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Yellow Fever Outbreak in Angola, 29 August 2016

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Yellow Fever Outbreak in Angola, 29 August 2016 YELLOW FEVER OUTBREAK WEEKLY SITUATION REPORT, INCIDENT MANAGEMENT TEAM—ANGOLA YELLOW FEVER OUTBREAK IN ANGOLA INCIDENT MANAGEMENT Vol: 8-03 SITUATION REPORT W34, 29 August 2016 I. Key Highlights ¨ A total of 2,761,104 (93 %) individuals 6 months and above have been vaccinated in the 22 most recently vaccinated districts as of 29 August 2016 ¨ The campaign concluded on the 28 August and supplementary vaccination activities were initiated in ive districts to achieve the goal (80% coverage) ¨ The IMS supported the campaign with surveillance, social mobilization and logistic staff from the various partners totalizing 42 professional from UNICEF, CDC, Cuban Cooperation and WHO (HQ-AFRO-GOARN) as well as 30 volunteers from IRC ¨ Preparation of the next vaccination phase (1.98 M doses pending to from the last ICG approval) and a coverage survey ¨ Ongoing support for surveillance, border health, risk communication and research Table 1: National Summary of Yellow Fever Outbreak Yellow Fever Outbreak Summary 19 Aug — 25 Aug 2016, (W34) II. Epidemiological Situaon as of 25 August 2016 Reported cases 57 Þ Week 34 statistics (11 to 25 August): Samples tested 54 Confirmed cases 1 · Of 57 suspected cases reported, 54 samples were tested by the Reference La‑ boratory. One(1) case tested positive for yellow fever with a date of onset on Total Deaths 2 23 June 2016 from Cuanhama, a delayed result to be audited Total provinces that reported cases 11 · Two (2) deaths were reported among the suspected cases during this period. New provinces with confirmed cases 0 Total districts with reported cases 27 · Twenty seven (27) districts in 11 provinces reported suspected cases of yellow New districts with confirmed cases 0 fever. No district reported new conirmed cases or local transmission. New districts with documented local transmission 0 Þ Cumulative statistics since 05 December: Yellow Fever Outbreak Summary from 5 Dec 2015— 25 Aug 2016 · A total of 884 laboratory confirmed cases have been reported out of 4041 suspect‑ Total cases reported to central level 4,041 ed cases and 3516 laboratory samples tested Total Samples Tested 3,516 · Overall, 371 (CFR = 9.2%) deaths were reported among suspected cases and 121 Total confirmed cases 884 (CFR 13.7%) among confirmed cases Total deaths 371 Total deaths among confirmed cases 121 · Laboratory confirmed cases have been reported for 16 out of 18 provinces in 80 out of 132 districts. Total provinces that have reported cases 18 Total provinces with confirmed cases 16 · The last conirmed cases had a date of onset in 23 June. There were 02 from Cuan‑ Total districts that have reported cases 132 hama in Cunene province, and 01 case from Cambambe in Cuanza Norte province Total districts with confirmed cases 80 · Vaccination campaigns have been completed in 73 municipalities, with a cumula‑ Total provinces with documented local transmission 12 tive number of people vaccinated of 17.917.134 (70% of Angola’s population Total districts with documented local transmission 45 Total number of provinces in Angola 18 Total number of districts in Angola 166 Fig.1. Yellow Fever Suspected and Confirmed Cases - Angola 250 5 Dec 2015— 25 Aug 2016 Confirmed cases Probable cases Negative/discarded cases 200 49 124 31 156 178 82 147 38 93 54 116 127 150 29 122 119 107 124 96 57 81 94 100 113 35 77 26 36 26 76 77 39 70 50 14 61 65 22 27 86 85 80 14 54 48 62 66 17 9 5 5 18 15 43 56 52 9 25 No. of Reprted yellow Fever Cases Fever yellow No.ofReprted 23 46 29 41 28 33 29 29 37 7 12 2 1 3 68 11 25 26 25 12 6 8 3 0 0 10 10 0 0 43 7 2 4 03 01 03 0 02 04 09 04 0 0 0 0 2 W-1 W-2 W-3 W-4 W-5 W-6 W-7 W-8 W-9 W-49 W-50 W-51 W-52 W-53 W-10 W-11 W-12 W-13 W-14 W-15 W-16 W-17 W-18 W-19 W-20 W-21 W-22 W-23 W-24 W-25 W-26 W-27 W-28 W-29 W-30 W-31 W-32 W-33 Jan Feb Mar Apr May Jun Jul Aug 2015 Week of onset 2016 Source: MoH, Angola 1 YELLOW FEVER OUTBREAK WEEKLY SITUATION REPORT, INCIDENT MANAGEMENT TEAM—ANGOLA 180 Fig.2 Yellow Fever Suspected and Confirmed Cases - Luanda Province 160 5 Dec 2015— 25 Aug 2016 Confirmed cases Probable cases Negative/discarded cases 140 120 100 75 80 85 46 27 19 60 54 15 40 27 15 59 56 57 50 6 41 10 No. of Reprted yellow Fever Cases Fever yellow of Reprted No. 20 40 16 28 3 27 21 4 9 4 20 17 2 2 14 6 7 3 7 11 8 9 0 20 01 01 10 0 3 5 6 6 5 4 03 0 01 0 01 0 01 0 0 02 01 02 W-1 W-2 W-3 W-4 W-5 W-6 W-7 W-8 W-9 W-49 W-50 W-51 W-52 W-53 W-10 W-11 W-12 W-13 W-14 W-15 W-16 W-17 W-18 W-19 W-20 W-21 W-22 W-23 W-24 W-25 W-26 W-27 W-28 W-29 W-30 W-31 W-32 W-33 Jan Feb Mar Apr May Jun Jul Aug 2015 2016 Week of onset Incomplete data Fig.3 Yellow Fever Suspected and Confirmed Cases - Huambo province 5 Dec 2015— 25Aug 2016 60 Confirmed cases Probable cases Negative/discarded cases 50 40 30 2 20 8 9 5 3 21 10 6 4 0 7 7 15 1 1 11 12 No. of Reprted yellow Fever Cases Fever yellow Reprted of No. 4 9 2 8 2 8 6 8 7 7 1 1 3 4 4 4 2 4 0 0 0 0 0 0 0 0 01 2 20 1 1 0 0 0 0 0 0 0 0 10 0 0 10 W-1 W-2 W-3 W-4 W-5 W-6 W-7 W-8 W-9 W-10 W-11 W-12 W-13 W-14 W-15 W-16 W-17 W-18 W-19 W-20 W-21 W-22 W-23 W-24 W-25 W-26 W-27 W-28 W-29 W-30 W-31 W-32 W-33 Jan Feb Mar Apr May Jun Jul Aug 2016 Week of onset Fig.4 Yellow Fever Suspected and Confirmed Cases - Benguela province 5 Dec 2015— 25 Aug 2016 50 45 Confirmed cases Probable cases Negative/discarded cases 40 35 30 25 20 0 15 1 2 1 10 3 4 4 17 0 12 13 12 3 No. of Reprted yellow Fever Cases Fever yellow of Reprted No. 0 5 0 2 9 9 1 0 0 7 7 1 4 5 0 0 4 0 5 0 0 1 3 3 3 2 2 2 0 0 0 1 1 1 0 1 1 0 01 0 0 0 01 0 0 01 W-1 W-2 W-3 W-4 W-5 W-6 W-7 W-8 W-9 W-10 W-11 W-12 W-13 W-14 W-15 W-16 W-17 W-18 W-19 W-20 W-21 W-22 W-23 W-24 W-25 W-26 W-27 W-28 W-29 W-30 W-31 W-32 W-33 Jan Feb Mar Apr May Jun Jul Aug 2016 Week of onset 2 YELLOW FEVER OUTBREAK WEEKLY SITUATION REPORT, INCIDENT MANAGEMENT TEAM—ANGOLA Table 2. Provinces with Yellow Fever Laboratory Confirmation up to 25 Aug, 2016 Fig.5: Districts with conirmed cases/high risk of yellow fever and already Cumulative Vaccinated Districts (Green) in Angola, 5 Dec 2015— 25 Aug 2016 (5 Dec 2015— 25 Aug 2016) Discarded, Lab Province Tested Confirmed with Vacc. Notified Cases History No % No % LUANDA 2062 1700 82 488 24 126 HUAMBO 632 575 91 128 20 28 BENGUELA 466 447 96 117 25 23 CUANZA SUL 160 156 98 16 10 0 HUILA 148 100 68 33 22 1 UIGE 96 93 97 9 9 0 CUANZA NORTE 91 81 89 11 12 1 LUNDA NORTE 76 75 99 26 34 1 CUNENE 75 74 99 16 21 1 CABINDA 46 40 87 1 2 0 ZAIRE 44 36 82 6 14 0 BIE 38 36 95 16 42 0 MALANGE 33 32 97 7 21 0 BENGO 28 27 96 7 25 0 LUNDA SUL 14 13 93 0 0 1 NAMIBE 14 14 100 2 14 0 CUANDO CUBANGO 9 8 89 1 11 0 MOXICO 9 9 100 0 0 0 TOTAL 4041 3516 87 884 22 182 Fig. 6. Age group distribution of Yellow Fever cases in Angola 900 Negative/Discarded 800 Probable 700 Confirmed 600 463 500 376 400 363 406 291 300 144 180 108 200 216 No. of Reprted Yellow Fever Cases Yellow Reprted of No. 93 126 70 72 98 216 100 176 47 44 102 105 91 45 56 81 0 0 - 4Y 5 - 9Y 10 - 14Y 15 - 19Y 20 - 24Y 25 - 29Y 30 - 34Y 35Y+ 3 YELLOW FEVER OUTBREAK WEEKLY SITUATION REPORT, INCIDENT MANAGEMENT TEAM—ANGOLA Table 3.1: Yellow Fever Reported and Confirmed Cases per Angola Provinces and Districts, 2016; 5 Dec 2015— 25 August 2016 Cases notified during the period Cumulative Cases Date of last (19 Aug — 25 Aug 2016) (5 Dec 2015— 25 Aug 2016) Documented Local Date of onset first Date of onset of last Date of onset of first Date of onset of last Date of Notification of Average days of Days since last case reported Province report at central Transmission confirmed case confirmed case suspected case* suspected case* last suspected case* reporting delay to central level Reported Confirmed Deaths Reported Confirmed Deaths level Belas 4 0 0 241 54 26 Y 15/01/16 26/05/16 10/01/16 10/08/16 23/08/16 24/08/16 3 1 Cacuaco 1 0 0 242 78 22 Y 28/01/16 12/05/16 28/01/16 07/08/16 08/08/16 19/08/16 2 6 Cazenga 4 0 0 457 109 34 Y 18/01/16 27/05/16 18/01/16 16/08/16 23/08/16 24/08/16 2 1 Icolo e bengo 0 0 0 7 1 0 Y 08/03/16 08/03/16 18/01/16 16/06/16 20/06/16 21/06/16 3 65 Ingombota 0 0 0 18 4 0 Y 01/02/16 15/03/16 01/02/16 27/06/16 04/07/16 15/07/16 2 41 Kilamba kiaxi 3 0 0 273 68 20 Y 06/12/15 18/05/16 06/12/15 19/08/16 24/08/16 24/08/16 3 1 Maianga 1 0 0 125 28 11 Y 08/02/16 26/05/16 12/01/16 12/08/16 18/08/16 19/08/16 2 6 Quissama 0 0 0 1 1 0 N 24/04/16 24/04/16 24/04/16 24/04/16 26/04/16 27/04/16 1 120 Rangel 1 0 0 47 14 2 Y 29/01/16 02/05/16 10/01/16 26/07/16 02/08/16 19/08/16 3 6 Samba 0 0 0 26 5 2 Y 10/02/16 11/05/16 09/01/16 04/08/16 10/08/16 12/08/16 2 13 Sambizanga 0 0 0 102 31 13 Y 23/01/16 21/05/16 23/01/16 06/08/16 15/08/16 18/08/16 4 7 Viana 1 0 0 523 95 86 Y 05/12/15 14/05/16 05/12/15 06/08/16 16/08/16 23/08/16 2 2 LUANDA 15 0 0 2062 488 216 Y 05/12/15 27/05/16 05/12/15 19/08/16 24/08/16 24/08/16 2 1 Ambriz 0 0 0 4 1 0 N 04/04/16 04/04/16 04/04/16 20/06/16 24/06/16 30/06/16 4 56 Bula Atumba 0 0 0 1 0 0 N 07/03/16 07/03/16 11/03/16 14/03/16 3 164 Dande 0 0 0 16 6 1 N 05/02/16 19/05/16 05/02/16 19/07/16 02/08/16 03/08/16 6 22 Nambuangongo 0 0 0 7 0 0 N 23/03/16 15/06/16 01/07/16 12/07/16 8 44 BENGO 0 0 0 28 7 1 N 05/02/16 19/05/16 05/02/16 19/07/16 02/08/16 03/08/16 6 22 Baia Farta 0 0 0 26 10 5 Y 08/04/16 01/06/16 07/04/16 06/08/16 11/08/16 18/08/16 7 7 Balombo 0 0 0 30 8 2 Y 22/04/16 30/05/16 14/04/16 30/05/16 02/06/16 10/06/16 10 76 Benguela 0 0 0 232 63 21 Y 15/02/16 13/06/16 15/02/16 08/08/16 16/08/16 18/08/16 8 7 Bocoio 0 0 0 6 1 0 N 02/05/16 02/05/16 08/04/16 20/06/16 04/07/16 14/07/16 8 42 Caimbambo 0 0 0 6 1 0 N 26/02/16 26/02/16 26/02/16 26/06/16 30/06/16 14/07/16 6 42 Catumbela
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