Overview
During week 23, forty two reporting sites including seven refugees, twenty five Internally Displaced People’s (IDP) camps and ten mobile clinics submitted their weekly reports timely and completely.
The total number of consultations reported during the week was 17665 (male=7835 and female=9829) compared to 20559 (male=9172 and female=11385) consultations from the previous reporting week 22.
During week 23, Acute respiratory tract infections (ARI) (n=6875), Acute Diarrhea (n=1533) and skin diseases (n=1259) were the leading cause of morbidity in all the camps.
Proportions of Acute Diarrhea in IDP camps have increased gradually by two percent since week 22(8%) (week 23=10%) while the proportions of Acute Diarrhea trend in refugee camps has gradually increased by one percentage since last week (week 22=3.5% and week 23=4.5%).
The trends of lower Acute Respiratory Tract Infection (ARI) is decreasing with the approach of summer months with an increase in the upper Acute Respiratory Tract Infection (ARI) when compared with week 22 (Upper ARI=85% & Lower ARI=15%) and week 23 (Upper ARI=86% & Lower ARI=14%).
A total of twenty nine alerts were generated by EWARN in week 23; six alerts were generated from refugee camps and twenty three from IDP camps. Fifteen of these were verified as true for further investigation and appropriate response by respective Governorates DoH/WHO and fourteen alerts did not follow the case definitions thresholds. (Details below in the Alert/Outbreak Section)
o Three alerts of unexplained fever were discarded as these were sporadic cases with no clustering; seven alerts of bloody diarrhea; one alert of suspected Leishmaniasis, two alerts of suspected Acute jaundice Syndrome, and one alert of suspected acute diarrhea did not fulfil the threshold but the situation is under monitoring.
o Stool samples from suspected acute diarrhea cases, bloody diarrhea and measles were collected by the investigation and response teams and dispatched to the Central Laboratory for confirmation. None of the stool samples were found negative for Vibro Cholera.