Update on Epidemic Prone Diseases and Events Extracted from the

Weekly Disease Surveillance System Report Week 9 ending 03-03-13

Dr. I. Phiri

EDC

Health Cluster Meeting

11 March 2013

Highlights for Week 5

• 3 suspected cholera cases• 5 diarrhoea deaths reported   • 4 malaria deaths reported• 2 suspected anthrax cases reported • 1 suspected AFP case reported

CSR - DDC AFRO

1 2 3 4 5 6 7 8 9 10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

0

10

20

30

40

50

60

70

80

90

100National Completeness

2013 2012 2011

week number

% co

mpl

eten

ess

Timeliness week 1 to 9 of 2013

12345678910

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

0

20

40

60

80

100

120

National Timeliness

2012 2011 2010 2009

Week Number

% T

ime

line

ss

Cholera investigation Report at Shashe Clinic in Beitbridge

• A 58 year old Morgan Moyo from (Paye) Kwatalani in Chief Chitaudze area of Beitbridge district

• He and wife visited South Africa – Messina on the 1st of March 2013

• bought sadza and beef with potatoes and cabbage salad mixed with tomatoes and mayonnaise from a food purveyor

• The two returned to Zimbabwe on Saturday the 2nd of March• In Beit Bridge they stayed at Cephas Ngulube’s house ate

dinner comprised of goat meat purchased from an unlicensed meat vender

• On Sunday 3rd March left Beitbridge for Shashe around 1400hrs before that they also ate bananas and drank tap water

• On Monday the 4th he went for cattle herding• The patient drank mazoe and biscuits used water from a

hand dug spring to dilute the Mazoe• He also drank the water from the hand dug spring• He later complained about diarrhea without abdominal

pains on Monday night• He had 4 bouts of diarrhea during the night• Watery diarrhea and vomiting started on Tuesday

morning(5th March)• He was later taken to Shashe RHC already dehydrated and

prostrate• The RHC reported the suspect after just 10am the same day

on Tuesday to the district• The DMO was informed instantly (immediately within 24

hrs)

Action Taken

• The RRT visited the RHC on Wednesday morning the 6th and observed the following:– The patient had improved through rehydration though

patient was still vomiting, having diarrhea and had stomach distention

– Disinfectants (HTH) were supplied from the district• Management at the RHC • The patient was admitted• Rehydrated with 8 vacolitres of ringers lactate • Ciprifloxacin as an antibiotic backup• The stool specimen had been collected on Tuesday• Report compiled by RRT

• National office notified Friday after lab confirmation done by SD bioline and culture

• Sample sent to Harare for genotying • Vibrio cholerae O1 Biotype El Tor Serotype Inaba

identified and reported this morning from NMRL sensitivity to Ciprofloxacillin, Nalidixic, Cotrimoxazole, Cefriaxone

• Expecting full report from the Province with gaps for cholera commodities needed

• Lab capacitation expired SD bioline

Typhoid cases week 9

• Harare continue to have typhoid cases and Chitungwiza 13 cases week 8 and 3 cases week 9• Chegutu in Mash. West reported 2 cases • Cumulative cases 6 843 of these 142 confirmed cases 7

deaths

1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 520

2000

4000

6000

8000

10000

12000

14000

Trends of diarrhoea cases

2013 2012

1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728293031323334353637383940414243444546474849505152530

200

400

600

800

1000

1200

1400

1600

Trends of dysentry cases

2013 2012 2011

1 2 3 4 5 6 7 8 9 101112131415161718192021222324252627282930313233343536373839404142434445464748495051520

5000

10000

15000

20000

25000

Trends of malaria cases

2013 2012 2011

Epidemic Prone Conditions and Events week 8 and week 9

Condition Week 8 Week 9 Cumulative figures to date week 1 to 9

Cases Deaths Cases Deaths Cases Deaths CFR%

Malaria 13 568

6 12 503 4 12 3969 55 0.04

Suspected Measles 8 0 6 0 37 0 0

Influenza 4 939 0 6 659 0 53 689 0 0

Anthrax 3 0 3 2 55 1 1.8

AFP/Poliomyelitis 0 0 1 0 0 0 0

• Thank you

Buhera Chimanimani Chipinge Makoni Mutare Mutasa Nyanga Mutare city0

5000

10000

15000

20000

25000

30000

35000

Manicaland Malaria Trends

201320122011