weekly epidemiological - who€¦ · epidemiological week no. 7 and 8 (12 to 25 february, 2012) •...

Weekly Epidemiological Bulletin

This weekly Epidemiological Bulletin is published jointly by the National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan. For Correspondence: NIH: [email protected]; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083; E-mail: [email protected].

Epidemiological week no. 7 and 8 (12 to 25 February, 2012)

• In week 7 and 8, 2012, total 81 districts including 2 agencies provided surveillance data to the DEWS on weekly basis from around 1,838 health facilities. Data from mobile teams is re‐ported through sponsoring BHU or RHC.

• A total of 1,238,577 consultations were reported through DEWS of which 25% were acute respiratory infections (ARI); 5% were acute diarrhoea; 4% were suspected malaria; while 5% were Skin disease.

• A total of 387 alerts with 43 outbreaks were reported: Altogether 163 alerts for Measles; 41 each for Leishmaniasis and Pertussis; 35 for NNT and tetanus; 27 for Typhoid; 20 for Scabies; 19 for ARI; 13 for AWD; 6 for BD; 5 for AD; 4 for DF; 3 each for AJS and Malaria; 2 for Mumps; while 1 each for CCHF, Diphtheria, H1N1, Rabies and Unexplained fever.

• In As of 25 February, 2012, the total number of polio cases confirmed by the laboratory is 12 from 10 districts/towns/tribal agencies and areas.

Highlights

Disease early warning system and response in Pakistan

01

Volume 3, Issue 7, Wednesday 7 March, 2012

Priority diseases under surveillance

in DEWS

Acute (Upper) Respiratory Infection Pneumonia

Suspected Diphtheria Suspected Pertussis

Acute Watery Diarrhoea Bloody diarrhoea

Other Acute Diarrhoea Suspected Enteric/Typhoid Fever

Suspected Malaria Suspected Meningitis

Suspected Dengue fever Suspected Viral Hemorrhagic Fever

Pyrexia of Unknown Origin Suspected Measles

Suspected Acute Viral Hepatitis Chronic Viral Hepatitis

Neonatal Tetanus Acute Flaccid Paralysis

Scabies Cutaneous Leishmaniasis

Others

Figure‐1: Weekly trend of Acute diarrhoea, Bloody diarrhoea, ARI and Suspected malaria in Pakistan, Week‐1, 2011 to week‐8, 2012.

• The above graph shows the weekly trend of ARI; Acute diarrhoea; Bloody diarrhoea and Suspected malaria as proportional morbidity (percentage of cases out of total consultations) reported to DEWS on weekly basis.

• The above table provides the total consultations for each of the last 8 weeks proportional morbidity of five disease syn‐drome. Proportional morbidity of ARI is highest in KP while acute diarrhoea is highest in Balochistan and FATA (please see the graphs for every province in page 7 and 8).

Table 1: Most common communicable diseases syndromes reported weekly

Disease Wk-1 Wk-2 Wk-3 Wk-4 Wk-5 Wk-6 Wk-7 Wk-8

Acute diarrhoea 21,971 (6%) 24,322 (6%) 27,574 (5%) 28,461 (5%) 23,902 (5%) 28,969 (5%) 29,890(5%) 31,395(5%)

Total consultation 345,403 409,930 511,668 534,412 439,260 547,889 590,424 648,153

Suspected malaria 13,970 (4%) 15,113 (4%) 20,375 (4%) 19,817 (4%) 15,582 (4%) 21,752 (4%) 22,672(4%) 23,464(4%)

Acute respiratory infection 92,846 (27%) 110,049 (27%) 130,371 (25%) 137,322 (26%) 114,319 (26%) 138,507 (25%) 154,230(26%) 152,251(23%)

Bloody diarrhoea 1,502 (0.44%) 2,225 (0.54%) 2,130 (0.42%) 2,665 (0.50%) 2,195 (0.50%) 2,676 (0.49%) 2,689(0.46%) 2,751(0.42%)

Skin diseases 19,973 (6%) 19,746 (5%) 24,721 (5%) 25,639 (5%) 22,020 (5%) 26,786 (5%) 28,370(5%) 28,702(4%)

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Special Bulletin: DEWS, Pakistan, Week no. 7 and 8 (12 to 25 February, 2012)

This weekly Epidemiological Bulletin is published jointly by the National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan. For Correspondence: NIH: [email protected]; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083; E-mail: [email protected]. 02

Previous week's (7/2012) Outbreaks: Date Disease Province District Area <5M >5M <5F >5F Action Taken

16‐Feb Leishmaniasis Balochistan Jhal Magsi RHC Jhal Magsi 1 2 0 4

5 suspected cases of Leishmaniasis were reported, the vicinity was checked and 2 more cases were found with typical lesions of Leishmaniasis from different location. Injection Glucantime was supplied to the nearest HF for completing the treatment. Issue was raised with DHMT and requested for seriously taken preventive measures.

18‐Feb Leishmaniasis Balochistan Lasbela Winder, Lakhra 1 5 0 0 6 suspected cases of Leishmaniasis were reported and investigated. Inj Glucantime was provided to health facility Incharge for the patients and guided to take proper treatment.

17‐Feb Malaria Balochistan Jhal Magsi BHU Sarangani 3 7 2 5 17 cases of suspected malaria were reported and all slides were tested out of which 10 verified positive (SPR=59%), 7 FP and 03 Mix. Anti Malaria medicins were distributed.

16‐Feb Measles Balochistan Lasbela Jamia Madina Madarsa Uthal 0 13 0 0

5 suspected cases of measles were reported from DHQ Hospital. All patients were the students of Jamiya Madina Madarsa and belong to Aranji area of Khuzdar. Vaccination status was NIL. Vit‐A and Symptomatic treatment was given, 8 other cases found during active search. 6 blood samples were collected and sent to NIH. All treatment made available, special team appointed for further immunization to surrounding area for affected children.

16‐Feb Measles Balochistan Ziarat Killi gavarai, Killi surbot, UC Sinjavi, Tehsil Sinjavi 8 1 4 2

Alert for measles case from RHC Sinjavi. On field investigation total of 15 cases of measles were found with mixed, post and fresh cases. There is no immunization history in the village. Vitamin A capsule was given to the cases with the next dose to parents. Sample was taken and sent to NIH. Matter was discussed with the DHO. DHO assured that a team will be sent to do the vaccination.

15‐Feb Leishmaniasis FATA Khyber Agency

Village Bacha Mina, UC Torkham, Tehsil Landiko‐tal

3 12 5 21

6 suspected cases of Leishmaniasis were reported from BHU Torkham. The area was visited by WHO/EHA team and found 36 more cases on active surveillance and line listed. The elders of the area were informed to send the cases to the BHU,if they find more.The agency surgeon and PPHI staff was informed about the outbreak.The plan is to provide medicine and to take preventive measures in the coming summer season.

17‐Feb BD Khyber Pakhtunk‐hwa

Abbottabad Dalola 0 3 0 5

Suspected cases of BD reported from BHU Dalola. Deputy EDO H, Coordinator PPHI informed. IV fluids, Antibiotics, ORS, Aqua tabs provided at BHU. Active surveillance done with coordinator PPHI, EPI coordinator, LHS, Medical Technician, EPI worker. 2 stool samples and 3 water samples were taken for testing. Aqua tabs distributed among the villagers and health education given.

15‐Feb Leishmaniasis Khyber Pakhtunk‐hwa

Lower Dir Village Jelly, UC Munjai, Tehsil Balmbat 0 5 0 5

Follow up visit conducted, 10 CL Cases were found in surrounding, 3 cases were under treatment from nearby HF. ITN's, Antiseptic Soaps distributed. onjob training was given to health staff for Intralesional adminstration of Inj Glucantime, 1st dose of Glucantine was given on spot and all were asked to come to HF on same day next week for 2nd dose. Health & Hygiene sessions conducted, RBM was informed and requested for residual spray before the favorable season for vector breeding and transmission.

14‐Feb Measles Khyber Pakhtunk‐hwa

Abbottabad Shergan, Pandothana, Pawa 2 0 0 1

3 suspected cases of Measles reported from Women & children hospital and CMH Abbottabad. Sample taken and sent to NIH. Vitamin A given. On active surveillance along with EI coordinator, concerned EPI worker and local LHW. No active case found but a younger sister of one suspected Measles case died having sign & symptoms of Measles according to the parents. 35 children less than 5 years were vaccinated for measles, 3 newly born children were given BCG, OPV & Penta.

17‐Feb Pertussis Sindh Dadu Village Gul hassan Laghari, UC Dirgh bala, Taaluka Johi

2 3 0 1 6 probable cases of Pertussis were identified in private clinic, during active surveillance 3 out of 6 has BCG scar, health awareness education was given, vaccination was done in the village, 19 BCG, 9 Pentavalent, 10 Measles and 3 women for T.T, Erythromycin given, EDOH, FP EPI informed and 1 Throat sample taken.

18‐Feb Pertussis Sindh Dadu Village Mullan Panhwar, UC Makhdoom bilawal, taluka Dadu

2 4 0 3 9 probable Pertussis cases were investigated in village, active surveillance done, 1 Throat sample was col‐lected, 6 out of 9 have no BCG scars, health education imparted, Erythromycin given to all cases, vaccination done during investigation, EDOH, THO, FP‐EPI and MO BHU informed.

18‐Feb Pertussis Sindh Ghotki Village More Dayo UC Khawara 8 4 7 1

Alert of probable Pertussis cases were reported from MCH centre Ghotki. upon field investigation 20 cases were found. House to house cluster done routine immunization status was found zero. DEWS team re‐sponded and given 14 days complete dose of erythromycin to all suspected cases and close contacts. Health education imparted in the village informed EDOH & DSV for vaccination in area/village.

14‐Feb Pertussis Sindh Khairpur Village Laiq Bhurgari, Vil Jan M, Vil Irshad, UC Chondiko

17 6 16 6

During the field investigation of measles alert 45 cases of suspected pertusis were found. DEWS SO along with EM & EH local NGO and DHMT team responded 730 tab of erythrocin and cough syrups were distributed among all suspected cases and close contacts. Health & Hygiene session was conducted with the help of local NGO, presentation of pertusis was showen to NGO female health workers and comunity. DHMT re‐quested for vaccination in the area.

18‐Feb Pertussis Sindh Khairpur Village Ghulam Khan Lashari UC Agra 5 1 1 1

Probable Pertussis alert was notified by GP from village Razi Dero during field investigation total 8 cases were found. Complete 14 day dose of erythrocin was provided to all patients and close contacts. Health & Hygiene session conducted, advised for vaccination in the area.

13‐Feb Pertussis Sindh Matiari Near main buss stop city Matiari 1 2 3 2

8 probable Pertussis cases were investigated in the community, active surveillance found 70% of children were vaccinated, health education was imparted, Erythromycin tabs, Priton syp, Paracitamol Syp given, EDOH informed and request for immunization in the area and 1 Throat sample was taken.

14‐Feb Pertussis Sindh Mirpur Khas Village Abdul wahid Burguri, UC and Taluka Samaro

3 6 3 15

27 probable Pertussis cases were found and investigated in village, active surveillance done, 9/27 were vaccinated and 18 were not vaccinated, health education imparted regarding prevention, isolation and immunization, erythromycin tabs and cough cyrup was given, and medicines arrange for all contact cases, informed EDOH, TSC, THO, DSM and NGO and 4 Throat swab collected.

14‐Feb Pertussis Sindh Tando Allah Yar

Mustaf colony city Tando Allahyar 2 0 2 1

4 probable Pertussis cases were investigated in village, 2/4 cases were vaccinated, active search of 30 houses was done and found 4 out‐off 26 children were unvaccinated, health education was imparted to villager, Erythromycin, Priton, Calpol syrup was given, due to Antibiotic was given to cases no sample taken and inform EDOH.


Village Khair Muhammad Jarwar, taluka Tando Allahyar

2 0 4 2 Probable case of Pertussis was investigated, 12/26 (55 %) of overall vaccination status, active surveillance done, health education imparted, Syp Priton, Syp Erythromicine and Syp Calpol distributed, EDOH informed and 2 Throat sample collected.


Kumbhar para, near Ghosia Masjid, city tando allahyar

0 3 2 1 Probable case of Pertussis was investigated, during active surveillance 20 children were checked and found 3 unvaccinated, health education imparted regarding importance of vaccination, Syp priton, Erythromycin, syp calpol given, no sample taken due to medicine was taken and informed EDOH.

16‐Feb Typhoid Sindh Sanghar Village Deh 23 Jamarao, UC Shah Mardanabad, Taluka Sinjhoro

2 1 1 2 6 suspected cases of Typhoid were investigated, active search was done, 4 out of six were typhoid positive, Canal water and supply water was the source of drinking water, health education imparted, announcement was done from mosque to drink boiled water, 2 water sample collected and informed EDOH.

15‐Feb Typhoid Sindh Tando Muhammad Khan

Village Haji Muhammad, UC Saeed amato, Taluka Bulri shah karim

0 4 0 4 8 suspected cases of typhoid was investigated, 5 out of 8 were Typhoid positive, Hand pump was the source of contaminated water, health education imparted, 2 water sample taken and information share with DHO and near by health facility.



Distribution of Wild Polio Virus cases Pakistan 2011 and 2012

As of 25 February, 2012, the total number of polio cases confirmed by the laboratory is 12 from 10 districts/towns/tribal agencies and areas.

Province Cases 2011 Cases 2012

P1 P3 P1 P1+P3

Punjab 9 ‐ 1 ‐

Sindh 33 ‐ 2 ‐

Khyber Pakhtunkhwa 23 ‐ 4 ‐

FATA 57 2 2 1

Balochistan 73 ‐ 2 ‐

AJ&K ‐ ‐ ‐ ‐

Gilgit‐Baltistan 1 ‐ ‐ ‐

Islamabad ‐ ‐ ‐ ‐

Total 196 2 11 1

Current week's (8/2012) Outbreaks: Date Disease Province District Area <5M >5M <5F >5F Action Taken

20‐Feb Leishmaniasis Balochistan Lasbela Bela 0 4 1 1 6 cases of Leishmaniasis were reported from Civil Hospital Bela. 4 IDPs of Sindh 2 local were reported. patients were presenting typical lesions. Injection Glucantime was provided. all the information was shared with DHO for necessary action.

25‐Feb Malaria Balochistan Jaffarabad BHU Ghareebabad, Tehsil Usta Mohammad 1 3 3 4

Alert for malaria was reported. Total suspected cases were tested by using RDTs and all of them were positive for Malaria (P.F, 6/ P.V, 4/ mixed, 1 ). Anti malarial medicines was pro‐vided. No bed nets available at the moment. DoH is informed.

21‐Feb Pertussis Balochistan Nasirabad Owuch pawer Beroon area Tehsil DMJ 2 0 1 2

Alert for Pertussis from ARI Centre DHQ Hospital. 5 patients identified. Provided cough syp and advised routine immunization.

22‐Feb Pertussis Balochistan Nasirabad Ghot Mir Muhammad Bugti U/C Qubba Sher Khan amali

9 2 0 0 11 Pertussis patients were reported and investigation was completed. Patient had history of severe dry cough since long. All the patients were provided Cough syp and routine immuniza‐tion was advised.

21‐Feb Typhoid Punjab Rajanpur DHQ Rajanpur, UC Rajanpur Gharbi, Tehsil Rajanpur

0 6 0 4

Alert for 10 cases of Typhoid were received through automated SMS from eDEWS alert gen‐eration system. No Epidemiological link could be established in any of the cases owing to different areas of residence (Officer's Colony, Macchi dara, Jaafria Colony, Grid Colony, Moza Kotla Eisan) of the cases. Relative bradycardia was found to be present in 4 cases. Widal test was positive in 7 cases while MP was negative for all. Only 3 patients needed admission in the hospital .

20‐Feb CCHF Sindh Karachi Agha Khan Hospital (Gulshan‐e‐Aka Khel, Super Highway)

0 0 1 0

Death due to possible Crimean Congo Hemorrhagic fever was investigated by verbal autopsy. According to patient relatives, some Shepherds use to passed by their homes with cattle from Balochistan, history of case was taken, all family members have asked to check their tempera‐ture on daily basis, follow up visit was planned, health education imparted and briefed re‐garding mode of transmission of CCHF virus and proper health and hygiene at home, informa‐tion share with infection control surveillance, EDO office and Medical director.

24‐Feb Pertussis Sindh Badin Village Haji Wadero Mubeen, UC Khorwah Taluka Golarchi

0 2 1 2

Suspected case of Pertussis was informed from village, during active surveillance found 4 more cases and only 4 out of 13 children were vaccinated, health education imparted, Eryth‐romycin given, information share with MO‐RHC, DHMT and HCPs and request for immuniza‐tion and 1 Throat sample collected.

21‐Feb Pertussis Sindh Ghotki Village Mohammad Murad Lund UC Gari Chakar

9 4 10 10

Alert of suspected Pertussis case reported from RHC Jarwar. Upon field investigation 33 cases were found. House to house cluster done for routine immunization status found only one child with BCG scar. DEWS team gave 14 days complete dose of erythromycin to all sus‐pected cases and close contacts. Health education imparted in the village informed DHO & DSV for vaccination in area/village.

22‐Feb Pertussis Sindh Ghotki Village Dad Ji Gari UC II Ghotki 4 5 11 9

Alert of suspected Pertussis case in 2.5 yrs girl from MCH centre Ghotki. Upon field investiga‐tion 33 more cases were found from above mentioned village, three nasopharyngeal swabs were taken and sent to NIH. DEWS team gave 14 days complete dose of erythromycin to all suspected cases and close contacts. Health education imparted in the village informed EDOH & DSV for vaccination in area

23‐Feb Pertussis Sindh Larkana Viilage wadi Wani UC badah‐2 0 1 3 1

5 cases of probable Pertussis identifies in one village. Erythromycin given to contacts and patients. EDO‐H informed.

21‐Feb Pertussis Sindh Sanghar

Village Muhammad Yousef Jamali UC Googani taluka Shah Bunder

2 14 2 2

20 cases of suspected Pertussis were investigated in village, active surveillance done, cluster of houses was checked and found 7 out of 46 has BCG Scar, 4 Throat sample was collected, Erythromycin and Cough syp was given, health education imparted, EDOH, THO were in‐formed.

21‐Feb Typhoid Sindh Matiari Village Khandoo, UC Hala, Taluka Hala 2 2 2 3

9 suspected cases of Typhoid were investigate from one village, 3 cases were Widal positive, hand pump was the source of water, IEC material distributed, health education was imparted and information shared with EDOH.

23‐Feb Typhoid Sindh Mirpur Khas Mohalla Babu Thebo, UC Mirwah Ghorchani, Taluka Mirpurkhas

0 7 0 3

3 suspected cases of Typhoid investigated at hospital, during active surveillance found 7 more cases, 5 out‐of 10 were Typhoid positive, hand pump was the source of water, 2 Hygiene kits, 10 jerry cans, 3 Life straw filters and Aqua tabs given, health education was imparted, inform EDOH and DSM‐PPHI



Province Khyber Pakhtunkhwa Date Disease District Area <5M >5M <5F >5F

17‐Feb BD Abbottabad Dalola 0 3 0 5

15‐Feb H1N1 swabi BMC Swabi, Anbaar 0 3 0 3

15‐Feb Leishmaniasis Charsadda khanmai 0 0 1 0

15‐Feb Leishmaniasis D. I. Khan Marhaba Colony, Near CRBC, UC Chehkan 0 0 0 1

15‐Feb Leishmaniasis Lower Dir Village Jelly, UC Munjai, Tehsil Balmbat 0 5 0 5

16‐Feb Leishmaniasis Tank Ranwal 1 0 0 0

14‐Feb Measles Abbottabad Shergan, Pandothana, Pawa 2 0 0 1

16‐Feb Measles Abbottabad Qalandarabad 1 0 0 0

16‐Feb Measles Buner Village kalpani tehsil gagra 0 0 0 1

17‐Feb Measles Buner Village ashraf near Langow tehsil Mandan 1 0 2 0

17‐Feb Measles Buner Village mota near daba nakhthar tehsil thothalai 1 1 1 1

13‐Feb Measles Charsadda Rajjar Charsadda 1 0 0 0

14‐Feb Measles Charsadda Kashmiryano Kallay 0 0 0 1

14‐Feb Measles Charsadda Shekhabad 0 0 1 1

16‐Feb Measles D. I. Khan Budhani, Chashma Road 1 0 0 0

13‐Feb Measles Haripur Village Chaintree 1 0 0 0

13‐Feb Measles Haripur Village Shah Maqsood 1 0 0 0

16‐Feb Measles Kohat Village Muhmmad Zai, UC Muhammad Zai 0 0 2 1

17‐Feb Measles Kohat Afghan refugee Camp , Ghulam Banda 1 0 0 0

17‐Feb Measles Kohat Hangu Phaathak, UC Urban II 1 0 0 0

17‐Feb Measles Kohat Village Zera Mela, UC Jerma 1 0 0 0

13‐Feb Measles Lower Dir Village Tabu‐Sherkhany, UC Hayaserae, Tehsil Balmbat 2 0 2 0

16‐Feb Measles Lower Dir Village Noor Banda, UC & Tehsil Khall 2 0 2 0

13‐Feb Measles Nowshera Village Marathay Kalay Near Misri banda Hospital 1 0 0 0

13‐Feb Measles Peshawar Ameen colony Kohat Road 0 1 1 0

13‐Feb Measles Peshawar Bana Mari Kohat Road 0 0 1 0

13‐Feb Measles Peshawar LRH (Jalalabad Afghanistan) 0 0 1 0

13‐Feb Measles Peshawar Ring Road 1 1 0 0

14‐Feb Measles Shangla Village Bund Tehsil Alpurai 3 3 2 2

14‐Feb Measles swabi BHU Beka 0 1 0 1

15‐Feb Measles swabi BHU Zaida, Maghrabi Banda, Balar Khel 0 0 2 0

17‐Feb Measles swabi Private Clinic, Aka khel, Gaar 7 1 1 1

14‐Feb Measles Swat Village Manyar, UC Ghalegay, Tehsil Barikot 0 0 1 0

14‐Feb Measles Swat Village Parona Bandan, UC Jambel, Tehsil Babuzai 1 0 0 0

15‐Feb Measles Swat Village Banjoo Malam Jabba near Allaho Akbar Jumat, UC Kishawra 1 0 0 0

15‐Feb Measles Swat Village Dadahara Bar Palao, UC Kuz Aba Khel, Tehsil Kabal 0 0 1 0

15‐Feb Measles Swat Village Tahir Abad Chat Jumat, UC Band, Tehsil Babuzai 1 0 0 0

16‐Feb Measles Swat Village Koza Bandai Miagano Cham, UC Kuza Bandai, Tehsil Kabal 1 0 0 0

16‐Feb Measles Swat Village Qadara Islampur, UC Islampur, Tehsil Babuzai 0 1 0 0

17‐Feb Measles Swat Village Bara Asala, UC Kotanai, Tehsil Khwazakhela 1 0 0 0

17‐Feb Measles Swat Village Kandao Mangoultan, UC & Tehsil Charbagh 1 0 0 0

16‐Feb Measles Tank Gomal 1 0 0 0

16‐Feb Measles Tank Kirri Nasran 1 0 0 0

16‐Feb Measles Tank Waranna 1 0 2 1

16‐Feb Measles Tank Wazirabad 1 0 0 0

16‐Feb NNT Bannu Village City Kala 0 0 1 0

14‐Feb NNT Lower Dir Village Bala Banda, UC Khall, Tehsil Khall 1 0 0 0

14‐Feb NNT swabi BHU Tandkohi 0 0 1 0

Alerts: Province Sindh Date Disease District Area <5M >5M <5F >5F

14‐Feb AWD Badin Village Nawaz Mallah, UC Saeedpur 1 2 0 1

12‐Feb AWD Benazirabad Sher Muhammad Colony 0 2 0 1

14‐Feb AWD T A Yar Pathan colony city Tando Allahyar 0 1 0 0

13‐Feb BD Benazirabad Camp #02, UC 5, Taluka Nawabshah 3 0 0 0

13‐Feb DHF Benazirabad Police Line, UC #1, Taluka Nawabshah 0 4 0 0

14‐Feb Measles Jamshoro Allah wala chawk, Khursheed colony 2 1 1 0

15‐Feb Measles Jamshoro Babu line, UC M. Shoro, Taluka Kotri 0 1 0 0

15‐Feb Measles Jamshoro Ghariabad, UC Sonowallar, Taluka Kotri 1 0 0 0

16‐Feb Measles Karachi Machar colony, UC # 4, Gadap colony 5 1 2 1

14‐Feb Measles Khairpur Village Irshad Bhurgari 3 0 1 1

18‐Feb Measles Larkana Khichi imam bargah murad wahan UC‐9 0 0 1 0

16‐Feb Measles Shahdadkot Village Filani , UC Dhinagaho Mahesar 0 0 1 0

17‐Feb Measles Shahdadkot Village Bitio , UC Deera Taulka Naserabad 4 0 1 0

18‐Feb Measles Benazirabad Village UC. 68 Mori, taluka Daur 1 1 1 0

18‐Feb Measles Shikarpur Village Haji Jaffar Banglani, UC Jano 1 0 0 0

18‐Feb Measles Sukkur CMH Hospital Pano Akil 1 0 0 0

16‐Feb Measles Tharparkar Kumbhar Para, UC Mithi 0 0 1 0

16‐Feb Measles Thatta Village Moliv Haji Sulman 1 1 1 0

17‐Feb Measles Thatta Village Masoodi Jat, UC Buhara 1 0 1 0

16‐Feb Measles Shahdadkot Massan Mohalla , UC Shahdadkot 2 1 0 0 0

16‐Feb Measles Shahdadkot Village Khair Mohammad Jaegerani 2 0 3 0

18‐Feb Measles Shahdadkot Village Hunny , UC Beer Sharif 0 1 0 0

17‐Feb Measles Shikarpur Village Sojhro Khan Jatoi UC Thainro 0 0 1 0

13‐Feb NNT Badin Village Ghulam Qadir Bhugio 1 0 0 0

14‐Feb NNT Larkana Village Shadan Jatoi UC Mahar wada 1 0 0 0

14‐Feb NNT Sanghar Village Yaqoob Brohi 1 0 0 0

17‐Feb NNT Sukkur SITE area Allahabad colony UC 14 0 0 1 0

13‐Feb NNT Umer Kot Village Naseer Khan Dhonkai 1 0 0 0

13‐Feb NNT Umer Kot Village Shahzeen farm 1 0 0 0

16‐Feb NNT Umer Kot Village Katho Kalar, UC Kaplore 1 0 0 0

17‐Feb NNT Umer Kot Village Vehro, near Mian shah Mazar 1 0 0 0

17‐Feb Pertussis Dadu Village Gul hassan Laghari, UC Dirgh bala 2 3 0 1

17‐Feb Pertussis Dadu Village Ibrahim Lund, UC Muradabad 1 1 0 0

18‐Feb Pertussis Dadu Village Mullan Panhwar 2 4 0 3

18‐Feb Pertussis Ghotki THQ Colony 0 3 0 1

18‐Feb Pertussis Ghotki Village More Dayo UC Khawara 8 4 7 1

13‐Feb Pertussis Hyderabad Tando Mir Noor Muhammad Unit # 4 3 0 0 1

14‐Feb Pertussis Khairpur Village Laiq Bhurgari, Vil Jan M, Vil Irshad 17 6 16 6

18‐Feb Pertussis Khairpur Village Ghulam Khan Lashari UC Agra 5 1 1 1

13‐Feb Pertussis Matiari Near main buss stop city Matiari 1 2 3 2

14‐Feb Pertussis Mirpur Khas Village Abdul wahid Burguri 3 6 3 15

15‐Feb Pertussis Benazirabad Police Line colony, UC #1 1 1 0 1

14‐Feb Pertussis T A Yar Mustaf colony city Tando Allahyar 2 0 2 1

14‐Feb Pertussis T A Yar Village Khair Muhammad Jarwar 2 0 4 2

15‐Feb Pertussis T A Yar Mujahid colony taluka Tando Allahyar 1 0 0 0

16‐Feb Pertussis T A Yar Villahe Allah Rakhio Pathan 0 0 3 0

17‐Feb Pertussis T A Yar Kumbhar para, near Ghosia Masjid 0 3 2 1

18‐Feb Pertussis T A Yar Soomra Mohalla, behind dilbar hotel 0 1 1 0

15‐Feb Scabies Khairpur Vil bahar khan solangi 1 8 5 13

16‐Feb Scabies Khairpur Village Irshad Bhurgari 3 1 0 4

18‐Feb Scabies Khairpur Vil Arzi Mohallah UC Agra 10 4 8 9

18‐Feb Scabies Khairpur Vil Basar Ameer bux Shambani UC Agra 0 8 1 4

14‐Feb Scabies Larkana Village Balhreja UC Bero Chandio 3 11 1 6

18‐Feb Scabies Larkana Village Yar Mohammad Jatoi 3 4 5 3

18‐Feb Scabies N. Feroze Village Moley Dino Nagor, Halani 3 2 4 0

13‐Feb Scabies Shahdadkot Vilalge Memon Jo Goth 5 8 2 10

16‐Feb Tetanus Badin Village Sono Kohli, UC Garho 0 0 0 0

17‐Feb Typhoid Larkana New murad wahan muhalla UC‐11 0 1 0 1

14‐Feb Typhoid Mirpur Khas Street # 01, Dhori para 0 1 0 1

14‐Feb Typhoid Mirpur Khas Village Allah Rakhio Gorchani 0 0 1 2

14‐Feb Typhoid Benazirabad Village Bakhar Jam rahu 1 3 0 0

14‐Feb Typhoid Benazirabad Village Misree khan chandio 1 1 2 0

15‐Feb Typhoid Benazirabad Police Line, UC #1, Taluka Nawabshah 1 3 0 0

16‐Feb Typhoid Benazirabad Faqir abdul nabi colony, UC Kazi ahmed 1 1 0 0 2

16‐Feb Typhoid Sanghar Village Deh 23 Jamarao 2 1 1 2

15‐Feb Typhoid T M Khan Village Haji Muhammad 0 4 0 4

Number o alerts by province, week 7, 2012



Province Balochistan Date Disease District Area <5M >5M <5F >5F

16‐Feb Leishmaniasis Bolan Babu muhalla, Dhadar 0 0 0 1

17‐Feb Leishmaniasis Bolan Village Jalbani 1 0 0 0

16‐Feb Leishmaniasis Jhal Magsi Noshehra UC Khari BHU Noshehra 2 0 1 0

16‐Feb Leishmaniasis Jhal Magsi RHC Jhal Magsi 1 2 0 4

17‐Feb Leishmaniasis Kalat Ziarat UC Chappar Tehsil Kalat 0 1 0 0

18‐Feb Leishmaniasis Kalat Aziz Abad UC Lakhorian Tehsil Surab 0 0 0 1

14‐Feb Leishmaniasis Kech Jusak UC Sarikehan, Turbat 0 1 0 0

16‐Feb Leishmaniasis Kech Marriabad Jusak UC Sarikehan, Turbat. 0 1 0 0

17‐Feb Leishmaniasis Kech Dashti bazar UC Malikabad, Turbat 0 1 0 0

18‐Feb Leishmaniasis Kech Chasar UC Malikabad 0 1 0 0

17‐Feb Leishmaniasis Lasbela Bela 0 2 1 1

18‐Feb Leishmaniasis Lasbela Winder, Lakhra 1 5 0 0

13‐Feb Leishmaniasis Nasirabad Town area of Dera Murad Jamali 0 3 0 1

18‐Feb Leishmaniasis Panjgur UC Gwargo, Mohallah Kahnay ser 0 1 0 0

17‐Feb Malaria Jhal Magsi BHU Sarangani 3 7 2 5

14‐Feb Measles Bolan Village Mashkaf 1 0 0 0

15‐Feb Measles Chagai Killi Gonshan 1 0 1 0

17‐Feb Measles Chagai Killi Mohammad Khan 1 0 2 1

14‐Feb Measles Khuzdar Kehn Tehsil Zehri 0 1 0 0

15‐Feb Measles Khuzdar Taj Abad UC Baleena Kattan 0 0 1 0

13‐Feb Measles Lasbela Kud Sayan UC Kathore Tehsil Bela 2 1 5 0

16‐Feb Measles Lasbela Ahora UC Wayaro 1 0 0 0

16‐Feb Measles Lasbela Jamia Madina Madarsa Uthal 0 13 0 0

16‐Feb Measles Panjgur UC Tasp, Mohallah Mestri Bashir 4 1 2 1

16‐Feb Measles Ziarat Killi gavarai, Killi surbot, UC Sinjavi, Tehsil Sinjavi 8 1 4 2

14‐Feb Pertussis Bolan Village Mashkaf 0 0 1 0

13‐Feb Pertussis Lasbela Kud Sayan UC Kathore Tehsil Bela 1 0 2 0

16‐Feb Pertussis Ziarat Killi surbot, UC Sinjavi, Tehsil Sinjavi 2 0 2 0

Alerts: Province Punjab Date Disease District Area <5M >5M <5F >5F

15‐Feb AD Rahim Yar Khan RHC Trinda Mohd Panah, Tesil Liaqatpur 12 41 9 64

15‐Feb ARI Bhakkar BHU Litten, UC Litten, Tehsil Mankera 11 4 12 1 14‐Feb ARI Mianwali BHU Chak 27DB 45 11 38 21 14‐Feb ARI Mianwali BHU Shadia 14 5 23 9 15‐Feb ARI Mianwali BHU Hussainwalla 24 9 29 9 15‐Feb ARI Mianwali THQ Piplan 211 121 231 102

14‐Feb ARI Muzaffargarh Basti Tootey Wali, UC Aludey Wali, Tehsil MZG 31 26 97 93

14‐Feb AWD Layyah BHU Sumera Nasheb Shumali, UC Kotala Haji Shah 5 1 3 1

14‐Feb Malaria Muzaffargarh Basti Bakhshey Wala, UC Rohillanwali, Tehsil MZG 9 6 42 38

16‐Feb Measles Bahawalna‐gar NHM Multan(haroonabad, Bahawalnagar) 1 0 0 0

13‐Feb Measles Lahore Sandha Lahore 0 0 1 0

18‐Feb Measles Mianwali Mohallah Paran Khellon Walla, Near arayan walli Wandhee 1 0 0 0

15‐Feb Measles Muzaffargarh Sadaat Colony, Pir Bagga Road, UC KP Bagga Sheri 1 1 1 1

15‐Feb Measles Muzaffargarh Tibbi Hussain Abad, UC Lutkeran, Tehsil MZG 0 1 0 0

16‐Feb Measles Muzaffargarh Basti Matoo Wala, UC KP Bagga Sheri, Tehsil MZG 0 0 1 0

18‐Feb Measles Rajanpur Moza Asif Abad, Near Dala Adda, Shikar‐pur 0 0 1 0

15‐Feb NNT D. G. Khan Children Hospital Complex Multan(Haidri chowk, Muzaffar Garh Road) 0 0 1 0

14‐Feb NNT Multan Children Hospital Complex (Mohallah Rehmania, Mian Channu) 1 0 0 0

13‐Feb Pertussis D. G. Khan Basti Bohar UC Mangrotha 0 0 1 0 16‐Feb Pertussis Rajanpur Basti jhar Bhar, Moza Wang, UC Wang 1 0 0 0 18‐Feb Tetanus Lahore Al Khair town 0 1 0 0 16‐Feb Typhoid Layyah BHU Chak 151, UC Jaman Shah 0 4 1 6

13‐Feb Typhoid Rahim Yar Khan Bangla Manthar 1 2 9 5

14‐Feb Typhoid Rahim Yar Khan RHC Allahabad, Tehsil Liaqatpur 0 1 5 3



Province Balochistan Date Disease District Area <5M >5M <5F >5F

19‐Feb ARI Harnai BHU Belli 16 25 9 11

19‐Feb ARI Harnai Killi Sazoo 14 28 11 22

24‐Feb Leishmaniasis Awaran Mashie Awaran 0 0 0 1

22‐Feb Leishmaniasis Jaffarabad BHU, Murad Ali, Tehsil Sohbat Pur 0 1 0 1

20‐Feb Leishmaniasis Lasbela Bela 0 4 1 1

20‐Feb Leishmaniasis Nasirabad Bedaar area U/ C Bedaar 1 0 0 0

20‐Feb Leishmaniasis Nasirabad U/C Quba Sher Khan Beroon area Tehsil DMJ 0 0 1 0

25‐Feb Leishmaniasis Nasirabad Ghot Haji Muhammad Panah Lehri 0 0 0 1

21‐Feb Leishmaniasis Panjgur UC Chitkan Mohalla Taar Office 0 0 1 0

21‐Feb Leishmaniasis Panjgur UC Parome mohalla Madresa 0 1 0 0

22‐Feb Leishmaniasis Panjgur UC Gwargo Mohalla Katagery 0 1 0 0

22‐Feb Leishmaniasis Panjgur UC Sabzab near Rakshan kore 0 1 0 0

21‐Feb Leishmaniasis Sibi DHQH Sibi 1 1 0 5

25‐Feb Malaria Jaffarabad BHU Ghareebabad, Tehsil Usta Mohammad 1 3 3 4

24‐Feb Measles Chagai killi Koi Khan U/C Sadder 1 1 1 0

20‐Feb Measles Jaffarabad CD, Noshki Jadeed, Tehsil Gandakha 4 0 0 1

23‐Feb Measles Jhal Magsi RHC Jhal Magsi 2 0 0 0

21‐Feb Measles Karachi Lasbela (Raees Goth) 0 0 1 0

20‐Feb Measles Kharan Killi Qambarani U/C Sarawan 1 1 0 0

21‐Feb Measles Lasbela Madina colony Zehri street UC Pathra 1 0 2 0

22‐Feb Measles Lasbela Ismailiani UC Gadore 1 0 4 3

22‐Feb Measles Quetta Bolan Medical Complex Hospital Quetta 0 1 0 0

22‐Feb NNT Bolan Jhal Magsi DHQ Hospital Gandawah (Shoran) 1 0 0 0

24‐Feb NNT Jaffarabad U/C Usta Mohammad 1 0 0 0

20‐Feb NNT Kharan Killi Shawani U/C juda e Kalat. 1 0 0 0

23‐Feb NNT Nasirabad Nursery ward DHQ‐Hospital 1 0 0 0

23‐Feb Pertussis Chagai Sheernap Girdi jungle refugee camp 1 1 1 0

20‐Feb Pertussis Jaffarabad Village of Noshki Jadeed, Tehsil Gandakha 0 0 1 1

21‐Feb Pertussis Nasirabad Owuch pawer Beroon area Tehsil DMJ 2 0 1 2

22‐Feb Pertussis Nasirabad Ghot Mir Muhammad Bugti 9 2 0 0

19‐Feb Rabies Harnai DHQ Harnai 2 2 1 2

21‐Feb Typhoid Kharan College area U/C Northern Town 0 2 1 0

19‐Feb Typhoid Ziarat RHC Sinjavi 0 5 0 0

Province Punjab Date Disease District Area <5M >5M <5F >5F

21‐Feb AD Bhakkar THQ Hospital Mankera, UC Mankera 8 7 11 8 22‐Feb AD Bhakkar BHU Daggar Kotli, UC Patti Balanda 6 9 11 7 20‐Feb AD R Y Khan RHC Manthar, Bangla Manthar 5 23 3 28

20‐Feb AD R Y Khan Trinda Sawaye Khan, Tehsil Rahim Yar Khan 14 13 11 16

21‐Feb AJS R Y Khan Khanpur THQ, Tehsil Khanpur 1 9 2 6 22‐Feb ARI Bhakkar BHU Daggar Kotli, UC Patti Balanda 8 7 9 5 23‐Feb ARI Bhakkar BHU Dhandla, UC Dhandla Tehsil Bhakkar. 12 24 17 34 24‐Feb ARI Bhakkar BHU Mullan Wali, UC Mullan Wala 11 17 12 8 22‐Feb ARI Layyah BHU Garay wala, UC Garay wala 16 9 19 15 23‐Feb ARI Layyah BHU 110 TDA, UC Shahpur, Tehsil Karor 15 14 7 5 21‐Feb ARI Mianwali BHU Mari Indus 24 17 29 19 22‐Feb ARI Mianwali RHC Kammar Machani 22 20 20 26 21‐Feb ARI Muzaffargarh Lasoori Adda, UC Lasoori, Tehsil Kotaddu 13 28 9 17 21‐Feb ARI R Y Khan Chak 45 P, Tehsil Khanpur 13 28 9 57 22‐Feb ARI R Y Khan Roshan Bhait, 5 NP, Tehsil Sadiqabad 12 47 25 78 22‐Feb ARI Rajanpur BHU Shikarpur, Moza Asif Abad 16 9 17 10 24‐Feb DHF Khanewal NHM (Moza nand pur, tehsil kabirwala) 0 2 0 1 22‐Feb DHF Lahore Begum Kot, Shahdara Ravi Town Lahore 0 2 0 0 22‐Feb DHF Lahore Feroz Pur Road Nishter Town Lahore 0 1 0 0 21‐Feb Measles Lahore Sanda Kallan, Lahore 0 1 0 0 23‐Feb Measles Lahore Jublee Town Lahore 0 1 0 0 24‐Feb Measles Lahore Mughal Pura 0 0 0 1 22‐Feb Measles Mianwali Wandhee Peeran Walli Moch 1 0 0 0 22‐Feb Measles Muzaffargarh Housing Colony, District Jail, Muzaffargarh 1 0 0 0 22‐Feb Measles Muzaffargarh Moza Chak Mithan 0 0 0 1 23‐Feb Measles Muzaffargarh Basti Zulfiqar Abad 0 1 0 0 24‐Feb Measles Muzaffargarh Kumhar Basti, UC Jaggatpur 0 0 0 1 20‐Feb NNT B. nagar Children Hospital Multan 1 0 0 0 22‐Feb Pertussis D. G. Khan Nari Janoobi UC Nari 1 0 0 0 21‐Feb Tetanus D. G. Khan Samina village UC samina 0 1 0 0 20‐Feb Typhoid Bhakkar RHC Dullewala, UC Jhamamt Shumali 0 2 0 2 21‐Feb Typhoid Bhakkar THQ Hospital Mankera, UC Mankera 0 2 0 1 22‐Feb Typhoid Bhakkar BHU Daggar Kotli, UC Patti Balanda 0 2 0 0 21‐Feb Typhoid Layyah BHU Laskani wala, UC Basira, Tehsil Karor 0 5 0 8 21‐Feb Typhoid Rajanpur DHQ Rajanpur, UC Rajanpur Gharbi 0 6 0 4



Province Khyber Pakhtunkhwa Date Disease District Area <5M >5M <5F >5F

20‐Feb AWD Kohat Village Kachai, Union Council Usterzai 0 0 0 0

21‐Feb AWD Kohat Village Gabbari 0 0 0 0

21‐Feb AWD Kohat Village khadder Khel 0 0 0 0

22‐Feb AWD Kohat UC Bilitang 0 0 0 0

22‐Feb AWD Kohat Village Mir Ahmed Khel 0 0 0 0

21‐Feb BD Kohat Union Council Shakardarra Urban 0 0 0 0

23‐Feb Leishmaniasis Haripur Afghan Refugee Turkman Camp 1 2 0 2

20‐Feb Leishmaniasis Nowshera Village Natal, UC Akbarpura 0 1 0 0

20‐Feb Leishmaniasis Nowshera Village: Manai 0 1 0 0

21‐Feb Leishmaniasis Nowshera Mohallah: Wara Khel 0 0 0 2

23‐Feb Leishmaniasis Nowshera Amir Zada House 0 0 1 0

25‐Feb Leishmaniasis Nowshera Phase: 06, Sector 0 0 0 2

24‐Feb Leishmaniasis Tank Mulazai 0 1 0 0

20‐Feb Measles Abbottabad Narian, Cantt 0 0 1 0

23‐Feb Measles Buner shangra pass pandair tehsil chagharzai 1 1 2 2

23‐Feb Measles Charsadda Lagharya Kallay 1 0 0 0

23‐Feb Measles Charsadda Papra Kallay 1 0 0 0

20‐Feb Measles D. I. Khan Kot Zafar, Kulachi 1 0 1 0

20‐Feb Measles D. I. Khan Paroa 1 0 0 0

21‐Feb Measles D. I. Khan Jogi Dara Pezu 1 0 0 0

21‐Feb Measles D. I. Khan Wacha Khora, Wana 1 0 0 0

24‐Feb Measles D. I. Khan Daman Hotel, Darya Khan Road 0 0 0 1

24‐Feb Measles D. I. Khan Ramak, Paroa Road 0 1 0 0

23‐Feb Measles Haripur Pind Ghakhr, Tofkian 2 0 0 0

24‐Feb Measles Haripur Ghazi city 0 1 0 0

21‐Feb Measles Lower Dir Village Gardai 1 0 0 0

22‐Feb Measles Lower Dir Village Ashogai 1 2 2 7

23‐Feb Measles Lower Dir Village Baron, UC Munjai 1 0 0 0

23‐Feb Measles Lower Dir Village Darrora, Changal Bazar 0 0 1 0

23‐Feb Measles Lower Dir Village hayathy, sarkadaro 1 0 0 0

22‐Feb Measles Mansehra Village Malkana UC Shungli Bandi 2 1 3 0

20‐Feb Measles Nowshera Akhoon Abad 0 1 0 0

20‐Feb Measles Nowshera Mohallah Gharay 1 0 0 0

21‐Feb Measles Nowshera Khat Kalay, Mohallah 2 0 2 0

21‐Feb Measles Nowshera Khatako Mohalla Village Aman Garh 1 0 0 0

21‐Feb Measles Nowshera Mohallah: Mayaro Khel 5 0 1 0

21‐Feb Measles Nowshera Village Khaishki Bala 2 0 1 0

22‐Feb Measles Nowshera Mohallah: Mardankhel 4 0 6 0

23‐Feb Measles Nowshera Mohallah: Akhoon Baba 0 0 0 1

23‐Feb Measles Nowshera Village Aman Garh 1 0 0 0

23‐Feb Measles Nowshera Village Misri Banda 0 0 0 2

24‐Feb Measles Nowshera Afrido Kalay, Malang Pul 1 0 2 1

23‐Feb Measles Peshawar Village Jhagra 1 0 0 0

23‐Feb Measles Peshawar Village Latifabad 0 0 1 0

19‐Feb Measles Shangla Village Ban Dheray 1 0 0 0

19‐Feb Measles Shangla Village Dur Banai 0 2 0 0

23‐Feb Measles Shangla Village Ban Khwargai/UC Dherai 1 0 0 0

21‐Feb Measles Swabi Private Clinic, Gani Kot Gabasni 1 2 5 3

23‐Feb Measles Swabi Private Clinic, Inayath Khel 3 1 2 1

24‐Feb Measles Swabi BHU Zaida, Gaar Side 1 0 1 1

24‐Feb Measles Swabi CD Hemlet, Gala 0 0 1 0

20‐Feb Measles Swat Village Kohistan Gat 1 0 0 0

20‐Feb Measles Swat Village Zawra Barthana 1 0 0 0

21‐Feb Measles Swat Village and UC Kalakaley, Tehsil Kabal 0 1 0 0

21‐Feb Measles Swat Village Spiney Obe Malam Jabba Road 0 0 1 0

22‐Feb Measles Swat Village and UC Shamozai 0 0 0 1

22‐Feb Measles Swat Village Parona, UC Jambe kokarai 0 0 1 0

22‐Feb Measles Swat Village Terang mian bara lar 0 0 1 0

21‐Feb Measles Tank AliKhel 1 0 0 0

21‐Feb Measles Tank Waranna 1 0 0 0

22‐Feb NNT D. I. Khan Maleekhi, Tehsil Paroa 0 0 1 0

23‐Feb Pertussis Charsadda Haseebabad 1 0 0 0

25‐Feb Pertussis Lower Dir Village Kolalano Cham 1 0 1 0

Alerts: Province Sindh Date Disease District Area <5M >5M <5F >5F

20‐Feb AJS Larkana Vilage Daro UC badah‐2 0 3 0 0

22‐Feb AJS Larkana Viilage Sultan Jumarani 0 3 0 0

22‐Feb AWD T A Yar Akbari colony city Tando Allahyar 1 0 0 1

22‐Feb AWD T A Yar Bheel colony, city Tando Allahyar 1 0 0 1

22‐Feb AWD Tharparkar Deep Coal Rock Drilling Point 0 2 0 0

22‐Feb AWD Tharparkar kohli Paro, Village Mubarak 0 0 1 0

21‐Feb BD Matiari Village Hala, UC & Taluka Hala 0 1 0 2

20‐Feb CCHF Karachi Agha Khan Hospital 0 0 1 0

23‐Feb Measles Dadu Golimar Mohalla, UC and taluka K.N. Shah 0 0 2 0

21‐Feb Measles Hyderabad Block #B, near Mustafa Masjid 0 1 0 0

22‐Feb Measles Hyderabad Latif abad # 7 0 1 0 0

22‐Feb Measles Hyderabad Near HAD Latifabad unit # 9 0 0 1 0

25‐Feb measles Jamshoro Allah ho chawk khershhedd colony kotri 0 1 0 0

22‐Feb Measles Karachi New Haji Camp, Saddar Tawn 1 0 1 0

21‐Feb Measles Kashmore Village Ali GuL mazari, UC sodhi 1 0 0 0

24‐Feb Measles Larkana Near peer Murad Shah UC‐4 2 0 2 0

21‐Feb Measles Shahdadkot Chajjara , UC Kambar 2 , Taulka Kambar 2 0 0 0

22‐Feb Measles Shahdadkot Village Hesab Magasi , UC Kalar 2 0 0 0

23‐Feb Measles Shahdadkot Village Abdullah Panhwar 0 0 1 0

21‐Feb Measles Tharparkar Pasayo Paro, UC Khoruro 0 1 0 0

25‐Feb Measles Tharparkar West Wajeer Mohallah Mithi town 0 0 1 0

23‐Feb Measles Thatta Village Haji Muhammad Hussan Katyar 1 1 3 5

23‐Feb Measles Thatta Village Peroz Khaskhali UC Mirpur Sakiro 5 1 2 4

25‐Feb Measles Thatta Thatta City village Noor M. Brohi 1 1 1 0

23‐Feb Measles Shahdadkot Dur Mohammad 0 0 1 0

24‐Feb Measles Shahdadkot Village Ahmed Shabarani 0 1 0 0

21‐Feb NNT Larkana Village Laal Bux Bugti 1 0 0 0

22‐Feb NNT N. Feroze Naushahroferoze city 1 0 0 0

23‐Feb NNT Shikarpur Village near village pyaro khan bhayo 1 0 1 0

25‐Feb NNT Thatta Village Shaho Magsi 1 0 0 0

22‐Feb NNT Shahdadkot Village Khairpur Juso , UC Khairpur Juso 1 0 0 0

24‐Feb NNT Shahdadkot Village Parya , UC Thoufchousal 1 0 0 0

25‐Feb NNT Shahdadkot Village Darghai Khan , UC Ber Sharif 1 0 0 0

24‐Feb Pertussis Badin Village Haji Wadero Mubeen 0 2 1 2

23‐Feb Pertussis Dadu Village Boriri, UC Kakar Taluka K.N. Shah 2 0 1 0

23‐Feb Pertussis Dadu Village Ladhan, UC and taluka K.N. Shah 3 0 0 1

21‐Feb Pertussis Ghotki Village Mohammad Murad Lund 9 4 10 10

22‐Feb Pertussis Ghotki Bago Wah near Fayaz Medical centre 0 1 0 1

22‐Feb Pertussis Ghotki Village Dad Ji Gari UC II Ghotki 4 5 11 9

21‐Feb Pertussis Hyderabad Old Rajpur house, Block f Latifabad #8 0 0 1 0

23‐Feb Pertussis Larkana Viilage wadi Wani UC badah‐2 0 1 3 1

21‐Feb Pertussis Sanghar Village Haji Ahmed 0 12 0 0

24‐Feb Pertussis Thatta Village Muhammad Yousef Jamali 2 2 2 2

24‐Feb Pertussis Thatta Village Rawat Khan Jamali 5 9 1 3

23‐Feb Scabies Khairpur Vil Badal Khuhra UC Khemtia 2 3 1 7

24‐Feb Scabies Khairpur Vil Dilawer Khuhra UC Khemtia 2 6 3 6

24‐Feb Scabies Khairpur vil Keti mir M Ghumro UC Hadal Shah 3 5 2 7

21‐Feb Scabies Shahdadkot Chajjara , UC Kambar 2 , Taulka Kambar 5 4 5 6

22‐Feb Tetanus T A Yar Tehrani Farm, UC Pak Singhar 0 0 0 1

23‐Feb Typhoid Badin Ward # 5 taluka Talhar 1 2 0 1

23‐Feb Typhoid Larkana Faizan Mohammdi madarsa 0 2 0 0

23‐Feb Typhoid Larkana Shehbaz colony UC‐2 0 2 0 0

25‐Feb Typhoid Larkana Murad wahan Muhalla UC‐11 0 1 0 1

21‐Feb Typhoid Matiari Village Khandoo, UC Hala, Taluka Hala 2 2 2 3

23‐Feb Typhoid Mirpur Khas Mohalla Babu Thebo 0 7 0 3

24‐Feb Typhoid Shahdadkot Village Drib Chandio 0 0 0 2

21‐Feb Typhoid Sukkur workshop road UC 6 0 0 0 2




Province Khyber Pakhtunkhwa:

• 463 health facilities from 17 districts of Khyber Pakhtunkhwa reported to DEWS on weekly basis with a total of 226,464 patients consultations in week 7 and 8, 2012.

• 112 alerts were reported in week 7 and 8; Altogether 86 for Measles; 11 for Leishmaniasis; 5 for AWD; 4 for NNT; 2 each for BD and Pertussis; while 1 each for Diphtheria and H1N1, .

• 3 outbreaks, 1 each for BD, Leishmaniasis and Measles were received appropriate measure were taken.

Figure-3: Trend of priority communicable diseases, province KPK

Province Sindh:

• 459 health facilities from 23 districts in Sindh reported on weekly basis to DEWS with a total of 482,900 patient consultations in week 7 and 8, 2012.

• 128 alerts were reported; Altogether 36 for Measles, 28 for Pertussis; 17 for NNT and tetanus; 17 for typhoid; 15 Scabies; 7 for AWD; 2 each for AJS, BD and Mumps; while 1 each for CCHF and DF.

• 27 outbreaks, 17 for Pertussis; 4 for Typhoid; 3 for Sca-bies; 2 for Mumps; while 1 for CCHF were received and appropriate measure were taken.

Figure-4: Trend of priority communicable diseases, province Sindh

Table‐2: Total number of alerts and outbreaks reported and investigated with appropriate response Disease

2010 2011 2012 (up till week 8) Total A O A O A O A O

Acute watery diarrhoea 209 85 1350 543 48 0 1607 628 Acute jaundice syndrome 5 2 51 17 24 2 80 21 Bloody diarrhoea 10 1 98 20 21 3 129 24 Dengue fever 81 32 785 111 8 1 874 144 Measles 48 6 1710 91 465 17 2223 114 Pertussis 1 0 287 81 106 34 394 115 NNT + tetanus 5 0 399 0 133 0 537 0 Malaria 12 7 131 88 11 4 154 99 Leishmaniasis 1 0 298 33 145 18 444 51 Others 75 11 643 69 178 24 896 104 Total 447 144 5752 1053 1139 103 7338 1300

Table‐1: Leading causes of seeking health care in districts, Wk‐31, 2010 to Wk 8, 2012, compiled from weekly reports

Diseases Number of Consultations

Acute respiratory infection 14,135,982 (23%)

Skin diseases 6,197,288 (10%) Acute diarrhoea 5,533,746 (9%) Bloody diarrhoea 487,371 (<1%) Suspected malaria 3,718,105 (6%) Unexplained fever 2,312,245 (4%) Total consultations 61,393,025

Figure‐2: Number of alerts by disease, week 7 and 8, 2012

159

41 41 3827 20 19 13 6 5 4 4 3 3 2 1 1 1 1

020406080

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Special Bulletin: DEWS, Pakistan, Week no. 7 and 8 (12 to 25 February, 2012) Province Punjab: • 363 health facilities from 8 districts reported data to

DEWS in Punjab with a total of 336,134 patient con-sultations.

• A total of 68 alerts were reported in in this week; Alto-gether 17 for ARI; 15 for Measles; 8 for Typhoid; 6 for NNT and tetanus; 5 each for AD and Scabies; 3 each for DF and Pertussis; 2 for BD; while 1 each for AJS, AWD, Malaria, and Unexplained fever.

• 1 outbreak of Typhoid was received and appropriate measures was taken.

Figure-5: Trend of priority communicable diseases, province Punjab


State of Azad Jammu and Kashmir:

• 137 health facilities from 10 districts reported to DEWS in this week with a total of 46,322 patient consultations.

• 5 alerts, 2 each for Leishmaniasis and Measles, while 1 for Pertussis were received and appropriate measures were taken.

• 32 health facilities from 2 agencies reported from FATA in this week, with a total of 12,753 patient consultations.

• 15 alerts; 7 for NNT; 5 for Measles; while 3 for Leishmaniasis were reported this week and appropriate measure were taken.

Province Gilgit Baltistan:

• 29 health facilities from 3 districts in Gilgit Baltistan reported to DEWS in week 7 and 8; with a total of 13,483 patient consultations.

• No alert for any disease was reported from any area in Gilgit Baltistan.

Figure-7: Trend of priority communicable diseases, Gilgit Baltistan

FATA:

Province Balochistan:

• 384 health facilities from 17 districts in Balochistan reported to DEWS, with a total of 116,275 patient con-sultations.

• 61 alerts were reported in week 7 and 8 from Balochis-tan; Altogether 25 for Leishmaniasis; 18 for Measles; 7 for Pertussis; 4 for NNT; 2 each for ARI, Typhoid and Malaria; while 1 for Rabies.

• 9 outbreaks, 3 for Leishmaniasis; while 2 each for Mea-sles, Pertussis and Malaria were received and appropri-ate measure was taken.

Figure-6: Trend of priority communicable diseases, province Balochistan

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30

40

50

wk 9

wk 10

wk 11

wk 12

wk 13

wk 14

wk 15

wk 16

wk 17

wk 18

wk 19

wk 20

wk 21

wk 22

wk 23

wk 24

wk 25

wk 26

wk 27

wk 28

wk 29

wk 30

wk 31

wk 32

wk 33

wk 34

wk 35

wk 36

wk 37

wk 38

wk 39

wk 40

wk 41

wk 42

wk 43

wk 44

wk 45

wk 46

wk 47

wk 48

wk 49

wk 50

wk 51

wk 52

wk 1

wk 2

wk 3

wk 4

wk 5

wk 6

wk 7

wk 8

Percentage




Alerts and outbreaks, week 8, 2012

weekly epidemiological - who€¦ · epidemiological week no. 7 and 8 (12 to 25 february, 2012) •...

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