Health Cluster May 2012 Outbreaks and communicable diseases

• Centralization of data for the past 3 months; Main causes of mortality: • 112 outbreaks reported; measles, pertussis, ARI, brucellosis (Hirat), CCHF (Helmand and Kunduz), Viral Hepatitis (Logar). • Almost 3000 patients during epidemics with 108 death; CFR close to 4%. • Most affected provinces: • 10 outbreaks/province; Balkh: 7 districts affected with Balkh (3) and Chadar Bolak (2) districts. Nangarhar; 6 districts affected (Bihsud 3, Goshta @) • 9 outbreaks/province: Herat; 8 districts Guzara (2; measles and brucellosis) • 8 outbreaks; Paktya3 districts; Gardez; 4 outbreaks; AliKhail 3. • 7 outbreaks ; Kandahar; 5 districts Spin Boldak (3, Pertussis and measles) • 6 outbreaks: Khost; 5 districts with Mando Zayi (2 outbreaks) • 5 outbreaks; Badakhshan, Paktika, Kunar 3districts Asadabad and Nurgali (each 2 out)– measles and CCHF.

Continuation

• AWD increasing trend continues

Comparison of reported percentage of AD cases between 11th and 17th weeks of 2012 in Afghanistan by Provinces sultations 16% con

14%

12% reported

10% total

e hh

t 8% Week11 6% among

week17 4%

2% ercentage

PP 0% Pul

Hirat Ghor Zabul Balkh Logar Kabul Farah Khost Kunar Kapisa Paktya Faryab Takhar Ghazni Nimroz Paktika Sari Kunduz Parwan Jawzjan Badghis Wardak Baghlan Bamyan Uruzgan Hilmand Nuristan Panjsher Laghman Daykundi Kandahar Samangan Nangarhar Badakhshan Provinces April

• 40 outbreaks; measles, pertussis, viral hepatitis, CCHF, • Most affected provinces: • Nangarhar (4 Districts, and Paktika, Herat, Kabul, Kandahar (only pertussis) , Kapisa, Khsost 2ith 2 outbreaks each Action points • Updates the 4Ws – done • Circulate the assessment form – need training? • IDP assessment in Kandar and Herat (not done) • Dissemination of Flood and AWD contingency –also stock • Circulate the contact list –in OCHA site and circulated today • Maps finalised – request for updating when necessary

**Details –In Handout High Risk Districts – Outbreaks ‐

Scoring Outbreak District name ** 316‐20 Ingil, Jajy Aryob, Mahmood Raqi, Kabul City, Ghazn i 210‐15 Gardez, Qala Naw, Behsud, Zheri, Andar, Maton Alisher, Mehterlan, Mazar, Tani 16‐9 Sabari, Sari pul, Kandahar, Deh Yak, Bamyan Admad Kheil, Waigal, Mahmandara, Qarhaee Mandozi, Kohistan 2, Pulikhomri, Kalat, Aibak Alirgarga , Chaadaardara, Gor buz, SSahahw alik ot Shindand, Guzara, Warax, Adraskam Chamkani, Shinwar, Alishang, Kohistan 1 01‐5 Aqcha, Gulram, Herat City, Miramoor

**Details –In Handout High districts for Measles

#Province10 outbreaks/5yr 5 outbreaks/5yrs 1 Paktya Chamkari, Jaji Aryob Ahmadkhil, Gardaz 2 Ghazni Ghazni City, Andar Deh Yak 3Hirat Adraskan, Injil Heart City, Shindand 4 Khost Sabari, Alisher Maton, Gorbuz, Sabari, Mandozi 5 Kabul Kabul City 6 Badghis Qala Naw 7 Kandahar Zheri 8 Kapisa Kohistan 1, 2 9 Laghman Alishang, Aligar 10 Nangarhar Behsud 11 Noristan Waigal 12 Saripul Saripul 13 Zabul Qalat