Ministary Of Public Health Papulation Weekly ......This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health

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

ILI: أنفلونزا على شكل وباء Others: أمراض أخرى Typh: التيفوئيد أخرى Mumps: النكاف TUPERCULOSIS:السل BRUCELLOSIS:حمى مالطيه GUINEA:دودة غينية CHICKEN:الجذري HIV: االيذز

1This 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])

Volume 08,lssue14,Epi week 14,(30 March-05 April,2020)

eDEWS Reporting Rates vs Consultations in Govemorates,Epi Weeks 1-14,2020Highlights

•During week no.14,2020, %96(1991/1906) health facilites from 23

Governorates provided valid surveillance data.

● 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

Proportional morbidity of leading priority diseases, Epi week 14,2020

A total of 1563 alerts were generated by eDEWS system in week 14,2020, were

verified as true for further investigations with appropriate response

•The total number of consultation reported during the week in 23

Governorates was 377014 compared to 372711 the previous reporting week

14. 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.

Leading causes of morbidity mortality in Epi-Week 14,2020

● (URTI) 14.5%, suspected Malaria (5.9%),(DD) (8.8%) and (LRTI) (5.4%)Remain the

leading causes of morbidity representing a total of (34.6%)

● All diarrheal disease comprised 8.8% and LRTI 5.4% of total morbidity in pilot Governorates

this week .

● All diarrheal disease comprised 8.8% and OAD 6.7% of total morbidity in all age group .

93

% 10

0%

69

%

10

0%

92

% 10

0%

91

% 97

%

10

0%

95

% 98

%

99

%

10

0%

96

% 95

% 10

0%

85

%

10

0%

96

%

97

%

99

% 90

%

91

%

0%10%20%30%40%50%60%70%80%90%

100%

No

. HF

Rep

ort

s

Distribution of Reporting Rates by Governoraes (Epi-Week 14,2020)

Reporting Rate

Ministary Of Public Health Papulation

Primary Heath Care SectorDG 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

%

340000

350000

360000

370000

380000

390000

400000

410000

420000

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

Co

nsu

ltta

ion

s

Pe

rce

nta

ge

Reporting Rate Consultations

Target

0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0%

URTI

LRTI

ILI

SARI

Pert

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

Guinea Worm

GO

V

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

Weekly Bulletin: Electornic Integrated Disease Early Warinig & Response System, Yemen - Epidemiological Week Number 14, (30 March-05 April,2020))

Epidemiological Situation of Cholera and Diphtheria

Overview of the AWD/Cholera From Wk1-WK14,2018,2019 and 2020 Epidemiological curve of AWD/Cholera with CFR% (Cumulative from WK1 ,2019 to WK14 ,2020)

RDTs Results (Positivity Rate) During 2020 Distribution of suspected & dead cases by age group(WK1-WK14/2020)

Overview of the Diphtheria From Wk1-WK14,2018,2019 and 2020 Distribution of Suspected and Death Diphtheria Cases by Age Group

Summary of Diphtheria indicatorsDuring Last 3 Weeks (12,13,14)

Suspected Cases by Vaccine Received and Weeks During 2020

Deaths

3




Epidemiological Situation of Dengue Fever and SARI

Overview of Dengue Fever From Wk1-WK14,2018,2019 and 2020 Epidemiological curve of Dengue Fever Cases with CFR% (Cumulative from WK1 ,2019 to WK14 ,2020)

Dengue IgM (Rapid Test) (Positivity Rate)2020 Distribution of Dengue Fever Death by Age group

Overview of SARI From Wk1-WK14,2018,2019 and 2020Epidemiological curve of SARI Cases with CFR%

(Cumulative from WK1 ,2019 to WK14 ,2020)

Age and Sex distribution of total consultations of leading diseases (Epi week14,2020)




Distribution of consultations of leading diseases by Governorates,Epi week 14-2020

األمراض المشتبهة

Number of Alerts Received and Responded (Epi Weeks 11-14,2020)

weekly trends of Upper Respiratory infections ,Lower Respiratory and mararia tested cases & confirmed (Epi weeks 1-14,2020)

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

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

URTI

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

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

LRTI

<1yr 1-4yr 5-14yr 15-44yr >45yr

Male 21538 30368 55207 50131 25479

Female 21733 30482 35364 77643 29068

21538

30368

55207

50131

25479

21733

30482

35364

77643

29068

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

0

500

1000

1500

2000

2500

3000

3500

4000

wk1

wk2

wk3

wk4

wk5

wk6

wk7

wk8

wk9

wk10

wk11

wk12

wk13

wk14

mararia tested cases & confirmed

Rapid Test(Postive) Microscope(Postive)

Suspected Disease Abyan Aden Al-Baidha Al-Dhale AlHodaidah Al-Jawf Al-Mahra Al-Mahweet Amana Amran Dhamar HadramoutHadramout

wadyHajjah Ibb Lahj Mareb Rayma Sa'adah

Sanaa

GovernorateShabwah Socotra Taiz Total

URTI 3295 3764 1070 811 5812 1034 862 1075 4563 2100 2752 2015 1806 3660 2447 4200 678 666 2467 3662 1642 58 4097 54536

LRTI 375 445 581 106 4179 402 290 509 1630 983 1347 354 223 1558 1271 1256 274 131 471 1523 271 26 1972 20177

ILI 126 0 108 0 121 102 0 0 33 32 79 54 0 34 43 0 139 0 34 274 184 0 308 1671

SARI 0 0 0 0 1 0 0 0 17 1 94 0 0 0 3 0 0 0 18 0 0 0 0 134

Pert 0 0 0 0 1 6 0 0 7 11 2 1 2 1 0 4 0 0 3 2 1 0 9 50

BD 58 5 28 8 103 134 7 34 63 82 90 2 9 2 78 28 30 21 81 114 22 0 138 1137

OAD 1129 1355 598 580 1424 730 292 579 2911 1262 2288 506 361 1669 1479 1353 598 354 986 2554 827 28 1399 25262

Typhoid F 56 29 255 7 433 112 10 147 643 283 1172 52 11 6 546 60 86 56 117 351 59 28 473 4992

Meas 1 14 3 1 1 4 1 5 10 6 1 0 3 8 7 2 1 0 8 3 2 0 11 92

AVH_A&E 7 17 2 0 0 4 0 1 78 5 32 18 14 1 22 19 4 1 6 14 12 0 24 281

AVH_B&C 4 0 5 0 2 1 2 0 57 2 10 7 0 1 25 0 0 0 0 5 2 0 4 127

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

AFP 0 1 0 0 2 0 0 0 4 0 0 1 0 0 2 1 0 0 1 0 0 0 0 12

Mumps 13 20 1 4 17 13 2 9 61 17 33 8 8 39 33 25 1 12 34 38 5 2 24 419

Mal 60 361 5 0 13064 72 85 438 119 322 685 0 1 5316 299 80 11 178 389 179 17 0 737 22418

Meng 0 0 0 0 0 1 0 0 8 1 1 5 0 1 4 0 1 0 1 0 1 0 7 31

DF 4 148 1 4 670 0 0 5 0 1 0 94 1 5 0 25 15 0 0 0 64 0 81 1118

VHF 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 3

Sch 0 0 1 8 3 6 0 28 54 43 23 5 0 140 9 5 2 19 32 36 0 0 32 446

CL 3 0 1 1 1 10 0 3 23 7 2 0 0 20 1 9 4 1 2 4 1 0 0 93

RB 1 0 19 1 4 3 0 10 102 24 72 0 0 0 70 2 0 1 0 2 0 0 12 323

Tuberculosis 2 3 0 1 10 0 1 1 9 1 23 0 0 9 5 2 0 0 0 9 0 0 3 79

HIV/ AIDS 0 0 0 0 0 0 0 0 9 0 1 0 0 0 1 0 0 0 0 1 0 0 0 12

Brucellosis 2 0 33 0 21 21 0 8 151 52 418 0 4 114 111 0 10 2 20 10 12 1 13 1003

Chicken Pox 1 17 1 3 15 24 6 18 60 40 55 38 25 35 55 15 19 20 55 70 5 0 12 589

Scabies 16 0 1 0 25 1 0 6 30 9 9 1 0 40 4 3 4 19 15 29 0 3 7 222

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

othr_disease 4780 10251 4344 6956 15689 3004 2138 5425 42536 9746 18963 31243 3651 12409 13105 10501 4673 1630 5307 8967 4854 269 11349 231790

total_cons_disease 9958 16695 7573 8963 42928 5787 3696 8441 53845 15483 29377 34412 6731 25724 20362 17294 6553 3382 10307 18739 8078 415 22271 377014

0

50

100

150

200

250N

o. o

f A

lert

s

URTI LRTI Pert BD OAD Typhoid F

AFP Meas AVH_A&E AVH_B&C DF Meng

Sch CL Chicken Pox Mal

Meas IbbAlUdayn,AlMashannah, AsSaddah,Yarim

MudhaykhirahYarim Hospital,Mother and Child H,Mothikhrh H,Other

eDEWS focal points contacted.Information shared, Samples were collected ,the Cases were

vaccination except 2 cases were un vaccination7 0

AFP Ibb Far Al Udayn,Jiblah Almsil HC,Al Amal Specialist Dispensary Immediate notification. samples were collecte and send to sanaa,the cases were vaccination 2 0

VHF Hadramout Al Mukalla City Al-Hayath Dispensary 3 0

Chol Ibb

AlQafr,AlMakhadir,AsSayyani

AshShair,AnNadirah,Jiblah

AlDhiharAlUdayn,Yarim

AlMashannahHubaysh

AsSaddah,FarAlUdayn,Ibb

DhiAsSufal,ArRadmah

Mudhaykhirah,Badan,Hazm AlUdayn,

AsSabrah

AlmakhaderHC,AlqaidahH,ALMzahanH, Yahsub

Hospital,Aladin H,Mother and

ChildH,YarimHospital,alHazmHospital,Alshaheed

AlbadaniHospital,Alradhmah H,Other

Immediate notification. eDEWS Coordinator visited hospital,some stool samples were collected and 11

samples

positive by rapid test .

All cases were improved

742 0

Pert Hadramout Al Mukalla City Alborj Hospital 1 0

AFP Hadramout Ar Raidah and Qosaiar Ar Raydah General Hospital 1 0

DF HadramoutAsh Shahr,Ar Raidah and Qosaiar,Al

Mukalla City,Ghail Ba Wazir,Al Mukalla

Bin Sena'a educational H,Hadramout modern

hospital,Kusaie'er HC,Alshahr public H94 0

Chol Hadramout Hajr Hajar aljoul rural H 7 0

Meas TaizMashraa Wa Hadnan,Jabal Habashy,Al

MisrakhAlfath HC,Almsrakh Hospital,Other 11 0

Diph Taiz AlMukha Almkha Hospital 1 0

DF TaizSalh,Al Qahirah,Jabal Habashy Al

WaziyahAlthwrh H,Al wahdah HC,Mohammed Aldorah HC,Other 81 0

Pert Taiz Salh,At Taiziyah Al-Safwah Hosp.,MSF Hospital 9 0

Meas Abyan khanfir Alkood HCIDEWS coordinator contacted the FP. The case was diagnosed clinically ,the case was vaccination,

sample collected , treatment was given, investigation form was done1 0

Chol Taiz

SabirAlMawadim,Maqbanah,

Sama,AtTaiziyah,AshShamayatayn,Hayfa

n,JabalHabashy,SharabArRawnah,AlMisr

akh,Khadir AlQahirah,AlMaafer,Mawiyah

AlMudhaffar, Salh,Sharab AsSalam,

Almodafar Hospital,Aljoumhri H,Khalifa Hospital,Al

Loqiah Hospital,Almsrakh Hospital,22 May Almodafar

HC,Mawih Hospital,Alnshmh H,MSF Hospital,Al Aroos

Hospital,22 MayHC,ArRomahcenter, Khalifa

Hospital,Labs National Center,Other

1012 0

AFP Aden Ash Shaikh Outhman Alwahda educational HeIDEWS team were contacted fh :The case was Mshar Mohammd Saeed /male/age 30m /from Darsaad

Allohom diagnosis clinically, unknown vaccination and sample were collected, treatment was given,

investigation from was done.1 0

Chol Abyan Mudiyah,AlMahfd,Ahwar,Sibah JayshanMudiya Hosp.,Al Mahfad Hospital,Ahwr H,Alrahmah

Clinic,Al Samim Clinic

RRT in districts visited FP. in H , the new cases of AWD there. the cases from different villages of

districts, the cases diagnosed clinically, RDT'S and stool cultures didn't done, treatment were given,

investigation forms were done , the cases and their families received complete advices about the ways of

prevention and management of cholera infection. the cases included in Cholera line list

25 0

Chol Aden Dar Sad,Ash Shaikh Outhman Albasateen medical center,Alwahda educational H 20 0

Diph Aden Dar Sad Al Basateen Al Tahri Center 1 0

Meas AdenAl Mualla,Ash Shaikh Outhman,DarSad

Sairah,AlMansura, Attawahi

Almua'ala health complex,Hashed Health

Complex,Almaidan health complex,Alwahda educational

H,Dar Saad Complex,Khalefah Hospital,Dar Saad

Complex

eiDEWS team were contacted fp,the cases were diagnoses clinically ,the most cases were not samples

were collected ,treatment were given ,investigation form were done.14 0

VHF Aden Al Mualla,Sairah Khalij Aden Hospital,Other

eiDEWS team were contacted fp,the cases were diagnoses clinically,treatment were given,investigation

form were done,3 cases were dead

0 3

AFP Lahj Al Hawtah Ibn Khaldoon Hospital 1 0

DF Aden

Al Buraiqeh,Khur Maksar,Al

Mualla,AlBuraiqeh,AshShaikh

Outhman,DarSad,AlMansura Sairah

Al-Khaisah center,Aljumhuria

educationalH,AdenDispensary,Alwahda educational H,Al

Ryadah Hosp.,Al-Wali Hosp.,Kabouta Complex,Al-Salam

Hosp.,Hashed Health Complex,Babl Hospital,Alburaihi H

148 0

Meas Lahj Al Had Alhasn HU

contact with the focal points, the cases of suspected measles,the cases were diagenosed clinicaly

according to case definition.

the cases reported immediatly to the operation room , added to the line list.

the cases treated symptomaticaly and left the health facility.

2 0

Pert Lahj Radfan Radfan Public H,Al Hakmah Centerimmediate report was recived by the focal points, the cases of suspected pertussis were diagenosed

clinicaly according to case definition.

The cases added to the line list, treated symptomaticaly and left the health facility.4 0

0

Chol Lahj

Halimayn,AlHad,AlMusaymir

Radfan,AlHawtah,AlMaqatirah

AlMilah,HabilJabr,Tur Al Bahah Yaffa

Radfan Public H,Halimeen rural H,Almilah

Hospital,Almusaimeer H,Ibn Khaldoon Hospital,Habil

Aljubair ruralH,Tour Albaha Hospital, October public

H,Other

contact with the focal points , the cases of suspected cholera,the cases were diagenosed clinicaly

according to case definition.

the cases reported immediatly to the operation room, recorded in the line list

the cases treated by iv fluid, ors and antibiotic, cases finaly left the health facility.

90 0

DF Lahj Tuban,Yaffa,Al Hawtah Tur Sena'a Dispensary ,October public H,Ibn Khaldoon

Hospital

the focal points were contacted, information shared, the cases of suspected Dengue fever were

diagenosed clinicaly according to case definition.

The cases added to the line list, treated symptomaticaly and improved.25 0

Alert Responded in Epi - Week 14,2020


HFsSuspected

DiseaseActions Taken / Notes CasesGovernorate District Deaths



Diph Lahj Al Madaribah and Ras Alara,Al Had Ala'ara Hospital,Alhaid rural H

contact with the surveillance coordinator, the cases of suspected Diphtheria,the cases were diagenosed

clinicaly according to case definition.

the cases reported immediatly to the operation room, recorded in the line list.

the cases referd to hospital.

RRT supplayed contact with erythromycine as prophalyxies.

2

Pert Amran HarfSufyan,Thula,Khammer,HuthHarf Sufyan H,Al Salam Khamir Hospital,Huth Health

hospital,Other

Eidews Coordinator Contacted focal points and Contacted The Coordinator of Surveillance in districts,

The cases were diagnosed clinically as suspected pertusis. according to case definition. The Cases

Improved After gave the Treatments Antibiotics proper11 0

Meas Amran Thula Thula Health hospital,Other

Eidews Coordinator Contacted focal points and Coordinator of Surveillance in districts and visit health

hospital . The Cases were diagnosis clinically as suspected Measles. According to Case definition.

Blood Samples Were Collected Of cases and Sent to Central Lab in Sanaa for confirmation.the Cases

Vaccinated Against Measles

6 0

Diph Amran Kharif,Suwayr,Amran 22 May hospital,Other

Eidews Coordinator contacted focal points and transfer to health hospita,the cases were diagnosis

clinically as

probable diphtheria and Rapid Response Team Visit the contacts and gaves antibiotics cases

Treatment with antibiotics and anti toxin

3 0

Chol Amran

BaniSuraim,Kharif,AlMadan

AlQaflah,AsSawd,Maswar,Jabal

IyalYazid,AsSudah,Huth,SuwayrKhamme

r,Shaharah,HarfSufyan Habur

Zulaymah,DhiBin,AlAshah Amran

Raydah,Thula

Kharif Rural Hospital,Amran General Hospital,Thula

Health hospital,Habur Healthhospital, Al Abraq Health

Unit,Al Qaflah Rural Hospital,As Sawd Health

hospital,Raydah Health hos.,Al Ashah Health

hospital,Harf Sufyan H,Al Salam Khamir Hospital,Huth

Health hospital,Other

Eidews Team Contacted Focal Points and Coordinator of Surveillance in districts , The cases were

diagnosis clinically as suspected cholera. according to case definition All The cases improved After

Taking The Treatments proper174 0

Pert Sa'adah Ghamir,Haydan Ghamer Health Center 3 0

Chol Sa'adahGhamir,Munabbih,AdhDhahir, Kitaf wa Al

Boqee,Razih,Sa'daGhamer Health Center,Monabbih Rural Hospital,Other

edews focal points contacted , the cases were diagnosed clinically , no RDT performed and no samples

collected . the cases treated in the HC according to the management protocol the line list updated and

the information shared65 0

Meas Sa'adah Sahar,Majz,Qatabir,Sa'da Al Ghabir Health Unit,Dr. Mosfir Clinic,Al Jumhoori

Hospital,Other

eIDEWES Focal point report suspected measles cases, All casea clainicalli according to the SCD the we

contect the RRT to respond8 0

Diph Sa'adah Majz,Sa'da Dhian HC,Al Jumhoori Hospital 3 0

AFP Amana As Sabain,At Tahrir As Sabin Hospital,Aljomhwri HeIDEWS coordinator contacted focal points,then HF visited. Information shared.Stool samples collected

from the cases & sent for lab confirmation,the cases were unvaccinated against polio.4 0

AFP Sa'adah Kitaf wa Al Boqee gaweer center the edews focal points contacted , the health facility visited and the investigation performed. the patients,

the samples collected and sent to the central lab , the RRT visit the patient home and perform the

investigation1 0

Pert Amana As Sabain,Bani Al Harith As Sabin Hospital,Other

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 unvaccinated against Pertussis. There were no collection of cases seen in the

same place.

7 0

Diph Amana As Sabain,Maain As Sabin Hospital

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

coordinator.The cases were 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 swabs taken into Central Lab for confirmation(Albert stain,Gram stain &

Diphtheria C/S)the cases were vaccination,There were no collection of cases seen in the same place.

3 0

Chol Amana

Az'zal,AlWahdah,Aththaorah

Shu'Aub,AsSabain, Assafi'yah Bani

AlHarith,Maain

22 May Hospital,Jabr Bn Hyan Complex,Gazah

Complex,Al Jraf Complex,Omar Al Mokhtar Complex,Bni

- Hwath HC,Alwahda Health Center,Arwdhah H,As Sabin

HospitalIbn Khaldon HC,Jddr HC,Other

Rapid response team contacted focal points by eIDEWS coordinator & HF visited,cases 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 ,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 negative samples.There were a collection or cluster of

cases seen in the same Place.

481 0

Meas AmanaAththaorah,Az'zal,Assafi'yah,

Shu'Aub,BaniAlHarith,MaainAltabri HC,Gazah Complex,Althwrh H,Other

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 case,in order to support her immunity against complications of measles.10 0

Diph Hajjah Abs,Khayran Al Muharraq Abs Rural Hospital 7 0

Pert Hajjah Khayran Al Muharraq Martyr d. Yasser w Thab Hospital 1 0

Meas HajjahHajjahCity,Mabyan,BaniQais

AlMaghrabah,Sharas,Abs,NajrahMabyan Hospital,AL Qadsi Dispensary Sharas HC,Other 8 0

Chol Hajjah

AlJamimah,Mabyan,Abs,Hajjah

Kuaydinah,AflahAshShawm

AlMahabishah,KuhlanAffar

Mustaba,BaniAlAwam,Kuhlan

AshSharaf,Sharas,AlMaghrabah

,Khayran,AlMuharraq,AlMiftah,Najrah,Ash

ShaghadirahAshShahil,QaflShamer,Bani

Qais,Aslem

Almahabesha Public H,Alshahel Rural

Hospital,Almaghraba HC,Public Republican

Hospital,Khatwah HCQafl Shamer Kufl-Shamar Rural

H,Bani Chamakh HC,Bani Qais Health Center,Mabyan

Hospital,Kuhlan Afar HC,Other

431 0

AFP AlHodaidah Kamaran, Al Hawak Kamaran HC,Althawra public H 2 0

Diph AlHodaidah Al Hawak Althawra public H 4 0

1

Meas AlHodaidah Ad Durayhimi Allawyea HU 1 0

Pert AlHodaidah Az Zaydiyah Alzaydia Rural H 1 0

Chol AlHodaidah

AlQanawis,AdDahi,AzZuhrah

AlHawak,AlHali,AsSalif,AlMunirah

AlMighlaf, AlGarrahi

Alluheyah,AsSukhnah,Zabid

AlMina,AlMarawiah,Bura

AlMansuriyah,AzZaydiyah,Bayt Al Faqiah

Alhshm Center,Althawra public H,Almekhlaf HC,Alzaydia

Rural HAlsalakhana H,Alkanawes HC,Aldhahi Rural

H,Almansouria rural H,Bait Alfakih H,Alzaydia Rural

H,Aljarrahi rural H,Alluheyah HU,Other

eDEWS coordinator contacted the hospital focal points, the cases were diagnosed suspected AWD and

treated accordingly, isolation done , the cases take treatment and go out side hospital , Treatment use

WHO protocol ORT,some cases done rapid test for sever cases and positive for 7 cases,one case was

dead

1326 1

6This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health and Population.


DF AlHodaidah

AlQanawis,AlHali,AsSalif,Zabid,AlHawak,

BaytAlFaqiah,KamaranAlMarawiah,AsSu

khnah, AzZaydiyah,AlMina Bura,

AlMunirah,Alluheyah,Al Garrahi,Bajil, Ad

Dahi,Al Mansuriyah,Az Zuhrah,

AlkanawesHC,Alkanawes PrivateH, Aldhahi RuralH,Hais

rural Hospital,Hikmah hospital, Alsalif

Hospital,Alhodaidah Hospital,Al HabalHU,Almansouria

rural H,Bajil Rural Hospital,Other

670

Suspected

DiseaseGovernorate District HFs



Cases DeathsActions Taken / Notes

Meas Al-Jawf Al Matammah,Al Matun,Al Ghayl Hosoon Aal Shanan Health Center,Al Ghail Health CenterThe EDEWS coordinator has contacted the coordinator. The condition were diagnosed clinically by

definition of the condition. Blood samples were not collected. Give antibiotics and vitamin A4 0

Chol Al-Mahweet

Milhan,AlMahwait,ArRujum,Hufash

Shibam Kawkaban,Bani Sa'd AtTawilah,

AlMahwait City,alKhabt

AlArkobHC,HufashH,BaniSa`dHospital AljoumhwriH

Hospital,NumanHU, Other

eIDEWS coordinator contacted 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 positive for 3 case. Appropriate treatment were given according to severity of symptoms

and dehydration.

139 0

Pert Al-Jawf Al Matammah,Al Matun Al Shifa CenterEDEWS team contacted focal points,the Cases diagnosed clinically as suspected pert.treatments were

given,the cases were un vaccines6 0

Chol Al-Jawf

Al Matammah,Kharab Al Marashi,Al

Hazm,Al Matun,Al Maslob,Al

Ghayl,Rajuzah,Al Khalq

Al Masloob Health Center,Al Khalq Health Center,Al

Shifa Center,Al Hazm Hospital,Al Marashi Health Center

The EDEWS Coordinator received a report from the control officer that there were cases of the doctor's

diagnosis. It were cholera. cases without a suspicious examination from different areas. After validation.

Treatments were treated according to the treatment plan128 0

Chol Mareb Bid Bidah,Harib Al Qaramish,Al Abdiyah Bid Bidah Hospital,Harib Al Qaramish Hospital

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(case management),the results of stool Rapid tests of

cholera 3 positive .There were a no collection or cluster of cases seen in the same Place

3 0

Meas Mareb Harib Harib Hospital

eIDEWS coordinator contacted focal point,information's shared,then HF,cases visited by eIDEWS

coordinator & RRT of Hareb district .The case was one cases one male only.Blood sample was collected

from the case and sent for lab confirmation in 3 - 4 -2020 & the onset of fever , skin rash in 31 - 3 - 2020

. ,his name Sufyan Nasser Thayf Allah Nemran ,his age 3 month . He was from Mareb governorate,

Hareb district, Tarf area. He was unvaccinated against measles.All possible actions done by RRT of

Hareb district done,in order to control the infection to other close contacts & Vit-A was given to the

suspected cases, in order to improve their immunity against complications of measles

1 0

Diph Dhamar Dhamar City Dhamar public H 1 0

DF Mareb Harib,Marib City,Rahabah Harib Hospital,Rahabah hospital,Al ghurairy center

contacted the contact and told us that suspected dengue cases ,the 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

15 0

Pert Dhamar Jahran Alwahda university H 2 0

Meas Dhamar Dhamar City alhelal alnmothgi Desbonsry 1 0

Pert Hadramout wady Al Qatn,Sayun Alkutn Public H

edews team contact focal points , the cases were diagnosed clinically as suspected (pert) using case

definition ,

the cases were vaccination

. symptomatic treatment were prescribed

2 0

Chol Dhamar

AlManar,Jahran,DhamarCity Dawran

Aness,Anss Maghirib

Ans,AlHada,Utmah,Wusab AlAli

WusabAsSafil,Mayfa'atAnss Jabal

Ashsharq

Dawran Hospital,Alhumyat HC,Dhamar public H,A Unity

Centre (residential),Zeraja rural H,Meshrafa HC,Alrabo'o

banighulais HC,Althalouth HC,Rsabh Hospital ,Alkharba

rural H,Aljarf HC,Kharbah Abuyabes HC,Alwahda

university H,Other

508 0

Meas Al-Mahra Al Masilah OtherEDEWS team contact Edews focal point in `AlAis Health Centre . case from AlMasilah District ,case

diagnosis according to case defination , suspected Measles case was males (60) months vaccinated

,treatment was given , and serum sample was teken and send to central level ,1 0

Meas Hadramout wady Alsoum,Sayun,Shibam Alsawm HC,Shibam District Hedews team contact focal points , the cases were diagnosed clinically as suspected (meas) using case

definition,the cases were vaccination , Fever onset , blood samples collected, Vit A provided

. symptomatic treatment were prescribed3 0

Chol Al-Baidha

Sabah,AsSawadiyah,AtTaffah

Naman,Mukayras,DhiNa'im, ALSharyah,

AlMalagim,Radman

AlAwad,AlQuraishyah,AlBayda City,Nati,

Az-Zahir

Alshriah Sare H,Mother and child HC,Mukayras

Hospital,Althwrh Hospital,Al-Taffah Center,Other

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

case definition , the rapid test 21 positive and the main saing watery diarrhea &vomting some

dehydration the paitnts ademittedt in H with ORS and IV fluid in good condation516 0

Meas Al-Baidha At Taffah,Sabah,Naman Al-Taffah Center,Zkhm HC, 3 0

Pert Shabwah At'talih Al Talh Health Center

eIDEWS team were contacted with health facilities found one suspected case of pertussis 1-Latefah

Nasser Salem Garawel female age 72 month from Karatha village case was diagnosed clinically

according to case definition vaccination was done case was received her best treatment and

improvement

1 0

Chol Shabwah Baihan,Mayfa'ah,Ataq Bayhan Hospital,Dr.Ba Masli CliniceIDEWS team were contacted with health facilities found cases suspected case of cholera ,the cases

were diagnosed clinically according to case definition, rapid test were positive for one case 3 0

DF Shabwah Mayfa'ah,Ataq,Rodhoom,Habban Ba Haj Clinic,Beer Ali Health Center ,OthereIDEWS team were contacted with health facilities found cases suspected cases of dengue fever from

different areas ,the cases were diagnosed clinically according to case definition, sampes were collected

and rapid test were positive for 5 cases,one case was dead64 1

Meas Shabwah Ain,Ataq Outpatient/Al Ain Clinic,Al Awal Medical ComplexeIDEWS team were contacted with health facilities found cases suspected case of measles ,the cases

were diagnosed clinically according to case definition, the cases were un vaccination, samples were

collected 2 0

Pert Sanaa Governorate Arhab,Sanhan Alhayfa HC,July 17 Hospital The EDEWS coordinator contacted the focal persons. The cases were diagnosed clinically by case

definition,the cases were vaccination unknown, The cases were treated with antibiotic. 2 0

Diph Sanaa Governorate Attyal Alhadharem HU Rapid Respose team visited area according to case definition suspected Diphteria and case vaccinated

2 dose .appropriate treatment given to case and contact of case1 0

Chol Sanaa Governorate

Manakhah,Hamdan,Bani Matar

AlHaymahAlKharijiyah,Jahanh

BiladARus,Arhab,Sa'fan,Attyal

Sanhan,BaniHushays,AlHaymahAdDakhil

iyahAlHusn Nahm Bani

Dhabyan,Khwlan

Alhanak HU,Bait Alsaid HC,Almarbak HC,Hamdan

Hospital, Bani Mansour HC,Bait Alhenami HC,Qaa Al

Sook Hu,Alshe'eb Alaswad HC,Walan Hospital,22 May

Hospital,Alar rural H,Awmara H,Alshaeed

MohamedAldurraHospital,Other

eDEWS coordinator contacted focal points. The cases were diagnosed suspected cholera(AWD) some

cases tested by rapid test 25 cases positive and cases were treated at the health facility and received

treatment890 0

Meas Sanaa Governorate Al Haymah Ad Dakhiliyah,Hamdan Alsalaf HC,Hamdan Hospital The EDEWS coordinator contacted the focal persons. The cases were diagnosed clinically by case

definition. Skin rash started ,the cases were vaccination unknown, blood samples were collected. 3 0

Governorate Actions Taken / Notes CasesDistrictSuspected

DiseaseDeathsHFs





eIDEWS team were contacted fp: one case and female, (more than 5 years), diagnoses clinically,

vaccination was done, sample was collected , treatment was given, investigation form was done.1 0

DF Al-Dhale Ash Shu'ayb Alshaib DispensaryeDEWS team conted focal point information shared inve stigation forms and lab samples and waiting for

results cases opriate treatment were appro cases were 3 males their given were Greater than 5 years

ages they came from other they governorates4 0

DF Al-Mahweet Bani Sa'd Other

eIDEWS coordinator contacted focal points,information was shared. All cases were diagnosed clinically

according to case definition. 3 cases were males and one case was females. The cases were not

investigated by RDT for dengue fever. appropriate treatment were given according to severity of

symptom

5 0

Chol RaymaAlJabin,AlJafariyah,AsSalafiyah,Mazhar,K

usmah,Bilad AtTa'amAz Zilh HC,Althulaia H,Almithaq H,Wadi Alarid HC,Other

eIDEWS Coordination contact focal points in health centre,the cases diagnosed according to case

definition as Acute Watery Diahorea cases from ) most cases treatment at home165 0

Meas Al-MahweetAlKhabt,Hufash,ArRujum, Shibam

KawkabanJapal Numan HC,Alrujm Hospital,Shbam H

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

according to case definition, investigated and collected blood samples ,skin rash and fever were appear

. the cases werer vaccinated against measles . The blood samples were send to central Lab in Sanaa for

investigation.

5 0

Diph Al-Mahweet At Tawilah Altawilh HC

eIDEWS coordinator contacted focal point, information was shared. The case was diagnosed clinically

according to case definition. Maram Methaq Abu Araig 11 years old from Altawilla,Bani Alhaiat, Shana

village. She was un vaccinated against diphtheria. Focal RRT was visit village and treated the contact

persons with the affected person. People were also educated in this village

1 0



Actions Taken / Notes Cases DeathsGovernorate


District


Suspected

DiseaseHFs

Chol Al-DhaleQa'atabah,Al Azariq,Ad Dhale'e,Al

Husha,Al HusseinAlfakhr HC,Daglal Health Center,Alnassr H,Other

eDEWS team contacted FP ,the cases were diagnosed according to case definition, all included in

updated daily line listing27 0

Meas Al-Dhale Jahaf Alazlh HC

Ministary Of Public Health Papulation Weekly ......This weekly epidemiological leaflet is issued by the National Early Warning and Response Program of the Ministry of Public Health

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