Weekly Report 27 of 2012

On Epidemic – Prone Diseases, Deaths and Public Health Events

Week Number 3 of 2013 (Week Ending 20-01-13)

HIGHLIG HTS OF THE WEEK

 11 malaria deaths.

 242 typhoid suspected cases.  1 anthrax case.  2 snake bites deaths.

COMPLETENESS AND TIMELINESS National completeness reported for Week Number 3 slightly decreased from 85% to 84% whilst timeliness decreased from 81% to 74%. Timeliness was low because Mashonaland Central Province reported late because they had no internet DYSENTERY access. All provinces reported. Clinical dysentery cases reported this week are 1171 and no deaths. Of the reported cases 321 (27.4%) were from the under five years of age. The provinces which reported the highest number of dysentery cases are Mashonaland Central (201) and Manicaland (193). The cumulative figure for dysentery is 3 403 and 1 death (CFR 0.03).

MALARIA A total of 11 083 malaria cases and 11 deaths were reported this week. Of the cases reported 1 736(15.7%) and one death were under the age of five years. The deaths were reported from Buhera District (1), Chimanimani District (1) in Manicaland Province, Zaka District in Masvingo Province TYPHOID (1), Mutoko District in Mashonaland East Province (2), Two hundred and forty two new typhoid cases were reported Makonde District in Mashonaland West Province (1), this week. The cases were reported from Parirenyatwa Group Harare Central Hospital (4) and Parirenyatwa Group of of hospitals (3), Sanyati District in Mashonaland West Hospitals (1). The provinces which reported the highest Province (2), Harare City (226), Chitungwiza City (1) and number of malaria cases were Manicaland (6 957) and Chitungwiza Central Hospital (10). The cumulative figure for Mashonaland Central (1 356). The cumulative figure for typhoid since October 2011 is 6 555 cases, 103 confirmed malaria is 28 427 and 18 deaths (CFR 0.06%). cases and 6 deaths. NOTE: Mutasa District in Manicaland Province has CHOLERA declared a malaria outbreak. No new cholera cases were reported since week 1. All provinces are being reminded to investigate all malaria COMMON DIARRHOEA deaths The total diarrhoea cases reported this week are 9 162 cases and 6 deaths. Of the reported cases 4 436 (48.4%) and 4 deaths were from the under five years of age. The deaths were reported from Chimanimani District (1), Chiredzi District in Masvingo Province (1), Harare Central Hospital (3) and Parirenyatwa Group of Hospitals(1). The provinces which reported the highest number of diarrhoea cases are Manicaland (1 331) and Mashonaland Central (1 320). The cumulative figure for diarrhoea is 27 234 and 22 deaths (CFR 0.08)

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ANTHRAX One suspected case of anthrax was reported this week. The case was reported from Mutoko District in Mashonaland East Province. The cumulative figure for anthrax is 32.

DOG BITES A total of 412 cases of dog bites were reported this week. Of these 24 cases were inflicted by vaccinated dogs. Vaccination status of 388 dogs was unknown. The provinces which reported the highest number of dog bites were Manicaland (91) and Midlands (56). The cumulative figure for dog bites is 1 271.

RABIES No suspected rabies cases were reported this week. The cumulative figure for rabies is 1 case and 1 death.

SNAKE BITES The total snake bites cases reported this week are 145 and two deaths. The deaths were reported from Harare Central Hospital. The cumulative snake bites cases are 410 and 2 deaths.

PLAGUE No suspected cases of plague were reported.

INFLUENZA A total of 2 793 influenza cases were reported this week. The cumulative figure for influenza is 12 894.

PANDEMIC INFLUENZA A (H1N1) No cases of Pandemic Influenza A (H1N1) were reported since week 44 of 2010.

MEASLES Four new suspected cases of measles were reported this week through the Weekly Disease Surveillance System (WDSS). The cumulative figure for suspected measles is 7.

No cases of suspected measles were reported through the Case Based Surveillance System (CBSS).

AFP/Poliomyelitis No suspected cases of AFP were reported this week through the (WDSS).

No new suspected cases of AFP were reported this week through the Case Based Surveillance System (CBSS).

NNT No suspected cases of NNT were reported this week through the (WDSS) and (CBSS).

MENINGOCOCCAL MENINGITIS No meningococcal meningitis cases were reported this week.

WEEKLY DISEASE SURVEILLANCE TABLE FOR WEEK 3 ENDING 20-01-2013

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iarrhoea<5Cases

Expected Submitted D Diarrhoea<5Deaths Diarrhoea>5Cases Diarrhoea>5Deaths Dysentery Malaria C. <5cases Malaria C. <5 deaths Malaria C. >5cases Malaria C. >5 deaths Measles AFP NNT Dogbites SnakeBites Rabies Cholera Anthrax Typhoid Plague influenza complet Timeliness Chikomba 33 22 54 0 56 0 4 0 0 6 0 0 0 0 5 0 0 0 0 0 0 0 67 67 Goromonzi 26 19 67 0 98 0 6 0 0 133 0 0 0 0 3 0 0 0 0 0 0 0 73 73 Hwedza 14 11 28 0 34 0 4 1 0 5 0 0 0 0 8 4 0 0 0 0 0 0 79 79 Mudzi 22 16 70 0 86 0 27 20 0 112 0 0 0 0 4 3 0 0 0 0 0 0 73 73 Murehwa 29 29 51 0 58 0 3 0 0 36 0 0 0 0 3 2 0 0 0 0 0 0 100 100 Mutoko 26 26 83 0 82 0 14 46 0 418 2 0 0 0 4 0 0 0 1 0 0 0 100 100 UMP 19 18 41 0 61 0 18 0 0 61 0 0 0 0 9 1 0 0 0 0 0 0 95 95 Marondera 5 5 Urban 39 0 48 0 1 1 0 7 0 0 0 0 4 2 0 0 0 0 0 0 100 100 Marondera 17 6 23 0 29 0 9 0 0 2 0 0 0 0 1 1 0 0 0 0 0 0 35 35 Seke 16 16 184 0 124 0 17 0 0 9 0 0 0 0 10 0 0 0 0 0 0 0 100 100 Mash East 207 168 640 0 676 0 103 68 0 789 2 0 0 0 51 13 0 0 1 0 0 0 81 81 Bindura 19 19 95 0 79 0 42 49 0 250 0 0 0 0 8 0 0 0 0 0 0 0 100 100 Centenary 12 11 31 0 0 0 6 1 0 10 0 0 0 0 0 0 0 0 0 0 0 1 92 92 Guruve 20 20 56 0 70 0 10 0 0 131 0 0 0 0 4 4 0 0 0 0 0 0 100 100 Mazowe 31 31 204 0 163 0 31 0 0 33 0 0 0 0 13 6 0 0 0 0 0 281 100 100 Mt Darwin 21 20 81 0 110 0 62 47 0 301 0 0 0 0 6 6 0 0 0 0 0 13 95 95 Rushinga 12 12 66 0 36 0 3 15 0 54 0 0 0 0 4 0 0 0 0 0 0 122 100 100 Shamva 16 15 85 0 86 0 24 33 0 248 0 0 0 0 5 2 0 0 0 0 0 120 94 94 Mbire 13 13 64 0 94 0 23 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 100 100 Mash Central 144 141 682 0 638 0 201 145 0 1211 0 0 0 0 40 18 0 0 0 0 0 537 98 0 Binga 9 7 55 0 32 0 33 21 0 55 0 0 0 0 2 0 0 0 0 0 0 0 78 78 Bubi 10 10 7 0 14 0 4 0 0 0 0 0 0 0 4 3 0 0 0 0 0 0 100 100 Hwange 20 20 95 0 94 0 15 2 0 33 0 0 0 0 0 1 0 0 0 0 0 11 100 100 Lupane 11 7 15 0 43 0 14 0 0 1 0 0 0 0 8 3 0 0 0 0 0 25 64 64 Nkayi 14 11 24 0 30 0 11 0 0 0 0 0 0 0 8 1 0 0 0 0 0 117 79 79 Tsholotsho 14 11 35 0 46 0 7 0 0 0 0 0 0 0 0 3 0 0 0 0 0 283 79 79 Umguza 8 7 18 0 28 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 88 88 Mat North 86 73 249 0 287 0 90 23 0 89 0 0 0 0 22 11 0 0 0 0 0 496 85 85 Chirumhanzu 18 18 12 0 56 0 7 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 100 100 Gokwe North 18 11 47 0 54 0 23 1 0 7 0 0 0 0 10 5 0 0 0 0 0 0 61 61

WEEKLY DISEASE SURVEILLANCE TABLE FOR WEEK 3 ENDING 20-01-2013

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iarrhoea<5Cases

Expected Submitted D Diarrhoea<5Deaths Diarrhoea>5Cases Diarrhoea>5Deaths Dysentery Malaria C. <5cases Malaria C. <5 deaths Malaria C. >5cases Malaria C. >5 deaths Measles AFP NNT Dogbites SnakeBites Rabies Cholera Anthrax Typhoid Plague influenza complet Timeliness Gokwe South 26 17 10 0 0 0 20 0 0 2 0 0 0 0 11 0 0 0 0 0 0 22 65 65 Gweru 20 19 34 0 35 0 12 0 0 4 0 0 0 0 8 1 0 0 0 0 0 0 95 95 Kwekwe 31 24 21 0 23 0 7 1 0 3 0 0 0 0 3 0 0 0 0 0 0 5 77 77 Mberengwa 34 32 67 0 67 0 27 0 0 0 0 0 0 0 5 1 0 0 0 0 0 56 94 94 Shurungwi 20 15 10 0 18 0 2 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 75 75 Zvishavane 15 13 50 0 61 0 16 0 0 2 0 1 0 0 8 0 0 0 0 0 0 0 87 87 Gweru-city 7 7 61 0 26 0 3 0 0 3 0 0 0 0 6 0 0 0 0 0 0 0 100 100 Midlands 189 156 312 0 340 0 117 2 0 21 0 1 0 0 56 7 0 0 0 0 0 83 83 83 Buhera 32 27 73 0 93 0 166 18 0 92 1 0 0 0 19 2 0 0 0 0 0 234 84 84 Chimanimani 21 21 48 0 8 1 56 192 0 720 1 0 0 0 6 0 0 0 0 0 0 0 100 100 Chipinge 50 26 74 0 57 0 131 145 0 615 0 0 0 0 13 5 0 0 0 0 0 0 52 52 Makoni 51 50 113 0 150 0 263 31 0 273 0 0 0 0 14 7 0 0 0 0 0 0 98 98 Mutare 33 28 91 0 123 0 214 165 0 1104 0 0 0 0 15 3 0 0 0 0 0 190 85 85 Mutasa 43 42 105 0 138 0 243 501 0 2325 0 0 0 0 10 15 0 0 0 0 0 440 98 98 Nyanga 30 23 51 0 69 0 120 97 0 445 0 0 0 0 7 4 0 0 0 0 0 71 77 77 Mutare city 8 8 65 0 73 0 138 14 0 220 0 0 0 0 7 0 0 0 0 0 0 0 100 100 Manicaland 268 225 620 0 711 1 1331 1163 0 5794 2 0 0 0 91 36 0 0 0 0 0 935 84 84 Chegutu 30 19 72 0 75 0 19 7 0 24 0 0 0 0 1 4 0 0 0 0 0 69 63 63 Hurungwe 29 23 5 0 36 0 3 49 0 201 0 0 0 0 0 2 0 0 0 0 0 0 79 79 Kariba 12 9 82 0 54 0 34 75 0 194 0 1 0 0 1 1 0 0 0 0 0 0 75 75 Makonde 28 23 57 0 47 0 38 27 0 125 1 1 0 0 6 6 0 0 0 0 0 54 82 82 Mhondoro 17 14 29 0 46 0 1 5 0 4 0 0 0 0 2 2 0 0 0 0 0 177 82 82 Sanyati 25 25 120 0 163 0 41 35 0 128 0 0 0 0 13 7 0 0 0 2 0 255 100 100 Zvimba 30 29 158 0 181 0 26 15 0 65 0 0 0 0 7 6 0 0 0 0 0 105 97 97 Mash West 171 142 523 0 602 0 162 213 0 741 1 2 0 0 30 28 0 0 0 2 0 660 83 83 Beit Bridge 17 17 44 0 42 0 3 0 0 7 0 0 0 0 4 0 0 0 0 0 0 0 100 100 Bulilima 8 8 20 0 28 0 5 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 100 100 Gwanda 18 18 35 0 71 0 14 2 0 0 0 0 0 0 3 3 0 0 0 0 0 0 100 100 Insiza 10 8 17 0 25 0 3 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 80 80 Matobo 12 12 44 0 59 0 21 0 0 2 0 0 0 0 3 3 0 0 0 0 0 0 100 100 Mangwe 8 8 23 0 45 0 3 0 0 2 0 0 0 0 1 2 0 0 0 0 0 0 100 100 Umzingwane 14 10 10 0 23 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 71

WEEKLY DISEASE SURVEILLANCE TABLE FOR WEEK 3 ENDING 20-01-2013

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iarrhoea<5Cases

O means zero cases were reported - means not reported