Weekly Epidemiological · · 2011-02-21Weekly Epidemiological Bulletin ... Haripur BHU STC-4 2 0 0 0 ... 2 Suspected cases were reported from Makhan Colony

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. 7 (11 to 17 February 2011) • 60 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.

• 2,381 fixed health and 8 mobile medical outreach centres provided surveillance data for this week.

• A total of 641,212 consultations were reported through DEWS of which 31% were acute respiratory infections (ARI), 9% skin disease, 6% acute diarrhoea, and 5% were suspected Malaria.

• A total of 51 alerts were reported in this bulletin: 44 from week seven, and 7 from week eight. Altogether 26 alerts were for Measles; 4 each for Chickenpox, Tetanus, and Menin-gitis; 3 each for Neonatal Tetanus, and Pertussis; 2 for Bloody Diarrhoea; and 1 each for Acute Flaccid Paralysis, Acute Jaundice Syndrome, CCHF, Suspected Malaria, and Mumps.

• There were four cases of confirmed poliomyelitis reported this week

Highlights

Disease early warning system and response in Pakistan

01

Volume 2, Issue 7 Monday 21 February 2011

Table-1: Priority diseases reported during the week 52-2010 to week 7-2011

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 17 February 2011 (Epi week 31, 2010 to week 7, 2011)

Diseases Wk-52 Wk-1 Wk-2 Wk-3 Wk-4 Wk-5 Wk-6 Wk-7

Skin Disease 41,435 (8%) 50,424 (8%) 55,947 (9%) 52,822 (8%) 67,253 (9%) 69,212 (9%) 74,620 (9%) 55,799 (9%)

ARI (URI and LRI) 158,048 (31%) 194,176 (32%) 208,819 (32%) 212,625 (33%) 231,441 (31%) 245,960 (31%) 265,798 (31%) 197,156 (31%)

Other Acute Diarrhoea (Not Watery) 32,933 (6%) 36,460 (6%) 39,041 (6%) 35,250 (5%) 41,155 (6%) 45,062 (6%) 49,594 (6%) 38,523 (6%)

Bloody Diarrhoea 3,076 (1%) 3,975 (1%) 4,310 (1%) 4,251 (1%) 5,351 (1%) 4,908 (1%) 4,979 (1%) 4,284 (1%)

Suspected Malaria 25,791 (5%) 34,340 (6%) 35,356 (5%) 31,624 (5%) 37,108 (5%) 43,668 (6%) 50,377 (6%) 34,936 (5%)

Total consultation 509,612 607,661 651,856 644,796 739,563 788,126 855,030 641,212

0

5

10

15

20

25

30

35

40

45

50

Percentage

AD BD ARI S. Malaria

Epidemiological Bulletin: Flood Response in Pakistan

Fig-2: Weekly number of reporting health units (Week 33-2010 to week 7-2011)

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 17 February 2011

Table-2: Measles Case-Based Surveillance Results, Pakistan, Week 6, 2011

Diseases Total

Skin Diseases 1,981,761 (12%)

Acute Respiratory Infection 4,081,693 (24%) Other Acute Diarrhoea (Not Watery) 1,573,330 (9%)

Bloody Diarrhoea 157,040 (1%) Suspected Malaria 950,011 (5%) Unexplained Fever 703,655 (3%)

Total Consultations 16,786,134

Since July 29, 2010, a total of 1,573,330 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 38,523 reports of acute diarrhea, 6% of total con‐sultations. This is the same proportional morbidity (6%) reported by DEWS in week‐7/2010 but 1% lower from week‐7/2009.

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

Since July 29, 2010, a total of 4,081,693 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 197,156 reports of Acute Respiratory Infection, 31% of total consultations, 3% lower than the proportional morbidity reported by DEWS in week‐7/2010 but the same as week‐7/2009.

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

Province Population (estimated) Number of Specimen Positive Female Male

Punjab 89,039,776 12 7 6 6

Sindh 37,992,536 30 20 14 16

KP 22,259,944 5 4 3 2

FATA 3,411,082 1 0 1 0

Balochistan 8,033,664 4 3 3 1

AJK 3,514,728 0 0 0 0

GB 1,506,313 5 3 3 2

ICT 1,338,944 11 8 5 6

Total 167,096,987 68 45 35 33

<5 >5

8 4

22 8

5 0

1 0

3 1

0 0

3 2

6 5

48 20

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

Per

cent

age

Epi week

2009

2010

2011

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

Per

cent

age

Epi-week

200920102011

597 702

826

788

758

745

715

655

575

509

439

502 88

1 1259

1139 1342 162

7

1391

1960

1939

215

9

2295

2196

219

0

2196

2251

2381

361375

411331400

215192153128

10581 58

46

2626

11

812

8 1111

11 11 8 8 8 8

0

500

1000

1500

2000

2500

3000

Wk 33

Wk 35

Wk 37

Wk 39

Wk 41

Wk 43

Wk 45

Wk 47

Wk 49

Wk 51

Wk 1‐11

Wk 3

Wk 5

Wk 7

Mobile Fixed

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


Date of alert Disease Province District Location Male Female

<5 >5 <5 >5

11-Feb-11 Chicken Pox Balochistan Nasirabad Mangoli IDP Camp 0 0 0 0 5 cases with typical Chicken Pox symptoms were found in Mangoli IDP Camp. Discussed with EDO for mobile medical camp for symptomatic case management and health education.

11-Feb-11 Measles Punjab Muzaffargarh DHQ Muzaffargarh (Taj Nursery, Rawley Wala) 0 1 1 0

Upon field investigation 2 suspected cases were found from the village. 2 Samples were collected and sent to NIH, both were negative for Measles. Vit. A doses were given to all children found in the vicinity. No other active case was found.

11-Feb-11 Measles Sindh Sukkur Waspur Bhakkar Chowk 0 1 0 0 Upon field investigation found misdiagnosis for Measles.

11-Feb-11 Measles Sindh Kashmore Jogi Khan Bajkani Village-UC Haibat 1 0 0 0

Suspected alert of Measles was reported from the village. Vitamin A was given to patient, blood sample collected and sent to NIH. No Other case found.

11-Feb-11 Measles Khyber Pakhtunkhwa

Haripur BHU STC-4 2 0 0 0 2 Suspected cases were reported from health facility. Sample was collected and sent to NIH. Cases were treated with two doses of vitamin A . No other new cases were found.

11-Feb-11 BD Khyber Pakhtunkhwa

Haripur BHU STC-4 5 0 3 0

Upon field investigation 8 bloody diarrhoea cases were found. 3 samples were collected and sent to NIH. Initial investigation suggested contaminated water source is the cause. Environmental health investigations are underway and Health education initiated.

11-Feb-11 BD Khyber Pakhtunkhwa

Haripur BHU STC-3 1 4 4 5 Upon field investigation 14 bloody diarrhoea cases were found. Initial investigation suggested contaminated water source is the cause. Environmental health investiga‐tions are underway.


Haripur BHU STC- Bassu Mera 1 0 1 0 2 Suspected cases were reported from Makhan Colony. Investigations are under process. 2 doses of Vit A were given to the cases.

11-Feb-11 Measles Sindh Jamshoro Khursheed Colony-Taluka Kotri 1 0 2 0

Upon field investigation 3 suspected cases were found. Vitamin A was given, and blood sample was collected and sent to NIH. Health education was imparted.

11-Feb-11 AFP Sindh Khairpur Khairpur 1 0 0 0 Cross notified to EPI, PEI and EDOH. Stool samples were collected and sent to NIH.

12-Feb-11 NNT Sindh Badin CH Badin (Mirza Farm-UC Gharo Taluka Golarchi)

1 0 0 0 Upon field investigation no such case was found. Immunization status of the community revealed no TT vaccination in the locality.

12-Feb-11 Pertussis Balochistan Nasirabad Ward #3, Syed Rash-eed Shah Village 0 0 2 0

Upon investigation 2 suspected cases with typical signs and symptoms of whooping cough were found. Patients were on Tx with antibiotics. Information shared with EDO, EPI coordinator.

12-Feb-11 Mumps Sindh Jacobabad BHU Noor Muhammad Pathan 3 0 0 0

Alert was reported from health facility and upon field investigation 3 suspected cases were found. Advised supportive treatment to avoid mixing with other chil‐dren.

12-Feb-11 Pertussis Sindh Jacobabad BHU Noor Muhammad Pathan 1 0 0 0

Upon field investigation a suspected case was found. No other case found on field investigation. This UC is under‐immunized so outreach sessions are being planned to provide two doses of pentavalent and to children at risk.

12-Feb-11 Measles Sindh Jacobabad BHU Noor Muhammad Pathan 4 0 0 0

3 cases were reported from an INGO. 2 blood samples were collected and sent to NIH.

12-Feb-11 Measles Sindh Larkana Village Allah Rakhio-Warah 2 0 0 0

Upon investigation 2 suspected cases were found. Sample were collected and sent to NIH.

12-Feb-11 Meningitis Sindh Khairpur Khairpur 0 1 0 0 During active surveillance a suspected case was found at Mukhtiar Medical center. Later patient expired due to complications. No other cases reported.

12-Feb-11 Measles Sindh Kashmore WAPDA coloney-UC Kashmore coloney 1 1 1 1

Vitamin A was given to patient, 3 blood samples collected, field community investi‐gation completed. No other case found.

12-Feb-11 Measles Sindh Kashmore Mast Ali Mazari Village-UC Kashmore coloney 4 0 5 0

Vitamin A was given to patient, 4 blood sample collected and sent to NIH for lab confirmation, field community investigation completed.

13-Feb-11 Measles Balochistan Nasirabad Goth Ali Nawaz Darbali 1 0 0 1 Alert was received from village and upon field investigation, it was misdiagnosed with measles as no patients with Measles symptoms was found.

13-Feb-11 Measles Balochistan Nasirabad Muhallah Raees Jan Mohammad Solangi 0 0 1 0

Alert was received from locality and upon field investigation, it was misdiagnosed with measles as no patients with Measles symptoms were found.

13-Feb-11 Measles Sindh Mirpurkhas Village Ghulam Muham-mad Leghari-Mirwah 1 0 0 0

Upon field investigation 1 suspected case was found. Vitamin A was given, Isolation was done. Sample was collected and sent to NIH. Health education was given .

13-Feb-11 Measles Sindh Badin Sher Muhammad Nuhrio Chak-2, Golarchi 2 0 0 0

Upon field investigation 2 suspected cases were found. 2 samples were collected and sent to NIH. Vit. A doses were administered to all patients. Unimmunized children in the village were vaccinated.

13-Feb-11 Measles Sindh Badin Kaseero Khaskheli Village - Seerani Road 0 0 0 3

Upon field investigation 3 suspected cases were found. 2 samples were collected and sent to NIH. Patients were isolated. Vit. A doses were administered to all patients. Unimmunized children in the village were vaccinated.

Action taken / Notes

Epidemiological Bulletin: Flood 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

<5 >5 <5 >5

14-Feb-11 Measles Sindh Thatta Village Bejar Khoso 0 0 2 0

Upon field investigation 2 suspected cases were found. 2 samples were collected and sent to NIH. Patients were isolated. Vit. A doses were administered to all patients. District health authorities have planned vaccination campaing for the village, health education was given.

14-Feb-11 Pertussis Sindh Badin Chibhar Khaskheli Village-UC Kadi kazia 3 0 2 1

Upon field investigation 6 suspected cases were found. Unimmunized children in the village were vaccinated. Health education was imparted.

14-Feb-11 Measles Sindh Jamshoro Sher ali Village -Taluka Sehwan 0 0 0 1

Upon field investigation 1 suspected case was found. Samples was collected and sent to NIH. Patient was isolated. Vit. A doses were administered. Vaccination was done.

14-Feb-11 Measles Sindh Jamshoro Care colony Taluka Sehwan 0 0 0 1

Upon field investigation 1 suspected case was found. Sample was collected and sent to NIH. Patient was isolated. Vit. A doses were administered. Health educa‐tion was given.

15-Feb-11 Measles Sindh Thatta Selman Baran Village 1 0 0 0

Upon field investigation 1 suspected case was found. 1 sample was collected and sent to NIH. Patient was isolated. Vit. A doses were administered. District health authorities have planned vaccination campaing for the village, health education was given.

15-Feb-11 NNT Balochistan Bolan Nosher 1 0 0 0

Upon field investigation a suspected case was found. TIGs provided by WHO, no history of TT vaccination of the mother. Baby delivered at home by a local dai, cord was tied with threads and cut by a blade. District health authorities have been informed.

15-Feb-11 Chicken Pox Punjab Muzaffargarh Bagraon Village-UC Noohan Wali 1 1 2 4

Upon investigation 8 suspected case with typical Chicken Pox symptoms were found. Health education sessions were conducted.

17-Feb-11 Tetanus Sindh Larkana Masti Khan Chandio Village-UC Fatehpur 0 1 0 0

During a routine visit, a suspected case of Tetanus was found. Health education was given.

17-Feb-11 NNT Sindh Ghotki MCH Centre (Village Subo Shaikh-UC Umar Daho)

1 0 0 0 Upon field investigation suspected case was found. TIG was provided by WHO. Health education was imparted. District health authorities have planned control measures.

17-Feb-11 Chicken pox Sindh Ghotki Bhatai Nagar-UC II Ghotki city 3 0 0 0

Upon field investigation 3 suspected cases were found. Health education was imparted. District health authorities have planned for control measures.

17-Feb-11 Meningitis Sindh Sukkur Village Sobho Shaikh, UC Umar Draho 1 0 0 0

Patient expired before reaching Hospital, case management done, and found meningitis with pneumonia.

17-Feb-11 Chicken Pox Sindh Larkana Rice Canal Larkana City 1 2 1 2

Upon field investigation 6 suspected cases were found. Health education was imparted. District health authorities have planned for control measures.

17-Feb-11 Measles Sindh Jacobabad Domki Village-near district Jail 1 0 0 0

Vitamin A was given to patient, blood sample collected, field community investiga‐tion completed.

17-Feb-11 TET Sindh Qambar Shahdadkot

Village Dhani Bux Mugeri-UC Rawanti 0 1 0 0

Patient is admitted in CMC Larkana, TIG received by patient provided by WHO, Repeated visits will be done for progress and monitoring

17-Feb-11 TET Sindh Larkana Village Masti Khan Chandio-UC Fateh pur 0 1 0 0

Patient is admitted in CMC Larkana, TIG received by patient provided by WHO, Repeated visits will be done for progress and monitoring

18-Feb-11 TET Sindh Shikarpur Village Chohi Shakh 0 1 0 0 Patient is admitted in CMC Larkana, TIG received by patient provided by WHO.

18-Feb-11 Measles Sindh Khairpur Village Tali Mirwah UC Sabar Rind Taluka Thari mirwah

0 0 1 0 Vitamin A was given to patient, blood sample collected, field community investiga‐tion completed.

18-Feb-11 Meningitis Sindh Khairpur Khairpur 0 0 1 0 Admitted in private center as a suspected meningitis, expired last night on 17‐02‐2011

18-Feb-11 Malaria Sindh Sukkur Colony # 5, near civil hospital Sukkur 0 0 1 1 Admitted as a case of Malaria and also diagnosed as Suspected Meningites

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

Upon field investigation a suspected measles case was found. 1 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 revealed no other cases.

19-Feb-11 AJS Punjab Rawalpindi Darkali Shershahi 0 1 0 0 Upon field investigation an Acute Jaundice case was found. 3 water samples were collected and sent to NIH. Active surveillance in the area revealed no other cases. Chlorination of the water sources is planned by the health authorities.


Mardan Sector B-Sheikh Maltoon Town 0 0 1 1

Upon field investigation 2 suspected measles cases were found. 2 samples were collected and sent to NIH.

Action taken / Notes


Mardan Kaat Kali Par Hoti 0 0 0 1 An alert of suspected measles case was reported. Upon field investigation 1 suspected case was found. 1 sample was collected and sent to NIH. No other cases found on active surveillance.

16-Feb-11 Measles Sindh Naushahro Feroze

Sobo Chang Village-UC Jandho Rajpur 6 0 0 0

RHC Halani reported the alert. 2 doses of Vitamin A was given to patient, blood sample collected, field community investigation completed.


Haripur Afghan Refugee camp # 20 3 0 3 0

An alert of suspected measles case reported from the camp. 3 samples were collected and sent to NIH. Cases were treated with two doses of vitamin A. Vacci‐nation status checked in the area. District Health authorities were informed. No other cases found on active surveillance.

17-Feb-11 CCHF Khyber Pakhtunkhwa

Mansehra Ayub Teaching Hospital (Batal Mandi) 0 0 0 1

Suspected case of CCHF was reported from Ayub Teaching Hospital. Patient died in the hospital and WHO team visited the house of deceased next day. Active surveil‐lance in the area conducted. Sample was collected and sent to NIH. Realatives were educated on preventive measures during burial process. Fever clinic estab‐lished. Contacts were traced. No suspected case was found in the contacts so far.

17-Feb-11 Meningitis Sindh Thatta Ali Muhammad Khask-hali Village 1 0 0 0

Reinforced case management, patient was isolated, health education was given. CSF DR but could not be taken due to no lab facilities.



Province Khyber Pakhtunkhwa

• This week 13 districts reported to DEWS from KP province, 519 health centers reported 115,499 patients consultations to DEWS.

• ARI is the leading disease in KP province. ARI cases reported 48,205 (42%), 2% higher propor-tional morbidity as compared with last week.

• 8 alerts were reported in this Bulletin from Khyber Pakhtunkhwa, of which 5 were for Measles, 2 were for Bloody Diarrhoea, and 1 was for CCHF.

Province Punjab • 11 districts reported data to DEWS from Punjab

province, 684 fixed health centers reported a total of 171,288 patient consultations during this reporting period

• ARI cases reported were 44,394 (26%), 1% low proportional morbidity as compared with last week.

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

• Malaria cases are still reported from flood af-fected districts. This week a total of 5,752 ma-laria samples were tested of which 164 were posi-tive (slide positivity rate 2.9%), while falciparum rate was 49.4%.

Figure-5: Trend of priority communicable diseases, province KP (31-July 2010 to 17 February 2011)

Figure-6: Trend of priority communicable diseases, province Punjab (3 August 2010 to 17 February 2011)

Diseases Wk-4 Wk-7

Skin Diseases 5,908 (4%) 4,757 (4%)

ARI (URI and LRI) 64,368 (42%) 48,205 (42%)

Other Acute Diarrhoea (Not Watery) 9,148 (6%) 7,371 (6%)

Bloody Diarrhea 951 (1%) 827 (1%)

Total consultations 155,340 115499

Suspected Malaria 1,719 (1%) 1,322 (1%)

Wk-5

6,199 (4%)

61,046 (41%)

9,161 (6%)

1,171 (1%)

2,125 (1%)

150,732

Wk-6

5,353 (4%)

50,591 (40%)

7,799 (6%)

970 (1%)

1,411 (1%)

126,184

Diseases Wk-4 Wk-5 Wk-6 Wk-7

Skin Diseases 15,613 (8%) 15,862(9%) 14,989 (8%) 14,211 (8%)

ARI (URI and LRI) 53,761 (28%) 49,952 (27%) 47,421 (27%) 44,394 (26%)

Other Acute Diarrhoea (Not Watery) 10,410 (5%) 9,590 (5%) 9,571 (5%) 8,375 (5%)

Suspected Malaria 4,851 (2%) 5,288 (3%) 5,045 (3%) 4,898 (3%)

Total consultations 194,134 185,273 176,911 171,288

0

5

10

15

20

25

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35

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45

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Province Sindh

• This week 22 districts reported to DEWS from Sindh province, and 878 health centers re-ported a total of 288,021 patient consultations during the reporting period of week 7, 2011.

• In Sindh, ARI cases reported were 84,702 (29%), 1% lower proportional morbidity as compared with last week

• 34 alerts are reported from Sindh in this Bulle-tin for weeks 7 and 8: 17 were for suspected Measles; 4 each were for Meningitis, and Teta-nus, 2 each were for Chickenpox, Pertussis and Neonatal Tetanus, while 1 each was for Acute Flaccid Paralysis, Suspected Malaria, and Mumps.

Province Balochistan

• In this week, 13 districts reported to DEWS from Balochistan province. 296 fixed and 8 mobile medical outreach centers reported a total of 63,622 patient consultations.

• ARI reported in 18,385 (29%) of the total consulta-tions, which is 3% less as compared to the propor-tional morbidity last week.

• 5 alerts were reported for week 7 in this Bulletin: 2 alerts were for Measles, while 1 each for Pertussis, Chickenpox, and Neonatal Tetanus.

• Malaria cases are still reported from Jaffarabad, Kech and Jhal Magsi districts. This week a total of 750 malaria samples were tested of which 113 were posi-tive and slide positivity rate was 36%, while falcipa-rum rate was 69.3%.

Diseases Wk-4 Wk-7

Skin Diseases 40,191 (13%) 32,703 (11%)

ARI (URI and LRI) 89,402 (28%) 84,702 (29%)


Bloody Diarrhea 2,123 (1%) 1,654 (1%)

Total consultations 314,655 288,021


Wk-5

43,499 (11%)

114,907 (30%)

21,495 (6%)

1,964 (1%)

29,318 (8%)

385,172

Wk-6

50,682 (11%)

144,585 (30%)

26,643 (6%)

2,157 (<1%)

36,627 (8%)

480,933

Figure-7: Trend of priority communicable diseases, province Sindh (6 August 2010 to 17 February 2011)

Figure-8: Trend of priority communicable diseases, province Balochistan (6 August 2010 to 17 February 2011)

Diseases Wk-4 Wk-7

Skin Diseases 4,936 (8%) 4,099 (6%)

ARI (URI and LRI) 19,095 (30%) 18,385 (29%)


Bloody Diarrhea 2,213 (3%) 1,794 (3%)



Wk-5

3,591 (6%)

19,133 (30%)

4,514 (7%)

1,769 (3%)

6,928 (11%)

63,522

Wk-6

3,534 (5%)

21,731 (32%)

5,225 (8%)

1,848 (3%)

7,289 (11%)

67,875

0

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10

15

20

25

30

35

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45

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Islamabad Capital Territory

• This week Islamabad is reporting from four health centers, and a total of 2,782 patient consultations.

• ARI cases reported were 1,470 (53%), 6% higher as compared with last week, but overall higher than other areas.

• 2 alerts were received this week; 1 for Measles, and 1 for Acute Jaundice Syn-drome.

Figure-9: Trend of priority communicable diseases, Islamabad (1 January to 17 February 2011)


Diseases Wk-4 Wk-7

Skin Diseases 44 (1%) 29 (1%)

ARI (URI and LRI) 1,950 (51%) 1,470 (53%)

Other Acute Diarrhoea (Not Watery) 104 (3%) 192 (7%)

Bloody Diarrhea 6 7


Suspected Malaria 10 8

Wk-5

61 (2%)

1,922 (56%)

302 (9%)

4

9

3,427

Wk-6

62 (2%)

1,470 (47%)

356 (11%)

4

5

3,127

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 8 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 5 - BALOCHISTAN 6 6 - - AJK - - - - GILGIT‐BALTISTAN - - - - ISLAMABAD - - - - PAKISTAN 120 24 8 -

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60

70

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Confirmed Alerts (29 July 2010 to 17 February 2011)

Documents

Weekly Epidemiological · · 2011-02-21Weekly Epidemiological Bulletin ... Haripur BHU STC-4 2 0 0 0 ... 2 Suspected cases were reported from Makhan Colony