epidemiological highlights
TRANSCRIPT
Epidemiological HighlightsWeek 33, 2021
1 |
Epidemiological Highlights
Week 33 (16-22 Aug 2021)
Epidemiological HighlightsWeek 33, 2021
2 |
Highlights: COVID-19
As of week 33, (16-22 Aug 2021) there are 2,778 confirmed cases of COVID-19(SARS-CoV-2), 57,371 samples were tested, total positivity rate 4.8%.
This week (week 33), 101 new confirmed cases detected, 1,262 samples weretested, test positivity was 8.0%.
As of this week (week 33)• Median age of tested and confirmed cases is 11 (0-120) and 22 (0-100) years• Female among tested and confirmed cases is 54% and 52%• All 34/34 camps have confirmed cases (C3-171, C24-170, C2W-158, C15-151 and C17-147)• A total of 30 deaths from COVID-19 with the case fatality rate 1.1%• Cases per million in last 7 days 117.5, change in last 7 days 1%
Epidemiological HighlightsWeek 33, 2021
3 |
Highlights: COVID-19
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2020 2021
Nu
mb
er
of
case
s
COVID-19 positive cases (n=2,778) by epidemiological week by date of test
Male Female
Epidemiological HighlightsWeek 33, 2021
4 |
Highlights: COVID-191 0 6 9 8 22 4
7 10
3 99
24 36 30
30 7
11
61
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7 30
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32 47
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2020 2021
TPR
(%
)
Nu
mb
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of
case
s
Weekly observed TPR, FDMN/Rogingya Refugees, Cox's Bazar
Positive cases per week_FDMN Negative cases per week_FDMN Observed TPR_7Day_FDMN
Epidemiological HighlightsWeek 33, 2021
5 |
Highlights: COVID-19
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Ku
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Nay
apar
a R
C
TPR
in %
Nu
mb
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test
an
d c
ase
COVID-19 test case and TPR per camp, W32-33
Test Case TPR
Epidemiological HighlightsWeek 33, 2021
6 |
Highlights: COVID-19
52%
57%
16%
8%
10%
5%
3%
3%
3%
13%
11%
14%
7%
3%
3%
1%
20% 10% 0% 10% 20%
0-10 years
11-20 years
21-30 years
31-40 years
41-50 years
51-60 years
60+ years
Age and sex distribution (%) (n=2,778)
Female Male
3%
7%
10%
23%
3%
0%
7%
7%
17%
17%
7%
40% 20% 0% 20% 40%
0-10 yrs
11-20 yrs
21-30 yrs
31-40 yrs
41-50 yrs
51-60 yrs
>60 yrs
Death reported by age and sex (%) (n=30)
Female Male
Epidemiological HighlightsWeek 33, 2021
7 |
Highlights: COVID-19
Source: Go.Data
Asymptomatic, 10.1%
Mild, 78.4%
Moderate, 5.7%
Severe, 1.9%
Missing, 3.8%
Severity of reported cases at presentation (n=2,578)
Yes4.4%
No95.6%
Did the case report at least 1 co-morbidity (n=2,578)
Epidemiological HighlightsWeek 33, 2021
8 |
Highlights: COVID-19 Contact Tracing
▪ Total 2,578 (out of 2,778) confirmed cases have been investigated by Rapid
Investigation and Response Team (RIRT, a camp wise CT network, composed of RIRT coordinator, Site Mx
representation, CT supervisor, currently camp 34 teams are working with 34 supervisors and over 300 volunteers i.e.,
contact tracer).
▪ Contact tracing has been done by CT supervisors with 5,832 contacts registered in
the Go.Data for follow up, out of 9,402 contact identified through field investigation
by RIRT.
▪ 3,393 (58%) contacts successfully completed the follow up.
▪ Two hundred and seventy-three (8.0%) contacts became tested positive for COVID-
19 during the incubation period.
Epidemiological HighlightsWeek 33, 2021
9 |
EWARS Reporting Updates
▪ Total 172 health facilities registered in EWARS
▪ Only 125/172 weekly reports received on time in week 33
▪ Fifty-seven (57) alerts were triggered in week 33
▪ Timeliness of reporting for this week is 74%
▪ All alerts were reviewed and verified by WHO EWARS team, the number
is less than that of previous week (69 in week 32).
Epidemiological HighlightsWeek 33, 2021
10 |
Highlights:
▪ Acute Respiratory Infection (16.1%), Diarrheal Diseases (5.0%) &
Unexplained Fever (0.9%) are the diseases with highest proportional
morbidity in week 33.
▪ Suspected SARI death under enhanced Community-based mortality
surveillance has been continued since week 28, 2020.
– One hundred twenty-six (126) suspected SARI deaths have been reported so far and
reviewed subsequently by Rapid Investigation and Response Team (RIRT) for COIVD-
19.
– Total eleven (11) SARI deaths were considered as death due to probable COVID-19
till date.
Epidemiological HighlightsWeek 33, 2021
11 |
Diphtheria
One (1) suspected diphtheria case was reported in go.data in week 33
A total of 9 297 case-patients were reported since 2017 to till date
• Confirmed = 343
• Probable = 2 803
• Suspected = 6 151
Total case reported in 2021 = 112
• Confirmed = 1
• Probable = 25
• Suspected = 85
Last confirmed case was reported in week 1 (4 January 2021)
In total 47 deaths were reported, last death reported on 25 October 2019.
Epidemiological HighlightsWeek 33, 2021
12 |
Diphtheria
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2020 2021
Nu
mb
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of
rep
ort
ed
cas
e
Total number of diphtheria case reported in EWARS from 2020-2021 W33
Confirm Probable Suspected
Epidemiological HighlightsWeek 33, 2021
13 |
Measles
In week 33, 4 suspected measles cases were reported through weekly reporting make 371 cases in total in 2021. Out of those 272 cases (73%) reported through case-based reporting and samples collected for laboratory confirmation.
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2020 2021
Nu
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rte
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Epidemiological Week
Total number of Measles case reported in EWARS from 2020- 2021 W33
Epidemiological HighlightsWeek 33, 2021
14 |
Diarrhoeal Disease
▪ A total of 3,533 cases of diarrhoeal diseases reported in EWARS in week 33.
▪ Among which 2,516 cases (3.5%) reported as acute watery diarrhoea (AWD), remaining 758 (1.1%) and259 (0.4%) cases as other and bloody diarrhea, respectively out of all types of morbidities.
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2018 2019 2020 2021
Epidemiological HighlightsWeek 33, 2021
15 |
Cholera Surveillance
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RDT positive & culture confirmed cholera cases, 2018-21
Culture confirmed Culture Negative (RDT positive)
Epidemiological HighlightsWeek 33, 2021
16 |
Cholera Surveillance
• Total one hundred sixty-five (165)
Cholera RDT positive/culture cases
reported as of W33 2021. Out of
those 61 were confirmed by culture,
85 discarded and remaining results
19 yet to be received.
• In 2020, total 28 RDT/Culture
positive cases for Cholera detected
through sentinel testing. Specifically, 5
became confirmed by culture - 2 from
Ukhiya Host, 1 from Teknaf host and
2 from Refugees.
*3 culture confirmed cases were RDT negative in 2020
2018 2019 2020 2021 W33
RDT positive/culture
confirmed for Cholera 49 258 28 165
Culture confirmed
for Cholera 7 184 5* 61
Epidemiological HighlightsWeek 33, 2021
17 |
Community-based Mortality surveillance
In week 33, 44 deaths were recorded –
• 71% (n=31) were due to causes classified as “Others”
• 11% (n=5) as still birth (Born Dead)
• 11% (n=5) as neonatal death
• 7% (n=3) as maternal death
▪ Out of reported deaths, 27.2% occurred in health facilities and 68.1% at
homes and 34.5% at community/public place.
▪ Partners to report all mortalities into EWARS platform using both case
and event-based reporting as applicable.
Epidemiological HighlightsWeek 33, 2021
18 |
Community-based Mortality Surveillance
Bangladesh
Rohingya Emergency Response
Early Warning, Alert and Response System (EWARS)
Epidemiological Bulletin W33 2021
Ministry of Health and Family Welfare Bangladesh
Printed: 07:07 Wednesday, 01 September 2021 UTC
Contents
W33 2021
Highlights
Slide 1 Table 1 Coverage
Table 2 Early warning performance
Table 3 Alert performance
Early Warning
Alert
Slide 7 Table 8 Ukhia (Northern group) alerts by site/zone
Map 5 Ukhia (Northern group) alerts site/zone
Slide 8 Table 9 Ukhia (Southern group) alerts by site/zone
Map 6 Ukhia (Southern group) alerts site/zone
Slide 9 Table 10 Teknaf alerts by site/zone
Map 7 Teknaf alerts site/zone
Slide 10 Table 11 Performance by type of alert
Table 12 Risk Assessment
Sources of data
1. Weekly EWARS Reporting Form
2. Mortality Case Report Form
3. Event-based Surveillance Form
Slide 2 Map 1a Ukhia completeness by site/zone
Map 1b Teknaf completeness by site/zone
Slide 3 Table 4 Ukhia (Northern group) performance by site/zone
Map 2 Ukhia (Northern group) completeness by site/zone
Slide 4 Table 5 Ukhia (Southern group) performance by site/zone
Map 3 Ukhia (Southern group) completeness by site/zone
Slide 5 Table 6 Teknaf performance by site/zone
Map 4 Teknaf completeness by site/zone
Slide 6 Table 7 Performance by partner
Highlights W33 2021
1 W33 2021
Table 1 | Coverage
# %
866,457 - Estimated total Rohingya population1
866,457 100% Total population under surveillance
175 - Total number of health facilities
172 98% Number of EWARS reporting sites
Table 2 | Early warning performance indicators
W33 Cumulative (2021)
Table 3 Alert performance indicators
W33 Cumulative (2021)
57 2,171 Total alerts raised
100% 100% % verified
0% 0% % auto-discarded
0% 1% % undergoing risk assessment
0% 1% % completed risk assessment
128 5303 Number of weekly reports received
74% 91% Completeness
74% 84% Timeliness
1 Source: UNHCR. Bangladesh: Joint Government of Bangladesh- UNHCR Population Factsheet. 31 December 2020.
Early Warning | Ukhia and Teknaf
2 W33 2021
14
15
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32
33
34
Map 1a | Ukhia completeness by camp Map 1b | Teknaf completeness by camp
Camp 10
Camp 11
Camp 12
Camp 13
Camp 14
Camp 15
Camp 16
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang
Camp 23 Shamlapur
Camp 24 Leda
Camp 25 Ali Khali
Camp 26 Nayapara
Camp 27 Jadimura
Camp 2E
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang
Camp 23 Shamlapur
Camp 24 Leda
Camp 25 Ali Khali
Camp 26 Nayapara
Camp 27 Jadimura
Camp 2E
Camp 9
Kutupalong RC
Nayapara RC
Camp 9
Kutupalong RC
Nayapara RC
Completeness
0 25% 50% 75% 100%
Completeness
0 25% 50% 75% 100%
16
1 Camp 10
2 Camp 11 15 3 Camp 12
4 Camp 13
5 Camp 14
6 Camp 15
7 Camp 16
8 Camp 17
9 Camp 18
10 Camp 19
11 Camp 1E 17 12 Camp 1W
13 Camp 20
6
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23 Camp 2W 4 3 23 Camp 2W
24 Camp 3 24 Camp 3
25 Camp 4 25 Camp 4
26 Camp 4 Ext 26 Camp 4 Ext
27 Camp 5 27 Camp 5 28 Camp 6 28 Camp 6
29 Camp 7 5 29 Camp 7
30 Camp 8E 30 Camp 8E 31 Camp 8W 31 Camp 8W
Early Warning | Ukhia (Northern Group)
Completeness
25% 50% 75% 100% 0
3 W33 2021
7
Table 4 | Performance by camp (W33 2021) Map 2 | Completeness by camp
Northern Reporting Performance 1 Camp 10
group 2
3 # health # reports
Completeness Timeliness 4
Camp 11
Camp 12
Camp 13
11
12 33
facilities received 5 Camp 14
Ukhia Northern Group 6
8
Camp 15
Camp 16 25 Camp 17 26
24 23 22
9 Camp 18 28 29 10 Camp 19
11 Camp 1E
12 Camp 1W
13 Camp 20
14 Camp 20 Ext
15 Camp 21 Chakmarkul
16 Camp 22 Unchip1ra4ng
27
8 31 30
13 1 32
17 Camp 23 Shamlapur 9 18 Camp 24 Leda
19 Camp 25 Ali Khali
20 Camp 26 Nayapara
21 Camp 27 Jadimura
22 Camp 2E 23 Camp 2W
24 Camp 3
25 Camp 4
26 Camp 4 Ext
27 Camp 5 28 Camp 6
29 Camp 7
30 Camp 8E
31 Camp 8W
32 Camp 9
33 Kutupalong RC
34 Nayapara RC
10 2
4 3
5
6
7
Camp 1E 4 4 100% 100%
Camp 1W 4 3 75% 75%
Camp 2E 3 3 100% 100%
Camp 2W 4 3 75% 75%
Camp 3 6 6 100% 100%
Camp 4 6 6 100% 100%
Camp 4 Ext 1 1 100% 100%
Camp 5 5 5 100% 100%
Camp 6 3 3 100% 100%
Camp 7 5 4 80% 80%
Camp 8E 8 7 88% 88%
Camp 8W 4 4 100% 100%
Kutupalong RC
2 2 100% 100%
Early Warning | Ukhia (Southern Group)
Completeness
25% 50% 75% 100% 0
4 W33 2021
1
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Camp 11
received
Camp 16
Camp 25 Ali Khali
Camp 27 Jadimura
Camp 18
Camp 23 Shamlapur
Camp 4
Table 5 | Performance by camp (W33 2021) Map 3 | Completeness by camp
Southern group
Reporting Performance Camp 10
Camp 12
# health facilities
# reports Completeness Timeliness
Camp 13
Camp 14
Ukhia Southern Group Camp 15
Camp 17
Camp 19
Camp 1E
Camp 1W
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang
Camp 24 Leda
Camp 26 Nayapara
Camp 2E
Camp 2W
Camp 3
Camp 4 Ext
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Kutupalong RC
Nayapara RC
Camp 20
5
6
7
25 24 23
26
33
22
27 28 29
8 31 30
14 13 9 1 32
10 2
4 3
Camp 10 4 4 100% 100%
Camp 11 9 9 100% 100%
Camp 12 6 6 100% 100%
Camp 13 9 8 89% 89%
Camp 14 7 7 100% 100%
Camp 15 9 8 89% 89%
Camp 16 6 6 100% 100%
Camp 17 5 4 80% 80%
Camp 18 5 5 100% 100%
Camp 19 6 6 100% 100%
Camp 20 3 3 100% 100%
Camp 20 Ext 2 2 100% 100%
Camp 9 6 4 67% 67%
Early Warning | Teknaf
Completeness
25% 50% 75% 100% 0
5 W33 2021
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Camp 13
Table 6 | Performance by camp (W33 2021) Map 4 | Completeness by camp
Teknaf Reporting Performance Camp 10
Camp 11
# health facilities
# reports received
Ukhia Teknaf
Completeness Timeliness Camp 12
Camp 14
Camp 15
Camp 16
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang
Camp 23 Shamlapur
Camp 24 Leda
Camp 25 Ali Khali
Camp 26 Nayapara
Camp 27 Jadimura
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 4 Ext
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Kutupalong RC
Nayapara RC
15
16
17
19 18
3240
21
Camp 21 Chakmarkul
4 4 100% 100%
Camp 22 Unchiprang
4 4 100% 100%
Camp 23 Shamlapur
3 3 100% 100%
Camp 24 Leda 1 1 100% 100%
Camp 25 Ali Khali
3 3 100% 100%
Camp 26 Nayapara
4 4 100% 100%
Camp 27 Jadimura
2 2 100% 100%
Nayapara RC 2 2 100% 100%
Early Warning | Partner performance
Table 7 | Performance by partner (W33 2021)
Partner Performance Reporting Partner Performance Reporting
# sites
# reports received
Completeness Timeliness
# sites
# reports received
Completeness Timeliness
AKF 1 0 0% 0% IRC 2 0 0% 0%
AWARD 7 7 100% 100% MSF 9 2 22% 22%
BASHMAH 1 1 100% 100% MoH 21 10 48% 48%
BDRCS 11 10 90% 90% MHI 2 0 0% 0%
BRAC 11 11 100% 100% Medair 2 2 100% 100%
CARE 4 4 100% 100% FH/MTI 3 3 100% 100%
DAM 2 2 100% 100% PRANTIC 1 1 100% 100%
DBC 1 1 100% 100% PULSE 1 0 0% 0%
DSK 1 0 0% 0% QC 1 1 100% 100%
DCHT 2 2 100% 100% PHD 10 8 80% 80%
FRNDS 10 8 80% 80% RPN 2 2 100% 100%
GK 10 10 100% 100% RHU 3 3 100% 100%
Global One 1 0 0% 0% RI 3 3 100% 100%
GUSS 1 1 100% 100% RTMI 9 9 100% 100%
HAEFA 2 2 100% 100% SALT 1 1 100% 100%
HAIB 8 0 0% 0% SCI 7 7 100% 100%
HMBDF 2 1 50% 50% SHED 0 0
HOPE 1 0 0% 0% Turkish Government
1 0 0% 0%
ICRC 1 0 0% 0%
TdH 2 2 100% 100% IOM 15 13 87% 87%
6 W33 2021
Alert | Ukhia (Northern Group)
# of alerts
0 2 5 10
7 W33 2021
1 13
Table 8 | Performance by camp Map 5 | Number of alerts by camp
Northern group
W33 Cumulative (2021)
# alerts % verif. # alerts % verif.
Camp 10
Camp 11
Camp 12
Camp 13
Camp 14
11
12 33
Alerts Northern group Camp 15
Camp 16
Camp 17
25 24 23 22
26 Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang Camp 23 Shamlapur
Camp 24 Leda
Camp 25 Ali Khali
27 28 29
8 31 30
9 1 32
Camp 26 Nayapara
Camp 27 Jadimura
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 4 Ext
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Kutupalong RC
Nayapara RC
10 2
4 3
5
6
7
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
Camp 1E 0 0% 50 100%
Camp 1W 2 100% 63 100%
Camp 2E 9 100% 215 100%
Camp 2W 1 100% 52 100%
Camp 3 4 100% 109 100%
Camp 4 7 100% 122 100%
Camp 4 Ext 0 0% 20 100%
Camp 5 0 0% 92 100%
Camp 6 2 100% 51 100%
Camp 7 1 100% 24 100%
Camp 8E 0 0% 30 100%
Camp 8W 2 100% 112 100%
Kutupalong RC
1 100% 21 100%
Alert | Ukhia (Southern Group)
# of alerts
0 2 5 10
8 W33 2021
Table 9 | Performance by camp Map 6 | Number of alerts by camp
Southern group
W33 Cumulative (2021)
# alerts % verif. # alerts % verif.
Alerts Northern group
Camp 10
Camp 11
Camp 12
Camp 13
Camp 14
Camp 15
Camp 16
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang
Camp 23 Shamlapur
Camp 24 Leda
Camp 25 Ali Khali
Camp 26 Nayapara
Camp 27 Jadimura
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 4 Ext
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Kutupalong RC
Nayapara RC
5
6
7
25 24 23
26
33
22
27 28 29
8 31 30
14 13 9 1 32
10 2
4 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
Camp 10 2 100% 70 100%
Camp 11 1 100% 81 100%
Camp 12 0 0% 71 100%
Camp 13 3 100% 91 100%
Camp 14 0 0% 64 100%
Camp 15 1 100% 83 100%
Camp 16 2 100% 89 100%
Camp 17 2 100% 59 100%
Camp 18 3 100% 108 99%
Camp 19 5 100% 59 100%
Camp 20 1 100% 48 100%
Camp 20 Ext 1 100% 35 100%
Camp 9 2 100% 87 100%
Alert | Teknaf
# of alerts
0 2 5 10
9 W33 2021
Table 10 | Performance by camp Map 7 | Number of alerts by camp
Teknaf W33 Cumulative (2021)
# alerts % verif. # alerts % verif.
Alerts Northern group
Camp 10
Camp 11
Camp 12
Camp 13
Camp 14
Camp 15
Camp 16
Camp 17
Camp 18
Camp 19
Camp 1E
Camp 1W
Camp 20
Camp 20 Ext
Camp 21 Chakmarkul
Camp 22 Unchiprang
Camp 23 Shamlapur
Camp 24 Leda
Camp 25 Ali Khali
Camp 26 Nayapara
Camp 27 Jadimura
Camp 2E
Camp 2W
Camp 3
Camp 4
Camp 4 Ext
Camp 5
Camp 6
Camp 7
Camp 8E
Camp 8W
Camp 9
Kutupalong RC
Nayapara RC
15
16
17
19 18
3240
21
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
Camp 21 Chakmarkul
0 0% 19 100%
Camp 22 Unchiprang
2 100% 55 100%
Camp 23 Shamlapur
0 0% 16 100%
Camp 24 Leda 2 100% 48 100%
Camp 25 Ali Khali
0 0% 20 100%
Camp 26 Nayapara
1 100% 80 100%
Camp 27 Jadimura
1 100% 11 100%
Nayapara RC 2 100% 34 100%
Alert | Event risk assessment
10 W33 2021
Table 11 | Performance by type of alert Table 12 | Risk assessment
Event W33 Cumulative (2021)
# alerts % verif. # alerts % verif.
Indicator-based surveillance
W33 Cumulative (2021)
Malaria 0 0% 4 100%
Measles 4 100% 256 100%
Bloody Diarr. 0 0% 0 0%
AFP 0 0% 9 100%
Meningitis 0 0% 24 100%
Haem. fever (susp.)
0 0% 8 100%
NNT 0 0% 2 100%
Unexp. fever 4 100% 101 100%
AWD 4 100% 209 100%
ARI 8 100% 200 100%
AJS 1 100% 32 100%
Varicella (Susp.) 0 0% 31 100%
Suspected COVID-19
0 0% 0 0%
Event-based surveillance
EBS total 8 100% 149 100%
0 19 Low risk
0 2 Moderate risk
0 1 High risk
0 0 Very high risk
For more help and support,
please contact:
Dr. Shownam Barua
Medical Officer - Civil Surgeon Office (MO-CS)
Ministry of Health and Family Welfare
Cox's Bazar, Bangladesh
Telephone: +88 01723350483
Email: [email protected]
Dr. Feroz Hayat Khan
National Professional Officer (Disease Surveillance &
Epidemiology)
World Health Organization
Cox's Bazar, Bangladesh
Telephone: +88 017 0120 2994
Email: [email protected]
Ministry of Health and Family Welfare Bangladesh
Notes
WHO and the Ministry of Health and Family Welfare gratefully acknowledge all partners who have
reported the data used in this bulletin.
The data been collected with support from the EWARS project. This is an initiative to strengthen early
warning, alert and response in emergencies. It includes an online, desktop and mobile application that
can be rapidly configured and deployed in the field. It is designed with frontline users in mind, and built
to work in difficult and remote operating environments. This bulletin has been automatically published
from the EWARS application.
More information can be found at http://ewars-project.org
Sign-up for an account with EWARS Bangladesh at http://bd.ewars.ws
BangladeshRohingya Emergency Response
Ministry of Health and FamilyWelfare Bangladesh Printed: 08:44 Tuesday, 24 August 2021 UTC
Early Warning, Alert and Response System (EWARS)Annex W33 2021
Figure 1 | Proportional morbidity (W33 2021)
0.0% Acute Respiratory Infection (ARI) Acute Watery Diarrhoea Bloody diarrhoea Other diarrhoea Varicella (susp.)
Unexplained fever Acute Jaundice Syndrome (AJS) Measles/Rubella Other Vector-borne disease Combines malaria and dengue cases (suspected and confirmed)
Disease W33 2021
# cases % morbidity # cases % morbidity
AWD 2,516 3.5% 96,977 3.5%
Bloody diarr. 259 0.4% 11,741 0.4%
Other diarr. 758 1.1% 31,760 1.2%
Susp. Varicella 4 0.0% 3,504 0.1%
ARI 11,619 16.1% 475,188 17.4%
Measles/Rub. 4 0.0% 379 0.0%
AFP 0 0.0% 9 0.0%
Susp. menin. 0 0.0% 86 0.0%
AJS 10 0.0% 342 0.0%
Susp. HF 0 0.0% 14 0.0%
Neo. tetanus 0 0.0% 0 0.0%
Adult tetanus 0 0.0% 12 0.0%
Malaria (conf.) 0 0.0% 16 0.0%
Malaria (susp.) 599 0.8% 23,131 0.8%
Dengue (conf.) 0 0.0% 3 0.0%
Dengue (susp.) 0 0.0% 29 0.0%
Unexpl. fever 674 0.9% 30,715 1.1%
Sev. Malnut. 40 0.1% 1,102 0.0%
Inj./Wounds 1,498 2.1% 73,081 2.7%
Other 54,074 75.0% 1,985,564 72.6%
Total 71,424 100% 2,735,184 100%
Proportional morbidity
1 W33 2021
*
*
Figure 2 | Trend in proportional morbidity for key diseases (W33)
Other consultations Acute Respiratory Infection (ARI) Unexplained fever Acute Jaundice Syndrome (AJS)
Acute Watery Diarrhoea (AWD) Other diarrhoea Vector-borne disease Combines malaria and dengue cases (suspected and confirmed)
Trend in consultations and key diseases
2 W33 2021
% m
orbi
dity
0.0%
100.0%
W01
202
0
W09
202
0
W18
202
0
W27
202
0
W36
202
0
W44
202
0
W53
202
0
W09
202
1
W17
202
1
W26
202
1
*
*
Acute Respiratory Infection | Trend
3 W33 2021
0
2,500
5,000
7,500
10,000
12,500
15,000
17,500
20,000
22,500
25,000
27,500
Total ARI cases - Cox's Bazar
W01
201
8
W18
201
8
W35
201
8
W01
201
9
W18
201
9
W35
201
9
W01
202
0
W18
202
0
W36
202
0
W53
202
0
W17
202
1
W35
202
1
Figure 3 | Trend in number of cases over time (W38 2017 - W33 2021)
a. Ukhia | Number of cases b. Ukhia | Number of alertsLoading...
c. Teknaf | Number of cases d. Teknaf | Number of alertsLoading...
Acute Respiratory Infection | Maps and Alert Management
Map 1 | Map of cases by camp (W33 2021)
4 W33 2021
Map legendNumber of cases 0 1 100 200 500
Number of alerts 0 1 10
Alert thresholdTwice the average number of casesover the past 3 weeks. Source: IEDCR
0Alerts
0%Verified
0Low Risk
0Moderate
Risk
0High Risk
0Very High
Risk
Alert management (W33 2021) Figure | % sex Figure | % age
Male Female >=5 < 5
Measles | Trend
5 W33 2021
0
50
100
150
200
250
300
350
400
450
500
550
600
650
700
Total suspected measles/rubella cases - Cox's Bazar
W01
201
8
W18
201
8
W35
201
8
W01
201
9
W18
201
9
W35
201
9
W01
202
0
W18
202
0
W36
202
0
W53
202
0
W17
202
1
W35
202
1
Figure 4 | Trend in number of suspected cases over time (W38 2017 - W33 2021)
a. Ukhia | Number of cases b. Ukhia | Number of alertsLoading...
c. Teknaf | Number of cases d. Teknaf | Number of alertsLoading...
Measles | Maps and Alert Management
Map 2 | Map of cases by camp (W33 2021)
6 W33 2021
Map legendNumber of cases 0 1 10 20 50
Number of alerts 0 1 10
Alert threshold1 case. Source: IEDCR
4Alerts
100%Verified
0Low Risk
0Moderate
Risk
0High Risk
0Very High
Risk
Alert management (W33 2021) Figure | % sex Figure | % age
Male Female < 5
Acute Jaundice Syndrome | Trend
7 W33 2021
0
20
40
60
80
100
120
140
160
Total suspected AJS cases - Bangladesh
W01
201
8
W18
201
8
W35
201
8
W01
201
9
W18
201
9
W35
201
9
W01
202
0
W18
202
0
W36
202
0
W53
202
0
W17
202
1
W35
202
1
Figure 5 | Trend in number of cases over time (W38 2017 - W33 2021)
a. Ukhia | Number of cases b. Ukhia | Number of alertsLoading...
c. Teknaf | Number of cases d. Teknaf | Number of alertsLoading...
Acute Jaundice Syndrome | Maps and Alert Management
Map 3 | Map of cases by camp (W37 2017 - W33 2021)
8 W33 2021
Map legendNumber of cases 0 1 10 20 50
Number of alerts 0 1 10
Alert thresholdA cluster of 3 or more cases seen in ahealth facility. Source: IEDCR
1Alerts
100%Verified
0Low Risk
0Moderate
Risk
0High Risk
0Very High
Risk
Alert management (W33 2021) Figure | % sex Figure | % age
Male Female < 5 >= 5
Acute Watery Diarrhoea | Trends
9 W33 2021
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
5,500
Total AWD cases - Bangladesh
W01
201
8
W18
201
8
W35
201
8
W01
201
9
W18
201
9
W35
201
9
W01
202
0
W18
202
0
W36
202
0
W53
202
0
W17
202
1
W35
202
1
Figure 6 | Trend in number of cases over time (W38 2017 - W33 2021)
Dengue | Trends
11 W33 2021
0
1
2
3
4
5
6
7
8
9
10
11
12
Total Dengue Cases - Suspected - Bangladesh Total Dengue Cases - Confirmed - Bangladesh
W01
201
8
W18
201
8
W35
201
8
W01
201
9
W18
201
9
W35
201
9
W01
202
0
W18
202
0
W36
202
0
W53
202
0
W17
202
1
Figure 7 | Trend in number of cases over time (W38 2017 - W33 2021)
a. Ukhia | Number of cases b. Ukhia | Number of alertsLoading...
c. Teknaf | Number of cases d. Teknaf | Number of alertsLoading...
Dengue | Maps and Alert Management
Map 4 | Map of cases by camp (W37 2017 - W33 2021)
12 W33 2021
Map legendNumber of cases 0 1 100 200 500
Number of alerts 0 1 10
Alert thresholdTwice the average number of casesover the past 3 weeks. Source: IEDCR
0Alerts
0%Verified
0Low Risk
0Moderate
Risk
0High Risk
0Very High
Risk
Alert management (W33 2021) Figure | % sex Figure | % age
No data inchart
No data inchart
Varicella (Susp.) | Trends
13 W33 2021
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
Total Varicella Cases - Suspected - Bangladesh
W01
201
8
W18
201
8
W35
201
8
W01
201
9
W18
201
9
W35
201
9
W01
202
0
W18
202
0
W36
202
0
W53
202
0
W17
202
1
W35
202
1
Figure 7 | Trend in number of cases over time (W38 2017 - W33 2021)
a. Ukhia | Number of cases c. Teknaf | Number of cases
Varicella (Susp.) | Maps
Map 4 | Map of cases by camp (W37 2017 - W33 2021)
14 W33 2021
Map legendNumber of cases 0 1 100 200 500
Figure | % sex Figure | % age
Male Female >= 5 < 5
For more help and support, please contact:
Dr. Shownam Barua Medical Officer - Civil Surgeon Office (MO-CS) Ministry of Health and Family Welfare Cox's Bazar, Bangladesh
Telephone: +88 01723350483
Email: [email protected]
Dr. Feroz Hayat Khan National Professional Officer (Disease Surveillance &Epidemiology) World Health Organization Cox's Bazar, Bangladesh
Telephone: +88 017 0120 2994
Email: [email protected]
NotesWHO and the Ministry of Health and Family Welfare gratefully acknowledge all partners who havereported the data used in this bulletin. The data been collected with support from the EWARS project. This is an initiative to strengthen earlywarning, alert and response in emergencies. It includes an online, desktop and mobile application thatcan be rapidly configured and deployed in the field. It is designed with frontline users in mind, and builtto work in difficult and remote operating environments. This bulletin has been automatically publishedfrom the EWARS application. More information can be found at http://ewars-project.org Sign-up for an account with EWARS Bangladesh at http://bd.ewars.ws
Ministry ofHealth andFamilyWelfare Bangladesh