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,lssue28,Epi week 28,(08-14 July,2019) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-28,2019 % % % % % % % % % % % % % % % % % % % % % % % % 95 % % 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.28,2019, %96(1991/1920) 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 2 Wk 4 Wk Wk Wk 1 Wk 3 Wk 5 Wk 6 Wk 7 Wk 8 Wk 9 Wk 11 Wk 13 Wk 18 Wk 20 Wk 25 Wk 27 Wk 12 Wk 14 Wk 15 Wk 16 Wk 17 Wk 19 Wk 21 Wk 22 Wk 23 Wk 24 Wk 26 •The total number of consultation reported during the week in 23 Governorates was Wk 10 364889 compared to 348989 the previous reporting week 28 . Acute respiratory tract Reporting Rate Consultations infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Distribution of Reporting Rates by Governoraes (Epi-Week 28,2019) % % % 95 % % % % % % % 100% % % Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this % % % % % 96 % % 100 % 99 100 98 99 100 100 100 90% 100 100 100 % 98 89 99 97 % 85 95 94 week. 80% 93 91 % 70% 87 60% 50% 40% 30% 20% No.HF Reports 10% A total of 1972 alerts were generated by eDEWS system in week 28, 2019, were verified 0% as true for further investigations with appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 28,2019 Proportional morbidity of leading priority diseases, Epi week 28,2019 AVH_A&E; 0.1% AFP; 0.0% Mumps; 0.1% Mal; 4.5% DF; 0.1% Typhoid F; 1.4% AVH_B&C; 0.0% ● (URTI) 13.5%, suspected Malaria (4.5%),(OAD) (9.8%) and (LRTI) (5.4%)Remain the Meas; 0.0% Sch; 0.1% RB; 0.1% leading causes of morbidity representing a total of (49.4%) 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 0.5% Of this OAD; 9.8% morbidity ● All diarrheal disease comprised 16.2% and LRTI 5.4% of total morbidity in pilot Governorates BD; 0.5% this week . SARI; 0.0% URTI; 13.5% Pert; 0.0% ILI; 0.4% ● All diarrheal disease comprised 16.2% and OAD 9.8% of total morbidity in all age group . LRTI; 5.4% Measles Situition in Yemen Distribution of Governorate Measles cases & Deaths , Epi weeks1- 28,2019 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 wk10wk11wk12wk13wk14wk15wk16wk17wk18wk19wk20wk21wk22wk23wk24wk25wk26wk27wk28wk29wk30wk31wk32wk33wk34wk35wk36wk37wk38wk39wk40wk41wk42wk43wk44wk45wk46wk47wk48wk49wk50wk51wk52 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 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 28 (08-14 July,2019) GOV Distribution of suspected cholera cases by age group (1 Jan- 23 July 2019) Distribution of associated deaths by age group (1 Jan- 23 July 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 28 (08-14 July,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 28 (08-14 July,2019) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-28 ,2019) URTI LRTI mararia tested cases & confirmed Epi weeks 1-28,2019 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% 1000 2.0% 4.0% 500 2.0% 1.0% 0 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9 0.0% wk1 wk20 wk25 wk11 wk12 wk13 wk14 wk15 wk16 wk17 wk18 wk19 wk21 wk22 wk23 wk24 wk26 wk27 wk28 0.0% wk10 WK2 WK1 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 WK2 WK3 WK4 WK5 WK6 WK7 WK8 WK9 WK1 Rapid Test(Postive) Microscope(Postive) WK15 WK10 WK11 WK12 WK13 WK14 WK16 WK17 WK18 WK19 WK20 WK21 WK22 WK23 WK24 WK25 WK26 WK27 WK28 Age and Sex distribution of total consultations of leading diseases (Epi week 28,2019) Number of Alerts Received and Responded (Epi Weeks 25-28,2019) 90000 URTI LRTI Pert BD OAD Typhoid F 80000 77847 AFP Meas AVH_A&E AVH_B&C DF Meng 70000 Sch CL Chicken Pox Mal 400 60000 350 50134 50000 300 40000 36590 250 33746 32194 33341 30000 29048 200 26050 22762 23162 No. of No.Alerts 150 20000 100 10000 50 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 22762 32194 33746 50134 26050 Female 23162 33341 36590 77847 29048 Distribution of consultations of leading diseases by Governorates,Epi week 28-2019 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 2657 3761 1289 986 5567 1102 621 999 4962 1737 2536 1333 1638 3348 2398 3350 693 554 2895 2869 1147 76 2811 49329 LRTI 422 297 824 193 4347 399 41 425 1936 863 1471 311 230 1429 1319 1025 216 129 605 1098 235 61 1666 19542 ILI 127 0 47 0 112 96 0 6 14 46 74 5 0 410 83 0 65 0 81 86 140 3 201 1596 SARI 0 0 11 0 1 0 0 0 7 0 79 0 0 0 1 0 0 0 19 0 0 0 0 118 Pert 0 3 0 0 0 10 2 0 5 14 8 2 1 0 14 10 0 0 2 0 6 0 15 92 BD 65 6 32 2 120 120 0 111 129 193 170 12 5 3 113 25 30 26 180 156 45 0 208 1751 OAD 1022 1760 1223 684 2462 1125 367 648 5499 1816 2855 576 398 2947 2249 1667 512 488 1813 2569 831 27 2390 35928 Typhoid F 58 56 333 17 528 179 1 123 742 265 901 27 9 5 630 32 90 60 196 333 61 41 412 5099 Meas 0 12 4 4 3 3 1 0 13 15 2 7 3 3 12 7 0 5 24 4 9 0 10 141 AVH_A&E 8 10 4 0 1 1 0 1 125 9 41 20 7 0 17 11 5 2 4 14 20 0 14 314 AVH_B&C 4 1 4 2 0 0 0 1 76 2 8 9 0 7 30 1 6 0 1 3 1 0 11 167 NNT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AFP 1 0 0 0 0 0 0 0 2 1 0 1 0 3 1 0 0 2 1 2 0 0 0 14 337 12 1 8 29 16 0 24 12 11 42 9 10 اﻷمراض المشتبه24ة Mumps 15 13 7 8 22 15 4 8 35 12 Mal 59 299 12 0 7045 164 15 531 234 448 592 2 1 3543 517 95 13 177 790 180 6 0 1607 16330 Meng 0 14 0 0 1 1 0 0 16 0 3 2 0 5 14 0 0 0 0 0 1 0 14 71 DF 156 116 0 2 39 0 0 0 0 0 0 16 5 2 0 67 33 0 0 0 43 0 63 542 VHF 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 Sch 0 0 1 23 2 21 0 19 69 85 25 5 3 98 13 9 3 4 64 24 0 0 12 480 CL 0 0 4 5 0 3 0 2 4 2 10 1 3 12 5 3 0 4 5 5 2 0 0 70 RB 0 0 2 1 4 0 0 5 85 4 92 1 0 20 26 0 0 0 2 6 0 0 8 256 Tuberculosis 10 5 0 0 2 3 0 1 19 1 8 1 0 4 4 3 0 0 3 6 1 0 8 79 HIV/ AIDS 0 0 0 0 0 0 0 0 4 0 0 1 0 2 0 0 0 0 0 0 0 0 0 7 Brucellosis 3 0 50 2 12 64 0 1 180 43 197 0 15 185 86 1 16 1 49 20 14 0 20 959 Chicken Pox 9 28 2 17 12 23 0 21 109 78 35 11 8 68 65 10 14 21 137 45 8 0 7 728 Scabies 16 1 0 0 69 7 0 8 31 4 9 2 1 33 2 1 0 17 39 28 2 0 9 279 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 4964 10208 4422 6893 12366 3358 2217 4517 50773 4837 19722 6470 4187 9546 12673 10749 5122 1346 5667 7436 4548 239 10977 203237 total_cons_disease 9821 16675 9350 9193 36996 7131 3285 8185 68305 11871 31084 9906 6667 23903 22218 17864 6860 3139 13863 18120 7174 448 22831 364889 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.