Embed Size (px)
Citation preview
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 1
0
Johore Weekly
EPIDEMIOLOGICAL BULLETIN EPID WEEK 04 DATE : 22.01.2017 – 28.01.2017
Hepatitis E – Chad
From 1 September 2016 until 13 January 2017, a total of 693 cases including 11 deaths of acute jaundice syndrome (AJS) have been reported from Am Timan, Chad.
Of the 50 patients with AJS who were hospitalized, 48 were tested for Hepatitis E using the Hepatitis E virus rapid diagnostic test (HEV RDT) and 27 (56.3%) tested positive. In total, at the end of epidemiological week 2, 2017, a total of 126 HEV RDT have been performed, of them 57 (45.2%) were positive, while 69 (54.8%) tested negative for Hepatitis E. 18 (31.6%) of the 57 patients that tested positive using the HEV RDT also had a positive malaria test, and 20 (29%) out of 69 patients that tested negative using the HEV RDT also had a positive malaria test. Since September 2016, 11 deaths have been reported among the hospitalized cases but the total case fatality might be underestimated.
As of 13 January 2017, 16 pregnant women presenting with AJS have been hospitalized and tested for Hepatitis E, 12 (75%) of them tested positive using the HEV RDT. Of the pregnant women presenting with AJS, four have reportedly died (three had tested positive for Hepatitis E).
Approximately 90% of the AJS cases were reported from Am Timan which appears to be the epi-centre of the ongoing outbreak, and most of the cases are identified through active case findings. As of 13 January 2017, AJS cases have been reported from 59 different quartiers in and surrounding Am Timan-WHO
Advisor Dr Hajah Fatimah bt. Othman
Editorial Board Editorial Staff
Dr Abu Hassan Sha’ari Abdul Kadir Pn.Noor Elliza binti Othman En. Zainalabidin bin Mokhtar
Dr Linayanti Rosli En. Khairul Azreen bin Ampri Dr.Jeyanthini a/p Sathasivam
Communicable Diseases Control & Surveillance Unit
Johor Health Department (Public Health Section) Jalan Persiaran Permai, 81200 Johor Bahru
Tel: 07-2356136 Fax: 07-2356221 [email protected] [email protected]
Sumber : enotifikasi/edengue/ewabak/emeasles/buletinMKA
OUTBREAKS / CLUSTERS / UNUSUAL EVENTS EW 04
No District Locality Disease /event
Number of cases
1 Kluang Pra Sekolah SK.Sir Ibrahim Kem 5 RAMD
HFMD 2
2 Johor Bahru SK.Tasek Utara Food Poisoning
22
3 Kulaijaya Tmn.Pancasila, Senai Food Poisoning
4
4 Johor Bahru SK.Larkin 1 Food Poisoning
23
5 Kluang Taska Kembara Intelek, Tmn Sri Kluang
HFMD 3
6 Segamat Tmn.Indah, Bukit Siput, Typhoid 1 7 Kluang Kg.Melayu_Jln Keembong HFMD 4 8 Kulai Tmn.Puteri_Blok Cengal Food
Poisoning 2
119 1488
6517
8250
6624
4470
2270 1874
3
20
59
68
56
35
28
0
10
20
30
40
50
60
70
80
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
23-Jan-17 24-Jan-17 25-Jan-17 26-Jan-17 27-Jan-17 28-Jan-17 29-Jan-17 30-Jan-17
Nu
mb
er o
f vi
ctim
s
Number of victims and evacuation centers in Johor
during flood disaster from 23rd
to 30th
January 2017
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 2
1. COMMUNICABLE DISEASES FOR CURRENT WEEK, 2016 AND 2017, JOHORE STATE
DISEASE
EW 04/2017
EW 04/2016
MEDIAN
CUMULATIVE 2016
CUMULATIVE 2017
NOTIFIABLE DISEASES
1. AVIAN INFLUENZA 0 NA NA NA 0
2. CHANCROID 0 0 0 0 0
3. CHOLERA 0 0 0 0 0
4. DENGUE FEVER 109 461 173 2125 521(2)
DENGUE HAEMORRHAGIC FEVER 0 0 1 2 1
5. DIPHTHERIA 0 0 0 0 0
6. DYSENTERY (all type) 0 0 0 0 1
7. EBOLA 0 0 0 0 0
8. FOOD POISONING (episode) 2 1 1 5 7
FOOD POISONING (case) 29 27 27 197 75
9. GONOCOCCAL INFECTION (all forms) 9 2 3 18 26
10. HAND,FOOT&MOUTH DISEASE (HFMD) 93 22 22 91 253
11. HIV INFECTION (all forms) 14 9 9 52 50
HIV DEATH 0 2 0 5 0
12. LEPROSY 0 0 0 0 1
13. LEPTOSPIROSIS 3 11 3 24 12
14. MALARIA 4 0 0 3 6
15. MEASLES 3 4 0 9 6
16. MERSCoV 0 NA NA NA 0
17. PLAGUE 0 0 0 0 0
18. ACUTE POLIOMYELITIS 0 0 0 0 0
19. RABIES 0 0 0 0 0
20. RELAPSING FEVER 0 0 0 0 0
21. SYPHILIS (all forms) 5 4 3 15 18
22. TETANUS (Neonatorum / Adult) 0 0 0 0 0
23. TUBERCULOSIS (all forms) 50 41 39 192 124
TUBERCULOSIS DEATH 0 1 0 2 1
24. TYPHOID & PARATYPHOID FEVER 1 0 0 1 1
25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0
26. VIRAL ENCEPHALITIS 0 0 0 0 0
27. VIRAL HEPATITIS
a) Hepatitis A 0 1 0 2 0
b) Hepatitis B 12 17 4 28 32
c) Hepatitis C 2 6 3 15 16
d) Other Hepatitis 0 0 0 0 0
28. PERTUSSIS 0 0 0 2 0
29. YELLOW FEVER 0 0 0 0 0
1 ACUTE FLACCID PARALYSIS (AFP) 0 1 0 2 0
2 ACUTE GASTROENTERITIS (AGE) 107 162 569 652 407
3 FILARIASIS 0 0 0 0 0
4 INFLUENZA-LIKE ILLNESS (ILI) 641 887 189 3372 2435
5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 13 6 0 10 53
6 MELIOIDOSIS 0 0 0 2 0
7 BRUCELLOSIS
0 0 0 1 0
8 ZIKA 0 0 NA 0 0
EW1
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 3
2. COMMUNICABLE DISEASES 2013 – 2017, JOHORE STATE
DISEASE
2013
2014
2015
2016
2017
NOTIFIABLE DISEASES
1. AVIAN INFLUENZA NA NA NA NA 0
2. CHANCROID 0 0 0 0 0
3. CHOLERA 0 0 0 0 0
4. DENGUE FEVER 201 590 700 2125 521(2)
DENGUE HAEMORRHAGIC FEVER 9 1 1 2 1
5. DIPHTHERIA 0 0 0 0 0
6. DYSENTERY (all types) 0 0 1 0 1
7. EBOLA 0 0 0 0 0
8. FOOD POISONING (episode) 5 1 3 5 7
FOOD POISONING (case) 277 3 29 197 75
9. GONOCOCCAL INFECTION (all forms) 6 3 18 18 26
10. HAND, FOOT & MOUTH DISEASE (HFMD) 58 47 241 91 253
11. HIV INFECTION (all forms) 73 52 44 52 50
HIV DEATH 0 0 0 5 0
12. LEPROSY 0 1 0 0 1
13. LEPTOSPIROSIS 4 5 10 24 12
14. MALARIA 6 0 1 3 6
15. MEASLES 1 0 0 9 6
16. MERSCoV NA NA NA NA 0
17. PLAGUE 0 0 0 0 0
18. ACUTE POLIOMYELITIS 0 0 0 0 0
19. RABIES 0 0 0 0 0
20. RELAPSING FEVER 0 0 0 0 0
21. SYPHILIS (all forms) 9 7 5 15 18
22. TETANUS (Neonatorum / Adult) 0 0 0 0 0
23. TUBERCULOSIS (all forms) 153 160 140 192 124
TUBERCULOSIS DEATH 0 0 0 2 1
24. TYPHOID & PARATYPHOID FEVER 4 3 1 1 1
25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0
26. VIRAL ENCEPHALITIS 0 0 0 0 0
27. VIRAL HEPATITIS
a) Hepatitis A 2 0 1 2 0
b) Hepatitis B 10 8 9 28 32
c) Hepatitis C 8 9 7 15 16
d) Other Hepatitis 0 0 0 0 0
28. PERTUSSIS 0 1 0 2 0
29. YELLOW FEVER 0 0 0 0 0
1 ACUTE FLACCID PARALYSIS (AFP) 0 1 0 2 0
2 ACUTE GASTROENTERITIS (AGE) 2829 2161 277 652 407
3 FILARIASIS 0 0 0 0 0
4 INFLUENZA-LIKE ILLNESS (ILI) 686 502 595 3372 2435
5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 0 43 1 10 53
6 MELIOIDOSIS 0 0 0 2 0
7 BRUCELLOSIS 0 0 0 1 0
8 ZIKA NA NA NA 0 0
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 4
3. COMMUNICABLE DISEASES FOR CURRENT WEEK BY DISTRICT, 2017, JOHORE STATE
DISEASE
JB
KJ
MR
LG
BP
KG
ST
PN
KT
MG
JOHORE
NOTIFIABLE DISEASES
1. AVIAN INFLUENZA 0 0 0 0 0 0 0 0 0 0 0
2. CHANCROID 0 0 0 0 0 0 0 0 0 0 0
3. CHOLERA 0 0 0 0 0 0 0 0 0 0 0
4. DENGUE FEVER 80 6 1 1 3 8 7 1 2 0 109
DENGUE HAEMORRHAGIC FEVER 0 0 0 0 0 0 0 0 0 0 0
5. DIPHTHERIA 0 0 0 0 0 0 0 0 0 0 0
6. DYSENTERY (all types) 0 0 0 0 0 0 0 0 0 0 0
7. EBOLA 0 0 0 0 0 0 0 0 0 0 0
8. FOOD POISONING (episode) 1 1 0 0 0 0 0 0 0 0 2
FOOD POISONING (case) 23 6 0 0 0 0 0 0 0 0 29
9. GONOCOCCAL INFECTION (all forms) 1 1 0 0 3 1 0 3 0 0 9
10. HAND, FOOT & MOUTH DISEASE (HFMD) 59 3 2 0 3 18 0 0 8 0 93
11. HIV INFECTION (all forms) 12 1 0 0 1 0 0 0 0 0 14
HIV DEATH 0 0 0 0 0 0 0 0 0 0 0
12. LEPROSY 0 0 0 0 0 0 0 0 0 0 0
13. LEPTOSPIROSIS 3 0 0 0 0 0 0 0 0 0 3
14. MALARIA 3 0 0 0 0 0 1 0 0 0 4
15. MEASLES 0 0 0 0 0 0 0 3 0 0 3
16. MERSCoV 0 0 0 0 0 0 0 0 0 0 0
17. PLAGUE 0 0 0 0 0 0 0 0 0 0 0
18. ACUTE POLIOMYELITIS 0 0 0 0 0 0 0 0 0 0 0
19. RABIES 0 0 0 0 0 0 0 0 0 0 0
20. RELAPSING FEVER 0 0 0 0 0 0 0 0 0 0 0
21. SYPHILIS (all forms) 2 1 0 0 1 0 0 1 0 0 5
22. TETANUS (Neonatorum / Adult) 0 0 0 0 0 0 0 0 0 0 0
23. TUBERCULOSIS (all forms) 27 5 0 0 9 4 0 2 1 2 50
TUBERCULOSIS DEATH 0 0 0 0 0 0 0 0 0 0 0
24. TYPHOID & PARATYPHOID FEVER 0 0 0 0 0 0 1 0 0 0 1
25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0 0 0 0 0 0 0
26. VIRAL ENCEPHALITIS 0 0 0 0 0 0 0 0 0 0 0
27. VIRAL HEPATITIS
a) Hepatitis A 0 0 0 0 0 0 0 0 0 0 0
b) Hepatitis B 9 0 0 0 2 0 0 0 1 0 12
c) Hepatitis C 1 0 0 0 0 0 0 1 0 0 2
d) Other Hepatitis 0 0 0 0 0 0 0 0 0 0 0
28. WHOOPING COUGH 0 0 0 0 0 0 0 0 0 0 0
29. YELLOW FEVER 0 0 0 0 0 0 0 0 0 0 0
OTHER DISEASES UNDER SURVEILLANCE
1 ACUTE FLACCID PARALYSIS (AFP) 0 0 0 0 0 0 0 0 0 0 0
2 ACUTE GASTROENTERITIS (AGE) 9 0 0 0 0 0 40 0 58 0 107
3 FILARIASIS 0 0 0 0 0 0 0 0 0 0 0
4 INFLUENZA-LIKE ILLNESS (ILI) 641 0 0 0 0 0 0 0 0 0 641
5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 13 0 0 0 0 0 0 0 0 0 13
6 MELIOIDOSIS 0 0 0 0 0 0 0 0 0 0 0
7 BRUCELLOSIS 0 0 0 0 0 0 0 0 0 0 0
8 ZIKA 0 0 0 0 0 0 0 0 0 0 0
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 5
4. COMMUNICABLE DISEASES CUMULATIVE BY DISTRICT, 2017, JOHORE STATE
DISEASE
JB
KJ
MR
LG
BP
KG
ST
PN
KT
MG
JOHORE
NOTIFIABLE DISEASES
1. AVIAN INFLUENZA 0 0 0 0 0 0 0 0 0 0 0
2. CHANCROID 0 0 0 0 0 0 0 0 0 0 0
3. CHOLERA 0 0 0 0 0 0 0 0 0 0 0
4. DENGUE FEVER 375 22 11 5 22 19(1) 27(1) 6 25 9 521(2)
DENGUE HAEMORRHAGIC FEVER 1 0 0 0 0 0 0 0 0 0 1
5. DIPHTHERIA 0 0 0 0 0 0 0 0 0 0 0
6. DYSENTERY (all types) 1 0 0 0 0 0 0 0 0 0 1
7. EBOLA 0 0 0 0 0 0 0 0 0 0 0
8. FOOD POISONING (episode) 2 3 0 1 0 1 0 0 0 0 7
FOOD POISONING (case) 32 14 0 19 0 10 0 0 0 0 75
9. GONOCOCCAL INFECTION (all forms) 14 3 0 0 4 1 0 3 1 0 26
10. HAND, FOOT & MOUTH DISEASE (HFMD) 135 13 8 3 14 42 15 7 13 3 253
11. HIV INFECTION (all forms) 35 4 3 0 5 0 0 0 2 1 50
HIV DEATH 0 0 0 0 0 0 0 0 0 0 0
12. LEPROSY 0 1 0 0 0 0 0 0 0 0 1
13. LEPTOSPIROSIS 4 0 0 0 1 0 5 0 0 2 12
14. MALARIA 3 0 0 0 0 0 1 0 1 1 6
15. MEASLES 3 0 0 0 0 0 0 3 0 0 6
16. MERSCoV 0 0 5 0 0 0 0 0 0 0 0
17. PLAGUE 0 0 0 0 0 0 0 0 0 0 0
18. ACUTE POLIOMYELITIS 0 0 0 0 0 0 0 0 0 0 0
19. RABIES 0 0 0 0 0 0 0 0 0 0 0
20. RELAPSING FEVER 0 0 0 0 0 0 0 0 0 0 0
21. SYPHILIS (all forms) 12 2 0 0 3 0 0 1 0 0 18
22. TETANUS (Neonatorum / Adult) 0 0 0 0 0 0 0 0 0 0 0
23. TUBERCULOSIS (all forms) 63 15 3 2 16 7 0 5 6 7 124
TUBERCULOSIS DEATH 1 0 0 0 0 0 0 0 0 0 1
24. TYPHOID & PARATYPHOID FEVER 0 0 0 0 0 0 1 0 0 0 1
25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0 0 0 0 0 0 0
26. VIRAL ENCEPHALITIS 0 0 0 0 0 0 0 0 0 0 0
27. VIRAL HEPATITIS
a) Hepatitis A 0 0 0 0 0 0 0 0 0 0 0
b) Hepatitis B 27 1 0 0 2 1 0 0 1 0 32
c) Hepatitis C 4 1 0 0 2 7 0 1 1 0 16
d) Other Hepatitis 0 0 0 0 0 0 0 0 0 0 0
28. WHOOPING COUGH 0 0 0 0 0 0 0 0 0 0 0
29. YELLOW FEVER 0 0 0 0 0 0 0 0 0 0 0
OTHER DISEASES UNDER SURVEILLANCE
1 ACUTE FLACCID PARALYSIS (AFP) 0 0 0 0 0 0 0 0 0 0 0
2 ACUTE GASTROENTERITIS (AGE) 77 0 0 0 0 0 210 0 58 62 407
3 FILARIASIS 0 0 0 0 0 0 0 0 0 0 0
4 INFLUENZA-LIKE ILLNESS (ILI) 2435 0 0 0 0 0 0 0 0 0 2435
5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 53 0 0 0 0 0 0 0 0 0 53
6 MELIOIDOSIS 0 0 0 0 0 0 0 0 0 0 0
7 BRUCELLOSIS 0 0 0 0 0 0 0 0 0 0 0
8 ZIKA 0 0 0 0 0 0 0 0 0 0 0
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 6
5. CLUSTER / OUTBREAK BY DISTRICT, 2017, JOHORE STATE
DISEASES
JB
KJ
MR
LG
BP
KG
ST
PN
KT
MG
JOHORE
1 ACUTE GASTROENTERITIS (AGE) 0 0 0 0 0 1 0 0 0 0 1
2 CHICKEN POX 0 0 0 0 0 0 0 0 0 0 0
3 CONJUNCTIVITIS 0 0 0 0 0 0 0 0 0 0 0
4 FOOD POISONING 3 3 0 1 0 1 0 0 0 0 8
5 HAND, FOOT & MOUTH DISEASE (HFMD)
1 1 0 0 0 3 0 0 0 0 5
6 HEPATITIS A 0 0 0 0 0 0 0 0 0 0 0
7 INFLUENZA/(ILI) 0 0 0 0 0 0 0 0 0 0 0
8 LEPTOSPIROSIS 0 0 0 0 0 0 0 0 0 0 0
9 MEASLES 0 0 0 0 0 0 0 0 0 0 0
10 MUMPS 0 0 0 0 0 0 0 0 0 0 0
11 UPPER RESPIRATORY TRACT INFECTION (URTI)/
0 0 0 0 0 0 0 0 0 0 0
12 SCABIES 0 0 0 0 0 0 0 0 0 0 0
13 TYPHOID 0 0 0 0 0 0 1 0 0 0 1
6. INFLUENZA SURVEILLANCE 2017, JOHORE STATE
6.1 ILI SURVEILANCE (KPL MAHMOODIAH)
ILI Surveilance
EW 04 CUMULATIVE
< 10 years
10 to 19
years
20 to 59
years
≥ 60 years
Total < 10 years
10 to 19
years
20 to 59
years
≥ 60 years
Total
Number of ILI Cases 44 62 367 168 641 179 279 1263 714 2435
Total Outpatient Attendances
81 125 2501 1540 4247 427 638 9305 6121 16491
6.2 sARI SURVEILLANCE (HOSPITAL SULTANAH AMINAH, JOHOR BAHRU)
sARI Surveilance
EW 04 CUMULATIVE
Paediatric Patients
(< 13 years)
Adults Patients ( ≥ 13 years )
Total Paediatric Patients
(< 13 years)
Adults Patients ( ≥ 13 years )
Total
Number of SARI Cases (New Admission)
10 3 13 41 12 53
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 7
7. WEEKLY CASES OF FOOD POISONING, 2016—2017
8. WEEKLY CASES OF OTHER FOOD WATERBORNE DISEASES, 2016—2017
9. WEEKLY CASES OF AIR/DROPLET BORNE DISEASES, 2016—2017
0
100
200
300
400
500
600
700
800
0
50
100
150
200
250
300
350
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016 Moving Median AGE 2017 AGE 2016
FOOD POISONING 2016 & 2017 N
o.o
f C
ase
s
No
of
AG
E ca
ses
0
1
2
3
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016
TYPHOID/PARA TYPHOID 2016 & 2017
No
.of
Cas
es
0
50
100
150
200
250
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016 Moving Median Alert Epidemic
HFMD 2016 & 2017
No
.of
Cas
es
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 8
10. WEEKLY CASES OF VACCINE PREVENTABLE DISEASES, 2016—2017
0
5
10
15
20
25
30
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016 Moving Median
KES MEASLES NEGERI JOHOR TAHUN 2016 & 2017
No
.of
Cas
es
0
2
4
6
8
10
12
14
16
18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016 Moving Median
HEPATITIS B 2016 & 2017
No
.of
Cas
es
0
2
4
6
8
10
12
14
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016 Moving Median
HEPATITIS C 2016 & 2017
No
.of
Cas
es
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 9
10.2 MEASLES ENHANCED SURVEILLANCE DATA (Cumulative)
Case classification Frequency
Clinically confirmed 0
Epidemiologically confirmed 0
Lab confirmed 6
Discarded 13
Pending 11
Total notifications 30
Incidence rate 8.3 per 1 million population
Indicator Achievement Target
Cases notified within 48 hours of rash onset 33% 100%
Cases investigated within 48 hours 83% >80%
Sample taken for confirmation 83% >80%
Cases classified 63% 100%
Confirmed case with source of infection identified 100% >80%
Death 0 0
11. LEPTOSPIROSIS
12. TUBERCULOSIS
0
2
4
6
8
10
12
14
16
18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016 Moving Median
LEPTOSPIROSIS 2016 & 2017
No
.of
Cas
es
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016
TUBERKULOSIS 2016 & 2017
No
.of
Cas
es
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 10
13. DENGUE
14. MERSCoV
15. LABORATORY BASED SURVEILLANCE
15.1 Enteric Pathogen Identified During Food Poisoning / AGE Event 2017 – 2016, Johor State
Analysis
No. of sample received No. of positive sample
EW 03 Cumulative EW 03 Cumulative
2017 2016 2017 2016 2017 2016 2017 2016
1 Salmonella typhi/Salmonella spp. 16 46 39 88 0 0 0 0
2 Yersinia enterocolitica 16 16 39 47 0 0 0 0
3 Vibrio cholerae/Vibro para 16 16 39 47 0 0 0 0
4 Plesiomonas shiggelloides/spp 16 16 39 47 0 0 0 0
5
Enteropathogenic E.coli (EPEC,EHEC) 16 16 39 47 0 0 0 0
6 Aeromonas hydrophilia/spp 16 16 39 47 0 0 0 0
7 Shigella spp. 16 16 39 47 0 0 0 0
8 Bacillus cereus (positive enterotoxin) 16 16 39 47 0 0 0 0
9
Staphylococcus aureus (positive enterotoxin) 16 16 39 47 2 0 2 0
10 Campylobacter jejuni/coli/spp 16 16 39 47 0 0 0 0
0
100
200
300
400
500
600
700
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
2017 2016
DENGUE 2016 & 2017
No
.of
Cas
es
0
5
10
15
20
25
30
35
40
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
Suspected Confirmed
KES MERSCoV NEGERI JOHOR TAHUN 2017
No
.of
Cas
es
J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7
Page 11
16. INFLUENZA SURVEILLANCE
0
1000
2000
3000
4000
5000
6000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
ILI Cases Total Outpatient
ILI SURVEILLANCE JOHOR 2017
No
.of
Cas
es
0
2
4
6
8
10
12
14
16
1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728293031323334353637383940414243444546474849505152
sARI Cases 2017
sARI Cases
No
.of
Cas
es
![I ISDN MS8I )ZV · } Á v o } dEW^ & µ o l D ] o v } ] o ] ] } v o ] l } } Á v o } r r E Z W l l P } } X P o l l î E E](https://img.dokumen.tips/doc/110x75/603a23d4e81ba752bc5c64be/i-isdn-ms8i-zv-v-o-dew-o-l-d-o-v-o-v-o-l-.jpg)
![> ' E ] ( µ u î Ì ] u o ] Ì Ì l o o l > ' E ] ( µ u î Ì ] u o ] Ì Ì l o o …...> ' E ] ( µ u î Ì ] u o ] Ì Ì l o o l > ' E ] ( µ u î Ì ] u o ] Ì Ì l o o l](https://img.dokumen.tips/doc/110x75/5e79aedc3a8aaf7a1b325cb8/-e-u-oe-u-o-oe-oe-l-o-o-l-e-u-oe-u-o-oe.jpg)
![NLR - Ledige regmerker 19-09-02...2019/09/02 · , o ] l } >E rKDE, o ] l } >E rKDK, o ] l } >E rKDW, o ] l } >E rKD^, o ] l } >E rKDd, o ] l } >E rKD , o ] l } >E rKdE, o ] l } >E](https://img.dokumen.tips/doc/110x75/60f8f03ece455d69470eab0c/nlr-ledige-regmerker-19-09-02-20190902-o-l-e-rkde-o-l-.jpg)