DEWS WEEKLY EPIDEMIOLOGICAL REPORT EPREPORT …...Page 3 of 11 Percentage of ARI by weeks and by Age Groups In the epidemiological week-16, a total of 62,902 events of ARI were reported.

Page 1 of 11

April 23, 2012 DISEASES EARLY WARNING SYSTEM WER-16 (6th Yr)

REPORTS RECEIVED FROM REPORTING SITES:

As of April 20, 2012, 296 sentinel sites were functioning in eight epidemiological regions, in 34 provinces of

Afghanistan. In this reporting week, all 296 sentinel sites have sent their reports on new cases of DEWS target

diseases, recorded during the reporting. Out of all events recorded in DEWS sentinel sites, 15 target diseases

(priority diseases) are included in DEWS weekly epidemiological reports.

Table-1: Status of Reports Received from DEWS Regions during Epidemiological week-16,

2012

Cen

tra

l

East

Cen

tra

l

Wes

t

No

rth

No

rth

East

Wes

t

So

uth

East

So

uth

East

Tota

l No. of Expected

Reports from

Sentinel Sites 49 30 47 36 34 35 35 30 296

No. of Reports

Received in this

week 49 30 47 36 34 35 35 30 296

DEWS WEEKLY EPIDEMIOLOGICAL REPORT

EPREPORT SUMMARY:

This report includes surveillance data from 14th April to 20

th April 2012.

Out of 296 functional Sentinel sites(SS), 296 (100%) have sent their reports in Week-16 of 2012;

Out of total 293,143 events recorded in week-16 of 2012, 91,757 (31.3%) consultations were reported due to DEWS

target diseases.

Main causes of consultations this week are Acute Respiratory Infections/ARI (21.5%) and Acute Diarrheal

Diseases/ADD (8.5%) from total clients in a continuing trend from the week before.

27 deaths caused due to Pneumonia, Diarrheal diseases and Meningitis/Severely ill children, so that 17 deaths due to

pneumonia, 4 death due to diarrheal diseases and 6 deaths reported due to Meningitis and Severely Ill Children.

In this reporting week, 10 Measles outbreaks reported and investigated in Nangarhar, Kapisa, , Paktia, Paktika, Balkh

and Laghman provinces. Also one Scabies outbreaks in Balkh, one ARI-Pneumonia in Nuristan and one suspected

outbreaks of poisoning was reported Rustaq Girl School of Takhar province has been investigated.

Page 2 of 11

DEWS Sentinel Sites:

Figure-1(Map) shows the

distribution of DEWS sentinel sites,

already established in the relevant

regions/provinces till April 20, 2012

by type of health facilities. Data on

15 DEWS target diseases are being

collected from these sentinel sites

(SS).The symbols on the map show

the number of sentinel sites in each

region/province, and do not

indicating the GPS of the SS

locations.

DEWS Data in Epidemiological

Week-16 of 2012 Out of total 293,143 clients recorded in week-16 of 2012,

18.2% (53214) of consultations were reported due to

cough and cold and 3.3% (9688) of consultations were

reported due to pneumonia. In the same reporting period,

8.5% or 24,816 events were reported due to diarrheal

illnesses (6.0% due to Acute Watery Diarrhea, 1.8% due

to Bloody Diarrhea and 0.7% due to acute watery diarrhea

with dehydration). In comparison with previous week

(W15 of 2012) the percentage of ARI diseases has

decreased by 0.8% to 21.5%, whereas the percentage of

Acute Diarrheal diseases increased by 1.3% to 8.5%.This

variation can be due to changes in temperature /weather

during the reporting week.Figure-2 above shows the

percentages of DEWS target diseases by age groups in week-16 of 2012.

Table-2 DEWS Epidemiological Regions and types of Sentinel Sites in

Week-16, 2012

Type of

SS

Cen

tr

al

East

Cen

tr

al

Wes

t N

ort

h

Nort

h

East

Wes

t

Sou

th

East

Sou

th

East

Tota

l

CHC/BHC 21 19 32 25 20 26 25 22 190

DH 12 7 10 7 9 4 7 4 60

PH/RH/SH 14 4 5 4 4 5 3 4 43

Poly Clinic 2 0 0 0 1 0 0 0 3

Total 49 30 47 36 34 35 35 30 296

CHC=Comprehensive Health Center, DH=District hospital,

PH=provincial hospital, RH= Regional hospital, SH= specialized

hospital

ARIC&C

ARIPn

AwD BDAwD

wMen/SIC

AVHep

Measle

Pertussis

Diphth

Tet/NNT

AFPMala

riaTyphFev

U5% 27.6% 8.0% 13.2% 3.0% 1.5% 0.1% 0.1% 0.4% 0.0% 0.0% 0.0% 0.2% 0.5% 0.4%

O5% 14.3% 1.4% 3.1% 1.3% 0.3% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.2% 0.4% 0.6%

Tot% 18.2% 3.3% 6.0% 1.8% 0.7% 0.0% 0.1% 0.1% 0.0% 0.0% 0.0% 0.2% 0.4% 0.5%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Fig-2: Percentages of DEWS Target Diseases by age Group in W16 of 2012

Page 3 of 11

Percentage of ARI by weeks and by Age Groups In the epidemiological week-16, a total of 62,902 events of ARI were reported. 27.6 % of total clients less than 5 years of

age were cough & Cold patients and 14.3% among the age group 5 years and over. The percentage of C&C (<5 years)

consultations in week-06, in comparison with the percentage of C&C in week-16 of 2012, decreased by 7.0%, whereas in

case of 5 years and above decreased by 6.4% to14.3% in this reporting week. The trend of ARI diseases in last 11 weeks

can be read in table-4. The percentages of consultations on Pneumonia cases of age group less than 5 years decreased by

4.6% in last 11 weeks, whereas the percentage of age group 5 years and over decreased by 1.2% to 1.4% in last 11 weeks.

In the reporting week-16 of 2012, the highest percentage of Cough & Cold has been recorded in Kapisa and Logar

provinces with 32% and 30% respectively, whereas the lowest percentages of C&C were reported from Farah and Zabul

provinces with 7 & 12% respectively. The highest percentages of Pneumonia reported from Bamyan and Sar-i- Pul

provinces with 8% each, whereas the lowest percentage was recorded in Zabul and Uruzgan province with less than1%.

(Fig-3)

Percentages of Diarrheal Diseases by weeks and by Age Groups The table-5 below shows the percentages of diarrheal diseases (Acute watery Diarrhea, Bloody Diarrhea and Acute watery

diarrhea with dehydration) from week-06 to week-16 of 2012, from total clients. Acute watery diarrhea among children

less than five years has been increased from 5.5% in week-06 to 13.2% in the reporting week, whereas acute watery

diarrhea among age group 5 years and above has increased by 1.3% to 3.1%.(Please refer to Table-5, above).Bloody

diarrhea, in age group less than 5 years increased by 1.3% in last 11 weeks, while in case of age group 5 years and above

increased by 0.3% in the same period. Acute watery diarrhea with dehydration in age groups less than 5 years increased

by 1%, in case of five years and above increased by 0.2% in last 11 weeks.

Badakhshan

Balkh

Bamyan

Daykundi

Faryab

Ghazni

Hilmand

Hirat

Jawzjan

Kandahar

Khost

Kunduz

Logar

Nangarhar

Paktika

Paktya

Parwan

Samanga

n

SariPul

Takhar

Wardak

Zabul

Kabul

Baghlan

Badghis

Farah

Ghor

Kapisa

Panjshe

r

Nimroz

Uruzgan

Kunar

Laghman

Nuristan

Pneumonia 3% 5% 8% 4% 3% 2% 2% 1% 8% 1% 1% 4% 6% 2% 2% 2% 1% 4% 8% 4% 5% 1% 4% 5% 2% 2% 3% 2% 3% 1% 0% 3% 5% 4%

Cough&Cold 16%20%19%22%23%21%23%17%19%14%25%16%30%21%16%21%24%18%16%15%23%12%14%20%13% 7% 19%32%17%13%12%22%15%27%

0%

10%

20%

30%

40% Fig-3: Percentages of ARI from Total Clients in week-16 of 2012

Table-4: Percentages of ARI Diseases during 11 recent weeks by age groups and by weeks

Disease Age Week

06-12

(%)

Week

07-12

(%)

Week

08-12

(%)

Week

09-12

(%)

Week

10-12

(%)

Week

11-12

(%)

Week

12-12

(%)

Week

13-12

(%)

Week

14-12

(%)

Week

15-12

(%)

Week

16-12

(%)

ARI- C&C <5 Yr. 33.6 32.7 33.5 34.4 32.4 31.6 29.1 30.3 28.3 27.1 27.6

5+ 20.7 19.7 19.8 19.3 17.9 18.0 17.2 16.3 14.6 15.0 14.3

ARI-

Pneumonia

<5 Yr. 12.6 13.1 12.1 11.3 11.6 10.2 9.7 9.2 9.0 8.6 8.0

>=5 Yr 2.6 2.7 2.4 2.5 2.1 2.1 2.1 1.9 1.8 1.7 1.4

Table-5: Percentages of Diarrheal Diseases from Total Clients during 11 recent weeks by age groups.

Disease Age Week

06-12

(%)

Week

07-12

(%)

Week

08-12

(%)

Week

09-

12(%)

Wee

(10-12

(%)

Week

11-12

(%)

Week

12-12

(%)

Week

13-12

(%)

Week

14-12

(%)

Week

15-12

(%)

Week

16-12

(%)

Acute Watery

Diarrhea

<5 Years 5.5 5.2 4.8 5.9 6.5 6.3 7.2 7.7 9.3 10.6 13.2

>= 5 Years 1.8 1.7 1.6 1.7 1.8 1.9 2.2 2.2 2.4 2.7 3.1

Bloody Diarrhea <5 Years 1.7 1.4 1.6 1.9 2 2.1 2.0 2.2 2.5 2.6 3.0

>=5 Years 1.0 0.9 1.0 1.0 1 1.0 1.1 1.1 1.1 1.2 1.3

Acute W. Diarrhea

with Dehydration

<5 Years 0.5 0.5 0.4 0.6 0.6 0.6 0.7 0.7 1.0 1.1 1.5

≥5 Years 0.1 0.2 0.1 0.1 0.2 0.2 0.2 0.2 0.2 0.2 0.3

Page 4 of 11

Percentages of suspected Meningitis/SIC, Malaria and Typhoid Fever by Region:

In the epidemiologic week-16 of 2012, a total of 135 suspected

cases of Meningitis/Sever Ill Child were reported from all regions

and the highest percentage was recorded in North region. In the

same reporting week, from all regions 1192 consultations were

reported by Sentinel Sites to be malaria and the highest percentage

of Malaria cases were reported from East region with 1.3%. Out

of the total clients, 1478 cases or 0.5% in national level were

reported to be suspected Typhoid Fever and the highest

percentage of Typhoid Fever was reported from South region with

1% and followed by East and/South East regions with 0.7% each.

Vaccine Preventable Diseases In DEWS target diseases (priority diseases) seven vaccine

preventable diseases are included, so that

their occurrences are changing by seasonal

variations. Among these diseases

Meningitis/severely ill child is being

reported mostly in North region, in this

week out of total 135 cases in country

level, 34 cases have been reported from

North region and 25 cases were recorded in

central east region.

In general the highest number of cases of

viral hepatitis being reported from East,

south East and central east regions, so that

in the reporting week out of total 213

cases, 63 cases from east, 46 cases from

Central East and 28 cases were reported

from South-east region. From total 404

Measles cases reported in the reporting

week, around 49% of cases were recorded

only in East region.

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

Bad

akh

shan

Bal

kh

Bam

yan

Day

kun

di

Fary

ab

Gh

azn

i

Hilm

and

Hir

at

Jaw

zjan

Kan

dah

ar

Kh

ost

Ku

nd

uz

Loga

r

Nan

garh

ar

Pak

tika

Pak

tya

Par

wan

Sam

anga

n

Sari

Pu

l

Takh

ar

War

dak

Zab

ul

Kab

ul

Bag

hla

n

Bad

ghis

Fara

h

Gh

or

Kap

isa

Pan

jsh

er

Nim

roz

Uru

zga

n

Ku

nar

Lagh

ma

n

Nu

rist

an

Percentages of Diarrheal Diseases from Total Clients in week-16 of 2012 AWDwD BD AWD

Table-6: Suspected Cases of Vaccine Preventable

Diseases in W16 of 2012 by Region

Regions

Men

ingit

is/

Sev

er I

ll

Ch

ild

Vir

al

Hep

ati

tis

Mea

sles

Per

tuss

is

Dip

hth

eria

Tet

an

us

/New

Nata

l

Tet

an

us

Acu

te

Fla

cci

d

Para

lysi

s

North East 18 48 28 0 0 0 3

North 34 9 47 1 0 0 1

Central West 8 5 11 0 0 0 2

West 22 10 6 0 0 0 0

Central East 25 46 20 3 0 0 4

South 10 4 9 0 0 3 1

East 13 63 197 0 0 0 0

South East 5 28 86 0 0 0 0

Total 135 213 404 4 0 3 11

NorthEast

NorthCentr

alWest

WestCentr

alEast

South EastSouthEast

Men/SIC 0.1% 0.1% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0%

Malaria 0.4% 0.2% 0.1% 0.1% 0.0% 0.6% 1.3% 0.7%

Typh Fev 0.6% 0.5% 0.4% 0.3% 0.2% 1.0% 0.7% 0.7%

0.0%

0.2%

0.4%

0.6%

0.8%

1.0%

1.2%

1.4% Fig -5: Percentages of Men/SIC Malaria & Typhoid Fever from Total Clients in Week-16 of 2012 by

Region

All cases of suspected measles, pertussis, diphtheria, meningitis, or cholera, and unusual increases in incidence of any disease, and animal outbreaks of avian influenza, anthrax, brucellosis or other

zoonoses should be reported immediately to the DEWS team in the relevant province or the national focal point – "Director Surveillance"<[email protected]> 0700290955 or the WHO

CSR/DEWS Technical Officer, 0708811856,[email protected]

Percentages of ARI & Diarrheal Diseases by Epidemiological Weeks(from W22 of 2011 to W16 of 2012) Among the DEWS target diseases, Acute Respiratory Infections (ARI) and Acute Diarrheal Diseases (ADD) as leading causes of morbidity and mortality,

having the highest frequency of consultations. The following Line-Chart shows the trend of ADD and ARI from week-22 of 2011 to week-16 of 2012. In week-

22 of 2011, the ARI and ADD curves crossed each other, so that ARI started decreasing and ADD changed its course to increase. By the end of Summer season

of 2011 these curves crossed one another again in week-37 and from that time to week 6 of 2012, in general the percentage of ARI was increasing, while the

percentages of ADD were falling /decreasing, but week-09 of 2012 was a turning point for both categories of ARI and Diarrheal diseases i.e. ARI started

decreasing, while ADD started increasing. In this week (Week-16 of 2012) in comparison with previous week, ARI decreased by 0.8% to 21.5%, while the

percentage of ADD increased by 1.3% to 8.5%.

13.8 13.9 13.4 13 13.6 14.9

13.2 12.9 13.8

12.8 12.4 13.4 12.8

11.5 12.8

14.3 15.4

16.3 17.6 17.9

20 20.7

21.8

18.8

22 23.2

26.1 25.7

28.1 28 29.5 29.9 30.5

31.2 31.5 30.8 30.5 29.9 29.3 28.9

26.9 26.8 25.3

24.4

22.5 22.4 21.5

13.5

15.3 15.5 16.2 15.8 16.1

16.8 16 15.9 16.2 15.8 16.1 15.8

17.1

15 14.1

13.3 12.4

11.1 10.1 10.1

9.2 8.5 8.2

7 7.3 6.6 6.2 5.7 5.5

4.9 4.9 4.6 4.7 4.5 4.3 4.4 4.2 4.0 4.4 4.7 4.9 5.5 5.6

6.3 7.2

8.5

0

5

10

15

20

25

30

35

W2

2-1

1

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

W4

6

W4

7

W4

8

W4

9

W5

0

W5

1

w5

2

W-1

-12

W2

-12

W3

-12

W4

-12

W5

-12

W6

-12

W7

w8

W9

w1

0

W1

1

W1

2

W1

3

W1

4

W1

5

W1

6

P

e

r

c

e

n

t

a

g

e

s

Weeks of the Year

Trend of ARI/ADD as Propotion of Total Clients From Week-22 of 2011 to Week-16 of 2012

ARI

ADD

14

13.9

12.8

12.1

11.3

10.7 10.9

10.6

10.8 10.9 10.7

10.7

11.2 11.2

11.8

12.2 13.5

13.7 13

14.9

14.2

15.3 16.2

16.4

16.7

16.4

16.9

16.8

16.6

16.3

16.5

16.1

14.8

14.4

13.6 13.3

0

2

4

6

8

10

12

14

16

18

Perc

en

tag

es

Reporting Weeks

ARI Dis & ADD from Week-21 to Week-38 of 2008

ARIDisADD

All cases of suspected measles, pertussis, diphtheria, meningitis, or cholera, and unusual increases in incidence of any disease, and animal

outbreaks of avian influenza, anthrax, brucellosis or other zoonoses should be reported immediately to the DEWS team in the relevant

province or the national focal point – "Director Surveillance"<[email protected]> 0700290955 or the WHO CSR/DEWS

Technical Officer, 0708811856,[email protected]

Mortality: Among

DEWS target diseases

Pneumonia, Diarrheal

diseases and Meningitis/

Severely Ill Children (SIC)

are main causes of

mortality which make in

general more than 95% of

total deaths of surveillance

target diseases. Usually

deaths due to diarrheal

diseases increases during

summer season, while the

number of deaths due to Pneumonia increases during cold period/Winter Season. In this week out of 27 deaths

reported from all regions, 17 deaths caused by Pneumonia, 6 deaths caused by Meningitis/severely ill children

and 4 death were caused by diarrheal diseases. (Table-7)

Number of Outbreaks investigated in 2012 with details of W15/W16

Epidemiological week-15 Suspected Measles Outbreak: reported from Paymanor village of Dehsabz district of Kabul

province on April 08 /2012, the team investigated the area on the following day and during the

investigation there were 5 suspected measles cases, the team collected the specimens and send

it to CPHL , the cases treated and the vaccination campaign conducted in surrounding villages,

the outbreak is control. Suspected Measles Outbreak: reported from Nowroz khil village of Tagab district of

Kapesa province on April 11 /2012, the team investigated the area on April 13 /2012 and during

the investigation there were 6 suspected measles cases, the team collected the specimens and

send it to CPHL , the cases treated and the vaccination campaign conducted in surrounding

villages, the team is investigating for further cases

Table-7: Deaths by Main Causes of Mortality and by Region in W16 of 2012

Main

Causes of

Deaths

Nort

h

East

Nort

h

Cen

tral

Wes

t

Wes

t

Cen

tral

East

Sou

th

East

Sou

th

East

Tota

l

Pneumonia 0 2 6 1 4 1 1 2 17

Diarrheal

Diseases 0 1 0 0 1 2 0 0 4

Meningitis 0 4 0 2 0 0 0 0 6

Reported outbreaks since first week of 2012 to date

Type of outbreak Investigated Rumor Clinic-ally/lab

Pertussis 10 1 9

Avian/Swine Flu

ARI 7 7

Measles 98 3 95

Diarrhea

Meningitis

Hepatitis 1 1

Malaria

Typhoid

CCHF 2 2

Bl. Diarrhea

Chickenpox

Other 11 1 10

Total 129 5 124





Suspected Measles Outbreak: reported from Sahra village of Sabari district of Khust




the team is investigating for further cases Suspected Measles Outbreak: reported from Blind Manzil of Gardez district of Paktya




the team is investigating for further cases Suspected Measles Outbreak: reported from Habib Qala village of Gardez district of

Paktya province on April 12 /2012, the team investigated the area on the following day and

during the investigation there were 19 suspected measles cases, the team collected the

specimens and send it to CPHL , the cases treated and the vaccination campaign conducted in

surrounding villages, , the team is investigating for further cases Suspected Measles Outbreak: reported from Sansiz and Yandarak villages of Faiz abad

district of Jawzjan province on April 10 /2012, the team investigated the area on the following

day and during the investigation there were 10 suspected measles cases, the team collected the


surrounding villages, , the team is investigating for further cases Suspected Pertussis Outbreak: reported from Qazi kenti village, Saripul city of Saripul

province, on April 09 /2012 and investigated on April 11/2012, during the investigation there were 5 suspected cases of Pertussis with no death and specimen collected and send to CPHL, and patients treated, outbreak controlled.

Suspected Pertussis Outbreak: reported from Haji bozarg Masjed Kandahar city , Kandahar province, on April 11 /2012 and investigated on April 12/2012, during the investigation there were 2 suspected cases of Pertussis with no death and specimen collected and send to CPHL, and patients treated, outbreak controlled

Suspected Measles Outbreak: reported from Qalaidasht villages of Behsood district of

Nangarhar province on April 09 /2012, the team investigated the area on the following day and

during the investigation there were 8 suspected measles cases, the team collected the specimens

and send it to CPHL , the cases treated and the vaccination campaign conducted in surrounding

villages, , the team is investigating for further cases Suspected Measles Outbreak: reported from Sagia villages of Asadabad district of Kunar



it to CPHL , the cases treated and the vaccination campaign conducted in surrounding villages, ,

the team is investigating for further cases Suspected Measles Outbreak: reported from Sangi masjed of Joehaft Jalalabad city of

Nangarhar province on April 08 /2012, the team investigated the area on the same day and



villages, , the team is investigating for further cases Suspected Measles Outbreak: reported from Tawhid villages of Zinda jan district of Hirat

province on April 09 /2012, the team investigated the area on the same day and during the






it to CPHL , the cases treated and the vaccination campaign conducted in surrounding villages, ,

the team is investigating for further cases

Epidemiological week-16 Suspected Measles Outbreak: reported from Salam khil village of Tagab district of Kapesa




the team is investigating for further cases. Suspected Measles Outbreak: reported from Jabar khil villages of Sarobi district of

Paktika province on April 02 /2012, the team investigated the area on the following day and



villages, , the team is investigating for further cases

Suspected Measles Outbreak: reported from Dandak villages of Sharan district of Paktika

province on April 06 /2012, the team investigated the area on the same day and during the



the outbreak is controlled Suspected Measles Outbreak: reported from Ghafoor khil villages of Gardez district of




surrounding villages, , the team is investigating for further cases Suspected Measles Outbreak: reported from Shah Qala villages of Muta khan district of

Paktika province on April 06 /2012, the team investigated the area on April08/2012 and



surrounding villages, the outbreak is controlled Suspected Measles Outbreak: reported from Ghoaguzai villages of Jaji Aryoub district of


during the investigation there were 43 suspected measles cases with two deaths, the team

collected the specimens and send it to CPHL , the cases treated and the vaccination campaign

conducted in surrounding villages, the outbreak is controlled Suspected Measles Outbreak: reported from Khirloty villages of Jaji Aryoub district of


during the investigation there were 25 suspected measles cases , the team collected the


surrounding villages, , the team is investigating for further cases Suspected Measles Outbreak: reported from Hewad nawareed deragai villages of Balkh

district of Balkh province on April 14 /2012, the team investigated the area on the following

day and during the investigation there were 7 suspected measles cases , the team collected the


surrounding villages, , the outbreak is controlled





Suspected Scabies Outbreak: reported from Balkh prison of Mazar sharif city, Balkh province on

April12/2012, the team investigated on April 14/2012 and during the investigation there was 67 suspected scabies cases, the cases treated and the health education was given to them , the team is investigating for further cases

Suspected Measles Outbreak: reported from Harmal villages of Mehtarlam district of

Laghman province on April 15 /2012, the team investigated the area on the same day and

during the investigation there were 15 suspected measles cases , the team collected the


surrounding villages, , the outbreak is controlled Suspected Measles Outbreak: reported from Pirakhil, Ahmadkhil and Kaga bazaar villages of

Khogiani district of Nangarhar province on April 11 /2012, the team investigated the area on

the following day and during the investigation there were 91 suspected measles cases , the team

collected the specimens and send it to CPHL , the cases treated and the vaccination campaign

conducted in surrounding villages, , the team is investigating for further case Suspected ARI /pneumonia Outbreak: reported from Chatras village of Parun district

,Noristan province on April 14 /2012, the team investigated the area on the following day and

during the investigation there were 20 suspected Pneumonia cases with 3 deaths , the patients

treated and health education sessions conducted for villagers , the vaccination campaign

conducted in surrounding villages ,the outbreak is controlled. Suspected poisoning : reported from number one girls school of Rustaq district ,Takhar

province on Feb 20 /2012 and investigated on the same day, and the health team investigated the

affected area and they found 170 cases of Mass fainting with no deaths case and the patients

treated and health education and hygiene session conducted for students, outbreak is under

control,





Annex: Mapping of DEWS Seasonal Disease Cases/ Percentage in week-16 of 2012





DEWS WEEKLY EPIDEMIOLOGICAL REPORT EPREPORT …...Page 3 of 11 Percentage of ARI by weeks and by Age Groups In the epidemiological week-16, a total of 62,902 events of ARI were reported.

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