weekly epidemiological - world health organizationghullam shah) 0 1 0 1 health facility reported the...

Weekly Epidemiological Bulletin

This weekly Epidemiological Bulletin is published jointly by the Federal Ministry of Health, Government of Pakistan, 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. 6 (4 to 10 February 2011) • 63 districts in 4 provinces provided surveillance data to the DEWS. This system is gradually expand-

ing to provide information about communicable disease threats in all parts of Pakistan as the country goes through the recovery process.

• 2,251 fixed health and 8 mobile medical outreach centres provided surveillance data for this week.

• A total of 845,328 consultations were reported through DEWS of which 31% were acute respiratory infections (ARI), 9% skin disease, 6% acute diarrhoea, and 6% were suspected Malaria.

• Two follow up alerts highlighted from last week are: 1. The hospitalized case from Haripur with Influenza-like Illness (ILI) was the only one out of nine samples from KP last week which was lab confirmed as positive for Influenza H1N1. This indicates that KP may be past the seasonal peak for H1N1 noted in January. 2. Out of 8 suspected measles cases in Nasirabad, Balochistan, two samples were collected and both were positive for Rubella. This may indicate there is an outbreak of Rubella instead of Measles.

• A total of 46 alerts are reported in this bulletin: 2 from week five, 39 from week six, and 5 from week seven. Altogether 25 were for Measles; 4 were for each Chickenpox and influenza; 3 were for each Neonatal Tetanus, and Pertussis; 2 were for each ARI and Meningitis; and 1 each for Tetanus, Mumps, and Rabies.

• There was one case of confirmed poliomyelitis reported this week

Highlights

Flood Response in Pakistan

01

Volume 2, Issue 6 Monday 14 February 2011

Table-1: Priority diseases reported during the week 51-2010 to week 6-2011

Priority diseases under surveillance

in the flood affected areas

Acute Flaccid Paralysis (AFP)

Acute Jaundice Syndrome (AJS)

Acute Respiratory Infections (Upper and Lower) (ARI)

Acute Watery Diarrhoea/ (AWD) Suspected Cholera

Acute Bloody Diarrhoea (BD)

Other Acute Diarrhoea (AD)

Suspected Hemorrhagic Fever (VHF)

Suspected Malaria (Mal)

Suspected Measles (Ms)

Suspected Meningitis (Mg)

Others

Figure-1: Weekly trend of leading priority diseases in Pakistan, 29 July 2010 to 10 February 2011 (Epi week 31, 2010 to week 6, 2011)

Diseases Wk-51 Wk-52 Wk-1 Wk-2 Wk-3 Wk-4 Wk-5 Wk-6

Skin Disease 42,813 (8%) 41,435 (8%) 50,424 (8%) 55,947 (9%) 52,822 (8%) 67,253 (9%) 69,065 (8%) 73,988 (9%)

ARI (URI and LRI) 166,801 (31%) 158,048 (31%) 194,176 (32%) 208,819 (32%) 212,625 (33%) 231,441 (31%) 245,259 (31%) 262,166 (31%)

Other Acute Diarrhoea (Not Watery) 37,100 (7%) 32,933 (6%) 36,460 (6%) 39,041 (6%) 35,250 (5%) 41,155 (6%) 44,725 (6%) 48,938 (6%)

Bloody Diarrhoea 3,925 (1%) 3,076 (1%) 3,975 (1%) 4,310 (1%) 4,251 (1%) 5,351 (1%) 4,839 (1%) 4,882 (1%)

Suspected Malaria 35,266 (6%) 25,791 (5%) 34,340 (6%) 35,356 (5%) 31,624 (5%) 37,108 (5%) 43,591 (6%) 50,258 (6%)

Total consultation 544,147 509,612 607,661 651,856 644,796 739,563 783,256 845,328

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AD BD ARI S. Malaria

Epidemiological Bulletin: Flood Response in Pakistan

Fig-2: Weekly number of reporting health units (Week 33-2010 to week 6-2011)

This weekly Epidemiological Bulletin is published jointly by the Federal Ministry of Health, Government of Pakistan, 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

Table-2: Leading causes of seeking health care in the flood affected districts, 29 July 2010 to 10 February 2011

Table-2: Measles Case-Based Surveillance Results, Pakistan, Week 6, 2011

Diseases Total

Skin Diseases 1,925,183 (12%)

Acute Respiratory Infection 3,879,204 (24%) Other Acute Diarrhoea (Not Watery) 1,533,814 (10%)

Bloody Diarrhoea 152,590 (1%) Suspected Malaria 914,879 (6%) Unexplained Fever 683,892 (4%)

Total Consultations 16,130,350

Since July 29, 2010, a total of 1,533,814 acute diarrhea patient consultations have been reported to DEWS from the disaster affected districts of 4 provinces in Pakistan.

In the graph at right, DEWS reports receiving in 2011 are compared to the reports of 2010 and 2009 from disaster‐affected districts. This week, DEWS received 48,938 reports of acute diarrhea, 6% of total con‐sultations. This is the same proportional morbidity (6%) reported by DEWS in week‐6/2010 and in week‐6/2009.

Figure-4: Acute Diarrhea trends, Disaster affected districts, Pakistan 2009, 2010 and 2011

Since July 29, 2010, approximately 3,879,204 Acute Respiratory Infection (both Upper and Lower) patient consultations have been reported to DEWS from the disaster affected districts of 4 provinces in Pakistan.

In the graph at right, DEWS reports receiving in 2011 are compared to the reports of 2010 and 2009 from disaster‐affected districts. This week, DEWS received 262,166 reports of Acute Respiratory Infection, 31% of total consultations, 1% lower than the proportional morbidity reported by DEWS in week‐6/2010 but the same as week‐5/2009.

Figure-3: Acute Respiratory Infection trends, Disaster affected districts, Pakistan 2009, 2010 and 2011

Province Population (estimated) Number of Specimen Positive Female Male

Punjab 89,039,776 12 7 6 6

Sindh 37,992,536 30 20 14 16

KP 22,259,944 5 4 3 2

FATA 3,411,082 1 0 1 0

Balochistan 8,033,664 4 3 3 1

AJK 3,514,728 0 0 0 0

GB 1,506,313 5 3 3 2

ICT 1,338,944 11 8 5 6

Total 167,096,987 68 45 35 33

<5 >5

8 4

22 8

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1 0

3 1

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48 20

8

361375

411331400

215 192 153128

10581 58

46

2626

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1111 11 8 8

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2500 Fixed Mobile

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2010

2011

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2009

2010

2011

Table-3: Alerts reported in week 5, 6 and 7 of 2011. Epidemiological Bulletin: Flood Response in Pakistan


Date of alert Disease Province District Location Male Female

<5 >5 <5 >5

1‐Feb‐11 H1N1 Khyber Pakhtunkhwa

Haripur CH PIMS‐Islamabad (CH Kotla)

0 0 1 0 Alert was reported from CH Kotla and upon investigation 1 suspected case was found with typical flu like symptoms. Sample was collected by CH PIMS and found Positive for Influenza H1N1 (2009). Health edducation and IEC material was given.

3‐Feb‐11 Measles Balochistan Nasirabad UC Ali Abad Bulaidi 2 2 2 2 There were 8 suspected cases of measles, 2 samples were collected and found positive for Rubella. Doses of Vitamin A has been given. EDO‐H was informed. Unimmunized children in the community were vaccinated.

4‐Feb‐11 H1N1 Sindh Shikarpur Health Care Hospital Karachi (BHU Gaheja)

0 1 0 0 Alert was reported from BHU Gaheja. Sample was collected by Health Care Hospi‐tal, Karachi and found Positive for Influenza H1N1 (2009).

4‐Feb‐11 Measles Khyber Pakhtunkhwa

Upper Dir Barawal (DHQ Timar‐gara‐Lower Dir)

1 0 0 0 Suspected case was found with typical measles symptoms. Sample was collected and sent to NIH. Vit. A was given, Hygiene education session was conducted. Unimmunized children in the community were vaccinated.

4‐Feb‐11 Measles Sindh Ghotki Mandar Mohalla, UC I ‐ Mirpur Mathelo

1 1 0 0 2 Measles cases were found. Patients belong to a minority group and refused for any intervention till next week. Active case search is underway.

4‐Feb‐11 Meningitis Sindh Ghotki MCH Center‐UC Khanpur Mahar

0 0 0 1 Alert was reported from health facility. Investigation is under way and followup is planned.

4‐Feb‐11 NNT Sindh Ghotki Suleman Pahore Village ‐UC Bandh

1 0 0 0 Suspected case of NNT was reported from MCH centre. Patient was treated with TIG and improving. Mother was not vaccinated against TT.

4‐Feb‐11 H1N1 Sindh Hyderabad LUMHS 0 0 0 1 Alert was reported from LUMHS. Sample was collected and sent to NIH. Active case search is underway.

5‐Feb‐11 Measles Sindh Ghotki Habibullah Gabol Village‐UC Garhi Chakar

10 1 7 0 Upon field investigation 17 suspected cases were found and 1 death was reported. 4 samples were collected and sent to NIH. Vit.A was given to active cases. Improved outreach activity in the 5Km area is planned with the help of district authorities.

5‐Feb‐11 Measles Sindh Ghotki Gul Muhammad Gabol Village‐UC Garhi Chakar

0 1 0 0 Upon field investigation 7 suspected cases were found. 1 sample was collected and sent to NIH. Cases were treated with two doses of vitamin A and unimmunized children in the community were vaccinated.

5‐Feb‐11 Measles Sindh Hyderabad Shah Latif, Lalo Lashari Colony

1 0 2 1 During active surveillance 4 suspected Measles cases were found. 2 samples were collected and sent to NIH. Cases were treated with two doses of vitamin A and unimmunized children in the community were vaccinated.

5‐Feb‐11 Measles Sindh Naushahro Feroze

THQ Kandiaro (UC Ghullam Shah)

5 1 10 2

Health facility reported the suspected alert and upon investigation 2 suspected cases were found. Samples were collected and sent to NIH. Two doses of vitamin A were given to active cases. Unimmunized children in the community were vacci‐nated.

5‐Feb‐11 Chicken Pox Sindh Naushahro Feroze

THQ Kandiaro (UC Ghullam Shah)

0 1 0 1 Health facility reported the suspected alert and upon investigation 2 suspected cases were found. Samples were collected and sent to NIH.

5‐Feb‐11 Tetanus Sindh Khairpur DHQ Khairpur (Haji Ghulam Hussain‐UC Piryalo)

0 0 0 1 During a routine visit to DHQ, a 5 year old girl suspected case of Tetanus was found. TIG was provided by WHO but patient became LAMA before receiving TIG. Later patient was located in a hospital run by an INGO. Improved outreach vaccination


Shangla THQ Puran (UC Chagam)

2 0 0 0

Upon field investigation 2 suspected cases were identified. Samples were collected and sent to NIH. Cases were treated with two doses of vitamin A and unimmunized children in the community were vaccinated. Follow‐up is planned. During active search no new cases were found.

6‐Feb‐11 Measles Punjab Multan Juhgian Wali Basti‐UC Durana Langana

1 0 0 0 Upon field investigation, 1 suspected case was found. Sample was found positive for Measles. Patient was missed during last campaign. No other unvaccinated children were present.

7‐Feb‐11 Pertussis Sindh Ghotki MCH Centre (UC II and UC Qadirpur)

0 1 0 1 Two Pertussis cases were reported by pediatrician were identified and are improv‐ing. Their UCs are under‐immunized so outreach session are being planned to provide two doses of pentavalent to children at risk..

7‐Feb‐11 ARI FATA Mohmand Agency

IDP Camp Nahaqi 2 0 1 0 An alert was reported from IDP camp regarding ARI. Upon field investigation 3 deaths were reported from the IDP camp; these cases had not reported for medical treatment. Awareness session planned for families in the camp.

7‐Feb‐11 Measles ICT Islamabad Masjid Alfurqan ‐ I/8‐3

2 0 0 0 Upon field investigation 2 post measles cases were found. During active search no new cases were found. All children were immunized already.

7‐Feb‐11 Measles Sindh Badin Photo Machi Village‐UC Talhar

1 0 0 0 Upon field investigation 1 suspected cases was found. 1 sample was collected and sent to NIH. Vit. A doses were administered to all patients. Health education was imparted. Any unimmunized children in the community were vaccinated.


Mardan CMH Mardan (Nishaq Qasimi‐Katlang)

0 1 0 0 Upon field investigation 1 suspected case was found. Vit.A was given. Sample was collected and sent to NIH. Hygiene education session was conducted. Any unimmu‐nized children in the community were vaccinated.


Lower Dir DHQ Timergara (Rabat Darra)

1 0 0 0 Health facility reported the suspected measles. Patient identified, sample collected, two doses vitamin A provided. Any unimmunized children in the community were vaccinated.

8‐Feb‐11 H1N1 ICT Islamabad Govt. Hostel‐Near Serena Hotel

0 1 0 0 Alert was reported from BHU Kotla Haripur and the said alert was patients contact. Sample was collected and found positive for Influenza H1N1 (2009). Oseltamivir was provided by WHO.

8‐Feb‐11 NNT Balochistan Nasirabad Nursery ward, Town area

1 0 0 0 During a routine visit to DHQ, case of NNT was found. There was no history of TT vaccination of the mother. Patients got treatment (TIG) and his condition improved.

Action taken / Notes

Epidemiological Bulletin: Flood Response in Pakistan Table-4: Alerts reported in week 5, 6 and 7 of 2011. (Cont’d)


Date of alert Disease Province District Location Male Female

<5 >5 <5 >5

8‐Feb‐11 ARI Sindh Naushahro Feroze

DHQ Naushahro Feroze

1 0 1 0 An alert was reported from health facility. Upon field investigation 2 deaths were confirmed in children from 2 different UCs due to Pneumonia. Provided health education to families on timely referral of seriously ill children.

8‐Feb‐11 Measles Sindh Jamshoro Gul Muhammad Village‐Taluka Sehwan

0 0 1 0 Upon field investigation 1 suspected cases were found and sample was collected and sent to NIH. Vit.A was given. Any unimmunized children in the community were vaccinated.

8‐Feb‐11 Meningitis ICT Islamabad CH PIMS 0 0 1 0 Suspected cases were reported from the health facility. Upon investigation none was found to be a meningococcal case.

9‐Feb‐11 Pertussis Sindh Ghotki MCH Center (Gulan Laghari Village‐UC Khawara)

11 3 9 9

Upon field investigation 34 cases of Pertussis were found. 9 Samples were col‐lected and sent to NIH. Investigations are under process. This UC is under‐immunized so outreach sessions are being planned to provide two doses of penta‐valent to children at risk.


Swabi DHQ Swabi (Shagai Muhalla‐UC Panjpir)

0 0 1 0 Suspected alert was reported by the health facility. Upon investigation 1 sus‐pected case was found. Sample was collected and sent to NIH. Any unimmunized children in the community were vaccinated.

9‐Feb‐11 Mumps Balochistan Sibi RHC Talli (Kesar Gola Village)

1 0 0 0 1 Suspected case of mumps was reported in ARI center at RHC Talli. No history of immunization. Upon field investigation no more cases were found in the vicinity.

9‐Feb‐11 Measles Sindh Kashmore Abdul Razaque Khoso Village‐UC Kashmore Coly

2 0 1 0

Upon field investigation 3 suspected cases were found and 2 samples were col‐lected and sent to NIH. Vit.A was given to active cases. No other cases were found during active search and any unimmunized children in the community were vacci‐nated.

9‐Feb‐11 Measles ICT Islamabad CH PIMS (Bani Gala) 1 0 1 0 Upon field investigation 1 suspected case was found. Vit.A was given. The child was missed during last campaign. No other cases were found during active search and all other children were immunized.


Mardan DHQ Mardan (Tawos Banda Bukhshali Village)

1 0 1 0

Suspected alert was reported by the health facility. Upon investigation 1 sus‐pected case was found. Vit. A was given. Sample was collected and sent to NIH. Active surveillance was done but no other cases were found and any unimmunized children in the community were vaccinated.

10‐Feb‐11 Rabies Sindh Mirpur Khas Lunda Bazar‐UC8 0 1 0 0

Probable rabies death was reported by the health facility from dog bite 2 months ago. Upon investigation 13 other persons were noted to have been bitten or scratched by the suspect dog before the dog was killed. 5 started ARV but found it expensive. Awareness raising for families conducted. Anti‐rabies vaccines will be distributed by the district health authorities to each case.

10‐Feb‐11 Chicken Pox Sindh Ghotki MCH Center (Tagar Colony‐UC I)

1 0 0 0 Upon investigation 1 suspected case of Chickenpox was found from the colony. Symptomatic treatment was advised

10‐Feb‐11 Measles Sindh Ghotki Ali Hyder Gabol‐UC Garhi Chakar

3 2 3 0 Upon field investigation 8 suspected cases were found and 2 samples were col‐lected and sent to NIH. Vit.A was given to active cases. Outreach activity in the 5Km area is completed but some villagers are chronic refusals.

10‐Feb‐11 Chicken Pox Sindh Larkana IDP Camp Khosa Mill (Noor Colony‐UC Fatehpur)

0 0 1 1 Upon field investigation 2 suspected cases of Chickenpox were found from the camp. Isolation of the patients and symptomatic treatment were advised.


Swabi DHQ Mardan(Dagai Mohalla‐Cham Maneri)

0 0 1 0 Upon investigation a suspected case with typical measles symptoms was found. Vit.A was given. Sample was collected and sent to NIH. Any unimmunized children in the community were vaccinated.

10‐Feb‐11 Measles Sindh Kashmore Muhammad Khan Sundrani‐UC Lashari

0 0 0 0 2 Suspected cases of Measles were reported from the village. But upon field investigation no active cases were found. Any unimmunized children in the com‐munity were vaccinated.

10‐Feb‐11 NNT Balochistan Jhal Magsi CMC Hospital Larkana (Mureed Tunio Village)

1 0 0 0 Suspected case of NNT was reported from the health facility. There was no history of TT vaccination of the mother. TIG was provided by WHO. Follow up is planned.

10‐Feb‐11 Measles Sindh Jacobabad Thul‐UC Jaungal 1 0 1 0 2 Suspected cases of Measles were reported from the UC. Active search is under‐way.

11‐Feb‐11 Chicken Pox Balochistan Nasirabad Mangoli IDP Camp 0 0 0 0 Upon investigation 5 suspected cases with typical Chicken Pox symptoms were found. Symptomatic treatment was advised .

11‐Feb‐11 Measles Punjab Muzaffargarh DHQ Muzaffargarh (Taj Nursery, Rawley Wala)

0 1 1 0

An alert of Measles was reported from the health facility. Upon field investigation 2 suspected cases were found from the village. 2 Samples were collected and sent to NIH. Vit. A doses were given to all childrens found in the vicinity. No other active cases were found and any unimmunized children in the community were vacci‐nated.

11‐Feb‐11 Measles Sindh Sukkur Waspur Bhakkar Chowk

0 1 0 0 1 Suspected case of Measles was reported from the village. But upon field investi‐gation no active cases were found. Any unimmunized children in the community were vaccinated.

11‐Feb‐11 Measles Sindh Kashmore Jogi Khan Bajkani Village‐UC Haibat

0 0 0 0 Suspected alert of Measles was reported from the village. But upon field investiga‐tion no active cases were found. Any unimmunized children in the community were vaccinated.

12‐Feb‐11 Pertussis Balochistan Nasirabad Ward #3, Syed Rasheed Shah Village

1 0 1 0

Upon investigation 2 suspected cases with whooping cough symptoms were found. Patients were already Tx with antibiotics so no sample was collected. This village is under‐immunized so outreach sessions are being planned to provide two doses of pentavalent to children at risk.

Action taken / Notes



Province Khyber Pakhtunkhwa

• This week 13 districts reported to DEWS from KP province, 495 health centers reported 116,482 patients consultations to DEWS.

• ARI is the leading disease in KP province. ARI cases reported 46,959 (40%), 1% less propor-tional morbidity as compared with last week.

• 9 alerts were reported in this Bulletin, of which 7 were for Measles, 1 was for H1N1, and 1 was for ARI from FATA.

Province Punjab • 11 districts reported data to DEWS from Punjab

province, 757 fixed health centers reported a total of 176,911 patient consultations during this reporting period

• ARI cases reported were 47,421 (27%), the same proportional morbidity percentage as compared with last week.

• 2 alerts were reported in this bulletin, both were for Measles.

• Malaria cases are still reported from flood af-fected districts. This week a total of 4,169 ma-laria samples were tested of which 150 were posi-tive (slide positivity rate 3.5%), while falciparum rate was 61.3%.

Figure-5: Trend of priority communicable diseases, province KP (31-July 2010 to 10 February 2011)

Figure-6: Trend of priority communicable diseases, province Punjab (3 August 2010 to 10 February 2011)

Diseases Wk-3 Wk-6

Skin Diseases 5,470 (4%) 4,721 (4%)

ARI (URI and LRI) 60,125(42%) 46,959 (40%)

Other Acute Diarrhoea (Not Watery) 8,040 (6%) 7,143 (6%)

Bloody Diarrhea 906 (1%) 873 (1%)

Total consultations 143,081 116,482

Suspected Malaria 1,584 (1%) 1,292 (1%)

Wk-4

5,908 (4%)

64,368 (42%)

9,148 (6%)

951 (1%)

1,719 (1%)

155,340

Wk-5

6,052 (4%)

59,345 (41%)

8,824 (6%)

1,102 (1%)

2,048 (1%)

145,862

Diseases Wk-3 Wk-4 Wk-5 Wk-6

Skin Diseases 14,516 (9%) 15,613 (8%) 15,862(9%) 14,989 (8%)

ARI (URI and LRI) 49,926 (29%) 53,761 (28%) 49,952 (27%) 47,421 (27%)

Other Acute Diarrhoea (Not Watery) 7,981 (5%) 10,410 (5%) 9,590 (5%) 9,571 (5%)

Suspected Malaria 4,557 (3%) 4,851 (2%) 5,288 (3%) 5,045 (3%)

Total consultations 170,424 194,134 185,273 176,911

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Province Sindh

• This week 22 districts reported to DEWS from Sindh province, and 693 health centers re-ported a total of 480,933 patient consultations during the reporting period of week 6, 2011.

• In Sindh, ARI cases reported were 144,585 (30%), same proportional morbidity percentage as compared with last week

• 25 alerts are reported in this Bulletin for weeks 6 and 7: 13 were for suspected Measles; 3 were for chickenpox, 2 each were for Pertussis and Influenza, while 1 each was for meningitis, Neonatal Tetanus, Tetanus, ARI, and Rabies.

Province Balochistan

• In this week, 12 districts reported to DEWS from Balochistan province. 302 fixed and 8 mobile medical outreach centers reported a total of 67,875 patient consultations.

• ARI cases reported a total of 21,731 (32%) cases, which is 2% higher proportional morbidity as com-pared with last week.

• 6 alerts were reported for week 6 in this Bulletin: 2 alerts were for Neonatal Tetanus, while 1 each for Mumps, Chickenpox, Pertussis, and Measles-Rubella.

• Malaria cases are still reported from Jaffarabad, Kech and Jhal Magsi districts. This week a total of 498 malaria samples were tested of which 158 were posi-tive and slide positivity rate was 31.7%, while falcipa-rum rate was 67.1%.

Diseases Wk-3 Wk-6

Skin Diseases 28,254 (11%) 50,682 (11%)

ARI (URI and LRI) 76,167 (30%) 144,585 (30%)


Bloody Diarrhea 1,281 (1%) 2,157 (<1%)



Wk-4

40,191 (13%)

89,402 (28%)

16,679 (5%)

2,123 (1%)

23,485 (7%)

314,655

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43,499 (11%)

114,907 (30%)

21,495 (6%)

1,964 (1%)

29,318 (8%)

385,172

Figure-7: Trend of priority communicable diseases, province Sindh (6 August 2010 to 10 February 2011)

Figure-8: Trend of priority communicable diseases, province Balochistan (6 August 2010 to 10 February 2011)

Diseases Wk-3 Wk-6

Skin Diseases 4,504 (6%) 3,534 (5%)

ARI (URI and LRI) 24,144 (33%) 21,731 (32%)


Bloody Diarrhea 2,044 (3%) 1,848 (3%)



Wk-4

4,936 (8%)

19,095 (30%)

4,550 (7%)

2,213 (3%)

6,808 (11%)

63,648

Wk-5

3,591 (6%)

19,133 (30%)

4,514 (7%)

1,769 (3%)

6,928 (11%)

63,522

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Islamabad Capital Territory

• This week Islamabad is reporting from four health centers, and a total of 3,127 patient consultations.

• ARI cases reported were 1,470 (47%), 9% lower as compared with last week, but overall higher than other areas.

• 4 alerts were received this week; of which 2 were for Measles, while 1 each was for meningitis, and Influenza.

Figure-9: Trend of priority communicable diseases, Islamabad (1 January to 10 February 2011)


Diseases Wk-3 Wk-6

Skin Diseases 78 (2%) 62 (2%)

ARI (URI and LRI) 2,263 (58%) 1,470 (47%)

Other Acute Diarrhoea (Not Watery) 255 (7%) 356 (11%)

Bloody Diarrhea 13 4


Suspected Malaria 1 5

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44 (1%)

1,950 (51%)

104 (3%)

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3,810

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61 (2%)

1,922 (56%)

302 (9%)

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Distribution of Wild Polio Virus cases Pakistan 2010 and 2011

Year 2010: The total number of polio cases in 2010 so far is 144 includ-ing 120 type-1 cases and 24 type-3 cases and the total number of infected districts/towns/agencies is 40 to date.

Year 2011: In week-6 one new type-1 polio case was confirmed by the laboratory from district Tando Allayarm Sindh. The total number of infected districts/towns/agencies is 4 to date.

Province Cases 2010 Cases 2011

P1 P3 P1 P3

PUNJAB 6 1 - - SINDH 26 1 1 - KHYBER-PAKHTUNKHWA 19 5 1 - FATA 63 11 2 - BALOCHISTAN 6 6 - - AJK - - - - GILGIT-BALTISTAN - - - - ISLAMABAD - - - - PAKISTAN 120 24 4 -



Confirmed Alerts (29 July 2010 to 10 February 2011)

weekly epidemiological - world health organizationghullam shah) 0 1 0 1 health facility reported the...

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