weekly epidemiological · awd alert, 1 suspected case was found in hospital, during active...

Weekly Epidemiological Bulletin

This weekly Epidemiological Bulletin is published jointly by the National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan. For Correspondence: NIH: [email protected]; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083; E-mail: [email protected].

Epidemiological week no. 51 (16 to 22 December, 2011)

• 80 districts and 2 agencies provided surveillance data to the DEWS this week from 2,766 health facilities. Data from mobile teams is reported through sponsoring BHU or RHC.

• A total of 825,060 consultations were reported through DEWS of which 236,614 (29%) were acute respiratory infections (ARI); 68,105 (8%) were Skin disease; 57,275 (7%) were acute diarrhoea; and 50,358 (6%) were suspected malaria.

• A total of 117 alerts with 11 outbreaks were reported in week‐51, 2011: Altogether 39 alerts for Measles; 19 for Neonatal tetanus and tetanus; 14 for Leishmaniasis; 9 for AWD; 7 for Pertussis; 4 for Malaria; 2 each for Acute Jaundice Syndrome and Bloody diarrhoea; while 1 for DHF; and 20 alerts for other communicable diseases.

• In this week 6 new type‐1 polio cases were confirmed by the laboratory, two each from Khyber Pakhtunkhwa (Tank and Peshawar) and Punjab (Muzaffargarh and Dera Ghazi Khan) and one each from Federally Administered Tribal Areas (Khyber Agency) and Sindh (Thatta). As of 26th December, Pakistan has reported a total of 181 polio cases (179 type‐1 and 2 type‐3) from 58 districts/towns/tribal agencies and areas.

Highlights

Disease early warning system and response in Pakistan

01

Volume 2, Issue 51, Monday 26 December, 2011

Priority diseases under surveillance

in DEWS

Acute Flaccid Paralysis (AFP)

Acute Jaundice Syndrome (AJS)

Acute Respiratory Infections (Upper and Lower) (ARI)

Acute Watery Diarrhoea (AWD)/ Suspected Cholera

Acute Bloody Diarrhoea (BD)

Other Acute Diarrhoeas (AD)

Suspected Viral Hemorrhagic Fever (VHF)

Suspected Malaria (Mal)

Suspected Measles (MS)

Suspected Meningitis (MG)

Others

Figure‐1: Weekly trend of leading priority diseases in Pakistan, 29 July 2010 to 15 December 2011 (Epi week 31, 2010 to week 51, 2011)

Disease Wk-44 Wk-45 Wk-46 Wk-47 Wk-48 Wk-48 Wk-50 Wk-51

Acute diarrhoea 65,701 (8%) 33,057 (8%) 64,260 (8%) 62,650 (8%) 65,718 (7%) 52,625 (7%) 61,478 (7%) 57,275 (7%)

Total consultation 879,811 412,812 837,736 859,241 904,948 709,4184 856,582 825,060

Suspected malaria 69,408 (8%) 30,218 (7%) 58,136 (7%) 56,468 (7%) 63,826 (7%) 47,753 (7%) 52,040 (6%) 50,358 (6%)

Acute respiratory infection 217,676 (25%) 103,082 (25%) 210,514 (25%) 224,061 (26%) 242,844 (27%) 192,900 (27%) 241,869 (28%) 236,614 (29%)

Bloody diarrhoea 5,289 (0.60%) 2,764 (0.67%) 6,024 (0.72%) 5,478 (0.64%) 4,912 (0.54%) 4,556 (0.64%) 4,856 (0.57%) 4,252 (0.52)

Skin diseases 77,842 (9%) 34,276 (8%) 74,134 (9%) 72,895 (8%) 77,057 (9%) 58,406 (8%) 69,079 (8%) 68,105 (8%)

Since July 29, 2010, approximately 56,637,760 patient consultations have been reported to the DEWS from all provinces, FATA and AJ&K. While we still receive reports over 800,000 consultations per week.

The above graph shows the weekly trend of four major diseases as percentage of cases out of total consultations reported to DEWS. From last 8 weeks (44 to 51, 2011) acute diarrhoea cases have decreased (from 8% to 7%), while at the same time cases of ARI have increased (from 25% to 29%). A slight fluctuation in the suspected malaria cases have been seen recently after consistent seasonal increase from week 35 especially from districts in Sindh and Balochistan.

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Epidemiological Bulletin: DEWS, Pakistan, Week no. 51 (16 to 22 December, 2011)

This weekly Epidemiological Bulletin is published jointly by the National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan. For Correspondence: NIH: [email protected]; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083; E-mail: [email protected]. 02

Current week's (51/2011) Outbreaks: Date Disease Province District Area <5M >5M <5F >5F Action Taken

21‐Dec AJS AJK Poonch Vill bari UC Bhantani Tehsil Hajira 1 5 3 4

Alert for AJS was reported by Chughtai Medical Comlex Hajira. On field investigation along with DoH 13 cases were found. 5 blood samples were taken and sent to NIH. 2 water sources were being used for drinking purposes, were open sources and were being contaminated from the surroundings. Water sampling was done from both the sources using H2S kits and found contaminated. Health and hygiene sessions were conducted for the community. IEC material and Hygiene kits were distributed among the community.

20‐Dec Leishmaniasis Balochistan Jhal Magsi Gajan UC Patri BHU Gajan 3 2 0 2 7 cases of cutaneous Leishmaniasis reported from the same area. Outbreak investigated, Inj Glucantime was provided and health education was given. EDO‐H was informed to provide vector control.

21‐Dec Leishmaniasis Balochistan Jhal Magsi Fateh Pur UC Khari BHU fateh Pur 2 5 1 1

9 cases of cutaneous Leishmaniasis were reported from the same area. Outbreak investi‐gated, Inj Glucantime was provided and health education was given. EDO‐H was informed to provide vector control.

22‐Dec Leishmaniasis Balochistan Quetta Hazara town, Brewery road 0 2 1 9 12 cases of cutaneous Leishmaniasis were investigated. The alert is the continuation of previous week outbreak. Patients have already been diagnosed and treatment is continued. 46 cases have been reported so far from this center.

22‐Dec Malaria Balochistan Jaffarabad BHU Gandakha 13 21 8 16

Malaria alert was observed and 58 patients were checked and treated. RDT tests was carried out and 68% verified positive (P. Falciparum=13, P.Vivax=7, mixed=5) SPR= 43%; while FR=72%). Anti‐malarial drugs along with bed nets were provided. DHO and Malaria represen‐tative was informed about alert and requested to take further preventive measures.

16‐Dec Malaria Balochistan Sibi RHC Talli 0 0 0 0 17 cases of lab confirmed Malaria reported out of 28 slides tested (SPR=61%) from BHU Sultankot. Falciparum positivity rate was 71%. ACT and RDTs were provided by WHO. DoH was informed and requested for fogging and supply of bed nets.

22‐Dec Typhoid Balochistan Chagai Killi Toheed Abad Afghan refugee camp Chagai village 0 3 0 3

Alert for Typhoid, 6 cases were observed and investigated. Investigation from local lab showed positive. The cases were sensitized to practice boiling water for drinking. Aqua tabs were distributed among the community. Health and hygiene sessions were conducted in community.

21‐Dec Pertussis Sindh Dadu Village Ali Nawaz Araein, UC Mitho Babar, Taluka K.N Shah.

2 1 2 0

Alert for probable Pertussis, suspected case was investigated in the village, during active surveillance 4 more cases were found, Throat sample collected, health education imparted, Children were not vaccinated, no routine immunization in the area, 1 Hygiene kit and Eryth‐romycin were distributed, EDOH, DSM PPHI, THO KN Shah, EPI Focal person and PMC Marlin were informed.

22‐Dec Pertussis Sindh Dadu Laghari Muhalla, New city colony Taluka Johi 2 4 4 3

Alert for probable Pertussis, 13 suspected cases were found in the village during active surveillance, Throat swab was collected and Erythromycin were distributed, health educa‐tion imparted, EDO‐H, THO Johi and EPI Focal person informed. The routine immunization of the area planned with district authorities.

22‐Dec Pertussis Sindh Ghotki Village Shafi Muhammad Chachar UC Qadirpur 4 4 7 1

16 cases of suspected Pertussis were reported from village Shafi Muhammad chachar UC Qadirpur. House to house cluster done, no routine immunization was found. DEWS team responded and give 14 day doses of erythromycin to all suspected cases and close contacts. Health education imparted in the village, informed EDOH and DSV and requested for vacci‐nation in area/village.

21‐Dec Pertussis Sindh Sanghar Village Mangio Runhjo, UC Mian Taluka Sanghar 4 7 1 3

15 cases of Pertussis were found in Village, 02 Throat samples were taken, health education imparted, Erythromycin Tab distributed and EDOH informed. Routine immunization of the area was very low or near to nil, the routine immunization of the area is planned and mopup activity will be conducted soon.

Previous week's (50/2011) Outbreaks: Date Disease Province District Area <5M >5M <5F >5F Action Taken

12‐Dec Malaria Balochistan Labella Civil Hospital Bela 13 9 6 9 Malaria alert was observed as cluster of suspected cases. Total 57 slides were tested out of which 37 were positive (SPR=65%). 29 for P. Falciparum and 8 for P. Vivax (FR=78%). Treat‐ment provided to all patients and information shared with DHO and requested for necessary

9‐Dec AWD Sindh Badin Jameel Colony, UC Matli, Taluka Matli 1 2 0 1

AWD alert, 1 suspected case was found in hospital, during active surveillance 3 more case were found, hand pump was the source of water, health and hygiene education imparted, Aqua tabs, Zinc tabs and ORS were distributed, EDOH informed and 1 stool sample taken and found positive for V. c. Ogawa.

Distribution of Wild Polio Virus cases Pakistan 2010 and 2011

Year 2011: As of 26 December, 2011, the total number of polio cases confirmed by the laboratory is 181 (179=type‐1, and 2=type‐3) from 58 districts/towns/tribal agencies and areas.

Province Cases 2010 Cases 2011

P1 P3 P1 P3

Punjab 6 1 7 ‐

Sindh 26 1 31 ‐

Khyber Pakhtunkhwa 19 5 21 ‐

FATA 63 11 50 2

Balochistan 6 6 69 ‐

AJ&K ‐ ‐ ‐ ‐

Gilgit‐Baltistan ‐ ‐ 1 ‐

Islamabad ‐ ‐ ‐ ‐

Total 120 24 179 2



Current week's Alerts: Province Balochistan Date Disease District Area <5M >5M <5F >5F

21‐Dec ARI Harnai Harnai 0 0 0 0

20‐Dec Leishmaniasis Jhal Magsi Gajan UC Patri BHU Gajan 3 2 0 2

21‐Dec Leishmaniasis Jhal Magsi Fateh Pur UC Khari BHU fateh Pur 2 5 1 1

20‐Dec Leishmaniasis Khuzdar UC Khand, UC Faiz Abad, UC Zereena Kattan 0 3 0 0

19‐Dec Leishmaniasis Killa Saifullah Killa Saifullah 0 0 0 1

22‐Dec Leishmaniasis Killa Saifullah Haji Hanan Burma‐Nasai 0 3 0 1

19‐Dec Leishmaniasis Lasbela Uthal and Winder 1 2 0 0

21‐Dec Leishmaniasis Panjgur UC Chitkan Mohallah Chitkan Bazar 0 1 0 1

22‐Dec Leishmaniasis Quetta Hazara town, Brewery road 0 2 1 9

22‐Dec Leishmaniasis Quetta Village aid 1 0 0 3

22‐Dec Malaria Jaffarabad BHU Gandakha 13 21 8 16

16‐Dec Malaria Sibi RHC Talli 0 0 0 0

20‐Dec Measles Chagai Killi Koi Khan U/C town Dalbandin 1 0 1 1

22‐Dec Measles Jaffarabad Goth Ali Nawaaz Langow, near to Mohabbat Shakh, Tehsil Dera Allah Yar 1 0 1 1

21‐Dec Measles Killa Saifullah Kashmir District 0 0 1 0

19‐Dec Measles Lasbela Abdullah Goth Bagar 0 0 1 0

19‐Dec Measles Lasbela Phota Goth UC Gadani 1 0 0 0

21‐Dec Measles Lasbela Raja Waqas Goth,Uc Pathra 0 0 2 1

21‐Dec Measles Loralai Killi Gul Baran U/C Gharbi Luni Tehsil Dukki 4 0 1 0

21‐Dec Measles Panjgur UC Chitkan Mohallah College 0 0 0 1

22‐Dec NNT Bolan Village Nigari 1 0 0 0

20‐Dec NNT Jaffarabad NICH Karachi 1 0 0 0

17‐Dec NNT Quetta Bolan Medical Complex Hospital 1 0 0 0

22‐Dec Typhoid Chagai Killi Toheed Abad Afghan refugee camp Chagai village 0 3 0 3

21‐Dec Chicken Pox Panjgur UC Washbood Mohallah Madresa 1 3 1 1

Current week's Alerts: AJK; FATA; GB Date Disease District Area <5M >5M <5F >5F

21‐Dec AJS Poonch Vill bari UC Bhantani Tehsil Hajira 1 5 3 4

21‐Dec Diphtheria Kurram Agency Sadda Lower Kurram Agency 0 1 0 0

22‐Dec Leishmani‐asis Diamir DHQ Hospital Chilas 0 1 0 0

22‐Dec Measles Diamir DHQ Hospital Chilas 1 0 0 0

17‐Dec Diphtheria South Waziristan Agency Village Shoobi Khel Boobar 0 1 0 0

21‐Dec NNT Bajaur Agency village Kadok, tehsil Salarzai 1 0 0 0

Current week's Alerts: Province Khyber Pakhtunkhwa Date Disease District Area <5M >5M <5F >5F

19‐Dec BD Haripur Afghan Refugee Camp Panian 1 0 1 1

16‐Dec CCHF Swabi BMC Swabi, SWABI 0 1 0 0

22‐Dec DHF Peshawar Jalalabad Afghanistan 0 1 0 0

16‐Dec H1N1 Swabi BMC Swabi, Punjpir 0 0 0 1

19‐Dec H1N1 Swabi BMC Swabi, Jangi Dher 0 0 0 1

19‐Dec H1N1 Swabi BMC Swabi, Lahore 0 0 0 1

19‐Dec H1N1 Swabi BMC Swabi, Tordher 0 0 0 1

19‐Dec Leishmaniasis Tank Tank city 0 1 0 0

21‐Dec Measles Karak Kohat (Village Mumikhel 0 1 0 0

22‐Dec Measles Lower Dir Village Golar‐Shontala, UC Samar Bagh. 0 1 0 0

22‐Dec Measles Lower Dir Village Toor Mang Coloney, UC Toor 0 0 1 0

20‐Dec Measles Nowshera Village Banda Mulla Khel 1 0 0 0

21‐Dec Measles Nowshera Mohalla lala khel khaishkee 1 0 0 0

20‐Dec Measles Peshawar Village Khazana Charsadda Road 0 0 1 0

16‐Dec Measles Shangla Village Gorkat/UC Ranyal 1 0 1 0

17‐Dec Measles Shangla Village Ambela/UC Shah Pur 0 0 0 0

20‐Dec Measles Shangla Village Shangla Top/Alpurai 1 0 0 0

19‐Dec Measles Swabi Private Clinic, Awaranu Mohallah 1 0 2 0

21‐Dec Measles Swabi Village Chota Lahore 0 0 1 0

16‐Dec Measles Swat Village Balogram ground kanda 1 0 0 0

16‐Dec Measles Swat Village Kandak, UC Kota, Tehsil Barikot 0 0 1 0

19‐Dec Measles Swat Madina Colony College Chowk Matta 1 0 0 1

21‐Dec Measles Swat Village Cham Sathal, UC Bahrain 1 0 0 1

22‐Dec Measles Swat Village Matta near Baryam Bridge 1 0 0 0

20‐Dec Measles Tank Gomal Bazar 1 0 0 0

20‐Dec Measles Tank sagai 0 1 0 0

22‐Dec Measles Tank Chadrar 1 0 0 0

Current week's Alerts: Province Sindh Date Disease District Area <5M >5M <5F >5F

19‐Dec AWD Badin Village Latif Panhwer, UC Tando Ghulam ali 4 1 0 0

21‐Dec AWD Matiari Village Poratho Taluka Matiari 1 0 0 0

22‐Dec AWD Mirpur Khas Opposite Rotaty club, Lal chand bagh 0 0 0 1

16‐Dec AWD TA Yar Bheel colony, UC 3 1 0 0 0

16‐Dec AWD TA Yar Mithal Shah Colony 0 1 0 0

16‐Dec AWD TA Yar Shahbaz Colony 1 0 0 0

18‐Dec AWD TA Yar Akram colony Taluka Tando Allahyar 0 1 0 0

22‐Dec AWD TM Khan Bathoro Road Tando Muhammad Khan 1 0 0 0

21‐Dec AWD Umer Kot Village Rana Jagir, UC Khararo Syed 0 1 0 0

20‐Dec BD Matiari Village Muhammad Junejo, UC Sahib Samo 2 1 1 0

22‐Dec Measles Jamshoro Darya abad, UC Nagoline, Taluka Kotri 0 0 0 3

18‐Dec Measles Khairpur Village Misri Khan, UC Drib Mehar Shah 2 1 2 0

19‐Dec Measles SBenazirabad Village Char, UC Daulatpur 0 0 0 1

19‐Dec Measles Thatta UC Keti Bundar 1 2 0 2

20‐Dec Measles Thatta Achar Malla Mohalla, Gharo city 4 1 2 2

20‐Dec Measles Thatta Village Wahid Buksh Lashari 0 0 4 1

22‐Dec Measles Thatta Village Mirza Gabol UC Karampur Sakiro 1 0 0 2

22‐Dec Measles Thatta Village Muhammad Khan Gabol 1 2 0 0

21‐Dec NNT Jacobabad Village Allah abad, taluka Garhi Khairo 1 0 0 0

21‐Dec NNT Karachi NICH Karachi and Khyber Chawk 1 0 0 0

17‐Dec NNT Kashmore Village Jangu Khan Rind, taluka tangwani 1 0 0 0

18‐Dec NNT Khairpur Pir jo goth, taluka Kingri 1 0 0 0

18‐Dec NNT Khairpur Village Haji Mohammad Mithal Bhambro 1 0 0 0

19‐Dec NNT Larkana Village Masood kalhoro UC Badah 1 0 0 0

22‐Dec NNT Larkana Village Bahadur Khan talka ratodero 1 0 0 0

20‐Dec NNT Qambar Village Faiz Mohammad Khokhar 1 0 0 0

20‐Dec NNT Qambar Village Hakim Shah Magasi 0 0 1 0

17‐Dec NNT Thatta Village Noor Machi UC Mehar Shah 1 0 0 0

20‐Dec Pertussis Badin Village Ashraf abad, UC Muhammad Khan 1 1 1 1

21‐Dec Pertussis Dadu Village Ali Nawaz Araein, UC Mitho Babar 2 1 2 0

22‐Dec Pertussis Dadu Laghari Muhalla, New city colony Taluka Johi 2 4 4 3

22‐Dec Pertussis Ghotki Village Shafi Muhammad Chachar 4 4 7 1

21‐Dec Pertussis Sanghar Village Mangio Runhjo, UC Mian 4 7 1 3

Current week's Alerts: Province Punjab Date Disease District Area <5M >5M <5F >5F

20‐Dec AD Bhakkar BHU Daggar Noon, Tehsil Kalur Kot 2 5 3 5

19‐Dec AD Mianwali BHU Bani Afghan Mianwali 12 14 9 12

21‐Dec AD RY Khan RHC Nawan kot, Tehsil Khanpur 12 9 15 7

21‐Dec AJS Lahore Mohalla Bazzar Suttar Mandi Lahore 0 1 0 2

20‐Dec ARI Mianwali BHU Kallur Shareef,Issa Kheel 21 13 19 15

21‐Dec ARI RY Khan RHC Nawan kot, Tehsil Khanpur 7 39 11 58

19‐Dec ARI Rajanpur BHU Haji Pur, Moza Allah Abad 12 36 16 19

20‐Dec ARI Rajanpur RHC Muhammad Pur, Tehsil Jampur 42 104 30 84

22‐Dec Leishmani‐asis DG Khan Naween Abadi Shadanlund 0 0 0 1

20‐Dec Leishmani‐asis RY Khan Faridabad, UC Qadirpur, Tehsil Khanpur 0 1 0 0

22‐Dec Scabies Bhakkar BHU 73 ML, Tehsil Mankera 2 6 3 5

19‐Dec Scabies Rajanpur BHU Bukhara, Moza Bukhara, UC Bukhara 11 16 10 13

16‐Dec Tetanus Lahore Sultan steert sandha Kalan 0 0 1 0

17‐Dec Tetanus Lahore St no 35 Mustafabad Dharam Pura Lahore 0 0 0 1

22‐Dec Tetanus Lahore Bank stop Main Ferozpur road 1 0 0 0

20‐Dec UXF Rajanpur DHQ Hospital Rajanpur 34 59 28 28

21‐Dec Leishmani‐asis RY Khan basti Gaman Khan Baloch, Chowk Zahirpir,

UC Trinda Mohd Panah 0 1 0 0

19‐Dec Malaria Mianwali BHU Vanjaree,Issa Khail 5 8 8 15

20‐Dec Malaria Muzaffargarh Rungpur 2 15 3 9

19‐Dec Measles Lahore Village Kmyah Nishter Town 0 0 1 0

19‐Dec Measles Muzaffargarh Azmat Plaza, Qasba Gujrat, Kotaddu 0 0 1 0

21‐Dec Measles Muzaffargarh Basti Pepal Wala, Moza Kamalpur 0 1 0 1

16‐Dec NNT Multan Basti Buzdar,Dakhana Mana‐Ahmdani 1 0 0 0

21‐Dec NNT Rajanpur Moza Wassan Baloch, UC Umer Kot 1 0 0 0

22‐Dec Pertussis DG Khan Hadwar Shumali UC Mangrotha 0 1 0 0

21‐Dec Pertussis Rajanpur Basti Khuda Bukhsh, Moza Hataila 2 0 1 0



Province Khyber Pakhtunkhwa:

• This week 660 health facilities from 19 districts reported to DEWS with a total of 142,247 patients consultations.

• The proportional morbidity of AD (7%) 1% lower as com-pared with last week.

• 27 alerts were reported in this week, 19 were for Measles; 4 for H1N1, while 1 each for Bloody diarrhoea, CCHF, DHF, and Leishmaniasis.

• No outbreak for any disease was received this week from any area in Khyber Pakhtunkhwa.

Figure-3: Trend of priority communicable diseases, province KPK

Province Sindh:

• This week 1,009 health facilities from 22 districts reported a total of 376,863 patient consultations.

• In Sindh, AD cases reported were 28,018 (7%), 1% lower pro-portional morbidity as compared with last week.

• 33 alerts were reported from Sindh in this week: 10 for Neona-tal tetanus; 9 for AWD; 8 for Measles; 5 for Pertussis; while 1 for Bloody diarrhoea.

• 4 outbreak for Probable Pertussis were received and appropri-ate response were taken.

Figure-4: Trend of priority communicable diseases, province Sindh

Table‐2: Total number of alerts and outbreaks reported and investigated with appropriate response Disease

Post Flood 2010 2011 (up till wk 50) Current Week (51) Total A O A O A O A O

Acute watery diarrhoea 209 85 1334 543 9 0 1552 628 Acute jaundice syndrome 5 2 46 16 2 1 53 19 Bloody diarrhoea 10 1 95 20 2 0 107 21 Dengue fever 81 32 784 111 1 0 866 143 Measles 48 6 1634 91 39 0 1721 97 Pertussis 1 ‐ 272 74 7 4 280 78 NNT + tetanus 5 ‐ 368 0 19 0 392 0 Malaria 12 7 124 83 4 2 140 92 Leishmaniasis 1 ‐ 268 29 14 3 283 32 Others 75 11 599 68 20 1 694 80 Total 447 144 5524 1035 117 11 6088 1190

Table‐1: Leading causes of seeking health care in flood affected districts, 29 July 2010 to 22 December 2011, compiled from weekly reports

Diseases Number of Consultations

Acute respiratory infection 12,887,440 (23%)

Skin diseases 5,945,829 (11%) Acute diarrhoea 5,267,051 (9%) Bloody diarrhoea 464,201 (1%) Suspected malaria 3,525,247 (6%) Unexplained fever 2,160,195 (4%) Total consultations 56,637,760

Figure‐2: Weekly number of reporting health facilities (Wk 33/2010 to Wk 51/2011)

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Epidemiological Bulletin: DEWS, Pakistan, Week no. 51 (16 to 22 December, 2011) Province Punjab: • This week 483 health facilities from 8 districts reported data to

DEWS from Punjab province with a total of 194,570 patient consultations.

• AD cases reported were 11,294 (6%) and showing same pro-portional morbidity as compared with last week .

• 26 alerts for were reported in this week from Punjab, 5 for Neonatal tetanus and tetanus; 4 for ARI; 3 each for Acute diarrhoea; Leishmaniasis; and Measles; 2 each for Malaria; Pertussis and Scabies; while 1 each for Acute Jaundice Syn-drome and Un-explained fever.

• No outbreak for any disease was received this week.

Figure-5: Trend of priority communicable diseases, province Punjab


State of Azad Jammu and Kashmir:

• In this week, reports were received from 123 health facilities from 10 districts with a total of 30,270 patient consultations.

• ARI cases reported were 7,304 (24%), while Acute diarrhoea reported 1,173 (4%) cases.

• 1 alert for AJS was received and appropriate response was taken.

• This week 39 health facilities in 2 agencies reported from FATA, with a total of 6,849 patient consultations.

• ARI cases reported were 2,125 (31%), while Acute diarrhoea was reported 391 cases (6%).

• No alert for any disease was reported this week.

Province Gilgit Baltistan:

• In this week, 44 health centers from 5 districts in Gilgit Baltistan sent weekly report with a total of 8,084 patient consultations.

• ARI cases reported were 2,748 (34%), while Acute diar-rhoea were 899 (11%).

• No alert for any disease was received this week from any area in Gilgit and Baltistan.

Figure-7: Trend of priority communicable diseases, Gilgit Baltistan

FATA:

Province Balochistan:

• In this week, 16 districts reported to DEWS from Balochistan province. 408 health centers reported a total of 66,177 patient consultations.

• AD reported in 5,123 (8%) of the total consultations, same proportional morbidity as compared with the last week.

• 25 alerts were reported in this week from Balochistan, 9 for Leishmaniasis; 8 for Measles; 3 for Neonatal tetanus; 2 for Malaria; while 1 each for ARI; Typhoid and Chicken Pox.

• 6 outbreaks, 3 for Leishmaniasis; 2 for Malaria; while 1 for Typhoid were received and appropriate response were taken.s week.

Figure-6: Trend of priority communicable diseases, province Balochistan

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50

wk 31

wk 33

wk 35

wk 37

wk 39

wk 41

wk 43

wk 45

wk 47

wk 49

wk 51

wk 1

wk 3

wk 5

wk 7

wk 9

wk 11

wk 13

wk 15

wk 17

wk 19

wk 21

wk 23

wk 25

wk 27

wk 29

wk 31

wk 33

wk 35

wk 37

wk 39

wk 41

wk 43

wk 45

wk 47

wk 49

wk 51

Percentage


0

5

10

15

20

25

30

35

40

45

50

wk 35

wk 37

wk 39

wk 41

wk 43

wk 45

wk 47

wk 49

wk 51

wk 1

wk 3

wk 5

wk 7

wk 9

wk 11

wk 13

wk 15

wk 17

wk 19

wk 21

wk 23

wk 25

wk 27

wk 29

wk 31

wk 33

wk 35

wk 37

wk 39

wk 41

wk 43

wk 45

wk 47

wk 49

wk 51

Percentage


0

5

10

15

20

25

30

35

40

45

50

wk 14

wk 15

wk 16

wk 17

wk 18

wk 19

wk 20

wk 21

wk 22

wk 23

wk 24

wk 25

wk 26

wk 27

wk 28

wk 29

wk 30

wk 31

wk 32

wk 33

wk 34

wk 35

wk 36

wk 37

wk 38

wk 39

wk 40

wk 41

wk 42

wk 43

wk 44

wk 45

wk 46

wk 47

wk 48

wk 49

wk 50

wk 51

Percentage


05

101520253035404550

wk 14

wk 15

wk 16

wk 17

wk 18

wk 19

wk 20

wk 21

wk 22

wk 23

wk 24

wk 25

wk 26

wk 27

wk 28

wk 29

wk 30

wk 31

wk 32

wk 33

wk 34

wk 35

wk 36

wk 37

wk 38

wk 39

wk 40

wk 41

wk 42

wk 43

wk 44

wk 45

wk 46

wk 47

wk 48

wk 49

wk 50

wk 51

Percentage


0

10

20

30

40

50

wk 7

wk 8

wk 9

wk 10

wk 11

wk 12

wk 13

wk 14

wk 15

wk 16

wk 17

wk 18

wk 19

wk 20

wk 21

wk 22

wk 23

wk 24

wk 25

wk 26

wk 27

wk 28

wk 29

wk 30

wk 31

wk 32

wk 33

wk 34

wk 35

wk 36

wk 37

wk 38

wk 39

wk 40

wk 41

wk 42

wk 43

wk 44

wk 45

wk 46

wk 47

wk 48

wk 49

wk 50

wk 51

Percentage




Alerts and outbreaks, week 50, 2011

weekly epidemiological · awd alert, 1 suspected case was found in hospital, during active...

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