disease situation update__jalozai_id_ps_(week_48_2012)_031212

This weekly diseases situation report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.

For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: [email protected].

Disease situation in Jalozai IDP’s camp, Khyber Pakhtunkhwa Week 48 (November 25th to December 01st, 2012)

Highlights:

Acute Respiratory tract infections (ARI) accounted for 30.5% or 1,754 cases of the total

patients (5,760 consultations) in all age groups and is showing 3.1% increase in percentage of ARI patient visits as compared to week 47, 2012.

Other Acute Diarrhea (OAD) accounted for 5.2% or 301 cases of the total patient consultations in all age groups by showing 2% decrease in percentage as compared to OAD patient visits in previous week.

Confirmed Malaria (MAL) shared 0.2% or 9 cases of all patient visits in current week.

Skin Infections (SCB) reported as 2% or 103 cases of the total patient consultations.

Total of 2 Cutaneous Leishmaniasis (CL) alerts were reported in this week.

Weekly disease consultations in Jalozai IDPs camp:-

Figure 1: Distribution of consultations by percentage Table 1: Cases reported from Jalozai IDPs camp

Disease name Week-48

Cases %

Upper Respiratory Tract Infection (URTI) 1,661 28.8

Pneumonia (PN) 93 1.6

Bloody Diarrhea (BD) 5 0.1

Other Acute Diarrhea (OAD) 301 5.2

Acute Watery Diarrhea (AWD) - -

Confirmed Malaria (MAL) 9 0.2

Scabies (SCB) 103 1.8

Chronic Viral Hepatitis (CVH) - -

Suspected Measles (Meas) - -

Pyrexia Unknown Origin (PUO) - -

Cutaneous Leishmaniasis (CL) 2 <1

Suspected Typhoid Fever (TF) 13 0.2

Other diseases (OTH) 3,573 62

Total consultations 5,760

A total 5,760 consultations have been reported through DEWS during week 48 (November 25 to December 1, 2012) (table 1). Seven (7) health static units (Merlin International 4, CAMP Organization 2 and FATA health facility 1) from Jalozai IDPs camp shared daily/weekly disease surveillance data through DEWS.



Major causes for seeking health care percentage trend in Jalozai IDPs camp:-

Figure 2:Weekly disease percentage trend in Jalozai IDPs camp (Week 14 to 48, 2012):

Figure 2 shows percentage trend of major communicable diseases in Jalozai IDPs camp. In this week ARI shared

30.5% or 1,661 cases is showing 3.1% increase and OAD shared 5.2% or 301 cases is showing 2% decrease in

percentage.

Total consultations reported from all health units in Jalozai IDPs camp:-

Communicable diseases

CAMP Merlin FATA Health facility

(2 units) (4 units) (1 unit)

Wk-47 %

Wk-48 %

Wk-47 %

Wk-48 %

Wk-47 %

Wk-48 %

(Cases) (Cases)

(Cases) (Cases)

Acute Upper Respiratory Infection

346 20 493 26.4 746 36 1,147 39 37 7.3 21 2.2

Pneumonia (<5yrs) - - - - 36 1.7 55 2 - - - -

Pneumonia (>5yrs) - - - - 22 1.1 38 1.3 - - - -

Bloody Diarrhea (<5yrs) - - 1 0.1 - - 1 <1 - - - -

Bloody Diarrhea (>5yrs) 1 0.1 2 0.1 - - 1 <1 - - - -

Other Acute Diarrhea (<5yrs) 56 3.2 58 3.1 104 5 98 3.3 30 6 40 4.2

Other Acute Diarrhea (>5yrs) 41 2.3 32 1.7 32 1.5 37 1.3 39 7.7 36 3.8

Suspected Measles (Meas) 2 0.1 - - - - - - - - - -

Confirmed Malaria 9 0.5 6 0.3 5 0.2 3 0.1 - - - -

Cutaneous Leishmaniasis (CL) 1 0.1 2 0.1 - - - - - - - -

Pyrexia Unknown Origin (PUO) - - - - - - - - - - - -

Scabies (SCB) 23 1.3 32 1.7 35 1.7 41 1.4 53 10.4 30 3.2

Suspected Typhoid Fever (TF) 10 0.6 12 0.6 2 0.1 1 <1 - - - -

Chronic Viral Hepatitis (CVH) - - - - - - - - - - - -

Other diseases 1,257 72 1,226 66 1,097 53 1,526 52 350 69 821 86.6

Total Consultations 1,746

1,864

2,079 2,948 509 948

A comparison of the ARI consultations by health units in Jalozai camp on week 48 (November 25 to December 1)

shows that high proportion of ARI cases are reported accounted for 30.5% (URTI 28.8% and Pneumonia 1.6%), or



1,754 cases followed by Other Acute Diarrhea 5.2% or 301 cases. Confirmed Malaria comprised 0.2% or 9 cases in

consolidated data out of total consultations.

Disease trends by percentage in IDPs Jalozai camp:-

Figure 3: Most common communicable diseases situation in Jalozai IDPs camp as percentage of consultations (Week 47 and 48 comparison)

The above figure 3 shows major health causes percentage situation in Jalozai IDPs camp. During week 48 high

percentages of ARI consultations were reported from Merlin health units as compared to CAMP health units and

FATA health facility. Similarly percentages of OAD consultations were reported from FATA health unit as

compared to CAMP and Merlin health facilities.In this week ARI 42% and OAD 4.6% were shared from Merlin

health facilities, ARI 26.4% and OAD 4.8% were from CAMP health units, also ARI 2.2% and OAD 8% were from

FATA health center. Total of 2 Cutaneous Leishmaniasis (CL) alerts were reported from CAMP health facilities in

this week.

Distribution of consultations percentage by age and gender

Figure 4: Age and gender wise segregated disease situation in Jalozai IDPs camp, week 48

Figure 4 shows comparison of the consultations by gender and age wise in health events in over all diseases, male

to female patients’ ratio reported was 39.6% or 2,279 cases and 60.4% or 3,481 cases respectively.



Immunization in Jalozai IDPs camp:-

Table 3 (a & b): Immunization (Jalozai IDP's Camp, Nowshera) from 25th

November to 1st

December, 2012

a) Routine vaccination of Jalozai IDPs camp (Week 48):

EPI Routine Vaccination OPV

U5 yrs (Other than

Routine)*

Women TT1 TT2 TT3 TT4 TT5

Total

Ch

ild

ren

BC

G

Polio PENTA

Me

asle

s

Fu

lly

Im

mu

niz

ed

Birth 1 2 3 1 2 3

<1

year

115 48 88 61 63 88 61 63 98 59 45 Pregnant 74 49 13 1 0

>=

1

year

5 0 8 17 18 28 17 18 44 12 1,123 Non-

Pregnant (15-49y)

27 10 20 8 2

To

tal

120 48 96 78 81 116 78 81 142 71 1,168 - 101 59 33 9 2 2,283

b) Routine vaccination of Jalozai IDPs camp (Consolidated data of all vaccination points in Jalozai IDP camp):

EPI Routine Vaccination OPV

U5 yrs (Other than

Routine)*

Women TT1 TT2 TT3 TT4 TT5

Total

Ch

ild

ren

BC

G

Polio PENTA

Me

asle

s

Fu

lly

Im

mu

niz

ed

Birth 1 2 3 1 2 3

<1

year

2,4

08

1,6

06

2,8

02

2,1

49

2,0

10

2,8

41

2,1

74

2,0

14

2,4

12

1,5

95

3,5

75

Pregnant

2,8

35

1,6

54

28

7

56

6

>=

1

year

1,4

20

0

1,5

39

83

9

81

8

1,5

61

84

0

82

4

3,3

08

71

1

74

,79

5 Non-Pregnant (15-49y) 7

,44

0

1,1

39

1,0

92

52

3

10

2

To

tal

3,8

28

1,6

06

4,3

41

2,9

88

2,8

28

4,4

02

3,0

14

2,8

38

5,7

20

2,3

06

78

,37

0

-

10

,27

5

2,7

93

1,3

79

57

9

10

8

127,375

*OPV dosage received during OPD and not the ones in the routine

Laboratory test conducted in Jalozai IDPs camp:-

Table 4 (a & b): Laboratory test situation in IDPs Jalozai Camp, Nowshera

a) laboratory test situation data in Jalozai IDPs camp (November 25 to December 1, 2012):

Test

Nam

e

MP

(m

icro

sco

py)

MP

(R

DT)

*

HB

%

HB

S

HC

V

B.G

RO

UP

Typ

ho

id

B.S

UG

AR

ESR

LEIS

HM

AN

IASI

S

PR

EGN

ENC

IES

UR

INE

ALB

UM

IN

UR

INE

SUG

AR

UR

INE

R/E

STO

OL

R/E

BIL

IRU

BIN

Syp

hili

s

SPU

TUM

FO

R

AFB

TOTA

L

+Ve 6 9 13 5 7 - 0 14 - 8 43 16 0 59 3 14 2 0 -

-Ve 42 106 105 126 124 - 8 109 - 8 32 138 154 102 2 144 114 0 -

Total 48 115 118 131 131 111 8 123 0 16 75 154 154 161 5 158 116 0 1,624



*Malaria slides /RDT examined report Health Centers Slides/RDT

examined P. Falciparum P. Vivax Mixed Total +ve Falciparum + Mixed

Slide Positivity Rate (SPR)

Falciparum Rate

Merlin 67 0 3 0 3 0 4.5 0

CAMP 48 0 6 0 6 0 12.5 0

Total 115 0 9 0 9 0 7.8 0

A total of 115 slides were examined for Malaria in this week. Out of total slides examined 9 (8%) were positive; out of which P. Falciparum 0 (0%), P. Vivax 9 (8%) and Mixed 0 (0%) were shared.

b) laboratory test situation data in Jalozai IDPs camp (Consolidated):

Test

Nam

e

MP

(m

icro

sco

py)

MP

(R

DT)

*

HB

% +

+

HB

S

HC

V

B.G

RO

UP

Typ

ho

id

B.S

UG

AR

ESR

LEIS

HM

AN

IASI

S

PR

EGN

ENC

IES

UR

INE

ALB

UM

IN

UR

INE

SUG

AR

UR

INE

R/E

STO

OL

R/E

BIL

IRU

BIN

Syp

hili

s

SPU

TUM

FO

R

AFB

TOTA

L

+Ve 535 732 497 59 59 - 17 200 - 11 821 151 25 526 94 36 8 0 -

-Ve 1,066 1,491 1,701 1,850 1,800 - 96 1,582 - 68 651 1,557 1,688 1,381 128 1,447 1,640 2 -

Total 1,601 2,223 2,198 1,909 1,859 1,766 113 1,782 24 79 1,472 1,708 1,713 1,907 222 1,483 1,648 2 23,709

Nutrition situation in Jalozai IDPs camp:-

Table 5: Nutrition situation in IDPs Jalozai camp Nowshera

Nutrition situation data (Week 48):

CMAM Finding No of Children screened (6-59 months)

MAM MUAC < 12.5-11.5 cm

SAM MUAC < 11.5cm

Malnutrition at Risk Borderline

MUAC ≤13.5-12.5 cm

No Of PLW Screened

Malnourish PLW

Gender wise M F M F M F M F P L P.

MUAC<21 L.

MUAC<21

Number of screened

75 94 12 14 0 5 9 12 60 24 16 8

Total 169 26 5 21 84 24

Nutrition situation data (Consolidated):

CMAM Finding No of Children screened (6-59 months)

MAM MUAC < 12.5-11.5 cm

SAM MUAC < 11.5cm

Malnutrition at Risk Borderline

MUAC ≤13.5-12.5 cm

No Of PLW Screened

Malnourish PLW

Gender wise M F M F M F M F P L P.

MUAC<21 L.

MUAC<21

Number of screened

5,485 5,631 486 690 128 173 670 838 2,343 3,570 355 272

Total 11,116 1,176 301 1,508 5,913 627



Health Education situation in Jalozai IDPs camp:-

Table 6: Health education situation in IDP's Jalozai camp Nowshera

Data of health education situation (Week 48, 2012) Data of health education situation (Consolidated)

Sessions Number of

Sessions

Total participants Sessions

Number of Sessions

Total participants

Males Females Total Males Females Total

Total Sessions 652 2,462 2,838 5,300 Total Sessions 17,928 53,841 90,561 144,402

MCH in Jalozai IDPs camp:-

Figure 5: MCH situation in IDP's Jalozai camp Nowshera (November 25 to December 1, 2012)

disease situation update__jalozai_id_ps_(week_48_2012)_031212

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