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,lssue16,Epi week 16,(15-21 April,2019) Highlights eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-16,2019 % % % % % % % % % % % % % 95 % % 96 96 96 96 96 95 95 95 95 95 % 94 100% 94 400000 96 93 93 90% 350000 80% 300000 70% •During week no.16,2019, %95(1991/1882) 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 1 Wk 5 Wk 9 Wk Wk Wk 2 Wk 3 Wk 4 Wk 6 Wk 7 Wk 8 Wk 13 Wk 14 Wk 11 Wk 12 Wk 15 Wk 16 •The total number of consultation reported during the week in 23 Governorates was Wk 10 3500062 compared to 379820 the previous reporting week 16 . Acute respiratory tract Reporting Rate Consultations infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Distribution of Reporting Rates by Governoraes (Epi-Week 16,2019) % % % % % % % % 100% % % 100 % % 90 Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this % % % % % % % 98 100 100 99 97 100 100 90% 100 90 100 100 98 % 94 85 96 95 96 % 92 week. 80% % % 83 89 70% 82 60% 50% 40% 30% 20% No.HF Reports 10% ● A total of 1947 alerts were generated by eDEWS system in week 16, 2019, Of these 0% 1946 alerts were verified as true for further investigations with appropriate response Reporting Rate Target Leading causes of morbidity mortality in Epi-Week 16,2019 Proportional morbidity of leading priority diseases, Epi week 16,2019 AVH_A&E; 0.1% AFP; 0.0% Typhoid F; 1.4% Mumps; 0.2% Mal; 4.7% DF; 0.1% ● (URTI) 14.3%, suspected Malaria (4.7%),(OAD) (10.5%) and (LRTI) (5.8%)Remain AVH_B&C; 0.0% Sch; 0.2% Meas; 0.1% RB; 0.0% Meng; 0.0% Brucellosis; 0.3% the leading causes of morbidity representing a total of (53.7%) Chicken Pox; 0.3% 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 0.4% Of this OAD; 10.5% morbidity ● All diarrheal disease comprised 18.4% and LRTI 5.8% of total morbidity in pilot Governorates BD; 0.4% this week . SARI; 0.0% URTI; 14.3% Pert; 0.0% ILI; 0.6% ● All diarrheal disease comprised 18.4% and OAD 10.5% of total morbidity in all age group . LRTI; 5.8% Measles Situition in Yemen Distribution of Governorate Measles cases & Deaths , Epi weeks1- 16,2019 Epi Curve of Measles in Yemen During 2017,2018,2019, 800 900 700 800 600 700 500 600 400 500 300 400 200 300 100 200 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 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 16 (15-21 April,2019) GOV Distribution of suspected cholera cases by age group (1 Jan – 28 April 2019) Distribution of associated deaths by age group (1 Jan – 28 April 2019) Maps Officer / Fawaz Al-Khalidi - Mobile (771422601) Distribution of suspected and deaths cases by age and sex From 1 Jan to 14 April 2019 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 16 (15-21 April,2019) weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-16 ,2019) URTI LRTI mararia tested cases & confirmed Epi weeks 1-16,2019 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 0.0% wk3 wk8 wk2 wk4 wk5 wk6 wk7 wk9 0.0% wk1 wk13 wk10 wk11 wk12 wk14 wk15 wk16 WK1 WK2 WK3 WK4 WK5 WK6 WK7 WK8 WK9 WK10 WK11 WK12 WK13 WK14 WK15 WK16 WK2 WK3 WK4 WK5 WK6 WK7 WK8 WK9 WK1 Rapid Test(Postive) Microscope(Postive) WK15 WK10 WK11 WK12 WK13 WK14 WK16 Age and Sex distribution of total consultations of leading diseases (Epi week 16,2019) Number of Alerts Received and Responded (Epi Weeks 13-16,2019) 80000 73103 URTI LRTI Pert BD OAD Typhoid F 70000 AFP Meas AVH_A&E AVH_B&C DF Meng 60000 Sch CL Chicken Pox Mal 300 50000 46855 250 40000 34808 33351 200 31460 32357 30000 28455 25531 150 22065 22077 20000 No.of Alerts 100 10000 50 0 0 <1yr 1-4yr 5-14yr 15-44yr >45yr Male 22065 31460 33351 46855 25531 Female 22077 32357 34808 73103 28455 Distribution of consultations of leading diseases by Governorates,Epi week 16-2019 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 2229 3627 1332 939 5554 1131 523 734 4916 1916 2416 1737 1716 3458 2241 3365 805 560 3199 3145 1123 85 3146 49897 LRTI 276 505 855 291 3930 387 50 425 1997 952 1346 386 291 1527 1368 1410 236 187 852 1243 342 32 1495 20383 ILI 381 1 79 0 228 62 0 20 24 34 111 0 0 453 112 0 115 0 59 116 203 4 240 2242 SARI 0 0 5 0 0 0 0 1 5 0 65 0 0 12 2 0 0 0 37 0 0 0 0 127 Pert 0 5 0 0 1 10 0 0 0 5 0 2 0 0 0 10 0 0 9 6 3 0 15 66 BD 60 34 47 20 93 88 0 87 77 172 126 1 7 5 102 30 47 17 92 158 47 0 150 1460 OAD 1248 1831 1276 596 1973 1116 347 756 6352 1700 2688 409 441 3222 2350 1500 465 440 1959 2701 689 32 2727 36818 Typhoid F 68 55 337 16 438 189 3 106 750 286 681 42 12 3 630 56 96 87 259 336 85 34 437 5006 Meas 6 16 1 5 7 8 2 0 8 15 2 8 8 17 3 7 1 0 24 20 1 0 18 177 AVH_A&E 15 28 3 2 3 3 0 5 111 5 49 14 10 0 15 14 0 0 0 16 12 0 17 322 AVH_B&C 3 0 1 0 2 3 0 0 41 0 6 1 0 12 23 0 3 0 0 1 1 0 12 109 NNT 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 3 AFP 0 1 0 0 0 0 0 1 3 0 1 0 1 2 1 0 0 0 1 0 1 0 2 14 545 47 0 17 23 38 2 8 12 16 49 72 42 اﻷمراض المشتبه12ة Mumps 13 16 19 27 31 12 9 21 48 11 Mal 32 297 17 0 9117 155 6 493 110 341 456 1 0 2546 359 52 5 152 721 152 36 0 1234 16282 Meng 0 2 0 0 0 0 0 0 4 0 1 2 0 0 11 0 0 0 0 0 1 0 15 36 DF 39 101 0 3 91 0 0 1 0 0 0 75 1 1 0 50 44 0 0 0 20 0 20 446 VHF 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Sch 2 0 0 25 7 15 0 29 52 81 34 5 2 138 14 5 0 12 72 41 0 0 16 550 CL 0 0 4 4 1 5 0 0 2 2 20 0 1 5 2 5 2 5 15 5 0 0 4 82 RB 0 0 2 0 1 0 0 3 63 0 67 1 2 7 10 1 0 0 0 4 0 0 8 169 Tuberculosis 8 2 0 0 2 4 0 1 5 2 7 0 0 6 7 1 2 0 2 2 0 0 9 60 HIV/ AIDS 0 0 2 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 Brucellosis 4 0 65 0 11 67 0 3 210 63 219 0 9 72 85 0 14 1 32 13 11 0 30 909 Chicken Pox 13 29 13 26 25 54 4 21 102 127 49 11 29 113 57 14 18 24 173 65 50 0 43 1060 Scabies 14 2 8 4 89 0 0 7 14 7 25 2 1 35 5 2 0 9 47 13 0 4 12 300 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 4302 11608 4562 5253 12126 2798 1384 2618 40510 5685 16703 5715 4343 8933 14264 6928 4092 856 5137 6772 4855 241 11454 181139 total_cons_disease 8793 18514 9800 8108 35351 6772 2351 6906 59301 13400 29306 10030 7024 23741 24266 14295 5887 2638 13901 18061 7590 432 23595 350062 This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.