Field Placement 2 Project Reports, Cohort 1, Liberia Basic FETP. By L. Hilton Saye District Surveillance Officer, Gbehlay-Geh District, Nimba Co.

Transcription

1 Field Placement 2 Project Reports, Cohort 1, Liberia Basic FETP By L. Hilton Saye District Surveillance Officer, Gbehlay-Geh District, Nimba Co.

2 Acknowledgement I will like to acknowledge the following: Ministry of health, Liberia AFENET Emory University US CDC WHO My mentors (Justin and Dr Peter)

3 Expanded Surveillance Summary Report (week 31-42)

4 Between weeks 31-42: Summary Eight suspected diarrhea cases from Slangonplay clinic One suspected AFP and three measles cases all from Marbor One neonatal death and 1 maternal death all from Vayenglay Silent clinic was able to join the health reporting system Overall, two clinics had late reports and one clinic had 25% cumulative report

5 Fig.1.1: Timeliness of Reporting and Completeness, Week 31-42, 2015, Gbehlay-Geh, Nimba County Facility % Cumulative Timeliness % Cumulative Completen ess Zorgowee T T T L T T T T T T T T Goagortuo T T T L T L L T T T L L Younlay T T L T T L L T T T L L KHC T T T T T T T T T T T T Duoplay T T T T T T T T T T T T Loguatuo Vayenglay T T T L T T T T T T T T T T T L T T T T T T T T Legend T ON Time L Late NR No report % Cumulative >80% On Time >50% to 80% On Time < 50 % On Time

6 Fig.1.1: Timeliness of Reporting and Completeness, Week 31-42, 2015, Gbehlay-Geh, Nimba County Facility %Cumulative %Cumulative Timeliness Completeness Garplay T T T T T T T T T T T T Gbeivonwea T T T T T T T T T T T T Bea-Yoolar T T T T T T T T T T T T Kpairplay T T T T T T T T T T T T Slangonplay T T T T T T T T T T T T Give Them Hope NR NR NR NR NR NR NR NR NR T T T Legend T ON Time L Late NR No report % Cumulative >80% On Time >50% to 80% On Time < 50 % On Time

7 Fig 2:Timeliness and Completeness of Reporting of Health Facilities (weeks 31-42) Gbehlay-Geh District, Nimba County 100% 90% 80% Percentages 70% 60% 50% 40% 30% 20% 10% 0% % Cumulative Timeliness % Cumulative Completeness Health Facilities

8 Fig. 3: Summary of Key Notifiable Diseases, Week 31-42, 2015, Gbehlay-Geh, Nimba County Priority Diseases/Events Cumulative week31-42 Cases Deaths Case Fatality Rate Acute Flaccid Paralysis (AFP) Yellow Fever Cholera Bloody Diarrhea Meningitis Measles Human Rabies VHF/EVD Lassa Fever Neonatal Tetanus Maternal Deaths Neonatal Deaths Other VHF 0 0 0

9 Graph of Priority Diseases/Events, Weeks 31-42, 2015 Gbehlay-Geh District, Nimba County 9 No of Cases 8 Cases 7 Death Acute afalaccid Paralysis Yellow Fever Cholera Bloody Dirrhea Miningitis Measles Human Rabies Disease/Events VHF/EVD Lassa Fever Neonatal Tetenus Maternal Death Neonatal Death Other VHF

10 Trend of blooded diarrhea, Week 31-42, 2015, Slangonplay, Gbehlay-Geh District, Nimba County # cases # cases EPI Weeks(31-42)

11 Public Health Action Public awareness hand hygiene and proper sanitation practices avoiding over crowdedness in sleeping places Recommendation MOH to support effective communication system MOH should support DSOs movement for supervision MOH should establish quarterly review meeting on surveillance

12 Measles Case Investigation Marbor Community Of Gbehlay-Geh District, Nimba County

13 Introduction Measles is a very contagious disease affecting under five year children On September 22 nd and 23 rd 2015, there were reports of measles disease from Karnplay Health Center, Marbor community The objectives of the investigation are the: existence of an outbreak Review of patient s records Determination of vaccination exercise Community awareness

14 Study area: Methods 1/2 Marbor has total population of 1983 Of which 337 are under five years Case Definition as any person with fever and rashes with or without running nose, redness of eyes from September 19 to September 28, 2015 in Marbor community

15 Methods 2/2 The response team conducted One on one interview Active case search Collected blood samples from cases

16 Result Out of the 3 cases, 2 (66.7%) are male No death reported Attack rate is 15/10,000 population Attack rate for under < 5years is 8.9 per 1000 populations Three blood specimens were collected

17 Result The patients treated have recovered Active case search done did not reveal more cases A one day outreach campaign was done Seven dropped out target took measles vaccine among others Health awareness is ongoing

18 2 Epicurve of Measles Case Investigation, Marbor Community, 19th to 28th September, 2015 intervention No of Cases 1 cases 0 Date of Onset

19 Conclusion Cases did not spread beyond the reported cases Since the intervention the number of suspected cases is contained Outbreak seems to have been brought under control. We recommended that the MOH through NCHT should support mass immunization campaign across the district