Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in field Epidemiology By Abebe Gelaw Tegegne Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment for the Degree of Master of Public Health in Field Epidemiology 07-June-2017 Addis Ababa Addis Ababa University School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Abebe Gelaw Tegegne Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology Advisor Mr. Teklehaymanot Gebrehiwet Dr. Naod Firdu 07-June-2017 Addis Ababa ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By Abebe Gelaw Tegegne Ethiopian Field Epidemiology Training Program (EFETP) School of Public Health Addis Ababa University Approval by Examining Board Chairman, School Graduate Committee Advisor Examiner Examiner Acknowledgment First of all I would like to express my deepest gratitude to Almighty God for his invaluable and endless support and beneficent me all the way of life. Secondly I would like to give my gratitude for my mentor Mr. Teklehaymanot Gebrehiwet for his continuous guidance, support and constructive inputs in my work. And then, I would like to express my heartfelt gratitude and appreciation Ethiopian Field Epidemiology Training Program Resident advisor for Addis Ababa University Mr. Abdulnasir Abagero for his kind and constructive review of all my works. My special thank goes to Amhara regional health bureau for giving me the chance to join the EFETP and reserved me as field base for my residency and different zonal health departments, woreda Health offices , health facilities , community members and other related sector for their support coordination, collaboration and contribution during all my works. Moreover I would like to thank Ethiopia Field Epidemiology Training programme, Addis Ababa University and Ethiopian Public Health Association and CDC for their financial, logistic and administrative support provided to me and for their efforts in making the programme successful Last but not least I would like to give my best regards to all my family members and senior residents for being with me all the time and who encouraged me by providing intellectual, moral and material support. i Abebe Gelaw 7th cohort EFETP [email protected] 2017 Contents of table Contents Acknowledgment....................................................................................................................................... i Contents of table ...................................................................................................................................... ii List of tables and figures ........................................................................................................................ iii List of tables ......................................................................................................................................... iii List of figures ........................................................................................................................................ iv List of maps ............................................................................................................................................. vi List of Annexes ........................................................................................................................................ vi Acronyms ................................................................................................................................................ vii Executive Summary ................................................................................................................................ ix Chapter I- Outbreak/Epidemic Investigation ....................................................................................... 1 1.1 Outbreak investigation of Scabies disease, Wadela district, North wollo zone, Amhara, Ethiopia, February 2017 ........................................................................................................................................ 1 1.2 Outbreak Investigation of Pandemic Flu (H1N1) in Bati district, Oromia zone, Amhara, Ethiopia, March 2016. ......................................................................................................................................... 19 Chapter II- Surveillance Data analysis ................................................................................................ 33 Magnitude of sever acute malnutrition in relation to crop production & climate variability in under five children aged, Waghimira zone, Ethiopia, 2012-2015. ................................................................ 33 Chapter III- Evaluation of Surveillance System ................................................................................. 51 Surveillance Evaluation of Malaria disease in North Wollo Zone, Amhar, 2016 ............................... 51 Chapter IV-Health Profile .................................................................................................................... 69 Jile timuga Health Profile Description, Oromia zone, Amhar, March, 2015/16. ................................ 69 Chapter V – Scientific Manuscripts for Peer reviewed Journals ...................................................... 87 Outbreak investigation of Scabies cases, Wadela district, Amhara, Ethiopia, 2017 ........................... 87 Chapter VI- Abstracts of Scientific Conferences .............................................................................. 100 6.1 Outbreak Investigation of Scabies Disease in Wadela District, North Wollo zone, Amhara, Ethiopia, 2017: Case-control Study ................................................................................................... 100 6.2 Sever Acute Malnutrition Relationship to Crop Production and Climate Variability in Under 5 years Children, Waghimira, Ethiopia, 2012-2015: Cross Sectional Study ........................................ 101 Chapter VII- Narrative Summary of Disaster Situation Visited..................................................... 102 Belg Assessment Report on Non-food, N/wollo & N/ Shewa, Amhara, 2016 .................................. 102 Chapter VIII- Protocol /Proposal for Epidemiologic Research Project ......................................... 118 ii Abebe Gelaw 7th cohort EFETP [email protected] 2017 Malaria prevalence and associated risk factors in Gerbimudiwacho kebele, Jile timuga district, Oromia zone, Ethiopia, 2017 ............................................................................................................. 118 Annexes ................................................................................................................................................. 127 List of tables and figures List of tables Table 1: Distribution of Scabies cases by sex in Wadela district, Ethiopia, 2017 ..................................... 9 Table 2: Distribution of respondents according to their marital status, Wadela woreda, 2017 ............... 11 Table 3: Distribution of respondents according to their occupation, Wadela woreda, 2017 ................... 11 Table 4:Distribution of the respondents by their level of education, Wadela Woreda, 2017 .................. 12 Table 5: Bivariate analysis of risk and preventive factor for Scabies cases outbreak, Wadela district, 2017 ......................................................................................................................................................... 13 Table 6: Multivariate analysis of risk and preventive factors of scabies cases outbreak, Wadela district, North Wollo Zone, Ethiopian, 2017 ........................................................................................................ 14 Table 7: Distribution of pandemic flu by place (district), Amhara, Ethiopia, 2016 ................................ 24 Table 8: Signs and symptoms among the interviewed group (n=38) of pandemic flu in Bira kebele, Bati district, Amhara, 2016 ............................................................................................................................. 27 Table 9: Frequency of risk factors for pandemic flu outbreak at Bira kebele, Ethiopia, 2016 ................ 28 Table 10: Assessment of knowledge of patients on pandemic flu in Bira kebele, Bati district, Amhara, 2016 ......................................................................................................................................................... 28 Table 11: correlation coefficients of different type of crops, climate variabilities and SAM in Waghimira zone, Ethiopia, 2012-2015 .................................................................................................... 45 Table 12: The relationship between sever acute malnutrition cases and total crop yield in Waghimira zone, 2012-2015 ...................................................................................................................................... 46 Table 13: The relationship between total crop yield and annual average rainfall in Waghimira zone, 2012-2015 ................................................................................................................................................ 46 Table 14: Population