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Pakistan Epidemiological Bulletins 2013

Ronan Kelly

Ronan Kelly

Retired 2020
2012 thread - http://www.flutrackers.com/forum/showthread.php?t=181800

Weekly Epidemiological Bulletin
This weekly Epidemiological Bulletin is published jointly by the National Institute of Health, Islamabad and World Health Organization (WHO), Pakistan.
For Correspondence: NIH: eic.nih@gmail.com; WHO: Tel : +92-051-9255184-5, Fax : +92-051-9255083; E-mail: wr@pak.emro.who.int.

Epidemiological week no. 1
(29 Dec 2012 to 4 Jan 2013)

Highlights
? Measles: 191 alerts investigated this week, responding to 32 outbreaks
involving 751 measles cases and 38 deaths. Vitamin A was provided
to cases and EDOs‐H took action to improve vaccination in affected areas (Page 6)
? 84 districts have reported to DEWS in week 1, 2013. 2,308 health facilities
have shared weekly data to the Disease Early Warning System (DEWS) in this week
? 714,881 patients? consultations were reported in week 1, 2013
compared to 640,414 consultations reported in week 52, 2012.
? Altogether 237 alerts were investigated and response were provided
to 32 outbreaks.
...

Distribution of Wild Polio Virus cases Pakistan 2011 and 2012? As of 5 January 2013, Pakistan has reported no new cases from any district. In year 2012,
a total of 58 polio cases including 55 type‐1; 2 type‐3; and 1 mixture type‐1 and 3 cases
from 28 districts/tribal agencies .
...
CCHF:
...
In week 1, 2013, no new CCHF case was reported from
Balochistan. In 2012, a total of 61 suspected cases have been reported throughout the country with 42 confirmed to date and 17 deaths;
(CFR is 40.48%). 24 confirmed cases have been reported from Balochistan; 7 from Sindh; 6 from Khyber Pakhtunkhwa and 5 from Punjab.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012 (14,823 cases & 310 fatalities - Ro); and illustrates the alerts and outbreaks in week 1 (29 Dec2012 to 4 Jan 2013) (328 cases & 15 fatalities - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Epidemiological week no. 2
(6 to 12 Jan 2013)
? Measles: 131 alerts investigated this week, responding to 30 outbreaks
involving 820 measles cases and 35 deaths in 53 districts. Vitamin‐A was provided to cases and EDOs‐H took action to improve vaccination in affected areas.
? 80 districts and 2190 health facilities have reported to DEWS this
week 2, compared with 84 districts with 2308 health facilities shared
weekly data in week 1, 2013 to the Disease Early Warning System (DEWS).
? 765,766 patients? consultations were reported in week 2, 2013
compared to 731,019 consultations reported in week 1, 2013.
? Altogether 156 alerts were investigated and response were provided to 35 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2011 and 2012
? As of 11 January 2013, Pakistan has reported no new cases from any district. In year 2012, a total of 58 polio cases including 55 type‐1; 2 type‐3; and 1 mixture type‐1 and 3 cases from 28 districts/tribal agencies .
...
CCHF
...
In week 2, 2013, 3 new suspected CCHF cases were reported from Balochistan. In 2012, a total of 61 suspected cases have been
reported throughout the country with 42 confirmed to date and 17 deaths; (CFR is 40.48%). 24 confirmed cases have been reported from
Balochistan; 7 from Sindh; 6 from Khyber Pakhtunkhwa and 5 from Punjab.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012 (14,823 cases & 310 deaths - Ro); and illustrates the alerts and outbreaks in 2013 up till week 2 (29 Dec 2012 to 11 Jan 2013) (1,617 cases & 73 deaths - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Epidemiological week no. 4 (20 to 26 Jan 2013)
? Measles: 122 alerts investigated this week, responding to 15 outbreaks
involving 743 measles cases and 25 deaths in 53 districts. Vitamin‐
A was provided to cases and district health teams took action to
improve vaccination in affected areas.
? 80 districts and 2406 health facilities have reported to DEWS this
week 4, compared with 81 districts with 2435 health facilities shared
weekly data in week 3, 2013 to the Disease Early Warning System (DEWS).
? 736,041 patients? consultations were reported in week 4, 2013
compared to 849,066 consultations reported in week 3, 2013.
? Altogether 159 alerts were investigated and response were provided
to 19 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? As of 26 January 2013, Pakistan has reported no new cases from any district. In year 2012,
a total of 58 polio cases including 55 type‐1; 2 type‐3; and 1 mixture type‐1 and 3 cases
from 28 districts/tribal agencies .
...
CCHF
...
In week 4, 2013, no new CCHF case reported from the country. In the previous weeks, 2 cases of which one was lab confirmed have
been reported. A 40 year old female patient admitted at the Fatima Jinnah hospital isolation ward in Quetta as a suspected case of CCHF.
Laboratory results confirmed the case positive for CCHF.
The epidemiological investigation revealed that brother of
the case with history of Fever and bleeding from mouth
and nose, in critical condition was brought to Quetta from
neighboring country. The patient expired 30 minutes after
arrival at a private clinic in Quetta. The confirmed patient
was taking care of the suspected expired case at home for
a day and accompanied him to the hospital next morning.
Few days later she developed signs and symptoms and was
later confirmed positive for CCHF. The first case was having
clear history of animal contact (slaughtered a sheep). Furthermore there was one more suspected CCHF case (a close contact family member
of the first case) expired in Afghanistan also. All the three cases have epidemiological link.
In 2012, a total of 61 suspected cases have been reported throughout the country with 41 cases confirmed to date and in total 17
deaths; of which 13 deaths (CFR is 31.7%) are reported of the lab confirmed cases and 4 deaths are reported as suspected CCHF cases. 23
confirmed cases have been reported from Balochistan; 7 from Sindh; 6 from Khyber Pakhtunkhwa and 5 from Punjab. Chart at right illustrates
current situation of CCHF cases in 2012.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012 (14,823 cases & 310 fatalities - Ro); and illustrates the alerts and outbreaks in 2013 up till week 4 (26 Jan 2013) (3,196 cases & 131 deaths).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Epidemiological week no. 5 (27 Jan to 2 Feb 2013)

? Measles: 112 alerts investigated this week, responding and monitoring
to 17 outbreaks. 712 measles cases in 58 districts and 25
deaths reported from 14 districts this week. Vitamin‐A drops provided
to cases and district health teams took action to improve vaccination in affected areas.
? 82 districts and 2407 health facilities have reported to DEWS this
week 5, compared with 80 districts with 2406 health facilities shared
weekly data in week 4, 2013 to the Disease Early Warning System (DEWS).
? 836,730 patients? consultations were reported in week 5, 2013
compared to 754,642 consultations reported in week 4, 2013.
? Altogether 152 alerts were investigated and response were provided to 21 outbreaks.
...

Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? As of 2 February 2013, Pakistan has reported one new type‐1 wild polio case from Bin
Qasim town, Karachi, Sindh. This is the first wild polio case for the year 2013. The total
number of wild polio cases country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3
& 1 mixture type‐1 & 3) from 28 districts/tribal agencies (compared to 60 in 2011).
...
CCHF
...
In week 5, 2013, no new CCHF case reported from the
country. In the previous weeks, 2 cases of which one was lab
confirmed have been reported. A 40 year old female patient
admitted at the Fatima Jinnah hospital isolation ward in Quetta
as a suspected case of CCHF. Laboratory results confirmed the
case positive for CCHF. The epidemiological investigation revealed
that brother of the case with history of Fever and bleeding
from mouth and nose, in critical condition was brought to
Quetta from neighboring country. The patient expired 30 minutes
after arrival at a private clinic in Quetta. The confirmed patient
was taking care of the suspected expired case at home for a day and accompanied him to the hospital next morning. Few days later she
developed signs and symptoms and was later confirmed positive for CCHF. The first case was having clear history of animal contact
(slaughtered a sheep). Furthermore there was one more suspected CCHF case (a close contact family member of the first case) expired in
Afghanistan also. All the three cases have epidemiological link.
...
Measles
Table at the bottom summarizes the situation of measles in year 2012 (14,978 cases & 310 fatalities - Ro); and illustrates the alerts and outbreaks in 2013 up till week 4 (26 Jan 2013) (sic.) (4,070 cases & 154 fatalities -Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Epidemiological week no. 6
(3 to 9 Feb 2013)

? Measles: 139 alerts investigated this week, responding and monitoring
to 15 outbreaks. 718 measles cases in 53 districts and 14
deaths reported from 6 districts this week. Vitamin‐A drops provided
to cases and district health teams took action to improve vaccination in affected areas.
? 80 districts and 2481 health facilities have reported to DEWS this
week 6, compared with 82 districts with 2407 health facilities shared
weekly data in week 5, 2013 to the Disease Early Warning System (DEWS).
? 765,839 patients? consultations were reported in week 6, 2013
compared to 868,430 consultations reported in week 5, 2013.
? Altogether 190 alerts were investigated and response were provided to 20 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 6, 2013, one new type‐1 wild polio case was reported from Khyber Pakhtunkhwa (district Bannu), bringing the total number of polio cases to 2 for the year 2013. This is the 2nd wild polio case for the year 2013. The total number of wild polio cases country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3 & 1 mixture type‐1 & 3) from 28 districts/ tribal agencies (compared to 60 in 2011).
...
CCHF
In week 6, 2013, 1 new CCHF case reported from ICT,
bringing the total number of CCHF cases to 3 for the year 2013. A
26 year old female patient admitted at the PIMS hospital in Islamabad
as a suspected case of CCHF. Laboratory results confirmed
the case positive for CCHF. The epidemiological investigation
revealed history of Fever with rash later on developed gum
bleeding and brought to PIMS hospital. Currently the patient is
stable with all vital signs with in the normal range. The case have
no epidemiological link.
In 2012, a total of 61 suspected cases have been reported throughout the country with 41 cases confirmed to date and in total 17
deaths; of which 13 deaths (CFR is 31.7%) are reported of the lab confirmed cases and 4 deaths are reported as suspected CCHF cases. 23
confirmed cases have been reported from Balochistan; 7 from Sindh; 6 from Khyber Pakhtunkhwa and 5 from Punjab.
...
Measles
Table at the bottom summarizes the situation of measles in year 2012 (14,984 cases & 310 deaths - Ro); and illustrates the alerts and outbreaks in 2013 up till week 6 (9 Feb 2013) (4,855 cases & 169 deaths - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 7, Wednesday 20 February 2013
Epidemiological week no. 7
(10 to 16 Feb 2013)

? Measles: 132 alerts investigated this week, responding and monitoring
to 12 outbreaks. 285 measles cases in 30 districts, while 1
death reported from 1 district this week. Vitamin‐A drops provided to
cases and district health teams took action to improve vaccination in affected areas.
? 87 districts and 2563 health facilities have reported to DEWS this
week 7, compared with 80 districts with 2481 health facilities shared
weekly data in week 6, 2013 to the Disease Early Warning System (DEWS).
? 976,785 patients? consultations were reported in week 7, 2013
compared to 765,839 consultations reported in week 6, 2013.
? Altogether 184 alerts were investigated and response were provided to 21 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 7, 2013, no new wild polio case was reported from any district. The total number
of polio cases for year 2013 remains 2 type‐1, while, the total number of wild polio cases
country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3 & 1 mixture type‐1 & 3)
from 28 districts/tribal agencies (compared to 60 in 2011).
...
CCHF
...
In week 7, 2013, no new CCHF case reported from any district. The total number of CCHF cases remains 3 for the year 2013. In week 6, 2013, A 26 year old female patient admitted at the PIMS hospital in Islamabad as a suspected case of CCHF. Laboratory results confirmed the case positive for
CCHF. The epidemiological investigation revealed history of Fever with rash later on developed gum bleeding and brought to PIMS hospital. Currently the patient is stable with all vital signs with in the normal range and discharged from hospital. The case have no epidemiological link.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012(14,984 cases & 310 deaths - Ro); and illustrates the alerts and outbreaks in 2013 up till week 6 (9 Feb 2013) (5,729 cases &177 deaths - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 10, Wednesday 13 March 2013
Epidemiological week no. 10
(3 to 9 March, 2013)

? Measles: This week a total of 59 alerts investigated, responding and
monitoring to 8 outbreaks. 459 measles cases from 40 districts,
while 3 deaths reported from 3 districts. Vitamin‐A drops provided
to all the suspects and district health teams took action to improve vaccination in affected areas.
? 83 districts and 2533 health facilities have reported to DEWS this
week 10, compared with 80 districts with 2469 health facilities
shared weekly data in week 9, 2013 to the Disease Early Warning System (DEWS).
? 961,947 patients? consultations were reported in week 10, 2013
compared to 919,312 consultations reported in week 9, 2013.
? Altogether 95 alerts were investigated and response were provided to 12 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 10, 2013, no new polio case was reported in the country. An the total number of
polio cases and infected districts in the country remain 5. The total number of wild polio
cases country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3 & 1 mixture type‐1 &
3) from 28 districts/tribal agencies (compared to 60 in 2011).
...
CCHF
...
In week 10, 2013, no new CCHF case reported
from any district. The total number of CCHF cases remains
3 for the year 2013. The last case reported in this
year was in week 6, 2013, A 26 year old female patient
admitted at the PIMS hospital in Islamabad as a suspected
case of CCHF. Laboratory results confirmed the
case positive for CCHF. The epidemiological investigation
revealed history of Fever with rash later on developed
gum bleeding and brought to PIMS hospital. Currently
the patient is stable with all vital signs with in the normal
range and discharged from hospital. The case have no epidemiological link.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012 (14,984 cases & 310 fatalities - Ro); and illustrates the alerts and outbreaks in 2013 up till week 10 (9 March 2013) (7468 cases & 195 deaths - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 11, Wednesday 20 March 2013
Epidemiological week no. 11
(10 to 16 March, 2013)

? Measles: This week a total of 55 alerts investigated, responding and
monitoring to 7 outbreaks. 312 measles cases from 38 districts,
while 15 deaths reported from 4 districts. Vitamin‐A drops provided
to all the suspects and district health teams took action to improve
vaccination in affected areas.
? 81 districts and 2449 health facilities have reported to DEWS this
week 11, compared with 83 districts with 2533 health facilities
shared weekly data in week 10, 2013 to the Disease Early Warning
System (DEWS).
? 898,164 patients? consultations were reported in week 11, 2013 compared to 961,947 consultations reported in week 10, 2013.
? Altogether 102 alerts were investigated and response were provided
to 9 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 11, 2013, no new polio case was reported in the country. An the total number of
polio cases and infected districts in the country remain 5. The total number of wild polio
cases country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3 & 1 mixture type‐1 &
3) from 28 districts/tribal agencies (compared to 60 in 2011).
...
CCHF
...
In week 11, 2013, no new CCHF case reported
from any district. The total number of CCHF cases remains
3 for the year 2013. The last case reported in this year was
in week 6, 2013, A 26 year old female patient admitted at
the PIMS hospital in Islamabad as a suspected case of
CCHF. Laboratory results confirmed the case positive for
CCHF. The epidemiological investigation revealed history
of Fever with rash later on developed gum bleeding and
brought to PIMS hospital. Currently the patient is stable
with all vital signs with in the normal range and discharged
from hospital. The case have no epidemiological link.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
11 (16 March 2013) (8,030 cases & 212 fatalities - Ro).
...
http://www.emro.who.int/images/stor...kly-Epidemiological-Bulletin-11-20032013r.pdf
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 12, Wednesday 27 March 2013
Epidemiological week no. 12
(17 to 23 March, 2013)

? Measles: This week a total of 56 alerts investigated, responding and
monitoring to 4 outbreaks. 462 measles cases from 35 districts,
while 7 deaths reported from 6 districts. Vitamin‐A drops provided
to all the suspects and district health teams took action to improve
vaccination in affected areas.
? 75 districts and 2289 health facilities have reported to DEWS this
week 12, compared with 81 districts with 2449 health facilities
shared weekly data in week 11, 2013 to the Disease Early Warning
System (DEWS).
? 816,360 patients? consultations were reported in week 12, 2013
compared to 907,704 consultations reported in week 11, 2013.
? Altogether 93 alerts were investigated and response were provided
to 6 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 12, 2013, no new polio case was reported in the country. An the total number of
polio cases and infected districts in the country remain 5. The total number of wild polio
cases country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3 & 1 mixture type‐1 &
3) from 28 districts/tribal agencies (compared to 60 in 2011).
...
CCHF
...
In week 12, 2013, no new CCHF case reported
from any district. The total number of CCHF cases remains
3 for the year 2013. The last case reported in this
year was in week 6, 2013, A 26 year old female patient
admitted at the PIMS hospital in Islamabad as a suspected
case of CCHF. Laboratory results confirmed the
case positive for CCHF. The epidemiological investigation
revealed history of Fever with rash later on developed
gum bleeding and brought to PIMS hospital. Currently the
patient is stable with all vital signs with in the normal
range and discharged from hospital. The case have no
epidemiological link.
...
Measles
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
12 (23 March 2013) (8,532 cases & 218 fatalities).
...
http://www.emro.who.int/images/stor...ekly-Epidemiological-Bulletin-12-27032013.pdf
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 13, Wednesday 3 April 20
Epidemiological week no. 13
(24 to 30 March, 2013)

? Measles: This week a total of 48 alerts investigated, responding and
monitoring to 1 outbreak. 186 measles cases from 29 districts,
while 2 deaths reported from 1 district. Vitamin‐A drops provided
to all the suspects and district health teams took action to improve
vaccination in affected areas.
? 77 districts and 2257 health facilities have reported to DEWS this
week 13, compared with 75 districts with 2289 health facilities
shared weekly data in week 12, 2013 to the Disease Early Warning
System (DEWS).
? 845,517 patients? consultations were reported in week 13, 2013
compared to 816,360 consultations reported in week 12, 2013.
? Altogether 70 alerts were investigated and response were provided
to 2 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 13, 2013, no new polio case was reported in the country. The total number of
polio cases and infected districts in the country remain 5 in 2013. The total number of wild
polio cases country wide for the year 2012 remains 58 (55 type‐1, 2 type‐3 & 1 mixture
type‐1 & 3) from 28 districts/tribal agencies (compared to 60 in 2011).
...
CCHF
...
In week 13, 2013, 1 new suspected CCHF case
reported from district Loralai, Balochistan. The laboratory
result is awaited. The total number of CCHF cases
were 4 for the year 2013. The case have no epidemiological
link.
...

Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
13 (30 March 2013) (8,898 cases & 220 fatalities - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 16, Wednesday 24 April 2013
Epidemiological week no. 16
(14 to 20 Apr, 2013)

? Measles: This week a total of 29 alerts investigated, responding and
monitoring 4 outbreaks. 131 measles cases were reporting from 17
districts. Vitamin‐A drops provided to all the suspects and district
health teams took action to improve vaccination in affected areas.
? 68 districts and 1909 health facilities have reported to DEWS this
week 16, compared with 67 districts with 1933 health facilities
shared weekly data in week 15, 2013 to the Disease Early Warning
System (DEWS).
? 660,250 patients? consultations were reported in week 16, 2013
compared to 741,952 consultations reported in week 15, 2013.
? Altogether 58 alerts were investigated and response were provided
to 6 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 16, 2013, no new polio case reported from any district. The total number of polio
cases as well as the infected districts/towns in the country for the year 2013 remain 6
(compared to 16 cases from the 10 districts/towns/agencies during the same time period
last year).
...
CCHF
...
In week 16, 2013, 2 new suspected CCHF cases
were reported; 1 from district Killasaifullah, Balochistan (Lab
confirmed positive, case was expired), and 2nd case belongs
to Afghanistan Lab reported negative for CCHF. The expired
case was 35 years old male and is a driver by profession
found clear contact history with animals, taking care in home
and as well as transporting animal in his vehicle from market
to different places. A few days ago he delivered some cattle
and later on developed high grade fever, body ache with gum
bleeding. Platelets count was 8000 only and could not survived.
Health session in the community conducted. The total
8 CCHF cases have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
16 (20 April 2013) (9,522 cases & 243 fatalities - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 17, Wednesday 1 May 2013
Epidemiological week no. 17
(21 to 27 Apr, 2013)

? Measles: This week a total of 51 alerts investigated, responding and
monitoring 8 outbreaks. 412 measles cases were reporting from 23
districts. Vitamin‐A drops provided to all the suspects and district
health teams took action to improve vaccination in affected areas.
? 65 districts and 1962 health facilities have reported to DEWS this
week 17, compared with 68 districts with 1909 health facilities
shared weekly data in week 16, 2013 to the Disease Early Warning
System (DEWS).
? 694,737 patients? consultations were reported in week 17, 2013
compared to 684,959 consultations reported in week 16, 2013.
? Altogether 72 alerts were investigated and response were provided
to 9 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 17, 2013, no new polio case reported from any district. The total number of polio
cases as well as the infected districts/towns in the country for the year 2013 remain 6
(compared to 16 cases from the 10 districts/towns/agencies during the same time period
last year).
...
CCHF
...
In week 17, 2013, no new CCHF cases were
reported from any district; The last 2 cases were in
week 16 out of which 1 from district Killasaifullah,
Balochistan (Lab confirmed positive, case was expired),
and 2nd case belongs to Afghanistan Lab
reported negative for CCHF. The expired case was 35
years old male and was a driver by profession found
clear contact history with animals, taking care in
home and as well as transporting animal in his vehicle
from market to different places. A few days ago
he delivered some cattle and later on developed
high grade fever, body ache with gum bleeding. Platelets count was 8000 only and could not survived. Health session in the community conducted.
The total 8 CCHF cases have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
17 (27 April 2013) (10,020 cases with 246 deaths - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 18, Wednesday 8 May 2013
Epidemiological week no. 18
(28 Apr to 4 May 2013)

? Measles: This week a total of 91 alerts investigated. 425 measles
cases were reporting from 23 districts.
Vitamin‐A drops provided to all the suspects and district health
teams took action to improve vaccination in affected areas.
? 66 districts and 1913 health facilities have reported to DEWS this
week 18, compared with 65 districts with 1962 health facilities
shared weekly data in week 17, 2013 to the Disease Early Warning
System (DEWS).
? 643,119 patients? consultations were reported in week 18, 2013
compared to 694,737 consultations reported in week 17, 2013.
? Altogether 110 alerts were investigated and response were provided
to 7 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 18, 2013, no new polio case reported from any district. The total number of polio
cases as well as the infected districts/towns in the country for the year 2013 remain 6
(compared to 16 cases from the 10 districts/towns/agencies during the same time period
last year).
...
CCHF
In week 18, 2013, no new CCHF cases were reported from
any district; The last 2 cases were in week 16 out of which 1 from district
Killasaifullah, Balochistan (Lab confirmed positive, case was expired),
and 2nd case belongs to Afghanistan Lab reported negative for
CCHF. The expired case was 35 years old male and was a driver by
profession found clear contact history with animals, taking care in
home and as well as transporting animal in his vehicle from market to
different places. A few days ago he delivered some cattle and later on
developed high grade fever, body ache with gum bleeding. Platelets
count was 8000 only and could not survived. Health session in the community conducted. The total 8 CCHF cases have been reported in year
2013.
...
Measles
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
18 (4 May 2013)(10,446 cases & 252 fatalities - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 20, Wednesday 22 May 2013
Epidemiological week no. 20
(12 to 18 May 2013)

? Measles: This week a total of 75 alerts investigated. 407 measles
cases were reporting from 23 districts. Vitamin‐A drops provided to
all the suspects and district health teams took action to improve vaccination
in affected areas.
? 69 districts and 1906 health facilities have reported to DEWS this
week 20, compared with 64 districts with 1758 health facilities
shared weekly data in week 19, 2013 to the Disease Early Warning
System (DEWS).
? 716,549 patients? consultations were reported in week 20, 2013
compared to 609,441 consultations reported in week 19, 2013.
? Altogether 102 alerts were investigated and response were provided
to 3 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 20, 2013, no new polio case was reported from any district in the country. Till now
total number of cases in 2013 is 8 (compared to 17 during the same time period last year)
from 7 districts/towns/agency (compared to 10 during the same time period last year). (FluTrackers has found 10 cases reported from various agencies and media - see this thread http://www.flutrackers.com/forum/showthread.php?t=198340 - Ro)
...
CCHF
In week 20, 2013, two new suspected CCHF cases reported 1 from district Quetta, Balochistan (Lab result awaited). The suspected
case is 18 years old male found no contact history
with animals, admitted at Fatima Jinnah
Chest Hospital, Quetta. Platelets count was
22000 at the time of admitting in the hospital
and now improving. While the 2nd cases reported
from Karachi, Province Sindh, a 38 year
old male resident of district Pishin, Balochistan
running a hotel in Karachi, found clear contact
history with animals, taking care in home, Platelets count was 14000 at the time of admitting in the hospital but could not survive and expired
on 13 May, 2013. The total 13 CCHF cases have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
20 (18 May 2013) (11,337 cases & 266 fatalities - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 21, Wednesday 29 May 2013
Epidemiological week no. 21
(19 to 25 May 2013)

? Measles: This week a total of 94 alerts investigated. 534 measles
cases were reporting from 26 districts. Vitamin‐A drops provided to
all the suspected cases and district health teams took action to improve
vaccination in affected areas.
? 72 districts and 2094 health facilities have reported to DEWS this
week 21, compared with 69 districts with 1906 health facilities
shared weekly data in week 20, 2013 to the Disease Early Warning
System (DEWS).
? 827,852 patients? consultations were reported in week 21, 2013
compared to 789,669 consultations reported in week 20, 2013.
? Altogether 126 alerts were investigated and response were provided
to 4 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 20, 2013, one new type‐1 wild polio case was reported from Federally Administered
Tribal Areas (F.R Bannu), bringing the total number of polio cases in 2013 to 9
(compared to 22 during the same time period last year) from 8 districts/towns/tribal agencies
(compared to 13 during the same time period last year).
...
CCHF
...
In week 21, 2013, No new suspected CCHF case was
reported from any area in the country. The last two cases were
reported in week 20, 2013, two suspected CCHF cases reported
1 from district Quetta, Balochistan (Lab result awaited).
The suspected case is 18 years old male found no contact history
with animals, admitted at Fatima Jinnah Chest Hospital,
Quetta. Platelets count was 22000 at the time of admitting in
the hospital and now improving. While the 2nd case (positive)
reported from Karachi, Province Sindh, a 38 year old male
resident of district Pishin, Balochistan running a hotel in Karachi,
found clear contact history with animals, taking care in home, Platelets count was 14000 at the time of admitting in the hospital but
could not survive and expired on 13 May, 2013. The total 13 CCHF cases have been reported in year 2013.
...
Measles
No data provided this week - Ro
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 23, Wednesday 12 June 2013
Epidemiological week no. 23
(2 to 8 June 2013)

? Measles: This week a total of 66 alerts investigated. 430 measles
cases were reporting from 27 districts. Vitamin‐A drops provided to
all the suspected cases and district health teams took action to improve
vaccination in affected areas.
? 73 districts and 2105 health facilities have reported to DEWS this
week 23, compared with 73 districts with 2099 health facilities
shared weekly data in week 22, 2013 to the Disease Early Warning
System (DEWS).
? 785,730 patients? consultations were reported in week 23, 2013
compared to 827,517 consultations reported in week 22, 2013.
? Altogether 104 alerts were investigated and response were provided
to 5 outbreaks.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 23, 2013, 4 new type‐1 wild polio cases were reported from Federally Administered
Tribal Areas (FATA; 3 from Khyber agency and 1 from FR Bannu), bringing the total
number of polio cases to 14 in 2013 (compared to 22 during the same time period last
year) from 8 districts/towns/tribal agencies /areas (compared to 13 during the same time
period last year).
...
CCHF
...
In week 23, 2013, 1 new CCHF case was reported from
Islamabad resident of district Killa Abdulla, Balochistan (Lab result
Positive for CCHF). The case is 45 years old female (housewife)
found clear contact history with animals, admitted at Shifa Int?l
Hospital, Islamabad for treatment. Platelets count was 17000 at
the time of admitting in the hospital and now improving. While
the 2nd case (Lab result awaiting) reported from same district Killa
Abdulla, Province Balochistan, a 28 year old male, labor by profession
found no contact history with animals (but have animals
around his working place), Platelets count was 34000 at the time
of admitting in the hospital. The total 16 CCHF cases have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
23 (8 June 2013). (12,951 cases & 290 fatalities - Ro)
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 24, Wednesday 19 June 2013
Epidemiological week no. 24
(9 to 15 June 2013)

? Measles: This week a total of 97 alerts investigated. 457 measles
cases were reported from 35 districts.
Vitamin‐A drops provided to the suspected cases and district
health teams were contacted to improve vaccination in affected areas.

? 71 districts and 2020 health facilities have reported to Disease Early
Warning system (DEWS) this week 24, compared to 73 districts with
2105 health facilities shared weekly data in week 23, 2013 to the DEWS.

? 810,623 patients consultations were reported in week 24, 2013
compared to 792,860 consultations reported in week 23, 2013.

? Altogether 137 alerts were investigated and 2 new outbreaks along
with 4 ongoing outbreaks were responded.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 24, 2013, 2 new wild polio cases (type‐1) were reported 1 each from Federally
Administered Tribal Areas (Khyber agency) and Punjab province (Mandi Bahauddin district),
bringing the total number of polio cases in 2013 to 16 (compared to 23 during the
same time period last year) from 9 districts/towns/tribal agencies /areas (compared to 13
during the same time period last year) .
...
CCHF
...
In week 24, 2013, 4 new suspected CCHF cases
with 1 deaths were reported from Quetta, Balochistan. 3
out of 4 cases were male (30yrs‐Butcher; 50yrs‐Laborer;
and 57yrs‐animal handler) all having history of animal
contact. While the 4th case is 20 years old female
(housewife) with a history of contact animals at home.
Total 24 suspected, 13 confirmed CCHF cases and 8
deaths have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
24 (15 June 2013) (13,445 cases & 295 fatalities - Ro).
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 25, Wednesday 26 June 2013
Epidemiological week no. 25
(16 to 22 June 2013)

? Measles: This week a total of 93 alerts investigated. 491 measles
cases were reported from 35 districts. Vitamin‐A drops provided to
the suspected cases and district health teams were contacted to
improve outreach vaccination in affected areas.

? 69 districts and 1986 health facilities have reported to Disease Early
Warning system (DEWS) this week 25, compared to 71 districts with
2105 health facilities shared weekly data in week 24, 2013 to
the DEWS.

? Total 848,574 patients consultations reported this week compared
to 847,362 consultations in week 24, 2013.

? Altogether 134 alerts were investigated and 7 outbreaks were identified
and timely responded.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 24, 2013, 1 new type‐1 wild polio case was reported from the Federally Administered
Tribal Areas (Khyber agency), bringing the total number of polio cases to 17 in 2013
(compared to 24 during the same time period last year) from 9 districts/towns/tribal agencies
/areas (compared to 13 during the same time period last year).
...
CCHF
...
In week 25, 2013, 1 new suspected CCHF case
reported from Quetta, Balochistan. The case is male (18yrs
‐Tannery worker) having history of animal contact. Total 24
suspected, 13 confirmed CCHF cases and 8 deaths have
been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week
25 (22 June 2013). (13,947 cases and 300 fatalities - Ro)
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 26, Wednesday 26 June 2013
Epidemiological week no. 26
(23 to 29 June 2013)

? Measles: This week a total of 96 alerts investigated. 430 measles
cases were reported from 24 districts. Vitamin‐A drops provided to
the suspected cases and district health teams were contacted to
improve outreach vaccination in affected areas.
? 76 districts and 2081 health facilities have reported to Disease Early
Warning system (DEWS) this week 26, compared to 69 districts with
1986 health facilities shared weekly data in week 25, 2013 to
the DEWS.
? Total 833,036 patients consultations reported this week compared
to 890,309 consultations in week 25, 2013.
? Altogether 143 alerts were investigated and 5 outbreaks were identified
and timely responded.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 26, 2013, one new type‐1 wild polio case was reported from Federally Administered
Tribal Areas (North Waziristan agency), bringing the total number of polio cases to
18 in 2013 (compared to 24 during the same time period last year) from 10 districts/
towns/tribal agencies /areas (compared to 13 during the same time period last year).
...
CCHF
...
In week 26 and 27 (23 Jun ‐ 6 July), 2013, 7 new suspected
CCHF case reported, 4 from district Quetta; 1 from Sibi; 1
from Killa Abdullah in province Balochistan; while 1 case reported
from Afghanistan admitted in Fatima Jinnah Chest Hospital,
Quetta. 6 out of 7 suspected CCHF cases were admitted in Fatimah
Jinnah Chest hospital, Quetta; while 1 cases belongs to district
Sibi is admitted in Sandeman hospital, Quetta. All the laboratory
results were awaiting. All the suspected cases having history
of animal contact. Total 32 suspected, 13 confirmed CCHF cases
and 8 deaths have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week 26 (29 June
2013). (14,395 cases and 301 fatalities - Ro)
...
 
Re: Pakistan Epidemiological Bulletins 2013

Volume 4, Issue 28, Wednesday 17 July 2013
Epidemiological week no. 28

? Measles: This week a total of 65 alerts investigated. 287 measles
cases were reported from 27 districts. Vitamin‐A drops provided to
the suspected cases and district health teams were contacted to
improve outreach vaccination in affected areas.
? 81 districts and 2154 health facilities have reported to Disease Early
Warning system (DEWS) this week 28, compared to 76 districts with
2039 health facilities shared weekly data in week 27, 2013 to
the DEWS.
? Total 852,087 patients consultations reported this week compared
to 796,799 consultations in week 27, 2013.
? Altogether 93 alerts were investigated and 9 outbreaks were identified
and timely responded.
...
Distribution of Wild Polio Virus cases Pakistan 2012 and 2013
? In week 28, 2013, 3 new wild polio cases (type‐1) were reported in the country; 2 from
Federally Administered Tribal Areas (Khyber and North Waziristan Agencies) and 1 from
Khyber Pakhtunkhwa (Peshawar district) bringing the total number of polio cases to 21 in
2013 (compared to 27 during the same time period last year) from 11 districts/towns/
tribal agencies /areas (compared to 15 during the same time period last year).
...
CCHF
In last 2 weeks (week 28 and ongoing week 29), 2013, 5
suspected and 1 positive CCHF cases were reported. 4 suspected
cases including 1 death were from province Balochistan 2 each
from districts Quetta and Pishin; while 1 suspected case belongs
to Afghanistan (admitted in hospital in Quetta). All the cases
having history of contacts with animals at home and their products
(Boucher by profession). All the laboratory results were
awaiting. And 1 positive CCHF case reported from district Karachi,
province Sindh , a 50 years old female patient found with history
of contact with animals at home. Total 40 suspected, 14 confirmed
CCHF cases and 9 deaths have been reported in year 2013.
...
Measles
...
Table at the bottom summarizes the situation of measles in year 2012; and illustrates the alerts and outbreaks in 2013 up till week 28 (13 July
2013) (15,080 cases with 312 fatalities - Ro).
...
 
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