bulletin week 15 sukkur hub

3
Northern S Hub W#15  Pri Un in the fl  Acute Flacci Acute Jaundi Acute Respir (Upper and Lo Acute Water Suspected C Acute Blood Other Acute Suspected H Suspected M Suspected M Suspected M Skin disease Figur du WHO Nor 14 th Apr SCB, 13% UF, 4% U indh , 2011 Weekly Epidemi ority dis er survei ood affe Paralysis (AFP ice Syndrome (A atory Infections er) (ARI) Diarrhoea/ (A holera Diarrhoea (BD) Diarrhoea (AD) emorrhagic Fev alaria (Mal) easles (Ms) eningitis (Mg) s and others e:3: DEWS d ring the wee hern Sindh respo il 2011, at UCAbr RTI, 16% PIDEMIO ological Bulletin WHO Northern Si ases llance ted area ) JS) D) r (VHF) seases repo k  # 15 (2011 nded 1st outbrea an Taluka, Naush AD, 9% MA OTH, 40% LOGICAL ata source; Dist For Corresponden ndh Hub Sukkur: DEW   ted ) k of  AWD on ra Feroze. LRTI, 5% L, 10% ULLETIN ict health office, ce: ghyder.shaikh Tel : +92-071-59 S Highlights  Between 08 provided sur  Out of  619 D Teaching hos  A total of  20 5%), followe  WHO Northe Village Sawa reported fro dehydrated,  medicine (D family, Hypot ISEASES GT AD 14 AFP 0 AJS 0 AWD 0 BD 25 EYE 10 HF 0 LRTI 15 MAL 9 MG 0 MS 0 OTH 10 SCB 6 SNB 0 UF 5 URTI 10 8% 19% W48 W49 95% 98 0% 20% 40% 60% 80% 100% 120% Suk : FLOOD R PHI, Teaching h @gmail.com 2871, Fax : +92- : Apr to 14 Apr 2 eillance data to t EWS Surveillance, pitals and some p 4,413 consultatio  by (13%) skin dis rn Sindh respon n Chandio, Deh m DHQ  Naushe all were from sa K) supplied to D heses developed. Figure:4:  DE K JCB 6% 0% 0% 200% 4% 20% 0% 6% 5% 0% 0% 13% 10% 0% 8% 5% Fi ure:2 : Norther 22% 23% 25% 3 W50 W51 W52 Figure: 1: We 84% 9 85% 95% 82% 95% 82% kur Sh ik ar pu r SPONSE I spitals and priva 071-5932871 011 (epidemiolog he DEWS system, data provided by rivate health facil ns were reported eases, (10%) susp ed first outbrea bji, UCAbran Ta ra Feroze, on d e family, 2 stool HQ  through EDO  All 6 water samp S diseases rep KMR KS 17% 1 0% 0 47% 0 0% 0 16% 1 9% 1 0% 0 21% 1 17% 2 0% 0 0% 0 16% 1 19% 2 20% 0 16% 3 14% 1  Sindh Districts r 1% 36% 35% 36% 1 W2 W3 W4 kly reporting  tre % 81% 95% 84% 95% 80 95% Lark ana Kamb N NORTH te partners. ical week no. 15, Sitrep15 missing 448 (72%), mainl ities and health cl  through DEWS ected Malaria,  an  of  Acute Water luka Naushera Fe ated 1442011, samples were ta H, Health hygien les were also coll orted during th M KHP 12% 0% 29% 0% 14% 11% 0% 10% 15% 0% 0% 8% 12% 5% 24% 12% es onse in DEWS 37% 48% 54% W5 W6 W7 nd of  week # 48 ( 27% 84 9% 33% 2% 36% r Kashmore Ja RN SIND  2011), all 9 dist from Essential m  from Govt. healt uster partners. f  which (21%) A d (9%) were Acut y Diarrhea  (AWD roze. 6 AWD cas WHO responded en and shipped t e kits and Aquq cted and sent to week  # 15 (20 LRK NFZ 14% 12% 0% 0% 3% 5% 0% 0% 22% 4% 11% 12% 0% 0% 18% 11% 13% 24% 100% 0% 0% 0% 12% 14% 20% 7% 0% 25% 15% 1% 14% 12%  e ort in  Week 59% 48% 60% 64 W8 W9 W10 W010) to week # % 50% 88% 70% 84% 55% 86% 73 c co ba ba d G ho t ki  Pag ricts of  Northern dicines and Logis h facilities;  EDOH I (URI = 16% an  Diarrhea. ) on 14 th April 20 es were diagnos  immediately, 3 o NIH, Islamabad, tabs distributed NIH. 11) SKP 12% 0% 16% 0% 7% 14% 0% 11% 8% 0% 0% 14% 10% 30% 8% 15% 2 to 15, 2011  67% 67% 67 % 11 W12 W13 W14 5 (2011) 32% 92% 28% 8 30% % 40% Kh airpur N. W12 W13 W14 W15 1 Sindh tics. , PPHI, LRI = 11, at d and were , WHO o this SUK 11% 0% 0% 0% 6% 12% 0% 6% 6% 0% 0% 12% 15% 20% 22% 16% 72% W15 % 91% 87% Feroz

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8/6/2019 Bulletin Week 15 Sukkur HUB

http://slidepdf.com/reader/full/bulletin-week-15-sukkur-hub 1/2

thern Sb W#15

PriUn

the flute Flacciute Jaundiute Respirper and Loute Waterpected C

ute Bloodher Acutepected Hpected Mpected Mpected Mn disease

Figurdu

WHO Nor14 th

‐ Apr

CB, 13%

UF, 4%

U

indh, 2011

Weekly Epidemi

ority diser surveiood affeParalysis (AFP

ice Syndrome (Aatory Infections

er) (ARI)Diarrhoea/ (A

holeraDiarrhoea (BD)

Diarrhoea (AD)emorrhagic Fevalaria (Mal)easles (Ms)eningitis (Mg)s and others

e:3: DEWS dring the wee

hern Sindh respoil 2011, at UC‐ Abr

RTI, 16%

PIDEMIO

ological Bulletin

WHO Northern Si

asesllanceted area)JS)

D)

r (VHF)

seases repok # 15 (2011

nded 1st outbreaan Taluka, Naush

AD, 9%

MA

OTH, 40%

LOGICAL

ata source; Dist For Correspondenndh Hub Sukkur:

DEW

ted

)

k of AWD on

ra Feroze.

LRTI, 5%

L, 10%

ULLETIN

ict health office,ce: ghyder.shaikh

Tel : +92-071-59

S Highlights

Between 08

provided sur Out of 619 D

Teaching hos A total of 20

5%), followe WHO Northe

Village Sawareported frodehydrated,

medicine (Dfamily, Hypot

ISEASES GT

AD 14AFP 0AJS 0

AWD 0BD

25EYE 10HF 0

LRTI 15MAL 9MG 0MS 0

OTH 10SCB 6SNB 0UF 5

URTI 10

8%

19%

W ‐ 48 W ‐ 49

95%98

0%

20%

40%

60%

80%

100%

120%

Suk

: FLOOD R

PHI, Teaching [email protected], Fax : +92-

:

Apr to 14 Apr 2eillance data to t

EWS Surveillance,pitals and some p4,413 consultatio

by (13%) skin disrn Sindh respon

n Chandio, Deh

m DHQ Nausheall were from saK) supplied to Dheses developed.

Figure:4: DE

K JCB

6%0%0%

200%

4%20%0%6%5%0%0%

13%10%0%8%5%

Fi ure:2: Norther

22% 23% 25%3

W‐ 50 W ‐ 51 W ‐ 52

Figure: 1: We

84%

9

85%

95%

82%

95%

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kur Shika rpur

SPONSE I

spitals and priva

071-5932871

011 (epidemiologhe DEWS system,

data provided by

rivate health facilns were reportedeases, (10%) susped first outbreabji, UC‐ Abran Ta

ra Feroze, on de family, 2 stool

HQ through EDO All 6 water samp

S diseases rep

KMR KS

17% 10% 0

47% 00% 0

16% 19% 10% 0

21% 117% 20% 00% 0

16% 119% 220% 016% 314% 1

Sindh Districts r

1%36% 35% 36%

‐ 1 W ‐ 2 W ‐ 3 W ‐ 4

kly reporting tre

%

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80

95%

Lark ana Kamb

N NORTH

te partners.

ical week no. 15,Sitrep ‐ 15 missing

448 (72%), mainlities and health cl

through DEWS

ected Malaria, an of Acute Water

luka Naushera Feated 14 ‐ 4 ‐ 2011,

samples were ta‐ H, Health hygienles were also coll

orted during th

M KHP 12%

0%

29%

0%

14%

11%

0%

10%

15%

0%

0%

8%

12%

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24%

12%

es onse in DEWS

37%

48%54%

W‐ 5 W ‐ 6 W ‐ 7

nd of week # 48 (

27%

84

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r Kashmore Ja

RN SIND

2011), all 9 distfrom Essential m

from Govt. healtuster partners.

f which (21%) Ad (9%) were Acuty Diarrhea (AWDroze. 6 AWD casWHO respondeden and shipped te kits and Aquq

cted and sent to

week # 15 (20

LRK NFZ

14% 12%0% 0%3% 5%0% 0%

22%

4%11% 12%0% 0%

18% 11%13% 24%

100% 0%0% 0%

12% 14%20% 7%0% 25%

15% 1%14% 12%

e ortin Week

59%

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W ‐ 8 W ‐ 9 W ‐ 10 W ‐

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%

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73

ccobabad Ghotki

Pag

ricts of Northern

dicines and Logish facilities; EDOH

I (URI = 16% an Diarrhea.

) on 14 th‐ April 20

es were diagnos immediately, 3

o NIH, Islamabad,tabs distributed

NIH.

11)

SKP

12%0%

16%0%

7%14%0%

11%8%0%0%

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15%

2 to 15, 2011

67% 67% 67%

11 W ‐ 12 W ‐ 13 W ‐ 14

5 (2011)

32%

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K hairpur N.

W ‐ 12

W ‐ 13

W ‐ 14

W ‐ 15

t,

,

F

8/6/2019 Bulletin Week 15 Sukkur HUB

http://slidepdf.com/reader/full/bulletin-week-15-sukkur-hub 2/2

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: [email protected]

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