Week-46 · 2020. 4. 30. · Somalia Weekly Update Week-46 Ending 18 Nov. 2018 [email protected]

Somalia Weekly Update

Week-46Ending 18 Nov. 2018

[email protected]

mailto:[email protected]

http://www.somaliapolio.org/

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Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18

cVDPV2 and cVDPV3 isolated from AFP cases 2017-2018

cVDPV2

cVDPV3

cVDPV2 and cVDPV3

Trend of VDPVs isolated from AFP and ES by Month

1 12

1 12

43 3

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Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18

cVDPV2 and cVDPV3 isolated from ES samples (2017-2018)

cVDPV2

aVDPV2

VDPV2 & cVDPV3 compatible

cVDPV3

cVDPV2 and cVDPV3 headlines

cVDPV2 from AFP- No new cVDPV2 reported from AFP since the last positive case was reported from

L. Jubba region of J. west district with on onset of paralysis on 2 September 2018.- A total of six cVDPV3 cases were reported in 2018.- One case has co-infection of both cVDPV2 and cVDPV3

cVDPV2 from ES samples- two new cVDPV2s reported this week from 2 ES samples collected from Kawma

and Egyptian Hospital ES sites. The samples were collected on 20 September 2018and 04 October 2018 respectively

- In total cVDPV2 has been isolated from 17 sewage samples in Mogadishu in 2018.One ES sample has co-infection of cVDPV2 and cVDPV3.

cVDPV3 from AFP- No new cVDPV3 reported from AFP since the last positive case was reported from

M. Shabelle region of Runingod district on 7 September 2018.- A total of six cVDPV3 cases were reported in 2018.- One case has co-infection of both cVDPV2 and cVDPV3

cVDPV3 from ES samples- No cVDPV3 reported from ES samples since the last Positive cVDPV3 was reported

on 23 August 2018.- cVDPV3 isolated from 10 sewage samples in Mogadishu. 1 ES sample has

coinfection of both cVDPV2 and cVDPV3

• List of the positive cases and ES samples are presented on next slides

cVDPV2/3 (n=1)

1 cVDPV2 J. West

1 cVDPV2 Daynile

List of cVDPV2 and cVDPV3 from AFP cases

# EPID # Region Province District City/Village Gender Notified by Accessibility LifestyleAge

(months)

Date of Onset of Paralysis

OPV DosesResults

IPV OPV

Date of last

OPV

1 SOM/HRN/BBT/18/002 Central HIRAN BULO BURTI JAMECO MUBARAK Female MCH inaccessible Nomadic 72 11/05/2018 0 0 -cVDPV2 & cVDPV3 Co infection

2 SOM/MSH/WRS/18/001 CentralMIDDLE

SHABELLEWARSHEIKH MUNGAB Male VPV accessible Nomadic 30 16/05/2018 0 6 06/05/2018 cVDPV3

3 SOM/MSH/WRS/18/003 CentralMIDDLE

SHABELLEWARSHEIKH BOHI Male Hospital accessible Nomadic 39 23/05/2018 0 0 - cVDPV3

4 SOM/GDO/DLO/18/002 South Gedo DOLO KABASA IDP Male Vaccinator accessible Urban 24 26/05/2018 0 6 08/05/2018 cVDPV2

5 SOM/LJB/KSM/18/005 South LOWER JUBA KISMAYO GULWADE Male DFA/VPV accessible Nomadic 24 24/06/2018 0 4 05/05/2018 cVDPV3

6 SOM/MSH/MDY/18/002 CentralMIDDLE

SHABELLEMAHADAY SHAAN Male VPV accessible Rural 42 29/06/2018 0 9 05/05/2018 cVDPV3

7 SOM/BAN/DYN/18/003 Cntral BANADIR DANYILETABELHA- SH

IBRAHIMMale Hospital accessible urban 36 10/07/2018 0 1 05/05/2018 cVDPV2

8 SOM/LJB/KSM/18/006 South LOWER JUBA KISMAYO ALANLEY MaleTraditional

Healeraccessible Rural 156 27/07/2018 0 6 - cVDPV3

9 SOM/LJB/KSM/18/008 South LOWER JUBA KISMAYO FANOLE DP Female Vaccinator accessible Urban 24 29/07/2018 0 4 10/07/2018 cVDPV2

10 SOM/LJB/KSM/18/007 South LOWER JUBA KISMAYO FANOLE IDP Male Vaccinator accessible Urban 96 30/07/2018 0 10 - cVDPV2

11 SOM/LJB/JMW/18/002 SouthLOWER JUBA

JAMAME WEST

MAZAGIRO Female VPV Inaccessible rural 32 02/09/2018 0 0 - cVDPV2

13 SOM/MSH/RNG/18/002 SouthMIDDLE

SHABELLE RUNINGOD MASAJID Male VPV Inaccessible Nomadic 05 07/09/2018 0 0 - cVDPV3

Epidemiological Week-2017 Epidemiological Week-2018

DistrictName of

SiteDate of

Establishment39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46

Waberi 21-Oct 19 Sept. 2017

cVD

PV

2

cVD

PV

2

4 5 6

aVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

3

cVD

PV

2

cVD

PV

3

cVD

PV

3

aVD

PV

2

cVD

PV

2

Shangani Urobo 20 Sept. 2017 3 5 5 3 3 3 3 3 3

Shangani Urobo2 17 Aug. 2018

HamerewoiniKawma 21 Sept. 2017 3 5 5 3 5 5 5 14

14

cVD

PV

2

cVD

PV

2

?

cVD

PV

3

cVD

PV

3

cVD

PV

3

cVD

PV

3

cVD

PV

3

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

cVD

PV

2

HodanEgyt.

Hosp23 Nov. 2017 3 5 3 5 5 3 ?

cVD

PV

2

cVD

PV

2

Summary Environmental Samples and Lab Classification

Legend 9cVDPV3

aVDPV2

1 Not scheduled 5 NPENT 10 Sent for sequencing NEV+NPEV

2 Pending 6 Sabin 11 Scheduled but not collected

3 Negative 7 NPENT + Sabin 12 Sabin 2

4 NEV 8 cVDPV2 13 Sabin + NPEV + NEV

List of cVPV2 & cVDPV3 isolated from ES samples 2017-2018S/N PROVINCE DISTRICT SITENAME IDCODE Date Sample Collection STATUS VDPVs nt dc from sabin Date Lab Result

1 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/17/002 22/10/2017 cVDPV2 02/11/2017

2 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/17/003 02/11/2017 cVDPV2 16/11/20173 BANADIR HODAN EGYP ES/SOM/BAN/HDN/EGH/18/008 22/02/2018 cVDPV2 12/03/2018

4 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/001 04/01/2018 cVDPV2 10/02/2018










14 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/009 01/03/2018 aVDPV2 27/03/2018

15 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/016 19/04/2018 cVDPV2+cVDPV3 16/05/2018




19 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/036 13/09/2018 aVDPV2 24/10/2018











30 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/037 20/09/2018 cVDPV2 41& 43 15/11/2018

31 BANADIR HODAN EGYP ES/SOM/BAN/HDN/EGH/18/039 04/10/2018 cVDPV2 49 & 50 15/11/2018

S/N PROVINCE DISTRICT SITENAME IDCODE Month STATUS VDPVs nt dc from sabin Date Lab Result

1 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/17/002 Oct-17 cVDPV2 38 2/11/2017

2 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/17/003 Nov-17 cVDPV2 36 & 37 16/11/2017

3 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/001 Jan-18 cVDPV2 38 & 44 10/2/2018

4 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/002 Jan-18 cVDPV2 40 10/2/2018

5 BANADIR HODAN EGYP ES/SOM/BAN/HDN/EGH/18/008 Feb-18 cVDPV2 39 12/3/2018

6 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/013 Mar-18 cVDPV3 42 2/5/2018

7 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/009 Mar-18 aVDPV2 6 27/03/2018




11 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/010 Mar-18 cVDPV3 17 12/4/2018

12 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/015 Apr-18 cVDPV2 39 2/5/2018



15 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/016 Apr-18 cVDPV2+cVDPV3 43 type 2 & 16/05/2018

16 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/019 May-18 cVDPV2 39 15/06/2018

17 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/017 May-18 cVDPV2 38 8/6/2018

18 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/019 May-18 cVDPV2 39 8/6/2018

19 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/018 May-18 cVDPV2 7 8/6/2018

20 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/027 Jul-18 cVDPV3 23 23/07/2018

21 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/032 Aug-18 cVDPV3 18 19/09/2018


23 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/033 Aug-18 cVDPV2 41 28/09/2018

24 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/034 Aug-18 cVDPV2 42 24/10/2018


26 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/035 Sep-18 cVDPV2 41 &43 4/10/2018

27 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/036 Sep-18 cVDPV2 42 24/10/2018

28 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/036 Sep-18 aVDPV2 8 24/10/2018

29 BANADIR WABERI TWENTY-ONE OCTOBER ES/SOM/BAN/WBR/TOO/18/037 Sep-18 cVDPV2 42 &49 24/10/2018

30 BANADIR HODAN EGYP ES/SOM/BAN/HDN/EGH/18/039 Oct-18 cVDPV2 49 & 50 15/11/2018

31 BANADIR HAMAR WEYN KAWMA ES/SOM/BAN/HMW/KAW/18/037 Oct-18 cVDPV2 41&43 15/11/2018

SIA Activity Calendar Apr – Dec. 2018

Activity Target area Date Status

NID 1 bOPV Somaliland and Puntland 30 Apr- 03 May 2018 Campaign completed

NID 1 bOPV South and Central Except Banadir, Lower and Middle Shabelle 5-8 May 2018 Campaign completed

Third response round mOPV2 Campaign Banadir, Lowe Shabelle and Middle Shabelle 5-8 May 2018 Campaign completed

Synchronized mOPV2 Campaign (withKenya and Ethiopia), Round 1

South and Central regions without Banadir, Lower and Middle Shablle regions synchronized with Kenya response campaign

9 - 12 Jul 2018 Campaign completed

Small scale bOPV Response Banadir, Lower and Middle Shablle regions 23-Jul 2018 Campaign completed

Synchronized mOPV2 Campaign (with Kenya and Ethiopia), Round 2

South and Central regions with out Banadir, Lower and Middle Shabelle regions synchronized with Kenya response campaign

4-8 Aug. 2018 Campaign completed

mOPV2 Daynile district 19-22 Sept. 2018 Campaign completed

NID 2 using bOPV All 19 regions in Somalia (Targeted over : 3 million U-5 Children) 1-7 October 2018 Campaign completed

NID 3 using bOPV All 19 regions in Somalia (Targeted over 3 million U-5 Children 29 Oct - 5 Nov 2018 Campaign completed

Upcoming Campaigns

sNID mOPV2 In 9 regions of South and Central zones

25-28 November 2018 Preparation on going

Preparation for third round mOPV2 in South & Central zone

Campaign Summary

• Campaign name: SNID synchronized round 3

• Campaign date: 25-28 November 2018

• Vaccine type: mOPV2

• Target area: 9 out of 10 regions in South and Central. 67 districts in total. 1 region is completely inaccessible (Middle Jubba)

• Target population: over 1.5 million under 5 children

NID round 3 implementation progress

Campaign Summary

• Campaign type: NID round-3 for 2018

• Campaign date: SL, South & Central: 29 Oct. -1st Nov Puntland: 02 – 05 Nov. 2018

• Vaccine type: bOPV

• Targeted accessible areas (light green area of the map)

• The red area inaccessible. Very small areas from the light red area, most of the accessible areas inside the light red areas district capitals

• Target of U5 Children: 3,185,870

• Number of Regions: 18 Regions

• 1 region is completely inaccessible

• Number of team Supervisors (DFAs): 1,883

• Number of Vaccination Teams: 14,918

• Number of ICMs Involved: 1,835

• Number of ICMs Supervisors involved: 147

• Coverage Intra Campaign IM coverage: 98% Administrative data: 2,699,476 vaccinated (94%) Post campaign IM Coverage: 99% Post campaign LQAS: of the 100 lots, 94 pass and 3 fail

NID-3 Administrative Summary

Row LabelsSum of Target <5

Pop Sum of 0-11 months

Vaccinated Sum of 12-59 months

Vaccinated Sum of Zero doses

Sum of Total Vaccinated

Sum of Target <5 Pop

Central 1,097,973 174,258 872,567 1,532 1,048,357 95%

Puntland 520,190 80,821 437,096 4,114 522,156 100%

Somaliland 659,752 101,288 537,962 5,291 644,541 98%

South 600,332 88,265 383,997 12,160 484,422 81%

Grand Total 2,878,247 444,632 2,231,622 23,097 2,699,476 94%

Graph no. 1

Comparison of proportion of reached children NID-1, NID-2 and NID-3

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

L. Jubba Bay Bakool Gedo M. Jubba Hiran M.Shabelle

L. shabelle Galgaduud Banadir Nugal Mudug Bari Karkar Sanag Sool Ayn Awdal Sahil Sanaq Sool Galbeed Togdher

South Central Puntland Somaliland Total

NID-1 % of reache children NID-2 % of reache children NID-3 % of reache children

• Admin coverage improved from 81% to 85% in round 3• Accessibility continues to be the main issue for missed children

in Central and South zones of Somalia

• An estimated number of 479,060 children were missed in the round• While 450,00 were missed due to access issue, approximately 6,000 were missed

due to different reasons, including non-availability and team performance

Post IM data/result summary

Sampling

• Sampling frame is created with a list of all settlements (n=11,047) in the SIA area. Of these 51% are rural, 33% are nomadic, 15% are urban and 1% are IDPs

• 2.5% of Households (HHs) in each DFA areas had proportional distribution of samples across different type of settlement

• The sampling frame also used for the LQAS

• Clusters (10 HHs each) were selected randomly from all DFAs giving equal proportion of sample size for all settlement types

Data collection

• Data was collected from 791 DFAs using ODK by trained data collectors staring from the end of the campaign

• 40 HHS visited from each DFA. 4 children on average from each DFA. (An average of 1 child within age group 0-11 months age and 3 12-59 months age)

Post IM data/result summary

• The cumulative data shows, Despite type of settlement, most have achieved more than 95% IM coverage verified by figure marking.

• Majority of the missed children in number are reported from urban areas (64%); mainly from Banadir (n=597) followed by Lower Shabelle (n=366) and Galbeed in Somaliland (n=77).

• 97% of districts have achieved IM coverage of > 95% for both age groups. The 3 districts with less than 95% cumulative coverage are Galisore, Kurtunware and Wanlewain.

• Galinsor district from Galgadood region has 88% coverage for the 0-11 age group.

• Pot IM data collected from 781 DFAs. While 702 have achieved > 95% IM coverage, 75 DFAs have coverage between 90%-95%. Six DFAs (1 from Bossaso, 1 from Kismayo, 1 from Marka,1 from Kurtunware, 1 from Dharkenle district have IM coverage less than 90%.

Row Labels

Number of DFA areas

# DFAs send data through ODK

# DFAs send data through ODK (Proportion of ODK implementation area)

AWL 79 65 82%

BAN 220 217 99%

BAY 148 12 8%

BKL 38 18 47%

BRI 116 88 76%

GDD 87 27 31%

GDO 101 32 32%

HRN 49 41 84%

LJB 65 21 32%

LSH 125 125 100%

MSH 93 93 100%

MUD 181 102 56%

NUG 53 37 70%

SAH 39 33 85%

SNG 56 46 82%

SOL 52 38 73%

TOG 88 73 83%

WGB 136 100 74%

Total 1726 1168 68%

Proportion of DFA areas where ODK data is being received through ODK

• Of the total 1726 DFAs (Accessible areas), 68% of DFAs (n=1168) were submitting their data through ODK.

Actual sites where SIA is collected using ODK and shared

NID-3 Post-campaign IM coverage by region

Province# HHs

Visited

% HHs correctly Marked

# children 0-11 age Visited

# children 0-11 age

Vaccinated

% children 0-11 age

Vaccinated

# children 12-59 age

Visited


Vaccinated

% children 12-59 age

Vaccinated

% totla U5 children

Vaccinated

# m

isse

d c

hild

ren Missed not availavel

Missed Team Performance

Missed Refusal

un

kno

wn

po

st

% H

H a

awar

e ab

ou

t ca

map

aign

par

ent

no

t A

vala

vel

child

at

sch

oo

l

child

at

mar

ket/

stre

et

child

tra

velin

g

HH

s n

ot

visi

ted

child

asl

eep

child

new

bo

rn

child

is v

isit

or

child

is s

ick

Rel

igio

us

No

fai

th

Fati

gue

Ru

mo

ur

Dem

and

fo

r o

ther

se

rvic

es

No

res

po

nse

Awdal 1942 97% 2057 2031 99% 3587 3533 98% 99% 80 13 29 4 11 8 10 2 2 1 97%

Banadir 11457 94% 11477 11326 99% 24198 23752 98% 98% 597 39 92 37 21 1 60 73 29 69 9 10 101 5 17 4 30 91%

Bay 3007 99% 2701 2696 100% 5912 5810 98% 99% 107 73 11 2 5 5 9 1 1 0 98%

Bakool 2204 100% 1809 1807 100% 4186 4179 100% 100% 9 3 3 2 1 0 98%

Bari 2123 98% 1454 1433 99% 4134 4105 99% 99% 50 22 11 5 1 6 5 100%

Galgadud 1381 99% 867 856 99% 3275 3227 99% 99% 59 12 12 12 10 9 4 0 98%

Gedo 2941 98% 2587 2576 100% 6862 6831 100% 100% 42 3 4 16 1 5 1 11 1 99%

Hiran 1795 99% 1280 1280 100% 3502 3502 100% 100% 0 98%

L Jubba 5850 100% 5288 5279 100% 12981 12856 99% 99% 134 7 77 7 3 3 8 1 8 20 99%

L Shebella 2974 98% 1372 1294 94% 6070 5782 95% 95% 366 143 44 42 31 19 16 10 25 8 20 5 3 98%

M Shabelle 1214 99% 493 484 98% 2858 2843 99% 99% 24 11 8 4 1 99%

Mudug 371 100% 432 432 100% 950 950 100% 100% 0 100%

Nugal 332 100% 300 298 99% 870 868 100% 100% 4 0 0 0 1 0 0 3 0 0 0 0 0 0 90%

Sahil 160 99% 121 121 100% 200 200 100% 100% 0 100%

Sanag 1244 99% 1092 1077 99% 2108 2023 96% 97% 100 19 25 5 15 6 14 14 1 1 0 99%

Sool 1006 99% 431 429 100% 1950 1930 99% 99% 22 5 4 0 3 0 2 2 0 3 0 3 0 0 0 0 0 99%

Togdher 1476 96% 891 873 98% 2469 2437 99% 99% 50 5 12 1 5 1 11 1 3 3 8 88%

Galbeed 2602 77% 1678 1671 100% 4338 4268 98% 99% 77 2 41 1 5 1 8 6 9 4 86%

M. Jubba No Campaign

Total 44079 96% 36330 35963 99% 90450 89096 99% 99% 1721 357 369 114 71 35 155 159 48 117 34 37 127 10 40 7 41 96%

NID-3 Post-campaign IM coverage by type of settlement

ProvinceCount of

hh_added

% HHs correctly Marked

# children 0-11 age Visited

# children 0-11 age

Vaccinated

% children 0-11 age

Vaccinated


Visited


Vaccinated

% children 12-59 age

Vaccinated

% totla U5 children

Vaccinated

# m

isse

d c

hild

ren Missed not availavel

Missed Team Performance

Missed Refusal

un

kno

wn

po

st

% H

H a

awar

e a

bo

ut

cam

apai

gn

par

en

t n

ot

Ava

lave

l

child

at

sch

oo

l

child

at

mar

ket/

stre

et

child

tra

velin

gH

Hs

no

t vi

site

d

child

asl

ee

pch

ild n

ew

b

orn

child

is v

isit

or

child

is s

ick

Re

ligio

us

No

fai

th

Fati

gue

Ru

mo

ur

De

man

d f

or

oth

er

serv

ice

sN

o r

esp

on

se

IDP/Refugees3636 98% 3246 3212 99% 7654 7535 98% 99% 153 11 43 14 6 15 22 7 8 3 13 7 4 96%

Nomadic 2691 98% 2008 2005 100% 5231 5216 100% 100% 18 5 6 2 3 2 99%Rural 10950 93% 8129 8022 99% 22009 21675 98% 99% 441 148 64 36 10 8 35 36 10 16 19 10 36 3 5 0 5 95%

Urban 26792 97% 22939 22716 99% 55533 54647 98% 99% 1109 193 256 64 53 27 102101

31 91 12 27 78 7 28 7 32 95%

(blank) 10 100% 8 8 100% 23 23 100% 100% 0 100%

Grand Total 44079 96% 36330 35963 99% 90450 89096 99% 99% 1721 357 369 114 71 35 155159

48117

34 37127

10 40 7 41 96%

9%1%

26%

64%

Proportion of missed children by tpe of settlemnt

IDP_refugees Nomadic Rrural Urban

Post IM- Reasons for missed children by type of settlement

11

43

146

1522

7 83

137 45 6

2 3 2

148

64

36

10 8

35 36

1016 19

10

36

3 50

5

193

256

64

53

27

102 101

31

91

12

27

78

7

28

7

32

0

50

100

150

200

250

300

parent notAvalavel

child at school child atmarket/street

child traveling HHs not visited child asleep child new born child is visitor child is sick Religious No faith Fatigue Rumour Demand forother services

No response

Missed not availavel Missed Team Performance Missed Refusal unknown post

IDP_refugees Nomadic Rrural Urban

AFP Surveillance

Week-46 Somalia Weekly EPI/POL UpdateEpidemiological Curve 01 January 2014 – 18 Nov 2018

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201

6W

36

201

6W

38

201

6W

40

201

6W

42

201

6W

44

201

6W

46

201

6W

48

201

6W

50

201

6W

52

201

7W

02

201

7W

04

201

7W

06

201

7W

08

201

7W

10

201

7W

12

201

7W

14

201

7W

16

201

7W

18

201

7W

20

201

7W

22

201

7W

24

201

7W

26

201

7W

28

201

7W

31

201

7W

33

201

7W

35

201

7W

37

201

7W

39

201

7W

40

201

7W

42

201

7W

44

201

7W

46

201

7W

48

201

7W

50

201

7W

52

201

8W

02

201

8W

04

201

8W

06

201

8W

08

201

8W

10

201

8W

12

201

8W

14

201

8W

16

201

8W

18

201

8W

20

201

8W

22

201

8W

24

201

8W

26

201

8W

28

201

8W

30

201

8W

32

201

8W

34

201

8W

36

201

8W

38

201

8W

40

201

8W

42

201

8W

44

Pending Lab Pending ERG Discarded Compatable WPV aVDPV cVDPV2 cVDPV3 cVDPV2 and cVDPV3 Lost Sample

Weekly AFP cases reported by Provinces, 2016-2018 Somalia. (cases are distributed across weeks based on date of onset of paralysis).

- Twelve (12) new AFP cases were reported last week bringing the total AFP cases reported in 2018 to 312 from 19 regions, compared to 322 AFP cases from 19 regions at the same time point in 2017.

Week-46 Somalia Weekly EPI/POL Update

Tab

le n

o.-

1

Silent (not reporting) for > 8 weeks

Reported AFP cases

Community Samples collected in silent regions

Community Samples collected but regions not silent

PROVINCE

To

tal 2

016

2017

W31

2017

W32

2017

W33

2017

W34

2017

W35

2017

W36

2017

W37

2017

W38

2017

W39

2017

W40

2017

W41

2017

W42

2017

W43

2017

W44

2017

W45

2017

W46

2017

W47

2017

W48

2017

W49

2017

W50

2017

W51

2017

W52

To

tal 2

017

2018

W01

2018

W02

2018

W03

2018

W04

2018

W05

2018

W06

2018

W07

2018

W08

2018

W09

2018

W10

2018

W11

2018

W12

2018

W13

2018

W14

2018

W15

2018

W16

2018

W17

2018

W18

2018

W19

2018

W20

2018

W21

2018

W22

2018

W23

2018

W24

2018

W25

2018

W26

2018

W27

2018

W28

2018

W29

2018

W30

2018

W31

2018

W32

2018

W33

2018

W34

2018

W35

2018

W36

2018

W37

2018

W38

2018

W39

2018

W40

2018

W41

2018

W42

2018

W43

2018

W44

2018

W45

2018

W46

To

tal 2

018

BANADIR 30 2 2 1 2 1 1 1 33 2 1 1 1 1 1 1 1 1 1 2 2 2 2 1 1 2 1 24

GALGADUD 25 1 2 1 1 1 1 1 1 1 27 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 21

M. SHABELLE 19 1 1 2 1 1 1 1 1 1 24 1 1 1 1 1 1 3 1 1 1 1 1 1 2 1 1 1 20

L. SHABELLE 24 1 1 1 1 1 1 1 2 1 1 2 1 1 1 31 1 2 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 26

HIRAN 15 1 1 1 1 1 1 1 1 1 21 1 1 1 1 1 1 1 2 1 10

BARI 24 1 1 1 1 1 1 1 1 1 24 3 2 1 1 2 1 2 1 1 1 1 1 1 2 20

NUGAL 11 1 1 1 1 10 1 1 1 1 1 1 1 1 1 9

MUDUG 14 1 1 1 12 1 1 1 2 1 1 1 1 1 1 2 1 1 15

TOGDHER 11 1 1 1 9 1 1 1 1 1 1 1 1 1 1 10

GALBEED 19 2 1 2 1 2 20 1 1 1 1 1 2 1 1 1 1 1 3 2 1 1 19

SANAQ 7 1 1 6 1 1 1 1 1 1 1 7

AWDAL 18 1 1 1 17 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22

SAHIL 8 1 1 8 1 1 1 1 1 1 6

SOOL 5 1 2 1 11 1 1 1 1 1 1 1 1 8

LOWER JUBA 26 1 1 1 1 1 1 1 1 29 2 1 2 1 1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 2 26

BAY 19 1 1 1 2 2 2 1 22 1 4 1 1 1 1 1 1 1 1 1 1 2 2 2 2 1 24

GEDO 21 2 1 1 1 20 1 1 1 1 1 1 1 3 2 1 1 1 2 1 1 4 23

MIDDLE JUBA 11 2 1 1 11 1 1 1 1 1 1 1 1 2 1 1 1 13

BAKOOL 9 1 1 1 1 1 10 1 1 1 1 1 1 1 1 1 9

Total Somalia 316 7 7 6 9 5 7 10 4 5 7 3 2 8 11 4 7 2 5 3 6 2 5 345 6 4 8 7 4 9 13 7 12 5 5 7 6 4 9 5 8 5 8 8 3 7 6 2 4 11 7 8 7 11 7 6 2 9 11 13 6 9 6 12 2 7 3 6 6 1 312

Classification of AFP cases by status (2017 & 2018)


Tab

le n

o.-

2

Chart no. 1

ZONE PROVINCE

2017 2018

Discarded

Pending

TotalDiscard

edVDPV

Pending

Total

CENTRAL

BANADIR 33 0 33 22 1 1 24

GALGADUD 27 0 27 20 0 1 21

HIRAN 21 0 21 9 1 10

L. SHABELLE 30 0 31 26 0 26

M. SHABELLE 24 0 24 14 4 2 20

Puntland

BARI 24 0 24 18 0 2 20

MUDUG 11 0 12 15 0 15

NUGAL 10 0 10 9 0 9

Somaliland

AWDAL 16 0 17 20 0 2 22

GALBEED 20 0 20 17 0 2 19

SAHIL 8 0 8 4 0 2 6

SANAQ 6 0 6 5 0 2 7

SOOL 11 0 11 6 0 2 8

TOGDHER 9 0 9 9 0 1 10

SOUTH

BAKOOL 10 0 10 9 0 9

BAY 22 0 22 23 0 1 24

GEDO 20 0 20 22 1 23

LOWER JUBA 29 0 29 21 3 2 26

MIDDLE JUBA 11 0 11 8 2 3 13

Grand Total 345 0 345 277 12 23 312

21In process

(lab)

1Pending ITD

(inadequate samples)

277Discarded

0 WPV

23Pending

0 Compat

ible

5cVDPV2

312 AFP cases reported in 2018

1Pending ERG/ Lost Sample

6cVDPV3

Note: The total number of cVDPV cases are 12. (6 cVDPV3, 5 cVDPV2, one (1) had both cVDPV2 and cVDPV3).

1cVDPV2

&cVDPV3

Surveillance Indicators by Zone and Region 2018


Graph no. 2

Graph no. 3

Map no. 1 Map no. 2

3.9

10.8

5.5

7.2

5.7

0.0

2.0

4.0

6.0

8.0

10.0

12.0

Central Puntland Somaliland South Total Somalia

Annualized NP-AFP Rate by Zone, 2018

7.9

5.5 5.5 5.7

-

2.0

4.0

6.0

8.0

10.0

In-accessible PartiallyAcceessible

Accessible Somalia

Annualized NP-AFP rate by accessibility status, 2018

Banadr region-Magnified

Banadr region-Magnified

Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2018

112/115 districts reported at least 1 AFP case since the

first week of 2018.

The 3 districts not reported any AFP in 2018 are Abdul

Aziz, Hamar Jabjab and Hamarweyne all from Banadir

region of Central zone.

Of the 3 districts Abdulaziz and Hamerwyne are silent for

more than a year (52 consecutive weeks). The last AFP

was on week 19 and week 06 respectively

Of the 112 districts reporting AFP cases in 2018, 103

have annualized NP-AFP rate above 2 per 100,000. In

addition, 108 districts have stool adequacy rate of

above 80%

The remaining 3 districts have not reported any AFP

case in 2018; However, no district in Somalia has been

silent for more than 52 consecutive weeks as of this

week


Map no. 4Map no. 3

Banadr region-MagnifiedBanadr region-Magnified

Number of NP-AFP cases reported across years during the same period (2013-2018) by zone

Central zone have reported lower number of AFP cases compared to the number reported in 2017 during the same period. A total of 431 additional community samples were collected from healthy children. Majority of these samples were collected from access compromised and silent districts of Central and South

zones.


35 3560

127

490

160

53 51

93

361

98

47 4658

249

103

41 5571

270

122

4168

80

311

101

44

7295

312

0

100

200

300

400

500

600

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

2013 2014 2015 2016 2017 2018

ZONE

# A

FP c

ases

NP

-AFP

Rat

e

# C

ases

wit

h

Ad

eq

uat

e Sp

ecim

en % Stool Adequacy

% Inv. within 48

hours

% Notification

within 7 days

Cas

es

pe

nd

ing

lab

res

ult

s

Cas

es w

ith

lab

. re

sult

.

Cas

es w

ith

sto

ol i

n g

oo

d

con

d.

% C

ases

wit

h s

too

l in

go

od

co

nd

.

#o

f sa

mp

les

wit

h N

P-E

V

Iso

late

d

% S

amp

les

wit

h N

P E

V

Iso

late

d

# c

ases

wit

h S

abin

like

vir

us

Iso

lati

on

% o

f ca

ses

wit

h

S L

Vir

us

Iso

lati

on

Central 101 3.9 99 98% 99% 98% 4 97 97 100% 20 10% 8 8%

Puntland 44 10.8 44 100% 100% 100% 2 42 42 100% 3 4% 6 14%

Somaliland 72 5.5 71 99% 100% 97% 11 61 61 100% 6 5% 6 10%

South 95 7.2 92 97% 100% 88% 6 89 89 100% 12 7% 2 2%

Total 312 5.7 306 98% 100% 95% 23 289 289 100% 41 7% 22 8%

Summary of AFP surveillance key indicators by Zone, 2018


Table no.-4


Summary of AFP surveillance key indicators by Province, 2018

ZONE PROVINCE Regional U15 Pop.Expected # of AFP

cases as of this Week

Number of AFP cases reported

NP-AFP Rate(Target

2/100000)

% Stool Adq. (Target >80%)

% Notif. within 7 days

(Target >80%)

% Stool condition

(Target >80%)

% Samples with EV isolated

(Target >7)

% cases with SL isolated

(Target >10)

# Cases with late 60 days follow-up

CENTRAL

BANADIR 1110807 20 24 2.4 100% 100% 100% 11% 13% 0

GALGADUD 267828 5 21 8.9 95% 95% 100% 10% 15% 2

HIRAN 233838 4 10 4.8 100% 100% 100% 5% 0% 2

LOWER SHABELLE 948112 17 26 3.1 100% 100% 100% 13% 8% 1

MIDDLE SHABELLE 375400 7 20 6.0 95% 95% 100% 8% 0% 1

PUNTLAND

BARI 182218 3 20 12.4 100% 100% 100% 6% 11% 0

MUDUG 186490 3 15 9.1 100% 100% 100% 0% 20% 2

NUGAL 90921 2 9 11.2 100% 100% 100% 6% 11% 2

SOMALILAND

AWDAL 244900 4 22 10.2 95% 95% 100% 3% 10% 0GALBEED 550148 10 19 3.9 100% 100% 100% 6% 12% 0SAHIL 85949 2 6 7.9 100% 100% 100% 0% 25% 0SANAQ 150975 3 7 5.2 100% 86% 100% 20% 20% 0SOOL 120412 2 8 7.5 100% 100% 100% 0% 0% 0TOGDHER 317058 6 10 3.6 100% 100% 100% 6% 0% 0

SOUTH

BAKOOL 183178 3 9 5.6 100% 100% 100% 0% 0% 1BAY 540491 10 24 5.0 96% 83% 100% 13% 0% 6GEDO 312710 6 23 8.3 91% 96% 100% 11% 4% 3LOWER JUBA 300735 5 26 9.8 100% 81% 100% 2% 4% 10MIDDLE JUBA 162640 3 13 9.0 100% 92% 100% 0% 0% 0

SOMALIA 636,4810 113 312 5.7 98% 95% 100% 7% 8% 30

ZONE# AFP Cases

# CONTACTS

# Contactsamples with

Lab result

Average contacts per

cases

% contacts < 5 age

% Contact collected

within 7 daysof AFP

notified

% Contact with stool in

Good Condition

# Contactpending lab

results

# Specimens with NPEV

isolated

% Specimens with NPEV

Isolated

# Contacts with Sabin

virus isolated

% contacts with Sabin like virus Isolated

Central 101 304 293 3 100% 100% 100% 11 46 16% 13 4%

Puntland 44 132 126 3 100% 100% 100% 6 14 11% 9 7%

Somaliland 72 213 186 3 100% 100% 100% 27 14 8% 16 9%

South 95 285 263 3 100% 100% 100% 22 29 11% 6 2%

Somalia 312 934 868 3 100% 100% 100% 66 103 12% 44 5%


Summary of key AFP surveillance indicators for contacts, 2018

Of the total 470 community samples collected from healthy children in 2018, 57% were collected from accessible and the rest 43% were from access-compromised areas

Summary of Community Samples collected in 2018 from silent districts, Egyptian hospital and inaccessible districts

Zon

e

Pending Negative NPENTSuspected Poliovirus

PV 3 Sabin PV 1 Sabin & PV3

Sabin PV 1 Sabin VPV3 PV 2 Sabin Grand Total

CENTRAL 47 201 13 2 1 3 1 268PUNLAND 60 13 2 75SOMALILAND 41 4 45

SOUTH 20 50 5 5 2 82Grand Total 67 352 35 5 4 1 3 2 1 470

Validation and zero dose investigation of AFP cases, 2018

AFP Cases Validation

Zone

# of AFP cases Reported

# of AFP cases

Validated

% of AFP cases

Validated

Central 101 65 64%

Somaliland 72 40 56%

South Zone 95 45 47%

Puntland 44 34 77%

Total 312 184 59%

Of the 312 AFP cases reported in 2018, 59% (n=184) were validated by the RPOs. Of the 184 AFP cases validated, (n=133, n=26, n=25) were from accessible, partially accessible and inaccessible districts respectively

There were 38 zero OPV dose AFP cases reported in 2018, out of which 53% (n=20/38) were investigated


Table no.-8

Zero Dose Investigation

Zone# of Zero dose

AFP cases Reported

# of Zero dose AFP

cases investigated

% of Zero dose AFP cases

investigated

Comment

Central 11 6 55%6 are from

accessible, 12 from partially accessible and 20 from inaccessible districts.

Only 27 of the total 38 are 06-59 months age

Somaliland 1 0 0%

South Zone 25 14 56%

Puntland 1 0 0%

Total 38 20 53%

Table no.-9

Tracking lab results of AFP cases

Total AFP cases

312

AFP cases with stool specimens

AFP cases without stool specimens

312

With lab results

En route In the lab Inadequate sample (lost)

289 23 1

cVDPV type 2 and 3 coinfection

cVDPV3 cVDPV2 SL EV -ve

1 6 5 22 28 227

1

5 6

48

225

14

0

1Tracking AFP with stool specimens

cVDPV type 2and 3 co-infectioncVDPV2

cVDPV3

Other viruses

neg st

in lab


Samplesource

#Specimen collected

# Specimen with culture

result

# Specimens pending lab

result

# Specimenwith culture result within

14 days

% of specimen with culture

result within 14 days

Number of specimen with NPEV

% of specimen

with NPEV

Number of cases with

Sabinisolation

% of Cases with Sabinisolation

Cases 624 578 46 456 79% 41 7% 22 8%

Contacts 934 868 66 685 79% 103 12% 44 5%

Total 1558 1446 112 1141 79% 144 10% 66 6%

Lab performance indicators for AFP surveillance in Somalia, 2018


Table no.-10

Week-46 Somalia Weekly Polio Update

Routine immunization services, status of cold chain & vaccine stocks in AFP surveillance sites, 23 Sept 2018

Region

Expected weekly

AFP sites visits

Health facility with

routine EPI service

AFP sites with EPI service and

functional cold chain

Health facility have EPI

vaccine availableHealth facility with IPV vaccine available

No No. % No. % No. % No. %

Nugal 33 19 58% 19 100% 19 100% 17 89%

Bari 116 34 29% 32 94% 34 100% 32 94%

Mudug 58 39 67% 38 97% 38 97% 24 63%

Galbeed 40 23 58% 23 100% 23 100% 23 100%

Sahil 25 10 40% 10 100% 10 100% 8 80%

Sanag 21 11 52% 11 100% 11 100% 11 100%

Sool 30 10 33% 10 100% 10 100% 0 0%

Awdal 52 23 44% 23 100% 23 100% 23 100%

Togdher 47 21 45% 21 100% 21 100% 21 100%

Middle Shabelle 38 19 50% 15 79% 19 100% 19 100%

Hiran 27 22 81% 5 23% 22 100% 22 100%

Galgadud 40 26 65% 15 58% 26 100% 25 96%

Banadir 125 70 56% 25 36% 67 96% 64 96%

Lower Shabelle 56 30 54% 16 53% 30 100% 24 80%

Middle Juba 29 1 3% 0 0% 1 100% 0 0%

Bakool 31 44 142% 47 107% 11 25% 10 91%

Gedo 54 21 39% 20 95% 21 100% 19 90%

Bay 74 30 41% 30 100% 30 100% 31 103%

Lower Juba 59 30 51% 8 27% 30 100% 27 90%

Somalia 955 483 51% 368 76% 446 92% 400 90%


Table no.-16

A total of 1,999,842< 10 years individuals were vaccinated week 44,2018. Among them 19,018(1%) were vaccinated for the first time.

Transit Points Vaccination activities using bOPV – 18 Nov 2018

Zones

January February March April May June July August September October November

Nu

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f va

ccin

ate

d

Zero

do

ses

% Z

ero

do

ses

Nu

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ate

d

Zero

do

ses

% Z

ero

do

ses

Nu

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f va

ccin

ate

d

Zero

do

ses

% Z

ero

do

ses

Nu

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ate

d

Zero

do

ses

% Z

ero

do

ses

Nu

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ate

d

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do

ses

% Z

ero

do

ses

Nu

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f va

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ate

d

Zero

do

ses

% Z

ero

do

ses

Nu

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ate

d

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do

ses

% Z

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do

ses

Nu

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ate

d

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do

ses

% Z

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do

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Nu

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ate

d

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do

ses

% Z

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do

ses

Nu

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ate

d

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% Z

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do

ses

Nu

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d

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do

ses

% Z

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ses

CENTRAL 99939 334 0.3% 106321 362 0.3% 134103 366 0.3% 104803 334 0.3% 103405 313 0.3% 128304 401 0.3% 102459 317 0.3% 127117 430 0.3% 104183 288 0.3% 104444 299 0.3% 25433 78 0.3%

PUNTLAND 25067 58 0.2% 24610 59 0.2% 31565 71 0.2% 25519 61 0.2% 25516 55 0.2% 30051 54 0.2% 24212 45 0.2% 30087 56 0.2% 23579 51 0.2% 24744 46 0.2% 6204 8 0.1%

SOMALILAND 14705 350 2.4% 14490 377 2.6% 17807 430 2.4% 14898 343 2.3% 15809 337 2.1% 19051 481 2.5% 15911 383 2.4% 20139 513 2.5% 14325 332 2.3% 14195 390 2.7% 3538 87 2.5%

SOUTH 32225 1073 3.3% 34364 1123 3.3% 46605 1589 3.4% 42947 1336 3.1% 34650 937 2.7% 54538 1287 2.4% 41390 1003 2.4% 56285 1263 2.2% 35101 726 2.1% 26186 572 2.2% 0 0 0%

SOMALIA 171936 1815 1.1% 179785 1921 1.1% 230080 2456 1.1% 188167 2074 1.1% 179380 1642 0.9% 231944 2223 1.0% 183972 1748 1.0% 233628 2262 1.0% 177188 1397 0.8% 169569 1307 0.8% 35175 173 0.5%

Immunity Profile of NP-AFP cases and Contacts 2013-2018

36 zero dose AFP cases reported in 2018 from inaccessible and partially accessible areas of South (n=24), Central (n=10), 1 from Puntland and 1 from Somaliland. (6 are from accessible, 11 from partially accessible and 19 from inaccessible districts)


Graph no.-22 Graph no.-19

71 0

19

27

10

4

1

9

24

19 16

15

26

76

3515

36

11

97

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2018

0 dose 1-3 doses 4-6 doses 7+ doses

29

21 9 10 11 8

34

206

2034

10

26

2717

28

34

36

25

83 37

3135 21

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2018


Graph no.-20 1raph no.-21

888

341148 155 172 138

539

198

152 182252

135

424

230178 245

243334

493

812 575 635 650 551

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases and Contacts combined Months, 2013-2018

0 Dose 1-3 doses 4-6 doses 7+ doses

3

10

45

1

2

1

6

9

7

10

9

10

29

5

1111

4

26

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-23 Months by Zone, 2018

0 Dose 1-3 Doses 4-6 Doses 7+ Doses

Immunity profile of NP-AFP cases and Contacts combined by Zone 2012-2018




317

77101

97 99 94

102

68

5077 85

54

77

3638 74 84

113

87100

57 78 81 89

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

SOUTH


14 12 5 0 0 0

58 36 2523 27 7

66

2716 52 62

63

114

156145 187 178 195

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

SOMALILAND


484

12729 58 69 40

306

5151

53 78 52

234

11976 59

81 94

230

430 268 273 294 189

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

CENTRAL


34 38 13 0 4 4

4839

2629

6222

32

4748 60

1664

54123 105 97 97 78

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

PUNTLAND


45

5149

43

49

0

41

51

57

43

58

0

33

43

37 36

31

0

44

54

4543

41

0

73

81

72

62

71

39

57

7173

52

73

5

5457

43 4346

0

58

66

57

50

57

0

72

96

87

81

90

63.1

54

76

71

59

71

38.4

57

69

53 54 54

35.2

59

75

6360

64

40.5

79

91

76

90

77

58

81

74

62

75

49

65

75

60

77

61

50

66

81

69

7370

55

0

10

20

30

40

50

60

70

80

90

100

BC

G

P-1

P-3

Me

asl

es

OP

V-3

IPV

BC

G

P-1

P-3

Me

asl

es

OP

V-3

IPV

BC

G

P-1

P-3

Me

asl

es

OP

V-3

IPV

BC

G

P-1

P-3

Me

asl

es

OP

V-3

IPV

PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA

Routine Immunization Coverage by zone, Somalia ( 2015-2018 Nine months annualized)

2015 2016 2017 2018 (9 months)

Fever & Rush cases reported by AFP surveillance System 10/11/ 2018

Week-45 Somalia Weekly Polio Update

Regions

To

tal

20

17 Fever and Rash 2018

To

tal

20

18

W0

1

W0

2

W0

3

W0

4

W0

5

W0

6

W0

7

W0

8

W0

9

W1

0

W1

1

W1

2

W1

3

W1

4

W1

5

W1

6

W1

7

W1

8

W1

9

W2

0

W2

1

W2

2

W2

3

W2

4

W2

5

W2

6

W2

7

W2

8

W2

9

W3

0

W3

1

W3

2

W3

3

W3

4

W3

5

W3

6

W3

7

W3

8

W3

9

W4

0

W4

1

W4

2

W4

3

W4

4

W4

5

CENTRAL 1047

2 132 136 145 161 161 142 166 171 151 129 128 86 77 84 109 62 141 114 94 84 83 93 73 79 51 57 65 85 109 103 98 95 84 71 98 67 56 54 56 51 77 75 72 97 85440

7

BANADIR 5559 72 73 79 70 70 68 56 66 59 54 48 36 26 20 40 32 58 62 47 53 40 42 25 18 16 21 32 31 48 63 36 48 30 35 33 28 19 21 19 23 30 24 30 53 41189

5

GALGADUD 651 5 7 4 6 6 8 16 11 8 6 4 7 6 4 8 5 7 4 11 7 5 7 3 2 4 3 4 2 4 3 4 2 4 2 3 5 2 5 4 2 4 3 6 3 2 228

HIRAN 1445 12 13 3 26 26 15 22 12 18 1 5 1 0 20 17 0 35 5 0 0 0 15 16 27 0 6 1 18 13 0 24 13 17 10 5 13 13 8 13 0 14 14 6 11 11 499

LOWER SHABELLE 2071 25 28 40 36 36 28 29 52 36 35 33 20 31 23 32 20 29 31 25 19 22 19 22 23 22 23 14 21 22 18 22 19 22 16 12 15 17 16 14 20 16 25 21 22 23

1094

MIDDLE SHABELLE 746 18 15 19 23 23 23 43 30 30 33 38 22 14 17 12 5 12 12 11 5 16 10 7 9 9 4 14 13 22 19 12 13 11 8 45 6 5 4 6 6 13 9 9 8 8 691

PUNTLAND 6584 100 97 82 70 88 70 79 63 69 53 61 55 53 49 61 80 50 43 20 24 23 20 23 17 18 20 12 9 14 15 6 4 4 4 0 4 5 3 0 2 2 2 9 3 13149

9

BARI 1144 12 18 14 13 16 20 20 13 17 21 29 21 25 25 29 45 28 22 13 12 17 12 14 10 16 16 10 7 11 11 6 4 4 4 0 0 5 3 0 2 0 2 4 2 7 580

KARKAR 824 9 8 6 4 4 6 6 5 5 6 4 4 2 1 0 1 0 0 0 1 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 1 0 82

MUDUG 2566 47 45 36 27 44 25 23 24 30 15 21 20 16 10 13 14 7 17 0 8 1 0 3 5 0 1 0 0 1 4 0 0 0 0 0 4 0 0 0 0 1 0 1 0 6 469

NUGAAL 2050 32 26 26 26 24 19 30 21 17 11 7 10 10 13 19 20 15 4 7 3 4 7 6 2 2 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 368

SOMALILAND 4835 40 26 76 55 95 41 135 52 89 26 85 39 72 22 35 23 11 14 28 10 10 5 17 12 7 2 7 3 0 1 3 2 3 0 1 0 0 1 2 0 0 0 0 1 3

1054

GALBED 888 4 2 4 7 1 4 0 4 0 0 6 7 0 1 5 4 0 1 0 2 2 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 60

AWDAL 181 2 0 11 2 5 0 10 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33

SAHIL 568 2 0 9 2 13 5 24 5 18 4 4 4 13 2 1 1 2 0 7 0 2 0 4 2 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 129

SANAG 273 4 6 5 11 0 5 7 5 5 2 0 0 12 0 6 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70

SOOL 667 17 7 20 20 45 20 43 13 26 6 26 0 18 6 6 1 0 0 1 1 0 1 2 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 283

TOGDHER 2258 11 11 27 13 31 7 51 25 37 14 49 28 29 13 17 17 8 13 19 7 6 3 11 8 4 2 6 3 0 1 2 0 3 0 1 0 0 1 0 0 0 0 0 1 0 479

SOUTH 1503 40 27 14 60 50 73 81 124 103 62 40 44 22 43 87 54 36 20 39 8 37 11 35 34 29 19 15 10 9 7 6 6 5 2 9 6 9 13 8 4 11 13 14 16 6136

1

BAKOOL 100 4 2 2 0 4 0 0 4 2 0 0 4 0 4 4 0 2 0 0 2 3 0 2 0 2 0 4 2 0 0 4 2 3 0 3 0 0 2 2 4 0 4 4 0 0 75

BAY 658 17 17 2 0 9 4 11 11 9 0 0 0 0 0 5 5 5 5 5 0 0 1 0 2 0 0 0 0 3 0 1 0 0 0 0 2 0 3 0 0 3 5 5 8 0 138

GEDO 239 0 1 1 51 23 61 51 100 82 35 26 32 5 8 31 3 6 3 0 0 0 1 4 2 0 3 0 0 0 2 0 0 2 2 0 0 5 1 0 0 0 0 0 0 0 541

LOWER JUBA 446 19 4 6 9 12 6 17 6 10 27 12 5 14 28 43 43 19 9 30 0 31 5 26 22 25 11 8 4 4 2 1 2 0 0 4 4 2 7 4 0 5 2 2 5 3 498

MIDDLE JUBA 60 0 3 3 0 2 2 2 3 0 0 2 3 3 3 4 3 4 3 4 6 3 4 3 8 2 5 3 4 2 3 0 2 0 0 2 0 2 0 2 0 3 2 3 3 3 109

Somalia2339

4 312 286 317 346 394 326 461 410 412 270 314 224 224 198 292 219 238 191 181 126 153 129 148 142 105 98 99 107 132 126 113 107 96 77 108 77 70 71 66 57 90 90 95 117 107832

1

Epid curve of suspected Measles cases by week, Somalia(2015 Week 13-2018 Week 46)

0

100

200

300

400

500

600

700

800

2015

W1

3

2015

W1

6

2015

W1

9

2015

W2

2

2015

W2

5

2015

W2

8

2015

W3

1

2015

W3

4

2015

W3

7

2015

W4

0

2015

W4

3

2015

W4

6

2015

W4

9

2015

W5

2

2016

W0

3

2016

W0

6

2016

W0

9

2016

W1

2

2016

W1

5

2016

W1

8

2016

W2

1

2016

W2

4

2016

W2

7

2016

W3

0

2016

W3

3

2016

W3

6

2016

W3

9

2016

W4

2

2016

W4

5

2016

W4

8

2016

W5

1

2017

W0

2

2017

W0

5

2017

W0

8

2017

W1

1

2017

W1

4

2017

W1

7

2017

W2

0

2017

W2

3

2017

W2

6

2017

W2

9

2017

W3

2

2017

W3

5

2017

W3

8

2017

W4

1

2017

W4

4

2017

W4

7

2017

W5

0

201

8W

1

201

8W

4

201

8W

7

2018

W1

0

2018

W1

3

2018

W1

6

2018

W1

9

2018

W2

2

2018

W2

5

2018

W2

8

2018

W3

1

2018

W3

4

2018

W3

7

2018

W4

0

2018

W4

3

2015N=5,998

2016N=5,521

2017N=23,394

2018N=8214

Week-46 · 2020. 4. 30. · Somalia Weekly Update Week-46 Ending 18 Nov. 2018 [email protected]

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Transcript of Week-46 · 2020. 4. 30. · Somalia Weekly Update Week-46 Ending 18 Nov. 2018 [email protected]