Re: Zimbabwe: Weekly Epidemiological Bulletin No. 40, week 53
Re: Zimbabwe: Weekly Epidemiological Bulletin No. 40, week 53
Excerpts from Bulletin No. 46 ending February 14 2010.
Cholera: 7 out of the 62 districts in the country have been affected by the cholera outbreak that started on 4 February,2010 compared to 54 districts last year at the same time. 57 cumulative cholera cases, 8 of which were confirmed and 1 death were reported by 14 February 2010 to the World Health Organization (WHO) through the Ministry of Health and Child Welfare's (MoHCW) National Health Information Unit. The crude case fatality rate since the outbreak started stands at 1.7%. In comparison by week 6, 2009, 75 789cumulative cases and 3 612 deaths had been reported, with a crude case fatality rate of4.8%.This year?s case fatality rate islower than last year?s by 3.1% .Week 6 (8? 14 February 2010) 42 suspected cases and 4 confirmed cases of cholera were reported this week. 32 suspected cases were reported from Masvingo Province districts namely; ward 27 and ward 28 Chivi 3, ward 30 ,Masvingo 2 , Mwenezi 1 and ward 16, Chiredzi 26 and one death from Chiredzi. 10cases were reported from Beitbridge.Investigation of a rumour of 7 cases of cholera from Zvishavane found that there was no cholera in the area.
-snip-
Pandemic Influenza A H1N1 (2009): By week ending 31 January, 253 cumulative probable1 cases of Pandemic H1N1 (2009) had been reported in Zimbabwe, 41 of which were confirmed by PCR (Polymerase chain reaction) tobe Pandemic H1N1 (2009).Week 6 (8? 14 February 2010)Zero cases of probable Pandemic Influenza A H1N1 (2009) were reported this week. As aresult we are now in the eleventh week without a case reported.
Geographical distribution of cases: The following provinces have reported cases: Manicaland, Harare, Mashonaland East andMidlands. The affected 8 districts are: Harare Urban, Chivhu, Marondera, Goromonzi, Seke,Mutasa, Nyanga and Chirumhanzu
-snip-
Measles: Nearly 1350 suspected cases were reported since the start of the outbreak in September2009. 812 blood specimens have been received by the polio-measles laboratory and 248 cases have been confirmed to be Measles IgM positive. 23 of the total positive cases had dates of last vaccination. The vaccination status of the remaining 225 cases was not indicated. 65 community deaths have been reported. 43(17%) of the positive igM cases were in the below 9 months, 26 (11%) in the 9 ? 12months agegroup, 46 (19%) were in the 1-5 years agegroup, 104 (42.1 %) were in the 5 -14years agegroup and 28(11%) in the above 14 Years. Hence 205 (83%) of the positive cases were above the routine immunisation age ( 9 months -12 months).
The district measles IgM positive attack rates ranged from 0.4 to 17 per 100 000 and the attack rate for all the affected districts is 3 per 100 000. The lowest attack rate was for Masvingo and the highest was for Bubi.See table 4 for detailed distribution of the cases by age group and district and attack rates.Week 6 (8 - 14 February 2010)14 specimens out of 134 received were IgM positive. 6 were negative, 1 indeterminate, 54were not done and 59 had results pending. Hence the weekly positivity rate is 67%(14/21).The positive cases came from : Bindura 2, Goromonzi 1, Harare 6, Marondera 1, Murehwa1, Mutoko 1, Seke 1 and Zvimba 1. See table 5 for detailed distribution.Geographical distribution of casesSince September 2009, 32 districts out of 62, have had at least 1 laboratory confirmedmeasles case namely: Bindura, Bikita, Bubi, Buhera, Bulawayo, Centenary, Chegutu,Chirumhanzu, Chipinge, Gokwe South, Goromonzi, Gutu, Harare (including Chitungwiza),Hwange, Hwedza, Insiza , Kwekwe, Makoni, Makonde, Marondera, Masvingo, Mt. Darwin,Mutare, Nyanga , Umzingwane, Seke, Zaka, Zvimba and Zvishavane.Confirmed laboratory Outbreaks21 Districts had confirmed laboratory outbreaks. The Districts are shaded in table 3.Suspected Outbreaks: 30 districts had suspected outbreaks.
http://74.125.113.132/search?q=cach...bulletin"+++"week+6"&cd=4&hl=en&ct=clnk&gl=us
The most recent OCHA monthly report here: http://ocha-gwapps1.unog.ch/rw/rwb.nsf/db900sid/MDCS-83GKFC/$File/full_report.pdf
indicates that as of Feb 28, measles fatalities have now reached 110. No new H1N1 cases, but a further 20 cholera cases in the last 2 weeks of February.
