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8/6/2019 Bulletin Week 15 Sukkur HUB

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8/6/2019 Bulletin Week 15 Sukkur HUB

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thern Sindhb W#15, 2011 EPIDEMIOLOGICAL BULLETIN: FLOOD RESPONSE IN NORTHERN SINDH

Weekly Epidemiological Bulletin Data source; District health office, PPHI, Teaching hospitals and private partners.For Correspondence: ghyder.shaikh@gmail.com

WHO Northern Sindh Hub Sukkur: Tel : +92-071-5932871, Fax : +92-071-5932871 Page

District wise

Alerts of Week 15

Ghotki Jacobabad Kambar Kashmore Khairpur Larkana N‐ Feroze Shikarpur Sukku

5 3 2 1 1 1 2 4 5

Figure:6: Proportionate Priority diseases reported at Sukkur HUB Figure:7: Proportionate Priority diseases reported at Sukkur HUB

lerts Highlights:

• A total of 24 alerts were received and responded by all districts during week No. 15 Out of 24 reported alerts; Measles (9), Pertussis (4), (3) each for Tetanus andDeath, AWD (2) and (1) case each for Snake bite, viral encephalitis and Dengue, while no any case of Polio reported at Northern Sindh Hub during week 15(2011).

ate of alert Alert

No. of cases

District Age/ Sex Action taken / Notes Causative

8-Apr-11 AD 1 Jacobabad > 5 M A 32 years old male diagnosed and reported suspected case of Acute Diarrhoea, reported by SO DEWS Jacobabad. Acute Diarr

9-Apr-11 Pertussis 1 Ghotki < 5 F

1 suspected case, collected specimen and sent to NIH, gave erythromycin to case and contacts, upon field investigation found many

unimmunized children and outreach vaccination scheduled for community. Pertuss

9-Apr-11 Measles 1 Ghotki < 5 F

suspected case of measles found in the weekly DEWS data of RHC jarwar upon field investigation three years age baby boy named Kanwal S/O

Srichand with post measles case with out any rash no sample was collected no any other case found during active search Suspected Me

9-Apr-11 Measles 1 Khairpur < 5 F

1 suspected case, gave vitamin A, collected specimen and sent to NIH, upon field investigation no more cases found and outreach vaccination

scheduled for community.

Suspected Me

9-Apr-11 Measles 1 Sukkur < 5 M 1 suspected case, child was investigated, no rash and no fever, baby was sick but not according to Measles case definition. Suspected Me

9-Apr-11 Measles 3 Jacobabad< 5 F, > 5

F

3 suspected case, gave vitamin A, collected specimen and sent to NIH, upon field investigation no more cases found and outreach vaccination

scheduled for community.

Suspected Me

0-Apr-11 Measles 1 Kashmore < 5 M

1 suspected case, gave vitamin A, collected specimen and sent to NIH, upon field investigation no more cases found and outreach vaccination

scheduled for community. Suspected Me

1-Apr-11 Tetanus 1 Ghotki < 5 F Suspected case of Tetanus was admited in MCHcentre notified by pediatrician hospital investigation completed. TIG was given patient. Tetanu

1-Apr-11 Measles 1 Ghotki < 5 M

1 suspected case, gave vitamin A, collected specimen and sent to NIH, upon field investigation no more cases found and outreach vaccination

scheduled for community.

Suspected Me

1-Apr-11 Measles 1 Jacobabad > 5 M

1 suspected case, gave vitamin A, collected specimen and sent to NIH, upon field investigation no more cases found and outreach vaccination

scheduled for community. Suspected Me

2-Apr-11 Pertussis 1 Sukkur < 5 M 1 suspected case, upon field investigation found false reoprted case. Suspected per2-Apr-11 Pertussis 1 Sukkur < 5 F 1 suspected case, upon field investigation found that it was a case definition problem, vaccination scheduled for community. Suspected per

2-Apr-11 Measles 1 Sukkur < 5 M

1 suspected case, gave vitamin A, collected specimen and sent to NIH, patient is admitted at Muhammadi Medical Center Sukkur, reported by

SO DEWS Sukkur.

Suspected Me

3-Apr-11 Snake bite 3 Qambar

Shahdadkot > 5 M Case communicated with EDOH, ASV administrated, patient are now improving, reported by SO DEWS Larkana. Snake b

3-Apr-11 Death 1 Shikarpur > 5 F A 60 years lady, reported death due to Renal Failure, on 13 ‐ 04 ‐ 2011. Renal Fail3-Apr-11 Death 1 Shikarpur < 5 M A 7 months old baby, reported death due to Anaemia, on 13 ‐ 04 ‐ 2011. Anaemi3-Apr-11 Death 1 Shikarpur > 5 F A 12 years lady, reported death due to a road accident, on 13 ‐ 04 ‐ 2011. Anaemi

4-Apr-11 ViralEncephlitis 1 Ghotki > 5 F

A 7 years old girl, suffering from Viral Encephlitis, her three other sisters have expired during last six months with similar complaints. Reported

by SO DEWS Ghotki.

Viral Encep

4-Apr-11 Dengue 1 Naushahro

Feroze < 5 M

1 suspected case, admitted today with negative anti dengue IGM, negative MP test, platelets 24000, from Agha Khan lab, now case is referred to

Sukkur hospital. Cross notified by SO DEWS Khairpur. Blood sample taken at Ranipur, on 07 ‐ 04 ‐ 2011.

Negative anti dIGM

4-Apr-11 AWD 6 NaushahroFeroze All

groups

6 AWD cases at DHQ ‐ N/Feroze, on dated 14 ‐ 4 ‐ 2011, responded Immediately, 3 were dehydrated, all were from same family, 2 stool samples

were taken and shipped to NIH, Islamabad, WHO medicine (DDK) supplied to DHQ through EDO‐ H, Health hygiene kit and Aquq tabs: distributed

to this family, Hypotheses developed. Water samples were also collected.

AWD

4-Apr-11 Pertussis 1 Sukkur < 5 F

1 suspected case, specimen not collected as patient had taken anti biotic, upon field investigation found many unimmunized children and health

education for community completed.

Suspected per

4-Apr-11 Tetanus 1 Larkana > 5 F Patient is admitted in CMC Larkana, TIG received by patient provided by WHO, onset on 08 ‐ 4 ‐ 2011, reported by SO DEWS Larkana Tetanu

4-Apr-11 Measles 1 Shikarpur < 5 M

1 suspected case, gave vitamin A, collected specimen and sent to NIH, upon field investigation no more cases found and outreach vaccination

scheduled for community.

Suspected Me

4-Apr-11 Tetanus 1 Qambar

Shahdadkot < 5 M Patient is admitted in CMC Larkana, TIG received by patient provided by WHO, onset on 12 ‐ 4 ‐ 2011, reported by SO DEWS Larkana Tetanu

22%

0%4%

9% 9%

43%

0%9%

0% 0%4%

0%0%4%

0%

13%

0%

38%

8%17%

13%4%

0%4%

AFP Dengue C ‐ Pox Death MG MS AWD Pert TET V.E HIV S.bite

Figure:5: Alerts reported at Sukkur HUB during week # 14 & 15 (2011)

Week # 14 Week # 15

All Diarrhea, 17

%

All ARI, 36%

Mal + UF +

HF, 24%Skin

Dis., 23%

0%

0%

0%

0%

0%

0%

0%

W‐ 1 W ‐ 2 W ‐ 3 W ‐ 4 W ‐ 5 W ‐ 6 W ‐ 7 W ‐ 8 W ‐ 9 W ‐ 10 W ‐ 11 W ‐ 12 W ‐ 13 W ‐ 14 W ‐ 15

Week # All Diarrhoea All ARI Mal + UF + HF Skin D

W ‐ 1 5684 (11%) 23466 (45%) 12041 (23%) 10525

W ‐ 2 6842 (11%) 29266 (45%) 13945 (22%) 14283

W ‐ 3 7072 (11%) 30103 (46%) 13852 (21%) 14088

W ‐ 4 7453 (10%) 34281 (46%) 16243 (22%) 17298

W ‐ 5 6998 (10%) 32765 (48%) 13557 (20%) 14847

W ‐ 6 8812 (10%) 40753 (46%) 19195 (22%) 20076

W ‐ 7 7940 (10%) 34716 (46%) 15576 (20%) 17750

W ‐ 8 13638 (12%) 52439 (45%) 26324 (23%) 24181

W ‐ 9 8668 (11%) 35746 (46%) 17308 (22%) 15564

W ‐ 10 14030 (12%) 50801 (42%) 28632 (24%) 26448

W ‐ 11 15327 (13%) 48096 (41%) 29115 (25%) 25693

W ‐ 12 15746 (14%) 43955 (39%) 27614 (25%) 25259

W ‐ 13 16710 (15%) 40881 (38%) 26054 (24%) 24202

W ‐ 14 17042 (16%) 39458 (37%) 25957 (24%) 24491

W ‐ 15 19700 (17%) 41933 (36%) 27952 (24%) 27012