FIELD WORK 2 -Expanded Surveillance Report - …...Liberia Field Epidemiology Training Programme...
Transcript of FIELD WORK 2 -Expanded Surveillance Report - …...Liberia Field Epidemiology Training Programme...
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)LiberiaFieldEpidemiology TrainingProgrammeLFETP)
FIELDWORK2-ExpandedSurveillanceReport-
-MeaslesoutbreakInvestigationReport-
AugustusK.AlfredCountySurveillanceOfficer
Gbarpolu CountyHealthTeam
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LiberiaFieldEpidemiology TrainingProgramme(LFETP) 2
ExpandedSurveillanceReport
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Introduction• Gbarpolu issituatedintropicalrainforestofLiberia.
• Inhabitantsaremainlyminers
• Population:96,446
• Six(6)politicaldistricts
• Fivehealthdistrictswith15healthfacilities
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
DiseaseSummary1/2Summaryofreportedkeynotifiablediseases,Gbarpolu County,week31-42,2015
Cumulative31-42Disease Cases Deaths CaseFatalityRate%AcuteWateryDiarrhea 210 0 0AcuteBloodyDiarrhea(Shigella) 0 0 0AFPSusp 0 0 0Meningitis 0 0 0SuspectedEVD 356 13 4SuspRabies(DogBite) 0 0 0YellowFever 0 0 0LassaFever 0 0 0Cholera 0 0 0Measles 2 0 0MaternalDeath 0NeonatalDeath 0
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
DiseaseSummary2/2• Zeroreportingrequirementsweremetbyallfivereportingdistricts.
• Classificationofcases:– EVD356(S),13(D),0(C)(Allsuspectedcasescameoutnegative)
– AWD210(S),0(D),0(C)– Measles2(S),0(D),0(C)
• LabresultsforsuspectedmeaslescasesarependingS=SuspectedCaseC=ConfirmedcaseD=Death
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Timelinessandcompletenessofreportingbydistricts,Gbarpolu County,2015
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This week
On timeT Late
L
No reportreceived
NR
%Cumulative
>=80% on time/Complete
>=50-79.9% on time/Complete
<50% on time/Complete
legend
DistrictWEEKS %Cumulative
Timeliness%CumulativeCompleteness31 32 33 34 35 36 37 38 39 40 41 42
Bopolu T L L T T T T T T T T T 83% 100%
Gbarma T NR L T T T T T T T T T 83% 92%
Belle L L L T T T T T L T T L 58% 100%
Kongba T T T T L T L T T T T L 75% 100%
Bokomu T L NR L T T T T T T T L 67% 92%
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Timelinessandcompletenessofreporting,Gbarpolu county,2015
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0
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Bopolu Gbarma Bokomu Kongba Belle
%ofrep
ortin
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Timeliness
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
TrendofsuspectedEVD,Gbarpolu County,Epi week31-42,2015
05101520253035404550
#0fcases
Week#
Suspected EVDcase
Suspected EVDDeath
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Trendofsuspectedacutewaterydiarrhoea,Gbarpolu County,Epi week31-42,2015
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#ofCases
Weeks
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Activitiescarriedoutbetweenweek31-42
• TrainingofclinicOICsandsurveillancefocalpersons
inIDSR.
• Measlesoutbreakinvestigation
• Follow-uponSuspectedMeaslescasesreported
fromdistricts(Bopolu andGbarma districts)
• Weeklydisseminationofsurveillancereport
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LiberiaFieldEpidemiology TrainingProgramme(LFETP) 11
MeaslesCaseinvestigation
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Introduction1/2• Measlesisacontagiousdiseaseaffectingmainlychildrenunderfive.
• Itisamajorcontributortodeathinchildrenalthoughitisvaccinepreventable.
• On16th October,2015,asuspectedcaseofMeasleswasidentifiedinBopolu district
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Introduction2/2• Thecasewasreportedtothecountysurveillanceofficeon19th October,2015
• Investigationcommencedon19th October,2015
• Objectives;– verifyingthecase– determinethesourceofinfection– implementcontrolandpreventivemeasures.
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Methods1/2• Medicalrecordsofsuspectedcasewasreviewed
• Collectedbloodspecimenforlaboratoryconfirmation
• Interviewedguardianofthepatient&healthworkers
• Activecasesearchinthecommunity
• Recommendationforpossibleactionsbasedonfindings
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Methods2/2
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Casedefinition:anypersonresidinginBopoludistrictpresentingwith;
• FeverandMaculopapularrashwith
• CoughorcoryzaorconjunctivitisOr
AnypersoninwhomacliniciansuspectmeaslesDatawasanalyzedusingMicrosoftexcel2010
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Results
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• PatientmetcasedefinitionforsuspectedMeasles
• Vaccinationstatuswasunknown
• Patienthadnorecenttravelhistoryorcontactwithsuspectedcase
• Laboratoryresultisstillpending
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Results2/2• Nonewcaseswereidentifiedfromcasesearch
• Childwasisolatedtoreducespreadthroughcontact
• Suspectedcasewastreatedwithvitamin-A,calaminelotionandtetracyclineeyeointment.
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Discussion
• PatientmetcasedefinitionforsuspectedMeasles• Sourceofinfectionwasnotestablished• Isolationandtreatmentofcasehelpedtostoppedspreadofinfection
• Publichealthaction– distributionofprioritydiseasecommunitycasedefinitiontokeyinformers(KI)
– Communitysensitization/awareness onmeasles– Measlesimmunizationcampaignforchildrenunder5yrs
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LiberiaFieldEpidemiology TrainingProgramme(LFETP)
Acknowledgement• MinistryofHealth,Liberia
• FieldEpidemiologyTrainingProgramme,Liberia
• EmoryUniversity
• CentersforDiseaseControlandPrevention
• AfricanFieldEpidemiologyNetwork
• WorldHealthOrganization
• MyMentors– StephenandJoseph19