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 07,lssue26,Epi week 26,(24-30 Jun,2019) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-26,2019 % % % % % % % % % % % % % % % % % % % % % % % 95 % % 96 96 96 96 96 96 95 95 95 95 95 95 95 95 95 95 95 % 94 94 94 100% 94 400000 92 96 93 93 90% 350000 80% 300000 70% •During week no.26,2019, %96(1991/1912) health facilites from 23 Governorates 60% 250000 provided valid surveillance data. 50% 200000 40% 150000 Percentage 30% Consulttaions 100000 20% 10% 50000 0% 0 Wk 4 Wk 6 Wk Wk Wk 1 Wk 2 Wk 3 Wk 5 Wk 7 Wk 8 Wk 9 Wk 13 Wk 15 Wk 17 Wk 24 Wk 26 Wk 11 Wk 12 Wk 14 Wk 16 Wk 18 Wk 19 Wk 20 Wk 21 Wk 22 Wk 23 Wk 25 •The total number of consultation reported during the week in 23 Governorates was Wk 10 354760 compared to 351332 the previous reporting week 26 . Acute respiratory tract Reporting Rate Consultations infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Distribution of Reporting Rates by Governoraes (Epi-Week 26,2019) % % % % % % % % % % % 100% % 100 Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this % % % % % % % 100 86 99 100 100 100 100 97 90% 100 100 100 100 98 99 89 % % % 96 95 94 % week. 80% 92 91 78 70% 90 60% 50% 40% 30% 20% No.HF Reports 10% A total of 2250 alerts were generated by eDEWS system in week 26, 2019, were verified 0% as true for further investigations with appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 26,2019 Proportional morbidity of leading priority diseases, Epi week 26,2019 AVH_A&E; 0.1% AFP; 0.0% Mumps; 0.1% Mal; 4.5% DF; 0.2% Typhoid F; 1.4% AVH_B&C; 0.0% ● (URTI) 14.1%, suspected Malaria (4.5%),(OAD) (9.7%) and (LRTI) (5.2%)Remain the Meas; 0.0% Sch; 0.1% RB; 0.1% leading causes of morbidity representing a total of (50%) Meng; 0.0% Brucellosis; 0.3% Chicken Pox; 0.2% Scabies; 0.1% ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than CL; 0.0% 1% of total morbidity in reporting period Bloody diarrhea represented 0.5% Of this OAD; 9.7% morbidity ● All diarrheal disease comprised 16.5% and LRTI 5.2% of total morbidity in pilot Governorates BD; 0.5% SARI; 0.0% URTI; 14.1% this week . Pert; 0.0% ILI; 0.6% ● All diarrheal disease comprised 16.5% and OAD 9.7% of total morbidity in all age group . LRTI; 5.2% Measles Situition in Yemen Distribution of Governorate Measles cases & Deaths , Epi weeks1- 26,2019 Epi Curve of Measles in Yemen During 2017,2018,2019 900 900 800 800 700 700 600 600 500 400 500 300 400 200 300 100 200 0 100 wk1 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 wk10wk11wk12wk13wk14wk15wk16wk17wk18wk19wk20wk21wk22wk23wk24wk25wk26wk27wk28wk29wk30wk31wk32wk33wk34wk35wk36wk37wk38wk39wk40wk41wk42wk43wk44wk45wk46wk47wk48wk49wk50wk51wk52 0 2019 465 524 562 594 620 615 837 590 384 304 245 220 196 195 163 177 135 125 106 83 84 63 37 114 161 148 2018 241 218 357 349 377 328 384 459 427 512 532 722 733 820 763 844 631 625 673 451 500 492 394 210 374 348 494 442 482 465 420 438 337 253 369 439 404 428 501 404 451 524 434 489 416 470 427 455 414 494 468 442 No of cases No of Death 2017 80 127 145 166 179 146 178 166 143 174 129 122 123 82 137 90 81 72 98 85 54 53 44 31 19 33 87 74 58 95 91 95 75 91 21 66 80 89 76 109 131 92 97 91 67 130 136 105 103 123 114 116 النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا على شكل وباء :ILI 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 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 26 (24-30 Jun,2019) GOV Distribution of suspected cholera cases by age group (1 Jan- 10 July 2019) Distribution of associated deaths by age group (1 Jan- 10 July 2019) Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Distribution of suspected and deaths cases by age and sex From 1 Jan to 14 April 2019 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 26 (24-30 Jun,2019) Dengue Fever and Measles Outbreak SITUATION IN YEMEN Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Deaths Email ([email protected]) Deaths 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 26 (24-30 Jun,2019) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-26 ,2019) URTI LRTI mararia tested cases & confirmed Epi weeks 1-26,2019 20.0% 8.0% 4500 18.0% 4000 7.0% 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 2.0% 1.0% 0 wk9 wk2 wk3 wk4 wk5 wk6 wk7 wk8 0.0% wk1 wk10 wk11 wk13 wk14 wk15 wk16 wk17 wk18 wk19 wk20 wk21 wk22 wk23 wk24 wk25 wk26 0.0% wk12 WK6 WK1 WK2 WK3 WK4 WK5 WK7 WK8 WK9 WK22 WK10 WK11 WK12 WK13 WK14 WK15 WK16 WK17 WK18 WK19 WK20 WK21 WK23 WK24 WK25 WK26 WK6 WK2 WK3 WK4 WK5 WK7 WK8 WK9 WK1 Rapid Test(Postive) Microscope(Postive) WK17 WK10 WK11 WK12 WK13 WK14 WK15 WK16 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK25 WK26 Age and Sex distribution of total consultations of leading diseases (Epi week 26,2019) Number of Alerts Received and Responded (Epi Weeks 23-26,2019) 80000 73501 URTI LRTI Pert BD OAD Typhoid F 70000 AFP Meas AVH_A&E AVH_B&C DF Meng 60000 Sch CL Chicken Pox Mal 400 50000 48059 350 40000 300 35305 35857 32224 32735 250 30000 28647 24742 200 22432 21698 20000 of No.Alerts 150 100 10000 50 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 22432 32224 35305 48059 24742 Female 21698 32735 35857 73501 28647 Distribution of consultations of leading diseases by Governorates,Epi week 26-2019 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 2448 4304 1433 870 5674 970 615 941 4875 1783 2662 1454 1726 2985 2191 3618 677 580 2835 2899 1173 83 3065 49861 LRTI 275 426 793 210 3963 291 44 453 1946 927 1626 302 240 1324 1281 1034 201 123 538 1063 231 30 1287 18608 ILI 215 0 56 0 123 81 0 2 14 36 222 2 0 470 97 0 148 3 77 94 193 15 188 2036 SARI 0 0 9 0 0 0 0 0 6 0 70 0 0 2 1 0 0 0 29 0 0 0 0 117 Pert 2 2 0 0 11 8 0 0 0 30 0 4 4 2 23 3 0 0 7 6 1 0 15 118 BD 48 5 32 9 156 71 0 111 138 173 235 5 5 3 84 14 47 18 105 154 31 0 155 1599 OAD 1167 1774 1176 527 2342 1057 278 913 4602 1918 2469 566 386 3146 2196 1630 509 498 1806 2527 808 25 2161 34481 Typhoid F 40 55 316 12 522 208 0 157 678 252 857 33 4 0 549 57 72 88 215 260 68 29 409 4881 Meas 1 19 1 1 5 3 0 8 11 16 0 0 0 5 16 2 0 3 24 8 14 0 11 148 AVH_A&E 14 13 4 2 4 3 0 0 106 9 40 17 13 2 19 24 5 3 3 3 25 0 18 327 AVH_B&C 4 4 1 0 0 2 0 0 91 0 10 1 0 6 26 3 6 0 0 0 0 0 9 163 NNT 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 3 AFP 0 0 1 0 0 0 1 0 2 0 1 0 0 1 4 0 0 1 0 2 1 0 0 14 377 25 0 5 24 18 4 14 10 8 42 19 8 اﻷمراض المشتبهةMumps 15 10 20 12 30 26 1 6 39 20 21 Mal 63 277 14 5 6751 162 42 594 190 459 468 1 1 3067 396 91 12 239 964 190 11 0 2118 16115 Meng 0 5 0 0 4 0 0 0 6 0 4 1 0 0 14 0 0 0 2 0 1 0 18 55 DF 145 110 0 5 37 0 0 0 0 0 0 15 4 2 0 94 26 0 0 0 22 0 76 536 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 0 0 1 19 0 15 0 14 59 75 28 4 0 105 17 5 0 15 60 21 0 0 9 447 CL 0 0 3 6 0 3 0 0 12 11 11 0 7 2 4 11 2 2 6 4 1 0 0 85 RB 0 0 0 0 2 2 0 6 71 0 58 0 1 11 23 0 0 0 0 5 0 0 11 190 Tuberculosis 2 5 2 0 2 0 0 1 14 1 6 1 1 5 7 1 0 1 3 2 2 0 4 60 HIV/ AIDS 0 0 0 0 0 0 0 0 3 0 1 0 1 2 0 0 0 0 1 0 0 0 0 8 Brucellosis 2 0 51 0 14 21 0 3 164 51 300 0 7 134 88 0 14 0 39 16 12 0 17 933 Chicken Pox 0 33 7 17 9 22 0 29 113 43 26 10 5 59 55 16 25 36 134 39 24 1 19 722 Scabies 24 0 0 0 109 7 0 9 31 3 12 1 0 42 0 0 0 19 23 14 0 0 0 294 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 3950 8946 5565 6263 11886 3192 1766 3597 45847 4938 17702 7178 3885 7825 13489 12311 5093 1082 5351 8105 5042 275 11458 194746 total_cons_disease 9713 16452 10611 8267 36011 6716 2758 7719 61869 12310 30033 10288 6724 21744 22528 19219 6880 3078 13653 17273 7878 458 22578 354760 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.