EWARN & Diseases LIBYA/ Surveillance Bulletin Epidemiological Reporting REPORTING TOTAL TOTAL Week Period SITES CONSULTATION EWARN 10 Aug. 2020 33 62 11467 2512 16 Aug. 2020 Municipalities surveillance status. Hospital surveillance status Leading causes of morbidity By week 33 : 2020, AURI is still the leading cause of morbidity, with ALRI and AD. In table 1: number of cases for each disease and percentage from total consultations. Condition Number of cases Percentage from total consultations Acute Upper Respiratory Infections 1426 12.436 % (AURI) Acute Lower Respiratory Infections 246 2.145 % (ALRI) Acute Diarrhea (AD) 589 5.136 % Table 1: number of cases for leading causes of morbidity and their percentage from total consultations AURTI are generally mild in nature, commonly caused by viruses, sometimes with bacteria. ALRTI epidemiologically includes acute bronchitis, bronchiolitis, influenza and pneumonia. 1 Morbidity Patterns: Figure ((1,2,3)) shows a distribution of reported cases on municipalities for week 33: Figure 1: distribution of (AURI) Cases of week 33 Figure 2: distribution of (ALRI) Cases of week 33 Figure 3: distribution of (AD) Cases of week 33 2 Distribution of AURI, ALRI, and AD Cases by Municipality for Week 33/2020: Figure 4: Distribution of AURI, ALRI, and AD cases by municipality for week 33: 2020 AURI reported cases were mainly coming from: Almarij, Baniwaleed, Subrata, Alabyar, Ashati and Bnghazi while the highest numbers of ALRI reported cases coming from Almarij and Albaida. AD reported cases mainly from Baniwaleed, Albaida and Zliten. Figure 5: Trend of AURI, ALRI and AD by weeks to week 33 / 2020 3 Vaccine preventable diseases (VPD): Disease No. of Cases Measles 10 Pertussis - Meningitis 10 Afp 1 Table 2: vaccine preventable diseases reported cases In week 33 :2020, the total number of new cases of fever and rash (Suspected Measles) was 10 cases: (4) Ashati, (3) Albaida, (1) Traghen and (2) Sebha , blood sample sent to measles lab for confirmation. 0 reported cases of Pertussis . 1 Reported case acute flaccid paralysis (AFP) from Benghazi. 10 Meningitis cases reported from : (7) Benghazi, (1) Tripoli and (2) Tobruk. Zero reported case of Neonatal tetanus, and diphtheria in this week last reported case was in 2016. Water-Borne Diseases: By week 33 : 2020 Total number of acute diarrhea (AD) reported cases in week 33 was (589) cases. Total number of bloody diarrhea reported cases was (BD): (11) cases: distributed on following municipalities (2) Alwahat, (1) Albaida, (2) Benghazi, (2) Baniwaleed and (4) Ghat. Total number of acute jaundice syndrome (AJS) reported cases was (19) Cases distributed on following municipalities (3) Ashati, (3) Tripoli, (5) Albaida, (4) Ghat and (4) Benghazi. Other Infectious Diseases: Leishmaniasis In Week 33: The number of the cutaneous Leishmaniasis reported cases was (11) cases from , (5) Tawergha and (5) Zliten , (1) Benghazi Visceral Leishmaniasis.. FOODPOIS: In Week 33: The number of the cutaneous FOODPOIS reported cases was (9) cases from: (6) Ashati and (3) Benghazi. COVED-19: In Week 33 : The number of COVID-19 reported cases was (177) suspected cases: (21) Ashati, (2) Ghdames, (4) Oupari, (9) Alwahat, (33) Aljmail, (7) Aljofra, (37) Qasser Alakhiar, (2) Almarij, (4) Traghen, (9) Tripoli, (45) Sebha and (4) Regdalin. 4 Summary of Reported Cases Week 33 : 2020 Percentage from Percentage from Disease № of Cases Consultation EWARN AURI 1426 12.436% 56.768% ALRI 249 2.171% 9.912% AD 589 5.136% 23.447% BD 11 0.096% 0.438% AJS 19 0.166% 0.756% Leishmaniasis 11 0.096% 0.438% Measles 10 0.087% 0.398% Meningitis 10 0.087% 0.398% Food poisoning 9 0.078% 0.358% Afp 1 0.009% 0.040% COVID-19 177 1.544% 7.046% Table 3: Summary of Reported Cases Week 33 : 2020 5 .