EWARN Weekly Summary Report

Transcription

1 Number of reporting facilities EWARN Weekly Summary Report Early Warning Alert and Response Network Post-Typhoon Yolanda Week 13 Epidemiological Week No. 8 2 nd to 8 th February 214 HIGHLIGHTS This week, 79 health facilities reported 16,483 total consultations in typhoon-affected areas of Region VI and VIII by SPEED Acute respiratory infection accounted for 33% of total consultations, most among SPEED conditions reported in the current reporting period Measles cases continue to be reported from Region VIII. A total of 93 suspected measles cases with 1 death had been reported from 1-26 January 214. Among the cases under years of age, 66% were not vaccinated. A measles immunization campaign is still on-going in the Region. OVERALL SPEED REPORTING FROM TYPHOON-AFFECTED AREAS Overall, the number of facilities reporting decreased in the current week, with 79 facilities reporting this week from 8 last week. However, total consultations increased by 4%, from 1,869 last week to 16,483 this week. Areas reporting to SPEED in current week Region VI Capiz Iliolo Region VIII Biliran Eastern Samar West Samar Leyte SPEED Reporting facilities by type and week FMT Mobile Clinic FMT Hospital Hospital RHU BHS Total consultations by municipality: REGION VI (Western Visayas): Capiz: Dao (228), Jamindan (28), Mambusao (74), Panitan (83), Roxas City (477), Sapi-An (163), Sigma (272); Iloilo: Barotac Viejo (27), Iloilo City (167), Janiuay (29), Sara (72) REGION VIII (Eastern Visayas): Biliran: Biliran (14), Cabucgayan (221), Naval (144); Eastern Samar: Balangiga (471), Balangkayan (38), City of Borongan (17), General Macarthur (39), Giporlos (46), Guiuan (734), Hernani (182), Lawaan (217), Llorente (348), Maydolong (17), Mercedes (43), Quinapondan (199), Salcedo (287); Leyte: Alangalang (17), Albuera (3), Babatngon (86), Barugo (13), Burauen (188), Calubian (7), Capoocan (86), Carigara (261), Dulag (43), Isabel (4), Jaro (262), Julita (241), Kananga (6), La Paz (367), Leyte (287), Merida (844), Ormoc City (367), Palo (291), Palompon (27), Pastrana (176), San Isidro (6), Santa Fe (123), Tabango (234), Tacloban City (738), Tolosa (39), Villaba (661), City of Baybay (14); Western Samar: Marabut (78) The proportion of consultations due to acute respiratory infection increased from 3% to 33% over this reporting week (2-8 Feb) and is still the leading cause of consultation amongst the SPEED conditions. Fever and rash and acute hemorrhagic fever remained at less than 1%. Acute watery diarrhea increased from 2% to 3% in the current week. SPEED Syndrome ARI = Acute respiratory infection AWD = Acute watery diarrhea AHF = Acute hemorrhagic fever Page 1 of 6

2 Number of reporting facilities Number of reporting facilities Number of reporting facilities EWARN weekly summary 2 nd to 8 th February 214 PROVINCIAL SUMMARIES (SOURCES INCLUDE: EVENT-BASED SURVEILLANCE, PIDSR, SPEED) REGION VI WESTERN VISAYAS CAPIZ PROVINCE SPEED reporting facilities by type and week, Capiz FMT 1 1 Mobile Clinic FMT Hospital Hospital 3 2 RHU BHS Reporting: Reporting in Capiz included Rural Health Units and 2 Hospitals in the current reporting week (2 Feb -8 Feb). Consultations: The total number of SPEED consultations decreased from 2,464 to 2, over the past week. Leading causes of morbidity include acute respiratory infection (19%), high blood pressure (3.%), fever (3.%), animal bites (3%) and skin diseases (2%). Alerts: No alerts reported for the week 2-8 February 214. ILOILO PROVINCE SPEED reporting facilities by type and week, Iloilo FMT Mobile Clinic FMT Hospital Hospital RHU BHS Reporting: Reporting from Iloilo included 3 Rural Health Units and 1 Hospital. Consultations: The total number of SPEED consultations increased from 238 to 29 over the past week. Leading causes of morbidity include acute respiratory infection (37%), hypertension (12%), wounds (8%), fever (7.%) and acute diarrhea (6%). Alerts: No alerts were reported for the week 2-8 February 214. REGION VIII EASTERN VISAYAS BILIRAN PROVINCE SPEED reporting facilities by type and week, Biliran FMT Mobile Clinic FMT Hospital Hospital RHU BHS Reporting: Reporting from Biliran included 3 Rural Health Units and 1 Hospital. Consultations: The total number of SPEED consultations slightly decreased from 484 last week to 469 during the current reporting week. Leading causes of morbidity include acute respiratory infection (3%), high blood pressure (14%), skin diseases (9.%), acute watery diarrhea (9%) and wounds (7%). Alerts: For this week, 6 fever and rash cases were reported from Cabucgayan Rural Health Unit (2), Biliran Provincial Hospital (2) and Naval Main Health Center (2). Measles immunization was done for children six months to less than 1 years old. One case of suspect Acute Hemorrhagic Fever (AHF) was reported from Biliran Provincial Hospital and another one from Cabucgayan RHU. These were referred to Provincial Health Office for further investigation. Diarrhea cases were also reported from Cabucgayan RHU (22) and Biliran Provincial Hospital (9). Page 2 of 6

3 Number of reporting facilities Number of reporting facilities Proportion of total consult. EWARN weekly summary 2 nd to 8 th February 214 WESTERN SAMAR PROVINCE Proportionate morbidity of select epidemic-prone conditions by week 7% 6% % 4% 3% 2% 1% % ARI 8% 48% 6% 4% Fever and Rash % % % % AWD 6% 3% % 4% AHF % % % % Reporting: One Rural Health Unit reported from Western Samar this week. Consultations: The total number of SPEED consultations was 78. Leading causes of morbidity include acute respiratory infection (4%), high blood pressure (2.%), wounds (9%), skin diseases (8%), fever (6%) and acute watery diarrhea (4%). Alerts: No alerts were reported for the week 2-8 February 214. Event-based Surveillance: reported suspect measles cases from Barangay Sto.Niño, Villareal, Samar from 23 January 214. Age of cases ranged from 4 months to 68 years old (Median: 2 years old). RESU is following-up on the cases and will conduct investigation. EASTERN SAMAR PROVINCE SPEED reporting facilities by type and week, Eastern Samar FMT Mobile Clinic 1 FMT Hospital Hospital RHU BHS 2 Reporting: 22 Health Facilities reported from Eastern Samar including 14 Rural Health Units and 8 Hospitals. Consultations: The total number of SPEED consultations declined by 11% during the current reporting week (from 3,492 last week to 3,116). Leading causes of morbidity were acute respiratory infection (27%), high blood pressure (4%), wounds (4%), skin diseases (2.%) and acute watery diarrhea (1%). Alerts: There were 4 SPEED reports of fever with rash from Lawaan (Lawaan Main Health Center), one from Hernani (Hernani RHU), one from Guiuan RHU and one from Our Lady of Guadalupe Hospital in Guiuan. Cases were investigated by the Provincial Health Office. Suspect cases of Acute Hemorrhagic Fever (AHF) were reported by Albino Duran Memorial Hospital of Balangiga (4), Felipe Abrigo Memorial Hospital of Guiuan (3), Agpalo Hospital (3) in Guiuan and 1 case from Lawaan Main Health Center. These cases were investigated by the staff of Provincial Epidemiology and Surveillance Unit. They conducted information and education campaign on the prevention and control of Dengue and started with fogging operations in barangays with cases. LEYTE PROVINCE SPEED reporting facilities by type and week, Leyte FMT Mobile Clinic FMT Hospital 1 Hospital RHU BHS 4 4 Reporting: Reporting from Leyte included 24 RHUs, 12 hospitals, 4 BHS and 1 mobile clinic. Consultations: The total number of SPEED consultations increased from 8,63 to 1,2 over the past week. Leading causes of morbidity were acute respiratory infection (36%), wounds (7%), high blood pressure (.%), fever (3%) and animal bites (3%). Page 3 of 6

4 EWARN weekly summary 2 nd to 8 th February 214 Alerts: Alerts of fever and rash were reported from Tacloban City (4 - Eastern Visayas Regional Medical Center and 2 - Masa Health service Unit), Jaro (3 - Jaro MHO), Palo (3 - Leyte Provincial Hospital), Alangalang (1 Alangalang MHO), Calubian (1 Northwestern Leyte District Hospital), Carigara (1 Carigara MHO), Kananga (1 Kananga District Hospital), Ormoc City (1 Ormoc District Hospital), Palompon (1 - Dr. Manuel B. Veloso Memorial Hospital), Santa Fe (1 Santa Fe MHO) and Tabango (1 - Tabango MHO). A measles immunization campaign is being conducted in the Region. Meanwhile, 19 consultations for suspect AHF were reported from Ormoc City (11 - Clinica Gatchalian and Hospital and 8 - Ormoc District Hospital), seven in Leyte (7 Leyte Provincial Hospital in Palo) and one in Tacloban City (Eastern Visayas Regional Medical Center). Suspect Measles in Region 8 : The Regional Epidemiology and Surveillance Unit reported a total of 93 suspect measles cases from 1-26 January 214. One death due to pneumonia was reported in a 1 year old child from Mapanas, Northern Samar on 14 January 214. Most of the cases occurred in the provinces of Biliran (3%) and Leyte (31%). Among the less than years old cases, 66% were not vaccinated. Blood samples were taken for laboratory examination. A measles immunization campaign is on going in the region. MAPS Location of SPEED notifications of fever with rash, 2 nd to 8 th February 214, Regions VI and VIII (red=hospital blue=other facility Location of SPEED notifications of acute hemorrhagic fever, 2 nd to 8 th February 214, Regions VI and VIII (red=hospital blue=other facility) Page 4 of 6

5 EWARN weekly summary 2 nd to 8 th February 214 FOCUS ON: HIGH BLOOD PRESSURE (HYPERTENSION) KEY FACTS Worldwide, it is estimated that high blood pressure causes 1% of deaths due to stroke and 4% due to heart disease Hypertension is a major risk factor for cardiovascular disease. Metabolic risk factors such as diabetes, high blood cholesterol and obesity, increase the risk of complications from high blood pressure, including heart disease, stroke, kidney failure and blindness Treating hypertension results in a 4% decrease in the risk of stroke and 1% decrease in risk of MI SIGNS AND SYMPTOMS Hypertension is referred to as the silent killer since most individuals do not manifest symptoms Hypertension is defined as a blood pressure: 14 systolic /9 diastolic (or 13 or 8 among people with diabetes or renal disease) WHO IS AT RISK? Certain behaviors and lifestyle choices are risk factors for hypertension and cardiovascular disease (in Prevention below) Proportion of people with hypertension increases with age: 1 in 1 people in their 2s -3s; in 1 people in their s In the Western Pacific Region (WPR), 37% of adults older than 24 have high blood pressure In the Philippines, 2% of adults 21 years old and above have high blood pressure HYPERTENSION REPORTED IN TYPHOON YOLANDA Overall there have been over 14, consultations for hypertension in these areas. The following charts and tables show information from SPEED consultations in select typhoon-affected areas (Regions VI and VIII) from 1 Nov Feb 214. Results shown are dependent upon facility reporting which varied over time. REGION VI In Region VI, there have been 3,829 consultations for hypertension reported through SPEED, mostly from the Capiz province. Hypertension consultations in Capiz and Iloilo peaked in the second week of December. As a proportion of all consultations, however, Antique spiked in the last week of November while Iloilo spiked in the last week of January. REGION VIII In Region VIII, there have been 1,481 consultations for hypertension reported through SPEED, mostly from Leyte province. Hypertension consultations in Leyte appeared to increase and plateau from the time of the typhoon until mid December and decrease by the end of December. This was however, a reflection of total consultations in that time period. Page of 6

6 EWARN weekly summary 2 nd to 8 th February 214 PREVENTION Measures to Prevent Cardiovascular Events in Hypertensive Patients: Stop Smoking o In Western Pacific Region (WPR), 2% of adults >1 yrs smoke tobacco daily o In the Philippines, 28.3% of population aged 1 years old and over currently smoke tobacco. Control blood sugar if diabetic Treat dyslipidemia (high cholesterol) Reduce intake of sodium and diet rich in fat o Consume a diet rich in vegetables, fruit, and low fat dairy products. Maintain a body mass index (BMI) between kg/m2. o In Western Pacific region (WPR), 2.4% adults >2 are overweight. In the Philippines, 27% adults >2 are overweight and obese. Engage in regular aerobic exercise or do brisk walking at least 3 minutes a day o In Western Pacific region (WPR), 33.2% of people over 1 yrs have insufficient physical activity o In the Philippines, high levels of physical inactivity is also reported among adults >2 at work (76%), non-work (76%), travel (94%), and leisure (93%). Limit alcohol intake to less than 1 oz/day of ethanol (24oz of beer, 8oz wine, or 2oz 8 proof whiskey). TREATMENT 1 Hypertension: ALL cases should be seen by a healthcare provider Oral anti-hypertensive medication should be administered Most patients will need at least 2 agents to attain blood pressure targets. Less than half will meet their target with monotherapy. Over 3% need 3 agents to meet their goal. For more information, go to: This weekly EWARN Summary is published by the World Health Organization (WHO), Philippines. It is based on preliminary surveillance data from multiple sources, including the Surveillance in Post-Extreme Emergencies and Disasters (SPEED) system, the Philippines Integrated Disease Surveillance and Response System (PIDSR), and event-based reporting system. WHO surveillance contact: haiyanops@wpro.who.int Weekly Summaries are available at: 1 Manual on Treatment Protocols of Common Communicable Diseases and Other Ailments During Emergencies and Disasters, Second Edition, 213 Page 6 of 6