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Epidemiological Events August 2013: Measles and AWD Outbreaks

Detailed overview of epidemiological events in August 2013, including measles and AWD cases, cholera outbreaks, and other infectious diseases in various regions. Actions taken, control achieved, and future mitigation plans discussed.

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Epidemiological Events August 2013: Measles and AWD Outbreaks

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  1. Epidemiologic situation August 2013

  2. Measles cases trend

  3. AWD cases trend – DEWS reports

  4. AWD outbreaks 2013

  5. Epidemiological events past 5 weeks • Cholera 2 outbreaks: Badakhshan (Drayem district 2 villages) and Nangarhar (Akim district) • Bloody Diarrhea; Bamyan Yakolang • Typhoid Fever: BadakhshanShugnan • Antrax; Khost Tani • CCHF: Herat; Guzara 4 villages; Ghoroyan, Zanda Jan, Ingil, Obeh • Pertussis: Kandahar(spinboldak) Parwan (Sayed Kheil) • Food poisoning: Herat (Guzara), Kandahar (Daman)

  6. Badakhshan cholera Darayem district Events: Chapa Village • Alert 7 Aug from Chapa village; investigation and response initiated on 8 Aug CAF, DEWS, Kinderberg, • Majority of cases reported on 8,9,10 Aug; around 450-500 cases per day treated. • Few cases after 13 Aug: control achieved in Chapa on 25th • Total cases 1690: two death – CFR 0.12% Zairak Village • 13 Aug – cases reported in Zairak village 65 km away from Chapa; no HF in the village

  7. Mobile team established Kinderberg; 280 cases • Control achieved on 25th CFR: 0% • Actions: • Additional stock – WHO/ Health cluster • Surveillance DEWS daily – WHO, MOPH, NGOs. • Prompt treatment of cases; existing HFs and establishment of temporary CTC in Chapa village; CAF, Merlin, WHO/Health Cluster funding • Health Education – NGOs, MoPH, WHO • Chlorination of water sources ; MoPH, UNICEF • Plan to improve water sources in district: MoRRD &UNICEF

  8. Darayem district

  9. Report on Helmand

  10. Action taken • CERF support for 2 mobile team – very timely • WHO health cluster supported – 24/7 services 2 ACTD clinics, 2 additional ambulances and • Training on the first aid for CHW in high risk areas • Waiting feed back from ACTD on community level intervention– is proved added value we can expand

  11. Ghor contingency plan • “Dryness” – stressed food security –can go to crisis • WFP- 180,000 people at high risk the Government 780,000 • Most affected: Charsada, Chigcharan, Pasaband, and Duleena • Second most affected: Taywara, Tulak, Saghar, Shahrak • Potential health impacts • Cholera • > communicable diseases (>pop vulnerability) during winter • Micronutrient and . Risk acute malnutrition

  12. Mitigation Plan

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