Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Desta Gidena (MD) Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology April 2015 Addis Ababa I Addis Ababa University College of Health Sciences School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Desta Gidena (MD) Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology Advisors Dr. Daddi Jima Mr. Haftom Teame April 2015 Addis Ababa II ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By Desta Gidena (MD) Ethiopian Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _________________________ ___________________ Chairman, School Graduate Committee _________________________ ___________________ Advisor _________________________ ___________________ Examiner _________________________ ___________________ Examiner III Acknowledgment On behalf of my works, I grateful my mentors (Dr Daddi Jima and Ato Haftom Teame), who achieved their successful mentorship responsibility. I thank Ato Abyot, for his assistance and effective supervision. I owe my deepest gratitude to MOH, AAU, EPHA and CDC who may able me to have a knowledge and skill with their successful coordination and scientific management of the program. A special thank of mine goes to the MOD, who made me a candidate for this special program. I would like to thank to all EPHI, PHEM staffs for their kindly supports and sharing their experience. Finally, I thank my family, sister Tifto for her financial and moral support and my kids Roza and Semhal who work their duty with full responsibility, who they made me to work my outputs with full time and confidence. IV Table of Contents Acknowledgment ................................................................................................................................... IV Table of Contents .................................................................................................................................... V Lists of Tables ........................................................................................................................................ VII Lists of Figures ......................................................................................................................................... X List of Maps ........................................................................................................................................... XII Lists of Annex ....................................................................................................................................... XIII List of Acronyms and Abbreviation ....................................................................................................... XIV Executive Summery ................................................................................................................................. 1 Chapter I- Outbreak/Epidemic Investigation ............................................................................................ 3 1.1 Malaria Outbreak Investigation in Humera Town, Western Tigrai Zone, Ethiopia, 2014 .................. 3 1.2 Measles Outbreak Investigation of Kola Tembien Woreda, Central Zone-Tigrai Regional State, Ethiopia-2015 .................................................................................................................................... 22 Chapter II- Surveillance Data Analysis Report ......................................................................................... 38 Five Year Malaria Surveillance Data Analysis Report of Ethiopia, 2009 – 2013 .................................... 38 Chapter III – Evaluation of Surveillance System ...................................................................................... 60 Evaluation of Mekele Hospital Severe Acute Respiratory Infection/SARI Sentinel Surveillance, 2014.. 60 Chapter IV- Health Profile Description Report ........................................................................................ 82 Health Profile Assessment Report of Kilte Awlaelo Wereda, Eastern Tigray Zone, Ethiopia 2011/2012 .......................................................................................................................................................... 82 Chapter V- Scientific Manuscripts for Peer reviewed Journals .............................................................. 113 Malaria Outbreak Investigation in Humera Town, Western Tigray Zone, Tigray Regional State, Ethiopia 2014 ................................................................................................................................................ 113 Chapter VI – Abstracts for Scientific Presentation ................................................................................ 126 4.1 Five Year Malaria Surveillance Data Analysis Report of Ethiopia from 2009 to 2013 ....................... 126 4.2 Malaria Outbreak Investigation in Humera Town, Western Tigray Zone, Tigray Regional State, Ethiopia 2014 ...................................................................................................................................... 127 Chapter VII – Narrative Summery of Disaster Situation Visited ............................................................. 128 Health Belg Report of South and South East Tigray, Ethiopia, 2014 .................................................. 128 Chapter VIII – Protocol/Proposal for Epidemiologic Research Project................................................... 148 8.1 Rapid Assessment about the Ebola Virus Disease (EVD) Awareness in Health Professionals in Ethiopia, 2015. ................................................................................................................................ 148 Field Epidemiology Compiled Body of Work Page V 8.2 Malaria Transmission and Associated Factors in Huge Agricultural Investment Areas of Kafta Humera District of Western Tigray, Ethiopia During Sesame Harvesting Period, 2015 ...................... 159 Chapter IX- Other Additional Output Reports ...................................................................................... 170 9.1 Ebola Virus Disease (EVD) Screening and Preparedness Report in Pagak Land Port Gambella, ETHIOPIA, 2014 ............................................................................................................................... 170 9.2 Public Health Emergency Management Weekly Bulletin............................................................. 185 9.3 MDSR and Ebola Training for Tigray Region Woreda Public Health Emergency Management Officers Report ................................................................................................................................ 199 9.4 Surveillance Report for Influenza SARI Site In Amhara And Tigray Region ................................... 203 Field Epidemiology Compiled Body of Work Page VI Lists of Tables Table1.1.1 Age and sex specific distribution of malaria cases in Humera Town, Western Tigray Ethiopia (October 10-23/2014). ........................................................................................................................... 12 Table1.1. 2 Malaria Cases in Humera Town by Diagnosis of WHO Epidemic Week 43 and 44, 2014, Western Tigray Ethiopia ........................................................................................................................ 15 Table 1.1. 3 Demographic characteristics of the malaria outbreak investigation case-control study of Humera town, Western Tigray, Ethiopia, 2014. ...................................................................................... 11 Table 1.1. 4 Types and Frequency of Malaria Cases in the Cases Study Groups of Humera Town, 2014. 15 Table 1.1.5 Characteristics of Exposure in Case Control Study of Malaria Outbreak in Humera Town, 2014 .............................................................................................................................................................. 16 Table 1.2,2. 1Distribution of measles cases by age, frequency and attack rate in Kola Tembien Woreda of Central Tigray, Ethiopia, March 2015. .................................................................................................... 31 Table 1.2.3 Vaccination Status of measles cases in Kola Tembien Woreda, Tigrai, Ethiopia, March 2015. .............................................................................................................................................................. 32 Table 1.2.4 Independent factors associated with contracting Measles in Kola Temben Woreda, Tigray Region, Ethiopia, 2015 ........................................................................................................................... 32 Table 1.2. 5 Interaction between vaccination status and contact history in cases and controls of Kola Temben Woreda, Tigrai, Ethiopia, March 2015. ..................................................................................... 33 Table 1.2.6 Reasons for unvaccinated in Kola Temben Woreda, 2015 ...................................................