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,lssue31,Epi week 31,(29 July-04August,2019) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-31,2019 % % % % % % % % % % % % % % % % % % % % % % % % % % % % 95 97 97 % % 96 96 96 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.31,2019, %97(1991/1933) 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 6 Wk 7 Wk 1 Wk 2 Wk 3 Wk 4 Wk 5 Wk 8 Wk 9 Wk 15 Wk 16 Wk 24 Wk 25 Wk Wk Wk 11 Wk 12 Wk 13 Wk 14 Wk 17 Wk 18 Wk 19 Wk 20 Wk 21 Wk 22 Wk 23 Wk 26 Wk 27 Wk 28 Wk 29 Wk 30 Wk 31 •The total number of consultation reported during the week in 23 Governorates was Wk 10 359305 compared to 364284 the previous reporting week 31 . Acute respiratory tract Reporting Rate Consultations infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Distribution of Reporting Rates by Governoraes (Epi-Week 31,2019) % % % % % % % % % % % 100% % % 90 Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this % % % % 96 100 100 99 100 100 98 100 91 90% 100 99 100 100 % 100 99 % 97 % % % 90 week. 80% 97 91 78 90 70% 60% 50% 40% 30% 20% No. HF Reports HF No. 10% ● A total of 1775 alerts were generated by eDEWS system in week31, 2019, Of these 0% 1774 alerts were verified as true for further investigations with appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 31,2019 Proportional morbidity of leading priority diseases, Epi week 31,2019 AVH_A&E; 0.1% AFP; 0.0% Typhoid F; 1.4% Mumps; 0.1% Mal; 4.3% DF; 0.1% ● (URTI) 13.5%, suspected Malaria (4.3%),(OAD) (9.2%) and (LRTI) (5.1%)Remain the AVH_B&C; 0.0% Sch; 0.1% Meas; 0.0% RB; 0.1% leading causes of morbidity representing a total of (46.8%) 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 0.4% Of this OAD; 9.2% morbidity ● All diarrheal disease comprised 14.7% and LRTI 5.1% of total morbidity in pilot Governorates BD; 0.4% SARI; 0.0% URTI; 13.5% this week . Pert; 0.0% ILI; 0.4% ● All diarrheal disease comprised 14.7% and OAD 9.2% of total morbidity in all age group . LRTI; 5.1% Measles Situition in Yemen Distribution of Governorate Measles cases & Deaths , Epi weeks1- 31,2019 Epi Curve of Measles in Yemen During 2017,2018,2019 1000 900 900 800 800 700 700 600 600 500 500 400 300 400 200 300 100 200 0 100 wk1 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 wk10 wk11 wk12 wk13 wk14 wk15 wk16 wk17 wk18 wk19 wk20 wk21 wk22 wk23 wk24 wk25 wk26 wk27 wk28 wk29 wk30 wk31 wk32 wk33 wk34 wk35 wk36 wk37 wk38 wk39 wk40 wk41 wk42 wk43 wk44 wk45 wk46 wk47 wk48 wk49 wk50 wk51 wk52 0 2019 465 524 562 594 620 615 837 590 384 304 245 220 196 195 163 177 135 125 106 83 84 63 37 114 161 148 140 141 135 120 115 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 31 (29 July-04August,2019) GOV Distribution of suspected cholera cases by age group ( 1 Jan- 14 August 2019) Distribution of associated deaths by age group ( 1 Jan- 14 August 2019) Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) 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 31 (29 July-04August,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 31 (29 July-04August,2019) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-31 ,2019) URTI LRTI mararia tested cases & confirmed Epi weeks 1-31,2019 20.0% 8.0% 4500 18.0% 7.0% 4000 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 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 0.0% wk1 wk11 wk22 wk12 wk13 wk14 wk15 wk16 wk17 wk18 wk19 wk20 wk21 wk23 wk24 wk25 wk26 wk27 wk28 wk29 wk30 wk31 0.0% wk10 WK6 WK1 WK2 WK3 WK4 WK5 WK7 WK8 WK9 WK17 WK28 WK10 WK11 WK12 WK13 WK14 WK15 WK16 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK25 WK26 WK27 WK29 WK30 WK31 WK1 WK2 WK3 WK4 WK5 WK6 WK7 WK8 WK9 WK13 WK26 WK11 WK12 WK14 WK15 WK16 WK17 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK25 WK27 WK28 WK29 WK30 WK31 WK10 Rapid Test(Postive) Microscope(Postive) Age and Sex distribution of total consultations of leading diseases (Epi week 31,2019) Number of Alerts Received and Responded (Epi Weeks 28-31,2019) 80000 75961 URTI LRTI Pert BD OAD Typhoid F 70000 AFP Meas AVH_A&E AVH_B&C DF Meng 60000 Sch CL Chicken Pox Mal 250 50000 48444 200 40000 35255 32655 32907 33514 150 30000 28683 25940 23201 22963 100 20000 No.of Alerts 10000 50 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 23201 32655 33514 48444 25940 Female 22963 32907 35255 75961 28683 Distribution of consultations of leading diseases by Governorates,Epi week 31-2019 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 2809 3435 1407 1123 5187 1063 473 896 4836 1637 2587 1343 1445 3508 2338 3378 567 510 2952 3034 1178 73 2834 48613 LRTI 314 366 829 189 4039 286 43 367 1856 804 1347 318 171 1496 1168 1160 173 98 667 1009 201 32 1265 18198 ILI 127 0 70 0 82 30 0 12 12 6 57 0 0 76 49 0 97 0 98 166 130 1 254 1267 SARI 0 0 1 0 0 0 0 0 4 3 63 0 0 1 0 0 0 0 22 0 0 0 4 98 Pert 4 1 0 0 3 8 0 4 2 5 6 0 0 1 1 2 8 0 1 2 8 0 5 61 BD 88 3 50 10 127 63 1 76 117 117 142 0 4 8 77 31 34 13 123 149 35 2 188 1458 OAD 1252 1497 1084 685 2113 1043 313 791 4558 1730 2672 565 383 2399 2096 1588 482 358 1971 2618 761 21 2065 33045 Typhoid F 46 44 285 13 525 172 11 146 649 258 751 38 7 0 617 41 72 52 206 344 69 39 483 4868 Meas 3 14 4 2 6 2 0 1 17 12 5 1 2 8 7 3 1 0 16 2 0 0 9 115 AVH_A&E 9 13 2 3 5 0 0 4 150 21 41 12 6 1 15 22 1 0 8 11 21 0 24 369 AVH_B&C 2 0 4 0 2 11 0 0 89 4 5 4 1 11 22 1 1 0 1 2 2 0 9 171 NNT 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 AFP 0 0 0 0 2 0 0 0 4 0 0 0 0 0 2 0 0 1 0 0 0 0 2 11 329 18 0 6 21 30 1 10 10 18 18 21 7اﻷمراض المشتبهة Mumps 8 12 9 8 27 12 0 6 35 25 27 Mal 59 178 3 1 6778 124 29 512 232 432 472 4 0 4015 448 70 17 141 689 210 1 0 977 15392 Meng 0 1 0 0 2 0 0 0 9 3 2 3 0 0 11 0 0 0 0 0 0 0 13 44 DF 84 118 1 4 14 0 0 0 1 0 0 9 2 12 1 115 14 0 0 1 42 0 85 503 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 2 12 0 9 0 18 67 50 44 7 0 114 25 6 3 17 67 30 0 0 11 482 CL 0 0 0 2 0 1 0 3 9 14 9 0 2 3 2 2 4 0 5 6 1 0 1 64 RB 0 0 37 0 3 0 0 21 83 25 110 1 0 32 99 1 0 1 1 7 0 0 8 429 Tuberculosis 3 4 1 0 21 2 0 0 19 0 9 0 0 12 3 1 0 0 2 9 0 0 12 98 HIV/ AIDS 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 Brucellosis 2 0 77 1 11 188 0 2 161 58 217 0 6 157 91 0 5 1 31 17 14 0 31 1070 Chicken Pox 7 14 3 8 3 12 2 8 112 71 53 7 8 21 24 8 5 23 139 47 12 0 14 601 Scabies 20 0 2 0 55 0 0 4 20 4 11 1 0 33 2 0 0 13 38 22 1 1 9 236 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 4323 9063 4613 7953 15709 3351 1905 4434 51439 6748 20636 7051 3814 10671 11809 11368 4658 976 6182 8878 4472 263 11044 211360 total_cons_disease 9244 15037 9325 10178 38560 6723 2795 7855 66887 12906 30587 9441 6527 24384 20919 18098 6255 2396 13971 19009 6979 432 20797 359305 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.