EPIDEMIC SURVEILLANCE AND RESPONSE EPIDEMIC … bulletin... · meningitis 2 None None Ngarama and...

For more information, contact the Division Manager of Epidemic Surveillance and Response, Dr. José NYAMUSORE, Tel: 0788467187Toll free 114/ 1110

RWANDA BIOMEDICAL CENTRE / INSTITUTE OF HIV/AIDS, DISEASES PREVENTION&CONTROLKigali - Rwanda, Fax 0252 503980, TEL: 0252 503979

REPUBLIC OF RWANDA

MINISTRY OF HEALTH

WEEKLY EPIDEMIOLOGICAL

RBC / EID Division B.P. Tel. 3334 - 3335 (free) E-mail : [email protected]

IntroductionContents



REPUBLIC OF RWANDA

MINISTRY OF HEALTH






REPUBLIC OF RWANDA

MINISTRY OF HEALTH






REPUBLIC OF RWANDA

MINISTRY OF HEALTH






Summary of surveillance

indicators

• Public Health Facilities: Complete-ness: 91 % and timeliness: 58.8% • Private Health Facilities: Completeness: 54.6 % and timeliness:15.3%• Overall completeness and timeli-ness: 81.8 % and 47.9% respec-tively

Summary of cases reported nationally:

• Non-bloody diarrhea: 4,138• Flu syndrome: 12,686 • Malaria: 54,424• Severe pneumonia in under five years: 131 • Shigellosis: 46 suspected cases• Chicken pox: 43 • Mumps: 22 • Dog bites (suspected rabies exposure): 13 • Typhoid fever: 2 suspected cases• Acute Flaccid Paralysis: 1 case• Cholera: 1 suspected case

Summary of deaths reported nationally

• 9 deaths due to Malaria: Gihundwe DH (1), Nemba DH (1), Nga-rama DH (1), Rwinkwavu DH (1), Kinihira DH (1), Kiziguro DH (1), Kibogora DH (2), Rutongo DH (1)

• 2 deaths due to severe pneumonia in under five from Muhororo DH

1. Dog bites in Rubengera Health Center, Karongi District

Eleven dog bites cases were reported from Rubengera HC of Kibuye District Hospital in Karongi district. Eight of them were children

aged less than 15 years while three were adults. All of them were from Rubengera sector and were transferred to the district hospital for post exposure prophylaxis. The bites were by three different unknown dogs, one of which was later killed by the community.

2. National upsurge

in malaria cases

There has been a steady increase in

the number of malaria cases reported country-wide during the last 12 weeks. As seen in figure 1, the number of all ma-laria cases increased from 14,747 in week 32 (early August) to 54,424 in week 43. A total of 327, 814 cases were reported during the 12-week period. Eight districts (figure 2) accounted for 50% (164,833) of the malaria cases reported during same period.

Figure 1: Trends of Malaria, Epidemiological weeks 32-43, Rwanda

Figure 2: Top 8 sub-district hospitals reporting malaria cases,

epidemiological weeks, 32-43, Rwanda

Editorial team: Dr J. Nyamusore, Dr L. Hakiz-imana, Dr J. Omolo, A. Kabeja, E. Nshimiyimana, H. Balisanga, F. Nizeyimana, A. Mutoni

For more information, contact the Ag. Division Manager of Epidemic Surveillance and Response, Dr. José NYAMUSORE, Tel: 0788467187

RBC/IHDPC/ ESR DivisionToll free No: 114


REPUBLIC OF RWANDA

MINISTRY OF HEALTH





EPIDEMIC SURVEILLANCE

AND RESPONSE

WEEKLY REPORTRBC/EID Division B.P: 7162 Kigali Tél: 114(Free) E-mail: www.rbc.gov.rw

Week 43, from 19-25, Oct 2015


REPUBLIC OF RWANDA

MINISTRY OF HEALTH






REPUBLIC OF RWANDA

MINISTRY OF HEALTH






REPUBLIC OF RWANDA

MINISTRY OF HEALTH






REPUBLIC OF RWANDA

MINISTRY OF HEALTH






Summary of surveillance

indicators

• Public Health Facilities: Complete-ness: 91 % and timeliness: 58.8% • Private Health Facilities: Completeness: 54.6 % and timeliness:15.3%• Overall completeness and timeli-ness: 81.8 % and 47.9% respec-tively

Summary of cases reported nationally:

• Non-bloody diarrhea: 4,138• Flu syndrome: 12,686 • Malaria: 54,424• Severe pneumonia in under five years: 131 • Shigellosis: 46 suspected cases• Chicken pox: 43 • Mumps: 22 • Dog bites (suspected rabies exposure): 13 • Typhoid fever: 2 suspected cases• Acute Flaccid Paralysis: 1 case• Cholera: 1 suspected case

Summary of deaths reported nationally

• 9 deaths due to Malaria: Gihundwe DH (1), Nemba DH (1), Nga-rama DH (1), Rwinkwavu DH (1), Kinihira DH (1), Kiziguro DH (1), Kibogora DH (2), Rutongo DH (1)

• 2 deaths due to severe pneumonia in under five from Muhororo DH

1. Dog bites in Rubengera Health Center, Karongi District

Eleven dog bites cases were reported from Rubengera HC of Kibuye District Hospital in Karongi district. Eight of them were children

aged less than 15 years while three were adults. All of them were from Rubengera sector and were transferred to the district hospital for post exposure prophylaxis. The bites were by three different unknown dogs, one of which was later killed by the community.

2. National upsurge

in malaria cases

There has been a steady increase in

the number of malaria cases reported country-wide during the last 12 weeks. As seen in figure 1, the number of all ma-laria cases increased from 14,747 in week 32 (early August) to 54,424 in week 43. A total of 327, 814 cases were reported during the 12-week period. Eight districts (figure 2) accounted for 50% (164,833) of the malaria cases reported during same period.

Figure 1: Trends of Malaria, Epidemiological weeks 32-43, Rwanda

Figure 2: Top 8 sub-district hospitals reporting malaria cases,

epidemiological weeks, 32-43, Rwanda

Editorial team: Dr J. Nyamusore, Dr L. Hakiz-imana, Dr J. Omolo, A. Kabeja, E. Nshimiyimana, H. Balisanga, F. Nizeyimana, A. Mutoni

For more information, contact the Ag. Division Manager of Epidemic Surveillance and Response, Dr. José NYAMUSORE, Tel: 0788467187

RBC/IHDPC/ ESR DivisionToll free No: 114


REPUBLIC OF RWANDA

MINISTRY OF HEALTH





EPIDEMIC SURVEILLANCE

AND RESPONSE

WEEKLY REPORTRBC/EID Division B.P: 7162 Kigali Tél: 114(Free) E-mail: www.rbc.gov.rw

Week 43, from 19-25, Oct 2015

Editorial team: Dr J. Nyamusore, A. Kabeja, V. Ndagijimana, H. Balisanga, F. Nizeyimana, A. Mutoni, A. Kapiteni, L. Ruyange

EPIDEMIC SURVEILLANCE AND RESPONSE

WEEKLY REPORT

Week 28 from 8th to 14th July

ESR Division

• Measles : seven cases confirmed by epidemiological link including five from Rutsiro health center of Murunda DH and one each Ramba health center of Kabaya DH and Nyabirasi health center of Murunda DH; Eight suspected cases including one each from Busengo health center of Nemba DH, Cyanika (nyamagabe) of Kigeme DH Gahini health center of Ga-hini DH , Karambi (ruhango) health center of Gitwe DH Kirehe health center of Kirehe DH Munzanga health center of Kirinda hospital, Rambura and Shyira health centers of Shyira DH. • Meningococcal meningitis: two suspected cases including one each from Ngarama and Kibogora DH.• Mumps : 177 cases • Dog bites / (rabies exposure): five cases including one each from Bigugu health center of Kibuye hospital, Byahi (rubavu) health center of Gisenyi DH, Byumba DH, Gitare health center of butaro DH and Kibogora DH.• Viral Conjunctivitis: five cases including three from Deva Medical Center Clinic of Gasabo district and one each from Bethanie Medical Clinic of Karongi distrct and Ubuzima polyclinic of Gasabo district. • Typhoid fever: one confirmed case from Nemba DH. • Rubella : one case from Mushishiro health center of Kabgayi DH

SUMMARY

I.COMPLETENESS AND TIMELI-NESS

• For Public Health Facilities:Completeness: 92.5 % Timeliness: 89.9 %

• For Privates Health Facilities:

o Number of health facilities submitted their reports: 119HFso Number of health facilities submitted their reports on time: 110 HFs

Good performance with 100% timeliness: ) : Gahini, Kibungo, Ngarama , CHUK, Kacyiru, RMH, Butaro, Byumba, Kinihira, Ruli, Rutongo, Gitwe, Kibilizi, Nyanza, Ruhango, Bushenge, Kibogora, Mugonero, Muhororo and Shyira Hospitals’ cathment areas.

Poor performance (timeliness between 50- 80%) : Murunda, Ruhengeri, Kabaya, Kabutare, Rwa-magana, Gihundwe, and Muhima hospitals cathment areas.

Very poor performance: Time-lienss less than 50%: Caraes Ndera, KFH and CHUB

II. Cases reported by Public and Private HFs:

• Malaria: 21,043 cases • Flu syndrome : 14658 cases • Non-bloody Diarrhoea : 5054 cases • Severe Pneumonia in children under five years: 154 cases• Shigelosis: 7 suspected cases.• Chicken pox: 17 cases

UPDATE: What to know about Ebola Virus Disease (EVD) in DRC as of 18th July 2019 ? ... P. 3 EVD Surveillance activities in Rwanda... P. 3

Malaria : Two deaths including one each from Gisenyi DH and Kibogora DH. Bloody Dirrhoea: One death from Kibilizi DH. Suspected Meningococcal Meningitis : One death from Ngarama DH.

III. Deaths reported nationally: Four deaths notified countrywide

P. 2 P. 3EPIDEMIC SURVEILLANCE AND RESPONSE WEEKLY REPORT EPIDEMIC SURVEILLANCE AND RESPONSE WEEKLY REPORT

LABORATORY SITUATION REPORTED DISEASES THAT REQUIRE LAB CONFIRMATION

Disease Suspected cases Number of sample tak-en to NRL

Health Facilities that took samples

HF That didn’t take samples

Bloody Diarrhoea 7 1 Muhambo HC Muyanza HC, Rwerere HC, Rwaniro HC.

Measles 15 5 Bisengo HC , Cyanika (Nyamagabe) HC, Gahini HC, Karambi (ruhango) HC, Kirehe HC.

Nyabirasi HC, Ramba HC and Rutsi-ro HC.

Miningococcal meningitis

2 None None Ngarama and Kibogora DHs

Rubella 1 1 Mushishiro HC

Typhoid fever 1 1 Nemba DH

We hereby remind that for any suspected case of the following diseases (AFP, Shigellosis, Measles, Yellow fever, Typhoid Fever, Rubella , Meningococal Meningitis, Cholera, Viral Haemorrhagic Fevers, Epidemic typhus) samples should be taken to the National Reference Laboratory for comfirmation.

From P.1

WHAT TO KNOW ABOUT EBOLA VIRUS DISEASE ( EVD) in DRC?

Epidemiological Situation of EVD In DRC as of 18th July, 2019 Since the beginning

• The cumulative number of cases is 2532 including 2438 confirmed and 94 probable.• 1705 deaths (1611 confirmed and 94 probable) • 718 people cured.• The confirmed / probable health workers is 137 including 41 deaths.• On 17th July 2019, the WHO has declared declared Ebola Virus Disease in DRC as a Public Emergency for Interna-tional Concern• On 14th july 2019 a confirmed case of EVD that was reported in Goma. the case was a man who travelled to the city from Beni by bus, visiting a local health centre on arrival where the alert was raised. He transferred the same day to the Ebola Treatment Centre (ETC) in Goma, and died while being transferred to the ETC in Butembo.

From 17th to 18th July 2019

• 10 new confirmed cases including 4 from Beni, 2 each from Butembo and Mandima 2 and one each from Vuhovi and Mutwanga o 7 deaths: 4 community deaths, including 2 from Beni and one each from Mandima and Vuhovi. o 3 deaths in ETC including one each from Beni, Katwa and Mabalako.• 1 person healed output CTE Butembo

P. 4EPIDEMIC SURVEILLANCE AND RESPONSE WEEKLY REPORT P. 5 EPIDEMIC SURVEILLANCE AND RESPONSE WEEKLY REPORTTREND OF MALARIA , ILI, PNEUMONIA SEVERE AND NON BLOODY DIARRHEA FROM JANUARY, COUNTRYWIDE THE FOLLOWING 46 PUBLIC HFs DID NOT SUBMIT THEIR WEEK 28/2019 REPORTS

P.6EPIDEMIC SURVEILLANCE AND RESPONSE WEEKLY REPORT

CASES NOTIFIED DURING WEEK 28, 2019

EPIDEMIC SURVEILLANCE AND RESPONSE EPIDEMIC … bulletin... · meningitis 2 None None Ngarama and...

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