ReportonFieldworkEPIWeek31– 42,2015

PRESENTEDBY:KLEEKERM.D.JUKORYANDistrictSurveillanceOfficer

Date:November2,2015

Background• CommonwealthDistrict• projectedpopulationof302,829• 72functionalhealthfacilities.

• TheDistricthasFourZones• 1100A1(DuportRoad– SoulClinic/Omega)– 144,717• 1100A2(R2– ELWAJunction/ZubahTown/GSARoad)– 77,710• 1100B2(Pipeline– WeinTown/FDA)– 46,712• 1500(Mt.Barclay/Fendell– Johnsonville/Louisiana)– 33,690

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ExpandedSurveillanceReportSummary• TotalIMRD=294Cases• AllzonesreportedregularlyexceptforEpiweek31ofzone1500whichdidnotreport.• Allfacilitieswere proactive,exceptinweek31that8facilitiesoutof72didnotreport• Reportingtimelinesswasnoteffectiveatthebeginning,thingsimprovelater• SuspectedEVD:90Aliveand10Deaths• Expectation:facilitieswillbeabletosubmittheirreportsontime

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Zones Wk31

Wk32

Wk33

Wk34

Wk35

Wk36

Wk37

Wk38

WK39

Wk40

Wk41

Wk42

%TimelinesscumulativeYTD

%CompletenessCumulativeYTD

1100 A1L L L T T T T T T T T T 75% 100%

1100 A2L T T T T T T T T T T T 92% 100%

1100 B2L L T T T T T T T T T T 83% 100%

1500M L L T T T T T T T T T 75% 92%

TimelinessandcompletenessofZonalreportingTable,CommonwealthDistrict-Liberia,Epi(Wks31– Wk42)2015

weeksReportonTime=T

Late=LNever

Reported=M

%CompletenessCumulative

>=80%onTime

>=50-79.9%onTime

<50%onTimeLegend:

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TimelinessofZonalweeklyreporting,CommonwealthDistrict,EpiWk 31– Wk42,2015

0

10

20

30

40

50

60

70

80

90

100

Zone1100A1 Zone1100A2 Zone1100B2 Zone1500

%Timeliness

ReportingZones

• Public health Action: The District Health Team conducted a meeting withHF heads on importance of timely reporting of data

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CompletenessofZonalweeklyreporting,CommonwealthDistrict,EpiWk31- 42-2015

86

88

90

92

94

96

98

100

102

Zone1100A1 Zone1100A2 Zone1100B2 Zone1500

%Com

pleten

ess

ReportingZones

• AllZonesmetthenationaltarget80%andabove• Publichealthaction: Zonesencouragedtokeepitup;Zone1500will

requiremonitoring6

DISEASE/EVENT TotalCases TotalDeaths CaseFatalityRateACUTEFLACCIDPARALYSIS(AFP) 2 0 0%SUSPECTEDMEASLES 72 0 0%NEONATALTETANUS 1 0 0%SUSPECTEDEBOLAVIRUSDISEASE(EVD) 90 10 11%DYSENTERY(NONBLOODY) 38 0 0%CHOLERA 0 0 0%LASSAFEVER 0 0 0%YELLOWFEVER 0 0 0%OTHERVHF 0 0 0%MENINGITIS 0 0 0%HUMANRABIES (ANIMALBITES) 35 0 0%MATERNALDEATH 0 0NEONATALDEATH 2 2AWD 52 0 0%CHICKENPOX 3 0 0%

SummaryofkeyNotifiableDiseasesofCasesandDeaths,CommonwealthDistrict,Liberia,EpiWk31- Wk42

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TrendofMeaslesCasesinCommonwealthDistrict,Liberia,EpiWk 31– 42,2015

• Epi wk 35: High increase in suspected measles cases from the Fofe Communityin the District

• Public Health Action: Outbreak investigation was conducted and outreachCampaign intensified in affected community

0

5

10

15

20

WK31 WK32 WK33 WK34 WK35 WK36 WK37 WK38 WK39 WK40 WK41 WK42

NUMBE

ROF

MEA

SLESCASESAND

DEATH

ReportingWeek

CASES DEATH

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TrendofEVDCasesandDeathsinCommonwealthDistrict,Liberia,EpiWk 31– 42,2015

0

5

10

15

20

25

30

WK31 WK32 WK33 WK34 WK35 WK36 WK37 WK38 WK39 WK40 WK41 WK42

NUMBE

ROF

EVD

CAS

ESAND

DEATH

S

CASES

DEATHS

• High increase in suspected EVD Cases in Epi Wk 38 and Epi Wk 39 due changein case definition

• Public Health Action: suspected EVD cases were investigated; all testednegative 9

SurveillanceQualityAnalysisProblem

WeakReportingSystemTeamComposition/Members• gCHVs• HealthFacilityOICsandSurveillanceFocusPersons• DistrictHealthTeam• CountyHealthTeam• Partners(WHO,IRC,ETC)

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RecommendationsDHT• organizetrainingforHealthfacilityStaffforpreparinggraphsandusingittoanalyzeandinterpretdata• providefeedbacktofacilities

MCHT/MOH/Partners• establishlaboratorytestingforImmediatelyReportableDiseases(IRDs)atHealthFacilities•makereporting/surveillancetoolsavailableatallDistrictoffices• providesupporttoDistricttoconductitsregularmonthlymeetingforOICsandSurveillancefocalpersons• provideTransportation(VehiclesorMotorcycles)toenabletheDHTfunctionactively

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Acknowledgement

Iwishtoacknowledgethefollowingpersons

• AllourMentors

• FacultiesandStaffofEmoryandAFENET

• OurBossesattheCHTandMOH

• AlllocalandInternationalPartners13

Thanks

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