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Annual Report of PIDSR Year 2011
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Philippine Integrated Disease Surveillance and Response (PIDSR)
Annual Report 2011
Public Health Surveillance and Informatics Division National Epidemiology Center
Department of Health Manila, Philippines
Enrique A. Tayag, MD, PHSAE, FPSMID, CESO III Director IV
Vito G. Roque, Jr., MD, PHSAE Medical Specialist IV, OIC, PHSID
Edna M. Lopez, RN Nurse VI
Dulce C. Elfa, RN, MPH Nurse IV
Vidal E. Pantilano, Jr., RN Nurse III
June Cantata B. Corpuz, RN Nurse II
Rhandy Y. Tolentino Computer Programmer III
Allan P. Ignacio Administrative Assistant II
EDITORIAL BOARD
NOTICE TO THE READER The PIDSR Annual Report 2011 is published by the National Epidemiology Center, Public Health Surveillance and Informatics Division. The data in this report were obtained from the RESUs. This report can only provide information on comparative statistics by sociodemographic category and region of the diseases, syndromes and conditions included in PIDSR.
SUPPORT STAFF
Ms. Miriam Ysabelle K. Gaw, RN
Ms. Irish Daphne N. Pastrano, RN
Ms. Angeline Mae B. Salumbides, RN
Ms. Diana Colleen B. Sims, RN
Ms. Joanne Bel A. Oriel, RN
Ms. Leidy Marisse M. Buado, RN
Ms. Karen Joyce C. Carreos, RN
Ms. Kristine Dianne T. Toledo, RN
Mr. Rodel S. Ricalde Jr., RN, RM
Mr. Ricardo A. Oraya Jr., RN
Mr. Francis Raize Nicholas L. Bautista, RN
Mr. Levi L. Lameda, RN
The National Epidemiology Center (NEC), through the Public Health Surveillance and Informatics Division (PHSID), would like to extend its sincerest gratitude to the Centers for Health Development (CHDs), through its Regional Epidemiology and Surveillance Units (RESUs), for their unswerving support to the PIDSR in order to make this Annual Report 2011 a reality.
We would like to acknowledge all Disease Reporting Units (DRUs) participating in the PIDSR National Module Network.
CHD-RESU I Myrna C. Cabotaje, MD, MPH, CESO III
Regional Director
Benito F. Arca, MD, MPH Assistant Regional Director
Rosario P. Pamintuan, MD, MPH, PHSAE Regional Epidemiologist
Maria Eloisa A. Sarmiento Karen May B. Junio RESU Nurse Disease Surveillance Officers
Gemma J. Tan Lowell Ian H. Reolegio Disease Surveillance Officers Disease Surveillance Officers
Glenda O. Pajarillo Emeryn C. Victori Disease Surveillance Officers Disease Surveillance Officers
Meryl Kristine M. Dela Vega Disease Surveillance Officers
CHD-RESU II Rio L. Magpantay, MD, PHSAE, CESO III
Regional Director
Rio L. Magpantay, MD, PHSAE, CESO III RESU Head
Ms. Lourdes R. Velasco Ms. Rosemarie Narag Nurse Epidemiologist Epidemiology Assistant
Ms. Berneve Ann G. Cambri Ms. Cleofa Siriban VPD Surveillance Officer Epidemiology Assistant
CHD-RESU III Leonita P. Gorgolon, MD, MHA, MCHM, CEO VI
Regional Director
Jessie F. Fantone, MD Regional Epidemiologist
Irene P. Canlas, MD OIC RESU Head
Marilou I. Pajarillaga Giovanney Gusco RESU Nurse Regional PIDSR
Rosanna S. Rosell Mary Magdalena Singhac Nurse Epidemiologist Provincial PIDSR Encoder (Bulacan)
Vanessa Sun Mylene Salcedo Statistician II Provincial PIDSR Encoder (Nueva Ecija)
Ma. Noel Lim Cheryce Feliciano VPDSO, DOH Rep Tarlac ILI Surveillance Officer
CHD-RESU IV A Edgardo M. Gonzaga, MD, MSc., CESO III
Regional Director
Divina C. Antonio, MD, PHASE Regional Epidemiologist
Ms. Lesley Ann C. Abaday, RN, MAN Mr. Mark L. Mesina Assistant Surveillance Officer Laboratory Aide II
Ms. Ruth Tio, RN Ms. Micah Dela Cruz, RN
Assistant Surveillance Officer Assistant Surveillance Officer
Ms. Jezza Jonah Crucena, RN Mr. Kenneth Divinagracia, RN Assistant Surveillance Officer HIV Surveillance Officer
Ms. Precious May R. Gabalfin, RN Ms. Maria Belen Costa, RN Assistant Surveillance Officer SPEED Surveillance
CHD-RESU IV B Gloria J. Balboa, MD, MPD, CEO VI, CESO III
Regional Director
Faith F. Alberto, MD, MPH Assistant Regional Director
Ma. Teresa G. Castillo, MD, MPH, PHSAE Regional Epidemiologist
Ma. Teresa Du, RN Karla Kim Mendoza, RN Epidemiology Nurse Disease Surveillance Officer
Nilda Noceja Jemadette Cervancia, RN Epidemiology Assistant Disease Surveillance Officer
Avon Leo Banzon, RN Kathleen de Loyola, RN Disease Surveillance Officer Disease Surveillance Officer
Ricardo Oraya Jr., RN Rodolfo Anacan Jr., RN Disease Surveillance Officer Disease Surveillance Officer
Camelia Ann Edrada, RN Disease Surveillance Officer
CHD-RESU V Nestor F. Santiago Jr., MD, MHSA, MPHC, CESO III
Regional Director
Ferchito L. Avelino, MD, PHSAE, MPH Assistant Regional Director
Aurora Teresa M. Daluro, MD, PHSAE Regional Epidemiologist
Fe B. Balilo, RN, MaEd Arnel L. Santiago Epidemiology Nurse Epidemiology Assistant
Jobal V. Bachiller, RN VPD Surveillance Officer
CHD-RESU VI Susana K. Madarieta, MD
Regional Director
Jessie Glen L. Alonsabe, MD, MPH Regional Epidemiologist
Flor D' Lyn Betita-Gallardo, RN, MAN Shem Wilfred Eledia, RN Regional Epidemiology Nurse DSO - PESU Guimaras
Victor L. Lorca, RN Maria Socorro C. Quiñon, MD VPD Surveillance Officer Disease Surveillance Med. Coord.-Iloilo
Ma. Cecilia A. Montano Ziforah Leevaneigh Feir Sotmil, RN Epidemiology Assistant DSO - PESU Iloilo
Gino Val Taytayon, RN Josef Alexander Denila, RN DSO - PESU Aklan Ma. Lourdes M. Monegro, RMP
John Lawrence M. Pelayo DSOs - PESU Iloilo
Disease Surveillance Data Encoder Marigold P. Lizardo-Calsas, MD Ric Noel A. Naciongayo, MD Gerardo U. Gavino, MD
Disease Surveillance Med. Coord.-Antique Disease Surveillance Med. Coord.-Iloilo City
Dan Rhoel G. Sabug, RN Neel John G. Alcayaga, RN Disease Surveillance Coord - Antique DSO - CESU Iloilo City
Harriet Ann M. Magbanua, RN Maita Marañon, RN DSO - PESU Antique DSO - PESU Negros Occ.
Ruiza Elen M. Salanatin, RN Barry Montinola, RN Disease Surveillance Data Encoder Disease Surveillance Data Encoder
Evelyn Bolido, MD Cheryl A. Dueñas, RN Disease Surveillance Med. Coord.-Capiz DSC - WVMC
Goeffry Espiritu Hubert F. Desquitado, RN Disease Surveillance Coord. DSO - WVMV
Ayr R. Altavas, RN Mary Grace G. Minerales, RN DSO - PESU Capiz DSC - CLMMRH
Marie Joy Baes Rosemarie Jane L. Arroyo, RN Disease Surveillance Data Encoder DSO - CLMMRH / Bacolod City
Ma. Luz Muchada, RN DSC - PESU Guimaras
CHD-RESU VII Asuncion M. Anden, MD
Regional Director
Lakhsmi Legaspi, MD Assistant Regional Director
Rennan C. Cimafranca, RN RESU Head
Chevroleta Deiparine, RN Zela Mae Gascon VPD Surveillance Officer DSO Siquijor PESU (J.O.)
Mae Berlin Albios, RN Claudette Mae Flores, RMT DSO RESU (J.O.) DSO Negros Oriental PHT
Jeniffer Canete, RN Cristeta Gloria, RMT Epidemiolgy Clerk (J.O.) DSO Negros Oriental PHT
CHD-RESU VIII Jaime S. Bernadas, MD, MGM, CEO VI
Regional Director
Minerva P. Molon MD, FPPA, MPH Assistant Regional Director
Nicolas B. Bautista, M.D. MSc. Regional Epidemiologist
Boyd Roderick S. Cerro, RN Rodolfo Redentor T. Serrano, RN RESU Nurse PIDSR Nurse
Maria Rosario A. Juntilla, RMT Neil R. Calungsod, RN Med. Lab Tech I PIDSR Nurse
Andrea E. Chavez Craig Lawrence M. Diaz, RN Surveillance Clerk PIDSR Nurse
Carmelita L. Maruya Dennis Don C. Gente, RN Statistician II PIDSR Nurse
Lilia V.Mariano Krystel Charisse B. Daya, RN Statistician III HIV/ STI Surveillance Assistant
CHD-RESU IX Teogenes F. Baluma, MD, MHA, MDM, FPCHA, CESO III
Regional Director
Nimfa B. Torrizo, MD, MPH Director III
Marcos C. Redoble, JR., MD, MPA RHEMS Cluster Head
Norvie T. Jalani, MD, MPH, PHSAE RESU Head
Maxel G. Bermas, RN, EMT Angelica Panganiban, RN Epidemiology Nurse Zamboanga Sibugay
Edgardo S. Calunod Ma. Kristina Piamonte, RN Epidemiology Assistant Zamboanga del Norte
Mae O. Arquiza, RN Doreen Ann Arambala, RN VPD Surveillance Officer Zamboanga del Sur
Ma. Rosario B. de Borja, RM Medie Rhoss A. Bernardo, RN Midwife IV ISO Zamboanga
Shenna Terese S. Macrohon, RN Alnimezer S. Sappari, RN PIDSR Contractual Nurse ISO Zamboanga
CHD-RESU X Aristides C. Tan, MD, MPH, CESO III
Regional Director
Jose R. Llacuna, Jr., MD, MPH, CES Assistant Regional Director
David A. Mendoza, MD,PHSAE Regional Epidemiologist/ HEMS Coordinator
Joey Angelo B. Perez, RN Fatima Grace Torecampo,RN Assistant PIDSR Coordinator/VPDSO PESU Misamis Oriental
Jasper Kent Ola, RN Albert Dizon, RN Nurse II PESU Bukidnon
Joanne D. Francisco Iris Salva, RN Encoder PESU Camiguin
Marc J. Pajo, RN Tristan Labitad, RN PIDSR Surveillance Officer PESU Lanao del Norte
Rauell Jan Santos, RN PESU Misamis Occidental
CHD-RESU XI Abdullah B. Dumama, Jr., MD, MPA, CESO III
Regional Director
Salvador O. Estrera, MD, MPH, CESO IV Assistant Regional Director
Cleo Fe S. Tabada, MD RESU Head
Maria Roselle C. Cueto, RN Angelica Niña S. Angliongto, RN Nurse I Influenza Surveillance Officer
Rommel L. Cantos, RN Juan L. Roxas II, RN VPD Surveillance Officer STI/HIV Surveillance Officer
Melissa T. Sullano, RM Epidemiology Assistant
CHD-RESU XII Marlyn W. Convocar, MD, MPH, CESO IV
Regional Director
Virgie R. Condez, MD, MPH Assistant Regional Director
Alah Baby C. Vingno, MD, PHSAE Regional Epidemiologist
Leonardo M. Bautista Jeldjeann B. Seno, RN FHSIS Coordinator Influenza Surveillance Officer
Norma M. Midtimbang Shialu O. Bansuan-Abad, RN FHSIS Research Alternate Surveillance Nurse
Myla P. Mapait VPD Surveillance Officer
DOH-RESU ARMM Kadil M. Sinolinding, MD
Secretary of Health
Analyn G. Dimapanat, MD, MPH RESU Head
Aisha Aloha S. Enampadan, RN Anisa A. Matuan RESU Nurse Disease Surveillance Officer
CHD-RESU CAR Judith N. Allaga, MD, MHA, CESO IV
Regional Director
Valeriano V. Lopez, MD, MPH, MHA, CESO IV Assistant Regional Director
Nicolas R. Gordo, Jr., MD, MHA RESU Head
Victoria M. Cuyopan, RN Victoria L. Malicdan, RN
RESU Nurse Disease Surveillance Officer
Geeny Anne I. Austria, RN Eroll Prince C. Tagle, RN VPD Surveillance Officer STI/HIV Surveillance Assistant
Karen B. Lonogan, RN ESR Surveillance Officer
CHD-RESU CARAGA Ariel I. Valencia, MD, MPH, CESO III
Regional Director
Cesar C. Cassion, MD, MPH Assistant Regional Director
Gerna M. Manatad, MD, PHSAE Regional Epidemiologist
Cheryl Mary L. Plaza, RN Melani Hyakris Turla, RN RESU Nurse PIDSR Coordinator - Agusan del Sur
Leah Vina P. Vargas, RN Sheena Claire Cagas ESR Officer PIDSR Coordinator - Surigao del Norte
Nathaniel Simon Bonotan, RN Ymille Florence Sarabosing VPD Surveillance Officer Encoder/Clerk
Jaidelen Valdehueza, RN PIDSR Coordinator - Agusan del Norte
CHD-RESU NCR Eduardo C. Janairo, MD
Regional Director
Adriano P. Suba-An,MD.,MPH.,MCHM Assistant Regional Director
Anthony Z. San Juan, MD, PHSAE OIC-LHAD, Regional Epidemiologist
Elizabeth M. Arriola RN, MAN Nelita P. Blanco, RM Disease Surveillance Officer Disease Surveillance Officer
Apolonia A. Omampo, RM Luzviminda G. Eugenio, RM VPD Surveillance Officer Disease Surveillance Officer
Evangeline B. Empis, RM Emmalyn Serrano, RM Disease Surveillance Officer Disease Surveillance Officer
Lourdes F. Pamilar, RM Disease Surveillance Officer
Table of Contents
Acute Bloody Diarrhea…………………………………………………………………………. 1
Acute Encephalitis Syndrome……………………………………….………………………… 3
Acute Flaccid Paralysis………………………………………………………………………… 5
Acute Hemorrhagic Fever……………………………………………………………………... 7
Adverse Event Following Immunization……………………………………………………… 9
Anthrax……………………………………..……………………………………………………. 11
Bacterial Meningitis…………………………………………………………………………….. 12
Cholera…………………………………………………………………………………………... 14
Dengue………………………………………………………………………………………….. 16
Diphtheria……………………………………………………………………………………….. 18
Hepatitis A………………………………………………………………………………………. 20
Hepatitis B………………………………………………………………………………………. 22
Influenza-Like Illness…………………………………………………………………………... 24
Leptospirosis……………………………………………………………………………………. 26
Malaria…………………………………………………………………………………………... 28
Suspected Measles……………………………………………………………………………. 30
Confirmed Measles……………………………………………………………………………. 32
Meningococcal Disease……………………………………………………………………….. 34
Neonatal Tetanus………………………………………………………………………………. 36
Non-neonatal Tetanus…………………………………………………………………………. 38
Paralytic Shellfish Poisoning………………………………………………………………….. 40
Pertussis………………………………………………………………………………………… 42
Rabies…………………………………………………………………………………………… 44
Typhoid Fever………………………………………………………………………………….. 46
Philippine Integrated Disease Surveillance and Response Annual report 2011
1
ACUTE BLOODY DIARRHEA
Table 1. Comparative Statistics by Sociodemographic Category and Region Acute Bloody Diarrhea, January to December 2011
Category Cases % of Total Deaths CFR (%)
Sex Male 6479 48.4 20 0.3
Female 6913 51.6 28 0.4
Age group <1 2072 15.5 13 0.6
(Years) 1 to 4 3739 27.9 13 0.3
5 to 14 1716 12.8 4 0.2
15 to 24 1478 11.0 2 0.1
25 to 39 1765 13.2 3 0.2
40 to 64 1742 13.0 4 0.2
65 & up 798 6.0 7 0.9
Unknown 82 0.6 2 2.4
Region 1 75 0.6 1 1.3
2 1063 7.9 0 0.0
3 270 2.0 0 0.0
4A 258 1.9 0 0.0
4B 177 1.3 0 0.0
5 7 0.1 0 0.0
6 339 2.5 0 0.0
7 5643 42.1 36 0.6
8 620 4.6 0 0.0
9 673 5.0 3 0.4
10 590 4.4 1 0.2
11 535 4.0 2 0.4
12 610 4.6 1 0.2
ARMM 25 0.2 0 0.0
CAR 1159 8.7 1 0.1
CARAGA 1229 9.2 3 0.2
NCR 119 0.9 0 0.0
Philippines 13392 100.0 48 0.4
There were 13,392 Acute Bloody Diarrhea (ABD) cases reported in 2011 nationwide. Majority
(51.6%) of the cases were female. The age group with the highest (27.9%) number of cases is
the 1 to 4 years age group. Most (42.1%) of the cases were from Region VII. Forty-eight died
(CFR=0.4%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
2
Figure 1. Acute Bloody Diarrhea Cases by Morbidity Month Philippines, January to December 2011
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1200
1400
1600
1800
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Philippine Integrated Disease Surveillance and Response Annual report 2011
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ACUTE ENCEPHALITIS SYNDROME
Table 2. Comparative Statistics by Sociodemographic Category and Region Acute Encephalitis Syndrome, January to December 2011
Category
Total
Cases % of Total Deaths CFR (%)
Sex Male 94 63.1 15 16.0
Female 55 36.9 3 5.5
Age group <1 7 4.7 0 0.0
(Years) 1 to 4 34 22.8 4 11.8
5 to 14 50 33.6 3 6.0
15 to 24 26 17.4 4 15.4
25 to 39 8 5.4 1 12.5
40 to 64 17 11.4 6 35.3
65 & up 5 3.4 0 0.0
Unknown 2 1.3 0 ∞
Region 1 3 2.0 0 0.0
2 2 1.3 1 50.0
3 13 8.7 1 7.7
4A 13 8.7 1 7.7
4B 7 4.7 1 14.3
5 25 16.8 3 12.0
6 16 10.7 3 18.8
7 0 0.0 0 ∞
8 5 3.4 0 0.0
9 3 2.0 1 33.3
10 9 6.0 2 22.2
11 18 12.1 1 5.6
12 2 1.3 0 0.0
ARMM 1 0.7 0 0.0
CAR 5 3.4 2 40.0
CARAGA 4 2.7 0 0.0
NCR 23 15.4 2 8.7
Philippines 149 100.0 18 12.1
There were one hundred forty nine suspected Acute Encephalitis Syndrome (AES) cases
reported in 2011 nationwide. Majority (63.1%) of the cases were male. The age group with the
highest number of cases is the 5 to 14 years age group (33.6%). The highest number of
reported cases was from Region V (16.8%). There were eighteen deaths (CFR=12.1%) reported.
Philippine Integrated Disease Surveillance and Response Annual report 2011
4
Figure 2. Acute Encephalitis Syndrome Cases by Morbidity Month Philippines, January to December 2011
0
5
10
15
20
25
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Philippine Integrated Disease Surveillance and Response Annual report 2011
5
ACUTE FLACCID PARALYSIS
Table 3. Comparative Statistics by Sociodemographic Category and Region Acute Flaccid Paralysis, January to December 2011
Category
Total
Cases % of Total
5 - Year Median
% Change from 5 Year-Median
Deaths CFR (%)
Sex Male 180 58.8 249 -27.71 10 5.56
Female 126 41.2 225 -44.00 17 13.49
Age Group <1 19 6.2 62 -69.35 1 5.26
(years) 1 to 4 94 30.7 187 -49.73 3 3.19
5 to 15 193 63.1 218 -11.47 23 11.92
Unknown 0 0.0 8 -100.00 0 0.00
Region 1 9 2.9 18 -50.00 1 11.1
2 9 2.9 27 -66.67 0 0.0
3 59 19.3 86 -31.40 2 3.4
4A 65 21.2 38 71.05 3 4.6
4B 7 2.3 13 -46.15 2 28.6
5 24 7.8 35 -31.43 8 33.3
6 17 5.6 44 -61.36 0 0.00
7 22 7.2 30 -26.67 3 13.6
8 3 1.0 26 -88.46 0 0.00
9 12 3.9 24 -50.00 3 25.0
10 3 1.0 24 -87.50 0 0.00
11 10 3.3 20 -50.00 0 0.00
12 13 4.2 25 -48.00 1 7.69
ARMM 2 0.7 16 -87.50 0 0.00
CAR 6 2.0 12 -50.00 0 0.00
CARAGA 8 2.6 18 -55.56 0 0.00
NCR 37 12.1 52 -28.85 4 10.8
Philippines 306 100.0 492 -37.80 27 8.8
A total of three hundred six Non-Polio Acute Flaccid Paralysis cases were reported from
different sentinel sites nationwide for 2011. Majority (58.8%) of the cases were male. One
hundred ninety three (63.1%) of the cases belong to the 5-15 years age group. Region 04A had
the highest (21.2%) number of reported cases among all regions, followed by Region III
(19.3%). Twenty seven died (CFR=8.8%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
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Figure 3. Acute Flaccid Paralysis Cases by Year Philippines, 2007 to 2011
Figure 4. Acute Flaccid Paralysis Cases by Morbidity Month
Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 521 492 610 417 306
0
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600
700
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Philippine Integrated Disease Surveillance and Response Annual report 2011
7
ACUTE HEMORRHAGIC FEVER
Table 4. Comparative Statistics by Sociodemographic Category and Region Acute Hemorrhagic Fever, January to December 2011
Category
Total
Cases % of Total Deaths CFR (%)
Sex Male 21 65.6 1 4.8
Female 11 34.4 0 0.0
Age group <1 1 3.1 0 0.0
(Years) 1 to 4 3 9.4 0 0.0
5 to 14 13 40.6 1 7.7
15 to 24 6 18.8 0 0.0
25 to 39 4 12.5 0 0.0
40 to 64 3 9.4 0 0.0
65 & up 2 6.3 0 0.0
Unknown 0 0.0 0 ∞
Region 1 0 0.0 0 ∞
2 0 0.0 0 ∞
3 0 0.0 0 ∞
4A 2 6.3 0 0.0
4B 4 12.5 0 0.0
5 0 0.0 0 ∞
6 0 0.0 0 ∞
7 0 0.0 0 ∞
8 1 3.1 0 0.0
9 3 9.4 0 0.0
10 9 28.1 0 0.0
11 2 6.3 1 50.0
12 1 3.1 0 0.0
ARMM 0 0.0 0 ∞
CAR 3 9.4 0 0.0
CARAGA 0 0.0 0 ∞
NCR 7 21.9 0 0.0
Philippines 32 100.0 1 3.1
There were thirty two Acute Hemorrhagic Fever cases reported in 2011 nationwide. Majority
(65.6%) of the cases were male. The age group with the highest (40.6%) number of cases is the
5 to 14 years group. Majority (21.9%) of the cases were from NCR. Of the total number of cases
reported, there was one fatality (CRF=3.1%) reported.
Philippine Integrated Disease Surveillance and Response Annual report 2011
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Figure 5. Acute Hemorrhagic Fever Cases by Morbidity Month Philippines, January to December 2011
0
1
2
3
4
5
6
7
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o. o
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ases
Philippine Integrated Disease Surveillance and Response Annual report 2011
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ADVERSE EVENTS FOLLOWING IMMUNIZATION
Table 5. Comparative Statistics by Sociodemographic Category and Region Adverse Events Following Immunization, January to December 2010 & 2011
Category
2009 2010 2011
Cases % of Total
Deaths CFR (%)
Cases % of Total
Deaths CFR (%)
Cases % of Total
Deaths CFR (%)
Sex Male 22 53.7 2 9.1 45 31.7 4 8.9 44 51.2 9 20.5
Female 19 46.3 3 15.8 97 68.3 4 4.1 42 48.8 9 21.4
Age <1 34 82.9 5 14.7 44 30.1 6 13.6 33 38.4 13 39.4
group 1 to 4 4 9.8 0 0 12 8.5 0 0 27 31.4 2 7.4
(Years) 5 to 14 1 2.4 0 0 10 7 0 0 21 24.4 3 14.3
15 to 24 0 0 0 ∞ 15 10.6 0 0 2 2.3 0 0
25 to 39 2 4.9 0 0 23 16.2 2 8.7 1 1.2 0 0
40 to 64 0 0 0 ∞ 25 17.6 0 0 1 1.2 0 0
65 & up 0 0 0 ∞ 4 2.8 0 0 0 0 0 0
Unknown 0 0 0 ∞ 9 6.3 0 0 0 0 0 0
Region 1 2 4.9 0 0 1 0.7 0 0 1 1.2 0 0
2 5 12.2 0 0 6 4.2 2 33.3 10 11.6 0 0
3 0 0 0 ∞ 4 2.8 1 25 8 9.3 4 50
4A 2 4.9 0 0 20 14.1 1 5 8 9.3 1 12.5
4B 0 0 0 ∞ 4 2.8 1 25 2 2.3 0 0
5 0 0 0 ∞ 4 2.8 0 0 11 12.8 0 0
6 3 7.3 0 0 15 10.6 0 0 11 12.8 3 27.3
7 6 14.6 2 33.3 3 2.1 0 0 4 4.7 0 0
8 1 2.4 0 0 1 0.7 1 100 5 5.8 1 20
9 1 2.4 0 0 2 1.4 1 50 0 0 0 0
10 4 9.8 0 0 8 5.6 0 0 4 4.7 2 50
11 0 0 0 ∞ 2 1.4 0 0 5 5.8 1 20
12 5 12.2 0 0 0 0 0 0 2 2.3 1 50
ARMM 0 0 0 ∞ 0 0 0 0 0 0 0 0
CAR 3 7.3 0 0 19 13.4 0 0 5 5.8 1 20
CARAGA 5 12.2 3 60 3 2.1 0 0 3 3.5 3 100
NCR 4 9.8 0 0 50 35.2 1 2 7 8.1 1 14.3
Philippines 41 100 5 12.2 142 100 8 5.6 86 100 18 20.9
There were eighty-six adverse events following immunization (AEFI) cases reported in 2011
nationwide. This is 39.4% lower compared with the previous year. Majority (51%) of the cases
were male. Most (38.4%) of the cases belong to the less than 1 year age group. Regions V and
VI had the highest (12.8%) reported cases. Eighteen died (CFR=20.9%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
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Figure 6. Adverse Events Following Immunization Cases by Morbidity Month Philippines, January to December 2011
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ases
Philippine Integrated Disease Surveillance and Response Annual report 2011
11
ANTHRAX
Table 6. Comparative Statistics by Sociodemographic Category and Region Anthrax, January to December 2011
Category Cases % of Total
Deaths CFR (%)
Sex Male 0 ∞ 0 ∞
Female 0 ∞ 0 ∞
Age group <1 0 ∞ 0 ∞
(Years) 1 to 4 0 ∞ 0 ∞
5 to 14 0 ∞ 0 ∞
15 to 24 0 ∞ 0 ∞
25 to 39 0 ∞ 0 ∞
40 to 64 0 ∞ 0 ∞
65 & up 0 ∞ 0 ∞
Unknown 0 ∞ 0 ∞
Region 1 0 ∞ 0 ∞
2 0 ∞ 0 ∞
3 0 ∞ 0 ∞
4A 0 ∞ 0 ∞
4B 0 ∞ 0 ∞
5 0 ∞ 0 ∞
6 0 ∞ 0 ∞
7 0 ∞ 0 ∞
8 0 ∞ 0 ∞
9 0 ∞ 0 ∞
10 0 ∞ 0 ∞
11 0 ∞ 0 ∞
12 0 ∞ 0 ∞
ARMM 0 ∞ 0 ∞
CAR 0 ∞ 0 ∞
CARAGA 0 ∞ 0 ∞
NCR 0 ∞ 0 ∞
Philippines 0 ∞ 0 ∞
There was no reported Anthrax case in 2011 nationwide.
Philippine Integrated Disease Surveillance and Response Annual report 2011
12
BACTERIAL MENINGITIS
Table 7. Comparative Statistics by Sociodemographic Category and Region Bacterial Meningitis, January to December 2011
Category
Total
Cases % of Total Deaths CFR (%)
Sex Male 1256 57.8 82 6.5
Female 917 42.2 80 8.7
Age group <1 671 30.9 49 7.3
(Years) 1 to 4 558 25.7 32 5.7
5 to 14 460 21.2 33 7.2
15 to 24 172 7.9 16 9.3
25 to 39 131 6.0 14 10.7
40 to 64 98 4.5 8 8.2
65 & up 32 1.5 6 18.8
Unknown 51 2.3 4 7.8
Region 1 85 3.9 4 4.7
2 218 10.0 9 4.1
3 169 7.8 7 4.1
4A 159 7.3 14 8.8
4B 72 3.3 6 8.3
5 103 4.7 19 18.4
6 394 18.1 43 10.9
7 37 1.7 4 10.8
8 97 4.5 3 3.1
9 62 2.9 12 19.4
10 102 4.7 2 2.0
11 315 14.5 12 3.8
12 84 3.9 8 9.5
ARMM 21 1.0 2 9.5
CAR 66 3.0 4 6.1
CARAGA 61 2.8 4 6.6
NCR 128 5.9 9 7.0
Philippines 2173 100.0 162 7.5
There were two thousand one hundred seventy three suspected Bacterial Meningitis cases
reported in 2011 nationwide. One (.04%) case was positive for Steptococcus viridams and
three (.14%) cases were positive for Streptococcus pneumonia. Majority (57.8%) of the cases
were male. The age group with the highest (30.9%) number of cases is less than 1 year age
group. Majority (18.1%) of the cases were from Region 6. One hundred sixty two died
(CRF=7.5%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
13
Figure 7. Bacterial Meningitis Cases by Morbidity Month Philippines, January to December 2011
0
50
100
150
200
250
300
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
14
CHOLERA
Table 8. Comparative Statistics by Sociodemographic Category and Region Cholera, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 63 52.5 40 57.5 2 3.2
Female 57 47.5 26 119.2 1 1.8
Age group <1 8 6.7 11 -27.3 1 12.5
(Years) 1 to 4 21 17.5 17 23.5 1 4.8
5 to 14 38 31.7 18 111.1 1 2.6
15 to 24 24 20.0 8 200.0 0 0.0
25 to 39 15 12.5 5 200.0 0 0.0
40 to 64 14 11.7 7 100.0 0 0.0
65 & up 0 0.0 3 -100.0 0 ∞
Unknown 0 0.0 0 ∞ 0 ∞
Region 1 0 0.0 1 -100.0 0 ∞
2 0 0.0 0 ∞ 0 ∞
3 0 0.0 0 ∞ 0 ∞
4A 2 1.7 2 0.0 0 0.0
4B 29 24.2 0 ∞ 0 0.0
5 29 24.2 2 1350.0 2 6.9
6 0 0.0 0 ∞ 0 ∞
7 1 0.8 0 ∞ 0 0.0
8 18 15.0 0 ∞ 0 0.0
9 2 1.7 0 ∞ 0 0.0
10 0 0.0 0 ∞ 0 ∞
11 0 0.0 0 ∞ 0 ∞
12 3 2.5 0 ∞ 0 0.0
ARMM 0 0.0 0 ∞ 0 ∞
CAR 0 0.0 0 ∞ 0 ∞
CARAGA 28 23.3 2 1300.0 1 3.6
NCR 8 6.7 20 -60.0 0 0.0
Philippines 120 100.0 66 81.8 3 2.5
There were one hundred twenty confirmed Cholera cases reported in 2011 nationwide. Majority
(52.5%) of the cases were male. The age group with the highest (31.7 %) number of reported
cases is the 5 to 14 years age group. Most (24.2%) of the cases were from Regions IVB and V.
Three died (CRF=2.5%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
15
Figure 8. Cholera cases by Year Philippines, 2007 to 2011
Figure 9. Cholera Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 35 514 114 33 120
0
100
200
300
400
500
600
0
5
10
15
20
25
30
35
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
16
DENGUE
Table 9. Comparative Statistics by Sociodemographic Category and Region Dengue, January to December 2011
Category
TOTAL
Cases % of total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 67122 53.3 26372 154.5 284 0.4
Female 58853 46.7 29269 101.1 370 0.6
Age group <1 2708 2.1 1310 106.7 16 0.6
(Years) 1 to 4 17413 13.8 7771 124.1 165 0.9
5 to 14 54585 43.3 25620 113.1 310 0.6
15 to 24 33250 26.4 13991 137.7 70 0.2
25 to 39 12097 9.6 4663 159.4 42 0.3
40 to 64 4638 3.7 1499 209.4 34 0.7
65 & up 881 0.7 226 289.8 9 1.0
Unknown 403 0.3 1 ∞ 8 2.0
Region 1 14389 11.4 2799 414.1 73 0.5
2 9673 7.7 2175 344.7 45 0.5
3 26878 21.3 4877 451.1 59 0.2
4A 17567 13.9 5078 245.9 107 0.6
4B 1580 1.3 272 480.9 9 0.6
5 1715 1.4 1220 40.6 7 0.4
6 3206 2.5 5201 -38.4 39 1.2
7 5372 4.3 6709 -19.9 26 0.5
8 867 0.7 1100 -21.2 6 0.7
9 1581 1.3 2023 -21.8 23 1.5
10 2000 1.6 2242 -10.8 8 0.4
11 4179 3.3 3504 19.3 37 0.9
12 2735 2.2 2039 34.1 26 1.0
ARMM 290 0.2 395 -26.6 4 1.4
CAR 4695 3.7 1678 179.8 19 0.4
CARAGA 1208 1.0 1454 -16.9 5 0.4
NCR 28040 22.3 12747 120.0 161 0.6
Philippines 125975 100.0 55641 126.4 654 0.5
There were 125,975 Dengue cases reported in 2011 nationwide. Majority (53.3%) of the cases
were male. The age group with the highest (43.3%) number of cases is the 5 to 14 years age
group. Most (22.3%) of the cases were from NCR. Six-hundred fifty four died (CFR=0.5%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
17
Figure 10. Dengue Cases by Year Philippines, 2007 to 2011
Figure 11. Dengue Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 55641 46696 57636 173033 125975
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
200000
0
5000
10000
15000
20000
25000
30000
35000
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
18
DIPHTHERIA
Table 10. Comparative Statistics by Sociodemographic Category and Region Diphtheria, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 72 14.4 27 166.7 13 18.1
Female 72 14.4 40 80.0 12 16.7
Age group <1 5 1.0 1 400.0 1 20.0
(Years) 1 to 4 38 7.6 21 81.0 11 29.0
5 to 14 60 12.0 27 122.2 10 16.7
15 to 24 18 3.6 6 200.0 1 5.6
25 to 39 13 2.6 4 225.0 1 7.7
40 to 64 9 1.8 2 350.0 1 11.1
65 & up 1 0.2 0 ∞ 0 0.0
Unknown 0 0.0 0 ∞ 0 ∞
Region 1 4 0.8 2 100.0 2 50.0
2 0 0.0 0 ∞ 0 ∞
3 16 3.2 2 700.0 4 25.0
4A 19 3.8 10 90.0 8 42.1
4B 0 0.0 0 ∞ 0 ∞
5 1 0.2 0 ∞ 1 100.0
6 1 0.2 2 -50.0 0 0.0
7 0 0.0 0 ∞ 0 ∞
8 62 12.4 0 ∞ 0 0.0
9 0 0.0 0 ∞ 0 ∞
10 0 0.0 1 -100.0 0 ∞
11 0 0.0 1 -100.0 0 ∞
12 3 0.6 9 -66.7 0 0.0
ARMM 0 0.0 0 ∞ 0 ∞
CAR 0 0.0 0 ∞ 0 ∞
CARAGA 0 0.0 0 ∞ 0 ∞
NCR 38 7.6 30 26.7 10 26.3
Philippines 144 100.0 67 114.9 25 17.4
There were one hundred forty four probable Diphtheria cases reported in 2011 nationwide.
Five were (3.5%) laboratory confirmed for Corynebacterium diphtheriae. There were an equal
number of cases both male and female. The age group with the highest (12%) number of cases
is the 5 to 14 years age group. Majority (12.4%) of the cases were from Region 8. Twenty five
died (CRF=17.4%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
19
Figure 12. Diphtheria cases by Year Philippines, 2007 to 2011
Figure 13. Diphtheria Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 40 67 117 107 144
0
20
40
60
80
100
120
140
160
0
5
10
15
20
25
30
35
40
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
20
HEPATITIS A
Table 11. Comparative Statistics by Sociodemographic Category and Region Hepatitis A, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 308 61.6 212 45.3 2 0.7
Female 193 38.6 125 54.4 0 0.0
Age group <1 1 0.2 3 -66.7 0 0.0
(Years) 1 to 4 8 1.6 10 -20.0 0 0.0
5 to 14 83 16.6 68 22.1 0 0.0
15 to 24 139 27.8 106 31.1 0 0.0
25 to 39 180 36.0 104 73.1 1 0.6
40 to 64 81 16.2 36 125.0 1 1.2
65 & up 8 1.6 7 14.3 0 0.0
Unknown 1 0.2 0 ∞ 0 0.0
Region 1 1 0.2 1 0.0 0 0.0
2 4 0.8 4 0.0 0 0.0
3 20 4.0 1 1900.0 0 0.0
4A 21 4.2 8 162.5 0 0.0
4B 12 2.4 0 ∞ 0 0.0
5 6 1.2 2 200.0 0 0.0
6 128 25.6 80 60.0 0 0.0
7 113 22.6 49 130.6 2 1.8
8 13 2.6 6 116.7 0 0.0
9 33 6.6 22 50.0 0 0.0
10 7 1.4 21 -66.7 0 0.0
11 27 5.4 4 575.0 0 0.0
12 31 6.2 1 3000.0 0 0.0
ARMM 2 0.4 3 -33.3 0 0.0
CAR 8 1.6 6 33.3 0 0.0
CARAGA 46 9.2 6 666.7 0 0.0
NCR 29 5.8 25 16.0 0 0.0
Philippines 500 100.0 315 58.7 2 0.4
There were five hundred cases of confirmed Hepatitis A reported in 2011 nationwide. Majority
(61.6%) of the cases were male. The age group with the highest (36%) number of cases is in
the 25 to 39 years age group. Majority (25.6%) of the cases were from Region VI. Two died
(CRF=0.4%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
21
Figure 14. Hepatitis A cases by Year Philippines, 2007 to 2011
Figure 15. Hepatitis A Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 349 77 315 385 500
0
100
200
300
400
500
600
0
10
20
30
40
50
60
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
22
HEPATITIS B
Table 12. Comparative Statistics by Sociodemographic Category and Region Hepatitis B, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 597 38.5 365 63.6 25 4.2
Female 953 61.5 261 265.1 5 0.5
Age group <1 8 0.5 8 0.0 0 0.0
(Years) 1 to 4 4 0.3 3 33.3 0 0.0
5 to 14 38 2.5 21 81.0 0 0.0
15 to 24 386 24.9 127 204.0 2 0.5
25 to 39 624 40.3 244 155.7 7 1.1
40 to 64 371 24.0 186 99.5 17 4.6
65 & up 77 5.0 45 71.1 3 3.9
Unknown 42 2.7 0 ∞ 1 2.4
Region 1 6 0.4 16 -62.5 0 0.0
2 88 5.7 12 633.3 1 1.1
3 105 6.8 9 1066.7 1 1.0
4A 53 3.4 10 430.0 1 1.9
4B 81 5.2 13 523.1 4 4.9
5 6 0.4 3 100.0 0 0.0
6 124 8.0 80 55.0 2 1.6
7 112 7.2 75 49.3 9 8.0
8 89 5.8 8 1012.5 0 0.0
9 122 7.9 59 106.8 3 2.5
10 138 8.9 48 187.5 1 0.7
11 206 13.3 68 202.94 0 0.0
12 122 7.9 17 617.7 2 1.6
ARMM 15 1.0 14 7.1 3 20.0
CAR 37 2.4 15 146.7 0 0.0
CARAGA 69 4.5 48 43.8 2 2.9
NCR 177 11.4 41 331.7 1 0.6
Philippines 1550 100.0 626 147.6 30 1.9
There were one thousand five hundred fifty confirmed Hepatitis B reported in 2011 nationwide.
Majority (61.5%) of the cases were female. The age group with the highest (40.3%) number of
cases is the 25 to 39 years age group. Majority (13.3%) of the cases were from Region XII.
Thirty died (CRF=1.9%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
23
Figure 16. Hepatitis B cases by Year Philippines, 2007 to 2011
Figure 17. Hepatitis B Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 626 262 698 883 1550
0
200
400
600
800
1000
1200
1400
1600
1800
0
20
40
60
80
100
120
140
160
180
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
24
INFLUENZA-LIKE ILLNESS
Table 13. Comparative Statistics, by Sociodemographic Category and Region Influenza-like Illness, January to December 2011
Category Cases % of Total Deaths CFR (%)
Sex Male 47901 52.4 144 0.3
Female 43443 47.6 103 0.2
Age group <1 18477 20.2 74 0.4
(Years) 1 to 4 31622 34.6 29 0.1
5 to 14 17120 18.7 14 0.1
15 to 24 5347 5.9 10 0.2
25 to 39 5703 6.2 14 0.2
40 to 64 7510 8.2 45 0.6
65 & up 5009 5.5 60 1.2
Unknown 556 0.6 1 0.2
Region 1 5904 6.5 9 0.2
2 1785 2.0 0 0.0
3 3062 3.4 0 0.0
4A 9181 10.1 7 0.1
4B 3966 4.3 0 0.0
5 4533 5.0 17 0.4
6 2898 3.2 0 0.0
7 386 0.4 0 0.0
8 4171 4.6 5 0.1
9 1527 1.7 1 0.1
10 4236 4.6 9 0.2
11 10992 12.0 139 1.3
12 16242 17.8 18 0.1
ARMM 258 0.3 3 1.2
CAR 9063 9.9 0 0.0
CARAGA 8543 9.4 36 0.4
NCR 4597 5.0 3 0.1
Philippines 91344 100.0 247 0.3
There were 91,344 cases of Influenza-Like Illness reported in 2011 nationwide. Majority (52.4%)
of the cases were male. The age group with the highest (34.6%) number of cases is the 1 to 4
age group. Most (17.8%) of the cases were from Region 12. Two hundred forty seven died
(CFR=0.3%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
25
Figure 18. Influenza-Like Illness Cases by Morbidity Month Philippines, January to December 2011
0
2000
4000
6000
8000
10000
12000
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
26
LEPTOSPIROSIS
Table 14. Comparative Statistics by Sociodemographic Category and Region Leptospirosis, January to December 2011
Category
TOTAL
Cases % of total 5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 4271 88.0 797 435.9 275 6.4Female 581 12.0 106 448.1 20 3.4
Age group <1 9 0.2 0 ∞ 0 0.0
(Years) 1 to 4 27 0.6 6 350.0 0 0.05 to 14 350 7.2 52 573.1 13 3.715 to 24 1751 36.1 298 487.6 52 3.025 to 39 1611 33.2 340 373.8 96 6.040 to 64 1015 20.9 194 423.2 123 12.165 & up 76 1.6 15 406.7 7 9.2
Unknown 13 0.3 0 ∞ 4 30.8
Region 1 287 5.9 34 744.1 38 13.22 221 4.6 125 76.8 15 6.83 1172 24.2 70 1574.3 39 3.34A 126 2.6 35 260.0 5 4.04B 37 0.8 3 1133.3 1 2.75 147 3.0 78 88.5 6 4.16 1469 30.3 242 507.0 78 5.37 86 1.8 30 186.7 9 10.58 68 1.4 24 183.3 8 11.89 49 1.0 21 133.3 8 16.310 148 3.1 30 393.3 3 2.011 202 4.2 32 531.3 11 5.412 10 0.2 0 ∞ 0 0.0ARMM 0 0.0 2 -100.0 0 ∞CAR 35 0.7 2 1650.0 7 20.0CARAGA 55 1.1 0 ∞ 0 0.0NCR 740 15.3 247 199.6 67 9.1
Philippines 4852 100.0 891 444.6 295 6.1
There were 4,852 cases of Leptospirosis reported in 2011 nationwide. Majority (88%) of the
cases were male. The age group with the highest (36.1%) number of cases is the 15 to 24 age
group. Most (30.3%) of the cases were from Region VI. Two hundred ninety-five died
(CFR=6.1%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
27
Figure 19. Leptospirosis Cases by Year Philippines, 2007 to 2011
Figure 20. Leptospirosis Cases by Morbidity Month
Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 762 891 5384 1281 4852
0
1000
2000
3000
4000
5000
6000
0
200
400
600
800
1000
1200
1400
1600
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
28
MALARIA
Table 15. Comparative Statistics by Sociodemographic Category and Region Malaria, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 1655 62.4 1287 28.6 11 0.7
Female 997 37.6 839 18.8 11 1.1
Age group <1 99 3.7 64 54.7 1 1.0
(Years) 1 to 4 422 15.9 368 14.7 2 0.5
5 to 14 712 26.9 580 22.8 3 0.4
15 to 24 469 17.7 470 -0.2 3 0.6
25 to 39 460 17.4 409 12.5 8 1.7
40 to 64 396 14.9 305 29.8 4 1.0
65 & up 58 2.2 62 -6.5 1 1.7
Unknown 36 1.4 0 ∞ 0 0.0
Region 1 5 0.2 8 -37.5 0 0.0
2 69 2.6 130 -46.9 0 0.0
3 213 8.0 131 62.6 3 1.4
4A 40 1.5 163 -75.5 1 2.5
4B 1698 64.0 432 293.1 11 0.7
5 5 0.2 73 -93.2 0 0.0
6 7 0.3 6 16.7 0 0.0
7 4 0.2 3 33.3 0 0.0
8 1 0.0 1 0.0 0 0.0
9 53 2.0 34 55.9 1 1.9
10 4 0.2 11 -63.6 0 0.0
11 9 0.3 26 -65.4 0 0.0
12 136 5.1 212 -35.9 2 1.5
ARMM 373 14.1 354 5.4 4 1.1
CAR 6 0.2 10 -40.0 0 0.0
CARAGA 18 0.7 39 -53.9 0 0.0
NCR 11 0.4 28 -60.7 0 0.0
Philippines 2652 100.0 2126 24.7 22 0.8
There were two thousand six hundred fifty two suspected malaria cases reported in 2011
nationwide. Two thousand six hundred sixteen (98.7%) of the total numbers of cases were
confirmed. Seventy percent were positive for Plasmodium falciparum. Majority (62.4%) of the
cases were male. The age group with the highest (26.9%) number of reported cases is from the
5 to 14 years age group. Most (64%) of the cases were from Region IVB. Twenty two died
(CRF=0.8%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
29
Figure 21. Malaria cases by Year
Philippines, 2007 to 2011
Figure 22. Malaria Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of Cases 4652 808 2126 3379 2652
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
0
50
100
150
200
250
300
350
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
30
MEASLES (Suspected)
Table 16. Comparative Statistics by Sociodemographic Category and Region
Measles (Suspected), January to December 2011
CATEGORY
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 4828 50.8 760 535.3 18 0.4 Female 4678 49.2 794 489.2 10 0.2Agegroup <9 mos 1373 14.4 206 566.5 7 0.5(Years) 9 to 11 mos 359 3.8 42 754.8 2 0.6 1 to 4 yrs 2306 24.3 355 549.6 11 0.5 5 to 9 yrs 1792 18.9 361 396.4 3 0.2 10 to 14 yrs 1092 11.5 177 516.9 2 0.2 15 to 19 yrs 928 9.8 78 1089.7 0 0.0 >20 yrs 1551 16.3 178 771.3 2 0.1 Unknown 105 1.1 157 -33.1 1 1.0Region 1 559 5.9 29 1827.6 2 0.4 2 198 2.1 127 55.9 0 0.0 3 962 10.1 75 1182.7 3 0.3 4A 1078 11.3 50 2056.0 5 0.5 4B 173 1.8 19 810.5 0 0.0 5 720 7.6 66 990.9 3 0.4 6 528 5.6 84 528.6 0 0.0 7 333 3.5 105 217.1 0 0.0 8 177 1.9 18 883.3 0 0.0 9 388 4.1 107 262.6 0 0.0 10 415 4.4 57 628.1 2 0.5 11 998 10.5 49 1936.7 3 0.3 12 540 5.7 109 395.4 3 0.6 ARMM 178 1.9 139 28.1 0 0.0 CAR 552 5.8 55 903.6 0 0.0 CARAGA 119 1.3 12 891.7 2 1.7 NCR 1588 16.7 361 339.9 5 0.3Philippines 9506 100 1462 550.2 28 0.3
There were 9,506 suspected Measles cases reported in 2011 nationwide. Majority (50.8%) of
the cases were male. The age group with the highest (24.3%) number of reported cases is the 1
to 4 years age group. Most (16.7%) of the cases were from NCR. Twenty eight died
(CFR=0.3%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
31
Figure 23. Suspect Measles Cases by Year Philippines, 2007 to 2011
Figure 24. Suspect Measles Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of suspect cases 839 1554 2845 10361 9506
0
2000
4000
6000
8000
10000
12000
0
500
1000
1500
2000
2500
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
32
MEASLES (Confirmed)
Table 17. Comparative Statistics by Sociodemographic Category and Region Measles (Confirmed), January to December 2011
CATEGORY
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 3409 52.0 440 674.8 17 0.5 Female 3145 48.0 428 634.8 7 0.2Agegroup <9mos 1006 15.3 105 858.1 6 0.6(Years) 9 to 11 mos 263 4.0 30 776.7 2 0.8 1 to 4 yrs 1744 26.6 250 597.6 9 0.5 5 to 9 yrs 1105 16.9 197 460.9 3 0.3 10 to 14 yrs 710 10.8 73 872.6 1 0.1 15 to 19 yrs 673 10.3 34 1879.4 0 0.0 >20 yrs 975 14.9 88 1008.0 2 0.2 Missing 78 1.2 93 -16.1 1 1.3Region 1 405 6.2 9 4400.0 2 0.5 2 116 1.8 11 954.5 0 0.0 3 620 9.5 29 2037.9 2 0.3 4A 758 11.6 37 1948.6 4 0.5 4B 116 1.8 16 625.0 0 0.0 5 596 9.1 64 831.3 3 0.5 6 306 4.7 49 524.5 0 0.0 7 240 3.7 37 548.6 0 0.0 8 141 2.2 14 907.1 0 0.0 9 348 5.3 48 625.0 0 0.0 10 356 5.4 21 1595.2 2 0.6 11 535 8.2 11 4763.6 2 0.4 12 347 5.3 61 468.9 3 0.9 ARMM 169 2.6 127 33.1 0 0.0 CAR 234 3.6 14 1571.4 0 0.0 CARAGA 74 1.1 6 1133.3 1 1.4 NCR 1193 18.2 236 405.5 5 0.4Philippines 6554 100 790 729.6 24 0.4
There were 6,554 confirmed Measles cases reported in 2011 nationwide. Majority (52%) of the
cases were male. The age group with the highest (26.6%) number of confirmed cases is the 1
to 4 years age group. Most (18.2%) of the cases were from NCR. Twenty four died (CFR=0.4%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
33
Figure 25. Confirmed Measles Cases by Year Philippines, 2007 to 2011
Figure 26. Confirmed Measles Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of confirmed cases 463 868 1439 6368 6554
0
1000
2000
3000
4000
5000
6000
7000
0
200
400
600
800
1000
1200
1400
1600
1800
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
34
MENINGOCOCCAL DISEASE
Table 18. Comparative Statistics by Sociodemographic Category and Region Meningococcal Disease, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 78 60.0 39 100.0 43 55.1
Female 52 40.0 39 33.3 26 50.0
Age group <1 31 23.8 11 181.8 20 64.5
(Years) 1 to 4 40 30.8 30 33.3 20 50.0
5 to 14 38 29.2 21 81.0 17 44.7
15 to 24 6 4.6 5 20.0 3 50.0
25 to 39 7 5.4 7 0.0 4 57.1
40 to 64 5 3.8 7 -28.6 4 80.0
65 & up 2 1.5 1 100.0 1 50.0
Unknown 1 0.8 0 ∞ 0 ∞
Region 1 4 3.1 2 100.0 4 100.0
2 2 1.5 0 ∞ 1 50.0
3 12 9.2 4 200.0 8 66.7
4A 16 12.3 10 60.0 7 43.8
4B 2 1.5 0 ∞ 2 100.0
5 5 3.8 2 150.0 2 40.0
6 6 4.6 2 200.0 5 83.3
7 8 6.2 2 300.0 4 50.0
8 10 7.7 4 150.0 7 70.0
9 3 2.3 3 0.0 2 66.7
10 5 3.8 5 0.0 1 20.0
11 6 4.6 3 100.0 3 50.0
12 9 6.9 4 125.0 1 11.1
ARMM 0 0.0 6 -100.0 0 ∞
CAR 0 0.0 5 -100.0 0 ∞
CARAGA 11 8.5 6 83.3 9 81.8
NCR 31 23.8 23 34.8 13 41.9
Philippines 130 100.0 77 68.8 69 53.1
There were one hundred thirty suspect cases of Meningococcal disease reported in 2011
nationwide. Six (4.6%) were laboratory confirmed for Neisseria meningitidis. Majority (60.0%)
of the cases were male. The age group with the highest (30.8%) number of cases is the 1 to 4
years age group. Most (23.8%) of the cases were from NCR. Sixty nine died (CFR=53.1%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
35
Figure 27. Meningococcal Disease Cases by Year Philippines, 2007 to 2011
Figure 28. Meningococcal Disease Cases by Morbidity Month
Philippines, January to December 2011
2007 2008 2009 2010 2011
No.of Cases 72 73 77 104 130
0
20
40
60
80
100
120
140
0
2
4
6
8
10
12
14
16
18
No
.of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
36
NEONATAL TETANUS
Table 19. Comparative Statistics by Sociodemographic Category and Region Neonatal Tetanus, January to December 2011
CATEGORY
Total
Cases % of Total 5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 84 50.6 74 13.5 41 48.8
Female 82 49.4 58 41.4 49 59.8
Agegroup 3 to 6 101 60.8 64 57.8 61 60.4
(Days) 7 to 13 56 33.7 47 19.1 25 44.6
14 to 20 4 2.4 5 -20.0 2 50.0
21 to 28 5 3.0 1 400.0 2 40.0
Region 1 2 1.2 4 -50.0 1 50.0
2 9 5.4 14 -35.7 8 88.9
3 3 1.8 4 -25.0 2 66.7
4A 4 2.4 4 0.0 1 25.0
4B 20 12.0 4 400.0 10 50.0
5 13 7.8 19 -31.6 8 61.5
6 9 5.4 5 80.0 6 66.7
7 7 4.2 4 75.0 2 28.6
8 7 4.2 4 75.0 7 100.0
9 13 7.8 10 30.0 6 46.2
10 2 1.2 5 -60.0 0 0.0
11 4 2.4 7 -42.9 2 50.0
12 23 13.9 15 53.3 12 52.2
ARMM 41 24.7 24 70.8 21 51.2
CAR 1 0.6 0 0.0 1 100.0
CARAGA 3 1.8 1 200.0 2 66.7
NCR 5 3.0 6 -16.7 1 20.0
Philippines 166 100.0 132 25.8 90 54.2
There were 166 confirmed Neonatal Tetanus cases reported in 2011 nationwide. Majority
(50.6%) of the cases were male. Majority (89%) of the cases was delivered at home and (82%)
were handled by traditional birth attendants. The age group with the highest (60.8%) number of
reported cases is the 3 to 6 days. Most (24.7%) of the cases were from ARMM. Ninety died
(CFR=54.2%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
37
Figure 29. Neonatal Tetanus Cases by Year Philippines, 2007 to 2011
Figure 30. Neonatal Tetanus Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No. of cases 89 146 149 119 166
0
20
40
60
80
100
120
140
160
180
0
5
10
15
20
25
No
. of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
38
NON-NEONATAL TETANUS
Table 20. Comparative Statistics by Sociodemographic Category and Region Non-neonatal Tetanus, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 929 79.4 554 67.7 133 14.3
Female 241 20.6 196 23.0 36 14.9
Age group <1 5 0.4 11 -54.5 0 0.0
(Years) 1 to 4 69 5.9 48 43.8 8 11.6
5 to 14 226 19.3 168 34.5 31 13.7
15 to 24 154 13.2 117 31.6 8 5.2
25 to 39 276 23.6 249 10.8 37 13.4
40 to 64 325 27.8 289 12.5 57 17.5
65 & up 112 9.6 79 41.8 27 24.1
Unknown 3 0.3 0 ∞ 1 33.3
Region 1 26 2.2 53 -50.9 1 3.8
2 50 4.3 43 16.3 10 20.0
3 97 8.3 90 7.8 9 9.3
4A 131 11.2 133 -1.5 20 15.3
4B 144 12.3 14 928.6 2 1.4
5 85 7.3 64 32.8 9 10.6
6 132 11.3 82 61.0 38 28.8
7 28 2.4 39 -28.2 4 14.3
8 80 6.8 20 300.0 9 11.3
9 50 4.3 37 35.1 16 32.0
10 30 2.6 37 -18.9 4 13.3
11 79 6.8 55 43.6 13 16.5
12 65 5.6 52 25.0 16 24.6
ARMM 10 0.9 25 -60.0 0 0.0
CAR 7 0.6 11 -36.4 0 0.0
CARAGA 23 2.0 22 4.5 1 4.3
NCR 133 11.4 151 -11.9 17 12.8
Philippines 1170 100.0 1021 14.6 169 14.4
There were one thousand and one hundred seventy confirmed Non-Neonatal Tetanus cases
reported in 2011 nationwide. Majority (79.4%) of the cases were male. The age group with the
highest (27.8%) number of reported cases is the 40 to 64 years age group. Most (12.3%) of the
cases were from Region 4B. One hundred sixty nine died (CFR=14.4%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
39
Figure 31. Non-neonatal Tetanus Cases by Year Philippines, 2007 to 2011
Figure 32. Non-neonatal Tetanus Cases by Morbidity Month Philippines, January to December 2011
1021 2008 2009 2010 2011
No.of Cases 1021 679 850 1140 1170
0
200
400
600
800
1000
1200
1400
0
20
40
60
80
100
120
140
160
180
No
.of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
40
PARALYTIC SHELLFISH POISONING
Table 21. Comparative Statistics by Sociodemographic Category and Region Paralytic Shellfish Poisoning, January to December 2011
Category
Total
Cases % of Total Deaths CFR (%)
Sex Male 32 50.0 0 0.0
Female 32 50.0 2 6.3 Age group <1 1 1.6 0 0.0
(Years) 1 to 4 3 4.7 0 0.0
5 to 14 13 20.3 0 0.0
15 to 24 13 20.3 1 7.7
25 to 39 19 29.7 0 0.0
40 to 64 12 18.8 0 0.0
65 & up 3 4.7 1 33.3
Unknown 0 0.0 0 ∞
Region 1 0 0.0 0 ∞
2 11 17.2 0 0.0
3 17 26.6 2 11.8
4A 10 15.6 0 0.0
4B 0 0.0 0 ∞
5 5 7.8 0 0.0
6 0 0.0 0 ∞
7 1 1.6 0 0.0
8 0 0.0 0 ∞
9 2 3.1 0 0.0
10 7 10.9 0 0.0
11 0 0.0 0 ∞
12 0 0.0 0 ∞
ARMM 0 0.0 0 ∞
CAR 0 0.0 0 ∞
CARAGA 0 0.0 0 ∞
NCR 11 17.2 0 0.0
Philippines 64 100.0 2 3.1
There were sixty four suspected Paralytic Shellfish Poisoning (PSP) cases reported in 2011
nationwide. Nineteen (29.7%) of the cases belong to the 25 to 39 years age group. The
highest (26.6%) number of reported cases was from Region 3. Two died (CFR=3.1%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
41
Figure 33. Paralytic Shellfish Poisoning Cases by Morbidity Month Philippines, January to December 2011
0
5
10
15
20
25
No
.of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
42
PERTUSSIS
Table 22. Comparative Statistics by Sociodemographic Category and Region Pertussis, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 32 56.1 25 28.0 2 6.3
Female 25 43.9 21 19.0 1 4.0
Age group <1 38 66.7 39 -2.6 3 7.9
(Years) 1 to 4 10 17.5 9 11.1 0 0.0
5 to 14 6 10.5 2 200.0 0 0.0
15 to 24 0 0.0 0 ∞ 0 ∞
25 to 39 0 0.0 0 ∞ 0 ∞
40 to 64 0 0.0 0 ∞ 0 ∞
65 & up 0 0.0 0 ∞ 0 ∞
Unknown 3 5.3 0 ∞ 0 ∞
Region 1 0 0.0 1 -100.0 0 ∞
2 0 0.0 2 -100.0 0 ∞
3 3 5.3 1 200.0 0 0.0
4A 13 22.8 2 550.0 1 7.7
4B 1 1.8 0 ∞ 0 0.0
5 0 0.0 2 -100.0 0 ∞
6 4 7.0 2 100.0 0 0.0
7 4 7.0 3 33.3 0 0.0
8 2 3.5 0 ∞ 0 0.0
9 1 1.8 1 0.0 0 0.0
10 0 0.0 4 -100.0 0 ∞
11 3 5.3 3 0.0 0 0.0
12 5 8.8 0 ∞ 0 0.0
ARMM 2 3.5 0 ∞ 0 0.0
CAR 0 0.0 0 ∞ 0 ∞
CARAGA 0 0.0 0 ∞ 0 ∞
NCR 19 33.3 22 -13.6 2 10.5
Philippines 57 100.0 46 23.9 3 5.3
There were fifty seven suspect Pertussis cases reported in 2011 nationwide. Majority (56.1%)
of the cases were male. Twenty eight percent have no DPT vaccination history. The age group
with the highest (71.9%) number of cases is the less than 1 year age group. Majority (33.3%) of
the cases were from NCR. Three died (CFR=5.3%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
43
Figure 34. Pertussis Cases by Year Philippines, 2007 to 2011
Figure 35. Pertussis Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No.of Cases 17 46 91 62 57
0
10
20
30
40
50
60
70
80
90
100
0
1
2
3
4
5
6
7
8
9
No
.of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
44
RABIES
Table 23. Comparative Statistics by Sociodemographic Category and Region Rabies, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 163 74.4 140 16.4 163 100.0
Female 56 25.6 55 1.8 56 100.0
Age group <1 1 0.5 6 -83.3 1 100.0
(Years) 1 to 4 16 7.3 8 100.0 16 100.0
5 to 14 47 21.5 47 0.0 47 100.0
15 to 24 27 12.3 30 -10.0 27 100.0
25 to 39 47 21.5 47 0.0 47 100.0
40 to 64 62 28.3 46 34.8 62 100.0
65 & up 17 7.8 17 0.0 17 100.0
Unknown 2 0.9 0 ∞ 2 100.0
Region 1 13 5.9 10 30.0 13 100.0
2 11 5.0 9 22.2 11 100.0
3 22 10.0 19 15.8 22 100.0
4A 31 14.2 34 -8.8 31 100.0
4B 13 5.9 2 550.0 13 100.0
5 27 12.3 30 -10.0 27 100.0
6 9 4.1 12 -25.0 9 100.0
7 7 3.2 4 75.0 7 100.0
8 10 4.6 9 11.1 10 100.0
9 7 3.2 5 40.0 7 100.0
10 5 2.3 8 -37.5 5 100.0
11 19 8.7 7 171.4 19 100.0
12 22 10.0 6 266.7 22 100.0
ARMM 0 0.0 2 -100.0 0 ∞
CAR 0 0.0 2 -100.0 0 ∞
CARAGA 7 3.2 5 40.0 7 100.0
NCR 16 7.3 18 -11.1 16 100.0
Philippines 219 100.0 195 12.3 219 100.0
There were two hundred nineteen suspect Rabies cases reported in 2011 nationwide. Majority
(74.4%) of the cases were male. The age group with the highest (28.3%) number of reported
cases is the 40 to 64 years age group. Most (14.2%) of the cases were from Region 4A. Two
hundred nineteen died (CFR=100%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
45
Figure 36. Rabies Cases by Year Philippines, 2007 to 2011
Figure 37. Rabies Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No.of Cases 195 163 267 300 219
0
50
100
150
200
250
300
350
0
5
10
15
20
25
30
35
No
.of
Cas
es
Philippine Integrated Disease Surveillance and Response Annual report 2011
46
TYPHOID FEVER
Table 24. Comparative Statistics by Sociodemographic Category and Region Typhoid Fever, January to December 2011
Category
Total
Cases % of Total
5-Year Median
%Change from 5-Year Median
Deaths CFR (%)
Sex Male 218 52.5 282 -22.7 1 0.5
Female 197 47.5 233 -15.5 1 0.5
Age group <1 2 0.5 6 -66.7 0 0.0
(Years) 1 to 4 43 10.4 45 -4.4 0 0.0
5 to 14 129 31.1 173 -25.4 1 0.8
15 to 24 90 21.7 114 -21.1 0 0.0
25 to 39 80 19.3 68 17.6 0 0.0
40 to 64 52 12.5 43 20.9 1 1.9
65 & up 15 3.6 12 25.0 0 0.0
Unknown 4 1.0 0 ∞ 0 0.0
Region 1 0 0.0 5 -100.0 0 ∞
2 0 0.0 27 -100.0 0 ∞
3 6 1.4 3 100.0 0 0.0
4A 113 27.2 67 68.7 0 0.0
4B 41 9.9 2 1950.0 1 2.4
5 0 0.0 21 -100.0 0 ∞
6 9 2.2 14 -35.7 1 11.1
7 70 16.9 57 22.8 0 0.0
8 19 4.6 11 72.7 0 0.0
9 17 4.1 32 -46.9 0 0.0
10 37 8.9 9 311.1 0 0.0
11 0 0.0 21 -100.0 0 ∞
12 11 2.7 5 120.0 0 0.0
ARMM 5 1.2 4 25.0 0 0.0
CAR 1 0.2 1 0.0 0 0.0
CARAGA 47 11.3 1 4600.0 0 0.0
NCR 39 9.4 90 -56.7 0 0.0
Philippines 415 100 515 -19.4 2 0.5
There were four hundred fifteen confirmed typhoid fever cases reported in 2011 nationwide.
Majority (52.5%) of the cases were male. The age group with the highest (31.1%) number of
cases is the 5 to 14 years age group. Majority (27.2%) of the cases were from Region 4A. Two
died (CFR=0.5%).
Philippine Integrated Disease Surveillance and Response Annual report 2011
47
Figure 38. Typhoid Fever Cases by Year Philippines, 2007 to 2011
Figure 39. Typhoid Fever Cases by Morbidity Month Philippines, January to December 2011
2007 2008 2009 2010 2011
No.of Cases 528 819 316 515 415
0
100
200
300
400
500
600
700
800
900
0
10
20
30
40
50
60
No
.of
Cas
es
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