EWARN Weekly Summary Report Early Warning Alert and Response Network Post-Typhoon Yolanda Week 13 | Epidemiological Week No. 8 | 2nd to 8th February 2014 HIGHLIGHTS This week, 79 health facilities reported 16,483 total consultations in typhoon-affected areas of Region VI and VIII by SPEED Acute respiratory infection accounted for 33% of total consultations, most among SPEED conditions reported in the current reporting period Measles cases continue to be reported from Region VIII. A total of 93 suspected measles cases with 1 death had been reported from 1-26 January 2014. Among the cases under 5 years of age, 66% were not vaccinated. A measles immunization campaign is still on-going in the Region. OVERALL SPEED REPORTING FROM TYPHOON-AFFECTED AREAS Overall, the number of facilities reporting decreased in the current week, with 79 facilities reporting this week from 85 last week. However, total consultations increased by 4%, from 15,869 last week to 16,483 this week. SPEED Reporting facilities by type and week Areas reporting to 100 SPEED in current 90 week 80 70 Region VI 60 50 Capiz 40 30 Iliolo 20 10 Region VIII 0 Number ofreportingfacilities Number Jan 12 Jan 19 Jan 26 Feb 2 Biliran FMT 1 2 2 0 Eastern Samar Mobile Clinic 0 1 2 1 West Samar Evacuation Centre 0 0 0 0 Leyte FMT Hospital 2 1 1 0 Hospital 26 26 25 24 RHU 50 48 48 50 BHS 5 9 7 4 Total consultations by municipality: REGION VI (Western Visayas): Capiz: Dao (228), Jamindan (28), Mambusao (754), Panitan (83), Roxas City (477), Sapi-An (163), Sigma (272); Iloilo: Barotac Viejo (27), Iloilo City (167), Janiuay (29), Sara (72) REGION VIII (Eastern Visayas): Biliran: Biliran (104), Cabucgayan (221), Naval (144); Eastern Samar: Balangiga (471), Balangkayan (38), City of Borongan (175), General Macarthur (359), Giporlos (46), Guiuan (734), Hernani (182), Lawaan (217), Llorente (348), Maydolong (17), Mercedes (43), Quinapondan (199), Salcedo (287); Leyte: Alangalang (170), Albuera (305), Babatngon (86), Barugo (13), Burauen (188), Calubian (70), Capoocan (86), Carigara (261), Dulag (430), Isabel (545), Jaro (262), Julita (241), Kananga (556), La Paz (367), Leyte (287), Merida (844), Ormoc City (3067), Palo (291), Palompon (270), Pastrana (176), San Isidro (65), Santa Fe (123), Tabango (234), Tacloban City (738), Tolosa (39), Villaba (661), City of Baybay (145); Western Samar: Marabut (78) The proportion of consultations due to acute respiratory infection increased from 30% to 33% over this reporting week (2-8 Feb) and is still the leading cause of consultation amongst the SPEED conditions. Fever and rash and acute hemorrhagic fever remained at less than 1%. Acute watery diarrhea increased from 2% to 3% in the current week. SPEED Syndrome ARI = Acute respiratory infection AWD = Acute watery diarrhea AHF = Acute hemorrhagic fever Page 1 of 6 EWARN weekly summary| 2nd to 8th February 2014 PROVINCIAL SUMMARIES (SOURCES INCLUDE: EVENT-BASED SURVEILLANCE, PIDSR, SPEED) REGION VI – WESTERN VISAYAS CAPIZ PROVINCE SPEED reporting facilities by type and week, Capiz 16 14 12 10 8 6 4 2 0 Number of reporting facilitiesofreporting Number Jan 12 Jan 19 Jan 26 Feb 2 FMT 0 1 1 0 Mobile Clinic 0 0 0 0 Evacuation Centre 0 0 0 0 FMT Hospital 0 0 0 0 Hospital 5 5 3 2 RHU 8 8 8 5 BHS 0 0 0 0 Reporting: Reporting in Capiz included 5 Rural Health Units and 2 Hospitals in the current reporting week (2 Feb -8 Feb). Consultations: The total number of SPEED consultations decreased from 2,464 to 2,005 over the past week. Leading causes of morbidity include acute respiratory infection (19%), high blood pressure (3.5%), fever (3.5%), animal bites (3%) and skin diseases (2%). Alerts: No alerts reported for the week 2-8 February 2014. ILOILO PROVINCE SPEED reporting facilities by type and week, Iloilo 6 5 4 3 2 1 0 Number ofreportingfacilities Number Jan 12 Jan 19 Jan 26 Feb 2 FMT 1 1 1 0 Mobile Clinic 0 0 0 0 Evacuation Centre 0 0 0 0 FMT Hospital 0 0 0 0 Hospital 2 1 3 1 RHU 2 2 1 3 BHS 0 0 0 0 Reporting: Reporting from Iloilo included 3 Rural Health Units and 1 Hospital. Consultations: The total number of SPEED consultations increased from 238 to 295 over the past week. Leading causes of morbidity include acute respiratory infection (37%), hypertension (12%), wounds (8%), fever (7.5%) and acute diarrhea (6%). Alerts: No alerts were reported for the week 2-8 February 2014. REGION VIII – EASTERN VISAYAS BILIRAN PROVINCE SPEED reporting facilities by type and week, Biliran 5 4 Reporting: Reporting from Biliran included 3 Rural Health Units and 1 Hospital. Consultations: The total number of SPEED consultations slightly decreased from 3 484 last week to 469 during the current reporting week. Leading causes of 2 morbidity include acute respiratory infection (53%), high blood pressure (14%), 1 skin diseases (9.5%), acute watery diarrhea (9%) and wounds (7%). 0 Alerts: For this week, 6 fever and rash cases were reported from Cabucgayan Number of reporting facilitiesofreporting Number Jan 12 Jan 19 Jan 26 Feb 2 Rural Health Unit (2), Biliran Provincial Hospital (2) and Naval Main Health Center FMT 0 0 0 0 Mobile Clinic 0 0 0 0 (2). Measles immunization was done for children six months to less than 10 years Evacuation Centre 0 0 0 0 old. One case of suspect Acute Hemorrhagic Fever (AHF) was reported from FMT Hospital 0 0 0 0 Biliran Provincial Hospital and another one from Cabucgayan RHU. These were Hospital 1 1 1 1 RHU 3 3 3 3 referred to Provincial Health Office for further investigation. Diarrhea cases were BHS 0 0 0 0 also reported from Cabucgayan RHU (22) and Biliran Provincial Hospital (9). Page 2 of 6 EWARN weekly summary| 2nd to 8th February 2014 WESTERN SAMAR PROVINCE Proportionate morbidity of select epidemic-prone conditions by week Reporting: One Rural Health Unit reported from Western Samar this week. 70% Consultations: The total number of SPEED consultations was 78. 60% Leading causes of morbidity include acute respiratory infection 50% (45%), high blood pressure (20.5%), wounds (9%), skin diseases 40% (8%), fever (6%) and acute watery diarrhea (4%). 30% Alerts: No alerts were reported for the week 2-8 February 2014. 20% Event-based Surveillance: reported 5 suspect measles cases from 10% Proportion of total consult. total of Proportion Barangay Sto.Niño, Villareal, Samar from 23 January 2014. Age of 0% Jan 12 Jan 19 Jan 26 Feb 2 cases ranged from 4 months to 68 years old (Median: 2 years old). ARI 58% 48% 56% 45% RESU is following-up on the cases and will conduct investigation. Fever and Rash 0% 0% 0% 0% AWD 6% 3% 0% 4% AHF 0% 0% 0% 0% EASTERN SAMAR PROVINCE SPEED reporting facilities by type and week, Eastern Samar 30 25 20 15 10 5 0 Number of reporting facilitiesofreporting Number Jan 12 Jan 19 Jan 26 Feb 2 FMT 0 0 0 0 Mobile Clinic 0 0 1 0 Evacuation Centre 0 0 0 0 FMT Hospital 1 1 1 0 Hospital 8 8 7 8 RHU 14 14 13 14 BHS 0 5 2 0 Reporting: 22 Health Facilities reported from Eastern Samar including 14 Rural Health Units and 8 Hospitals. Consultations: The total number of SPEED consultations declined by 11% during the current reporting week (from 3,492 last week to 3,116). Leading causes of morbidity were acute respiratory infection (27%), high blood pressure (4%), wounds (4%), skin diseases (2.5%) and acute watery diarrhea (1%). Alerts: There were 4 SPEED reports of fever with rash from Lawaan (Lawaan Main Health Center), one from Hernani (Hernani RHU), one from Guiuan RHU and one from Our Lady of Guadalupe Hospital in Guiuan. Cases were investigated by the Provincial Health Office. Suspect cases of Acute Hemorrhagic Fever (AHF) were reported by Albino Duran Memorial Hospital of Balangiga (4), Felipe Abrigo Memorial Hospital of Guiuan (3), Agpalo Hospital (3) in Guiuan and 1 case from Lawaan Main Health Center. These cases were investigated by the staff of Provincial Epidemiology and Surveillance Unit. They conducted information and education campaign on the prevention and control of Dengue and started with fogging operations in barangays with cases. LEYTE PROVINCE SPEED reporting facilities by type and week, Leyte 45 40 35 30 25 20 15 10 5 0 Number of reporting facilitiesofreporting Number Jan 12 Jan 19 Jan 26 Feb 2 FMT 0 0 0 0 Mobile Clinic 0 1 1 1 Evacuation Centre 0 0 0 0 FMT Hospital 1 0 0 0 Hospital 10 11 11 12 RHU 22 20 22 24 BHS 5 4 5 4 Reporting: Reporting from Leyte included 24 RHUs, 12 hospitals, 4 BHS and 1 mobile clinic. Consultations: The total number of SPEED consultations increased from 8,563 to 10,520 over the past week. Leading causes of morbidity were acute respiratory infection (36%), wounds (7%), high blood pressure (5.5%), fever (3%) and animal bites (3%). Page 3 of 6 EWARN weekly summary| 2nd to 8th February 2014 Alerts: Alerts of fever and rash were reported from Tacloban City (4 - Eastern Visayas Regional Medical Center and 2 - Masa Health service Unit), Jaro (3 - Jaro MHO), Palo (3 - Leyte Provincial Hospital), Alangalang (1 – Alangalang MHO), Calubian (1 – Northwestern Leyte District Hospital), Carigara (1 – Carigara MHO), Kananga (1 Kananga District Hospital), Ormoc City (1 – Ormoc District Hospital), Palompon (1 - Dr. Manuel B. Veloso Memorial Hospital), Santa Fe (1 – Santa Fe MHO) and Tabango (1 - Tabango MHO).