Bangladesh. Rohingya Emergency Response. Early Warning, Alert and Response System (EWARS) Annex W9 2018

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1 Bangladesh Rohingya Emergency Response Early Warning, Alert and Response System (EWARS) Annex W9 218 Ministry of Health and Family Welfare Bangladesh Printed: 13:3 Tuesday, 6 March 218 UTC

2 Proportional morbidity Figure 1 Proportional morbidity (W9 218) Disease W9 218 # cases % morbidity # cases % morbidity AWD 4, % 45, % Bloody diarrhoea 1,93 1.9% 18, % Other diarrhoea 1, % 15,664 2.% ARI 11, % 99, % Measles/Rubella 51.% 858.1% AFP.% 14.% Suspected meningitis 4.% 29.% AJS 73.1% 1,56.1% Susp. haem. fever 2.% 38.% Malaria (confirmed) Malaria (suspected) Acute Respiratory Infection (ARI) Acute Watery Diarrhoea Bloody diarrhoea Other diarrhoea Unexplained fever Acute Jaundice Syndrome (AJS) Measles/Rubella Other Neonatal tetanus 1.% 3.% Adult tetanus 3.% 13.% Malaria (conf.) 2.% 32.% Malaria (susp.) 889.9% 6,787.9% Unexplained fever Severe Malnutrition 12, % 12, % 12.1% 1,514.2% Injuries/Wounds 1, % 11, % Other 67, % 67, % Total 12,36 1% 774,659 1% 1 W9 218

3 Trend in consultations and key diseases Figure 2 Trend in proportional morbidity for key diseases (W9) 1.% 8.% 6.% W W W W W W W W W W W W W W1 218 W3 218 W5 218 W7 218 W9 218 % morbidity 4.% 2.%.% Other consultations Acute Respiratory Infection (ARI) Unexplained fever Acute Watery Diarrhoea (AWD) Other diarrhoea Acute Jaundice Syndrome (AJS) 2 W9 218

4 Acute Respiratory Infection Trend Figure 3 Trend in number of cases over time (W W9 218) 14, 13, 12, 11, 1, 9, 8, 7, 6, 5, 4, 3, 2, 1, W W W W W W W W W W W W W W1 218 W3 218 W5 218 W7 218 W9 218 Total ARI cases - Cox's Bazar 3 W9 218

5 Acute Respiratory Infection Maps and Alert Management Map 1 Map of cases by site/zone (W9 218) a. Ukhia Number of cases b. Ukhia Number of alerts c. Teknaf Number of cases d. Teknaf Number of alerts Map legend Number of cases Number of alerts 1 1 Alert threshold Twice the average number of cases over the past 3 weeks. Source: IEDCR Alert management (W9 218) Figure % sex Figure % age Alerts % Verified Low Moderate High Very High Male Female > 5 < 5 4 W9 218

6 Measles Trend Figure 4 Trend in number of suspected cases over time (W W9 218) W W W W W W W W W W W W W W1 218 W3 218 W5 218 W7 218 W9 218 Total suspected measles/rubella cases - Cox's Bazar 5 W9 218

7 Measles Maps and Alert Management Map 2 Map of cases by site/zone (W9 218) a. Ukhia Number of cases b. Ukhia Number of alerts c. Teknaf Number of cases d. Teknaf Number of alerts Map legend Number of cases Number of alerts 1 1 Alert threshold 1 case. Source: IEDCR Alert management (W9 218) Figure % sex Figure % age 2 Alerts 1% Verified Low Moderate High Very High Male Female > 5 < 5 6 W9 218

8 Acute Jaundice Syndrome Trend Figure 5 Trend in number of cases over time (W W9 218) W W W W W W W W W W W W W W1 218 W3 218 W5 218 W7 218 W9 218 Total suspected AJS cases - Bangladesh 7 W9 218

9 Acute Jaundice Syndrome Maps and Alert Management Map 3 Map of cases by site/zone (W W9 218) a. Ukhia Number of cases b. Ukhia Number of alerts c. Teknaf Number of cases d. Teknaf Number of alerts Map legend Number of cases Number of alerts 1 1 Alert threshold A cluster of 3 or more cases seen in a health facility. Source: IEDCR Alert management (W9 218) Figure % sex Figure % age 7 Alerts 1% Verified Low Moderate High Very High Male Female < 5 > 5 8 W9 218

10 Acute Watery Diarrhoea Trends Figure 6 Trend in number of cases over time (W W9 218) 1, 9, 8, 7, 6, 5, 4, 3, 2, 1, W W W W W W W W W W W W W W1 218 W3 218 W5 218 W7 218 W9 218 Total AWD cases - Bangladesh 9 W9 218

11 Acute Watery Diarrhoea Maps and Alert Management Map 4 Map of cases by site/zone (W W9 218) a. Ukhia Number of cases b. Ukhia Number of alerts c. Teknaf Number of cases d. Teknaf Number of alerts Map legend Number of cases Number of alerts 1 1 Alert threshold Twice the average number of cases over the past 3 weeks. Source: IEDCR Alert management (W9 218) Figure % sex Figure % age 1 Alerts 1% Verified Low Moderate High Very High Male Female > 5 < 5 1 W9 218

12 For more help and support, please contact: Dr. Md. Alamgir Medical Officer Civil Surgeon Office Ministry of Health and Family Welfare Cox's Bazar, Bangladesh Telephone: Dr Uzzal Roy Surveillance and Outbreak Response Officer World Health Organization Cox's Bazar, Bangladesh Telephone: 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 Sign-up for an account with EWARS Bangladesh at Ministry of Health and Family Welfare Bangladesh

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