Outbreak invstigation in DFW

NVO 2011E.C

Mentor-Mr., Wadu

ByKassahun Mekonnen

January 2011
ACKNOWLEDGEMENT

I would like to thanks our almighty God for his extended peace and long salivation to do all my work. Next I
want to show my deepest gratitude for FETP coordinators for their help to do my study and finally I would like
to thanks my advisor Mr. Wadu for his friendly advice to do my job effectively and efficiently.

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Table of Contents
ACKNOWLEDGEMENT.....................................................................................................................................................II
Tab....................................................................................................................................................................................... III
List of tables......................................................................................................................................................................... III
List of figures........................................................................................................................................................................IV
Summary of the Week...........................................................................................................................................................1
Reporting Quality, completeness and timeliness (Week 1-6)................................................................................................1
Disease Reports..................................................................................................................................................................... 3
Challenges in data collection or analysis...............................................................................................................................5
Key recommendations for action...........................................................................................................................................5

BOJECTIVE

General objective

To investigation out break in DFW nov 2019

Specifice objective

To identify scabies berden/magentud in kebela

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 Introduction

Definition
Scabies is a contagious ectoparasite of the
skin caused by the mite Sarcoptes scabiei
var. hominis.
Epidemiology
• Approximately 130 million cases of
scabies occur worldwide each year.
• The incidence of scabies can increase
during natural and manmade disasters.

III
Mites that can cause scabies

III
Epidemiology cont------
• Due to the World weather change
the first Scabies epidemic reported
from Waghimra Zone Amhara
Region on 2014.
• Starting for that epidemic spread to
other Zones of Amhara Region and
in other regions too.
The SNNPR Scabies out break started in
2016 at Halaba Special Woreda. Till now
it affected More than 100,000 individuals
in more than 450 Kebeles in more than
50 Woredas of 12 Zones, Hawassa city
admin. & 2 Special Woredas
III
III
1
 Disease Reports
Table 2: Summary of Key Notifiable Diseases in this Six week from October 26-December7/2011 E.C

N DISEASE W1 W2 W3 W4 W5 W6 TOTAL
O C D CF C D CF C D CF C D CF C D CF C D CF C D CF
R R R R R R R
1 Acute Flaccid 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
Paralysis
(AFP) / Polio
2 Anthrax 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
3 Avian Human 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
Influenza
4 Cholera 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
5 Dracunculiasis / 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
Guinea worm
6 Measles 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
7 NNT(Neonatal 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
tetanus)
8 Pandemic 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
Influenza A
(H1N1)
9 Rabies 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
10 Smallpox 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
11 SARS(Severe 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
Acute
Respiratory
Syndrome)
12 VHF(Viral 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
hemorrhagic
fever)

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13 Yellow fever, 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
suspected or
confirmed
14 Maternal death 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA

Weekly
Reportable
diseases:
1 Malaria 2 0 0% 1 0 0% 3 0 0% 4 0 0% 6 0 0 3 0 0 19 0 0%
2 Meningitis 0 0 NA 0 0 NA 0 0 NA 1 0 0% 0 0 NA 0 0 NA 1 0 NA
3 Relapsing fever 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA
4 Severe Acute 0 0 NA 0 0 NA 0 0 NA 0 0 NA 1 0 0% 0 0 NA 1 0 NA
Malnutrition
5 Typhoid fever 0 0 NA 1 0 0% 1 0 0% 2 0 0% 1 0 0% 1 0 0% 6 0 0%
6 Typhus 1 0 0% 0 0 NA 1 0 0% 1 0 0% 0 0 0% 1 0 0% 4 0 0%
7 Dysentery 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA 0 0 NA

 True increase in disease occurrence

o Outbreak / epidemic

o Seasonal pattern

o Sudden increase in size of population ( number of trainers).

o The site endemicity for malaria

 Increase or improvement in laboratory testing / diagnostic procedure

 Increased access to health care

 New health care provider, reporter, or clinic

 Laboratory or diagnostic error.

The factor can account for an apparent decrease in cases from w5-w6?

 Health education campaign for military trainers continuously.

 Dissemination of bed nets and ordered to use buzz off cream when during time of night field work

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Challenges in data collection or analysis.
 The unfavorable weather condition.
 Transport access limitation.
 Problem of contact with responsible person(meeting)

Key recommendations for action

 The data clerks recommend collecting data timely and analyses consequently.
 The higher level of the hierarchy recommended showing scheduled reporting date for the clinic.
 The clinic officer recommends to taking action for prevention activities rather than treatment.