GRENADA

MINISTRY OF HEALTH GRENADA, WELLNESS AND RELIGIOUS AFFAIRS

EPI UNIT

EPIDEMIOLOGICAL SURVEILLANCE BULLETIN, Week 25

   , 2023
        

Acute Respiratory Infection Gastroenteritis Undifferentiated Fever Dengue

≥5 years <5 years ≥5 years Not severe Severe

<5 years <5 years ≥5 years
76 168 10 33 5 21 33 0
10.5% -44.4% from previous week 61.5% -13.2% from previous week 0
40.7% from previous week 150.0% from previous week 200.0%

Fever & Haemorrhagic Fever & Neurological Fever & Rash Tuberculosis COVID-19 SARI
Symptoms Symptoms
Cases Cases Cases Cases Cases Cases

0 0 0 0 167 1
0 from previous week 0 from previous week 0 from previous week 0 from previous week 116.9% from previous week 0 from previous week

SYNDROMIC SURVEILLANCE

Syndromic surveillance refers to a system that enables public health authorities to stay connected with the well-being of the community in real time.
This system facilitates the swift detection of potential outbreaks and issues, aids in monitoring ongoing health concerns, and enhances situational
awareness regarding the community's health status.

Acute Respiratory Infection < 5 years old, 2023 Acute Respiratory Infection <5 years old by
ACUTE RESPIRATORY Value district, Current week
INFECTION <5 ARI Cases this year Security Alert Intervention
50
150
• Acute (sudden) febrile 40
illness (>38.0 oC or 100.4
oF) 100
30
• Previously healthy
person 20
• Presenting with cough or 50
sore throat 10
• With or without
respiratory distress 0
0
4 8 12 16 20 24 28 32 36 40 44 48 52 St. George Carriacou St. John
St. Andrew St. David St. Patrick

Acute Respiratory Infection in those 5 years and older, 2023 Acute Respiratory Infection ≥5 year olds by
Value
district, Current week
≥5 ARI Cases this year Security Alert Intervention 125
400

100

300
75

200
50

100
25

0 0
4 8 St. George St. John St. David
12 16 20 24 28 32 36 40 44 48 52
Carriacou St. Andrew St. Patrick
 Gastroenteritis in less than 5 years old, 2023 Gastroenteritis <5 years old by district, Current
GASTROENTERITIS Value
week
6
<5 GE Cases this year Security Alert Intervention
• Acute (sudden) onset of 50
diarrhea
• With or without fever 40 4
(>38.0 oC or 100.4 oF)
• Presenting with 3 or more 30

loose or watery stools in

the past 24 hours 20 2

• With or without
10
dehydration, vomiting
and/or visible blood 0 0
4 8 St. George St. Andrew Carriacou
12 16 20 24 28 32 36 40 44 48 52

Gastroenteritis in those 5 years and older, 2023 Gastroenteritis

Value
≥5 years old by district,
25
Current week
≥5 GE Cases this year Security Alert Intervention
100

20
80

15
60

10
40

20 5

0 0
4 8 St. George Carriacou St. Andrew
12 16 20 24 28 32 36 40 44 48 52

Undifferentiated Fever in less than 5 years old, 2023 Undiff <5 years old by district, Current week
UNDIFFERENTIATED FEVER Value

15
<5 Undiff Cases this year Security Alert Intervention
• An acute (sudden) febrile 30
illness (>38.0 oC or 100.4 oF)
• Previously healthy person 10
• Less than 7 days duration 20
• With two or more of the
following manifestations:
headache, retro-orbital pain, 10 5
myalgia, arthralgia, nausea,
vomiting, jaundice
• AND without any particular 0
4 8 12 16 20 24 28 32 36 40 44 48 52
symptom fitting another 0
St. George Carriacou St. Andrew
syndrome definition
Undifferentiated Fever in those 5 years and older, 2023 UndiffValue
≥5 year olds by district, Current
≥5 Undiff Cases this year Security Alert Intervention 3 week
20

15 2

10

0 0
4 8 St. George Carriacou St. Andrew
12 16 20 24 28 32 36 40 44 48 52
 VECTOR BORNE DISEASES

Dengue cases by epiweek Dengue by District, current week

St. John St. George St. Andrew Carriacou
2023 Alert
100

80 24.2%

60

40

69.7%
20

0
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53

Dengue by age group and sex, current week Dengue by age group and sex, 2023
Female Male
Female Male
15
200
4
12.5
56
150
10
10

114
7.5 100
45

5 20
1 2
0 1 4 50 56
20 46 21
2.5 3 3 3
1 5 25 27 7
5 5
0
1
0 0
1) Less than 1 3) 5-14 years 5) 25-44 years 7) 65 and over 1) Less than 1 3) 5-14 years 5) 25-44 years 7) 65 and over
2) 1-4 years 4) 15-24 years 6) 45-64 years 2) 1-4 years 4) 15-24 years 6) 45-64 years

Value
COVID-19 CASES BY EPIWEEK, 2023
175

150

125

100

75

50

25

0
Week 1 Week 4 Week 7 Week 10 Week 13 Week 16 Week 19 Week 22 Week 25 Week 28 Week 31 Week 34 Week 37 Week 40 Week 43 Week 46 Week 49 Week 52
 SEXUALLY TRANSMITTED INFECTIONS
Disease Current Week (CW) ▼
2023 2022 till CW 2021 till CW
Chlamydia 1 9 0 0
Gonorrhoea 0 12 0 0
Syphilis 0 6 0 0
Hepatitis B 0 1 0 0

Grand total 1 28 0 0

OUTBREAKS
Dengue: There is a decrease in reported cases for Epi week 25 with 33 reported cases & 2 hospitalization; however, cases still remain at outbreak levels.
Epidemiological investigation continues; samples were sent to CARPHA reference laboratory to determine the type of dengue virus circulating and the
results are pending. Enhanced entomological surveillance and vector control efforts are being intensified to control and manage the situation. Increased
public education continues to sensitize the public on the issue emphasizing the need to take measures to avoid mosquito bites, eliminate breeding sites for
mosquitoes and seek immediate medical attention if ill.

Acute Respiratory Infection: There is an uptick in cases reported for Epi week 25; cases remain at outbreak levels. In addition to the many other respiratory
pathogens identified, Influenza B (Victoria lineage) continues to be identified.  Respiratory hygiene measures continue to be recommended to manage the
current situation.

COVID-19: Cases have more than doubled in Epi week 25 compared to the previous week.  We continue to urge persons to practice proper respiratory
hygiene measures and hand washing in a effort to manage the situation.