WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ

REGIONAL OFFICE FOR AFRICA BURAU REGIONAL DE L’AFRIQUE

OFFICE OF THE WHO REPRESENTATIVE FOR LIBERIA

 

WEEKLY SURVEILLANCE ACTIVITIES REPORT for WEEK-40 (September 29 to October 5) 2003

October 13, 2003

Summary Data for Week 33 to Week 40

Month

Dates

Week

AWD/

Cholera

Severe

Cases

Deaths

CFR %

ABD/

Shigella

YF

Measles

ALRL I/Pneum.

Malaria

Conf malar.

% conf mal.

STI

TB

Severe.

Malnu

Trauma/

Injury

August

11-17

33

2,722

317

1

0.04

18-24

34

1,823

259

4

0.21

71

0

0

845

2,108

358

17

109

2

41

67

25-31

35

2,268

284

8

0.35

137

1

3

1,863

3,224

533

17

321

3

100

45

September

1-7

36

2,285

160

2

0.09

199

0

2

2,095

4,185

512

12

753

1

176

251

8-14

37

2,278

181

5

0,22

126

1

9

2,636

6,478

810

13

684

2

206

249

15-21

38

2,352

158

2

0.17

141

0

3

2,288

6,384

718

11

747

4

211

16

22-28

39 +

2,502

181

2

0.09

218

0

4

2,076

5,374

436

8

573

6

104

162

October

29/09 to 05/10

40

2,064

214

2

0.09

231

0

1

1,769

4,402

560

13

819

2

69

72

Source of data: The data is collected from 41 health facilities that are located in Montserrado, parts of G. Bassa, G. Capt MT, Margibi and Bong Counties. MSFs that used to report from only three cholera treatment units have now started reporting from all their (18) health facilities. In addition, IRC reported from six, Merlin five, MDM from four, CRS and SCF/UK each from three and NWMT from two facilities respectively. Nine facilities are yet to report. These are five facilities of MERLIN, three from MERCI and one from WVI. .

(NB: Week 39 figure is also updated).

Cholera: 2,064 cholera cases were reported in week 40. Cases reported have decreased in week 40 when compared to the previous four weeks, however the incidence is still high, (Figure 1). Health facilities located in central Monrovia, Paynesville and Sinkor continue to report many cases as the previous weeks. Bushrod Island and Gardnersville have reported higher cases in week 40 (337 & 339) respectively, than the previous four weeks. Bong County reported 113 cholera cases were reported in week 40 and only 30 cases reported in week 39. Two cholera-associated deaths were reported in week 40.

Acute bloody diarrhea: In week 40, 231 Acute Bloody Diarrhea cases were reported from 23 facilities. There is an increase trend in number of cases reported. About one third of the cases were children less than five years of age.

More than 50% (123) of the cases were reported from Paynesville and about 17% (39) cases were reported from Bong County.

Acute low respiratory infections: Though there is a relative decrease in reported cases in week 40 the incidence is still high.

Malaria: The number of clinical cases of malaria reported in week 40 was 4,402 and 560 were confirmed cases. There is a slight decrease in the number of reported cases of malaria in week 40. Out of the cases of malaria reported in week 40, about 34% (1,490) cases were children less than five years old. Only five health facilities continuing to offer combination therapy using RDT to confirm clinical diagnosis before treating (Figure 3)

Tuberculosis: TB cases detection rate is low. Health facilities need to actively search for TB cases.

Trauma/injury: The number of trauma cases has decreased in week 40 compared to week 39

OBSERVATIONS/PROBLEMS

Attempts to identify localities where most cholera cases are reported will be explored further. All health facilities are urged to report data weekly and also submit case based forms on time