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Eiectronic Integrated Disease Early Warning and Response System Volume 08,Lssue08,Epi Week 08,(17-23 February,2020)

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Eiectronic Integrated Disease Early Warning and Response System Volume 08,Lssue08,Epi Week 08,(17-23 February,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,lssue08,Epi week 08,(17-23 February,2020) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-8,2020 % % % % % % % 97 95 % 96 96 100% 96 420000 96 96 96 90% 410000 •During week no.8,2020, %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 2 Wk 3 Wk 4 Wk 5 Wk 6 Wk 7 Wk 8 Wk Governorates was 412575 compared to 411094 the previous reporting week 1 Wk 08. 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 08,2020) were the leading cause of morbidity this week. % 100 % % % % % % % % % % 100% % % % % % 96 94 % 90 98 98 99 % 100 90% 100 99 100 100 % 100 % 100 100 97 % 97 90 80% 93 % 90 95 70% 81 60% 50% 40% 30% ● A total of 1796 alerts were generated by eDEWS system in week 08, 2020, Of No.HF Reports 20% 10% these 1795 alerts were verified as true for further investigations with 0% appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 08,2020 Proportional morbidity of leading priority diseases, Epi week 08,2020 Guinea Worm ● (URTI) 15%, suspected Malaria (7.2%),(DD) (9.1%) and (LRTI) (5.6%)Remain the Scabies Chicken Pox leading causes of morbidity representing a total of (36.9%) 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 9.1% and LRTI 5.6% of total morbidity in pilot Governorates AVH_A&E Meas this week . Typhoid F OAD BD Pert SARI ILI ● All diarrheal disease comprised 9.1% and OAD 6.7% 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 مﻻريا :Mal بلهارسيا :Sch اسهال مائي حاد :AWD التهاب الجهاز التنفسي السفلي:LRTI اسهال حاد اخرى :OAD اسهال مدمم :BD عدوى الجهاز التنفسي العلوي :URTI اﻻيذز :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 08, (17-23 February,2020) Epidemiological Situation of Cholera and Diphtheria GOV Epidemiological curve of Diphtheria Cases with CFR% Overview of the Diphtheria From Wk1-WK8,2018,2019 and 2020 (Cumulative from WK1 ,2019 to WK8 ,2020) Year2018 WK1-WK8 Year2019 ,WK1-WK8 Year2020 , WK1-WK8 المؤشر Indicator Suspected Cases 674 315 211 حاﻻت اﻻشتباه Death Cases 22 17 16 حاﻻت الوفيات %CFR 3.20% 5.4% 8% معدل اﻻماتة AR/10,000 0.2 0.1 0.01 معدل الهجمة/10,000 Confirmed cases 12 45 29 (from total tested(44) 43%from total tested(104) 59%from total tested(49%45 الحاﻻت المؤكدة بالمختبر Confirmed Death 0 1 2 (from tested total deaths(5) 40% from tested total deaths(5 %20 الوفيات المؤكدة بالمختبر Number of cases given Antitoxin 127 142 81 from total suspected 45% from total suspected 38% from total suspected %19 عدد الحاﻻت التي أعطيت مضاد السموم Affected Governorates 19Gov.(83%) 19 Gov.(83%) 19 Gov.(83%) المحافظات المتأثرة Affected Districts 141 Dist.(42%) 95 Dist.(29%) 81 Dist.(24%) المديريات المتأثرة Summary of Diphtheria indicators Distribution of Suspected and Death Diphtheria Cases by Age Group During Last 3 Weeks (6,7,8) Cases Death 60 50 3 8 4 40 0 30 20 53 50 44 1 39 10 0 0 15 0 3 7 (>50 Y) (36 - 50 Y) (26 - 35 Y) (16 - 25 Y) (11 - 15 Y) (6 - 10 Y) 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 08, (17-23 February,2020) Epidemiological Situation of Dengue Fever and SARI Overview of Dengue Fever From Wk1-WK8,2018,2019 and 2020 Epidemiological curve of Dengue Fever Cases with CFR% (Cumulative from WK1 ,2019 to WK8 ,2020) Dengue IgM (Rapid Test) (Positivity Rate)2020 Distribution of Dengue Fever Death by Age group Epidemiological curve of SARI Cases with CFR% Overview of SARI From Wk1-WK8,2018,2019 and 2020 (Cumulative from WK1 ,2019 to WK8 ,2020) Deaths Summary of SARI indicators Distribution of SARI Death cases by Age group from During Last 3 Weeks (6,7,8) خﻻل الثﻻث اﻷسابيع اﻷخيرة During Last 3 Weeks المؤشر Indicator WK6-WK8,2020 Suspected Cases 400 حاﻻت اﻹشتباة Death Cases 5 حاﻻت الوفيات CFR% 1.3% معدل اﻹماتة Attack rate /10,000 0.1 معدل الهجمة / 10,000 Connfirmed Cases From all Lab Branches 0 الحاﻻت المؤكدة بالمختبر من جميع فروع المختبر Connfirmed Deaths 0 الوفيات المؤكدة بالمختبر Affected Governoate 10 Gov.(43%) المحافظات المتأثرة Affected Districts 29 Dist. (9%) المديريات المتأثرة 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 08, (17-23 February,2020) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-8 ,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% 1000 2.0% 4.0% 500 1.0% 2.0% 0 wk1 wk3 wk4 wk5 wk6 wk8 wk7 0.0% 0.0% wk2 Rapid Test(Postive) Microscope(Postive) WK2 WK3 WK4 WK5 WK6 WK7 WK1 WK8 WK1 WK2 WK3 WK4 WK6 WK7 WK5 WK8 Age and Sex distribution of total consultations of leading diseases (Epi week8,2020) Number of Alerts Received and Responded (Epi Weeks 5-8,2020) 100000 URTI LRTI Pert BD OAD Typhoid F 90000 86488 AFP Meas AVH_A&E AVH_B&C DF Meng 80000 Sch CL Chicken Pox Mal 70000 250 60000 56124 200 50000 39573 40000 38920 150 35462 33837 34394 33415 30000 28932 25587 100 No. of No.Alerts 20000 50 10000 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 25587 34394 38920 56124 28932 Female 33837 35462 39573 86488 33415 Distribution of consultations of leading diseases by Governorates,Epi week 8-2020 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 3468 4479 1427 862 6397 1157 1160 1347 4983 2239 3157 2499 2349 4286 2877 4580 877 788 3137 3930 1627 89 4003 61718 LRTI 324 448 802 115 4964 225 238 753 1921 1069 1666 652 299 1973 1447 1401 269 162 612 1844 248 20 1785 23237 ILI 219 0 135 0 98 34 36 0 13 66 141 1 0 68 77 22 116 1 57 271 154 6 377 1892 SARI 0 0 4 0 1 0 0 0 20 0 72 0 0 0 3 0 0 0 3 0 0 0 0 103 Pert 1 3 0 0 0 16 6 5 3 9 4 1 5 0 1 9 2 0 10 3 2 0 11 91 BD 27 2 32 4 151 47 9 37 65 95 107 4 8 4 91 18 33 15 92 120 23 0 150 1134 OAD 1200 1643 753 618 1626 840 381 588 3101 1222 2383 866 467 1793 1565 1283 687 367 1370 2538 752 45 1495 27583 Typhoid F 47 42 255 8 366 120 18 149 618 262 1098 71 10 0 586 36 97 45 181 357 68 27 467 4928 Meas 0 17 1 2 3 0 1 6 17 5 1 6 2 10 5 2 2 3 4 0 8 0 7 102 AVH_A&E 7 7 4 1 1 2 1 2 111 10 27 30 7 1 21 13 0 4 12 18 11 0 23 313 AVH_B&C 5 1 4 0 0 1 0 1 75 11 9 3 1 4 26 0 3 0 1 1 15 0 12 173 NNT 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 AFP 0 0 0 0 3 0 0 0 3 0 0 0 0 1 4 0 0 1 0 1 0 0 3 16 375 28 1 8 44 43 1 13 10 25 17 9 7 اﻷمراض المشتبهةMumps 11 24 5 7 6 8 0 20 54 7 27 Mal 59 546 3 3 19821 44 93 533 198 337 690 2 1 5167 398 81 6 246 541 173 4 0 945 29891 Meng 0 2 0 0 1 2 0 0 9 2 0 4 0 0 6 1 2 0 1 0 1 0 17 48 DF 14 324 4 7 1870 0 2 9 0 5 0 46 1 45 4 105 32 5 1 0 31 0 142 2647 VHF 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Sch 1 0 0 16 5 17 0 25 66 53 29 7 2 104 7 5 0 18 38 38 2 0 33 466 CL 0 0 2 2 0 1 0 1 19 11 13 0 9 8 9 11 2 4 9 4 0 0 0 105 RB 0 0 33 0 7 2 0 25 115 29 88 3 3 6 73 2 0 1 1 5 0 0 6 399 Tuberculosis 2 4 1 1 10 0 2 1 8 0 9 0 0 3 9 2 0 1 1 9 0 0 3 66 HIV/ AIDS 0 0 0 0 0 0 0 0 4 0 0 1 1 0 0 0 0 0 0 0 1 0 0 7 Brucellosis 2 0 40 0 19 28 2 9 139 47 351 0 7 72 107 0 6 0 13 18 11 0 29 900 Chicken Pox 20 8 2 3 10 12 14 14 72 26 19 38 12 67 50 25 17 34 62 40 7 0 3 555 Scabies 13 1 1 0 34 0 1 12 26 30 20 1 2 27 0 2 7 7 39 26 1 2 3 255 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 4962 12543 5055 7967 16304 4120 2272 5601 54578 9359 19490 10833 4544 12918 14483 19081 4888 1192 6469 8727 5401 345 11552 242684 total_cons_disease 10433 20144 9140 9664 53016 6863 4241 9233 67561 16501 30625 15140 7736 27704 23433 26847 7094 3086 12917 19644 8363 535 22655 412575 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.
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