orientation for goarn mission on aftermath of typhoon ketsana:
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Orientation for GOARN Mission On aftermath of Typhoon Ketsana: Leptospirosis and other Health Effects. Ondoy Syndromic Surveillance in Evacuation Centers as of October 14, 2009. Ondoy Syndromic Surveillance in Evacuation Centers as of October 14, 2009. - PowerPoint PPT PresentationTRANSCRIPT
DOH National Epidemiology Center
Orientation for GOARN MissionOn aftermath of Typhoon Ketsana:Leptospirosis and other Health Effects
DOH National Epidemiology Center
DOH National Epidemiology Center
REGION ARI ILI PNEUMONIA DIARRHEA SARI
NCR 9068 1057 33 3150 28
III 939 177 1 295 21
IV-A 5442 237 9 671 4
TOTAL 15449 1471 43 4116 53
54% 5% 0% 14% 0%
Ondoy Syndromic Surveillance in Evacuation Centers as of October 14, 2009
DOH National Epidemiology Center
REGION FEBRILE ILLNESS SKIN INFECTIONS/WOUNDS TOTAL
NCR 1504 3811 18651
III 275 399 2107
IV-A 456 1146 7965
TOTAL 2235 5356 28723
8% 19% 100%
Ondoy Syndromic Surveillance in Evacuation Centers as of October 14, 2009
DOH National Epidemiology Center
NCR Top 5 Diseases
NCR OCT 7-9 0CT 8-10 OCT 9-11 OCT 10-12 OCT 11-13
ARI 437 588 762 1077 930
ILI 121 149 165 228 177
PNEUMONIA 1 1 0 1 4
DIARRHEA 432 131 174 257 250
SKIN INFXN 158 200 235 365 267
DOH National Epidemiology Center
REGION 4A OCT 7-9 OCT 8-10 OCT 9-11 0CT 10-12 OCT 11-13
ARI 317 631 931 1053 715
ILI 24 34 52 55 41
PNEUMONIA 1 0 0 0 0
DIARRHEA 28 52 106 151 122
SKIN INFXN 65 132 195 224 152
Region IV-A Top 5 Diseases
DOH National Epidemiology Center
•Lalaki•Lugar na may baha•Lumusong sa baha nang may mga sugat sa balat•Lagnat at pamumula/ paninilaw ng mata
LEPTOSPIROSIS
DOH National Epidemiology Center
DOH National Epidemiology Center
DOH National Epidemiology Center
DOH National Epidemiology Center
DOH National Epidemiology Center
DOH National Epidemiology Center
No. of Cases Previously FLOODED STILL FLOODED
Zero Passive Surveillance Active Surveillance
1-2 cases/week Active Surveillance Case Referral
>3 cases/week Case Referral Case Referral/TARGETED PROPHYLAXIS
OUTBREAK Outbreak Management
Outbreak Management/MASS PROPHYLAXIS
Targetted Interventions
DOH National Epidemiology Center
Parameters Rates/Proportions
Attack Rate 2.5%
Hospitalization Rate 20% of those who will be infected
Dialysis Rate 20% of hospitalized
Case Fatality Rate 20%
Population needing prophylaxis
5%
Assumptions
DOH National Epidemiology Center
Estimates Scenario NCR IV-A TOTAL
250/10,000 Will get infected 17,500 25,000 42,500
50/10,000 Will be hospitalized 3,500 5,000 8,500
10/10,000 Will need dialysis 700 1,000 1,700
5/10,000 Will Die 350 500 850
500/10,000 Will be given doxycycline as prophylaxis
35,000 50,000 85,000
DOH National Epidemiology Center
Review of Leptospirosis Deaths
• Males 16, Female 1• Age ranged from 23 years to 51 years (mean 40 years, median 44 years)• Final Diagnosis: Weil’s Disease 8, ARDS 3, Not Available 6• Interval from onset to hospitalization: 2-7 days (mean and median of 4 days)
DOH National Epidemiology Center
Review of Leptospirosis Deaths
• Direct admission to San Lazaro Hospital 10 From other hospitals 6 From physician 1 • Duration of Stay at SLH: 3-26 hours (median
16 hours)• Oliguria 15, Hemoptysis 6, Hypotension 5