Emergency and Humanitarian Action (EHA), Uganda Weekly Activity Report General Situation Political, Social and Security; Week 35, • LRA: Government of Uganda is continuing to support the government of Sudan and Central African Republic (CAR) to pursue the Lord’s Resistance Army in Sudan and Central African Republic. There are reports of capture of one of the top commanders of rd th 23 – 30 August the LRA. • Acholi and Lango sub-region is calm 2009 • Karamoja sub-region; Disarmament of armed Karamojong by UPDF continues. Main Events of Interest/Concern for Health; • Conducted a one day training of 65 health workers from both public and private health facilities on Influenza A HINI Analysis and Health Consequences (Health Problems and Needs of Affected Population) Malaria: Lango; Over the last three weeks, number of cases of malaria registered on weekly bases in Amolatar district increase from 524 in epi-week 33 to 1077 in epi-week 35 representing 100% increase. See figure 1 below for details. Highlights One new cases of Influenza A HINI. Acholi, The number of cases of malaria registered in Gulu district increased from 4,696 in epi-week 34 to 6,716 in epi-week 35. Representing a 35% increase. See figure II below for details. Karamoja sub-region: The number of cases of malaria reported in Kotido district increased from 1593 in epi-week 34 to 1964 in epi-week 35 representing a 23% increase. See figure Acknowledgement III below for details. Production of this weekly activity report has been made possible by contribution from the followings Dysentery: Acholi Sub-region; Pader district continued to register high number of cases of dysentery in 2009 as compared to 2008. See figure IV below for details. Lango sub-region; The number of cases of dysentery in Dokolo district in epi-week 34 and 35 of 2009 is much higher than that of 2008. See figure IV below for details. Karamoja sub-region; The number of cases of dysentery reported in all districts in Karamoja sub-region in epi-week 35 of 2009 is comparable to that of 2008. Hepatitis E; Kitgum district registered 13 new cases of Hepatitis E in epi-week 35. This number is up from 12 new cases registered in epi-week 34. The cumulative number of cases of Hepatitis E registered in Kitgum district since the beginning of the epidemic is 10,422 with 166 deaths (CFR 1.59%). The sub counties that registered cases in Epi week 35 of 2009 are; Lokung [4]; Mucwini [3]; PalabekGem [2]; Padibe East [2] ;Amida [2]. One cases of Hepatitis E was registered in Pader district in epi-week 35 of 2009. Same number as that of epi-week 34. Gulu district did not register any suspected case of Hepatitis E in epi-week 34. See table I and figure VI below for details. District New cases New deaths Cumulative cases Cumulative deaths Kitgum 13 0 10,424 166 (1.59%) Gulu & Amuru 0 0 44 (9 positive) 0 (0) Pader 1 0 219 8 (3.47%) Lango 0 0 3 0 Total 14 0 10,690 174(1.62%) Measles and Meningitis; No suspected cases reported in the week. AFP; Two suspected cases of AFP were registered in the week. One suspected was from Pader district the second one is from Moroto district. Cholera Busia district; Last case admitted on 5th September 2009. Cumulative number of cases is 106 with 8 deaths (CFR 7.5%) Kasese district; 12 new cases were admitted in the last three days. Cumulative number of cases is 443 with 10 deaths (CFR 2.26%). HINI; 13 cases were confirmed positive since the beginning of the pandemic. The last one was on the 6th September 2009. Of the 13 cases 9 were imported, three are household contacts. Actions (WHO response, Sida grant) Epidemic Response Disease surveillance; Review meeting with Community Based Disease Surveillance persons ongoing in Pader district Malaria; WHO is supporting the districts of Gulu Amolatar and Kotido to respond to the high number of cases of malaria. Note that most districts in Acholi, Lango and Karamoja sub- regions have low stock of drugs at health facilities. Diarrheal disease; WHO is supporting Lira district to investigate the apparent increase in the number of cases of dysentery. HINI; • Response; Heightened routine surveillance in all health facilities Community sensitization supported by Uganda Red Cross Society ongoing 65 health workers in and around Kampala have been trained on Influenza A HINI Major challenge to the response is o Lack of fund to implement the national preparedness and response plan. Hepatitis E; Response to Hepatitis E in Kitgum and Pader district include; • Water chlorination ongoing in some sub counties in Kitgum district • Community mobilization and sensitization is ongoing on the local FM radios • Repair and maintenance of water sources activities are ongoing in some sub counties AFP; Stool samples from the suspected Polio cases have been taken to UVRI for confirmation. Results for stool samples sent to UVRI in epi-week 33 and 34 have not yet been received. Cholera Case management ongoing at one treatment centre in Busia district and three treatment centres in Kasese district. Community mobilization and sensitization ongoing in all districts. Mini UDHS in Acholi and Karamoja sub-region; • Data collection complete in 8 of the 9 district • Data capture ongoing • Preliminary result expected in November Other partners Partners active in the region include; ASB, CESVI, Concern, MTI, AVSI, AIS and Mercy Corps, UNFPA, GOAL, Malaria consortium (MC), AMREF, MEDAIR, , AVSI, MTI, ICRCS, NUMAT, Visions in Action, Health Alert, ARC and CUAMM Comments and Conclusions; Uganda has managed to contain all cases of HINI and has avoided community transmission in spite of poor funding for preparedness and response. Plan for Coming Week • Support MOH to respond to Influenza A H1N1 pandemic • Support hepatitis E epidemic response in Kitgum and Pader district • Support Busia and Kasese district to respond to epidemic outbreak of cholera • Provide technical and financial support to the DHOs in strengthening HMIS/IDSR • Provide technical and financial support to MoH and UBoS in conducting mini- Demographic and Health Survey For further information, please contact: Dr. Joaquim Saweka, WHO Representative Uganda: Tel. +256 41 335500, Mobile +256 752 728 257, Email: [email protected] .