Weekly Epidemiological - World Health Organization...Village Ali Murad banglani-UC Thull 0 0 0 1 Patient admitted in privatehospital atJacobabad, Labresultpending 18-Feb-11 Meningitis

Weekly Epidemiological Bulletin

This weekly Epidemiological Bulletin is published jointly by the Federal Ministry of Health, Government of Pakistan, National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan . For Correspondence: NIH: [email protected]; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083, E-mail: [email protected].

Epidemiological week no. 8 (18 to 24 February 2011) • 63 districts in 4 provinces provided surveillance data to the DEWS. This system is gradu-

ally expanding to provide information about communicable disease threats in all parts of Pakistan as the country goes through the recovery process.

• 2,403 fixed health and 8 mobile medical outreach centres provided surveillance data for this week.

• A total of 810,577 consultations were reported through DEWS of which 30% were acute respiratory infections (ARI), 8% skin disease, 6% acute diarrhoea, and 6% were suspected Malaria.

• A total of 49 alerts were reported in this bulletin: 1 update from week seven, and 48 from week eight. Altogether 20 alerts were for Measles; 5 for meningitis, 4 each for Neonatal Tetanus, and Pertussis; 3 for H1N1; 2 each for Chickenpox, Bloody Diarrhoea, and Den-gue Hemorrhagic Fever; while 1 each for ARI, Acute Jaundice Syndrome, Diphtheria, Suspected Malaria, Mumps, Rabies, and Tetanus.

• There were three cases of confirmed poliomyelitis reported this week

Highlights

Disease early warning system and response in Pakistan

01

Volume 2, Issue 8 Monday 28 February 2011

Table-1: Priority diseases reported during the week 1 to week 8, 2011

Priority diseases under surveillance

in DEWS

Acute Flaccid Paralysis (AFP)

Acute Jaundice Syndrome (AJS)

Acute Respiratory Infections (Upper and Lower) (ARI)

Acute Watery Diarrhoea (AWD)/ Suspected Cholera

Acute Bloody Diarrhoea (BD)

Other Acute Diarrhoeas (AD)

Suspected Viral Hemorrhagic Fever (VHF)

Suspected Malaria (Mal)

Suspected Measles (MS)

Suspected Meningitis (MG)

Others

Figure-1: Weekly trend of leading priority diseases in Pakistan, 29 July 2010 to 24 February 2011 (Epi week 31, 2010 to week 8, 2011)

Diseases Wk-1 Wk-2 Wk-3 Wk-4 Wk-5 Wk-6 Wk-7 Wk-8

Skin Disease 50,424 (8%) 55,947 (9%) 52,822 (8%) 67,253 (9%) 69,212 (9%) 75,030 (9%) 56,464 (9%) 67,418 (8%)

ARI (URI and LRI) 194,176 (32%) 208,819 (32%) 212,625 (33%) 231,441 (31%) 246,960 (31%) 267,612 (31%) 201,493 (31%) 246,792 (30%)

Other Acute Diarrhoea (Not Watery) 36,460 (6%) 39,041 (6%) 35,250 (5%) 41,155 (6%) 45,062 (6%) 50,346 (6%) 39,728 (6%) 52,443 (6%)

Bloody Diarrhoea 3,975 (1%) 4,310 (1%) 4,251 (1%) 5,351 (1%) 4,908 (1%) 5,069 (1%) 4,437 (1%) 4,755 (1%)

Suspected Malaria 34,340 (6%) 35,356 (5%) 31,624 (5%) 37,108 (5%) 43,668 (6%) 50,431 (6%) 35,061 (5%) 46,538 (6%)

Total consultation 607,661 651,856 644,796 739,563 788,126 860,286 653,895 810,577

0

5

10

15

20

25

30

35

40

45

50

wk‐31

wk‐32

wk‐33

wk‐34

wk‐35

wk‐36

wk‐37

wk‐38

wk‐39

wk‐40

wk‐41

wk‐42

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wk‐47

wk‐48

wk‐49

wk‐50

wk‐51

wk‐52

wk 1

wk 2

wk 3

wk 4

wk 5

wk 6

wk 7

wk 8

Percentage

AD BD ARI S. Malaria

Epidemiological Bulletin: DEWS Response in Pakistan

Fig-2: Weekly number of reporting health units (Week 33-2010 to week 8-2011)

This weekly Epidemiological Bulletin is published jointly by the Federal Ministry of Health, Government of Pakistan, National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan . For Correspondence: NIH: [email protected]; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083, E-mail: [email protected]. 02

Table-2: Leading causes of seeking health care in the flood affected districts, 29 July 2010 to 24 February 2011

Table-2: ARI Centers

Diseases Total

Skin Diseases 2,050,254 (12%)

Acute Respiratory Infection 4,334,636 (25%) Other Acute Diarrhoea (Not Watery) 1,627,730 (9%)

Bloody Diarrhoea 162,038 (1%) Suspected Malaria 996,728 (6%) Unexplained Fever 729,817 (4%)

Total Consultations 17,614,650

Since July 29, 2010, a total of 1,627,730 acute diarrhea patient consultations have been reported to DEWS from the disaster affected districts of 4 provinces in Pakistan.

In the graph at right, DEWS weekly reports received in 2011 are compared to the reports of 2010 and 2009 from disaster‐affected districts. This week, DEWS received 52,443 reports of acute diarrhea, 6% of total con‐sultations. This is the same proportional morbidity (6%) reported by DEWS in week‐8/2010 and the same from week‐8/2009.

Figure-4: Acute Diarrhea trends, Disaster affected districts, Pakistan 2009, 2010 and 2011

Since July 29, 2010, a total of 4,334,636 Acute Respiratory Infection (both Upper and Lower) patient consultations have been reported to DEWS from the disaster affected districts of 4 provinces in Pakistan.

In the graph at right, DEWS weekly reports received for ARI in 2011 are com‐pared to the reports of 2010 and 2009 from disaster‐affected districts. This week, DEWS received 246,792 reports of Acute Respiratory Infection, 30% of total consultations, this is same proportional morbidity reported by DEWS in week‐8/2010 but 1% high reported in week‐8/2009.

Figure-3: Acute Respiratory Infection trends, Disaster affected districts, Pakistan 2009, 2010 and 2011

Province Population (estimated) Targeted Districts Proposed

ARI Centers Established Under Process

Punjab 89,039,776 7 17 17 ‐

Sindh 37,992,536 19 22 22 ‐

Khyber Pakhtunkhwa 22,259,944 17 26 23 3

FATA 3,411,082 10 15 ‐ 15

Balochistan 8,033,664 6 14 14 ‐

AJK 3,514,728 ‐ ‐ ‐ ‐

Gilgit/Baltistan 1,506,313 2 6 6 ‐

Islamabad (ICT) 1,338,944 ‐ ‐ ‐ ‐

Total 167,096,987 61 100 82 18

0

5

10

15

20

25

30

35

40

1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52

Percentage

Epi week

2009

20102011

0

2

4

6

8

10

12

14

16

18

20

1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52

Percentage

Epi‐week

200920102011

597 702 826

788

758

745

715

655

575

509

439 502 88

1 125

9

113

9

134

2

162

7

1391

1960

1939 2159

2295

219

6

219

0

219

6

225

1

238

1

2403

361375

411331400

215192153128

10581 58

46

2626

11

812

8 1111

11 11 8 8 88 8

0

500

1000

1500

2000

2500

3000

Wk 33

Wk 34

Wk 35

Wk 36

Wk 37

Wk 38

Wk 39

Wk 40

Wk 41

Wk 42

Wk 43

Wk 44

Wk 45

Wk 46

Wk 47

Wk 48

Wk 49

Wk 50

Wk 51

Wk 52

Wk 1‐11

Wk 2

Wk 3

Wk 4

Wk 5

Wk 6

Wk 7

Wk 8

Mobile Fixed

Table-3: Alerts reported in week 7 and 8 of 2011. Epidemiological Bulletin: DEWS Response in Pakistan


Date of alert Disease Province District Location

Male Female

<5 >5 <5 >5

15-Feb-11 Diph Khyber Pakhtunkhwa

Peshawar LRH (Zyarano Bala Village- P.O Jan Bhatti)

1 0 0 0 Suspected diphtheria reported by LRH. Throat swab was cultured at NIH and found positive for Corynebacterium Diphtheria. EDO‐H informed and immunization planned.

18-Feb-11 NNT Sindh Ghotki Village Karo Ghat-UC Bandh 1 0 0 0

Patient was expired, Investigation showed mother immunized, home delivery. EDO‐H planned vaccination in the village.

18-Feb-11 Tetanus Sindh Shikarpur CMC Larkana (Village Chohi Shakh-Shikarpur)

0 1 0 0 Patient is admitted in CMC Larkana, TIG received by patient provided by WHO, further investigation in process.

23-Feb-11 Measles Balochistan Jaffarabad Goth Sher Khan-Tent city highway 1 0 3 2

Vitamin A given, 3 blood samples collected and sent to NIH, EDO‐H to send a vaccination team to vaccinate unimmunized children, staff nurse and LHV provide health education on prevention of Measles

23-Feb-11 Meningitis Sindh Kashmore Village Ali Murad banglani-UC Thull 0 0 0 1 Patient admitted in private hospital at Jacobabad, Lab result pending

18-Feb-11 Meningitis Sindh Sukkur Colony # 5, near civil hospital Sukkur 0 0 1 1

2 cases as suspected Meningitis admitted, 1 positive. Further investiga‐tion in process.

22-Feb-11 Measles Khyber Pakhtunkhwa

Charsadda

Village Khairabad -UC MC 4; Village Shangiabad-UC Majuki

1 0 5 3 Vit.A given, 9 samples collected and sent to NIH, health education sessions conducted, unimmunized children were vaccinated


Lower Dir Village Khawas Khowar -UC As-barnd

1 1 1 1 Vit A given, 2 samples collected and sent to NIH, health education sessions conducted, EPI tech. to vaccinate the unvaccinated children and submit report to EDO office


Mardan

Jehazono Ground UC Chek Hoti; Mohallah Fauji Abad Dagai; Mohal-lah Peswal; Sector B-Sheikh Maltoon Town

5 1 2 1 Vit.A given, 5 samples sent to NIH, health education sessions con‐ducted, unimmunized children were vaccinated

19-Feb-11 AJS Punjab Rawalpindi Darkali Shershahi 0 1 0 0 Acute Jaundice alert, case absent. Water sample collected and found contaminated. Active surveillance in the area revealed no other cases. Chlorination of the water sources is planned by the health authorities.


Swabi Village Balar Khel- UC Marghuz 0 0 0 1

Vit.A given, 1 sample sent to NIH, health education sessions conducted, EPI tech. to vaccinate the unvaccinated children and submit report to EDO office.

19-Feb-11 Pertussis Sindh Naushahro Feroze

Village Achar Solangi UC Molhan, Bhiria

1 1 1 1 Health promotion done, Informed DHMT for further control measures and health promotion through LHWs. 4 samples were collected and sent to NIH and all were found negative for Pertussis.


Swat College Chowk, Budigram road, Matta

1 0 0 0 Vit.A given, sample sent to NIH, health education sessions conducted, EPI & EDO office informed to increase outreach sessions.

18-Feb-11 Meningitis Sindh Khairpur Khairpur, Panj hatti Khairpur, Village Qaim Gopang Goth

1 1 1 0 3 suspected meningitis cases reported from 3 different villages, one expired on 17‐02‐2011, one sample pending. Health education pro‐vided, hospital follow up.

19-Feb-11 H1N1 Khyber Pakhtunkhwa

Mardan Defence Colony Mardan 0 1 0 0

Isolation of case done, active surveillance done, Sample was found negative, no other case found, EDO H,DSM PPHI informed

19-Feb-11 Pertussis Sindh Ghotki Village Hussain Beli-Ghotki 2 1 0 0

One case of Pertussis reported by pediatrician from MCH centre Ghotki. Upon field investigation three more cases were found. Informed EDOH to increase outreach sessions

20-Feb-11 Mumps Khyber Pakhtunkhwa

Mardan Village Subat Abad Galadair UC Toru 0 1 0 0

Isolation of case done, active surveillance done, no other case found, EDO H,DSM PPHI informed

21-Feb-11 BD Sindh Mirpur Khas BHU Hameed Pura - Colony #2 2 1 0 1

Alert for BD was reported from health facility, 1 suspected case was found at BHU and 3 in the field. Samples were found negative for pathogens, Reinforced case management, water samples tested, water agency notified, health education, Aqua tabs and IEC material distrib‐uted

21-Feb-11 BD Khyber Pakhtunkhwa

Mardan Mohallah Ittehad Kas koroona Mar-dan

0 0 1 0 Isolation of case done, active surveillance done, sample found negative for pathogens, health and hygiene session conducted, no other case found, EDOH, DSM PPHI informed


Mardan Mohallah Azee Khel UC Hoti Mardan 1 0 0 0

Isolation of case done, active surveillance done, sample found negative for influenza, no other case found, EDO H,DSM PPHI informed

19-Feb-11 Measles Punjab Rawalpindi Fauji Colony-Pirwadhai 1 0 0 0

one suspected measles case was found, sample was collected and sent to NIH. Case was treated with two doses of vitamin A. Child was missed during last vaccination campaign. Active surveillance in the area re‐vealed no other cases.

22-Feb-11 Measles Sindh Badin

Village Golo Malah; Meer Muhammad Jat; Haji Khan Khostebah

2 2 0 2 6 cases found on Active surveillance, 2 blood samples sent to NIH, health education, Vitamin A was given, unimmunized children were vaccinated.

21-Feb-11 Rabies Sindh Khairpur UC Setharja District Khairpur 1 0 0 0 Death alert due to suspected Rabies, investigation underway.

21-Feb-11 NNT Sindh Naushahro Feroze Village Kamal Khan 1 0 0 0

TIG is received by patient provided by WHO. Nursing Staff was coun‐seled about how to care the NNT patient, investigation showed mother immunized, home delivery.

Action taken / Notes

Epidemiological Bulletin: DEWS Response in Pakistan Table-4: Alerts reported in week 7 and 8 of 2011. (Cont’d)


Date of alert Disease Province District Location Male Female

Action taken / Notes <5 >5 <5 >5

21-Feb-11 ARI Sindh Naushahro Feroze

Village Allah Bux Mari, Bhiria 0 0 1 0 Death alert due to L‐ARI, diarrhoea, investigation underway

19-Feb-11 Measles Sindh Dadu Vill Din M Khoso; Shah Panjo; Sojhro Meerani 2 1 4 0 7 cases found on active surveillance, 2 doses Vitamin A given to

each, Health education, Unimmunized children were vaccinated

19-Feb-11 Meningitis Khyber Pakhtunkhwa

Mardan Ghar Ghar Kalley UC Toru 0 0 1 0 Isolation of case done, active surveillance done, no other case

found, EDO H,DSM PPHI informed, Lab result pending.

22-Feb-11 Meningitis Sindh Mirpur Khas Civil Hospital - Mirpur Khas 2 0 0 0

Reinforced case management, isolation, health education, CSF DR showed bacterial meningitis but C/s negative due to antibiotic therapy.

21-Feb-11 Measles Sindh Ghotki

Near Shelton hotel Ghotki; Rahamo Wali Street-UC 3; Village Gulan Khan Laghari

2 0 1 0 3 Suspected measles cases reported , gave vit A, 3 blood specimens taken and sent to NIH, informed DHMT for vaccination in the area

22-Feb-11 Chicken Pox Sindh Ghotki Mohallah Anwarabad; Village Khuhara -Taluka Ghotki

0 1 0 1 2 cases of chicken pox found in different villages of Ghotki. Health education provided, no other case found.


Swabi Mohallah Zargaran- UC Chota Lahore 0 0 0 1 Isolation of case done, 1 sample sent to NIH, active surveillance

done,no other case found,EDO H,DSM PPHI informed

21-Feb-11 Measles Sindh Hyderabad

Mohan Bagri Mohalla-UC Moosa Khatian; Soono Khan Almani, Hyderabad rural;

10 2 6 3 21 cases of suspected measles found on active surveillance, Vita‐min A given, 4 blood samples sent to NIH, health education, and unimmunized children were vaccinated

24-Feb-11 Measles Sindh Jacobabad Village Sahib Khan Balouch-UC Thul 0 1 0 0 Vitamin A was given to patient, 1 blood sample collected and sent

to NIH, unimmunized children were vaccinated

24-Feb-11 Measles Sindh Kashmore Village Ghulam Mohammad Gabol 2 0 1 0

3 cases of suspected measles found on active surveillance, Vitamin A recommended to patients, 2 blood samples were collected and sent to NIH, unimmunized children were vaccinated

23-Feb-11 Measles Sindh Khairpur

Khairpur; Qalmi Quran-UC Lal Jurio Shambani; Qurban Gopang-Taluka Kotdiji; Tali Mirwah-UC Sabar Rind

5 0 3 0 8 cases and 1 death from suspected measles, Vitamin A was given, 2 samples collected and sent to NIH, unimmunized childre in the area were vaccinated.

22-Feb-11 Meningitis Sindh Shikarpur GMCH Sukkur (Village Mirza pur Lakhi; Village Din pur)

0 1 2 0 3 suspected cases of meningitis including 1 death from villages of Shikarpur were reported from GMCH Sukkur; one sample pending. Health education provided to families.

23-Feb-11 Malaria Sindh Ghotki Ghota hospital Ghotki 0 0 2 0 Two suspected cases , one death reported, (MP positive) from Ghota hospital, Ghotki.

23-Feb-11 DHF Sindh Ghotki Scrap Colony Ghotki 0 0 1 0 A suspected case was found in MCH center Ghotki, investigations are underway

24-Feb-11 Measles Sindh Mirpur Khas Village Malanhor-Khanjee road 1 0 1 0

2 cases of suspected measles identified, vitamin A given with health education, reviewed medical and vaccination history, no other cases or unimmunized children found in the area.

24-Feb-11 Measles Sindh Nawabshah Anwar Ali Chandio Village-Khoh Qazi Aburd 0 0 1 0 Vitamin A dose given, active case finding underway.

24-Feb-11 Chicken Pox Sindh Ghotki Anwar Abad New Abadi-UC I Ghotki 0 1 0 0 upon field investigation no any other case of chicken pox found

during active search.

21-Feb-11 Measles Sindh Sanghar Village Piro Machhi, Taluka Jamnawaz Ali 5 0 3 2

10 cases of suspected measles, Vitamin A was given and health education, unimmunized children in the community were vacci‐nated

22-Feb-11 Measles Sindh Sukkur Saleh pat; Village Nara Taluka Rohri 0 0 2 0

2 cases and one death from suspected measles, Vitamin A was given, 2 blood samples collected and sent to NIH, unimmunized children in the community were vaccinated.

24-Feb-11 NNT Sindh Nawabshah Obari Sawnri 6-Chak-near Hassan School 1 0 0 0 NNT alert received. Investigation underway.

24-Feb-11 Measles Sindh Tando Muhammad Khan

Village Qabool Pur-UC Saeed Matto 1 0 0 0

One case of suspected measles, vitamin A doses given, active case finding revealed no further cases, unimmunized children in the community were vaccinated

24-Feb-11 Malaria Sindh Mirpur Khas UC Mir Ghulam Muham-mad 3 0 1 0

investigated verbal autopsy, medical check up of villagers, ARI treatment, vaccination (swine flu & hep B), malaria tests (6/120 found positive), investigations underway

18-Feb-11 Pertussis Sindh Badin Village Daim Khaskhali-UC Tarae 1 0 0 0 One case of suspected Pertussis found, 1 sample collected and

found negative. Further investigation underway.

18-Feb-11 Measles Sindh Thatta Village Gul Machi; Sher Muhammad Lakho 2 1 2 0

5 cases suspected measles found in two villages, Vitamin A, 1 sample sent to NIH, EDO‐H to ensure vaccination in the affected villages, health education and active case finding.

24-Feb-11 NNT Sindh Nawabshah Village Mohd Anwer Chandio 1 0 0 0 Investigation showed mother immunized, home delivery.

24-Feb-11 Pertussis Sindh Sanghar

Village Badal Rajan, Primary School Saddam Sindh Rangers, Village Ajoo Aressar, Village Jafrau

2 21 6 1 30 cases of Pertussis were identified in different villages of Sanghar district, 3 specimens collected, health education provided, im‐proved outreach vaccination planned.



Province Khyber Pakhtunkhwa

• This week 14 districts reported to DEWS from KP province, 538 health centers reported 153,106 patients consultations to DEWS.

• ARI is the leading disease in KP province. ARI cases reported 59,941 (40%), 1% lower propor-tional morbidity as compared with last week.

• 12 alerts were reported in this Bulletin from Khyber Pakhtunkhwa, of which 5 were for Measles, 3 were for Influenza, while 1 each for Mumps, Bloody Diarrhoea, Diphtheria, and Meningitis.

Province Punjab • 12 districts reported data to DEWS from Punjab

province, 718 fixed health centers reported a total of 201,023 patient consultations during this reporting period

• ARI cases reported were 56,433 (28%), 2% higher proportional morbidity as compared with last week.

• 2 alerts were reported in this bulletin, 1 each was for Measles, and Acute Jaundice Syndrome.

• Malaria cases are still reported from some dis-tricts. This week a total of 5,179 malaria samples were tested of which 174 were positive (slide positivity rate 3.4%, while falciparum rate was 43.7%.)

Figure-5: Trend of priority communicable diseases, province KP (31-July 2010 to 24 February 2011)

Figure-6: Trend of priority communicable diseases, province Punjab (3 August 2010 to 24 February 2011)

Diseases Wk-5 Wk-8

Skin Diseases 6,199 (4%) 6,211 (4%)

ARI (URI and LRI) 61,046 (41%) 59,941 (40%)

Other Acute Diarrhoea (Not Watery) 9,161 (6%) 9,912 (6%)

Bloody Diarrhea 1,171 (1%) 1,128 (1%)

Total consultations 150,732 153,106

Suspected Malaria 2,125 (1%) 1,576 (1%)

Wk-6

5,442 (4%)

50,840 (40%)

7,883 (6%)

966 (1%)

1,421 (1%)

126,782

Wk-7

5,269 (4%)

51,653 (41%)

8,059 (6%)

920 (1%)

1,428 (1%)

125,267

Diseases Wk-5 Wk-6 Wk-7 Wk-8

Skin Diseases 15,862(9%) 14,989 (8%) 14,211 (8%) 16,504 (8%)

ARI (URI and LRI) 49,952 (27%) 47,421 (27%) 44,394 (26%) 56,433 (28%)

Other Acute Diarrhoea (Not Watery) 9,590 (5%) 9,571 (5%) 8,375 (5%) 11,534 (6%)

Suspected Malaria 5,288 (3%) 5,045 (3%) 4,898 (3%) 6,759 (3%)

Total consultations 185,273 176,911 171,288 201,023

0

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10

15

20

25

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40

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Percentage




Province Sindh

• This week 20 districts reported to DEWS from Sindh province, and 808 health centers re-ported a total of 390,847 patient consultations during the reporting period of week 8, 2011.

• In Sindh, ARI cases reported were 111,257 (28%), 1% lower proportional morbidity as compared with last week

• 37 alerts are reported from Sindh in this Bulle-tin: 13 were for suspected Measles; 4 each were for Meningitis, ARI, Neonatal Tetanus, and Pertussis, 2 each were for Chickenpox, Dengue Hemorrhagic Fever, while 1 each was for Bloody Diarrhoea, Suspected Malaria, Rabies, and Tetanus.

Province Balochistan

• In this week, 15 districts reported to DEWS from Balochistan province. 333 fixed and 8 mobile medical outreach centers reported a total of 57,017 patient consultations.

• ARI reported in 16,299 (29%) of the total consulta-tions, which is 1% lower as compared to the propor-tional morbidity last week.

• 1 alert was reported for week 8 in this Bulletin: the alert was for Measles.

• Malaria cases are still reported from some of the districts in Balochistan. This week a total of 641 malaria samples were tested of which 268 were posi-tive and slide positivity rate was 41.8%, while falcipa-rum rate was 72.8%.

Diseases Wk-5 Wk-8

Skin Diseases 43,499 (11%) 41,276 (11%)

ARI (URI and LRI) 114,907 (30%) 111,257 (28%)


Bloody Diarrhea 1,964 (1%) 2,285 (1%)



Wk-6

50,682 (11%)

144,585 (30%)

26,643 (6%)

2,157 (<1%)

36,627 (8%)

480,933

Wk-7

32,703 (11%)

84,702 (29%)

16,530 (6%)

1,654 (1%)

20,758 (7%)

288,021

Figure-7: Trend of priority communicable diseases, province Sindh (6 August 2010 to 24 February 2011)

Figure-8: Trend of priority communicable diseases, province Balochistan (6 August 2010 to 24 February 2011)

Diseases Wk-5 Wk-8

Skin Diseases 3,591 (6%) 3,189 (6%)

ARI (URI and LRI) 19,133 (30%) 16,299 (29%)


Bloody Diarrhea 1,769 (3%) 1,313 (2%)



Wk-6

3,534 (5%)

21,731 (32%)

5,225 (8%)

1,848 (3%)

7,289 (11%)

67,875

Wk-7

4,099 (6%)

18,385 (29%)

6,055 (10%)

1,794 (3%)

7,950 (12%)

63,622

0

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20

25

30

35

40

45

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Islamabad Capital Territory

• This week Islamabad is reporting from four health centers, and a total of 4,657 patient consultations.

• ARI cases reported were 1,790 (38%), 15% lower as compared with last week.

• No alert was received this week.

Figure-9: Trend of priority communicable diseases, Islamabad (1 January to 24 February 2011)


Diseases Wk-5 Wk-8

Skin Diseases 61 (2%) 56 (1%)

ARI (URI and LRI) 1,922 (56%) 1,790 (38%)

Other Acute Diarrhoea (Not Watery) 302 (9%) 337 (7%)

Bloody Diarrhea 4 12


Suspected Malaria 9 9

Wk-6

62 (2%)

1,470 (47%)

356 (11%)

4

5

3,127

Wk-7

29 (1%)

1,470 (53%)

192 (7%)

7

8

2,782

Distribution of Wild Polio Virus cases Pakistan 2010 and 2011

Year 2010: The total number of polio cases in 2010 so far is 144 includ-ing 120 type-1 cases and 24 type-3 cases and the total number of infected districts/towns/agencies is 40 to date.

Year 2011: The total number of new type-1 polio cases were confirmed by the laboratory is 11 to date.

Province Cases 2010 Cases 2011

P1 P3 P1 P3

PUNJAB 6 1 - - SINDH 26 1 2 - KHYBER‐PAKHTUNKHWA 19 5 1 - FATA 63 11 8 - BALOCHISTAN 6 6 - - AJK - - - - GILGIT‐BALTISTAN - - - - ISLAMABAD - - - - PAKISTAN 120 24 11 -

0

10

20

30

40

50

60

70

wk 1 wk 2 wk 3 wk 4 wk 5 wk 6 wk 7 wk 8

Percentage




Confirmed Alerts (1 Dec 2010 to 24 February 2011)

Documents

Weekly Epidemiological - World Health Organization...Village Ali Murad banglani-UC Thull 0 0 0 1 Patient admitted in privatehospital atJacobabad, Labresultpending 18-Feb-11 Meningitis