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TRANSCRIPT
Achievement on Cross Border Collaboration toward diseases surveillance and Response
Between Savannakhet-Muldahan and Quang Tri
Provinces
Presented by Nouda PRASITH
Deputy head of CDC Divition
Presentation Outline
2
1. General and Health Information
2. Surveillance system
3. Diseases situation
3. Border exchange information
1. General Information
Population: 1.000.976/504.756
Density(Km2): 41
District: 15
Villages: 1,022
Total Families: 60,397
Poor district: 1 Nong
Poor villages: 123 (12.03%)
Poor HH: 8,633 (5.38%)
Developed Villages: 166 (16.35%)
Villages without Drug kit: 47 (4.67%)
Villages without clean water: 16 (1.57%)
3
Health Facilities Provincial Hospital 250 bed : 1
Eye care & treatment center 10 beds : 1
Orthopedic Rehabilitationcenter10 beds : 1
District Hospital : 14
- 30 beds : 4 dist
- 15 beds : 6 dist
- 10 beds : 4 dist
Health centers : 153
Private Clinics: 153
General Medicine : 128
Dentist Clinic : 19
Rehabilitation Clinic: 5
Private Pharmacy : 153
Level 1: 36
Level 2: 53
Level 3: 64 4
National Centre Labolatory and
Epidemiology (NCLE)
Provincial health
Department
15 District Health Office 14 District Hospital
Pro. Military Hospital
Regional Hospital N. 109
Communicable Diseases Control
(CDC) Division
Epidemiology Unit
Epidemiology
Unit
153 Health centre's
Provincial Hospital
1 OPD
2.Surveillance system
Communicable Diseases Control
(CDC) Division
Epidemiology
Unit
HIV/AIDS
Unit
Organization chart
Malaria parasitological
and entomology Unit
dermatology
Unit
Tuberculosis
(TB) Unit
Surveillance Method
• Nodifiable disease surveillance
• Sentinel surveillance•Cluster of disease• Rumors of in explained
Indicator based Surveillance
(IBS)“Formal”
Event-based Surveillance
(EBS)“Informal”
Data entry
LAOEWARN
8
Weekly data:
cases and
deaths
All 17 notifiable
diseases
At District level
Data entry by cases and death
9
District
IndicatorAlert in that District
Indecator
10
11
ຊື່ພ ະ ຍາດ/ອາການ IBS EBSລວມ ຕາຍ ລວມ ຕາຍ
1 Acute Flaccid Paralysis (AFP) 6 0 0 02 Fever and Rash 10 0 11 03 Neonatal Tetanus (NNT) 0 0 0 04 Tetanus of all ages (NT) 3 1 0 05 Diphtheria 0 0 0 06 Pertussis 0 0 0 07.1 Dengue without warning sign 634 0 18 07.2 Dengue with warning signs 68 0 0 07.3 Severe Dengue 10 1 0 08 Acute Watery Diarrhea 4.977 0 0 09 Acute muco-bloody Diarrhea 511 0 0 010 Food poisoning 138 0 0 011 Typoid fever 10 0 0 012 Anthrax 0 0 0 013 Acute Jaundices Syndrom (AJS) 0 0 0 014 Meningitis 8 0 0 015 Acute Encephalitis Syndrome (AES) 0 0 0 016 Plague 0 0 0 017 Severe Acute Respiratory Infection (SARI)) 1.671 0 0 0
3. Diseases situation
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Dengue Virus Serotype
Savanakhet Pro.
2003 : D1, D2 , D4 2005 : D1 2007 : D1, D42009 : D1 2010 : D1,D4 2012 : D2, D3 2013 : D1, D2, D3 2016 : D4
Lao PDR
2003 : D1, D2, D3, D4 2005 : D1, D2, D3, D4 2007 : D1, D42009 : D1, D2, D3, D4 2010 : D1, D2, D3, D4 2012 : D1, D2, D3, D4 2013 : D2, D3, D4 2016 : D1, D2, D3, D4
Dengue IgM Capture ELISA ID District N. Villages N. Speciment N. IgM+1 Champhone 4 5 52 Phine 1 1 13 Phalanxai 8 8 84 Songkhan 5 6 65 Outhomphone 4 4 46 Asaphangthong 6 6 67 Sepone 1 1 18 Kaysone 18 37 379 Xaiboualy 14 17 1710 Xaiphouthone 2 2 2
TOTAL 63 87 87
15
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 1011121314151617181920212223242526272829303132333435363738394041424344454647484950515253
2017
Mean +2SD
Mean 2011 -2016
Monitoring of Epidemic Trends of Dengue virus infection by Week of 2017 by
Comparing to the Mean and 2 Standard Deviations (Mean+2 SD) of the last 5 years
(2011- 2016), Savannakhet Province.
Number of cases, Mean and 2 SD+Mean
Week
APT
XPT
XBL
CHP
VILA
SEP
XON
THASON
ASP
KAY
PHI
NON
OUT PHA
Dengue fever Mapping by cases and Villages on 15 districts Savannakhet province (W1-32) 2017
151/44
79/24
7/6
19/7
9/8
191/31
109/21
757 Cases/190 Vill
108/226/2
1/1
13/7
18/414/5
14/5
>1001-99
0
7,273
22,890
3,906 9,952
44,171
1,716 1,952 5,618 6,206
14
46
7
22
95
0 010 9
0102030405060708090100
-5,000
10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50,000
2009 2010 2011 2012 2013 2014 2015 2016 2017
Cases Deaths
.DeathsCases
Comparing number of Cases and deaths dengue fever Year 2009 to (Week 32) 2017
Lao PDR
174
2,522
50 225
4,959
15 101662 712
0
4
0 0
9
0 0 0
1
012345678910
0
1000
2000
3000
4000
5000
6000
2009 2010 2011 2012 2013 2014 2015 2016 2017
Cases Deaths
deasthsCases
Comparing number of Cases and deaths dengue fever Year 2009 to (w32) 2017
Savannakhet
91/w30
47/w40
Comparing number of Cases dengue fever by weekly year 2011 to (w32) 2017
0
10
20
30
40
50
60
70
80
90
100
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53
Num
ber
Weekly
2011
2012
2014
2015
2016
2017
264/Jul
141/Sep
Comparing number of Cases dengue fever by monthly year 2011 to (w32) 2017
0
50
100
150
200
250
300
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Num
ber
2011
2012
2014
2015
2016
2017
Month
ປີ2016 (N. 662) ປີ2017 (N.712)
0
50
100
150
200
250
<1 1-4 5-14 15-49 >49
4
89
206
171 6
88
240
11
Nu
mb
er
Agegroup
Male
Female
Female 52.3%
Dengue fever Compare by gender and age group year 2016 and (w32) 2017
0 4
75
242
137
85
262
23
0
50
100
150
200
250
300
<1 1-4 5-14 15-49 >49
Nu
mb
er
Agegroup
Male
Female
Female 52.9%
22
DWOWS87%
DWWS12%
SD1%
ປີ2016ປີ2017
DWOWS89%
DWWS9%
SD2%
Dengue fever Compare by Typeyear 2016 and (w32) 2017
Pro. hospital
74%
Dist Hosp9%
Regional Hosp 109
13%
Military4%
ປີ2016 ປີ2017
Pro. hospital40%
Dist Hospital47%
Militay Hosp1%
Regional Hosp 109
12%
HC0%
Dengue fever Compare by facilityyear 2016 and (w32) 2017
Activities for Prevention and Control Dengue fever
• Surveillance :– investigation and detection new cases at 190 villages
by Pro.RRT and Dist. RRT– Daily report to NCLE, 15 districts and other relative – weekly report to NCLE, 15 districts and other relative
• Vector control:– Lavas survey at 190 villages– Lavas control sharing Abate 910 Kg (Store 96 Kg) – Mosquito control spray dentacide 6 districts, 18
villages 2 rounds, 216 liters (Store 36 liters)
Nouda PRASITH
• Case management: – Provincial hospital 120 participants 4 time– Military hospital 3o participant– Regional hospital 3o participants– 15 districts 450 participant
• Information Education Communication (IEC):– Spot by radio 30 times– Spot by TV 90 times– IEC by car speaker on community 3 districts, 7
villages
Activities for Prevention and Control Dengue fever (Cont)
4. Border exchange information
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FOCAL POINT
- Epidemiology:- Tel: +856 41 213 658, Fax: +856 41 253 095
- Email: [email protected]
- Committee:ommittee
- Dr.Bong: [email protected] Dr.Tieng: [email protected]
- Mr.Nouda : [email protected]
- Dr.Thavone: [email protected]
- Coordinator: HMA. Kolakanh phichitchay
- Moblie: +856 20 260 1017
- Email: [email protected]
MBDS Coordinating Committee
Border Information
o Densavan Cheek Point :
- 7 health staff and 4 veterinarians
o The 2nd T-L Friendship Bridge:
- 4 Health staff and 2 veterinarians
o The airport:
- 1 health staff with 1 thermal scan
o Border to Quang Tri (Vietnam):
- 2 districts, 158 villages
- 15.878 HHs and 74.023 people.
o Bor-der to Mukdaharn (Thailand)
- 4 districts and 255 villages
-58.614 HHs and 338.268 people
MBDS Coordinating Committee
Activities joint Savannakhet-Mukdahanh-QuangTri Meeting and workshop :
At Savannakhet 2 times At Mukdahanh 1 time At quangtri 1 time
Training: At Savannakhet 1 times
Join outbreak investigation: At Savannakhet 1 times
TTX and drill exercise At Mukdahanh 1 time
Data Information Exchange
ID Diseases SavannakhetCases Deaths
1 H1N1/ H5N1 0 02 AFP 4 03 SARS 0 04 Cholera/Severe Diarrhea 0 15 Encephalitis 0 06 Tetanus 2 17 Meningitis 8 08 Diphtheria 0 09 PHEIC 0 010 Leptospirosis 0 011 Chikungunya 0 012 Dengue fever 712 113 Typhoid fever 6 014 Measles 0 015 Malaria 112 016 Pneumonia 1.936 1017 HIV/AIDs 87 1118 Tuberculosis 345 0
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Thank You for your Kind attention