the patient and they take all data about the case and her contacts..all that's in the line lis..

Meas Hadramout Al Mukalla City Fawa alkadima HC 2 0

Al Mukalla City,Ash Shahr,Ghail Ba Baroum HC,Hadramout modern hospital,Shuhair DF Hadramout 43 0 Wazir,Broom HC,Ghail Bawazeer H,Alborj Hospital

Diph Hadramout Al Mukalla City Maternity and Childhood H - Mukalla 4 0

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 10, (02- 08 March,2020)

Alert Responded in Epi - Week 10,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

VHF Hadramout Al Mukalla City Alborj Hospital 1 0

Chol Hadramout Hajr,Al Mukalla City Hajar aljoul rural H,Bin Sena'a educational H,Other 5 0

Pert Hadramout Al Mukalla City University Hospital 1 0

Dhi AsSufal,ArRadmah,AlQafr AlMakhadirAsSayyani,AshShair ,AlqaidahH,ALMzahanH,Yahsub Hospital,Aladin AnNadirah,Jiblah,AlDhihar, Immediate notification. eDEWS Coordinator visited hospital, some stool samples were collected and H,Mother and Child H,YarimHospital,alHazm positive by rapid test for 14 cases Chol Ibb AlUdayn,Yarim ,Al Mashannah 753 0 Hospital,Alshaheed Albadani Hospital,Alradhmah H, Mudhaykhirah,Badan,Hazm AlUdayn, AlmakhaderHC,Other All cases were improved Hubaysh,AsSaddah,FarAlUdayn, Ibb,AsSabrah

Badan,As Saddah,Al Immediate notification by.eDEWS focal points,samples were collected,the cases were vaccination Meas Ibb Alsadah HU,Alshami HC,Blad- Almuliki HC,Other except 3 cases were un vaccination 11 0 Udayn,Hubaysh,Ash Shair They are from different areas.

Immediate notification.Patient name Elham Mohammed Taha Abdullah Aloshari 84months,old AFP Ibb Al Udayn Aladin H Female.From Aludayn _Bani Hat - Almarkazi - Date of notification 1/3/2020.Date onset of symptoms 1 0 29/2/2020. samples 2 from case ,and send to sanaa,number of vaccinated 9 Doses.

Immediate notification by focal points,the Cases were diagnosed clinically and treated accordingly,the Pert Ibb Al Mashannah Mother and Child H 6 0 cases were vaccination

Immediate notification by focal points. Case was diagnosed clinically and treated accordingly . case Diph Ibb Al Dhihar Al Thawrah Hospital 1 0 was Unknown Vaccinated

Al Hajjaylah, Ad Durayhimi,As Sukhnah, Meas AlHodaidah Alhujaila HU,Alrabsa HC,Althawra public H 7 0 Al Hawak

AlQanawis,AdDahi,AzZuhrah, AlHawak,AlHali,AsSalif ,AlMunirah Almansouria rural H,Bait Alfakih H,Alzaydia Rural AlMighlaf,AlGarrahi,Alluheyah, H,Aljarrahi rural H,Alluheyah HU,Alhshm Chol AlHodaidah 947 0 AsSukhnah,Zabid,AlMina,AlMarawiah, Center,Althawra public H,Almekhlaf HC,Alzaydia Rural Bura, AlMansuriyah,AzZaydiyah, Bayt Al HAlsalakhana H,Alkanawes HC,Aldhahi Rural H,Other Faqiah,Kamaran, Ad Durayhimi

Al Qanawis,Al Hali,AsSalif,Zabid, Al AlkanawesHC,Alkanawes PrivateH, Aldhahi RuralH,Hais Hawak,BaytAlFaqiah,AlMarawiah rural Hospital,Hikmah hospital, Alsalif DF AlHodaidah AsSukhnah,AzZaydiyah,AlMina,Bura, 1332 4 Hospital,Alhodaidah Hospital,Al HabalHU,Almansouria AlMunirah,Alluheyah,Bajil,AdDahi,Al rural H,Bajil Rural Hospital,Other Mansuriyah,Az Zuhrah, AdDurayhimi

VHF AlHodaidah As Sukhnah Kuhail HU 3 0

Diph AlHodaidah Al Hawak Althawra public H 1 0

eDEWS coordinator contacted focal points, information shared, the cases have been diagnosed clinically DF Hajjah Hajjah City Sauid Hospital in Hajja .According to the standard definition DF ,the Cases from different areas ,Some cases have been rapid 17 1 test work the result were positive Appropriate treatment were given,,one case was dead

AlMahabishah,KuhlanAffar ,Mustaba,Bani AlAwam,Kuhlan Almahabesha Public H,Alshahel Rural AshSharaf,AlMaghrabah, Khayran Hospital,Almaghraba HC,Public Republican AlMuharraq,AshShaghadirah eIDEWS Coordinator contacted the Coordinator of Surveillance in Districts Information shared .It have Chol Hajjah Hospital,Khatwah HC,Qafl Shamer Kufl-Shamar Rural been reported cases of suspected cholera , The cases were diagnosed clinically (Acute watery 636 0 ,Najrah,AshShahil,AlMiftah, H,Bani Chamakh HC,Bani Qais Health Center,Mabyan diarrhea)It were given the appropriate treatment QaflShamer,BaniQais,Aslem, Hospital,Kuhlan Afar HC,Other AlJamimah,Mabyan,Abs, Kuaydinah,AflahAshShawm, Hajjah City

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 except Meas Hajjah AshShahil,Sharas,Hajjah City, Mabyan Sharas HC,ALhlal Center,Other 6 0 one case was un vaccination and one case other was vaccination unknown, Investigation form were Done.Appropriate treatment were given. The samples were collected and sent to the central laboratory

eIDEWS Coordinator contacted the Coordinator of Surveillance in District. Information shared.It was diagnosed clinically according to standard definition For AFP, female A 95 Months, Azhar mohammed ali AFP Hajjah Al Mahabishah Almahabesha Public H 1 0 , from Al meftah District Olkmah village , Investigation form was Done. Appropriate treatment was given. The sample was collected and sent To the central level

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,the casess were Alwahda Health Center,ArwdhahH,AsSabin Hospital,22 diagnosed clinically according to case definition.Stool samples(C/S & serotyping) collected from cases & AlWahdah,Aththaorah,Shu'Aub May Hospital,Jabr Bn Hyan Complex,Ottan Complex,Al sent to lab (Central labs)for confirmation. Supplements & antibiotics treatment were given(case Chol Amana AsSabain,Assafi'yah,BaniAlHarithMaainA management)Most of them were from Amana governorate & a few of them from other governorates 677 0 Jraf Complex,Omar Al Mokhtar Complex,Bni - Hwath z'zal,AtTahrir, Sana'aOld ,different districts of that governorates,the results of stool C/s still pending. Rapid tests of cholera were HC,Other negative for most 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.

Aththaorah,Az'zal,Assafi'yah, Al Jraf Complex,Azal Complex,Ibn Khaldon HC,Gazah eIDEWS coordinator contacted focal point,information's shared.Blood samples were collected from the Meas Amana Maain,AtTahrir,Bani AlHarith, Sana'a cases and sent for lab confirmation ,the cases were unvaccinated against measles. Vit-A were given to 12 0 Complex,Alulfi HC,Other Old,Al Wahdah the cases in order to support theire immunity against complications of measles.

eIDEWS coordinator contacted focal points,informations shared,after that HF visited by eIDEWS coordinator.The cases were diagnosed clinically according to the case definition as suspected Bani Al Harith,Al Wahdah,As diphtheria.Symptoms & signs of cases were,fever,sore throat,grey-whitish pseudo-membrane ,swelling Diph Amana Zaid bn Sultan H,As Sabin Hospital,Other 7 0 Sabain,Assafi'yah of neck lymph-nodes(Bull neck) & difficulty of swallowing & breathing. Antibiotic treatment were given & cases management done.Throat swabs taken into Central Lab for confirmation(Albert stain,Gram stain & Diphtheria C/S)the cases were vaccination

eIDEWS coordinator contacted focal points,information shared,then HF visited by eIDEWS coordinator.The cases were diagnosed clinically according to the case definition. Antibiotics treatment Pert Amana Al Wahdah,As Sabain,Bani Al Harith Alahli H,As Sabin Hospital,Zaid bn Sultan H,Other 14 0 were given,The cases were unvaccinated against Pertussis There were no collection of cases seen in the same place.

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 10, (02- 08 March,2020)

Alert Responded in Epi - Week 10,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

elDEWS coordinator contact the focal points after reporting of cases whooping cough , the cases Pert Sa'adah Majz,Qatabir,KitafwaAlBoqee, Ghamir Dhian HC,Kitaf hospital,Ghamer Health Center 7 0 recived the prober managment in centers, the cases were unvaccinated

the edews focal point contacted , the case was diagnosed clinically according to the standard case Diph Sa'adah Majz,Sa'da Majz Health hospital ,Al Jumhoori Hospital definition ,the case referred to the Diphtheria isolation in Aljumhori hospital , the case receive the proper 7 0 management , the contacts traced by the district RRT , the line list updated and the information shared

Munabbih,Shada,Ghamir,Sa'da Monabbih Rural Hospital,Ghamer Health Center,Ghafira edews focal point contacted , the cases were diagnosed clinically , not RDT performed and not samples Chol Sa'adah collected . the cases treated in the HC according to the management protocol the line list updated and 109 0 ,AdhDhahir,Razih,Ghamir,Majz Unit,Ghafira Unit,Other the information shared

Saqayn Hospital,Majz Health hospital ,Al Jumhoori Meas Sa'adah Saqayn,Majz,Sa'da 7 0 Hospital,Dr. Mosfir Clinic

the edews focal point contacted , the health facility visited and the investigation performed. the patient AFP Sa'adah Sa'da Al Jumhoori Hospital name is yosaf araf baqtan 48 months old ,from. al safra district ,. the samples collected and sent to the 2 0 central lab , the RRT visit the patient home and perform the investigation

Thula Health hospital,Habur Healthhospital, Al Abraq Raydah, Thula,Sufyan,Habur Zulaymah, Health Unit,Al Qaflah Rural Hospital,As Sawd Health BaniSuraim,Khammer,Shaharah,Harf hospital,Raydah Health hos.,Al Ashah Health Eidews Coordinator Contacted focal points and Coordinator of Surveillance in districts ,The cases were Chol Amran DhiBin,AlAshah,Amran,Kharif,AlMadan, diagnoses clinically as suspected cholera. according to case definition. All The cases improved After 274 0 hospital,Harf Sufyan H,Al Salam Khamir Hospital,Kharif AlQaflah,AsSawd,Maswar,Jabal Taking The Treatments proper Rural Hospital,Amran General Hospital,Huth Health IyalYazid,AsSudah,Huth,Suwayr hospital,Other

Harf Sufyan,Jabal Iyal Harf Sufyan H,Al Hajr Health Center,Hababah Health Eidews Coordinator Contacted focal points and Coordinator of Surveillance in districts,the cases Were Meas Amran diagnoses clinically as suspected Measles. according to case definition,the Cases were Vaccinated 10 0 Yazid,Shaharah,Amran,Thula,Huth Center,Other except one case was un vaccination against Measles

Eidews Team Contacted Focal Point and Contacted The Coordinator of Surveillance in district amran AFP Amran Amran Al Makhathi General Hospital and visit health hospital. Case Was diagnoses Clinically as Suspected AFP. according to definition case 1 0 stool samples Collected of case and Send to Central Lab in Sanaa. Case from government Hagah

Eidews Coordinator Contacted focal point and Contacted The Coordinator,The cases were diagnosed Pert Amran Khammer Al Salam Khamir Hospital clinically as suspected pertusis. according to case definition. The Cases Improved After gave the 8 0 Treatments Antibiotics proper.cases Not Vaccinated

Eidews Coordinator contacted focal point the cases were diagnoses Diph Amran Amran 22 May hospital clinically probable diphtheria and Rapid Response Team visit Health Hospital and Visit the contacts 2 0 and gaves antibiotics case Treatment with antibiotics the Cases from districts Raydah and kharif

Sanhan,BaniHushays,AlHaymah Walan Hospital,22 May Hospital,Alar rural H,Awmara AdDakhiliyah,AlHusn,Nahm,Bani H,Alshaeed MohamedAldurraHospital,Alhanak HU,Bait eDEWS coordinator contacted focal points,The cases were diagnosed suspected cholera(AWD) some Chol Sanaa Governorate Dhabyan,Khwlan,Manakhah,Hamdan, Alsaid HC,Almarbak HC,Hamdan Hospital, Bani Mansour cases tested by rapid test 47 cases positive and cases were treated at the health facility and received 1225 0 BaniMatar,AlHaymahAlKharijiyah,Jahanh, HC,Bait Alhenami HC,Qaa Al Sook Hu,Alshe'eb Alaswad treatment Bilad Arus,Arhab,Sa'fan,Attyal HC,Other

AlHaymahAdDakhiliyah,Arhab, Awmara H,Shamlan Hospital,Al wheda Manakha rural The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case Meas Sanaa Governorate definition. Skin rash started ,The cases were vaccinated except one case was vaccination unknown . 6 0 Hamdan,Manakhah Hospital blood samples were collected.

The EDEWS coordinator contacted the focal person. The cases were diagnosed clinically by case Pert Sanaa Governorate Sanhan July 17 Hospital 3 0 definition,the cases were vaccination unknown, The cases were treated with antibiotic.

The EDEWS coordinator contacted the focal person. The case was diagnosed clinically by case Diph Sanaa Governorate Hamdan 22 May Hospital 1 0 definition. Unknown vaccinated The case was treated with antibiotic.

Hantwsh Clinic,Azal HC,Dr Saleh Abdurahman Medical eIDEWS team were contacted with health facilities found cases suspected cases of pertussis ,the cases Pert Shabwah Mayfa'ah,Arma,Ataq,Ar-rawdah were diagnosed clinically according to case definition,4 cases were vaccination and other cases were 10 0 clinic un vaccination,the cases were received their best treatment and improvement

eIDEWS team were contacted with health facilities found cases suspected cases of measles,the cases Meas Shabwah Ar-rawdah,Ataq,Jirdan Al Redha Clinic,Teab Al Atfal Clinic were diagnosed clinically according to case definition, 4 cases were un vaccination , samples were 5 0 collected ,the cases were received her best treatment and improvement

eIDEWS team were contacted with health facilities found cases suspected cases of cholera , the cases Chol Shabwah Baihan,Ataq,Habban Bayhan Hospital,Emergency/Ataq Hospital were diagnosed clinically according to case definition, rapid test were done 2 cases were positive and 6 0 other case was negative all cases were received their best treatment and improvement

eIDEWS team were contacted with health facilities found cases suspected cases of dengue fever ,the Bayhan Hospital,Usaylan Hospital,Al Wafa Clinic,Al Masri cases were diagnosed clinically according to case definition rapid test were done 9 cases were positive DF Shabwah Baihan,Osailan,Rodhoom 24 0 Clinic and other cases were not done or negetive, all cases were received their best treatment and improvement

Sabah,AtTaffah,Naman,Mukayras,Dhi Na'im,ALSharyah,AlMalagim Radman Althwrh Hospital,Al-Taffah Center,Alshriah Sare Chol Al-Baidha AlAwad,AlQuraishyah, AlBayda 547 0 H,Mother and child HC,Mukayras Hospital,Other City,Rada',Nati,AzZahir,As Sawadiyah,Maswarah

Meas Al-Baidha Al Malagim,Al Bayda City,As Sawadiyah Al Kawa`ah Health Unit,Mother and child HC,Other 3 0

Diph Al-Baidha Al Bayda City Althwrh Hospital 1 0

EDEWS team contact Edews focal point in `AlGhaydhah Central Hospital . cases from alGhaydh District ,cases diagnosis according to case defination , susspected Diphtheria case was female 1 years ,not Diph Al-Mahra Al Ghaydah Al Ghaydah Center Hospital 1 0 vaccinated , ,treatment was given and send 1 sample to culture ,result was +ve RRT visit case and treatment all contact

EDEWS team contact Edews focal point in `AlGhaydhah Central Hospital .cases from Alghaydha n Chol Al-Mahra Al Ghaydah Al Ghaydah Center Hospital District ,cases diagnosis according to case defination , susspected Cholera case was in line list ,Cholera 1 0 rapid test was -ve ,treatment was given and send 1 sample to culture but result was -ve

EDEWS team contact Edews focal point in AlAis Health Centre . case from AlMasilah District ,cases Pert Al-Mahra Al Masilah,Wadi Al Ayn Al Ais Health Centre, Babkr H diagnosis according to case definition , suspected Pertussis case was 3emales (82,105,36 ) mouths 7 0 ,treatment was given ,

EDEWS team contact Edews focal point in `AlAis Health Centre . case from AlMasilah District ,case Meas Al-Mahra Al Masilah,Tarim,Shibam,Sayun Al Ais Health Centre,Shibam District H diagnosis according to case defination , suspected Measles case was males (7) months not vaccinated 1 0 ,treatment was given , and serum sample was teken and send to central level ,

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 10, (02- 08 March,2020)

Alert Responded in Epi - Week 10,2020

Suspected Governorate District HFs Actions Taken / Notes Cases Deaths Disease

edews team contact focal points , the cases were diagnosed clinically as suspected (meas) using case definition ,2 cases were under age vaccine and other cases were vaccination, blood samples were collected and sent to center Meas Hadramout wady Tarim,Shibam,Sayun Alradod HC,Shibam District H 3 0 lab . symptomatic treatment were prescribed

edews team contact focal points , the case were diagnosed clinically as suspected (pert) using case definition , (1) name: Aisha Ahmed Saeed Bawazeer, age 5y vaccine : zero dose (2) name : Maymoona Muhammad Salih Al-thawm, age 2 y vaccine :zero dose Pert Hadramout wady Wadi Al Ayn Babkr H (3) name : Mohamed Ahmed Aboud Bawazir, age 3 y vaccine : zero dose 6 0 (4) name : Abdullah Abdul Rahim Abboud Bawazeer, age 9 m vaccine : zero dose (5) name : Fatima Ahmed Salem Bakershom, age 4 y vaccine : zero dose 4 cases as cluster from saah district wady edem symptomatic treatment were prescribed

Zeraja rural H,Meshrafa HC,Alrabo'o banighulais AlHada,Utmah,Wusab AlAli,Wusab HC,Althalouth HC,Rsabh Hospital ,Alkharba rural AsSafil Mayfa'at Anss,Jabal Ashsharq EdeWS coordinator contacted focal point he found cases diagnosed suspected Chol(Acut watery Chol Dhamar H,Aljarf HC,Kharbah Abuyabes HC,Alwahda university diarrhoea and dyhadretion ) cases not tested by rapid test - cases were treated at the health facility and 516 0 AlManar,Jahran,Dhamar City,Dawran H,Dawran Hospital,Alhumyat HC,Dhamar public H,A received treatment Aness,Anss, Maghirib Ans Unity Centre (residential),Other

Meas Dhamar Dhamar City,Al Hada alhelal alnmothgi Desbonsry,Taibah hospital 4 0

Pert Dhamar Dawran Aness AL-Amal Center 1 0

we contacted the contact and told us that suspected dengue cases had history of high fever, back pain, muscular pain, and arthralgia. The samples were collected at the hospital's laboratory for DF Mareb Harib,Marib City,Sirwah,Mahliyah Harib Hospital,Al ghurairy center ,Mahiliyah Hospital 29 0 serological testing (NS1). This test measures the presence of dengue protein (high sensitivity and quality test) which detects the virus antigen .that confirms the result

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases diagnosed clinically according to case definition.Stool samples collected from cases for screening test only . Chol Mareb Al wadi,Harib Al Qaramish,Bid Bidah ( al Wahdah ) Hospital,Harib Al Qaramish Hospital 28 0 Supplements & antibiotics treatment were given(case management) the results of stool Rapid tests of cholera 5 positive .There were a no collection or cluster of cases seen in the same Place

The surveillance officer was contacted and it was confirmed that the diagnosis was based on the Pert Mareb Al wadi Al Kari Hospital definition of the case, where the number of suspected pertussis was one cases were investigated and 1 0 treated. all inlaid

Al Khalq Health Center,Al Humaydat Health Center,Bart AlKhalq,Bi'ratAlAnan,AzZahir,AlHamidatA The EDEWS Coordinator received a report from the control officer that there were cases of the doctor's Chol Al-Jawf Al Anan Rural Hospital,Al Shifa Center,Al Hazm diagnosis. It were cholera,cases without a suspicious examination from different areas. After validation. 161 0 lMatammah,Al Matun,Kharab Al Marashi Hospital,Al Marashi Health Center,Other Treatments were treated according to the treatment plan

EDEWS team contacted focal point. Cases diagnosed clinically as suspected pert.treatments was given Pert Al-Jawf Al Matun Al Shifa Center 8 0 cases not vaccines

The EDEWS coordinator has contacted the coordinator. The condition was diagnosed clinically by Meas Al-Jawf Al Matun Al Maton Health Center definition of the condition. One case Age 45 years of the village of asaid Blood samples were not 1 0 collected. Give antibiotics and vitamin A.

Shibam Kawkaban,Bani Sa'd ,AtTawilah eIDEWS coordinator contacted focal points, information were shared. The cases were diagnosed AljoumhwriHHospital,NumanHU,Hospital, clinically according to case definition.All cases were not investigated by rapid test for vibrio cholera but 9 Chol Al-Mahweet AlMahwait City,alKhabt,Milhan 112 0 AlArkobHC,HufashH,BaniSa`d,Other cases were investgated by rapid test 6 negative and 3 cases were positive, Appropriate treatment were AlMahwait,ArRujum,Hufash given according to severity of symptoms and dehydration

eIDWES coordinator contacted focal points, information was shared.The cases were diagnosed clinically Meas Al-Mahweet Ar Rujum,Milhan Alrujm Hospital according to case definition, investigated and collected blood samples ,skin rash were appear and the 2 0 fever , The blood samples were send to central Lab in Sanaa for investigation.

eIDEWS coordinator contacted focal point, information was shared. The case was diagnosed clinically according to case definition. Mohammed Abdulla Alward 45 years old from Aldolla, Bait alward village. Diph Al-Mahweet At Tawilah Altawilh HC 1 0 He was not vaccinated against diphtheria. Focal RRT was visit village and treated the contact persons with the affected patient. People were also educated in this village

Mazhar,Kusmah,BiladAtTa'am,AlJabin eIDEWS Coordination contact focal points in health centre ,the cases diagnosed according to case Chol Rayma Almithaq H,Wadi Alarid HC,Az Zilh HC,Althulaia H,Other definition as Acute Watery Diahorea 171 0 AlJafariyah,AsSalafiyah, most cases treatment at home

Meas Rayma Bilad At Ta'am Ruas HC 3

Al Husha,Al Azariq,Damt,Al Hussein,Ad eDEWS team contacted FP ,the cases were diagnosed according to case definition, all included in Chol Al-Dhale Alfakhr HC,Alnassr H,Damt HC,Other 43 0 Dhale'e,Qa'atabah updated daily line listing

eIDEWS team were contacted fp: the cases were diagnoses clinically, vaccination were done, samples Meas Al-Dhale Qa'atabah,Juban Alslam H ,22 May Hospital 2 0 were collected , treatment were given, investigation form were done.