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,lssue48,Epi week 48,(25 November-01 December,2019) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-48,2019 % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % 95 97 97 % 96 96 96 96 96 96 96 96 96 96 96 96 96 % 96 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 95 94 94 94 94 94 94 94 100% % 450000 93 92 96 93 90% 93 400000 •During week no.48,2019, %95(1991/1884) health facilites from 23 80% 350000 70% 300000 Governorates provided valid surveillance data. 60% 250000 50% 200000 Percentage 40% 150000 Consulttaions 30% 20% 100000 10% 50000 •The total number of consultation reported during the week in 23 0% 0 Wk 3 Wk 5 Wk 8 Wk 1 Wk 2 Wk 4 Wk 6 Wk 7 Wk 9 Wk 10 Wk 15 Wk 20 Wk 25 Wk 30 Wk 32 Wk 35 Wk 37 Wk 42 Wk 47 Wk Wk Wk 12 Wk 13 Wk 14 Wk 16 Wk 17 Wk 18 Wk 19 Wk 21 Wk 22 Wk 23 Wk 24 Wk 26 Wk 27 Wk 28 Wk 29 Wk 31 Wk 33 Wk 34 Wk 36 Wk 38 Wk 39 Wk 40 Wk 41 Wk 43 Wk 44 Wk 45 Wk 46 Wk 48 Governorates was 395131 compared to 397352 the previous reporting week Wk 11 48. Acute respiratory tract infections lower Respiratory Infections (LRTI), Upper Reporting Rate Consultations Respiratory Infections (URTI), Other acute diarrhea (OAD) and Malaria (Mal) Distribution of Reporting Rates by Governoraes (Epi-Week 48,2019) % % % % % were the leading cause of morbidity this week. % 100% % % % % % 98 % % % % 98 90 100 100 % 97 100 90% 100 % 97 100 100 96 99 95 % % % 86 % % 94 91 80% % 88 71 94 89 87 70% 81 60% 50% 40% 30% 20% ● A total of 1989 alerts were generated by eDEWS system in week48, 2019, Of Reports HF No. 10% these 1986 alerts were verified as true for further investigations with 0% appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 48,2019 Proportional morbidity of leading priority diseases, Epi week 48,2019 Guinea Worm ● (URTI) 16%, suspected Malaria (6.8%),(DD) (10.8%) and (LRTI) (6.2%)Remain the Scabies Chicken Pox leading causes of morbidity representing a total of (39.8%) Brucellosis HIV/ AIDS Tuberculosis RB CL ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than Sch VHF 1% of total morbidity in reporting period Bloody diarrhea represented 0.3% Of this DF Meng morbidity Mal Mumps AFP NNT AVH_B&C ● All diarrheal disease comprised 10.8% and LRTI 6.2% of total morbidity in pilot Governorates AVH_A&E Meas this week . Typhoid F OAD BD Pert SARI ILI ● All diarrheal disease comprised 10.8% and OAD 7.4% of total morbidity in all age group . LRTI URTI 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0% 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 النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا على شكل وباء :ILI 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 48 (25 November-01 December,2019) Epidemiological Situation of Cholera GOV Distribution of suspected cholera cases by age group ( 01 Jan- 07 December 2019) Distribution of associated deaths by age group ( 01 Jan- 07 December 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 48 (25 November-01 December,2019) Epidemiological Situation of Dengue Fever and SARI Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) 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 48 (25 November-01 December,2019) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-48 ,2019) URTI LRTI mararia tested cases & confirmed Epi weeks 1-48,2019 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% 2.0% 1000 4.0% 1.0% 500 2.0% 0 0.0% wk4 wk7 wk2 wk3 wk5 wk6 wk8 wk9 0.0% wk1 wk12 wk15 wk20 wk23 wk28 wk31 wk34 wk39 wk42 wk47 wk10 wk11 wk13 wk14 wk16 wk17 wk18 wk19 wk21 wk22 wk24 wk25 wk26 wk27 wk29 wk30 wk32 wk33 wk35 wk36 wk37 wk38 wk40 wk41 wk43 wk44 wk45 wk46 wk48 WK6 WK7 WK1 WK2 WK3 WK4 WK5 WK8 WK9 WK2 WK4 WK7 WK9 WK1 WK3 WK5 WK6 WK8 WK15 WK16 WK17 WK25 WK26 WK34 WK35 WK36 WK44 WK45 WK10 WK11 WK12 WK13 WK14 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK27 WK28 WK29 WK30 WK31 WK32 WK33 WK37 WK38 WK39 WK40 WK41 WK42 WK43 WK46 WK47 WK48 WK10 WK12 WK14 WK15 WK17 WK20 WK22 WK25 WK27 WK30 WK32 WK33 WK35 WK37 WK38 WK40 WK43 WK45 WK48 WK13 WK16 WK18 WK19 WK21 WK23 WK24 WK26 WK28 WK29 WK31 WK34 WK36 WK39 WK41 WK42 WK44 WK46 WK47 WK11 Rapid Test(Postive) Microscope(Postive) Age and Sex distribution of total consultations of leading diseases (Epi week 48,2019) Number of Alerts Received and Responded (Epi Weeks 45-48,2019) 90000 URTI LRTI Pert BD OAD Typhoid F 79557 80000 AFP Meas AVH_A&E AVH_B&C DF Meng 70000 Sch CL Chicken Pox Mal 250 60000 55441 50000 200 39098 39732 40000 34952 35170 150 31686 30000 26623 27759 24872 100 No.of Alerts 20000 50 10000 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 24872 34952 39098 55441 27759 Female 26623 35170 39732 79557 31686 Distribution of consultations of leading diseases by Governorates,Epi week 48-2019 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 2807 4472 1380 1051 6609 1334 691 1662 6486 2464 3405 1791 2366 3943 2433 4428 1311 675 3855 4140 1566 143 4300 63312 LRTI 290 510 746 150 4775 287 84 840 2633 1154 1768 359 361 1887 1462 1263 478 153 781 1760 278 84 2289 24392 ILI 239 0 103 0 93 108 0 0 28 83 131 5 0 90 75 0 176 0 79 217 208 20 575 2230 SARI 0 0 0 0 0 0 0 0 33 6 125 0 0 0 0 0 0 0 52 0 0 0 0 216 Pert 1 2 0 1 0 19 0 0 9 4 19 2 4 0 0 12 0 0 17 9 0 0 7 106 BD 98 0 85 7 117 77 2 61 84 105 89 1 12 3 46 23 84 17 125 106 28 0 89 1259 OAD 1238 2013 853 627 1742 882 385 663 3802 1457 2079 714 552 1830 1431 1471 663 340 1679 2128 930 20 1599 29098 Typhoid F 39 44 267 7 439 178 14 127 611 281 991 59 7 4 326 29 88 50 146 339 49 36 461 4592 Meas 3 2 8 1 4 5 0 0 11 6 12 5 3 3 9 1 1 0 5 0 1 0 5 85 AVH_A&E 5 13 9 0 0 2 8 8 132 11 37 35 3 5 26 12 6 1 19 10 18 0 51 411 AVH_B&C 4 3 2 0 3 2 0 0 86 5 11 34 0 2 14 2 0 0 1 0 3 0 13 185 NNT 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 11 AFP 1 2 1 0 4 0 0 0 2 0 0 0 0 5 0 0 1 0 0 0 0 0 1 17 331 11 0 1 21 34 0 6 19 15 28 12 17 اﻷمراض المشتبه24ة Mumps 4 14 6 10 18 22 3 7 39 20 Mal 42 314 2 0 15408 153 18 673 216 580 618 0 0 5212 299 72 30 202 659 369 6 0 1903 26776 Meng 0 1 0 0 0 1 0 0 4 4 3 2 0 1 3 0 0 0 0 1 0 0 25 45 DF 32 196 2 1 3465 1 0 93 6 9 9 55 1 592 16 151 344 4 6 21 46 0 1860 6910 VHF 0 8 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 9 Sch 0 0 0 8 1 36 0 24 58 86 16 13 0 139 17 8 1 11 48 51 0 0 10 527 CL 0 0 2 0 0 4 0 0 5 18 13 1 1 12 2 5 1 3 7 8 1 0 2 85 RB 0 0 26 0 3 1 0 7 40 14 96 0 0 15 64 0 0 0 0 4 0 0 3 273 Tuberculosis 2 1 1 0 10 2 0 1 13 0 31 0 0 1 6 0 2 0 0 11 0 0 7 88 HIV/ AIDS 0 0 1 0 0 0 0 0 8 0 1 5 0 0 0 0 0 0 0 0 0 0 0 15 Brucellosis 3 0 51 0 2 59 0 15 141 36 430 0 5 167 73 0 9 1 19 11 14 0 9 1045 Chicken Pox 1 12 4 0 9 11 0 6 40 28 23 25 4 11 21 16 9 15 48 18 3 0 12 316 Scabies 13 2 3 0 22 0 0 5 12 16 13 1 1 35 1 1 3 13 27 16 0 0 0 184 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 3846 10107 4385 6758 19207 3461 2238 4066 56289 8193 17180 7469 4100 11026 11143 10381 6207 869 6731 8908 4590 238 10594 217986 total_cons_disease 8725 18230 8809 8599 54224 6771 3452 9124 72010 15190 28595 11194 7859 25704 18726 16881 9360 2558 14853 20120 7835 541 25771 395131 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.