Ethiopian Public Health Institute (EPHI) የኢትዮጵያ የህብረተሰብ ጤና ኢንስቲትዩት EPIDEMIOLOICAL BULLETIN Epidemiological * As of 09 August 2020, 22,818 confirmed COVID 19 cases, 407 deaths and 10,206 recover- Bulletin ies have been reported in Ethiopia. 31, (27 July-2 Au- * The national surveillance completeness and timeliness rate were 90.9% for each. gust, 2020 ) * Following the heavy rainfall this rainy season over flooding occurred in ten woredas of the Afar region, and 49,065 persons have been displaced due to overflow ofAwash River. * Cholera outbreaks continued in SNNPR and Oromia regions during the reporting week. A total of 239 and 4 deaths reported during the week. West Omo Zone of SNNP region is the NEW EVENT most affected. 1 * Measles outbreak continues in Amhara and Oromia region. The number of reported sus- pected measles cases during the week is the lowest as compared to the last 4 years. * A total of 25,538 confirmed and clinical malaria cases without death were reported during the week, which showed 2360(9%) cases decrement as compared to the previous week. * A total of 5,703 SAM cases and 3 death reported, showed 368(6%) cases decrement as com- Ongoing Out- break pared to previous week. 3 * A total of 8 Maternal deaths reported during this week, showed 6(43%) decrement compared to previous week. * A total of 96 Perinatal deaths were reported nationally during the reporting week * Nationally 113 suspected rabies cases without death were reported during the week. * Response teams have been deployed to all outbreak affected woredas and continued remote Newly occured support is being provided to all regions. outbreak 0 * Cholera outbreak requires strengthened response activities in order to control rapidly, break chains of transmission and engage the community in these activities. * Flooding may result in an increase the risk of malaria and Acute wastery Diarhea outbreak of after floods. * Measles active case search should be strengthened to enhance the detection of the outbreak. Epi /Bulletine/ Week 31,2020 Page Number 1 Ethiopian Public Health Institue Weekly Epidemiological Bulletin 31, 2020 Cholera: is ongoing in SNNPR and Oromia region, a total of 239 suspected Cholera cases and 4 deaths were reported during the week. The highest 235(98%) were reported from SNNPR followed by 4(2%) from Oromia region. All of 4 deaths were reported from West Omo zone of SNNPR. West Omo zone of the region shared the highest number of cases and deaths during the week. During the last four weeks from week 27-31, 2020 , a total of 40 associated deaths were reported from SNNP region. See below Figure. Epi /Bulletine/ Week 31, 2020 Page Number 2 Ethiopian Public Health In- Weekly Epidemiological Bulletin No 31, 2020 Weekly Diseases Summary The weekly surveillance data received from regions is summarized in Table 1 below. Table 1: Summary of surveillance data, Weeks 1-31, 2020, Ethiopia AFP: A total of 8 suspected AFP cases were reported during the week. Of total 5 reported cases, 2(40%) suspected cases were from Somali region, 1(20%) was reported from Addis Ababa city, Benishangul Gumuz region and Dire Dawa city for each. No cVDPV2 and VDPV2 cases were reported this week. Epi /Bulletine/ Week 31,2020 Page Number 3 Ethiopian Public Health Institue Weekly Epidemiological Bulletin No 31, 2020 Measles: During the week, a total of 48 suspected measles cases without deaths were reported and showed 100(68%) cases decrement as compared to last week. The highest 25(52%) suspected measles cases were from Oromia region followed by 19(40%) from Amhara region and 3(6%) cases were from SNNPR. See figure below. Anthrax: A total of 20 Suspected Anthrax cases without death were reported during the week. Of all 20 suspected cases, 19(95%) suspected cases were reported from Amhara region. Neonatal tetanus (NNT): One suspected Neonatal case with 1 death were reported nationally during the week. One of the suspected case was reported from Dera Hospital of Oromia region and 1 death was reported from BuleHora Hospital of Oromia region. BuleHora Hospital has been reported 1 death during week 30, 21020. Perinatal Death: A total of 96 Perinatal deaths were Rabies: Nationally 113 suspected rabies cases without death reported nationally during this week, which showed were reported during the week, which showed 35(31%) incre- 40(29%) Perinatal deaths decrement as compared to last ment of cases as compared to last week. Highest 41(36%) sus- week. Highest 42(44%) deaths were from Addis Ababa pected rabies cases were reported from Addis Ababa city fol- city followed by 29(30%) of deaths were from Amhara lowed by 26(23%) were from Amahara region and 18(16%) region and 9(10%) were from Oromia region. were reported from SNNPR. Epi /Bulletine/ Week 31, 2020 Page Number 4 Ethiopian Public Health Institue Weekly Epidemiological Bulletin No 31, 2020 Maternal Death: A total of 8 maternal deaths were reported nationally during this week, showed 43%(6 maternal deaths) decreament as compared to the previous week. Highest 5(63%) maternal deaths were from Oromia region followed by 2(25%) from SNNP region and 1(12%) was reported from Dire Dawa city. See figure below. Malaria: A total of 25,538 confirmed and clinical cases without death were reported during the week, which showed 2360(9%) cases decrement as compared to the last week. Highest 8,499(33%) cases were from Amhara region followed by 4,963(20%) cases were from SNNP region and 3173(12%) cases from Benishangul Gumuz region. See figure below Epi /Bulletine/ Week 31, 2020 Page Number 5 Ethiopian Public Health Institue Weekly Epidemiological Bulletin No 31, 2020 Severe Acute Malnutrition (SAM): During the week, a total of 5,703 SAM cases and 3 deaths were reported, which showed 368(6%) cases decrement as compared to last week. The highest 2335(41%) SAM cases were reported from Oromia followed by 1587(28%) from Somali region and 726(13%) from SNNP region. Of total 3 deaths reported, 1 deaths was from Oromia region (Ginir Town of Bale Zone Zone), 1 death was from Amhara region (Gendewuha woreda of West Gondar- zone) and 1 death was from Bonga Hospital Of SNNPR. See figure below. Scabies: A total of 4,845 scabies case were reported during the week, showed 72(2%) cases decrement as compared to the last week. Highest 2025(42%) scabies cases were from Oromia followed by 1692(35%) cases were from Amhara and 411(8%) from Tigray region. Relapsing fever (RF): A total of 63 relapsing fever (RF) cases without death were reported during the week, showed 17(21%) cases decrement as compared to the last week. Highest 29(46%) RF cases were reported from Oromia followed by 14(22%) were reported from Somali region and Addis Ababa city for each. Meningitis: A total of 98 suspected meningitis cases and 2 death were reported during the week, which showed 9(14%) case increment as compared to last week. The highest 37(38%) suspected cases were from Oromia, followed by 27(28%) cases from Tigray region and 10(10%) were from Somali region. Two of deaths were reported from Jenella woreda of Harari region. See figure below Epi /Bulletine/ Week 31, 2020 Page Number 6 Ethiopian Public Health Institue Weekly Epidemiological Bulletin No 31, 2020 Epi /Bulletine/ Week 31, 2020 Page Number 7 Ethiopian Public Health Institue Weekly Epidemiological Bulletin No 31, 2020 Major Public health action • Ethiopian Public Health Institute (EPHI), in collaboration COVID 19 Situation with WHO and other health partners, are responding to the • COVID-19: In Ethiopia the total number of outbreak in the affected woredas. confirmed COVID -19 cases raised to 22,818, • Response Teams have been deployed to all outbreak affected Recoveries 10,206 and 407 COVID-19 deaths woredas and continued remote support is being provided to recorded as of 09 August, 2020. all regions. • Ethiopia announced the launch of COVID-19 Prevention and • Globally 19,926,475 confirmed COVID-19 Testing Campaign by Prime Minister Abiy Ahmed. cases, 12,805,778 Recovered and 731,821 • Contact identification, contact listing and follow-up of Con- deaths were reported as of 09 August, 2020, firmed cases strengthened and well maintained. in a 213 countries/territories/ areas. • Cholera disease outbreak requires strengthened response ac- tivities in order to control this rapidly, break chains of trans- mission and engage the community in these activities. • Response to Cholera should be inlined to existing COVID-19 response activities. The Epidemiological Bulletin is published by the Ethiopian Public Health Institute Editor in Chief: Mulugeta Asefa Public Health Emergency Management Center, Early Warning & Information System Management Directorate Address: P.O. Box 1242, Swaziland Street, Addis Ababa Telephone: +251-112-765-340, Toll Free: 8335/8665, Fax: +251- 112-758-634 Website: www.ephi.gov.et Epi /Bulletine/ Week 31, 2020 Page Number 8 Ethiopian Public Health Institue.