week-12 · 2020-04-30 · review meeting objectives: 1. review overall cvdpv2 response activities...

Somalia Weekly Update

Week-12Ending 25 March 2018

cVDPV2 update from Environmental Samples

1.4 KM

• Sequencing results for the ES sample

collected from Hodan district

ES/SOM/BAN/HDN/EGH-1/18/008 are

genetically linked to the VDPV2 sequence

from ENVID

ES/SOM/BAN/WBR/21OCT/17/003,

(Waberi district, Twenty One October

ENV site).

• SOM/BAN/HDN/EGH-1/18/008 is

classified as cVDPV2, as described in

GPEI Guidelines for Reporting and

Classification of Vaccine-derived

Polioviruses.

• The sample was collected on 22 Feb.

2018 at 8:00 AM and sent to KEMRI on

the same day. The PCR result was

received from KEMRI on March 08. and

final sequencing result on 21 March 2018

• This site was established on 23 November

2017. The sewage is only for the hospital

• Egyptian hospital ES sites is 1.4 KM in the

upstream side of the 21October ES site.

Actions in Egyptian Hospital

Follow-up continued on Egyptian hospital following VDPV2 isolation

• The objective is to identify if the source of cVPDV2 is a patient / caregiver / employee in the Egyptian Hospital

• 5 samples collected from healthy children coming to the hospital for health service on 25th March, 2018 and sent to

KEMRI on the same day.

• Discussion continued with Health workers and hospital managers in the Hospital and collect relevant information on

demographics, travel, immunization status etc. of patients.

• Retrospective active case search continued reviewing medical records from the previous 6 months to see if there were

any missed AFP cases is going on.

• A standard protocol and checklist is developed to conduct which includes standard questioner and data collection

will start soon. The survey will be conducted by “external reviewers” selected and trained for this activity by

WHO

Review meeting Objectives:

1. Review overall cVDPV2 response activities in south and central zones in general and the 3 affected regions in in

particular

2. Review performance and quality of the 2 rounds of mOPV2 campaigns in Banadir, L. Shabelle and M. Shabelle

3. Review surveillance activities in South and Central zones

4. Evaluate the level of preparedness for the IPV campaign: review micro-plan & monitoring plans

5. Discuss with the team and partners on the draft “cVDPV2 outbreak response and surveillance enhancement

action plan”

mOPV2 response campaign review and IPV planning meeting conducted (24 - 26 Mar 2018) in Mogadishu

Participants:

Federal and regional health officials

WHO, & UNICEF country and zonal polio

eradication team and communication officers

Central and South zone polio officers (ZPOs)

District polio officers (all DPOs from Banadir)

Campaign monitoring and LQAS supervisors

Regional office and HQ participants (WHO,

UNICEF, CDC)

List of ES samples sent for Sequencing in 2017 and 2018 and summary of final classification

Region District Site name Year Epid. Number Date of Sample Collection PCR/ Final resultDate sent

for Sequencing

NT Deference

from parent

Date of Sequencing

result

Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-002 22-Oct-17 cVDPV2 02-Nov-17 38 nt 09-Nov-17

Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-003 2-Nov-17 cVDPV2 36 & 37 nt

Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/009 21-Dec-17 SL-2 2-Feb-18 10-Feb-18

Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/010 28-Dec-17 SL-2 2-Feb-18 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/001 4-Jan-18 cVDPV2 2-Feb-18 44 & 38 nt 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/002 11-Jan-18 cVDPV2 2-Feb-18 40 nt 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/003 18-Jan-18 SL-2 2-Feb-18 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/004 25-Jan-18 SL-2 24-Feb-18

Banadir Hodan Egyptian Hospital 2018 ES/SOM/BAN/HDN/EGH/18/005 01-Feb-18 SL-2 22-Feb-2018 03-March-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/006 08-Feb-18 SL-2 12-March-2018 15-March-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/007 15-Feb-18 SL-2 12-March-2018 15-March-18

Banadir Hodan Egyptian Hospital 2018 ES/SOM/BAN/HDN/EGH/18/008 2/22/2018 cVDPV2 08-March-2018 40, 38 & 39 nt 19-March-2018

Banadir Waberi 21October 2018 ES/SOM/BAN/WBR-TOO-18-008 2/22/2018 SL-2 08-March-2018 19-March -2018

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/008 2/22/2018 SL-2 08-March-2018 19-March -2018

Banadir Waberi 21October 2018 ES/SOM/BAN/WBR-TOO-18-009 03/01/2018 SL-2 08-March-2018 Pending

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/009 03/01/2018 SL-2 08-March-2018Pending

ES SamplescVDPV2s and SLs isolated from Environmental Samples (2017 and 2018)

Classification summary of ES samples - 2018

SiteRunning in the

LabWILD & VDPV2 NEGATIVE cVDPV2 NEV

Sabin

1&3Sabin 2 NPENT

Sent for

sequencingGrand Total

21 October 3 0 3 0 0 0 0 4 1 12

UROBO 3 0 8 0 0 0 0 0 0 12

KAWMA 3 0 1 2 0 0 4 0 1 12

HODAN 3 0 5 1 1 1 1 0 0 12

Total 12 0 17 3 1 1 5 4 2 48

A total of 2 ES samples collected from Waberiand Hamerewoini districts are under process for sequencing result

Legend

1 Not scheduled 6 Sabin 11 WPV1+cVDPV2

2 Pending 7 NPENT + Sabin 12 Sent for sequencing

3 Negative 8 VDPV2 13 Scheduled but not collected

4 NEV 9 WPV1 14 Sabin 2

5 NPENT 10 WPV3 15 Sabin + NPEV + NEV

Summary Environmental Samples and lab classification

Region District

Epidemiological week-2017 Epidemiological week-2018

Name of

Sites

Date of

Establishment38 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

Banadir Waberi 21October 19 Sept. 2017

Banadir Shangani Urobo 20 Sept. 2017

Banadir Hamerewoini Kawma21 Sept. 2017

Banadir Hodan Egy. Hospital 23 Nov. 2017

cVDPV2 update- AFP cases and contacts

List of AFP cases and contacts with PV2 and pending final classification

Type of Sample

EPI-Code for the case and contacts

Region DistrictDistance from the nearest ES

siteOnset date mOPV2

IPV from routine EPI

Status

AFP case SOM/BAN/WDA/18/001 BanadirWARDEGLY

1.9 Km from UROBO ES site. Located at the Upstream side of the 2 ES sites.

2/15/2018took 2 does mOPV2 from Campaign

no PV2-SABIN

AFP case SOM/BAN/DYN/18/001 Banadir DANYILE

4.9 Km from Egyptian Hosp. ES site. Also located in the upstream of the ES site

2/10/2018took 2 does mOPV2 from Campaign

yes PV2-SABIN

Contact SOM/BAN/DYN/18/001/C1 Banadir DANYILEtook 2 does mOPV2 from Campaign

yes PV2-SABIN

Contact SOM/MSH/JOW/18/001/C1Middle Shabelle

JOWHAR

Jowhar is capital of Middle Shabelle which is 92 KM Mogadishu. NO ES sites

took 2 does mOPV2 from Campaign

no PV2-SABIN

No cVDPV2 from Cases or Contacts isolated The 2 cases and 2 contacts are classifieds as PV2-SABIN

Part –I

AFP-Surveillance

Week-12 Somalia Weekly EPI/POL Update

Epidemiological Curve 01 January 2014 – 25 March 2018

Graph no. 1

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Pending Lab Pending ERG Discarded Compatable WPV aVDPV

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

- 4 new AFP cases were reported last week making the total AFP cases reported in 2018 to 78 from 19 regions as compared to 88 AFP cases from 19 regions as the same time point in 2017.

- Sahil region from Somaliland is silent and has not reported for 8 consecutive weeks. The regional team has requested to collect community samples from health children in health facilities.


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

To

tal 2

016

2017

W12

2017

W13

2017

W14

2017

W15

2017

W16

2017

W17

2017

W18

2017

W19

2017

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2017

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2017

W22

2017

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2017

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2017

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2017

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2017

W27

2017

W28

2017

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2017

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2017

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2017

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2017

W33

2017

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2017

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2017

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W39

2017

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2017

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2017

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2017

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2017

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2017

W46

2017

W47

2017

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2017

W49

2017

W50

2017

W51

2017

W52

To

tal 2

017

2018

W01

2018

W02

2018

W03

2018

W04

2018

W05

2018

W06

2018

W07

2018

W08

2018

W09

2018

W10

2018

W11

To

tal 2

017

BANADIR 30 3 1 2 1 1 1 1 1 2 1 1 2 2 2 1 2 1 1 1 33 2 1 1 1 1 1 7

GALGADUD 25 1 2 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 27 1 2 1 1 1 1 7

M. SHABELLE 19 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 24 1 1 1 1 4

L. SHABELLE 24 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 2 1 1 1 31 1 2 1 4

HIRAN 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 1 1 1 3

BARI 24 2 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 24 3 2 1 1 7

NUGAL 11 1 1 1 1 1 1 1 10 1 1 1 3

MUDUG 14 1 1 1 1 1 1 1 12 1 1 1 3

TOGDHER 11 1 1 1 1 1 1 9 1 1 2

GALBEED 19 1 1 1 1 1 1 2 1 2 1 2 20 1 1 1 1 1 5

SANAQ 7 1 1 1 1 6 1 1

AWDAL 18 1 1 1 1 1 1 1 1 1 1 1 17 1 2 1 1 1 1 7

SAHIL 8 1 1 1 1 1 1 8 1 1 2

SOOL 5 1 1 1 1 1 2 1 11 1 1 2

LOWER JUBA 26 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 29 2 1 2 1 1 7

BAY 19 1 1 1 1 1 1 1 2 2 2 1 22 1 4 1 1 1 8

GEDO 21 1 1 1 1 1 1 1 1 2 2 1 1 1 20 1 1 2

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

BAKOOL 9 1 1 1 1 1 1 1 1 10 1 1 2

Total Somalia 316 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 7 2 5 3 6 2 5 345 6 4 8 7 4 9 13 7 12 5 3 78

Classification of AFP cases by status (2017 & 2018)

19In process (lab)

0Pending ITD

59Discarded

0 WPV

19Pending

0 Compatibl

e

0VDPV

78 AFP Cases Reported in 2018


Tab

le n

o.-

2

Chart no. 1

0Pending ERG

ZONE PROVINCE

2017 2018

Discarded Pending Total Discarded Pending Total

CENTRAL

BANADIR 33 0 33 5 2 7

GALGADUD 27 0 27 5 2 7

HIRAN 21 0 21 3 0 3

LOWER SHABELLE 30 0 31 3 1 4

MIDDLE SHABELLE 24 0 24 4 0 4

Puntland

BARI 24 0 24 7 0 7

MUDUG 11 0 12 3 0 3

NUGAL 10 0 10 3 0 3

Somaliland

AWDAL 16 0 17 7 0 7

GALBEED 20 0 20 3 2 5

SAHIL 8 0 8 2 0 2

SANAQ 6 0 6 1 1

SOOL 11 0 11 1 1 2

TOGDHER 9 0 9 2 0 2

SOUTH

BAKOOL 10 0 10 2 0 2

BAY 22 0 22 3 5 8

GEDO 20 0 20 2 0 2

LOWER JUBA 29 0 29 3 4 7

MIDDLE JUBA 11 0 11 1 1 2

Grand Total 345 0 345 59 19 78

Surveillance Indicators by Zone and Region 2018


Graph no. 2

Graph no. 3

4.0

13.4

6.1 6.6 6.0

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

Central Puntland Somaliland South Total Somalia

Annualized NP-AFP Rate by Zone, 2017

5.5 5.9 6.0 6.0

-

2.0

4.0

6.0

8.0

10.0

In-accessible PartiallyAcceessible

Accessible Somalia

Annualized NP-AFP rate by accessibility status

Map no. 1 Map no. 2

Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2018

63 districts reported at least 1 AFP case since

the first week of 2018.

Of the 63 districts reporting AFP cases in

2018, 62 have annualized NP-AFP rate above

2 per 100,00 and also Stool adequacy rate is

above 80%.

The remaining 52 districts have not reported

any AFP case in 2018; However, there is no

district in Somalia which is silent for more

than 52 consecutive weeks.


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 the 7 zero dose AFP cases

reported in 2018 were reported

from access compromised districts

of central and South zones. 3 from

inaccessible and 4 from partially

accessible districtsMap no. 5 Map no.6

Number of NP-AFP cases reported across years during the same period (2012-2018) by zone

All zones have reported less number of AFP cases compared to the number of reported AFP cases in 2017 during the same period.


0 0 1 1 2

53

11 13

24

105

33

1713

21

84

25

714 13

59

26

14

2226

88

25

13

19 21

78

0

20

40

60

80

100

120

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

2013 2014 2015 2016 2017 2018

Early case detection within 7 days from onset of paralysis at zonal and region levels-2018


• 95% (n=70/74) cases reported in 2018 were notified within 7 days of onset of paralysis. 3 AFP cases from Bay and 1 from Lower Jubba regions had delayed notification.

7 7 3 4 4 7 3 3 7 5 2 1 2 2 2

5

2

6

2

74

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BA

NA

DIR

GA

LGA

DU

D

HIR

AN

L. S

HA

BEL

LE

M.

SHA

BEL

LE

BA

RI

MU

DU

G

NU

GA

L

AW

DA

L

GA

LBEE

D

SAH

IL

SAN

AQ

SOO

L

TOG

DH

ER

BA

KO

OL

BA

Y

GED

O

L. J

UB

A

M.

JUB

A

CENTRAL PUNTLAND SOMALILAND SOUTH TOTAL

Notification within 7 days, Regional

25 13 19 17 74

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

Notification within 7 days, Zonal

ZONE

# A

FP c

ases

NP

-AFP

Rat

e

# C

ases

wit

h

Ad

q.

Spec

imen % Stool

Adq.% Inv.

within 48 hrs.

% Notif. within 7

days

Cas

es p

en

din

g la

b r

esu

lts

Cas

es w

ith

lab

. re

sult

.

Cas

es w

ith

sto

ol i

n g

oo

d

con

d.

% C

ase

s w

ith

sto

ol i

n

goo

d c

on

d.

#o

f sa

mp

les

wit

h N

P-

EV Is

ola

ted

% S

amp

les

wit

h N

P E

V

Iso

late

d

# c

ases

wit

h S

abin

like

vi

rus

Iso

lati

on

% o

f ca

ses

wit

h

S L

V

iru

s Is

ola

tio

n

Central 25 4.0 25 100% 100% 100% 5 20 20 100% 0 0% 4 20%

Puntland 13 13.4 13 100% 100% 100% 0 13 13 100% 0 0% 4 31%

Somaliland 19 6.1 19 100% 100% 100% 4 15 15 100% 0 0% 0 0%

South 21 6.6 19 90% 100% 81% 10 11 11 100% 4 18% 0 0%

Total 78 6.0 76 97% 100% 95% 19 59 59 100% 4 3% 8 14%

Summary of AFP surveillance key indicators by Zone, 2018


Table no.-4


Summary of AFP surveillance key indicators by Province, 2018

ZONE PROVINCE Regional U15 Pop.Expected # of AFP

cases as of this Week

Number of AFP cases reported

NP-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 followup

CENTRAL

BANADIR 1,110,807 5 7 3.0 100% 100% 100% 100% 0% 40% 0

GALGADUD 267,828 1 7 12.4 100% 100% 100% 100% 0% 20% 0

HIRAN 233,838 1 3 6.1 100% 100% 100% 100% 0% 0% 0

LOWER SHABELLE 948,112 4 4 2.0 100% 100% 100% 100% 0% 33% 0

MIDDLE SHABELLE 375,400 2 4 5.0 100% 100% 100% 100% 0% 0% 0

PUNTLAND

BARI 182,218 1 7 18.2 100% 100% 100% 100% 0% 29% 0

MUDUG 186,490 1 3 7.6 100% 100% 100% 100% 0% 33% 0

NUGAL 90,921 0 3 15.6 100% 100% 100% 100% 0% 33% 0

SOMALILAND

AWDAL 244,900 1 7 13.5 100% 100% 100% 100% 0% 0% 0GALBEED 550,148 2 5 4.3 100% 100% 100% 100% 0% 0% 0SAHIL 85,949 0 2 11.0 100% 100% 100% 100% 0% 0% 0SANAQ 150,975 1 1 3.1 100% 100% 100% 100% 0% 0% 0SOOL 120,412 1 2 7.9 100% 100% 100% 100% 0% 0% 0TOGDHER 317,058 1 2 3.0 100% 100% 100% 100% 50% 0% 0

SOUTH

BAKOOL 183,178 1 2 5.2 100% 100% 100% 100% 50% 0% 0BAY 540,491 2 8 7.0 88% 100% 63% 100% 33% 0% 0GEDO 312,710 1 2 3.0 50% 100% 100% 100% 50% 0% 0LOWER JUBA 300,735 1 7 11.0 100% 100% 86% 100% 67% 0% 0MIDDLE JUBA

162,640 1 2 5.8 100% 100% 100% 100% 0% 0% 0

SOMALIA 6,364,810 27 78 6.0 97% 100% 95% 100% 3% 14% 3

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 25 75 60 3 100% 100% 100% 15 2 3% 7 12%

Puntland 13 39 37 3 100% 100% 100% 2 1 3% 6 16%

Somaliland 19 55 45 3 100% 100% 100% 10 0 0% 4 9%

South 21 60 33 3 100% 100% 100% 27 3 9% 2 6%

Somalia 78 229 175 3 100% 100% 100% 54 6 3% 19 11%


Table no.-5

Summary of AFP surveillance key indicators for contacts- 2018

Community Samples collected from healthy children- 2018

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

Central 5 0 5 0 0

Puntland 10 5 5 0 0

Somaliland 10 5 5 0 0

South 0 0 0 0 0

TOTAL 25 10 15 0 0

ZoneNumber of VPVs

Number of cases reported

# of cases Notified by

VPV

Proportion of cases reported

by VPV

CENTRAL 190 25 16 64%

PUNTLAND 105 13 7 54%

SOMALILAND 81 19 7 37%

SOUTH 159 21 7 33%

Somalia 535 78 37 47%

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

2 25

151

143 163 1913767

268

131

74105 104

28

79253

13864

48 50 13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Year of onset

Source of AFP cases notification 2012-2018

VPV HFs Other

1 1 4 5 0 6 214

138

3120

2025

9

33

78

63

4172 53

14

9

14

17

4

612

2

10

37

16

4

7 8

1

0

50

100

150

200

250

300

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY HEALTH FACILITIES

HEALTH POST HOSPITAL MCH

PRIVATE CLINIC PRIVATE PHARMACY

2 3 2 0 0 0 00 118 24 17

7 009

22 8

3

000

12

109

111143

184

37

0

50

100

150

200

250

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY COMMUNITY AND VOLUNTEERS

CHW COMMUNITY HOUSEHOLD VOLUNTEERS

0 2 0 0 0 1 012

77

40

14 8 80

4

26

5

43 6

0

28

74

75

3631 28

10

21

49

4

1

1 0

0

12

17

10

7

5 7

30

50

100

150

200

250

300

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY VACCINATORS AND TRADITIONAL HEALERS

CAMPAIGNS DISTRICT FIELD ASST DPO

NID VACCINATOR TRADITIONAL HEALER

AFP cases by specific sources notification 2012-2018


Distribution of AFP cases by life style, age group and sex, 2018

Of the total 78 AFP cases

reported in 2018, 40%

(n=31) and 38% (n=30)

are from Urban and

Rural population

respectively. Nomadic

communities account for

only 22% (n=17).

74% (n=58) of cases are

aged less than 5 years.

59% (n=46) AFP cases

are female.


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

31 97 9180

70 69 17

51

150

144

87117

12430

65281

181 112 129 15231

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution of AFP cases by Life style per zone-2012-2018

Nomadic Rural Urban

56 221 167 115

164156

46

92 324 252 166

152189

32

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution AFP cases by Sex2012-2018

Female Male

129

129

348249 283

293

58

19

83

7232 33

52

20

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution of AFP cases by Age group2012-2018

<5 Yrs ≥ 5 Yrs

AFP surveillance indicators by accessibility status of districts

Accessibility# of districts

U-15 Pop in this area

# of AFP cases

Reported

# of Casesreported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of cases with lab result

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notif. within 7 days

%Specim

ens with NPEV

% cases with Sabin

like virus

Inaccessible 17 619,320 7 6 86% 5.5 2 100% 100% 100% 0% 0%

Partially accessible

23 1,720,826 21 7 33% 5.9 14 100% 100% 100% 7% 7%

Accessible 75 4,024,663 50 24 48% 6.0 43 100% 100% 100% 2% 16%

National 115 6,364,810 78 37 47% 6.0 59 100% 100% 100% 3% 14%


Table n

o.-7

Accessibility% of <15 populati

on in the area

# of AFP cases

Reported

# of Cases

reported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of cases with lab

result

% of cases

with lab result

within 14 days

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notifie

d within 7 days

%Specim

ens with NPEV

% cases with

Sabin like virus

Nomadic 28.80% 17 11 65% 6.0 12 75% 94% 100% 100% 0% 8%

Rural 25.90% 30 14 47% 11.8 23 83% 100% 100% 100% 4% 13%

Urban 45.30% 31 12 39% 7.0 24 92% 97% 100% 100% 4% 17%

National 100% 78 37 47% 8.0 59 85% 97% 100% 100% 3% 14%

AFP surveillance indicators by Life Style of Population 2018


Validation and zero dose investigation of AFP cases, 2018

AFP Cases Validation

Zone

# of AFP cases

Reported

# of AFP

cases

Validated

% of AFP

cases

Validated

Central 23 13 57%

Somaliland 18 8 44%

South Zone 20 12 69%

Puntland 13 11 85%

Somalia 74 44 59%

Of the total 74 cases reported in 2017, 59% (n=44) were validated by the RPOs

There were 7 zero OPV dose AFP cases reported in 2018 and of which 57% (n=4/7) 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

Comment

Central 1 1 100% Inaccessible

Somaliland 0 0 0 0

South Zone 6 3 50% Inaccessible

Puntland 0 0 0

Grand Total 7 4 57%

Table no.-9

Tracking lab results of AFP cases

Total AFP cases

78

Total AFP cases with stool specimens

Total AFP cases without stool

specimens

78 0

With lab results

En route In the lab

59 0 19

cVDPV2 SL EV -ve

0 8 2 49

6

40

28

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 156 118 38 100 85% 4 3% 8 14%

Contacts 229 175 54 148 85% 6 3% 19 11%

Total 385 293 92 248 85% 10 3% 27 12%

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 - 2018

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



Week-12 Somalia Weekly Polio Update

Village polio volunteers weekly house to house visit and AFP cases notified, 25 March 2018

Central

January Feberuary March April May June July Aug Sept Oct Nov December

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 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 AFP

cases notifie

d

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 notified

No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of AFP

cases notifi

ed

Central38002 5 39361 8 29262 3 0 - - - - - - - - - - - - - - - - -

South35756 1 35545 3 27177 3 0 - - - - - - - - - - - - - - - - -

Puntland 16237 2 16148 3 12086 2 0 - - - - - - - - - - - - - - - - -

Somaliland

32180 6 32370 1 23780 0 0 - - - - - - - - - - - - - - - - -

Total122175 14 123424 15 92305 8 0 - - - - - - - - - - - - - -

- - -


Routine Immunization Services, status of Cold Chain & Vaccine stocks in AFP Surveillance Sites. 25 March 2018

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 availableHealth facility have IPV vaccine available

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

Nugal 33 19 58% 19 100% 19 100% 18 95%

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

Mudug 58 39 67% 38 97% 38 97% 34 89%

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

Sahil 25 10 40% 10 100% 10 100% 8 80%

Sanag 21 11 52% 11 100% 11 100% 11 100%

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

Awdal 52 23 44% 23 100% 23 100% 23 100%

Togdher 47 21 45% 21 100% 21 100% 21 100%

Middle Shabelle 38 19 50% 15 79% 19 100% 19 100%

Hiran 27 22 81% 5 23% 22 100% 22 100%

Galgadud 38 25 66% 14 56% 25 100% 25 100%

Banadir 125 68 54% 27 40% 66 97% 63 95%

Lower Shabelle 56 30 54% 26 87% 30 100% 24 80%

Middle Juba 29 1 3% 0 0% 1 100% 0 0%

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

Gedo 53 21 40% 20 95% 21 100% 19 90%

Bay 75 30 40% 30 100% 31 103% 30 97%

Lower Juba 56 21 38% 9 43% 21 100% 21 100%

Somalia 943 437 46% 343 78% 435 100% 413 95%

Part -II

Fever and rash Surveillance

- 272 Suspected cases reported since beginning of 2018


Epi-curve on suspected measles cases by week, Somalia (2015-2018)

2015 (n=7498)

2016 (n=5657)

163

149

144

208

182

172

174

199 21

417

514

0 156

161 18

013

4 151

113 12

796 95

8510

7 124

86 90 8472

102

7289 88

115

100

125

9711

115

810

587

6686

103

125

112

9512

210

987 88 83

105

140

132

102 11

511

614

212

7 141

145

109

9812

490

8274 79

6091 92

81 76 7084

76 74 71 6785

101

170

102

93 9312

811

712

2 133

154

122

155 17

319

6 210 22

822

230

925

540

837

339

938

343

644

167

049

669

965

768

566

369

6 703 72

068

6 693

584

560

538 55

446

348

844

440

032

543

633

027

7 290

352

320

507

441

416

389

410

362

440

487

401

426

406

349

416

351

315

286

317

346

393

325

461

410

0

100

200

300

400

500

600

700

800 2017(n=23,353)

20

18

(n=3

84

3)


Fever & rash cases reported by AFP surveillance System 25 March 2018

Region

Fever and Rash Cases by weekly 2017

Tota

l 20

17

Fever and Rash Cases by weekly 2018

Tota

l 20

18

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

W4

7

W4

8

W4

9

W5

0

W5

1

W5

2

W1

W2

W3

W4

W5

W6

W7

W8

W9

W1

0

W1

1

Nugal 70 82 54 46 41 31 44 200 109 91 62 84 100 118 113 96 94 63 58 49 45 2050 32 26 26 26 24 19 30 21 17 10 7 238

Bari 44 34 56 39 26 50 35 38 36 35 22 44 44 33 33 24 42 35 34 27 28 1968 21 26 20 17 20 26 26 18 22 27 33 256

Mudug 42 51 37 32 56 61 49 64 77 85 72 73 64 61 115 63 65 61 67 65 63 2566 47 45 36 27 44 25 23 24 30 15 21 337

N/East Zone 156 167 147 117 123 142 128 302 222 211 156 201 208 212 261 183 201 159 159 141 136 6584 100 97 82 70 88 70 79 63 69 52 61 831

Galbeed 3 2 1 2 1 4 5 2 1 6 7 2 6 0 3 7 4 2 1 3 3 758 4 2 4 7 1 4 0 4 0 0 6 32

Sahil 0 5 0 4 0 2 1 1 0 1 0 2 0 0 0 3 1 4 0 2 0 576 2 0 9 2 13 5 24 5 18 4 4 86

Sanag 0 8 6 3 0 6 5 8 0 2 2 5 0 7 6 2 0 0 0 0 0 259 4 6 5 11 0 5 7 5 5 2 0 50

Sool 2 4 4 1 6 0 4 0 1 8 3 2 1 10 5 11 10 9 17 25 0 698 17 7 20 20 45 20 43 13 26 6 26 243

Awdal 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 2 0 0 1 105 2 0 11 2 5 0 10 0 3 0 0 33

Togdher 2 30 7 26 10 13 6 17 6 10 12 27 7 19 10 22 4 16 7 25 10 2324 11 11 27 13 31 7 51 25 37 14 49 276N/West Zone 8 49 18 36 17 25 21 28 8 27 24 38 14 37 24 45 22 33 25 55 14 4720 40 26 76 55 95 41 135 52 89 26 85 720

M/ Shabelle 14 14 21 8 19 22 16 7 15 16 16 15 12 6 12 6 9 6 16 11 12 716 18 15 19 23 23 23 43 30 30 33 38 295

Hiran 3 3 13 8 7 4 10 4 6 3 5 5 3 7 13 15 22 49 10 30 28 1461 12 13 3 26 26 15 22 12 18 1 5 153

Galgadud 18 5 8 6 9 7 5 8 6 4 7 5 8 3 6 4 7 3 6 5 7 625 5 7 4 6 6 8 16 11 8 6 4 81

Banadir 71 140 76 62 58 69 68 75 98 58 81 50 41 71 106 76 79 74 82 69 67 5617 72 73 79 70 70 68 56 66 59 54 48 715

L/Shabelle 43 39 29 30 34 56 49 40 41 40 38 44 32 39 37 40 45 37 29 36 36 2106 25 28 40 36 36 28 29 52 36 35 33 378

Central Zone 149 201 147 114 127 158 148 134 166 121 147 119 96 126 174 141 162 169 143 151 150 10525 132 136 145 161 161 142 166 171 151 129 128 1622

Middle Juba 3 3 0 0 0 0 2 0 4 4 1 1 1 0 0 0 2 0 0 0 0 62 0 3 3 0 1 1 2 3 0 0 2 15

Bakool 8 2 4 0 4 2 0 2 2 2 6 6 8 3 5 4 2 1 0 4 4 99 4 2 2 0 4 0 0 4 2 0 0 18

Gedo 0 0 0 0 2 8 8 24 12 24 9 9 3 35 16 12 6 8 0 0 0 241 0 1 1 51 23 61 51 100 77 35 26 426

Bay 1 10 6 7 12 9 3 4 8 5 14 22 18 19 7 9 22 12 9 36 25 654 17 17 2 0 9 4 11 11 9 0 0 80

Lower Juba 0 4 8 3 5 8 10 13 19 22 32 14 14 8 0 7 9 24 13 28 22 468 22 4 6 9 12 6 17 6 10 27 12 131

South Zone 12 19 18 10 23 27 23 43 45 57 62 52 44 65 28 32 41 45 22 68 51 1524 43 27 14 60 49 72 81 124 98 62 40 670

Grand Total 325 436 330 277 290 352 320 507 441 416 389 410 362 440 487 401 426 406 349 415 351 23353 315 286 317 346 393 325 461 410 407 269 314 3843

Fever & rash cases reported by AFP surveillance System 25 March 2018


<1yr, 616, 16%

1_4 yrs, 2167, 56%

5_9yrs, 608, 16%

Yrs10+, 452, 12%

Age-wise distribution of fever and rash cases reported by AFP surveillance system during 2018

1622

831 720 670

3843

0

500

1000

1500

2000

2500

3000

3500

4000

4500

Central North East North West South Total Somalia

Zone-wise cases of fever and rash reported by AFP surveillance system in 2018

Trend of reported fever and rash cases by zone in 2015 /16/17/2018 Source AFP surveillance,


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 882979

349 300182

0

200

400

600

800

1000

1200

Puntland

2015 2016 2017 2018

161 142

269202 243

93 72 47 29 47 29 1514 3682 104

33 35 16 9 4296

37 8

265

95

861909

823

503

275

132 99 87 113194197

323

200

0

200

400

600

800

1000

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

Somaliland

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

455 443 441348

545450 514

328 281388 383 401367 315

401265 324 307 278 271 310

142

350

30

503

742

11111205

13401494

925

659547 568 515

916

574 640

408

0

200

400

600

800

1000

1200

1400

1600


Central

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

40 27 27 3046

22 27 19 14 13 18 18937 29

4675

50

9 21 733 46

2645

77115

136 128 139

8264

83

207189

32

144

326

200

0

50

100

150

200

250

300

350


South

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

Cam

pai

gn

(2-6

Jan

)

- Number of reported Suspected Measles declined after campaign

Part -IIIPopulation Immunity

Measles mass campaign conducted from January 02-06, 2018 targeting a total of 1,014,791 children aged from 6 months to 10 Years living in 30 districts of Puntland concluded vaccinating 933,406 children.

16

,35

6

9,0

26

9,2

27

16

,84

1

16

,48

3

7,9

86

35

,47

3

13

,15

4

9,7

57

9,7

04

11

,76

9

72

,85

1

34

,48

9

15

,71

3

21

,95

8

49

,67

8

20

5,3

37

50

,14

0

47

,78

7

8,0

09

6,4

82

5,5

65

10

,57

3

9,1

92

6,1

95

15

,27

2

5,9

02

5,4

68

8,8

72

93

3,4

06

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Alu

la

Arm

o

Bar

gal

Bo

saso

Isku

shu

ban

Qa

nd

ala

Ufa

yn

Gar

do

B/b

ayla

Rak

o

Haf

un

Wai

ye

Gar

ow

e

Bu

rtin

le

Dan

gora

yo Eyl

Gal

do

gob

Gal

kayo

Jari

ban

Ho

byo

Daa

dya

r

Gal

shal

e

Qu

racy

adh

er

Bad

han

Dh

ahar

Hin

galo

l

Lasq

ora

y

Bo

'am

e

Hu

du

n

Tale

h PL

Bari Karkar Nugal Mudug Ayn Sanag Sool

Coverage of measles mass vaccination campaign by districts - Puntland


Source: Admin and IM data

Supplemental Immunization Activities

Maps showing accessibility and security/ risk level, Somalia


Map no.11

Source: UNDSS

Map 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 2,297,618 Inaccessible 62 29 21 1042 638,368 Total 190 245 168 3396 2,935,985

PUNTLANDAccessible 105 207 53 1076 459,628 Inaccessible 0 0 0 0 -Total 105 208 53 1076 459,628

SOMALILANDAccessible 81 206 53 3435 1,469,441 Inaccessible 0 0 0 0 -Total 81 206 53 3435 1,469,441

SOUTHAccessible 75 179 123 2234 1,040,636 Inaccessible 84 33 22 1548 459,119 Total 159 212 145 3782 1,499,755

SomaliaAccessible 389 809 376 9099 5,267,323 Inaccessible 146 62 43 2590 1,097,488 Somalia Total 535 933 419 11689 6,364,811


2018 SIA Calendar, Implementation status Summary


Tab

le n

o.-

14

Somalia SIA Callender for 2017

Planned Date Campaign Type Geographic Areas to be covered Target Age Group Zonal target Population Implementation date Vaccine used # Reached/

Vaccinated

Admin Coverage

in % IM Coverage in %

LQAS Result

29-Jan- 01 Feb. 2018 SNID (mOPV2)Districts of Banadir, Lower Shabelle and

Middle ShabelleU-5 years 726,699

29 January - 01 February 2018

mOPV 715,172 96% 93%• 46 lots Passed,

• 7 Failed,

• 15 Discarded

01-05 April 2018

TentativeSNID (IPV)

Districts of Banadir, Lower Shabelle and

Middle ShabelleU-2 years 290,691 IPV

23-26 April -2018 NIDs R-1

All accessible areas of Central zone

Under 5 years

931,588

bOPVPuntland all districts 546,107

Somaliland all districts 640,440

All accessible areas of South zone 397,122

2,515,257

July-2018 HtR - R-1

Nomadic; Agro pastoral; Scattered, remote,

far settlements & Small villages with

difficult / no road access

Under 5 years

75,650

bOPV33,787

141,037

150,359

400,834

18-Oct-2018 NIDs R-2

All accessible areas of Central zone

Under 5 years

931,588

bOPVPuntland all districts 546,107

Somaliland all districts 640,440

All accessible areas of South zone 397,122

2,515,257

SIADs Jemame East and Jemame West in South

SIADsSome areas in Galgadud region of Central

zone

A) Target population: includes all accessible areas including the areas/districts that became and 3% population growth added 2018.

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.


Table no.-16

A total of 491,108 < 10 years individuals were vaccinated week 11,2018. Among them 5,284 (1%) were vaccinated for the first time.

Transit Points Vaccination activities using bOPV - 25 March 2018

Zones

January February March April May June

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 99939 334 0.3% 106321 362 0.3% 81827 226 0.3%

PUNTLAND 25067 58 0.2% 24610 59 0.2% 18385 37 0.2%

SOMALILAND 14705 350 2.4% 14490 377 2.6% 10596 257 2.4%

SOUTH 32225 1073 3.3% 34364 1123 3.3% 28579 1028 3.6%

SOMALIA 171936 1815 1.1% 179785 1921 1.1% 139387 1548 1.1%

Immunity Profile of NP-AFP cases (6-59 Months) and Contacts 2013-2018

5 zero dose AFP cases reported in 2018 from inaccessible and partially accessible areas of South (n=4) and Central (n=1) zones. 1 AFP case with zero OPV dose is out of the 5-59 months age group


Graph no.-23 Graph no.-19 Graph no.-20

0 0 0

5

52

01

3

6

66 7

6

25

8

36

3

20

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2018

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

709

265110 118 132 21

439

164

123 144197

24

344

180

134 189186

75

409

630448 492 515

102

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunization Profile of contacts (all-2017)

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

7673

38 37 405

63

3329 37

54

6

61

50 43 56

56 25

69

182 127 143135

20

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-59 Months, 2013-2018


0 0

2

2

0

1

2

3

3

6

2

15

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

29

21 9 10 11 2

34

206

2034

3

26

2717

28

3415

25

83 37

3135

5

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2018


Graph no.-21 Graph no.-22

Immunity profile of 6-59 months age NP-AFP cases by Zone 2012-2018




6

37 38 2524 24 5

6

159 8

17 173

1110

7 9 17 20 6

922 12 15 15 3

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

SOUTH


2 4 3 1 0

410

94

4 6 1

13

15

6

3 1014

7

1618

3330 43

34

6

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

SOMALILAND


526 28

8 13 150

10

24

812

11 18

2

1829

26 19 1418

6

13 31

98 61 6664 8

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

CENTRAL


4 74 4 1 0

11

10

5 55

13

0

1

4

11 12 154

6

311

29 24 19 22

3

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

PUNTLAND


Part -IV Routine Immunization

No IPV data collected for years 2014,15 and 16Source: HMIS/DHIS-2 data 2016 and 2017.

1

45

51

49

43

49

0

41

51

57

43

58

0

33

43

37

36

31

0

44

54

45

43

41

0

73

81

72

62

71

39

57

71 7

3

52

73

5

54

57

43

43

46

0

58

66

57

50

57

0

72

96

87

81

90

63

.1

54

76

71

59

71

38

.4

57

69

53 5

4

54

35

.2

59

75

63

60

64

40

.5

0

10

20

30

40

50

60

70

80

90

100

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

PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA

2015 2016 2017

Routine Immunization coverage by zone, Somalia (2015-2017)

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

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

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

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

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

Sum of P-1% 5% 10% 15% 20% 25% 30% 36% 41% 47% 53% 60% 66%

Sum of P-3% 5% 10% 14% 18% 23% 27% 32% 36% 41% 46% 51% 56%

Sum of Measles% 4% 8% 12% 16% 21% 25% 30% 35% 39% 42% 46% 50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

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350000

Somalia Monitoring chart 2016

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

Sum of Pent1 31367 61990 89840 119005 148901 178493 215415 247586 280838 316732 347716 390910

Sum of Penta3 26790 53670 77763 102433 127572 152696 178791 203443 232459 264569 291804 327981

Sum of Measles 20594 44105 64886 89207 115739 139255 166186 190981 216931 245101 272845 310220

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

Sum of P-1% 6% 12% 17% 23% 29% 34% 42% 48% 54% 61% 67% 75%

Sum of P-3% 5% 10% 15% 20% 25% 29% 34% 39% 45% 51% 56% 63%

Sum of Measles% 4% 8% 13% 17% 22% 27% 32% 37% 42% 47% 53% 60%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

Somalia Monitoring Chart 2017

Part VICommunication for

Development

Communication for Development

• Final input in outbreak response plan shared

• Updated social mobilization plan for IPV campaign shared with RO and HQ

• Consensus on corrective measures following analysis of 2nd round data and measles campaign experience.

• Production of IEC materials underway for the IPV campaign.

• Finalization of operational planning for IPV campaign capacity building.

• Preparation of polio transition planning workshop.


Part -V Vaccines and Cold Chain

Management

Vaccines and Cold Chain Management

• CCEOP operational development plan (ODP) on going and draft plan expected by end of

March 2018

• Plans are under way to deliver the 10-dose IPV to Mogadishu before the proposed start

date of campaign (1st April 2018).

• Final hand over of three regional cold chain stores in Central South to new partners (NGOs)

completed in Kisamyo, Dusharmreb and Baidoa. This hand over was from Swisso Kalmo to

HIRDA ( Lower Juba & Galgadud) and INTERSOS (Bay) respectively

• Updated the IPV vaccine management response plan and shared with WHO and CDC

• Completed the Measles vaccination campaign in Central South with no major logistical

problems reported.


the end

2018 Activity plan and calendar

ActivityPlanned date

mOPV2 second round (Banadir, Middle and Lower Shabelle) 29 Jan – 01 Feb.

Measles response campaign (SCZ)/ Somaliland 11 – 15 March

mOPV2 response review and IPV campaign planning meeting 24 – 26 March

IPV campaign (Banadir, Middle and Lower Shabelle) 1st – 5th April

Transition Planning Workshop 11 – AprilOutbreak Response Assessment Mission (OBRA 1) TBD (April)

NIDs 1 23 – 26 April

HOA TAG meeting TBD (April)Measles 5 year strategic plan workshop 30 Apr – 4 May

EPI/POL Program Review Meeting 9 – 13 JulyOutbreak Response Assessment Mission (OBRA 2) TBD (July)

Hard- to- Reach campaign 13 – 16 August

NIDs 2 15 – 18 Oct.Outbreak Response Assessment Mission (OBRA 3) TBD (Oct)

Graph no. 1

week-12 · 2020-04-30 · review meeting objectives: 1. review overall cvdpv2 response activities...

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