Weekly Epidemiological Bulletin

Ministary of public Health Papulation Electronic Disease Early Warning and Response System Primary Health Care Sector DG for Disease Contraol Surveillance

Volume 04, Issue 29, Epi week 29, 18 - 24 July 2016

H i g h l i g h t s eDEWS Reporting Rates vs Consultations in All Governorates, Epi weeks 1 to 29, 2016

96% 96% 96% 100% 96% 95%94 %94 %93 %95 %95 %95 % 95% 92%92 %93 %94 % 140,000 94%94 %96 %92 %94 95% % 95%95 % 90%87 % 90% 84% • During week no. 29, 2016; 87% (893/775) health facilities from 22 governorates provided 79%81 % 120,000

80% valid surveillance data. 70% 100,000 60% 80,000 50% 40% 60,000 30%

P e r c e n t a g e g a t n e c r e P 40,000 • The total number of consultations reported during the week in 22 governorates was 20% i a C l u s n o t s n o t 20,000 130914 compared to 122028 the previous reporting week. Acute respiratory tract infections 10% 0% - Lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this week. Reporting Rate Consultations

Distribution of Reporting Rates by Governorates (Epi-week 29 , 2016) • A total of 1040 alerts were generated by eDEWS system in week 29, 2016; Of these 771 100%

alerts were verified as true for further investigations with appropriate response. 80%

% % % % %

60% %

% %

96 96

100 100 100 100 100 100 92

40% 92

84 84

70 %

• Altogether 122 alerts for Upper Respiratory Infections, 120 Other acute diarrhea, 110 20% 56 35 0%

Lower Respiratory Infections, 87 Typhoid and Paratyphoid Fever, 81 Pertussis, 62 Malaria, et F p o. N R r o H s 51 Bloody diarrhea, 39 Measles, 30 Influeza Like Illness, 28 Dengue Fever, 9 Schistosomiasis, 8 Meningitis, 6 each for Mumps and Acute Flaccid Paralysis, 5 Severe Acute Respiratory

Infection, 2 each for Cut.Leishmaniasis, Acute viral hepatitis and Neonatal Tetanus, 1 Reporting Rate Target Diphtheria were received and responded in system generated.

• Online disease surveillance and response system was launched in 4 governorates (Aden, Abyan, Lahj and Taiz) in March 2013 and the expansion phase has stared in 6 Governorates (Sana'a City, Hodaidah, Hajjah, Ibb,Al-Mukalla and Sa'da ) in November 2013. The next expansion phase has 6 Governorates (Amran, Shabwah, Al-Mahrah, Sana'a Gov., HadramoutAl- wady and Dhamar).The last eDEWS expand in new 6 Governorates (Al- Baidha, Mareb, Al-Jawf, Al-Mahweet,Rayma and Al-Dhale).

Leading causes of morbidity and mortality in Epi-week 29, 2016 Suspected dengue outbreak in Al-Hodaidah, Lahj,Shabwah & Aden Gov., Epi weeks 1 to a). Suspected dengue outbreak 29, 2016

Suspected Dengue fever cases • 475 suspected dengue cases were reported in 15 governorates, out of these 98 cases 600 reported from Shabwah, 78 Cases from Al-Hodidah, 38 Cases from Aden and 21 Cases from Lahj, No cases with hemorrhagic manifestations were reported governorate 500

through the eDEWS system. 400

300

NO. of cases 200 • Surveillance is being intensified to ensure that the ongoing dengue outbreak is 100 effectively monitored and other priority communicable disease are reported through

alternative sources including private health facilities, mobile clinics, NGO partners on 0 the ground, health workers in the community, and the general public

Aden Lahj AlHodaidah Shabwah

Leading causes of morbidity and mortality in Epi-week 29, 2016 Proportional morbidity of leading priority diseases, Epi weeks 1 to 29, 2016 b. Other leading priority diseases

20.0% 18.0% • URTI (13.6%), suspected malaria (3.1%), OAD (8.4%) and LRTI (5.9%) remain the leading 16.0% 14.0% causes of morbidity representing a total of 31%. 12.0% 10.0% 8.0% 6.0% 4.0% 2.0%

• Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than 1% 0.0%

Wk 1 Wk 2 Wk 5 Wk 6 Wk 9 Wk Wk4 Wk7 Wk8

of total morbidity in reporting period. Bloody diarrhea represented 0.4% of this morbidity. Wk3

Wk10 Wk13 Wk14 Wk17 Wk18 Wk21 Wk22 Wk25 Wk26 Wk29 Wk 11 Wk 12 Wk 15 Wk 16 Wk 19 Wk 20 Wk 23 Wk 24 Wk 27 Wk 28 DD URTI S.Malaria LRTI

LRTI 6.2% OAD 8.8% • All diarrheal disease comprised 8.8% and LRTI 5.9% of total morbidity in Pilot URTI 14.3% BD 0.5% Sch 0.1% Governorates this week. Mal 3.2% Rb 0.1% AVH 0.2% Other_Disease Tuberculosis 0.0% 63.8% Mumps 0.1% • All diarrheal disease comprised 8.8% and LRTI 5.9% of total morbidity in all age group. HIV/ AIDS 0.0% Brucellosis 0.2% Guinea Worm 0.0% Chicken Pox 0.1%

URTI=Upper respiratory infections; LRTI=Lower Respiratory Infections; ILI=Influeza Like Illness; OAD=Other acute diarrhea; BD=Bloody diarrhea; Susp. Cholera; SARI=Severe Acute Respiratory Infection; Typh=Typhoid and Paratyphoid Fever; Mumps; Sch=Schistosomiasis; Mal=Malaria; Rb=Rabies; AVH=Acute viral hepatitis; Meng=Meningitis; DF=Dengue fever; VHF=Viral hemorrhagic fever; Meas=Measles; CL=Cutaneous Leishmaniasis; Pert=Pertussis; Diph=Diphtheria; NNT=Neonatal Tetanus

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 1 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Weekly trends of Diarrheal Diseases, Upper Respiratory infections, Suspected Malaria and Lower Respiratory infections ( Epi week 1 to 29, 2015 & 2016)

DD 2015 URTI 2015 S.MAL 2015 LRTI 2015 Diarrheal Diseases DD 2016 URTI Sus.Malaria LRTI URTI 2016 S.MAL 2016 LRTI 2016 25.0% 20.0% 8.0% 7.0%

18.0% 7.0% 6.0% 20.0% 16.0% 6.0% 14.0% 5.0% 5.0% 15.0% 12.0% 4.0% 10.0% 4.0% 3.0% 10.0% 8.0% 3.0% 6.0% 2.0% 2.0% 5.0% 4.0% 1.0% 2.0% 1.0%

0.0% 0.0% 0.0% 0.0%

Wk Wk 1 Wk 7 Wk 4

Wk Wk 1 Wk 3 Wk 5 Wk 7 Wk 9

Wk Wk 1 Wk 7 Wk 4

Wk 4 Wk Wk 1 Wk 7 Wk

Wk 10 Wk 13 Wk 19 Wk 22 Wk 25 Wk 28 Wk 34 Wk 37 Wk 40 Wk 46 Wk 49 Wk 52 Wk 16 Wk 31 Wk 43

Wk Wk 11 Wk 13 Wk 15 Wk 19 Wk 21 Wk 23 Wk 27 Wk 29 Wk 31 Wk 35 Wk 37 Wk 39 Wk 41 Wk 43 Wk 45 Wk 47 Wk 49 Wk 53 Wk 17 Wk 25 Wk 33 Wk 51

Wk 10 Wk 13 Wk 19 Wk 22 Wk 25 Wk 31 Wk 34 Wk 37 Wk 43 Wk 46 Wk 49 Wk 16 Wk 28 Wk 40 Wk 52

Wk 10 Wk 13 Wk 19 Wk 22 Wk 28 Wk 34 Wk 37 Wk 43 Wk 46 Wk 52 Wk Wk 16 Wk 25 Wk 31 Wk 40 Wk 49 Wk

Age and Sex distribution of total consultations of leading diseases (Epi week 29, 2016) Vaccine preventable diseases in Epi-weeks 1 to 29, 2016 (28th Dec 2015 to 24th July 2016)

No.# of Cases Total No.# of Greater Than Total No.# of Diseases Less Than Five 30000 Wk-29 Cases Five Alerts

Measles 80 1422 882 540 921 25000

20000 Diphtheria 1 6 6 0 3

15000 Pertussis 345 4154 2689 1465 1180

10000 Number of Consultations of Number Acute Viral Hepatitis 191 5574 2574 3000 216 (A & E) 5000 Acute Flaccid 7 338 174 164 196 Paralysis 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Meningitis 61 1371 857 514 157 Male 7980 10625 12368 19107 9858 Female 7582 10336 12866 26561 14600 Mumps 88 1586 737 849 124

Distribution of consultations of leading diseases by Governorates, Epi week 29

Sana'a Al- Hadramout Al- Al- Suspected Disease Lahj Aden Abyan Taiz Hadramout Ibb Hodidah Hajjah Amana Sa'da Amran Shabwah Dhamar Mareb Al-Jawf Rayma Al-Dhale Total Gov. Mahrah wady Baidha Mahweet

Upper Respiratory Infections 612 1997 746 1678 809 999 1792 395 897 992 387 676 615 354 763 1462 508 431 176 454 313 700 17756

Lower Respiratory Infections 271 301 348 1228 282 370 1033 129 522 236 396 209 272 108 135 570 256 242 138 193 159 382 7780

Other Acute Diarrhea 248 863 300 860 360 787 1318 216 663 661 624 572 363 186 272 771 317 302 244 335 228 481 10971

Bloody Diarrhea 4 2 3 3 5 60 52 6 4 15 27 8 23 1 4 16 49 66 51 79 33 76 587

Susp. Cholera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Schistosomiasis 3 0 0 1 0 7 4 13 15 2 21 5 0 0 0 5 2 7 22 40 22 9 178

Malaria 3 61 3 8 0 170 1964 898 7 60 140 18 47 2 0 190 10 148 58 145 102 14 4048

Meningitis 0 4 0 12 1 2 7 1 6 0 5 0 0 0 0 10 2 7 0 0 0 4 61

Dengue Fever 38 21 29 112 13 0 78 34 3 0 0 0 98 1 6 1 0 35 0 0 1 5 475

Viral Hemorrhagic Fever 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rabies 0 0 0 7 0 4 1 26 20 0 19 0 0 0 0 24 0 0 1 1 0 6 109

Measles 1 4 0 3 0 6 0 3 23 11 5 4 0 0 2 1 0 8 2 3 3 1 80

Acute Viral Hepatitis (A & E) 4 6 0 68 6 14 1 0 38 6 5 0 2 0 8 20 1 1 0 4 1 6 191

Neonatal Tetanus 0 0 0 19 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20

Acute Flaccid Paralysis 1 0 0 0 0 0 0 1 2 0 1 0 0 0 0 1 0 0 0 1 0 0 7

Cutaneous Leishmaniasis 3 0 0 0 1 1 0 6 2 1 5 5 0 1 2 8 0 3 2 0 9 4 53

Diphtheria 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1

Pertussis 4 6 0 68 6 14 1 0 38 6 5 0 2 0 8 20 1 1 0 4 1 6 191

Influeza Like Illness 0 0 0 19 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20

Severe Acute Respiratory Infection 0 0 9 10 0 0 0 0 0 0 10 0 0 0 0 50 17 0 0 0 2 1 99

Typhoid and Paratyphoid Fever 11 15 1 30 29 247 259 198 47 59 95 162 48 13 9 504 163 36 222 114 68 14 2344

Mumps 0 6 0 0 7 1 8 1 15 3 1 0 1 0 2 3 1 16 3 2 7 11 88

Tuberculosis 0 3 1 0 2 1 2 2 6 0 0 3 0 0 0 0 7 1 1 0 0 0 29

HIV/ AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Brucellosis 0 0 2 3 0 9 8 1 4 0 5 0 0 0 0 12 34 38 81 18 1 0 216

Chicken Pox 0 0 12 1 2 2 27 0 4 0 6 7 2 0 0 12 0 9 0 7 15 12 118

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

Other_Disease 1781 5193 1595 7315 4567 4332 9360 1846 15869 2910 2548 1418 2038 883 2024 7389 734 1561 883 1560 461 3267 79534

Total_Consultations 3011 8508 3204 11486 6111 7043 15502 3787 18154 5003 4355 3132 3596 1552 3235 16450 2312 3058 1886 2993 1488 5048 130914

Number of alerts & outbreaks reported and investigated with appropriate response Number of Alerts Received and Responded (Epi weeks 26 and 29, 2016)

2016 Current week 29, 2016 System Gen. Alerts (week 29) Diseases Alers Outbreaks Alers Outbreaks TRUE FALSE S.Measles S.Pertussis AFP LRTI Mal Meningitis S.Measles 921 0 43 0 39 4 S.Pertussis 1180 0 92 0 81 11 C.Leish Sch BD OAD S.Dengue URTI AVH 216 0 5 0 2 3 AFP 196 0 6 0 6 0 ILI SARI Typhoid F Mumps LRTI AVH LRTI 975 0 165 0 110 55 NNT 35 0 2 0 2 0 250 Mal 788 0 85 0 62 23 Meningitis 157 0 10 0 8 2 C.Leish 141 0 3 0 2 1 200

Sch 141 0 9 0 9 0 BD 713 0 70 0 51 19 OAD 1029 0 154 0 120 34 150 S.Dengue 1006 4 39 0 28 11

URTI 797 0 162 0 122 40 Alerts of No. VHF 70 0 0 0 0 0 Susp. Cholera 0 0 0 0 0 0 100 Diph 3 0 1 0 1 0 Rb 1 0 0 0 0 0 ILI 247 0 50 0 30 20 50 SARI 69 0 8 0 5 3 Typhoid F 1950 0 103 0 87 16 Mumps 124 0 12 0 6 6 0 Unusual_Disease 24 0 21 0 0 21 Other Diseases 0 0 0 0 0 0 Total 10783 4 1040 0 771 269

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 2 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Reporting of health facilities , No.# of districts and patients consultations in week 29, 2016

Al- Al- Hadramout Sanaa Abyan Aden Al-Baidha AlHodaidah Al-Jawf Amana Amran Dhamar Hadramout Hajjah Ibb Lahj Mareb Rayma Sada Shabwah Taiz Al-Dhale Mahra Mahweet wady Governorate

No.# Of Districts 4 8 19 26 12 8 9 10 20 10 12 10 24 15 14 14 6 15 16 17 14 9

No.# Of Reps. Wk-29 16 25 35 131 36 20 60 25 24 25 50 23 23 23 25 17 72 21 25 30 19 50

Patients Cons. 3204 8508 2312 15502 1886 1552 2993 18154 4355 16450 6111 3235 3787 7043 3011 3058 1488 5003 3132 3596 11486 5048

Alerts were reported and appropriate measures were taken in week 29, 2016.

True Alerts

Governorate AFP BD CL df ILI LRTI Mal Meas Meng Mumps NNT OAD Pert SARI Sch Typh URTI AVH Diph Total

Aden 0 0 0 2 0 1 1 4 1 0 0 6 5 0 0 1 7 0 1 29

AlHodaidah 0 8 0 10 6 25 25 0 1 1 1 34 7 0 0 12 28 0 0 158

Al-Jawf 0 8 0 0 0 11 2 1 0 1 0 5 1 0 1 16 8 0 0 54

Al-Mahra 0 0 0 0 0 4 1 0 0 0 0 5 1 0 0 0 7 0 0 18

Al-Mahweet 1 10 0 0 2 4 3 2 0 0 0 10 1 0 3 6 7 0 0 49

Amana 1 0 0 0 1 4 2 12 1 3 0 4 5 0 1 4 1 1 0 40

Amran 1 3 0 0 0 2 5 3 1 0 0 7 7 0 3 5 3 0 0 40

Dhamar 1 1 1 0 1 8 4 1 2 0 0 4 4 0 0 11 5 1 0 44

Hadramout 0 0 0 1 0 0 0 0 0 1 0 0 3 0 0 2 0 0 0 7

Hadramout wady 0 1 0 0 0 6 0 2 0 0 0 6 4 0 0 0 8 0 0 27

Hajjah 1 0 1 3 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 8

Ibb 0 4 0 0 0 0 0 3 0 0 0 1 3 0 0 5 3 0 0 19

Lahj 1 0 0 6 0 0 1 1 0 0 0 0 4 0 0 0 0 0 0 13

Rayma 0 3 0 0 5 13 10 1 0 0 0 14 1 1 0 4 13 0 0 65

Sada 0 1 0 0 0 0 1 4 0 0 0 1 6 0 0 3 0 0 0 16

Sanaa Governorate 0 0 0 0 2 4 0 2 0 0 0 2 1 0 0 6 5 0 0 22

Shabwah 0 3 0 6 4 11 2 0 0 0 0 7 4 0 0 3 10 0 0 50

Taiz 0 0 0 0 0 0 1 2 2 0 1 0 1 0 0 0 0 0 0 7

Al-Baidha 0 5 0 0 9 12 4 0 0 0 0 13 17 4 0 9 15 0 0 88

Mareb 0 4 0 0 0 4 0 0 0 0 0 1 5 0 0 0 2 0 0 16

Al-Dhale 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1

Total 6 51 2 28 30 110 62 39 8 6 2 120 81 5 9 87 122 2 1 771

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 3 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

eDEWS team contacted focal point, information shared; the case was diagnosed clinically using AFP Lahj Al Hawtah Ibn Khaldoon Hospital 1 0 case definition. Stool sampls were collected & sent to sana,a lab

Ibn Khaldoon Hospital,Alraha Health Al Hawtah,Al Unit,Alsharif Health Center,Saber df Lahj Milah,Tuban,Tur Al eDEWS team contacted focal point, information shared;Field investigation and response is ongoing 37 0 HC,Alfayosh Health Unit,Alfayosh Bahah Health Unit

Mal Lahj Tuban Alsharif Health Center eDEWS team contacted focal point, information shared;case was MPs positive, tested by microscope 1 0

eDEWS team contacted focal point, information shared; the case was diagnosed clinically using Meas Lahj Al Milah Almilah Hospital 1 0 case definition

Al Almosaimir Hospital,Radfan Pert Lahj Musaymir,Radfan,T Hospita,Alsharif Health Center,October Focal point was contacted, cases diagnosed clinically and treated by antibiotic 7 0 uban,Yaffa General Hosp.

Ash Shaikh eDEWS team contacted FP, cases diagnosed clinically and 1 death were reported about death 11m df Aden Al-Wahdah Hosp.,Al-Tawahi Pol. Cl. 11 1 Outhman,Attawahi M from kerater die on the next day of admission on 24/7

eDEWS team contacted FP, 1 case was reported, not vaccinated , diagnosed clinically, sample not Diph Aden Al Mansura Hashed Pol.Cl collected because no transport media, antibiotic was given ,follow up the case was done, the pt was 1 0 improved

eDEWS team contacted FP, the mean calculated cases of the last 3 weeks twice, all simple cases, LRTI Aden Siera Al-Maidan Pol. Cl. 24 0 diagnosed clinically

Ash Shaikh eDEWS team contacted FP, cases diagnosed clinically,one death admitted and die on the same Mal Aden Al-Wahdah Hosp. 15 1 Outhman day 24 / 7/2016

Al Buraiqeh,Al Al-Shaab Pol. Cl.,Hawilat eDEWS team contacted FP, 1 case was reported, 14y F from shaab, vaccinated, sample was Meas Aden Mansura,Dar Dispensary,Al- Basateen Charitable 4 0 collected and investigation forum done Sad,Khur Maksar center,Khor-Maksar Pol. Cl.

eDEWS team contacted FP, 2 cases and 1 death were reported, all less than 5y, 2 of them from Ash Shaikh Meng Aden Al-Wahdah Hosp. aden , about death 11m M from ALMANSOORA, diagnosed clinically die on the same day of 2 1 Outhman admission 20/7 , LP not done for all,

Al Buraiqeh,Ash Al-Shaab Pol. Cl.,Al-Buraiqah Pol. Shaikh Cl.,Al-Shaik Othman Pol.cl,Dar Saad eDEWS team contacted FP, the mean calculated cases of the last 3 weeks twice, all simple cases, OAD Aden Outhman,Dar 145 0 Pol. Cl.,Khor-Maksar Pol. Cl.Al-Qateea diagnosed clinically Sad,Khur Pol. Cl. Maksar,Siera

Al Buraiqeh,Al Beer Ahmed MCH center,Hawilat Mansura,Ash Dispensary,Al-Wahdah Hosp.,Dort Al- eDEWS team contacted FP, 3 cases were reported, 2 of them above 5y, diagnosed clinically, not Pert Aden 11 0 Shaikh Dar Hosp.,Al- Basateen Charitable vaccinated , field investigation done 1 week before Outhman,Dar Sad center

Typh Aden Al Buraiqeh Al-Heswa Pol. eDEWS team contacted FP, 6 cases were reported, all adults, diagnoses depending on widal test 6 0

Al Buraiqeh,Al Al-Heswa Pol. Cl.,Al-Khaisah Clinic,Al- Mansura,Ash Heswa Pol. Cl.,Al-Shaab Pol. eDEWS team contacted FP the mean calculated cases of the last 3 weeks twice, all simple cases, URTI Aden 486 0 Shaikh Cl.,Hashed Pol.Cl,Kod Al-Othman Cl.,Al- diagnosed clinically Outhman,Dar Sad Shaik Othman Pol.cl,Dar Saad Pol. Cl.

eDEW S team contacted focal point. Cases diagnosed by case definition. Blood samples were df Hadramout Al Mukalla City Ibn Sina Hospital 8 0 collected . outdoor spray and health education activities are ongoing.

eDEWS team contacted focal point. Cases were diagnosed clinically by case definition. Mumps Hadramout Hajr Hajr Hospital 6 0 Symptomatic treatment was given

Al Mukalla MCH Mukalla,Alalyb Health Unit,Hajr eDEWS team contacted focal point. The case was diagnosed clinically depending on cases Pert Hadramout City,Ghayl Bin 5 0 Hospital definition. Symptomatic tratment was given Yamin,Hajr

Al Mukalla eDEWS team contacted focal point . Cases were diagnosed clinically depending on widal test. No Typh Hadramout MCH Mukalla,Hajr Hospital 14 0 City,Hajr culture was done. Casese were not found as a cluster.Symptomatic treatment was given

Al Hawak,Al AlAmal Hospital,Galil Center,AlAksa Focal point was contacted , the suspected DF cases had a history of high fever , retro- bulbar pain Khawkhah,Al Hospital,Motherhood and Childhood ,myalgia and arthralgia, cases were diagnosed clinically. Medications have been started, samples df AlHodaidah Qanawis,As Center,ALlageuin center,Al Qanawis 50 0 were collected in their lab and diagnosed depend on blood indices ( C.B.C)and antibodies,No cluster Sukhnah,Bajil, Hospital,As Sukhnah Hospital,Isra of cases Zabid Hospital,AL moqer center

eDEWS coordinator contacted focal. case were diagnosed as clinically suspected AFP. Field AFP Amran Khamir Al Salam Hospital 1 0 investigation was done and stool samples were collected and will be sent to the central lab. in sanaa

Al Madan,Habur Al Madan Hospital,Habur Zulaymah eDEWS team contacted focal point. Cases were diagnosed clinically and by lab as amoebic and BD Amran 13 0 Zulaymah,Suwayr Hospital,Al Gnaya Center bacterial infection. Appropriate treatment was given

eDEWS team contact focal point. case were diagnosed as suspected LRTI. Appropriate treatment LRTI Amran Raydah,Thula Raydah Hospital,Thula Hospital 8 0 was given.

Amran,As Amran General Hospital,As Sudah Sudah,Bani eDEWS team contact focal point. Cases were diagnosed clinically and by lab as suspected Mal. Mal Amran Hospital,Al Sanania Center,Harf Sufyan 36 0 Suraim,Harf Appropriate treatment was given Hospital,Huth Hospital Sufyan,Huth

Amran,Khamir, Amran General Hospital,Al Salam eDEWS team contact focal point. Case were diagnosed clinically as suspected Measles. Sample Meas Amran 3 0 Thula Hospital,Thula Hospital were collected to be send to central lab in sana'a.

eDEWS team contact focal point. cases were diagnosed as suspected Meng. Appropriate treatment Meng Amran Khamir Al Salam Hospital 4 0 was given.

Al Madan,As Al Madan Hospital,As Sudah Hospital,Al Sudah,Bani Sanania Center,Al Srarah eDEWS team contact focal point. cases were diagnosed as suspected OAD. Appropriate treatment OAD Amran Suraim,Jabal Iyal 129 0 Center,Kharif Hospital,Raydah was given. Yazid,Kharif,Shaha Hospital,Shahara Center rah,Raydah

Al Madan,Amran, Al Madan Hospital,Amran General Bani Suraim,Huth, Hospital,Al Sanania Center,Huth eDEWS team contacted focal point. cases were diagnosed clinically as suspected pertussis. Pert Amran 15 0 Khamir,Kharif, Hospital,Al Salam Hospital,Kharif Appropriate treatment was given. Raydah Hospital,Raydah Hospital

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 4 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

Al Madan,Al Al Madan Hospital,Al Qaflah Hospital,Al eDEWS team contact focal point. cases were diagnosed as clinically as suspected schistosomiasis. Sch Amran 16 0 Qaflah,Suwayr Gnaya Center and lab confirmed Appropriate treatment was given.

Amran,Bani AL Makhedi Hospital,Al Sanania Suraim,Dhi eDEWS team contacted focal point. Cases were diagnosed clinically and by lab as suspected Typh. Typh Amran Center,Dhi Bin Hospital,Harf Sufyan 64 0 Bin,Harf Symptomatic treatment was given. Hospital,Al Hekmah Dispensary Sufyan,Raydah

Bani Suraim,Iyal Al Sanania Center,Sahab Hospital,Al eDEWS team contact focal point. cases were diagnosed as suspected URTI. Appropriate treatment URTI Amran Surayh,Jabal Iyal 50 0 Srarah Center was given. Yazid

Sanaa Bani Lamdha Center ( Bait Al hamam ), ILI The cases diagnosed clinically according to the case definition and given appropriate treatment 38 0 Governorate Dhabyan,Hamdan Shamlan Hospital

Sanaa Arhab,Hamdan, Awmara Hospital,22 May Hospital LRTI The cases diagnosed clinically according to the case definition and given appropriate treatment. 110 0 Governorate Safan,Sanhan ,Shafan Medical Center,Al Amal Center

Sanaa Al Dhwra Shaheed Hospital,Al wheda The cases diagnosed clinically according to the case definition blood sample collected and sent to Meas Jihanah, Manakhah 4 0 Governorate Hospital the central lab

Sanaa Al Haymah Al Al Sabet Sowq Center,Shafan Medical OAD edews team contacted focal point cases we're diagnosed clinically and by lab treatment was given 20 0 Governorate Kharijiyah,Safan Center

Sanaa Al Haymah Al The case are suspected according to case definition and the case vaccinated .appropriate treatment Pert Al Manar Hospital 1 0 Governorate Kharijiyah given to case.

Hazm Health Center,Awmara Arhab,Bani Sanaa Hospital,Hospital Authority Sep 26,22 edews team contacted focal point cases were diagnosed clincally and by widal test in lab and Typh Matar,Hamdan,Man 144 0 Governorate May Hospital ,Al wheda Hospital treatment was given. akhah,Sanhan ,Althaher Hospital

Al Haymah Ad Dakhiliyah, Sanaa Al Salaf Health Center,Hospital URTI Arhab,Bani The cases diagnosed clinically according to the case definition and given appropriate treatment. 269 0 Governorate Authority Sep 26 .,Awmara Hospital Matar,Hamdan, Jihanah

Al Bayda,Dhi Dar Al Shefa`a ,DHi Na`im Center,Al eDEWS coordintor vist and contacted focal point all cases confirmed lab ammebia diagnosed BD Al-Baidha Na'im,Rada',Radma Salaam Hospita,AL Hashaa Jad'aan 37 0 clinically treatments give anti ammebia has been start n Al Awad,Sabah center,Radem Health Center

Al Bayda,Al Al Heah Hospital ,Althahikee Unit,Al Malagim,As Kawaàh Health Unit,As Sawadiyah eDEWS coordintor vist and contacted focal point all cases diagnosed clinically treatments has been ILI Al-Baidha Sawadiyah,As Center,As Sawmaàh Health 39 0 start Sawma'ah,Maswara Center,Dathran Unit,Barkan h,Mukayras Unit,Marthaàh Unit,Mukayras Hospital

Al Bayda,Al Di Wayen Unit,Althahikee Unit,Al Malagim,Ar Kawaàh Health Unit,Alkhraàb Health Ryashyyah,As Center,As Sawadiyah Center,Aween eDEWS coordintor vist and contacted focal point all cases diagnosed clinically treatments has been LRTI Al-Baidha Sawadiyah,As Health Cente,As Sawmaàh Health 116 0 start Sawma'ah,At Center,Al zon Unit,AZ Zahir Health Taffah,Az Center,Areeb Health Center,Barkan Zahir,Mukayras Unit, Marthaàh Unit

Areeb Health Center,Naman Mukayras,Naman,R eDEWS coordintor vist and contacted focal point all cases confirmed lab positive flack diagnosed Mal Al-Baidha Center,Awreeb Hospital,Radem Health 10 0 ada' ,Sabah clinically treatments give antimalria has been start Center

Di Wayen Unit,AlKisee Hospital,Al Heah Hospital,Althahikee Unit ,Al Al Bayda,Al Kawaàh Health Unit,Alkhraàb Health Malagim,Ar eDEWS coordintor vist and contacted focal point all cases confirmed lab bactiria treatments OAD Al-Baidha Center,Al zon Unit,AZ Zahir Health 130 0 Ryashyyah,At antibacterial drugs has been start Center,Dathran Unit,Areeb Health Taffah,Az Zahir Center,Marthaàh Unit,Naman Center,Awreeb Hospital

AlKisee Hospital,Al Zahraà Hospital,Al Al Bayda,Al Heah Hospita,Althahikee Unit,Dar Al Malagim,Ar Shefaà ,Al Kawaàh Health Ryashyyah,As Unit,Alkhraàb Health Center,As Sawadiyah,As Sawadiyah Center,Aween Health eDEWS coordintor vist and contacted focal point all cases diagnosed clinically treatments has been Pert Al-Baidha 89 0 Sawma'ah,Az Center,As Sawmaàh Health Center,AZ start Zahir,Maswarah,Mu Zahir Health Cente,Dathran kayras,Naman, Unit,Dathran Unit,Marthaàh Rada' Unit,Naman Center,Awreeb Hospital,Al Sabah Hospital

Al Heah Hospital ,Althahikee eDEWS coordintor vist and contacted focal point all cases confirmed lab and cx diagnosed clinically SARI Al-Baidha Al Bayda,Mukayras 9 0 Unit,Barkan Unit,Martha`ah Unit treatments has been start

Al Bayda,Al Al Heah Hospital ,Al Kawaàh Health Malagim,Ar Unit,Alkhraàb Health Center,As Ryashyyah,As Sawadiyah Center,As Sawmaàh eDEWS coordintor vist and contacted focal point all cases confirmed lab positive diagnosed clinically Typh Al-Baidha 116 0 Sawadiyah,As Health Center,Dathran Unit,Mukayras treatments has been start Sawma'ah,Maswara Hospital,Al Salaam Hospital,Alamal h,Mukayras, Rada' Hospital.

Di Wayen Unit,Al Zahraà Hospital,Al Al Bayda,Al Heah Hospita,Althahikee Unit,Al Malagim,Ar Kawaàh Health Unit,Alkhraàb Health Ryashyyah,As Center,Aween Health CenterAl nasefa eDEWS coordintor vist and contacted focal point all cases diagnosed clinically treatments has been URTI Al-Baidha 199 0 Sawma'ah,Az Hospital,AZ Zahir Health start Zahir,Maswarah,Mu Center,Dathran Unit,Areeb Health kayras Center,Barkan Unit,Marthaàh Unit,Naman Center,Awreeb Hospital

Qishn Country Hospital,Sayhut Country eDEWS team contact Edews focal point . cases diagnosis according to case defination as some LRTI Al-Mahra Qishn,Sayhut Hospita,Al Amal Clinic,Modern medical 52 0 cases as bronchitis and pnemonia,Appropriate treatment was given to cases clinic

eDEWS team contact Edews focal point . cases diagnosis according to case Malaria ,and by lab ( Mal Al-Mahra Al Ghaydah Salamatak Private Clinici 2 0 +ve MPS ) . Appropriate treatment wes given to cases

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 5 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

Huswain Health Centre ,Al wadi Health Huswain,Sayhut,Sh eDEWS team contact Edews focal point . cases diagnosis according to case defination as diarhorea OAD Al-Mahra Unit,Al Amal Clinic,Modern medical 60 0 ahan ,and by lab ( amebiasis and shigelosis ) . Appropriate treatment wes given to cases clinic,Shahan Health Centre

eDEWS team contact Edews focal point . cases diagnosis according to case defination , first case Pert Al-Mahra Sayhut Al Amal Clinic is female 3.5 years , unvaccinated , second case was male 8 years vaccinated . third case was mele 3 0 5 years , vaccinated Appropriate treatment wes given to cases

Al Al Ais Health Centre,Huswain Health eDEWS team contact Edews focal point and then visit of health clinic. cases diagnosis according to Masilah,Huswain,Qi Centre ,Qishn Country Hospital,Al Amal URTI Al-Mahra case defination as some cases as pharengitis ,tonsilitis and other otitis media . there are no cluster 223 0 shn,Sayhut, Clinic,Modern medical clinic,Ataab of cases ,Appropriate treatment wes given to cases Shahan Health unit,Shahan Health Centre

eDEWS coordintor contacted focal point . Case was diagnosed clinically as suspected AFP. AFP Dhamar Dhamar City Al Mogalee & ALGumah Dispensary 1 0 Treatment was given.

eDEWS coordintor visted and contacted focal point . All cases were diagnosed clinically and by lab AVH Dhamar Dhamar City AlMasli Hospital 10 0 as suspected AVH. Treatment was given

eDEWS coordintor contacted focal point. Cases diagnosed clinicaly. the lab result shows amoebic BD Dhamar Dhamar City AlMasli Hospital 10 0 and Giardia. Treat ment was given

eDEWS coordintor contacted focal point. all cases diagnosed clinically and by alab.all result were CL Dhamar Utmah AlMedan Center 6 0 postive

eDEWS coordintor contacted focal point . Cases were diagnosed clinically as suspected ILI. ILI Dhamar Utmah 26 September hospital 2 0 Treatment was given

Dr/Mohamed Mayas clinic ,Dr. Khaled BaWazir Clinic,General Dhamar Hospital Authority ,Al Helal AlAhmer Dhamar eDEWS coordintor contacted focal point. Cases diagnosed clinicaly. Not any changes or any LRTI Dhamar Center ,Al Mogalee & ALGumah 340 0 City,Jahran,Utmah indicator for the existence of the cause of illness .treatment was given Dispensary,Maabr University Hospital,AlMedan Center,26 September hospital

Dar AlShefa Hospital ,Al Helal AlAhmer eDEWS coordintor contacted focal point . case were diagnosed clinically as suspected Mal Mal Dhamar Dhamar City,Utmah Center ,Al Mogalee & ALGumah 21 0 Treatment was givenTrue Dispensary,26 September hospital

eDEWS coordintor contacted focal point . he found case diagnosed clinicaly .unvaccintion .sampl Meas Dhamar Dhamar City Al Helal AlAhmer Center 1 0 collected Treat ment was given

General Dhamar Hospital Authority , eDEWS coordinter contacted focal point , cases tested in lap after done lp .but result a normal of all Meng Dhamar Dhamar City 9 1 AlMasli Hospital ..6 Not confirmed in lab. Treat ment was given dead case also suspected Meng.

AlTalbee Center,Dr/Mohamed Mayas eDEWS coordintor contacted focal point. Cases diagnosed clinicaly. Not any changes or any OAD Dhamar Anss,Dhamar City clinic,AlHumeat Center,General 370 0 indicator for the existence of the cause of illness .treatment was given Dhamar Hospital Authority

Albaradouny hospital ,Taibah Al Hada,Dhamar eDEWS coordintor contacted focal point . Cases were diagnosed clinically as suspected pert. All Pert Dhamar Dispensary,General Dhamar Hospital 15 0 City,Jahran cases taken viccain and same family.Treatment was givenTrue Authority,Maabr Dispensary

Hamam Ali Hospital,AlAqwa`a Dispensary,Dar AlShefa Al Manar,Dawran Hospita,Dr/Mohamed Mayas clinic , Aness,Dhamar AlMasli Hospital ,Dr. Khaled BaWazir eDEWS coordintor contacted focal point . All cases were diagnosed clinically and by lab as Typh Dhamar 472 0 City,Jabal Ash Clinic ,General Dhamar Hospital suspected typh. Treatment was given sharq,Jahran Authority,Al Helal AlAhmer Center , Madeena Alsharq Hospital,Maabr University Hospital

Dhamar Dr. Khaled BaWazir Clinic,AlHumeat eDEWS coordintor visted site and contacted focal point. Cases diagnosed clinicaly. Not any URTI Dhamar City,Mayfa'at Center ,Al Helal AlAhmer Center ,Garf 197 0 changes or any indicator for the existence of the cause of illness .treatment was given Anss,Utmah AlSabeel Center,AlMedan Center

eDEWS coordinator contacted focal point, information was shared. The case was diagnosed AFP Al-Mahweet Al Khabt alkhabt Alrefee Hospital clinically according to case definition. Female thier age 6 year's. the samples was collected and 1 0 send to center for lab confirmation..

Dr.Alashmoree Clinic,Alamomah Al Mahwait City,Ar Center,Alhelal Center,Alsanhani Rujum,Hufash,Milha Clinic,Sahal Baqeel Health Unit,Alrafa`a eDEWS coordinator contacted focal point, information was shared. Cases diagnosed clinically and BD Al-Mahweet 54 0 n,Shibam Dispensary,Hufash Hospita,Altharee confirmed by lab (stool exam ) Appropriate treatment given according to severity of symptoms Kawkaban Azan Health Unit,Mlhan Health Center,shibam Alrefee Hospital

eDEWS coordinator contacted focal point, information was shared. all cases was diagnosed At Tawilah,Shibam Altwakol Alahlee Dispensary,shibam ILI Al-Mahweet clinically according to case definition. appropriate treatment was given according to severity of 23 0 Kawkaban Alrefee Hospital symptoms.

Al Mahwait,Al Noaman Health Unit,Howah Health eDEWS coordinator contacted focal point, information was shared. the case was diagnosed LRTI Al-Mahweet Mahwait City,Bani Center,Alamomah Center,Bit Lslath clinically according to case definition. and not confirmed by the chest-X-ray. appropriate treatment 29 0 Sa'd, Hufash Health Unit was given.

eDEWS team contacted focal point, information was shared. all cases was diagnosed clinically Bani Sa'd,Hufash, Gomah Sareh Health Cente,Altharee according to case definition. and about 42 cases was investigated by rapid test and blood film and Mal Al-Mahweet 49 0 Milhan Azan Health Unit,Mlhan Health Center about 16 cases was positive falciparim malaria. appropriate treatment was given according to severity of symptoms.

eDEWS team contacted focal point, information was shared. the case was diagnosed clinically Al Khabt,Shibam alkhabt Alrefee Hospital,shibam Alrefee Meas Al-Mahweet according to case definition. She is female thier age 6 year and she was vaccinated against 3 0 Kawkaban Hospital measelse, samples was collected for lab confirmation.

Tahamh Health Unit,Sooq Alahaed Al Mahwait,Al Health Unit,Alsefa`a Mahwait City,Ar Dispensary,Alhieah Center,Alashowl eDEWS coordinator contacted focal point, information was shared. Cases diagnosed clinically and OAD Al-Mahweet Rujum,Bani Dispensary, Gomah Sareh Health 67 0 confirmed by lab (stool exam ) Appropriate treatment given according to severity of symptoms Sa'd,Milhan, Cente,Bani Hamadi Health Unit,Knanah Shibam Kawkaban Health Unit,Bani Maka`ar Unit,Alzubireat Health Unit

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 6 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

eDEWS team contacted focal point, information was shared. the case was diagnosed clinically Pert Al-Mahweet Al Mahwait City Al-Gomhori Hospital according to case definition. Male thier age one year was vaccinated against pertussis.he is 1 0 suffering from malnutrition. The case was treated by antibiotics.

Al Mahwait City,Ar Al-Gomhori Hospital,Ebin Alhaitam eDEWS coordinator contacted focal point, information was shared. all cases was diagnosed Sch Al-Mahweet Rujum,Shibam 22 0 Dispensary,Alahjor Center clinically according to case definition. and confirmed by lab. appropriate treatment was given . Kawkaban

Dr.Alashmoree Clinic,Alsefa`a Al Mahwait City,Ar Dispensary,Ar Rujum Alreefe Rujum,Bani all cases were diagnosis clinicallying depending on widal test on diagnosis. No culture done all cases Typh Al-Mahweet Hospital,Gomah Sareh Health 42 0 Sa'd,Shibam were treated by antibiotics Center,Alahjor Center,shibam Alrefee Kawkaban Hospital

Al Khabt,Al Alsha`afeel Alsuflah Health Unit,Alhagol Mahwait,Ar Health Unit,Alashowl eDEWS coordinator contacted focal point, information was shared. all cases was diagnosed URTI Al-Mahweet Rujum,At Dispensary,Almoaleg Bel qura`an / clinically according to case definition. appropriate treatment was given according to severity of 79 0 Tawilah,Shibam Alsrar,Alhieah Center,Altaweelah symptoms. Kawkaban Center,Alzubireat Health Unit

eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Meas. Samples Meas Taiz Salh MSF Hospital, and Al-Thawrah Hospital 3 0 were collected to be send

Salh and Al eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as as suspected Meng Taiz MSF Hospital and Sweden Hospital 12 0 Qahirah Meng

eDEWS team contacted focal point. Cases was diagnosed clinically as suspected NNT. The mother NNT Taiz Salh Al-Refaee Hospital 19 0 is not vaccinated

eDEWS team contacted focal point .The case was diagnosed clinically as suspected Pert. The case Pert Taiz Salh Al-Safwah Hospital 1 0 is not vaccinaed

Mal Taiz Al Mudhaffar Synah Hospital eDEWS team contacted focal point. The case was diagnosed clinically and by lab as suspected Mal 1 0

Yahsob Hospital, Dr. Waheeb Ata Yarim and Al eDEWS team contacted focal points.Cases were diagnosed clinically and by lab as bacterial BD Ibb Hospital, Dar AlShifa Hospital and 48 0 Dhihar infection. Appropriate treatment was given. Cases from different area Yarim Hospital

Yarim, As Sabrah, Yahsob Hospital, Nagd Hospital, Al Al Udayn, Al eDEWS team contacted focal points.Cases were diagnosed clinically and by lab as suspected Typh. Typh Ibb Udayn Hospital, Naser Hospital and 221 0 Mashannah and Appropriate treatment was given Almazahen Hospital Far Al Udayn

As Sayyani, As As Sayyani Health Center, eDEWS team contacted focal points.Cases were diagnosed clinically as suspected URTI. URTI Ibb Saddah and Dhi Abdulmoghni Hospital and Dhi As Sufal 164 0 Appropriate treatment was given. Cases from different areas As Sufal Hospital

Yarim, Al Dhihar, Dr. Waheeb Ata Hospital, Al Amin eDEWS team contacted focal points.Cases were diagnosed clinically as suspected Pert. Appropriate Pert Ibb 7 0 Badan Hospital, Alshaheed Albadani Hospital treatment was given. Cases are not vaccinaed and from different areas

As Sabrah, Al Nagd Hospital, Al Udayn Hospital and eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Meas. Samples Meas Ibb Udayn and Al 6 0 Naser Hospital were collected and will be send to central lab in Sanaa. Cases were vaccinated Mashannah

eDEWS team contacted the focal point. Cases were diagnosed clinically and treated accordinly. OAD Ibb Al Mashannah MCH Almashannah 91 0 Cases from differn areas

eDEWS coordinator contacted the focal point, information was shared. The case was diagnosed AFP Hajjah Haradh Haradh General Hospital clinically as suspected AFP. Field investigation was done and stool samples were collected and will 1 0 be sent to the central lab. in sanaa

eDEWS coordinator contacted the focal point, information was shared. Cases were diagnosed Meas Hajjah Al Mahabishah Al Mahabishah Hospital 3 0 clinically as suspected Meas. Blood samples were collected from the case

eDEWS coordinator contacted the focal point, information was shared. Cases were diagnosed Pert Hajjah Aflah Ash Shawm Aflah Ash Sham Health Center 3 0 clinically as suspected Pert. Appropriate treatment was given

Bani Qais and Bani Qais Health Center, Al Jomhori eDEWS coordinator contacted focal points, information was shared. Cases have been diagnosed df Hajjah 32 0 Hajjah City Hospital andSaudi Hospital clinically as suspected df. Cases arrived from an endemic area

eDEWS coordinator contacted the focal point, information was shared. Cases have been diagnosed Sch Hajjah Hajjah City Al Jomhori Hospital 6 0 clinically as suspected Sch. Appropriate treatment has been given

eDEWS coordinator contacted the focal point, information wasshared. Cases were diagnosed CL Hajjah Hajjah City Al Jomhori Hospital 4 0 clinically as suspected CL. Appropriate treatment has been given

Main Complex, Azzal Complex, Maain, Azzal, Al Alshaheed Center, Main Health Center, Wahdah, Old City, eDEWS team contacted focal points, information was shared. Cases were diagnosed clinically as Alrazi Health Center, Ghaza Complex, Meas Amana Shuaub, Bani Al suspected Meas. Blood samples and swab were collected from the case and sent for lab 23 0 Alrawda Hospital, Althawra Hospital, Harith, Assafiyah confirmation. Cases are vaccinated against measles Shuaub Complex, Alolofi Health Center, and At Tahrir Zaid Hospital and AlKuwait Hospital

eDEWS coordinator contacted the focal point, information was shared. The case was diagnosed Mal Amana Azzal Azzal Complex 1 0 clinically and confirmed by lab test. Appropriate treatment was given

eDEWS coordinator contacted the focal point, information was shared. Cases were diagnosed URTI Amana As Sabain Alwahda Health Center 28 0 clinically as suspected URTI. Appropriate treatment was given

As Sabain, Old Alwahda Health Center, As Sabin eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Pert. Antibiotics Pert Amana City, Assafiyah Hospital, Az Zubairi Health Center, 12 0 treatment were given. Cases from Amayna governorate & was vaccinated against pertussis and Bani Al Harith Althawra Hospital and Zaid Hospital

Al Wahdah, As Alshaheed Center, Ash Shaheed eDEWS coordinator contacted focal points, information was shared. Cases were diagnosed LRTI Amana Sabain, Maain and Abdulaziz Abdulghani, Ghaza Complex 58 0 clinically as suspected LRTI. Appropriate treatment given At Tahrir and AlKuwait Hospital

eDEWS coordinator contacted the focal point, information was shared. Cases were diagnosed ILI Amana Old City Main Health Center 2 0 clinically as suspected ILI. Appropriate treatment was given

Old City, As Az Zubairi Health Center, German Sabain, Al eDEWS coordinator contacted focal points, information was shared. Cases were diagnosed OAD Amana Modern Hospital, Cludia Fain Health 91 0 Wahdah and Bani clinically and by lab test as suspected OAD. Appropriate treatment was given Center and Zaid Hospital Al Harith

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 7 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

eDEWS team contacted the focal point. Cases were diagnosed clinically in OPD and confirmed by AVH Amana As Sabain German Modern Hospital lab test as suspected AVH. Appropriate Treatment was given. Cases families educated about ways to 13 0 avoid infection. Cases came from different areas

Ghaza Complex, Althawra Hospital, Maain, Assafiyah eDEWS team contacted the focal point. Cases were diagnosed clinically in OPD and confirmed by Typh Amana Shuaub Complex and Iraqi Health 33 0 and Shuaub lab test as suspected Typh. Appropriate Treatment was given Center

Bani Al Harith, Alrawda Hospital, Althawra Hospital and eDEWS coordinator contacted focal point, information was shared. Cases were diagnosed clinically Mumps Amana Assafiyah and 14 0 Shuaub Complex as suspected Mumps. Appropriate treatment was given Shuaub

eDEWS team contacted the focal point, information was shared. Cases were diagnosed clinically as AFP Amana At Tahrir AlGomhori Hospital suspected AFP. field investigation was done. Stool samples were collected from cases and close 2 0 contacts. Samples were sent for confirmation. Cases were vaccinated against polio

eDEWS team contact the focal point. Cases were diagnosed clinically in OPD and confirmed by lab Sch Amana At Tahrir AlGomhori Hospital test as suspected Sch. Appropriate treatment was given. Cases came from different districts and 14 0 areas of Sanaa governorate

eDEWS team contacted the focal point. Cases were diagnosed clinically as suspected Meng, Meng Amana Assafiyah Althawra Hospital investigation form, LP and CSF were collected and waiting for the result. Cases came from different 4 0 areas of Amana governorate

eDEWS team contacted the focal point, information was shared. Cases were diagnosed clinically Mal Amana Assafiyah Iraqi Health Center 4 0 and confirmed by lab test as suspected Mal. Appropriate treatment was given

eDEWS team contacted the focal point, information was shared. Cases were diagnosed clinically BD Sada As Safra Wadeah 3 0 and confirmed by lab as amebiasis and bacterial infection. Appropriate treatment was given

As Safra, Haydan Wadeah, Haydan Hospital, Ghamr eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as suspected Typh Sada 35 0 and Ghamr Health Center Typh. Appropriate treatment was given

As Safra, Kitaf wa Damaj Health Center, Kitaf hospital, Al Boqee, Baqim, Baqim Hospital, Al Jomhori Hospital, An eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Pert. Pert Sada 47 0 Sa'da, Razih and Ndhir Health Unit and Majz Health Appropriate treatment was given Majz Center

Ghamr, Sa'da and Ghamr Health Center, Al Jomhori eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Meas. Blood Meas Sada 9 0 Al-Hashwah Hospital and Noman Health Center sample were not collected from cases

eDEWS team contacted the focal point. Cases were diagnosed clinically and by lab as suspected Mal Sada Qatabir Qatabir Health Center 3 0 Malaria. Appropriate treatment was given

eDEWS team contacted the focal point. Cases were diagnosed clinically and by lab as bacterial OAD Sada Majz Dahyan Health Center 35 0 infection. Appropriate treatment was given

Al mesinah Hospital, Meswa Clinic, Salem Bahaj Clinic, Ataq Public As Said, Ataq, Hospital, Bamakhshab Dispensary, Al eDEWS coordinator contacted focal points. Cases were diagnosed clinically as suspected URTI. URTI Shabwah 310 0 Rudum and Bayhan Awal Medical Complex, Baer Ali Appropriate treatment given. There are no cluster of cases Medical Center, Al-Shifa Hospital, Bayhan Hospital and Teab Al Atfal Clinic

Al mesinah Hospital, Meswa Clinic, As Said, Ataq, Salem Bahaj Clinic, Bamakhshab Merkhah As Sufla, Dispensary, Khorah Medical Clinic, eDEWS coordinator contacted focal points. Cases were diagnosed clinically as suspected LRTI. LRTI Shabwah Rudum, Ar Rudum Hospital, Al Awal Medical 208 0 Appropriate treatment given. There are no cluster of cases Rawdah and Complex, Ar Rawdah Hospital, Al-Shifa Bayhan Hospital, Bayhan Hospital and Teab Al Atfal Clinic

Al mesinah Hospital, Khorah Medical As Said, Merkhah eDEWS coordinator contacted focal points. Cases were diagnosed clinically as suspected ILI. ILI Shabwah Clinic, Al Awal Medical Complex, Al- 25 0 As Sufla, Ataq Appropriate treatment given. There are no cluster of cases Shifa Hospital

Al-Noor Clinic, Al Redha Clinic, Salem Rudum, Ar Bahaj Clinic, Rudum Hospital, Baer Ali eDEWS coordinator contacted focal points. Cases were diagnosed clinically as suspected OAD. OAD Shabwah Rawdah, Ataq and 96 0 Medical Center, Habban Hospital and Appropriate treatment given Habban Teab Al Atfal Clinic

Ataq, Ar Rawdah Meswa Clinic, Al Redha Clinic and eDEWS coordinator contacted focal points. Cases were diagnosed clinically and by lab as Typh Shabwah 28 0 and Mayfaa Azan Hospital suspected Typh. Appropriate treatment given

Mqblah Health Center, Salem Bahaj As Said, Ataq and eDEWS coordinator contacted focal points. Cases were diagnosed clinically as suspected Pert. Pert Shabwah Clinic, Habban Hospital and Teab Al 10 0 Habban Cases are not vaccinated. Appropriate treatment given Atfal Clinic

Mqblah Health Center, Bin Salmeen As Said, Ataq, Clinic, Hatib Health Center, Azan eDEWS team contacted focal points. Cases were diagnosed clinically as suspected df. Blood df Shabwah Hatib, Mayfaa and 83 0 Hospital, Al Awal Medical Complex and samples were not collected. Symptomatic treatment was given Bayhan Bayhan Hospital

Salem Bahaj Clinic, Azan Hospital and eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as bacterial BD Shabwah Ataq and Mayfaa 19 0 Dr.Ba Masli Clinic infection. Appropriate treatment was given

Merkhah As Sufla Khorah Medical Clinic and Habban eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Mal. Appropriate Mal Shabwah 20 0 and Habban Hospital treatment was given

sah Hospital , Al qarn Health Center, Sah, Sayun and eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Pert. Pert Hadramout wady Sayun public Hospital and Huraidah 8 0 Huraidhah Appropriate treatment was given. Cases are vaccinated against pretussis Hospital

Al qarn Health Center , Sayun public Sayun, Al Qatn, Hospital, Al Qatn Hospital, Thamud eDEWS team contacted focal points. Cases were diagnosed clinically as suspected URTI. URTI Hadramout wady Thamud, Shibam, Health Center, Al Hawta Health Center, 198 0 Appropriate treatment was given Sah and Tarim AL Akad Health Center, Gail omer Health Center and Aedeed Dispensary

Thamud Health Center, AL Akad Health Thamud, Al Qatn, Center, Al Radod Health Center, Gail eDEWS team contacted focal points. Cases were diagnosed clinically as suspected LRTI. LRTI Hadramout wady Tarim, Sah and omer Health Center, Ba Bakr 44 0 Appropriate treatment was given Wadi Al Ayn philanthropic Hospital and Aedeed Dispensary

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 8 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

eDEWS team contacted the focal point. Cases were diagnosed clinically as suspected BD. BD Hadramout wady Shibam Al Hawta Health Center 3 0 Appropriate treatment was given

eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Meas. Al Hawta Health Center and Madudh Meas Hadramout wady Shibam and Sayun Appropriate treatment was given. Blood samples were collected and sent. symptomatic treatment was 2 0 Health Center described with vit.A

Madudh Health Center , Thabe Health Sayun, Tarim, Al Center, AL Akad Health Center, eDEWS team contacted focal points. Cases were diagnosed clinically as suspected OAD. OAD Hadramout wady Qatn, Shibam and 63 0 Shibam Hospital, Ba Bakr philanthropic Appropriate treatment was given Wadi Al Ayn Hospital and Al gharf Health Center

Areef Alyafea Clinic and Mahliyah eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Pert Appropriate Pert Mareb Harib and Mahliyah 5 0 Hospital treatment was given

Hospital al Askary and Dispensary Al eDEWS team contacted focal points. Cases were diagnosed clinically as suspected URTI. URTI Mareb Marib City 121 0 magid Appropriate treatment was given

Marib City, Hospital al Askary, Mahliyah Hospital, eDEWS team contacted focal points. Cases were diagnosed clinically as suspected LRTI. LRTI Mareb Mahliyah and Medghal Hospital and Dispensary Al 115 0 Appropriate treatment was given Medghal magid

Hospital al Askary, Aljthwh Hospital, Marib City, Al wadi eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as bacterial BD Mareb Alateer Hospital and Dispensary Al 57 0 and Harib infection. Appropriate treatment was given magid

eDEWS team contacted the focal point. Cases were diagnosed clinically and by lab as bacterial OAD Mareb Mahliyah Mahliyah Hospital 1 1 infection Appropriate treatment was given.

Marib City, Al wadi Dispensary Al magid, Alwahdah eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Pert. Pert Mareb 53 0 and Al Jubah Hospital and 26 Sep Hospital Appropriate treatment was given

Al Khalq, Al Matammah, Al khalq Center, Alkhair Center, Al Kharab Al Marashi Center, Rajuzah Hospital, Marashi, Rajuzah, Hazm Center, Al Hazm Hospital, Al Al Hazm, Al Maslub Center, Almarfek Center, Al eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Typh. Typh Al-Jawf 206 0 Maslub, Az Zahir, Humaydat Center, Almaton Center, Al Appropriate treatment was given Al Humaydat, Anan Hospital, Al Rahwb Center, Almaton, Bart Al Alashnan Center, Maain Health Center, Anan and Khabb Sooq Altalowt Unit and ALhussin Center wa ash Sha'af

Al Khalq and eDEWS team contacted focal points. Cases were diagnosed clinically as suspected Mal. Appropriate Mal Al-Jawf Al khalq Center and Rajuzah Hospital 10 0 Rajuzah treatment was given

Al Hazm, Kharab Al Marashi, Al Hamdan Clinic, Al Marashi Center, Maton, Al Hazm, ALhussin Center, Al Hazm Hospital, eDEWS team contacted focal points. Cases were diagnosed clinically as suspected URTI. URTI Al-Jawf 62 0 Bart Al Anan and Almaton Center, Ynaba Unit, Ameen Appropriate treatment was given Khabb wa ash Nasher Center and Sooq Altalowt Unit Sha'af

Al Hazm, Khabb Hamdan Clinic, Al mrazeek Unit, wa ash Sha'af, Al Alkhair Center, Al Marashi Center, Al Matammah, mabnah Unit, ALhussin Center, Sooq eDEWS team contact focal points. Cases were diagnosed clinically as suspected LRTI. Appropriate LRTI Al-Jawf Kharab Al 75 0 Alathneen Center, Almarfek Center, treatment was given Marashi, Az Zahir, Ynaba Unit, Al Anan Hospital, Al Maton, Az Zahir Alkasspah Unit and Bart Al Anan

Kharab Al Marashi, Al Hazm, Al Marashi Center, Hazm Center, Al Az Zahir, Al Hazm Hospital, Almarfek Center, Al eDEWS team contacted focal points. Cases were diagnosed clinically as bacterial infection and BD Al-Jawf 44 0 Humaydat, Al Humaydat Center, Almaton Center, Al amoebiea. Appropriate treatment was given Maton, Bart Al Anan Hospital and Alkasspah Unit Anan

Kharab Al Marashi, Al Maton, Al Marashi Center, Almaton Center, eDEWS team contacted focal points. Cases were diagnosed clinically as suspected OAD. OAD Al-Jawf Al Hazm, Bart Al Ynaba Unit, Al Anan Hospital and 71 0 Appropriate treatment was given. Cases from different areas Anan and Al Alashnan Center Matammah

eDEWS team contacted the focal point. Cases were diagnosed clinically as suspected Measles. Meas Al-Jawf Kharab Al Marashi Al Marashi Center 2 0 Samples were collected to be send to central lab.in sana.a. Appropriate treatment was given

eDEWS team contacted the focal point. Cases were diagnosed clinically as suspected Mumps. Mumps Al-Jawf Al Hazm Al Hazm Hospital 3 0 Appropriate treatment was given

eDEWS team contacted the focal point. Cases were diagnosed clinically as suspected Pert. Pert Al-Jawf Bart Al Anan Al Anan Hospital 2 0 Appropriate treatment was given

eDEWS team contacted the focal point. Cases were diagnosed clinically as suspected Sch.cases Sch Al-Jawf Bart Al Anan Al Anan Hospital 10 0 from differnt areas Appropriate treatment was given

Gaar Dispansary, Altadhmaon Dispensary, Bany Yalhoo Dispensary, Al Jabin, Bilad At Jabal Reem Dispensary, Alhagel Ta'am, Al Dispensary, Alhwasheb Dispensary, eDEWS team contacted focal points. Cases were diagnosed clinically as suspected LRTI. LRTI Rayma 42 0 Jafariyah, Almithaq Hospital, Bilad AtTa am Clinic, Appropriate treatment was given Kusmah, Mazhar Alasahoob Center, Alhadeea Center, Alzeela Center, Wady Alareed Center and Alola Dispensary

Alaasoor Center, Aldair Aldhabara Kusmah, Mazhar eDEWS team contacted focal points. Cases were diagnosed clinically as suspected ILI. Appropriate ILI Rayma Dispansary, Bin Mansour Dispensary, 29 0 and Al Jafariyah treatment was given Merhab Dispensary and Almheel Center

Alaramea Dispensary, Alsalam Dispensary, Aldhabara Center, 22 May As Salafiyah, Bilad Center, Alameen Clinic, Alhagel At Ta'am, Kusmah, Dispensary, Alhwasheb Dispensary, eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as bacterial OAD Rayma 84 0 Mazhar and Al Rawas Center, Hajaam Dispensary, Bin infection. Appropriate treatment was given Jabin Mansour Dispensary, Alangab Center, Jabal Salah Dispensary, Bilad AtTa am Clinic and Wady Alareed Center

This weekly Epidemiological bulletin is published jointly by the Ministry of Public Health & Polupation and World Health Organization (WHO), WHO/EHA office, Sana'a, Yemen. For Correspondence: Mobile:+967 713228999;MOPH;[email protected]: +967 772924388 WHO/EHA Office; Email: [email protected] 9 Weekly Bulletin:Electronic Disease Early Warning & Response System, Yemen - Epidemiological Week Number 29 ( 18 - 24 July 2016 )

Alert Responded in Epi-week 29, 2016

Suspected Disease Governorate District HFs Actions Taken / Notes Cases Deaths

Alathneen Alrahb Center, Aroon As Salafiyah and eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as suspected Typh Rayma Dispansary, Althlaya General Hospital 41 0 Al Jabin Typh. Appropriate treatment was given and Bany Alwahdy Center

Al Jabin and katoo Center, Alsalam Clinic and Bany eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as bacterial BD Rayma 12 0 Kusmah Hassan Dispensary infection. Appropriate treatment was given

Alarab Dispensary, Jaera Center, Althlaya General Hospital, Alhagel Bilad At Ta'am, As Dispensary, Alhwasheb Dispensary, Salafiyah, Al Rawas Center, Kusmah Center, eDEWS team contacted focal points. Cases were diagnosed clinically as suspected URTI. URTI Rayma Jabin, Kusmah, 106 0 Alangab Center, Jabal Salah Appropriate treatment was given Mazhar, Al Jabin Dispensary, Merhab Dispensary, Bany and Al Jafariyah Hassan Dispensary, Wady Alareed Center and Almheel Center

Jaera Center, Alreem Dispensary, As Salafiyah, Nama Dispensary, Alhagel Dispensary, Mazhar, Al Aldair Aldhabara Dispansary, Bany eDEWS team contacted focal points. Cases were diagnosed clinically and by lab as suspected Mal. Mal Rayma 45 0 Jafariyah, Kusmah Alwahdy Center, Alasahoob Center, Appropriate treatment was given and Al Jabin Merhab Dispensary, Alsalm Naoum Dispensary and Wady Alareed Center

eDEWS team contacted the focal point, information shared. Cases were diagnosed clinically as Meas Rayma Bilad At Ta'am Rawas Center 3 0 suspected Meas. Blood samples and swab were collected from the case and sent for lab confirmation

eDEWS team contacted the focal point. The case was diagnosed clinically as suspected SARI. SARI Rayma Kusmah Bin Mansour Dispensary 1 0 Appropriate treatment was given.The final investigation is still ongoing

eDEWS team contacted the focal point. The case was diagnosed clinically as suspected Pert. Pert Rayma Al Jabin Alrabat Center 1 0 Appropriate treatment was given. The case is vaccinated against pertussis

The objective of this weekly epidemiological bulletin is to provide a snap shot on selected health events reported from the eDEWS surveillance system in all governorates (Aden, Abyan, Lahj, Taiz, Hadramout, Ibb, Hodidah, Hajjah , Al-Amana, Amran, Sana'a Gov., Shabwah, Al-Mahrah, Hadramout Al-Wady, Dhamar Al-Baidha, Mareb, Al-Jawf, Al-Mahweet,Rayma and Al-Dhale) of Yemen. While every attempt is made to present the weekly trends of epidemic prone diseases, the information presented in the bulletin needs to be interpreted in the context that precise information on the reference populations is not always available. The bulletin also includes information collected by the eDEWS teams. The primary focus of DEWS is early detection of epidemic prone desease, to facilitate a rapid public health response.