EWARN & Diseases Early Warning Alert and / Surveillance Bulletin Response Network

Epidemiological Reporting REPORTING TOTAL TOTAL Week Period SITES CONSULTATION EWARN

02 Jan. 2019 4 90 29872 6617 02 Jan. 2019

Leading causes of morbidity By week (4 : 2020) AURI is Still The Leading Cause of Morbidity, With ALRI and AD. In Table 1: Number of Cases For Each Disease and Percentage From Total Consultations.

Number of Percentage From Percentage From Condition Cases Total Consultations Total EWARN Acute Upper Respiratory Infections 4508 15 % 68 % (AURI) Acute Lower Respiratory Infections 1100 3.7 % 17 % (ALRI) Acute Diarrhea (AD) 785 2.6 % 12 % Table 1: Number of Cases For Each Disease and Percentage From Total Consultations

AURTI are Generally Mild in Nature, Commonly Caused by Viruses, Sometimes with Bacteria. ALRTI Epidemiologically Includes Acute Bronchitis, Bronchiolitis, Influenza and Pneumonia.

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Morbidity Patterns: Figure 1,2,3 Shows a Comparison of The Number of Cases Reported For The Current Weeks 1 to 4 with The Numbers in The Preceding Weeks 2020.

Figure 1,2,3: Trend of AURI - ALRI - AD by EPI Weeks 1- 4 : 2020

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Distribution of AURI, ALRI, and AD Cases by Municipality for Week 4: 2020.

FIG 4; Distribution of AURI, ALRI, and AD Cases by Municipality For Week (4 : 2020)

AURI are mainly from: Alabyar, Baniwaleed, , Igdabya, Misurata, Subrata, Zawia and Zwara. ALRI mainly from Benghazi and Subrata. AD mainly from Baniwaleed.

Vaccine Preventable Diseases (VPD):

Disease No of Cases Measles 10 Pertussis 10 Meningitis 11

Table2: Number of Cases Vaccine Preventable Diseases

Trend of Vaccine Preventable Diseases (VPD):  In week (4 : 2020) the Total Number of New Cases of Fever and Rash (Suspected Measles) was (10) Case From: (6) Aljmail, (2) Misurata, (1) Zwara and (1) Alejellat, Blood Sample Send to Measles Laboratory for Confirmation.  (10) Reported Pertussis Cases in this Week From: (4) Benghazi, (3) Subrata, (2) Sebha and (1) Igdabya.  (11) Meningitis Cases Reported From: (7) Benghazi, (2) Sebha, (1) Almarij and (1) Alabyar, regardin 7 cases from Benghazi children hospital it is mostly asepti,(viral) no meningococcal meningitis were reported.  (0) Reported Case of Acute Flaccid Paralysis (AFP).  No Reported Cases of Neonatal Tetanus this Week nor Diphtheria Cases were Notified.

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Figure5: Suspected Measles Weeks (1- 4 : 2020)

Figure 6: Pertussis Weeks (1 – 4 : 2020)

Figure 6: Indicate a Decrease in Pertussis Cases; Figure also shows the first weeks of year are the main of Pertussis Cases.

Water-Borne Diseases: By week 4 : 2020  The Number of The Reported Acute Diarrhea (AD) (785) cases.  The Number of The Reported Bloody Diarrhea (BD) (8) Cases: (3) Baniwaleed, (3) Benghazi, (1) Aljofra and (1) Almarij.  The Number of The Reported Acute Jaundice Syndrome (AJS) (11) Cases: (5) Benghazi, (2) , (2) Igdabya, (1) Almarij and (1) Ashati.

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Other Infectious Diseases: LEISHMANIASIS: The Number of the Reported Cutaneous Leishmaniasis (165) Cases From : (73) Khoms, (65) Baniwaleed, (19) , (3) Zawia, (2) Regdalin and (1) Almarij.

Figure 7: LEISHMANIASIS 2020.

Summary of All Cases Reported in Week (4 : 2020)

Disease № of Cases Percentage from Consultation Percentage from EWARN

AURI 8926 %.9125. %261.06

ALRI ..22 %21260 %.21208

AD 569 %01206 %..1622

BD 6 %21205 %21.0.

AJS .. %21225 %21.22

Leishmaniasis .29 %21990 %01858

Measles .2 %21222 %21.9.

Meningitis .. %21225 %21.22 Food poisoning 6 %21205 %21.0.

Pertussis .2 %21222 %21.9.

Table 3: Summary of Reported Cases Week (4 : 2020)

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ALERTS Alerts were Generated in This Week Through EWARN Following The Case Definition Thresholds. All The Alerts Were Notified to Surveillance Administration and Local Municipality Health Officials. ALERT Municipality Measles Almarij Meningitis Benghazi – Alabyar - Sebha - Almarij Bloody Diarrhea Benghazi – Baniwaleed. Cutaneous Leishmaniasis Khoms – Baniwaleed – Zliten – Zawia – Regdalin – Aljmail Acute Jaundice Syndrome Benghazi Food Poisoning Mezdah – Igdabya - Benghazi Table 4: Alerts of week (4 : 2020)

NCDC Referral Laboratory is Qualified to Respond to Public Health Events, For Measles and Rubella Blood Investigation at NCDC Referral Laboratory, While Stool in AFP Send to Pasteur Lab in Tunisia. For CSF Samples and Stool, Investigation in Clinical and Hospital Laboratories. Each Case Managed According to Therapeutic Measures.

النشرة الوبائية الليبية لشبكة االنذار المبكر واالستجابة / االسبوع (4) ) 02 - 02 يناير 0202 ( )األرقام المسجلة هي حاالت اشتباه يعقبها خطوات أخرى للتحقق والتأكيد(  االسباب الرئيسية للمراضة االلتهابات التنفسية العليا والسفلى واالسهاالت.  االمرررررام المكابحررررة بالتطعيمررررات: سررررجلت 01 حالررررة حرررررارا وطفررررح )اشررررتباه الح رررربة(، 00 حرررراالت سررررحايا , 01 سعال ديكي.  االمرام المنقولة بالمياه: سجلت 00 متالزمة اليرقان.  اللشمانيا: سجلت 061 حالة.  اإلنذارات : o الح بة: المرج. o السحايا : بنغازي – األبيار– سبها – المرج. o االسهال المدمي : بني وليد- بنغازي. o اللشمانيا : الخمس – بني وليد – زليتن – الزاوية – رقدالين - الجميل. o اليرقان : اجدابيا – الشاطئ – طرابلس – المرج - بنغازي.  التسمم الغذائي : الشاطئ – بنغازي – اجدابيا – مزدا.

NATIONAL CENTRE FOR DISEASE CONTROL- LIBYA, IN COLLABORATION WITH WORLD HEALTH ORGANIZATION- LIBYA AND EUROPEAN UNION

ALL RIGHT RECIRVED

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