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Epidemiologic situation

Epidemiologic situation. August 2013. Measles cases trend. AWD cases trend – DEWS reports. AWD outbreaks 2013. Epidemiological events past 5 weeks. Cholera 2 outbreaks: Badakhshan ( Drayem district 2 villages) and Nangarhar ( Akim district) Bloody Diarrhea ; Bamyan Yakolang

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Epidemiologic situation

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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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