Weekly Epidemiological Bulletin Primary Heath Care Sector ......This weekly epidemiological leaflet...

5
This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population. For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected]) 1 Volume 08,lssue37,Epi week37,(07-13 September,2020) Highlights eDEWS Reporting Rates vs Consultations ,Epi Weeks 1-37,2020 (URTI) 12.7%, suspected Malaria (8.7%),(DD) (9.9%) and (LRTI) (5.8%)Remain the leading causes of morbidity representing a total of (37.1%) ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than 1% of total morbidity in reporting period Bloody diarrhea represented 0.3% Of this morbidity ● All diarrheal disease comprised 9.9% and LRTI 5.8% of total morbidity in pilot Governorates this week . All diarrheal disease comprised 9.9% and OAD 8.2% of total morbidity in all age group . Leading causes of morbidity mortality in Epi-Week 37,2020 Proportional morbidity of leading priority diseases, Epi week 37,2020 URTI: علوي ال يز التنفسلجها عدوى اBD: مسهال مدم اOAD: د اخرىسهال حا اLRTI: يسفل ال يز التنفسلجهاب التها اAWD: حاد ي سهال مائ اSch: بلهارسياMal: ريا مDF: الضنك حMen: لسحاياب التها اRB: كلب داء الMeas: الحصبةAVH: الكبدلتهاب اSARI:لتهاب ا حاد وخيم ي تنفسILI: شكل وباءونزا عل أنفلOthers: أمراض أخرىTyph: التيفوئيد أخرىMumps: لنكاف اTUPERCULOSIS:سل الBRUCELLOSIS: مالطيه حGUINEA:نية دودة غيCHICKEN: الجذريHIV: يذز ا•During week no.37,2020, %88 health facilites provided valid surveillance data. •The total number of consultation reported during the week was 229265 compared to 234541 the previous reporting week 37 Acute respiratory tract infections lower Respiratory Infections (LRTI), Upper Respiratory Infections (URTI), Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of morbidity this week. ● A total of 1042 alerts were generated by eDEWS system in week 37- 2020, Of these 1039 alerts were verified as true for further investigations with appropriate response Ministary Of Public Health Papulation Primary Heath Care Sector DG for Diseases Control & Surveillance Weekly Epidemiological Bulletin Eiectronic Integrated Disease Early Warning and Response System 96% 96% 96% 96% 95% 96% 96% 97% 97% 97% 95% 95% 95% 96% 95% 94% 92% 91% 91% 90% 86% 91% 92% 92% 93% 93% 93% 91% 91% 87% 82% 90% 89% 90% 90% 90% 88% 0 50000 100000 150000 200000 250000 300000 350000 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Wk 1 Wk 2 Wk 3 Wk 4 Wk 5 Wk 6 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 Consulttaions Percentage Reporting Rate Consultations 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% URTI LRTI ILI SARI Pert Diph Susp. Cholera BD OAD Typhoid F Meas AVH_A&E AVH_B&C NNT AFP Mumps Mal Meng DF VHF Sch CL RB Tuberculosis HIV/ AIDS Brucellosis Chicken Pox Scabies

Transcript of Weekly Epidemiological Bulletin Primary Heath Care Sector ......This weekly epidemiological leaflet...

  • This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.

    For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected])1

    Volume 08,lssue37,Epi week37,(07-13 September,2020)

    Highlights eDEWS Reporting Rates vs Consultations ,Epi Weeks 1-37,2020

    ● (URTI) 12.7%, suspected Malaria (8.7%),(DD) (9.9%) and (LRTI) (5.8%)Remain the

    leading causes of morbidity representing a total of (37.1%)

    ● Acute viral hepatitis, acute watery diarrhea and Schistosomiasis represented less than

    1% of total morbidity in reporting period Bloody diarrhea represented 0.3% Of this

    morbidity

    ● All diarrheal disease comprised 9.9% and LRTI 5.8% of total morbidity in pilot

    Governorates this week .

    ● All diarrheal disease comprised 9.9% and OAD 8.2% of total morbidity in all age group

    .

    Leading causes of morbidity mortality in Epi-Week 37,2020 Proportional morbidity of leading priority diseases, Epi week 37,2020

    URTI: عدوى الجهاز التنفسي العلوي BD: اسهال مدمم OAD: اسهال حاد اخرى LRTI: ي حاد :AWD التهاب الجهاز التنفسي السفلي التهاب:SARI التهاب الكبد :AVH الحصبة :Meas داء الكلب :RB التهاب السحايا :Men حىم الضنك :DF مالريا :Mal بلهارسيا :Sch اسهال مائ

    االيذز :HIV الجذري:CHICKEN دودة غينية:GUINEA حىم مالطيه:BRUCELLOSIS السل:TUPERCULOSIS النكاف :Mumps التيفوئيد أخرى :Typh أمراض أخرى :Others أنفلونزا عل شكل وباء :ILI تنفسي حاد وخيم

    •During week no.37,2020, %88 health facilites provided valid surveillance data.

    •The total number of consultation reported during the week was 229265

    compared to 234541 the previous reporting week 37 Acute respiratory tract

    infections lower Respiratory Infections (LRTI), Upper Respiratory Infections

    (URTI), Other acute diarrhea (OAD) and Malaria (Mal) were the leading cause of

    morbidity this week.

    ● A total of 1042 alerts were generated by eDEWS system in week 37- 2020, Of

    these 1039 alerts were verified as true for further investigations with

    appropriate response

    Ministary Of Public Health Papulation

    Primary Heath Care SectorDG for Diseases Control & Surveillance

    Weekly Epidemiological BulletinEiectronic Integrated Disease Early Warning and Response System

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    URTI

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    Tuberculosis

    HIV/ AIDS

    Brucellosis

    Chicken Pox

    Scabies

  • GO

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    Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020) )

    This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.

    For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected])2

    Epidemiological Situation of Cholera and Diphtheria

  • Distribution of consultations of leading diseases by Governorates,Epi week 37-2020

    Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020) )

    weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-37,2020)

    Age and Sex distribution of total consultations of leading diseases (Epi week 37,2020) Number of Alerts Received and Responded (Epi Weeks 34-37,2020)

    3

    األمراض المشتبهة

    This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.

    For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected])

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    mararia tested cases & confirmed

    Rapid Test(Postive) Microscope(Postive)

    45yr

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    Female 15075 19603 21207 50210 18428

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    AFP Meas AVH_A&E AVH_B&C DF Meng

    Sch CL Chicken Pox Mal

    Suspected Disease Al-Baidha AlHodaidah Al-Jawf Al-Mahweet Amana Amran Dhamar Hajjah Ibb Mareb Rayma Sa'adah Sanaa Governorate Taiz Total

    URTI 1134 5599 1030 822 3332 2114 2387 3235 1961 531 584 2350 3369 670 29118

    LRTI 609 3945 309 289 970 861 1225 1462 1041 157 102 700 1291 273 13234

    ILI 104 45 76 0 21 0 29 49 9 58 0 30 194 27 642

    SARI 0 0 0 0 7 1 46 0 0 0 0 1 0 0 55

    Pert 3 0 5 29 5 8 5 0 0 0 0 8 0 1 64

    BD 29 81 56 30 47 82 107 5 49 34 41 55 127 29 772

    OAD 718 1999 979 501 2365 1825 2267 1901 1306 531 333 1343 2434 382 18884

    Typhoid F 210 472 148 123 561 283 862 0 518 108 55 124 382 111 3957

    Meas 2 83 0 5 8 2 2 8 7 0 2 58 1 2 180

    AVH_A&E 6 1 5 1 70 8 25 3 18 3 2 13 19 10 184

    AVH_B&C 2 3 5 0 51 9 9 3 13 0 0 0 1 1 97

    NNT 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1

    AFP 1 0 3 0 6 0 0 0 0 0 0 6 0 0 16

    Mumps 11 5 6 6 24 4 14 20 14 4 0 22 26 2 158

    Mal 9 11650 96 446 123 539 628 4448 334 37 282 634 260 458 19944

    Meng 0 1 0 0 3 0 1 2 0 0 0 3 0 45 55

    DF 8 55 0 2 0 0 0 17 0 109 0 3 1 28 223

    VHF 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1

    Sch 2 2 24 15 38 68 10 90 14 1 20 38 41 15 378

    CL 3 0 8 1 15 11 5 9 1 0 2 0 16 1 72

    RB 30 0 0 11 98 11 59 1 61 0 0 0 0 5 276

    Tuberculosis 1 3 0 0 9 1 7 5 12 0 2 2 9 2 53

    HIV/ AIDS 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3

    Brucellosis 40 9 36 2 102 47 366 73 75 15 1 19 22 5 812

    Chicken Pox 0 0 6 3 33 31 9 18 15 24 22 48 39 0 248

    Scabies 0 6 1 7 26 15 9 38 5 4 12 17 17 0 157

    Guinea Worm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    othr_disease 4253 15676 4638 4091 31687 9987 16635 10781 12818 4410 1565 4247 9051 4129 133968

    total_cons_disease 7717 40271 7536 7023 40927 16060 25109 22936 18729 6112 3063 9823 17602 6357 229265

  • Pert Amran Khammer,Huth,Al Ashah Al Salam Khamir Hospital,Other

    Eidews coordinator contacted focal points and The coordinator of surveillance in districts

    and visit health hospital and centers,The cases were diagnoses clinically as suspected

    pertussis.according to case definition, the cases Improved after gave the treatments

    proper,the cases were vaccination except 2 cases were un vaccination

    8 0

    Meas Amran Huth,Raydah Raydah Health hos.,Other

    Eidews coordinator contacted the coordinator of surveillance in districts ,the cases Were

    diagnoses clinically as suspected Measles. according to Case definition, Blood samples were

    collected of cases and send to central lab in sanaa for confirmation,the cases were

    vaccinated against Measles

    2 0

    AFP Sa'adah Sa'da,Majz Al Jumhoori Hospital,Dhian HC

    the edews focal points contacted , the health facility visited and the investigation performed.

    the cases ,from sehar districts ,. the samples collected and sent to the central lab , the RRT

    visit the patient home and perform the investigation

    6 0

    Chol Amran

    Zulaymah,Kharif,AlAshah,AsSudah

    BaniSuraim,Amran,Raydah,Maswar Huth

    Dhi Bin,Harf Sufyan,Jabal Iyal

    Yazid,Suwayr,AsSawd,AlMadan Thula,Habur

    22 May hospital,Al Sanaaniah Health Center,Harf Sufyan

    H,Maswar Rural Hospital,Huth Health hospital,Al Madan

    Health hospital,Habur Health hospital,Other

    eidews coordinator contacted focal points and The coordinator of surveillance in districts , the

    cases were diagnoses clinically as suspected cholera AWD.according to case definition.all

    the cases improved After Taking The Treatments proper

    153 0

    Diph Sa'adah Sa'da Qahza Health Center,Al Jumhoori Hospital

    the edews focal points contacted , the cases were diagnosed clinically according to the

    standard case definition ,the cases referred to the Diphtheria isolation in i hospital and

    centers , the cases receive the proper management , the contacts traced by the district RRT ,

    the line list updated and the information shared,one case was dead

    33 1

    DF Sa'adah Sa'da altakhasasy hospital 3 0

    Meas Sa'adahMunabbih,AsSafra,Sa'da,AdhDhahir

    Majz,Haydan,Kitaf wa Al Boqee,Sahar

    Al -Talh Hospital,Majz Health hospital ,Al Salam Hospital,Al

    Jumhoori Hospital,Monabbih Rural Hospital,Ghafira

    Unit,Other

    the e-DEWS focal points in the hospital were contacted, the reported case verified, the cases

    diagnosed clinically according to the standard case definition, the cases treated at the OPD in

    the health center, the line list updated and the information shared. DRRT informed to perform

    field investigation and household response activities

    58 0

    Pert Sa'adahQatabir,Razih,Haydan,Sa'da,Kitaf wa Al

    Boqee,Ghamir,MajzQatabir Health Center,Al Salam Hospital,Kitaf hospital

    edews coordinator conduct the focal in haydah Hospital after report of cases pertusess cases

    , the cases were diagnsed clinically and treated in the health center.RRT vistrd8 0

    AFP Amana Assafi'yah,At Tahrir,Maain Althwrh H,Aljomhwri H,Scinces and Tecnology H

    eIDEWS coordinator contacted focal points,then HF visited. Information shared,Stool

    samples collected from the cases & sent for lab confirmation,the cases were vaccination

    except one case was un vaccination against polio

    6 0

    Chol Sa'adah Munabbih,Baqim,Sa'da,Majz Monabbih Rural Hospital,Al Jumhoori Hospital,Majz Health

    hospital,Other

    edews focal points contacted , the cases were diagnosed clinically , not RDT performed and

    not samples collected . the cases treated in the HC according to the management protocol

    the line list updated and the information shared

    70 0

    Pert Amana As Sabain,Az'zal As Sabin Hospital,Azal Complex

    eIDEWS coordinator contacted focal points,information shared,then HF visited by eIDEWS

    coordinator.The cases diagnosed clinically according to the case definition. Antibiotics

    treatment were given,the cases were un vaccination

    5 0

    Diph Amana As Sabain,Al Wahdah,Bani Al Harith As Sabin Hospital,Almadinah H

    eIDEWS coordinator contacted focal points,informations shared,after that HF visited by

    eIDEWS coordinator.The case diagnosed clinically according to the case definition as

    suspected diphtheria.Symptoms & signs of a case were,fever,sore throat,grey-whitish pseudo-

    membrane,swelling of neck lymph-nodes(Bull neck) & difficulty of swallowing & breathing.

    Antibiotic treatment was given & case management done.Throat swab & fixed slides were

    taken into Central Lab for confirmation(Albert stain,Gram stain & Diphtheria C/S)the cases

    were vaccination

    4 0

    Meas AmanaAz'zal,Assafi'yah,AtTahrir,AsSabain,Maain,S

    hu'AubJabr Bn Hyan HC,Alulfi HC,As Sabin Hospital,Maain Complex

    eIDEWS coordinator contacted focal points,information's shared,Blood samples were

    collected from the cases and sent for lab confirmation,the cases were unvaccinated against

    measles, Vit-A were given to the cases in order to support their immunity against

    complications of measles.

    8 0

    Chol AmanaAththaorah,Shu'Aub,AsSabain,Bani

    AlHarith,Maain,Az'zal ,Assafi'yah

    Omar Al Mokhtar Complex,Ibn Khaldon HC,Arwdhah H,,22

    May Hospital Bni - Hwath HC,Jabr Bn Hyan Complex,Jddr

    HC,Al Jraf Complex,Ottan Complex,Gazah Complex,Other

    Rapid response team contacted focal points by eIDEWS coordinator,the cases were

    diagnosed clinically according to case definition.Stool samples(C/S & serotyping) collected

    from cases & sent to lab (Central labs)for confirmation. Supplements & antibiotics treatment

    were given(case management)Most of them were from Amana governorate & a few of them

    from other governorates from different districts of that governorates,the results of stool C/s

    still pending. .Rapid tests of cholera were negative for most collected specimens, so stool C/s

    not done for that samples.There were no collection or cluster of cases in the same Place.

    258 0

    DF Hajjah Bani Qais,Khayran Al Muharraq Al Masray Center,Martyr d. Yasser w Thab Hospital 17 0

    Diph Hajjah Abs,Aslem Abs Rural Hospital,Other 3 0

    Chol Hajjah

    Bani AlAwam,AshShaghadirah

    Qarah,Sharas,Kushar,Haradh,Hajjah

    Khayran AlMuharraq,AlMaghrabah

    Wadhrah,AlMiftah,AshShahil

    AlJamimah,Kuaydinah,Qafl Shamer

    Abs,Hajjah City

    Bani Qais Health Center,Mabyan Hospital,Almahabesha

    Public H,Ash Shaghadira Health Center,Al Miftah

    HC,Almaghraba HC,Abs Rural Hospital,Qafl Shamer Kufl-

    Shamar Rural H,Public Republican Hospital,Other

    289 0

    Meas HajjahMabyan,Ash Shahil,Sharas,Kuhlan

    AshSharaf,HajjahCit,AshShaghadirah

    Public Republican Hospital,Ash Shaghadira Health Center,Al-

    Qaeda HC,Sharas HC,Other8 0

    Meas AlHodaidah At Tuhayat,Al Hali, As Salif Almudmn HU,Alsalakhana H

    The eDEWS coordinator called the contact person and the case was suspected of

    measles,the cases were vaccination except one case was un vaccination, fever, rash

    registered,one case was dead

    83 1

    Diph AlHodaidah Al Hawak,At Tuhayat Althawra public H,Other

    Contact was made, suspected cases of diphtheria had a history of pseudomembranous

    tonsillitis, acute inflammation were diagnosed, the patients were un vaccinated clinically.

    Medicines have started,2 cases were dead

    6 2

    DF AlHodaidah Al Hali,Al Qanawis,Zabid,Bajil Alhodaidah Hospital,Alkanawes Private H,Al Mokar HC

    Focal points were contacted , he informed us that the suspected DF cases had a history of

    high fever , retro- bulbar pain ,myalgia and arthralgia,the cases were diagnosed clinically.

    Medications have been started, samples were collected in the lab of hospital for testing by

    serological test which this test measure the presence antibodies IgG & IgM .

    55 0

    Chol AlHodaidah

    AlHawak,AlHali,AtTuhayat,Jabal Ras

    AdDurayhimi,AlGarrahi,AlMarawiah

    Bura,AlMansuriyah,AzZaydiyah,Bayt

    AlFaqiah,AlQanawis,AzZuhrah

    AsSukhnah,Zabid,AlMina,Alluheyah,Al

    Munirah,Al Mighlaf

    Deir zblh H,AlMokarHC,Aldhahi Rural H,AlBaidha AlGarbiah

    HC,Bait Alfakih H Almansouria rural H,Almughtaribeen

    HC,AlhshmCenter,ZayedHC,Alkanawes HC,Alsalakhana

    H,salamcenter,Alzaydia RuralH,Aljarrahi rural H Other

    eIDEWS coordinator contacted the focal points, information was shared, The cases were

    diagnosed clinically according to case definition,some cases were investigated by rapid test

    for vibrio cholera and result were positive for 13 cases, Appropriate treatment were given

    according to severity of symptoms and dehydration.

    629 0

    Meas Ibb As Saddah,Mudhaykhirah,Al Mashannah Alsadah HU,Mothikhrh H,Mother and Child H,OthereDEWS focal points,Information shared, Samples were collected

    ,the Cases were vaccinated except 2 cases were un vaccination7 0

    Chol Ibb

    AlUdayn,Yarim,Hazm,AlUdayn,

    AsSabrah,AshShair,AnNadirah,JiblahArRad

    mah,AlMashannah,Hubaysh

    AsSaddah,FarAlUdayn,Ibb,Dhi

    AsSufal,Badan,AlDhihar,AlQafr

    AlMakhadir,AsSayyani,Mudhaykhirah

    Dar Al Sharq HC,Yarim Hospital,Alshaheed Albadani

    Hospital,Almakhader HC,Alqaidah H,Aladin H,Najd Hawshp

    H,Aldhalmh HC,Other

    Immediate notification. eDEWS Coordinator visited hospital, stool samples were collected ,7

    cases were positive by rapid test and other samples were negative from some samples

    All cases were improved.315 0

    Meas Taiz Salh,Sharab Ar Rawnah Al-Safwah Hosp. 2 0

    DF Taiz Salh,Al Qahirah Al-Safwah Hosp.,Al wahdah HC 28 0

    Chol Taiz

    AtTaiziyah,Maqbanah,AsSilw,Salh

    Mawiyah,Sama,Khadir,Hayfan Sharab Ar

    Rawnah

    Ar Romah center,22 May HC,Al Mashgab Hospital,Mawih

    Hospital,Dmnat HC,Hifan H,Other161 0

    Pert Taiz Salh Al-Safwah Hosp. 1 0

    Deaths

    Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020) )

    Alert Responded in Epi - Week 37,2020

    Suspected

    DiseaseGovernorate District HFs Actions Taken / Notes Cases

    This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.

    For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected])4

  • Chol Rayma Kusmah,Mazhar,Al Jafariyah,Al Jabin Ad Diar HU,Althulaia H,Az Zilh HC

    eIDEWS coordinator contacted the focal points, information was shared, The cases were

    diagnosed clinically according to case definition, The cases were investigated by not rapid

    test for vibrio cholera excpet one case was investigated and result negative,Appropriate

    treatment were given

    38 0

    Diph Al-Mahweet Al Mahwait City Aljoumhwri H 1 0

    Meas Rayma Bilad At Ta'am Alhurih HU

    eIDWES coordinator contacted focal points, information was shared.The cases were

    diagnosed clinically according to case definition,The blood samples were collected and send

    to central Lab in Sanaa ,the cases were vaccination

    2 0

    Meas Al-MahweetAlKhabt,Shibam Kawkaban,BaniSa'd At

    TawilahAlahjer HC,Alkhpt H,Bani Sa`d Hospital,Other

    The Governorate epidemiological surveillance coordinator was investigated and the

    information collected, eIDWES coordinator contacted him, information was shared, blood

    samples were collected,skin rash were appear,the cases were vaccinated against measles,.

    The blood samples were send to central Lab in Sanaa for investigation.

    5 0

    Pert Al-Mahweet At Tawilah,Shibam Kawkaban Shbam H,Other

    eIDEWs team contacted focal points,All cases were diagnosed clinically according to cases

    definition, The cases were vaccination unknown except 2 cases were vaccination against

    pertussis.

    29 0

    Pert Al-Jawf Al Matun,Kharab Al Marashi Al Shifa Center,Al Marashi Health CentereIDEWs team contacted focal points,the Cases diagnosed clinically as suspected

    pert.treatments were done ,the cases were un vaccination5 0

    Chol Al-Mahweet

    Bani Sa'd,AtTawilah,AlMahwait City

    Milhan,AlMahwait,alKhabt,ArRujum

    Hufash,Shibam Kawkaban

    Alwast HU,Alahjoul asfl HU,Lahbol Health Unit,Other

    eIDEWS coordinator contacted the focal points, information was shared. The cases were

    diagnosed clinically according to case definition, some cases were investigated by rapid test

    for vibrio cholera and the result were negative. Appropriate treatment were given according to

    severity of symptoms and dehydration.

    74 0

    Chol Al-Jawf

    Rajuzah,Bi'rat Al Anan,Kharab Al Marashi,Al

    Matammah,Al Matun,Al

    Hamidat,AlHazm,AzZahir,AlMaslob Al Khalq

    Al Shifa Center,Bart Al Anan Rural Hospital,Al Marashi Health

    Center,Hosoon Aal Shanan Health Center,Al Masloob Health

    Center,Al Humaydat Health Center

    The eIDEWS Coordinator received a report from the control officer that there were cases of

    the doctor's diagnosis,the cases without suspicious examination from different areas. After

    validation. Treatments were treated according to the treatmen plan

    96 0

    VHF Al-Jawf Al Matammah Hosoon Aal Shanan Health Center 1 0

    Chol Mareb Al Jubah,Mahliyah,Sirwah,Al wadiMay 22 Hospital,Mahiliyah Hospital,( al Wahdah )

    Hospital,Other

    Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases

    diagnosed clinically according to case definition.Stool samples collected from cases for

    screening test only . Supplements & antibiotics treatment were given ,the results of stool

    Rapid tests of cholera 7 positive .There were a no collection or cluster of cases seen in the

    same Place

    86 0

    AFP Al-Jawf Al Hamidat,Rajuzah,Kharab Al Marashi Al Humaydat Health Center,Bart Rajuzah Hospital

    eIDEWs team contact focal points,the Cases diagnosed clinically as suspected AFP.field in

    vestigtion were done.stool samples were collected form the cases and close contact and sent

    to central Lab in Sana'a

    3 0

    Diph Dhamar Dhamar City,Jahran Dhamar public H,Alwahda university H 3 0

    DF Mareb Al wadi,Sirwah,Marib City,Harib Harib Hospital,( al Wahdah ) Hospital,Alateer Hospital ,Other

    contacted the contact and told us that suspected dengue cases had a history of high fever,

    back pain, muscular pain, and arthralgia. The samples were collected at the hospital's

    laboratory for serological testing (NS1). This test measures the presence of dengue protein

    (high sensitivity and quality test) which detects the virus antigen .that confirms the result

    109 0

    Pert Dhamar Dawran Aness,Jahran d\abduallah mosaa Clinic,Alwahda university H

    Eidewds coordinator contacted of the coordinator districts and he found that cases were

    diagnosed according to the standard definition of pert - cases from different districts,the

    cases were Vaccination unknown , treatment and education health given .reporting date 0n

    10/9 /2020

    5 0

    Meas Dhamar Wusab Al Ali,Dhamar City Aldan rural H,Alhumyat HCfocal point contacted with coordintor districts and he found case diagnosed according to the

    standard definition ,the cases were unVaccination,Samples were collected 2 0

    DF Al-Baidha Naman OthereIDEWS team contacted focal points, the cases were diagnosed clinically as suspected

    cholera using case definition the cases 4 male and 4 femal,5 cases greater than 5 years8 0

    Chol Dhamar

    Wusab AsSafil,Mayfa'at Anss,Jahran

    Dhamar City,Dawran Aness, Maghirib

    Anss,Wusab AlAli,AlHada,Utmah,Anss

    AlManar,

    Alwahda university H,Ezzan Center,Dawran Hospital,Dheba

    HC,Souk Aleffa HC,Zeraja rural H,Aljarf HC,Alhumyat

    HC,Kharbah Abuyabes HC,Rsabh Hospital,Dhamar public

    H,Other

    EideWS coordinator contacted focal points he found cases diagnosed suspected Chol(Acut

    watery diarrhoea and dyhadretion ) cases not tested by rapid test - cases from different area-

    cases were treated at the health facility and received treatment

    242 0

    AFP Al-Baidha Al Bayda City Mother and child HCeIDEWS team contacted and visit focal points information shared field investgation done.

    stool samples were collected from the case ,the case was vaccination1 0

    Diph Al-Baidha Dhi Na'im,Al Bayda,Al Bayda City Althwrh Hospital,Other

    eDEWS coorinator contacted focal points,

    Samples were not collected and diagnosed clinically As suspected Diphtheria using case

    definition,the cases were un vaccination

    4 0

    Pert Al-Baidha At Taffah,Mukayras Al-Taffah Center,Areeb HCeIDEWS team contacted focal points, the cases diagnosed clinically according to case

    definition Antibiotics treatment were given,the cases were vaccinated against pertussisn3 0

    Meas Al-Baidha At Taffah,Dhi Na'im,Al Malagim Al-Taffah Center,Other

    IDEWS team contacted points, information shared , the cases diagnosed clinically according

    to case definition Antibiotics treatment were given,samples were collected and the cases were

    un vaccination against measls

    2 0

    Meas Sanaa Governorate Bilad Ar Rus Other

    The EDEWS coordinator contacted the focal person. The case was 19 months male The

    case was diagnosed clinically by case definition. Skin rash started in 10_9_2020. The case 2

    dose vaccination . blood sample was collected.

    1 0

    Chol Al-Baidha

    Sabah,AtTaffah,Naman,Mukayras

    DhiNa'im,ALSharyah,AlMalagim,Nati

    Rada',AzZahir,AsSawadiyah,Radman

    AlAwad AlQuraishyah,AlBayda City

    Dar Najd Health,Mukayras Hospital,Mother and child

    HC,Dthran HC,Alshriah Sare H,Althwrh Hospital,Al-Taffah

    Center,Other

    eIDEWS team contacted focal points, the cases were diagnosed clinically as suspected

    cholera using case definition, rapid test 16 positive and the main saing watery diarrhea

    &vomting some dehydration the paitnts ademittedt in Sare Hospital with ORS and IV fluid in

    good condation the cases from deferrnt organ

    456 0

    This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.

    For Correspondence: Dr. Rema Al-Yousfi, Mobile (713228999, e-mail: [email protected]), Yahya Amer-Mobile (777553779, e-mail [email protected])5

    Chol Sanaa Governorate

    Jahanh,Bilad Arus,Attyal,Bani

    HushaysAlHaymahAdDakhiliy,Sa'fanNahm,K

    hwlan,Manakhah,Hamdan Bani

    Matar,Sanhan, Al Haymah Al Kharijiyah

    22 May Hospital,Bani Siham HC Ka'a Alreka HC,Bait Alhaisa

    HU,Al wheda Manakha rural Hospital,Walan Hospital,Bait

    Alhenami HC,Bait Al Shatarah Hu,Hamdan Hospital,Alshaeed

    Mohamed Aldurra Hospital,Alshe'eb Alaswad HC,Other

    eDEWS coordinator contacted focal points,The cases were diagnosed suspected

    cholera(AWD) 10 cases were positive from some cases by rapid test and cases were treated

    at the health facility and received treatment

    301 0

    Deaths

    Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 37,(07-13 September,2020) )

    Alert Responded in Epi - Week 37,2020

    Suspected

    DiseaseGovernorate District HFs Actions Taken / Notes Cases