Week-47 - ReliefWeb · Week-47 Somalia Weekly EPI/POL Update AFP cases were reported from across the country from all zones, all regions and also from the accessible and the inaccessible

Somalia Weekly Update

Week-47Ending 26 November 2017

Part -I

VDPV2 Situation Update

Advisory Group discussion, conclusion and recommendations

• The Somalia mOPV2 advisory group meeting was held on November 20th

• The country program presented detailed risk assessment on the VDPV2 situation and requested for the approval of a mOPV2 immunization campaign response

• Risk Assessment• Virological risk: Medium to high• Contextual risk of further

transmission= Medium • Risk for international spread= Medium

• Assess need for mOPV2 and evaluate vaccine request [if applicable]• mOPV2 request received by advisory group and was approved as per

country program request • IPV [proposed for under 2 in both scenarios after the 2 mOPV2 rounds]

3

Box instructions:

mOPV2 Advisory Group to complete

Risk Potential: “Low / Medium / High”

Background to VDPV2 from an ES Site in Mogadishu• A VDPV2 was isolated from an environmental sample from Mogadishu-Somalia

• The ES site is ‘21October’ Sewage site in Waberi District, Banadir Region in Central Somalia. Established on 19th September 2017.

The first positive sample was collected on 22nd October, 2017.

• KEMRI lab results was received on 1st Nov 2017 as PV2. Sequencing result from CDC was received on 9th Nov 2017 as VDPV2 with

38 nucleotide difference from the parent Sabin

• A second sample collected from the same site on 2nd November was also positive for PV2 and is awaiting sequencing at the CDC

Response activities so far;

• Joint visit conducted in selected public and private HFs to see the AFP surveillance activity and also sensitize the health workers about the event

• Heightened AFP surveillance with active case searches in the community and health facilities

• Additional ES samples collected from the existing 3 sites and from a new temporary site in one of the busy hospitals

Egyptian hospital- Mogadishu Yardimeli hospital- Mogadishu Banadir hospital- Mogadishu

Preparation for OPV2 response

• Two mOPV2 and 1 IPV campaigns are planned for Badadir, Middle Shabelle and Lower Shabelle regions of Central zone targeting 726,699 Under 5 years old children

• The proposed dates for the first round is 10th December• There will be 2 weeks interval between the two mOPV2

rounds • There will be also 2 weeks between the second mOPV2

round and the IPV campaign

Preparation so far• Micro-plans prepared• Training for RPOs, DPOs and DFs and data managers on how to

use satellite maps to enhance their micro-plans and identify DFA and team areas

• Vaccine will reach Mogadishu 30th November • Plans for C4D, Vaccine management and monitoring is being

developedDPO and DFAs identifying DFA areas

Catchment area mapping -21October sewage spot

• Using historical maps, conducting

GIS studies (elevations & contours)

of the area and discussion with

municipality sewage experts and the

local polio team, the catchment area

of the 21October ES spot was

identified

• Filed validation was also conducted

through household survey to

identify the actual boundaries of the

sewage system

Household survey in the catchment area of 21October sewage spot • A structured questioner was developed,

converted to ODK and 40 data collectors were trained (20 team of 2 individuals)

Objectives HH survey:• Collect geo information to know the

catchment area of 21October sewage site• Understand if households drain their west to

the main sewage system which is feeding the 21October sewage site

• Assess if there is/are any child in the household/ neighborhoods paralyzed in the past 12 months

• see vaccination status of all U-5 children in the HHs against polio checking their vaccination card

• See if there is/are any person who arrived in the past 3 months

• See if there is/are children who is sickly and visits the hospital frequently in the HHs

• Data collected from a total of 888 buildings. Of which, 476 are households, 234 are empty buildings, 81 are educational institutions and 60 are restaurants and hotels, 13 mosque and 24 other categories

• An average of 1.5 children found per each HH with a maximum of 5 children per house hold

• Only 11% (n=55) of HHs have their sewage draining to the main sewage system

• There are 58 children found sickly with frequent visit to hospitals; among them 8 had their household sewage draining to the main sewage system feeding the 21October site

• 59 households had a visitor in the past 3 months

Next step using the HH survey result

• Continue to analyze more variables from the survey that was just completed

• Plan to re-visits to some households including the 8 households that had children who were sickly with frequent visit to hospitals and their household sewage was linked to the main municipal sewage system draining in to 21October site

• Continue the active case search in the area

• Use this information to enrich the micro-planning process for the upcoming immunization campaigns

VDPV2 event field investigation result

Part -II

AFP-Surveillance

Week-47 Somalia Weekly EPI/POL Update

Epidemiological Curve January 1, 2014 – November 26, 2017

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Cas

es

Week number of onset

aVDPV

WPV

Compatable

Discarded

Pending ERG

Pending Lab

Weekly AFP cases reported by Provinces, 2016-2017 Somalia. (cases are distributed across weeks based on date of onset of paralysis).

- 3 new AFP cases were reported this week making the total 315 AFP cases reported in 2017.- In addition 954 contact samples (3 contacts for each case) and 172 community samples were collected from 24 districts


Tab

le n

o.-

1

Silent (not reporting) for > 8 weeks

Reported AFP cases

Community Samples collected in silent regions

Community Samples collected but regions not silent

PROVINCE

2016

W47

2016

W48

2016

W49

2016

W50

2016

W51

2016

W52

To

tal 2

016

2017

W01

2017

W02

2017

W03

2017

W04

2017

W05

2017

W06

2017

W07

2017

W08

2017

W09

2017

W10

2017

W11

2017

W12

2017

W13

2017

W14

2017

W15

2017

W16

2017

W17

2017

W18

2017

W19

2017

W20

2017

W21

2017

W22

2017

W23

2017

W24

2017

W25

2017

W26

2017

W27

2017

W28

2017

W29

2017

W30

2017

W31

2017

W32

2017

W33

2017

W34

2017

W35

2017

W36

2017

W37

2017

W38

2017

W39

2017

W40

2017

W41

2017

W42

2017

W43

2017

W44

2017

W45

2017

W46

To

tal 2

017

BANADIR 2 1 30 1 1 1 2 1 3 1 2 1 1 1 1 1 2 1 1 2 2 2 1 2 1 1 32

GALGADUD 1 25 1 1 1 1 1 1 1 2 1 1 1 1 1 2 1 1 2 1 1 1 1 1 25

M. SHABELLE 1 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 22

L. SHABELLE 2 1 24 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 2 1 29

HIRAN 1 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20

BARI 2 1 1 24 1 2 1 1 1 2 1 1 1 1 1 2 1 1 1 1 1 1 21

NUGAL 1 1 11 2 1 1 1 1 1 1 1 9

MUDUG 1 1 14 1 2 1 1 1 1 1 1 1 1 1 12

TOGDHER 1 11 1 1 1 1 1 1 1 1 8

GALBEED 1 1 1 1 1 19 1 3 1 1 1 1 1 1 1 1 2 1 2 1 2 20

SANAQ 2 1 7 1 1 1 1 1 5

AWDAL 1 18 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 17

SAHIL 8 1 1 1 1 1 1 1 1 8

SOOL 5 1 2 1 1 1 1 1 2 10

LOWER JUBA 1 2 1 1 26 2 1 1 2 2 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 25

BAY 2 19 3 1 3 1 1 1 1 1 1 1 1 2 2 19

GEDO 1 1 21 1 2 1 1 1 1 1 1 1 1 1 1 2 2 1 18

MIDDLE JUBA 11 1 1 1 1 2 1 2 1 10

BAKOOL 1 1 9 1 1 1 1 1 1 1 1 8

Total Somalia 12 7 7 3 5 4 316 6 8 10 6 3 8 9 11 7 12 8 6 9 8 8 4 10 8 6 9 8 5 9 10 2 5 9 3 7 6 7 7 6 9 5 7 10 4 5 7 3 2 8 11 4 3 318

REGION2016 2017

Pending Discarded VDPV Total Discarded Pending Total

BANADIR 0 30 0 30 29 3 32

GALGADUD 0 25 0 25 24 1 25

HIRAN 0 15 0 15 19 1 20

L. SHABELLE 0 24 0 24 25 4 29

M. SHABELLE 0 19 0 19 21 1 22

BARI 0 24 0 24 19 2 21

MUDUG 0 14 0 14 11 1 12

NUGAL 0 11 0 11 9 0 9

AWDAL 0 18 0 18 15 2 17

GALBEED 0 19 0 19 18 2 20

SAHIL 0 8 0 8 8 0 8

SANAQ 0 7 0 7 5 0 5

SOOL 0 5 0 5 8 2 10

TOGDHER 0 10 1 11 8 0 8

BAKOOL 0 9 0 9 8 0 8

BAY 0 19 0 19 19 0 19

GEDO 0 21 0 21 18 0 18

LOWER JUBA 0 26 0 26 23 2 25

MIDDLE JUBA 0 11 0 11 10 0 10

Grand Total 0 315 1 316 297 21 318

Classification of AFP cases by status (2016 & 2017)

27In process (lab)

0Pending ITD

293Discarded

0 WPV

21Pending

0 Compatible

0VDPV

318 AFP Cases Reported in 2017


Tab

le n

o.-

2

Chart no. 1

3Pending ERG

Surveillance Indicators by Zone and Region 2017


Graph no. 2

Graph no. 3

Map no. 1 Map no. 2

5.0

10.4

5.36.1 5.7

0.0

2.0

4.0

6.0

8.0

10.0

12.0

Central Puntland Somaliland South Total Somalia

Annualized NP-AFP Rate by Zone, 2017

7.7

5.4 5.5 5.7

-

2.0

4.0

6.0

8.0

10.0

In-accessible PartiallyAcceessible

Accessible Somalia

Annualized NP-AFP rate by accessibility status

Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2017

All the 115 districts in Somalia have reported

at least 1 AFP case since the beginning of

2017.

The NP-AFP rate for 113 districts is >2. The 2

districts that did not meet this indicator are;

Badan from Somaliland and Heliwa from

Central.

112 districts had stool adequacy above 80%

while three districts (Badade, Kismayo and

Bossaso) did not meet the required stool

adequacy rate. Badade and kismayo are

partially accessible from south while Bossaso

is fully accessible district in Puntland.


Map no. 4Map no. 3

Distribution of NP-AFP cases and zero-dose cases Vs accessibility of districts


AFP cases were reported from across

the country from all zones, all regions

and also from the accessible and the

inaccessible parts of the country.

All but one of the total 41 zero dose

AFP cases reported in 2017 were

reported from access compromised

districts. Map no.6Map no. 5

Number of NP-AFP cases reported across years during the same period (2013-2017) by zone

Overall number of AFP cases reported in 2017 exceeded the number of AFP cases reported in 2015 and 2016 in the zones except Puntland for the same period .


48 22 35 27

133

37 3761

137

509

171

59 54

95

383

101

50 51 61

263

109

4360

78

290

128

4268

80

318

0

100

200

300

400

500

600

CENTRAL Puntland Somaliland SOUTH SOMALIA

2012 2013 2014 2015 2016 2017

Number of AFP Cases and Contact samples with Entero virus and Sabin like Virus Isolation

Zone

NP-AFP Cases Contact Cases

# S

amp

les

fro

m

Cas

es w

ith

lab

res

ult

# S

amp

les

fro

m

case

s w

ith

NP

-EV

# S

Ls

# S

amp

les

fro

m

Co

nta

cts

wit

h la

b

resu

lt

# S

amp

les

fro

m

con

tact

s w

ith

NP

-EV

# S

LVs

Central 236 37 8 357 36 20

Puntland 78 10 5 116 17 6

Somaliland 124 6 7 189 17 3

South 156 19 3 230 31 6

Somalia 594 72 23 892 101 35


Table no.-3

15.7%

10.1%

6.8%

5.6%

12.8%

14.7%

12.8%

5.2%4.8%

9.0%

11.3%

1.6%

12.2%

13.5%

3.8%

2.6%

12.1%

11.3%

7.7%

3.9%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

% Specimens from cases withNPEV

% Specimens fromContactswith NPEV

% SL from cases % SL from Contacts

CASES AND CONTACT SAMPLES WITH LAB RESULT OFNP-EV AND SLV

Central Puntland Somaliland South Somalia

Early case detection within 7 days from onset of paralysis at zonal and region levels


94% (n=300/318) of AFP cases reported in 2017 are notified within 7 days of onset. 18 cases were notified more than seven days after the onset of paralysis from 7 regions {Lower Jubba (8), Gedo (3) , Middle Juba (1), Bari (1), Sanaq (1), Bay (2) and Galbeed (1)}.

12841 66

65

300

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CENTRAL NE NW SOUTH SOMALIA

Notification within 7 days, Zonal

32 25 20 29 22

20

12 9 17

19

8

4

10 8 8

17

15

16

9300

0%

20%

40%

60%

80%

100%

CENTRAL NE NW SOUTH SOMALIA

Notification within 7 days, Regional

ZONE

# A

FP c

ases

NP

-AFP

Rat

e

# C

ases

wit

h

Ad

q.

Spec

imen

% tool Adq. % inv. within 48 hrs.

% Notif. within 7 days

Cas

es

pe

nd

ing

lab

res

ult

s

Cas

es w

ith

lab

. re

sult

.

Cas

es

wit

h s

too

l in

go

od

co

nd

.

% C

ases

wit

h

sto

ol i

n g

oo

d

con

d.

#o

f sa

mp

les

wit

h N

P-E

V

Iso

late

d

% S

amp

les

wit

h

NP

EV

Iso

late

d

# c

ases

wit

h

Sab

in li

ke v

iru

s Is

ola

tio

n

% o

f ca

ses

wit

h

S L

Vir

us

Iso

lati

on

Central 128 5.0 128 100% 99% 100% 10 118 118 100% 37 16% 8 7%

Puntland 42 10.4 41 98% 100% 98% 3 39 39 100% 10 13% 5 13%

Somaliland 68 5.3 68 100% 100% 97% 6 62 62 100% 6 5% 7 11%

South 80 6.1 78 98% 99% 82% 2 78 78 100% 19 12% 3 4%

Total 318 5.7 315 99% 99% 94% 21 297 297 100% 72 12% 23 8%

Summary of AFP surveillance key indicators by Zone, 2017

Surveillance indicators at national and sub-national level perform above global standard EV isolation is low in Somaliland and the zonal team are investigating this, with focus on the reverse cold-chain practices Except 2 AFP cases; one from El-Waq district of Gedo region in South zone and one from Buloburti distrct of Hiran region in Central zone, all the other AFP cases were investigated within 48 hrs of

notification Three cases from Badade, Bosaso and Kismayo districts (one from each) had low stool adequacy levels.


Table no.-4


Summary of AFP surveillance key indicators by Province, 2017

ZONE PROVINCENumber of AFP cases

reportedNP-AFP Rate % Stool Adq.

% inv. within 48 hrs.

% Notif. within 7 days

% Stool condition

% Samples with EV isolated

% cases with SL isolated

# Cases with late 60 days

follow-up

CENTRAL

BANADIR 32 3.3 100% 100% 100% 100% 22% 7% 0

GALGADUD 25 10.6 100% 100% 100% 100% 17% 4% 1

HIRAN 20 9.7 100% 95% 100% 100% 3% 0% 2

LOWER SHABELLE 29 3.5 100% 100% 100% 100% 18% 20% 0

MIDDLE SHABELLE 22 6.7 100% 100% 100% 100% 14% 0% 0

PUNTLAND

BARI 21 13.1 95% 100% 95% 100% 5% 16% 0

MUDUG 12 7.3 100% 100% 100% 100% 18% 18% 0

NUGAL 9 11.3 100% 100% 100% 100% 22% 0% 0

SOMALILAND

AWDAL 17 7.9 100% 100% 100% 100% 0% 13% 0GALBEED 20 4.1 100% 100% 95% 100% 0% 6% 0SAHIL 8 10.6 100% 100% 100% 100% 0% 25% 0SANAQ 5 3.8 100% 100% 80% 100% 10% 0% 1SOOL 10 9.5 100% 100% 100% 100% 19% 25% 1TOGDHER 8 2.9 100% 100% 100% 100% 13% 0% 0

SOUTH

BAKOOL 8 5.0 100% 100% 100% 100% 6% 0% 0BAY 19 4.0 100% 100% 89% 100% 0% 0% 2GEDO 18 6.6 100% 94% 83% 100% 11% 17% 2LOWER JUBA 25 9.5 92% 100% 64% 100% 26% 0% 1MIDDLE JUBA 10 7.0 100% 100% 90% 100% 10% 0% 2

SOMALIA 318 5.7 99% 99% 94% 100% 12% 8% 12


Summary for Somalia Environmental Surveillance

Sites (Total=03) 2017 201837 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Mogadishu

Region District Site name

Banadir Waberi 21 Oct

Banadir Shangani Urobo

Banadir Hamerewoini Kawma

New Province /Region

WPV1 SL2 VDPV2 NPEV Under process

SL1 SL3 Mix SL1&SL3 Negtive PV2 Undergoing Sequencing

VDPV 2 was isolated from the second sample collected from Waberidistrict

A PV2 is also isolated from the same site and sample has sent to CDC for sequencing

ZONE# AFP Cases

# CONTACTS

# Contactsamples with

Lab result

Average contacts per

cases

% contacts < 5 age

% Contact collected

within 7 daysof AFP

notified

# Contact with stool in

Good Condition

# Contactpending lab

results

# Specimens with NPEV

isolated

% Specimens with NPEV

Isolated

# Contacts with Sabin

virus isolated

% contacts with Sabin like virus Isolated

Central 128 384 357 3 93% 99% 357 27 36 10% 20 6%

Puntland 42 126 116 3 98% 97% 116 10 16 14% 6 5%

Somaliland 68 204 189 3 94% 98% 189 15 16 9% 3 2%

South 80 240 230 3 94% 97% 230 10 31 13% 6 3%

Somalia 318 954 892 3 94% 98% 892 62 99 11% 35 4%

Note: Three specimen are collected for each contact


Table no.-5

Summary of AFP surveillance key indicators for contacts, 2017

Community Samples collected from healthy children

Zone Total Samples collected Discarded Pending for lab result NP-EV Sabin 3

Central 54 39 10 5 0

Putland 30 19 10 0 1

Somaliland 85 61 0 21 3

South 3 3 0 0 0

TOTAL 172 122 20 26 4

ZoneNumber of VPVs

Number of cases reported

# of cases Notified by

VPV

Proportion of cases reported

by VPV

CENTRAL 190 128 94 73%

PUNTLAND 105 42 19 45%

SOMALILAND 81 68 22 32%

SOUTH 159 80 37 46%

Somalia 535 318 172 54%

Distribution of AFP cases by source of case notification, 2017

Key: 1. VPVs: Village polio volunteers2. HFs: MCH, Hospitals and Private clinics3. Others: community members, district field assistants, traditional healers


Table no.-6

94

19

22

37172

22

1636 20

94

127 10

23

52

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Central Puntland Somaliland South Somalia

Pro

p. c

ases

no

tife

d b

y

Source of AFP cases notification

VPV HFs Other

Distribution of AFP cases by life style, age group and sex, 2017

Of the total 318 AFP

cases reported in 2017,

44% (n=139) and 36%

(n=114) are from Urban

and Rural population

respectively. Nomadic

communities account for

only 20% (n=65).

87% (n=276) of cases are

aged less than 5 years.

45% (n=143) AFP cases

are female.


Graph no.-10 Graph no.- 11 Graph no.-12

31 97 9180

70 65

51

150

144

87117

114

65

281

181 112 129 139

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017

Distribution of AFP cases by Life style

Nomadic Rural Urban

56 221 167 115

164143

92 324 252 166

152175

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017

Distribution AFP cases by Sex

Female Male

129

129

348249 283 276

19

83

7232 33 42

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017

Distribution of AFP cases by Age group

<5 Yrs ≥ 5 Yrs

AFP surveillance indicators by accessibility status of districts

Accessibility# of

districtsU-15 Pop

in this area

# of AFP cases

Reported

# of Casesreported by VPVs

% of Casesreported by VPVs

NP AFPrate

Number of cases with lab

result

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notif.

within 7 days

%Specimens with

NPEV

% cases with

Sabin like virus

Inaccessible 17 601,282 42 34 81%7.7

38 100% 100% 90% 26% 0%

Partially accessible

23 1,670,705 81 38 47%5.4

78 98% 99% 91% 4% 8%

Accessible 75 3.907,440 195 100 51%5.5

181 99% 99% 96% 13% 9%

National 115 6,179,427 318 172 54%5.7

297 99% 99% 94% 12% 8%

VPVs continue to support AFP surveillance and have reported 81% (n=34/42) of cases from inaccessible and 47% (n=38/81) from partially accessible districts.

Most of the surveillance indicators in the accessible and access compromised areas are above global standards; however, SL isolation is very low in the access compromised districts, there are challenges in providing immunization services in those districts


Table n

o.-7

Accessibility% of <15

population in the

area

# of AFP cases

Reported

# of Casesreported by VPVs

% of Casesreported by VPVs

Number of cases with lab

result

% of cases with lab

result within 14

days

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notified within 7

days

%Specimens with

NPEV

% cases with Sabin like virus

Nomadic 28.8% 65 41 63% 59 83% 97% 98% 94% 10% 7%

Rural 25.9% 114 71 62% 109 88% 100% 99% 95% 14% 8%

Urban 45.3% 139 60 43% 129 91% 99% 100% 94% 12% 8%

National 100% 318 172 54% 297 88% 99% 99% 94% 12% 8%

AFP surveillance indicators by Life Style of Population 2017


All major AFP surveillance indicators have met global standard across all life styles

Validation and zero dose investigation of AFP cases, 2017

AFP cases Validation

Zone# of AFP cases

Reported# of AFP

cases Validated

% of AFP cases

Validated

Central 128 73 57%

Somaliland 68 46 68%

South Zone 80 66 83%

Puntland 42 24 57%

Somalia 318 209 66%

Of the total 318 cases, 66% (n=209) were validated by the RPOs There were 41 zero OPV dose AFP cases reported in 2017, 85% (n=35/41) were investigated.


Table no.-8

Zero dose Investigation

Zone

# of Zero dose AFP cases Reported

# of Zero dose AFP cases

investigated

% of Zero dose AFP cases

investigated

Central 18 15 83%

Puntland 1 1 100%

Somaliland 0 0 0

South 22 19 86%

Somalia 41 35 85%Table no.-9

Tracking lab results of AFP cases

Total AFP cases

318

Total AFP cases with stool specimens

Total AFP cases without stool

specimens

318 0

With lab results

En route In the lab

297 0 21

cVSPV2 SL EV -ve

0 23 45 233

64

233

21

Tracking AFP with stool specimens

cVDPV2

Other viruses

neg st

in lab

en route


Samplesource

#Specimen collected

# Specimen with culture

result

# Specimens pending lab

result

# Specimenwith culture result within

14 days

% of specimen with culture

result within 14 days

Number of specimen with NPEV

% of specimen

with NPEV

Number of Specimens with Sabinisolation

% of Specimen

s with Sabin

isolation

Cases 636 594 42 535 90% 72 12% 23 8%

Contacts 954 892 62 803 90% 99 11% 35 4%

Total 1590 1486 104 1337 90% 171 12% 58 5%

Lab performance indicators for AFP surveillance in Somalia, 2017


Table no.-10

Median and average number of days from onset of paralysis up to final lab result - 2017

Date of Notification

Second stool collected

Specimen reached to Lab

Primary Culture result

Date of onset ITD result

Median: 20 daysAverage: 22 days

Date second stool

collected

Date final ITD results

Median: 3 daysAverage: 3.53 days


1 day


Chart no. 2



Village polio volunteers weekly house to house visit and AFP cases notified , November 26, 2017

Week-47 Somalia Weekly Polio Update

Central

January Feberuary March April May June July Aug Sept Oct Nov

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP cases notified

No. of HH visited

No. of AFP

cases notifie

d

No. of HH

visited


No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited


No. of HH visited

No. of AFP cases

notified

No. of HH visited


No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notifie

d

Central31757 6 31780 6 39997 11 35672 12 37438 10 46730 10 38112 6 46205 10

37,881 11

37,599 4

29,588 7

South33599 5 32985 3 41237 5 34252 4 33505 4 43001 1 32761 6 41701 3

33,641 2

33,095 3

25,454 1

Puntland 15237 3 15591 1 18903 3 15193 1 15291 2 14887 1 15175 1 19043 1

15,393 4

16,554 1

12,241 1

Somaliland36646 6 36882 4 45971 0 35634 3 35446 2 41710 1 33807 1 43648 2

34,710 1

32,547 0

23,585 3

Total117239 20 117238 14 146108 19 120751 20 121680 18 146328 13 119855 14 120535 16 151687 18 119795 8 90868

12

Routine Immunization Services, status of Cold Chain & Vaccine stocks in AFP Surveillance Sites as of November 26, 2017


Region

Expected weekly

AFP sites visits

Health facility have a

routine EPI service

AFP sites with EPI service and

functional cold chain

Health facility have EPI

vaccine available

Health facility have IPV vaccine

available

No No. % No. % No. % No. %

Nugal 33 19 58% 19 100% 19 100% 17 89%

Bari 116 34 29% 32 94% 34 100% 31 91%

Mudug 58 39 67% 38 97% 38 97% 32 84%

Galbeed 40 23 58% 23 100% 23 100% 23 100%

Sahil 24 10 42% 10 100% 10 100% 8 80%

Sanag 19 11 58% 11 100% 11 100% 11 100%

Sool 28 10 36% 10 100% 10 100% 10 100%

Awdal 43 23 53% 23 100% 23 100% 23 100%

Togdher 52 21 40% 21 100% 21 100% 21 100%

Middle Shabelle 35 18 51% 15 83% 16 89% 15 94%

Hiran 24 23 96% 6 26% 23 100% 23 100%

Galgadud 36 23 64% 14 61% 23 100% 23 100%

Banadir 101 51 50% 22 43% 51 100% 51 100%

Lower Shabelle 49 27 55% 13 48% 25 93% 20 80%

Middle Juba 15 1 7% 0 0% 1 100% 0 0%

Bakool 26 10 38% 10 100% 10 100% 10 100%

Gedo 51 20 39% 20 100% 20 100% 17 85%

Bay 75 30 40% 30 100% 30 100% 30 100%

Lower Juba 46 23 50% 8 35% 23 100% 20 87%

Somalia 870 416 48% 325 78% 411 99% 385 94%

Part -III

Fever and rash Surveillance

- After showing a steady decline for about 14 consecutive weeks starting from week 24, the numbers have started to go up in recent weeks.- The cumulative reported cases also still remain higher than the number of cases reported at the same period in the past 4 years. - All regions have reported suspected measles cases in 2017, however, the top 5 reporting regions are Banadir, Togdhere, Hiran, Lower shabelle and Glbeed.


Epi-curve on suspected measles cases by week, Somalia (Week 20, 2015-Week 43, 2017)

2015 (n=7498)

2016 (n=5657)

163

149

144

208

182

172

174

199 21

4

175

140 15

6

161 18

0

134 15

1

113 12

7

96 95

85

107 12

4

86 90 84

72

102

72

89 88

115

100

125

97

111

158

105

87

66

86

103

125

112

95

122

109

87 88 83

105

140

132

102 11

5

116

142

127 14

1

145

109

98

124

90

82

74 79

60

91 92

81 76 70

84

76 74 71 67

85

101

170

102

93 93

128

117

122 13

3

154

122

155 17

3

196 21

0 228

222

309

255

408

373

399

383

436

441

670

496

699

657

685

663

696 70

3 720

686 69

3

584

560

538 55

4

463

488

444

400

325

436

330

277 29

0

352

320

507

441

416

389

410

362

440

487

0

100

200

300

400

500

600

700

800 2017(n=20,078)

Fever & Rush cases reported by AFP surveillance System, November 26, 2017


Region

Tota

l 20

16 Fever and Rash Cases by weekly

Tota

l 20

17

W1

W2

W3

W4

W5

W6

W7

W8

W9

W1

0

W1

1

W1

2

W1

3

W1

4

W1

5

W1

6

W1

7

W1

8

W1

9

W2

0

W2

1

W2

2

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

Nugal 112 3 1 1 2 2 0 1 1 0 2 0 0 4 3 4 5 15 3 6 18 27 25 23 21 17 22 19 38 42 42 53 70 82 54 46 41 31 44 200 109 91 62 84 100 118 113 1642

Bari 202 1 7 5 3 7 0 1 4 4 12 0 11 23 21 31 26 22 47 74 73 74 81 114 85 44 90 98 67 75 47 62 44 34 56 39 26 50 35 38 36 35 22 44 44 33 33 1777

Mudug 270 1 3 7 2 1 21 18 15 29 28 16 35 50 24 53 51 27 26 26 45 72 82 78 77 93 73 44 52 70 73 51 42 51 37 32 56 61 49 64 77 85 72 73 64 61 115 2181

N/East Zone 584 5 11 13 7 10 21 20 20 33 42 16 46 77 48 88 82 64 76 106 136 173 188 215 183 154 185 161 157 187 162 166 156 167 147 117 123 142 128 302 222 211 156 201 208 212 261 5600

Galbeed 45 0 3 1 5 2 7 10 8 8 12 18 19 30 29 50 60 45 63 85 41 44 19 29 19 22 9 11 14 12 13 5 3 2 1 2 1 4 5 2 1 6 7 2 6 0 3 738

Sahil 226 12 18 37 25 22 17 28 17 28 18 31 20 27 16 24 10 27 11 11 10 13 17 15 9 39 2 17 7 17 2 3 0 5 0 4 0 2 1 1 0 1 0 2 0 0 0 554

Sanag 16 0 3 0 0 1 0 0 0 0 5 0 1 2 1 9 0 11 1 5 5 19 5 11 19 22 11 13 19 10 10 16 0 8 6 3 0 6 5 8 0 2 2 5 0 7 6 257

Sool 24 8 11 6 22 26 24 41 20 32 36 37 36 37 40 28 24 14 24 14 13 15 16 5 5 11 13 9 5 3 0 0 2 4 4 1 6 0 4 0 1 8 3 2 1 10 5 618

Awdal 56 0 1 4 1 6 0 0 0 0 0 0 0 0 1 0 0 3 0 11 1 2 0 6 4 23 2 24 0 4 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 99

Togdher 223 42 22 26 18 63 28 103 36 105 66 118 87 88 111 162 87 157 108 141 98 88 31 50 37 23 29 42 13 22 8 29 2 30 7 26 10 13 6 17 6 10 12 27 7 19 10 2198

N/West Zone 590 62 58 74 71 120 76 182 81 173 137 204 163 184 198 273 181 257 207 267 168 181 88 116 93 140 66 116 58 68 33 57 8 49 18 36 17 25 21 28 8 27 24 38 14 37 24 4464

M/ Shabelle 206 5 10 6 18 7 10 8 11 5 19 23 23 20 20 12 14 25 10 8 7 6 16 18 20 20 16 20 16 28 13 9 14 14 21 8 19 22 16 7 15 16 16 15 12 6 12 651

Hiran 107 0 4 9 3 19 15 23 66 28 29 28 37 45 63 78 75 74 76 78 84 57 52 69 24 48 58 15 21 0 21 14 3 3 13 8 7 4 10 4 6 3 5 5 3 7 13 1307

Galgadud 261 4 3 2 5 5 6 3 11 4 7 4 5 149 17 28 23 19 17 13 7 9 13 8 12 9 13 29 19 14 17 13 18 5 8 6 9 7 5 8 6 4 7 5 8 3 6 589

Banadir 2226 89 78 76 71 95 79 119 128 91 83 93 108 110 65 134 184 172 209 162 225 205 226 202 181 116 138 140 123 117 134 93 71 140 76 62 58 69 68 75 98 58 81 50 41 71 106 5081

L/Shabelle 1217 25 27 45 23 37 25 33 42 42 45 36 32 45 53 45 45 59 30 38 47 52 52 49 47 47 40 59 58 45 36 33 43 39 29 30 34 56 49 40 41 40 38 44 32 39 37 1858

Central Zone 4017 123 122 138 120 163 135 186 258 170 183 184 205 369 218 297 341 349 342 299 370 329 359 346 284 240 265 263 237 204 221 162 149 201 147 114 127 158 148 134 166 121 147 119 96 126 174 9486

Middle Juba 51 0 0 0 0 2 0 0 2 3 3 0 2 0 0 0 3 3 3 0 0 3 5 0 3 0 0 0 0 6 3 0 3 3 0 0 0 0 2 0 4 4 1 1 1 0 0 60

Bakool 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 15 5 8 2 4 0 4 2 0 2 2 2 6 6 8 3 5 84

Gedo 104 0 0 4 1 1 6 0 0 0 0 0 0 0 0 6 0 5 0 0 12 13 14 2 0 0 0 0 0 0 0 1 0 0 0 0 2 8 8 24 12 24 9 9 3 35 16 215

Bay 9 0 0 0 3 0 0 0 0 14 0 23 9 33 19 23 42 3 31 18 12 18 28 12 19 26 22 8 8 12 6 7 1 10 6 7 12 9 3 4 8 5 14 22 18 19 7 541

Lower Juba 265 6 19 0 12 15 17 20 14 6 7 1 7 7 8 12 8 4 4 6 5 3 4 2 2 0 0 6 3 1 4 2 0 4 8 3 5 8 10 13 19 22 32 14 14 8 0 359

South Zone 466 6 19 4 16 18 23 20 16 23 10 24 18 40 27 41 53 15 38 24 29 37 51 16 24 26 22 14 11 29 28 15 12 19 18 10 23 27 23 43 45 57 62 52 44 65 28 1259

Grand Total 5657 196 210 229 214 311 255 408 375 399 372 428 432 670 491 699 657 685 663 696 703 720 686 693 584 560 538 554 463 488 444 400 325 436 330 277 290 352 320 507 441 416 389 410 362 440 487 20809

Distribution of reported fever and rash cases in Somalia , 2014-2017


Map no.7 Map no.8

Data source: from the Polio surveillance system and CSR.

Region

Fever & rash cases (2014)




Nugal 1110 82 112 1414

Bari 1284 226 202 1712

Mudug 542 561 270 2006

Galbeed 121 212 45 735

Sahil 30 60 226 566

Sanag 115 114 16 244

Sool 187 86 24 611

Awdal 1 15 56 98

Togdher 407 864 223 2211

M. Shab. 285 500 206 638

Hiran 63 663 107 1287

Galgadud 299 229 261 584

Banadir 2594 1974 2226 4993

L. Shab. 1978 1611 1217 1807

M. Juba 177 48 51 60

Bakool 3 26 37 76

Gedo 126 8 104 164

Bay 309 145 9 515

L.Juba 648 74 265 347

Total 10,279 7,498 5,657 20,078

Map no.9

Fever & Rush cases reported by AFP surveillance System- November 26, 2017


<1yr, 3815, 18%

1_4 yrs, 10342, 49%

5_9yrs, 3534, 17%

Yrs10+, 3314, 16%

Age-wise distribution of fever and rash cases reported by AFP surveivallance system during 2017

9486

56004464

1259

20809

0

5000

10000

15000

20000

25000

Central North East North West South Total Somalia

Zone-wise cases of fever and rash reported by AFP surveillance system in 2017

Trend of reported fever and rash cases by zone in 2015 /16/17 Source AFP surveillance,


• Number of fever and rash cases reported has shown decline in recent months compared to the previous month; However, it is still very high/4 times higher than cases reported during the same period in 2015 or 2016.

Mea

sles

Cam

pai

gn(2

1-2

5 M

ay)

Mea

sles

Cam

pai

gn

(24

-28

Ap

ril)

Mea

sles

Cam

pai

gn(2

1-2

5 M

ay)

Mea

sles

Cam

pai

gn(2

4-2

8 M

ay)

161 133 115 97 14062 43 39 19 33 12 1539 30 48 70 119 83

24 27 27 11 40 036 71

214282

491

925

667 634510

891 882

0

200

400

600

800

1000

Puntland

2015 2016 2017

161 142269

202 243

93 72 47 29 47 29 1514 36 82 10433 35 16 9 42

9637 8

265

459

861 909823

503

275

132 99 87 113

0

200

400

600

800

1000

January February March April May June July AUG Sept. Oct. Nov. Dec

Somaliland

2015 2016 2017

455 443 441 348545 450 514

328 281388 383 401367 315 401

265 324 307 278 271 310142

350

30

503742

1111 12051340

1494

925

659547 568 515

0

500

1000

1500

2000


Central

2015 2016 2017

4027 27 30

4622 27 19 14 13 18 189

37 2946

7550

9 217

3346

2645

77

115136 128 139

8264

83

207189

0

50

100

150

200

250


South

2015 2016 2017

Part -IVPopulation Immunity

Supplemental Immunization Activities

Maps showing accessibility and security/ risk level, Somalia


Map no.11Map no.10

Somalia Total 501 869 457 11689 6,179,427

Summary Strategic features and initiatives in Somalia by accessibility

ZonesAccessibility

statusVPV

AFP active Surveillance site

TPVP Settlement Under 15- POP.

CENTRALAccessible 128 216 147 2354 2,230,697Inaccessible 62 29 21 1042 619,775Total 190 245 168 3396 2,850,471

PUNTLANDAccessible 105 207 53 1076 446,241Inaccessible 0 0 0 0 0Total 105 207 53 1076 446,241

SOMALILANDAccessible 81 206 53 3435 1,426,642Inaccessible 0 0 0 0 0Total 81 206 53 3435 1,426,642

SOUTHAccessible 75 179 123 2234 1,010,326Inaccessible 84 33 22 1548 445,747Total 159 212 145 3782 1,456,073

SomaliaAccessible 389 808 376 9099 5,113,906Inaccessible 146 62 43 2590 1,065,522Somalia Total 535 870 419 11689 6,179,428


2017 SIA Calendar, Implementation status and coverage Summary


Tab

le n

o.-

14

Somalia SIA Callender for 2017

Planned DateCampaign

TypeGeographic Areas to be covered

Target

Age

Group

Zonal

target

Population

Implementation date Vaccine # Reached/

Vaccinated

Admin

Coverage

in %

IM

Coverage in

%LQAS Result

26-Feb-17 NIDs R-1

All accessible areas of Central zone

Under 5

years

904,454 26-29 Feb. 2017

b-OPV

848,340 94% 94% Of 11 lotes, 9=passed and 2=Satisfactory

Puntland all districts 530,201 05-08 April 2017 546,302 103% 97% Of 31 lotes, 27=Passed, 3= Satisfactory and 1=Failed

Somaliland all districts 621786 26-29 Feb. 2017 612,911 99% 97% Of 29 lotes, 19=Passed, 6=satisfactory, 3 =failed and 1 discarded

All accessible areas of South zone 385,555 26-29 Feb. 2017 369,517 96% 91% Of 5 lotes, 4=Passed and 1=Failed

2,441,996 2,377,070 97%

02-04, April-17 NIDs R-2


Under 5

years

904,451 02-05 April 2017

b-OPV

850,772 94% 93% Of 11 lots, 9=passed, 2= Satisfactory and 0=failed

Puntland all districts 529602 6-9 May 2017 546,673 103% 98%

Somaliland all districts 623462 02-05 April 2017 609,734 98% 97% Of 28 lotes, 25=Passed, 1= Satisfactory and 2=Failed

All accessible areas of South zone 398427 02-05 April 2017 385,584 97% 95% Of 5 lotes, 3=Passed, 1= Satisfactory and 1=Failed

2,455,942 2,392,763 97%

23-Jul-17 HtR - R-1

Nomadic; Agro pastoral; Scattered,

remote, far settlements & Small

villages with difficult / no road access

Under 5

years

73,447 C. Z: 23-26 July 2017

b-OPV

64,160 87% No IM No LQAS

32,803 S.Z: 23-26 July 2017 31,095 95% No IM No LQAS

136,929 P.L: 07-10 Sept 2017 122,321 89% No IM No LQAS

145,980 SL: 23-26 July 2017 142,794 98% 92% No LQAS

389,159 360,370 93%

14-Aug-17 HtR - R-2

Nomadic; Agro pastoral; Scattered,

remote, far settlements; & Small

villages with difficult / no road access

Under 5

years

73,447 C. Z: 29 Aug-01 Sept. 2017

b-OPV

66,285 90% No IM No LQAS

32,803 S.Z: 29- Aug-01 Sept. 2017 32,238 98% No IM No LQAS

136,929 P.L: 25-28 Nov. 2017

145,980 SL: 11- 14 Sept. 2017 143,750 98% No IM No LQAS

252,230 242,273 96%

03-Dec-2017 NIDs R-3


Under 5

years

904,451

b-OPVPuntland all districts 526636

Somaliland all districts 623462

All accessible areas of South zone 398427

All accessible areas of South zone 2,452,976 0 0A) Target population: includes all accessible areas including the areas/districts that became accessible in 2015 and 3% population growth added 2016.B) Buffer stock: 1 million bOPV doses kept in country for: Transit/Cross Border Permanent Vaccination Teams and SIADs for new areas accessible.C) Country team strategy for newly accessible areas: conduct house to house bOPV vaccination, 4 Rounds at 10 days interval, R-1 target U<5 years, R-2 target U10 years, R-3 target all age groups; R-4 target U 5 years OPV + Measles.

NID-1, NID-2 2017 Summary

NID1 & NID 2 was conducted as scheduled in March and April 2017.

HtR 1 also conducted in South, Central and Somaliland, Puntland will conducted in August

Cumulatively 5,336,012 under 5 children were targeted in the two NIDs and 1 HTR rounds and 5,007,882 million doses were administered.

IM data showed overall national coverage of 95%, 96% and 92% respectively for NID-1 and NID 2.

Regional summary anddistrict level IM coverageis presented on the tableand the maps on the left


ZONE/REGION

NID-1 NID-2 HtR-1

# U -5 Targeted

# U-5 Reached

IM coverage

# U -5 Targeted

# U-5 reached

IM coverage

# U -5 Targete

d

# U-5 reached

IM coverag

e

Banadir 424086 398999 96% 424083 399509 95% 19,323 18,056

No IM

Galgadud 100060 91815 86% 100060 91077 86% 25,047 20,559

Hiran 77692 72736 97% 77692 70991 94% 8,025 6,699

L. Shabelle 182368 167848 94% 182368 171852 94% 8,304 7,618

M. Shabelle 120248 116942 98% 120248 117343 98% 12,748 11,228

Central Total 904454 848340 94% 904451 850772 93% 73447 64160

Ayn 12662 12157 97% 12662 12375

Bari 138029 167908 103% 138029 163261 99%

Karkar 48509 47142 99% 48509 47807 98%

Mudug 208301 201496 94% 208401 202736 100%

Nugal 81659 77952 94% 80961 80267 94%

Sanag 27755 26773 96% 27755 27068 96%

Sool 13286 12874 97% 13286 13159 97%

Puntland Total 530201 546302 98% 529602 546673 99%

Awdal 107324 104100 100% 107324 105201 98% 23,910 23,351 92%

Sanag 65777 62900 96% 205431 201208 95% 15,965 15,212 92%

Sool 59781 64651 98% 46202 44442 96% 14,510 15,843 70%

Togder 138946 134347 99% 65777 61014 97% 30,519 29,294 97%

Marodijeh 203756 203756 93% 59781 63193 94% 49,862 48,407 74%

Sahil 46202 43157 100% 138946 134676 100% 11,214 10,687 100%

Somaliland Total 621786 612911 97% 623462 609734 96% 145,980 142,794 92%

Bakool 36758 35575 90% 36758 34187 95% 2,088 1,938

No IM

Bay 162935 157910 93% 162935 158629 95% 7,275 6,678

Middle Juba NO NID (Inaccessible Region)

Gedo 111491 106423 89% 111491 108737 93% 11,448 10,845

Lower Juba 74371 69609 93% 87243 84031 96% 11,992 11,634

South Total 385555 369517 92% 398427 385584 95% 32,803 31,095

Grand Total 2,441,996 2,377,070 96% 1,926,340 1,846,090 95% 252,230 238,049 92%


Table no.-16

A total of 2,007,839 < 10 years individuals were vaccinated week 46,2017. Among them,81,839 (4%) were vaccinated for the first time.

Transit Points Vaccination Activities as of November 26, 2017

Zones

January February March April May June July August September October November

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

CENTRAL 102390 12082 11.8% 109859 7779 7.1%144262 7777 5.4% 110748 3902 3.5% 102455 2583 2.5% 130637 1742 1.3% 102700 786 0.8% 127897 632 0.5% 104615 418 0.4% 102436 375 0.4% 75841 268 0.4%

PUNTLAND 22653 93 0.4% 21444 71 0.3% 27405 83 0.3% 21282 67 0.3% 20612 59 0.3% 28689 91 0.3% 23886 63 0.3% 27849 76 0.3% 22146 66 0.3% 23933 51 0.2% 17853 46 0.3%

SOMALILAND

14367 208 1.4% 15220 428 2.8% 18818 752 4.0% 14696 426 2.9% 15646 485 3.1% 18904 515 2.7% 15998 477 3.0% 19626 614 3.1% 15714 476 3.0% 15747 482 3.1% 11452 270 2.4%

SOUTH 39301 12498 31.8% 41710 14632 35.1% 39045 2388 6.1% 29791 1125 3.8% 29842 1135 3.8% 38680 1332 3.4% 29127 929 3.2% 35148 1173 3.3% 28224 888 3.1% 27930 843 3.0% 21261 653 3.1%

SOMALIA 178711 24881 13.9% 188233 22910 12.2%229530 11000 4.8% 176517 5520 3.1% 168555 4262 2.5% 216910 3680 1.7% 171711 2255 1.3% 210520 2495 1.2% 170699 1848 1.1% 170046 1751 1.0% 126407 1237 1.0%

Performance of Permanent Vaccination sites in inaccessible areas of S/C zone and distribution as of November 26, 2017


Since the first weeks of 2017, a total of 124,151 <10 years children were reached through the newly established permanent vaccination sites in fully inaccessible area in South and Central zones. 45% (n=56,448) of the children are vaccinated for the first time.

Number of U-10 Children vaccinated by Newly Established permanent vaccination sites in inaccessible areas of South and Central zones of Somalia.

ZONE REGIONDISTRICT Number of

vaccinated kidsNumber of Zero

doses vaccinatedProportion of Zero

doses (%)

CENTRAL

GALGADUD

Elbur 2,928 2,315 79%Galhareri Data not received Elgaras 7,273 6,305 87%

L.ShabelleAwdegle 37,801 12,049 32%Sablale 38,551 11,462 30%

South

L. Jubba

Hagar 5,397 3,226 60%Jamame East 4,137 3,950 95%Jamame West

3,071 2,85793%

Kismayo 11,379 2,705 24%

M. JubbaBuale 7,800 6,714 86%Sakaw 5,814 4,865 84%

TOTAL 124,151 56,448 45%

Immunity Profile of NP-AFP cases (6-59 Months) and Contacts 2013-2017

In 2017, 41 zero-dose NP-AFP cases were reported; 22 from South, 18 from Central and 1 from Puntland. 3 cases are off the age group 6-59 months. Review of five years data reveals, the proportion of zero dose AFP cases is declining progressively, however, there are significant proportion (32%) of children are under

immunized.


Graph no.-21 Graph no.-19 Graph no.-20

7673

38 37 37

63

3329

3751

61

50 43 56

55

69

182 127 143128

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017

Immunity Profile of NP-AFP Cases 6-59 Months, 2013-2017

0 dose 1-3 doses 4-6 doses 7+ doses

29

21 9 10 9

34

206

20 30

26

2717

2833

25

83 37

31 35

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017

Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2017


15

1 0

21

37

17 14

5

15

51

18

4

14

19

55

6119

34

14

128

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2017


709

265110 118 123

439

164

123 144179

344

180

134 189177

409

630448 492 471

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017

Immunization Profile of contacts (all-2017)

0 Dose 1-3 doses

30 0

6

9

8

10

4

8

30

11

2

11

9

33

125

17

1

35

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-23 Months by Zone, 2017

0 Dose 1-3 Doses 4-6 Doses 7+ Doses

Immunity profile of 6-59 months age NP-AFP cases by Zone 2012-2017


Graph no.-22 Graph no.-23

Graph no.-24 Graph no.-25

526 28

8 13 15

10

24

812 11 17

1829

26 19 1418

13 31

98 61 6661

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017

CENTRAL


Part -V Routine Immunization

Trend of routine EPI coverage by zone, 2014-2017

(N.B. 2017 is annualized from 9 months data )

Source: HMIS/DHIS-2 data 2016 and 2017.

0

10

20

30

40

50

60

70

80

90

100

BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3

PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA

2014 2015 2016 2017 Nine month

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Pent1 24215 48781 73263 98229 124707 152394 181148 207148 235011 266781 299618 331481

Penta3 27543 48616 70816 91732 113674 136589 160723 181282 203464 229673 256554 283080

Measles 18379 39266 60502 81562 103608 127044 150435 174056 193371 209302 230710 249465

Target 7.50% 15.00% 22.50% 30.00% 37.50% 45.00% 52.50% 60.00% 67.50% 75.00% 82.50% 90.00%

Penat1% 5% 11% 16% 22% 28% 34% 40% 46% 52% 59% 66% 73%

Penta3% 6% 11% 16% 20% 25% 30% 36% 40% 45% 51% 57% 63%

measles% 4% 9% 13% 18% 23% 28% 33% 39% 43% 46% 51% 55%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

Immuinzation monitoring chart, Somalia2016


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Sum of Pent1 31367 61990 89840 119005148901178493215415247586272579

Sum of Penta3 26790 53670 77763 102433127572152696178791203443225161

Sum of Measles 20594 44105 64886 89207 115739139255166186190981210074

Sum of Montly target on surval% 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 8% 16% 23% 31% 38% 46% 55% 64% 70%

Sum of penta-3% 7% 14% 20% 26% 33% 39% 46% 52% 58%

Sum of Measless% 5% 11% 17% 23% 30% 36% 43% 49% 54%

0%

20%

40%

60%

80%

100%

120%

0

50000

100000

150000

200000

250000

300000

Axi

s Ti

tle

Somalia Monitoring Chart, 2017

Part -VIVaccines and Cold Chain

Management

Vaccines and Cold Chain Management


USSC (Country Office)

• All measles vaccines and injection materials for the mass campaign have been prepositioned in all

respective zones

• Plans are under way to conduct a supply chain system redesign introduction workshop in 3rd week of

Jan 2018. The draft terms of reference/ scope of work are ready for review

• We are expecting 1 million doses of bOPV next week

• Logistics plans are under way, as we await the result’s analysis of the PV2 environmental sample from

Mogadishu

• Taking inventory of all polio vaccines (bOPV, tOPV, IPV)

• Gathering data on how to handle and manage mOPV just in case

Part -VIICommunication

Communication for Development

• Development/fine-tuning of response communication plan, including crisis

communication

• Identification of C4D Team A members for immediate response phase and

discussion on modalities of deployment

• Preparation/gathering of appropriate materials for initial media briefing, and to

prepare national opinion.


the end

Documents

Week-47 - ReliefWeb · Week-47 Somalia Weekly EPI/POL Update AFP cases were reported from across the country from all zones, all regions and also from the accessible and the inaccessible