presentation on projects 1 & 2 basic fetp, liberia prepared by isaac b. cole cohort i trainee...
DESCRIPTION
SUMMARY During the weeks under review the following immediately reportable diseases, conditions and events was: Acute Flaccid Paralysis (AFP) …………………3 Suspected Measles …………………………… 25 Maternal Mortality ……………………………… 2 Neonatal Mortality ……………………………… 1 Suspected EVD ………………………………. 1,351 Acute Watery Diarrhea ……………………….. 782TRANSCRIPT
Presentation On Projects 1 & 2 Basic FETP, Liberia
PREPARED BY ISAAC B. COLE
COHORT I TRAINEE COUNTY SURVEILLANCE OFFICER
NIMBA COUNTY
ACKNOWLEDGMENT• I will like to acknowledge:
– Ministry of Health, Liberia– AFENET– Emory University– CDC.– WHO– My mentors (Justin and Peter)
SUMMARY• During the weeks under review the following
immediately reportable diseases, conditions and events was:
• Acute Flaccid Paralysis (AFP) …………………3• Suspected Measles …………………………… 25• Maternal Mortality ……………………………… 2• Neonatal Mortality ……………………………… 1• Suspected EVD ………………………………. 1,351• Acute Watery Diarrhea ……………………….. 782
Figure 1:- Timeliness of Reporting, Week 31-42, Nimba County
District WEEK 31
WEEK 32
WEEK 33
WEEK 34
WEEK 35
WEEK 36
WEEK 37
WEEK 38
WEEK 39
WEEK 40
WEEK 41
WEEK 42
% of cum. Week 31-42
Gbehlay-Geh T T T T T T T T T T T T
100%
Sanniquellie-Mah T T T T T T T T T T T T
100%
Tappita L L L L L L L L L L L L72%
Yarwin Mehnsoonoh L L L L T T T L L T L L
79%
Zoe-Geh L L L L L L L L L L L L70%
Saclepea-Mah T T T T T T T T T T T T
100%
The weeks
On Time T Late L No report received NR
% Cumulative
≥80% on Time
≥50-79.9% on Time
≤50% on Time
Legend
Figure 2: Immediate Reportable Diseases , Weeks 31 -42, 2015, Nimba County
DISEASES
Cases Death CFRAcute Flaccid Paralysis (AFP)
3 0 0%
Yellow Fever 0 0 0%Lassa Fever 0 0 0%Neonatal Tetanus 0 0 0%Cholera 0 0 0%Acute Watery Diarrhea 782 0 0%Bloody Diarrhea 0 0 0%Human Rabies 0 0 0%Meningitis 0 0 0%Measles 25 0 0%Suspected VHF/EVD 1,351 116 8.6%Neonatal Mortality 1Maternal Mortality 2
Figure 3: Timeliness of Reporting, Weeks 31-42 2015 Nimba County
Trend of Suspected EVD, Week 31-42, 2015,Nimba County
Trend of suspected Measles ,Week 31-42, 2015,Nimba County
Project 2Outbreak of Acute Flaccid Paralysis, Nimba County
INTRODUCTION• Poliomyelitis is a highly contagious viral disease• The virus infects mostly children < 5years• Incubation period is 7 to 14 days
– paralytic cases has range of approximately 3 to 35 days
• AFP Surveillance is an active surveillance system
• In Nimba County, there was an alert of three cases of AFP in week 40 (week beginning 28th September and ending 4th October, 2015)
OBJECTIVES
• To confirm the existence of the reported Acute Flaccid Paralysis
• To collect samples from affected patients who have paralysis
• To commence response
METHODS• Nimba County borders two countries (Cote d’Ivoire and
Guinea) with population of 534,376
• A case is defined as – any AFP < 15 years of age or
– case of any age in which a clinician suspects polio followed by onset of paralysis in Nimba County between 15 th September to 8th October, 2015
• The outbreak affected 2 of the 6 health districts (Manbor in Gbehlay-Geh and Yekepa Area K in Sanniquellie-Mah)
• The parents of each case were orally interviewed
• Specimens were collected– 2 stool samples each patient at Interval of 24 hours
RESULTS 1/3• A total of three (3) cases were reported, all of them are
male. Median Age is 77 months (18-95)
• Case A: - is a 1 year 6 months old male child who started having progressive flaccid paralysis and fever on the 21st of September, 2015
• Paralysis is asymmetrical and affects both lower limbs
• Patient has had two doses of OPV since birth
• 2 stool specimens were collected 8th and 9th day after the onset of paralysis
• Result of investigation is being awaited
RESULTS 2/3 • Case B: - is a 7 year and 11 months old male child who
presented on the 28th September, 2015 at the Karnplay Health Center, Gbehlay-Geh District with 8 days history of progressive flaccid paralysis and fever
• Paralysis is symmetrical and affects all limbs
• Patient has received 2 doses of OPV from birth
• 2 stool specimens were collected 9th and 10th day after the onset of paralysis
• Result of investigation is being awaited
RESULTS 3/3 • Case C: - is a 6 years old male child who started
having progressive flaccid paralysis and associated fever from the 24th of September, 2015
• Paralysis is asymmetrical and affects both lower limbs
• Patient has received three doses of OPV from birth
• 2 stool specimens were collected 8th and 9th day after the onset of paralysis
• Result of investigation is being awaited
Epicurve of Outbreak of Acute Flaccid Paralysis in Nimba County, September, 2015
CONCLUSION• Two of the cases live in the same district and one live in
a district very close to Guinea
• The three cases had no travel history outside of their home towns since one year ago each
PUBLIC HEALTH ACTIONS Parents were sensitized on the importance of presenting
to the Health center on time
Active case search continue in Nimba County
Specimens were collected and sent to Liberia Institute of Bio-Medical Research (LIBR)