epidemiological highlights

Epidemiological HighlightsWeek 33, 2021

1 |

Epidemiological Highlights

Week 33 (16-22 Aug 2021)


2 |

Highlights: COVID-19

As of week 33, (16-22 Aug 2021) there are 2,778 confirmed cases of COVID-19(SARS-CoV-2), 57,371 samples were tested, total positivity rate 4.8%.

This week (week 33), 101 new confirmed cases detected, 1,262 samples weretested, test positivity was 8.0%.

As of this week (week 33)• Median age of tested and confirmed cases is 11 (0-120) and 22 (0-100) years• Female among tested and confirmed cases is 54% and 52%• All 34/34 camps have confirmed cases (C3-171, C24-170, C2W-158, C15-151 and C17-147)• A total of 30 deaths from COVID-19 with the case fatality rate 1.1%• Cases per million in last 7 days 117.5, change in last 7 days 1%


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2020 2021

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COVID-19 positive cases (n=2,778) by epidemiological week by date of test

Male Female


4 |

Highlights: COVID-191 0 6 9 8 22 4

7 10

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TPR

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Weekly observed TPR, FDMN/Rogingya Refugees, Cox's Bazar

Positive cases per week_FDMN Negative cases per week_FDMN Observed TPR_7Day_FDMN


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Test Case TPR


6 |


52%

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7%

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Age and sex distribution (%) (n=2,778)

Female Male

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Death reported by age and sex (%) (n=30)

Female Male


7 |


Source: Go.Data

Asymptomatic, 10.1%

Mild, 78.4%

Moderate, 5.7%

Severe, 1.9%

Missing, 3.8%

Severity of reported cases at presentation (n=2,578)

Yes4.4%

No95.6%

Did the case report at least 1 co-morbidity (n=2,578)


8 |

Highlights: COVID-19 Contact Tracing

▪ Total 2,578 (out of 2,778) confirmed cases have been investigated by Rapid

Investigation and Response Team (RIRT, a camp wise CT network, composed of RIRT coordinator, Site Mx

representation, CT supervisor, currently camp 34 teams are working with 34 supervisors and over 300 volunteers i.e.,

contact tracer).

▪ Contact tracing has been done by CT supervisors with 5,832 contacts registered in

the Go.Data for follow up, out of 9,402 contact identified through field investigation

by RIRT.

▪ 3,393 (58%) contacts successfully completed the follow up.

▪ Two hundred and seventy-three (8.0%) contacts became tested positive for COVID-

19 during the incubation period.


9 |

EWARS Reporting Updates

▪ Total 172 health facilities registered in EWARS

▪ Only 125/172 weekly reports received on time in week 33

▪ Fifty-seven (57) alerts were triggered in week 33

▪ Timeliness of reporting for this week is 74%

▪ All alerts were reviewed and verified by WHO EWARS team, the number

is less than that of previous week (69 in week 32).


10 |

Highlights:

▪ Acute Respiratory Infection (16.1%), Diarrheal Diseases (5.0%) &

Unexplained Fever (0.9%) are the diseases with highest proportional

morbidity in week 33.

▪ Suspected SARI death under enhanced Community-based mortality

surveillance has been continued since week 28, 2020.

– One hundred twenty-six (126) suspected SARI deaths have been reported so far and

reviewed subsequently by Rapid Investigation and Response Team (RIRT) for COIVD-

19.

– Total eleven (11) SARI deaths were considered as death due to probable COVID-19

till date.


11 |

Diphtheria

One (1) suspected diphtheria case was reported in go.data in week 33

A total of 9 297 case-patients were reported since 2017 to till date

• Confirmed = 343

• Probable = 2 803

• Suspected = 6 151

Total case reported in 2021 = 112

• Confirmed = 1

• Probable = 25

• Suspected = 85

Last confirmed case was reported in week 1 (4 January 2021)

In total 47 deaths were reported, last death reported on 25 October 2019.


12 |

Diphtheria

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Total number of diphtheria case reported in EWARS from 2020-2021 W33

Confirm Probable Suspected


13 |

Measles

In week 33, 4 suspected measles cases were reported through weekly reporting make 371 cases in total in 2021. Out of those 272 cases (73%) reported through case-based reporting and samples collected for laboratory confirmation.

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Epidemiological Week

Total number of Measles case reported in EWARS from 2020- 2021 W33


14 |

Diarrhoeal Disease

▪ A total of 3,533 cases of diarrhoeal diseases reported in EWARS in week 33.

▪ Among which 2,516 cases (3.5%) reported as acute watery diarrhoea (AWD), remaining 758 (1.1%) and259 (0.4%) cases as other and bloody diarrhea, respectively out of all types of morbidities.

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2018 2019 2020 2021


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Cholera Surveillance

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16 |

Cholera Surveillance

• Total one hundred sixty-five (165)

Cholera RDT positive/culture cases

reported as of W33 2021. Out of

those 61 were confirmed by culture,

85 discarded and remaining results

19 yet to be received.

• In 2020, total 28 RDT/Culture

positive cases for Cholera detected

through sentinel testing. Specifically, 5

became confirmed by culture - 2 from

Ukhiya Host, 1 from Teknaf host and

2 from Refugees.

*3 culture confirmed cases were RDT negative in 2020

2018 2019 2020 2021 W33

RDT positive/culture

confirmed for Cholera 49 258 28 165

Culture confirmed

for Cholera 7 184 5* 61


17 |

Community-based Mortality surveillance

In week 33, 44 deaths were recorded –

• 71% (n=31) were due to causes classified as “Others”

• 11% (n=5) as still birth (Born Dead)

• 11% (n=5) as neonatal death

• 7% (n=3) as maternal death

▪ Out of reported deaths, 27.2% occurred in health facilities and 68.1% at

homes and 34.5% at community/public place.

▪ Partners to report all mortalities into EWARS platform using both case

and event-based reporting as applicable.


18 |

Community-based Mortality Surveillance

Bangladesh

Rohingya Emergency Response

Early Warning, Alert and Response System (EWARS)

Epidemiological Bulletin W33 2021

Ministry of Health and Family Welfare Bangladesh

Printed: 07:07 Wednesday, 01 September 2021 UTC

Contents

W33 2021

Highlights

Slide 1 Table 1 Coverage

Table 2 Early warning performance

Table 3 Alert performance

Early Warning

Alert

Slide 7 Table 8 Ukhia (Northern group) alerts by site/zone

Map 5 Ukhia (Northern group) alerts site/zone

Slide 8 Table 9 Ukhia (Southern group) alerts by site/zone

Map 6 Ukhia (Southern group) alerts site/zone

Slide 9 Table 10 Teknaf alerts by site/zone

Map 7 Teknaf alerts site/zone

Slide 10 Table 11 Performance by type of alert

Table 12 Risk Assessment

Sources of data

1. Weekly EWARS Reporting Form

2. Mortality Case Report Form

3. Event-based Surveillance Form

Slide 2 Map 1a Ukhia completeness by site/zone

Map 1b Teknaf completeness by site/zone

Slide 3 Table 4 Ukhia (Northern group) performance by site/zone

Map 2 Ukhia (Northern group) completeness by site/zone

Slide 4 Table 5 Ukhia (Southern group) performance by site/zone

Map 3 Ukhia (Southern group) completeness by site/zone

Slide 5 Table 6 Teknaf performance by site/zone

Map 4 Teknaf completeness by site/zone

Slide 6 Table 7 Performance by partner

Highlights W33 2021

1 W33 2021

Table 1 | Coverage

# %

866,457 - Estimated total Rohingya population1

866,457 100% Total population under surveillance

175 - Total number of health facilities

172 98% Number of EWARS reporting sites

Table 2 | Early warning performance indicators

W33 Cumulative (2021)

Table 3 Alert performance indicators


57 2,171 Total alerts raised

100% 100% % verified

0% 0% % auto-discarded

0% 1% % undergoing risk assessment

0% 1% % completed risk assessment

128 5303 Number of weekly reports received

74% 91% Completeness

74% 84% Timeliness

1 Source: UNHCR. Bangladesh: Joint Government of Bangladesh- UNHCR Population Factsheet. 31 December 2020.

Early Warning | Ukhia and Teknaf

2 W33 2021

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Map 1a | Ukhia completeness by camp Map 1b | Teknaf completeness by camp

Camp 10

Camp 11

Camp 12

Camp 13

Camp 14

Camp 15

Camp 16

Camp 17

Camp 18

Camp 19

Camp 1E

Camp 1W

Camp 20

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang

Camp 23 Shamlapur

Camp 24 Leda

Camp 25 Ali Khali

Camp 26 Nayapara

Camp 27 Jadimura

Camp 2E

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang

Camp 23 Shamlapur

Camp 24 Leda

Camp 25 Ali Khali

Camp 26 Nayapara

Camp 27 Jadimura

Camp 2E

Camp 9

Kutupalong RC

Nayapara RC

Camp 9

Kutupalong RC

Nayapara RC

Completeness

0 25% 50% 75% 100%

Completeness

0 25% 50% 75% 100%

16

1 Camp 10

2 Camp 11 15 3 Camp 12

4 Camp 13

5 Camp 14

6 Camp 15

7 Camp 16

8 Camp 17

9 Camp 18

10 Camp 19

11 Camp 1E 17 12 Camp 1W

13 Camp 20

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27 Camp 5 27 Camp 5 28 Camp 6 28 Camp 6

29 Camp 7 5 29 Camp 7

30 Camp 8E 30 Camp 8E 31 Camp 8W 31 Camp 8W

Early Warning | Ukhia (Northern Group)

Completeness

25% 50% 75% 100% 0

3 W33 2021

7

Table 4 | Performance by camp (W33 2021) Map 2 | Completeness by camp

Northern Reporting Performance 1 Camp 10

group 2

3 # health # reports

Completeness Timeliness 4

Camp 11

Camp 12

Camp 13

11

12 33

facilities received 5 Camp 14

Ukhia Northern Group 6

8

Camp 15

Camp 16 25 Camp 17 26

24 23 22

9 Camp 18 28 29 10 Camp 19

11 Camp 1E

12 Camp 1W

13 Camp 20

14 Camp 20 Ext

15 Camp 21 Chakmarkul

16 Camp 22 Unchip1ra4ng

27

8 31 30

13 1 32

17 Camp 23 Shamlapur 9 18 Camp 24 Leda

19 Camp 25 Ali Khali

20 Camp 26 Nayapara

21 Camp 27 Jadimura

22 Camp 2E 23 Camp 2W

24 Camp 3

25 Camp 4

26 Camp 4 Ext

27 Camp 5 28 Camp 6

29 Camp 7

30 Camp 8E

31 Camp 8W

32 Camp 9

33 Kutupalong RC

34 Nayapara RC

10 2

4 3

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6

7

Camp 1E 4 4 100% 100%

Camp 1W 4 3 75% 75%

Camp 2E 3 3 100% 100%

Camp 2W 4 3 75% 75%

Camp 3 6 6 100% 100%

Camp 4 6 6 100% 100%

Camp 4 Ext 1 1 100% 100%

Camp 5 5 5 100% 100%

Camp 6 3 3 100% 100%

Camp 7 5 4 80% 80%

Camp 8E 8 7 88% 88%

Camp 8W 4 4 100% 100%

Kutupalong RC

2 2 100% 100%

Early Warning | Ukhia (Southern Group)

Completeness

25% 50% 75% 100% 0

4 W33 2021

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received

Camp 16

Camp 25 Ali Khali

Camp 27 Jadimura

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Camp 23 Shamlapur

Camp 4


Southern group

Reporting Performance Camp 10

Camp 12

# health facilities

# reports Completeness Timeliness

Camp 13

Camp 14

Ukhia Southern Group Camp 15

Camp 17

Camp 19

Camp 1E

Camp 1W

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang

Camp 24 Leda

Camp 26 Nayapara

Camp 2E

Camp 2W

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Camp 4 Ext

Camp 5

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Camp 7

Camp 8E

Camp 8W

Camp 9

Kutupalong RC

Nayapara RC

Camp 20

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14 13 9 1 32

10 2

4 3

Camp 10 4 4 100% 100%

Camp 11 9 9 100% 100%

Camp 12 6 6 100% 100%

Camp 13 9 8 89% 89%

Camp 14 7 7 100% 100%

Camp 15 9 8 89% 89%

Camp 16 6 6 100% 100%

Camp 17 5 4 80% 80%

Camp 18 5 5 100% 100%

Camp 19 6 6 100% 100%

Camp 20 3 3 100% 100%

Camp 20 Ext 2 2 100% 100%

Camp 9 6 4 67% 67%

Early Warning | Teknaf

Completeness

25% 50% 75% 100% 0

5 W33 2021

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Camp 13


Teknaf Reporting Performance Camp 10

Camp 11

# health facilities

# reports received

Ukhia Teknaf

Completeness Timeliness Camp 12

Camp 14

Camp 15

Camp 16

Camp 17

Camp 18

Camp 19

Camp 1E

Camp 1W

Camp 20

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang

Camp 23 Shamlapur

Camp 24 Leda

Camp 25 Ali Khali

Camp 26 Nayapara

Camp 27 Jadimura

Camp 2E

Camp 2W

Camp 3

Camp 4

Camp 4 Ext

Camp 5

Camp 6

Camp 7

Camp 8E

Camp 8W

Camp 9

Kutupalong RC

Nayapara RC

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3240

21

Camp 21 Chakmarkul

4 4 100% 100%

Camp 22 Unchiprang

4 4 100% 100%

Camp 23 Shamlapur

3 3 100% 100%

Camp 24 Leda 1 1 100% 100%

Camp 25 Ali Khali

3 3 100% 100%

Camp 26 Nayapara

4 4 100% 100%

Camp 27 Jadimura

2 2 100% 100%

Nayapara RC 2 2 100% 100%

Early Warning | Partner performance

Table 7 | Performance by partner (W33 2021)

Partner Performance Reporting Partner Performance Reporting

# sites

# reports received

Completeness Timeliness

# sites

# reports received

Completeness Timeliness

AKF 1 0 0% 0% IRC 2 0 0% 0%

AWARD 7 7 100% 100% MSF 9 2 22% 22%

BASHMAH 1 1 100% 100% MoH 21 10 48% 48%

BDRCS 11 10 90% 90% MHI 2 0 0% 0%

BRAC 11 11 100% 100% Medair 2 2 100% 100%

CARE 4 4 100% 100% FH/MTI 3 3 100% 100%

DAM 2 2 100% 100% PRANTIC 1 1 100% 100%

DBC 1 1 100% 100% PULSE 1 0 0% 0%

DSK 1 0 0% 0% QC 1 1 100% 100%

DCHT 2 2 100% 100% PHD 10 8 80% 80%

FRNDS 10 8 80% 80% RPN 2 2 100% 100%

GK 10 10 100% 100% RHU 3 3 100% 100%

Global One 1 0 0% 0% RI 3 3 100% 100%

GUSS 1 1 100% 100% RTMI 9 9 100% 100%

HAEFA 2 2 100% 100% SALT 1 1 100% 100%

HAIB 8 0 0% 0% SCI 7 7 100% 100%

HMBDF 2 1 50% 50% SHED 0 0

HOPE 1 0 0% 0% Turkish Government

1 0 0% 0%

ICRC 1 0 0% 0%

TdH 2 2 100% 100% IOM 15 13 87% 87%

6 W33 2021

Alert | Ukhia (Northern Group)

# of alerts

0 2 5 10

7 W33 2021

1 13

Table 8 | Performance by camp Map 5 | Number of alerts by camp

Northern group


# alerts % verif. # alerts % verif.

Camp 10

Camp 11

Camp 12

Camp 13

Camp 14

11

12 33

Alerts Northern group Camp 15

Camp 16

Camp 17

25 24 23 22

26 Camp 18

Camp 19

Camp 1E

Camp 1W

Camp 20

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang Camp 23 Shamlapur

Camp 24 Leda

Camp 25 Ali Khali

27 28 29

8 31 30

9 1 32

Camp 26 Nayapara

Camp 27 Jadimura

Camp 2E

Camp 2W

Camp 3

Camp 4

Camp 4 Ext

Camp 5

Camp 6

Camp 7

Camp 8E

Camp 8W

Camp 9

Kutupalong RC

Nayapara RC

10 2

4 3

5

6

7

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Camp 1E 0 0% 50 100%

Camp 1W 2 100% 63 100%

Camp 2E 9 100% 215 100%

Camp 2W 1 100% 52 100%

Camp 3 4 100% 109 100%

Camp 4 7 100% 122 100%

Camp 4 Ext 0 0% 20 100%

Camp 5 0 0% 92 100%

Camp 6 2 100% 51 100%

Camp 7 1 100% 24 100%

Camp 8E 0 0% 30 100%

Camp 8W 2 100% 112 100%

Kutupalong RC

1 100% 21 100%

Alert | Ukhia (Southern Group)

# of alerts

0 2 5 10

8 W33 2021


Southern group



Alerts Northern group

Camp 10

Camp 11

Camp 12

Camp 13

Camp 14

Camp 15

Camp 16

Camp 17

Camp 18

Camp 19

Camp 1E

Camp 1W

Camp 20

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang

Camp 23 Shamlapur

Camp 24 Leda

Camp 25 Ali Khali

Camp 26 Nayapara

Camp 27 Jadimura

Camp 2E

Camp 2W

Camp 3

Camp 4

Camp 4 Ext

Camp 5

Camp 6

Camp 7

Camp 8E

Camp 8W

Camp 9

Kutupalong RC

Nayapara RC

5

6

7

25 24 23

26

33

22

27 28 29

8 31 30

14 13 9 1 32

10 2

4 3

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Camp 10 2 100% 70 100%

Camp 11 1 100% 81 100%

Camp 12 0 0% 71 100%

Camp 13 3 100% 91 100%

Camp 14 0 0% 64 100%

Camp 15 1 100% 83 100%

Camp 16 2 100% 89 100%

Camp 17 2 100% 59 100%

Camp 18 3 100% 108 99%

Camp 19 5 100% 59 100%

Camp 20 1 100% 48 100%

Camp 20 Ext 1 100% 35 100%

Camp 9 2 100% 87 100%

Alert | Teknaf

# of alerts

0 2 5 10

9 W33 2021


Teknaf W33 Cumulative (2021)


Alerts Northern group

Camp 10

Camp 11

Camp 12

Camp 13

Camp 14

Camp 15

Camp 16

Camp 17

Camp 18

Camp 19

Camp 1E

Camp 1W

Camp 20

Camp 20 Ext

Camp 21 Chakmarkul

Camp 22 Unchiprang

Camp 23 Shamlapur

Camp 24 Leda

Camp 25 Ali Khali

Camp 26 Nayapara

Camp 27 Jadimura

Camp 2E

Camp 2W

Camp 3

Camp 4

Camp 4 Ext

Camp 5

Camp 6

Camp 7

Camp 8E

Camp 8W

Camp 9

Kutupalong RC

Nayapara RC

15

16

17

19 18

3240

21

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Camp 21 Chakmarkul

0 0% 19 100%

Camp 22 Unchiprang

2 100% 55 100%

Camp 23 Shamlapur

0 0% 16 100%

Camp 24 Leda 2 100% 48 100%

Camp 25 Ali Khali

0 0% 20 100%

Camp 26 Nayapara

1 100% 80 100%

Camp 27 Jadimura

1 100% 11 100%

Nayapara RC 2 100% 34 100%

Alert | Event risk assessment

10 W33 2021

Table 11 | Performance by type of alert Table 12 | Risk assessment

Event W33 Cumulative (2021)


Indicator-based surveillance


Malaria 0 0% 4 100%

Measles 4 100% 256 100%

Bloody Diarr. 0 0% 0 0%

AFP 0 0% 9 100%

Meningitis 0 0% 24 100%

Haem. fever (susp.)

0 0% 8 100%

NNT 0 0% 2 100%

Unexp. fever 4 100% 101 100%

AWD 4 100% 209 100%

ARI 8 100% 200 100%

AJS 1 100% 32 100%

Varicella (Susp.) 0 0% 31 100%

Suspected COVID-19

0 0% 0 0%

Event-based surveillance

EBS total 8 100% 149 100%

0 19 Low risk

0 2 Moderate risk

0 1 High risk

0 0 Very high risk

For more help and support,

please contact:

Dr. Shownam Barua

Medical Officer - Civil Surgeon Office (MO-CS)

Ministry of Health and Family Welfare

Cox's Bazar, Bangladesh

Telephone: +88 01723350483

Email: [email protected]

Dr. Feroz Hayat Khan

National Professional Officer (Disease Surveillance &

Epidemiology)

World Health Organization

Cox's Bazar, Bangladesh

Telephone: +88 017 0120 2994


Ministry of Health and Family Welfare Bangladesh

Notes

WHO and the Ministry of Health and Family Welfare gratefully acknowledge all partners who have

reported the data used in this bulletin.

The data been collected with support from the EWARS project. This is an initiative to strengthen early

warning, alert and response in emergencies. It includes an online, desktop and mobile application that

can be rapidly configured and deployed in the field. It is designed with frontline users in mind, and built

to work in difficult and remote operating environments. This bulletin has been automatically published

from the EWARS application.

More information can be found at http://ewars-project.org

Sign-up for an account with EWARS Bangladesh at http://bd.ewars.ws

mailto:[email protected]

mailto:[email protected]

http://ewars-project.org/

http://bd.ewars.ws/

BangladeshRohingya Emergency Response

Ministry of Health and FamilyWelfare Bangladesh Printed: 08:44 Tuesday, 24 August 2021 UTC

Early Warning, Alert and Response System (EWARS)Annex W33 2021

Figure 1 | Proportional morbidity (W33 2021)

0.0% Acute Respiratory Infection (ARI) Acute Watery Diarrhoea Bloody diarrhoea Other diarrhoea Varicella (susp.)

Unexplained fever Acute Jaundice Syndrome (AJS) Measles/Rubella Other Vector-borne disease Combines malaria and dengue cases (suspected and confirmed)

Disease W33 2021

# cases % morbidity # cases % morbidity

AWD 2,516 3.5% 96,977 3.5%

Bloody diarr. 259 0.4% 11,741 0.4%

Other diarr. 758 1.1% 31,760 1.2%

Susp. Varicella 4 0.0% 3,504 0.1%

ARI 11,619 16.1% 475,188 17.4%

Measles/Rub. 4 0.0% 379 0.0%

AFP 0 0.0% 9 0.0%

Susp. menin. 0 0.0% 86 0.0%

AJS 10 0.0% 342 0.0%

Susp. HF 0 0.0% 14 0.0%

Neo. tetanus 0 0.0% 0 0.0%

Adult tetanus 0 0.0% 12 0.0%

Malaria (conf.) 0 0.0% 16 0.0%

Malaria (susp.) 599 0.8% 23,131 0.8%

Dengue (conf.) 0 0.0% 3 0.0%

Dengue (susp.) 0 0.0% 29 0.0%

Unexpl. fever 674 0.9% 30,715 1.1%

Sev. Malnut. 40 0.1% 1,102 0.0%

Inj./Wounds 1,498 2.1% 73,081 2.7%

Other 54,074 75.0% 1,985,564 72.6%

Total 71,424 100% 2,735,184 100%

Proportional morbidity

1 W33 2021

*

*

Figure 2 | Trend in proportional morbidity for key diseases (W33)

Other consultations Acute Respiratory Infection (ARI) Unexplained fever Acute Jaundice Syndrome (AJS)

Acute Watery Diarrhoea (AWD) Other diarrhoea Vector-borne disease Combines malaria and dengue cases (suspected and confirmed)

Trend in consultations and key diseases

2 W33 2021

% m

orbi

dity

0.0%

100.0%

W01

202

0

W09

202

0

W18

202

0

W27

202

0

W36

202

0

W44

202

0

W53

202

0

W09

202

1

W17

202

1

W26

202

1

*

*

Acute Respiratory Infection | Trend

3 W33 2021

0

2,500

5,000

7,500

10,000

12,500

15,000

17,500

20,000

22,500

25,000

27,500

Total ARI cases - Cox's Bazar

W01

201

8

W18

201

8

W35

201

8

W01

201

9

W18

201

9

W35

201

9

W01

202

0

W18

202

0

W36

202

0

W53

202

0

W17

202

1

W35

202

1

Figure 3 | Trend in number of cases over time (W38 2017 - W33 2021)

a. Ukhia | Number of cases b. Ukhia | Number of alertsLoading...

c. Teknaf | Number of cases d. Teknaf | Number of alertsLoading...

Acute Respiratory Infection | Maps and Alert Management

Map 1 | Map of cases by camp (W33 2021)

4 W33 2021

Map legendNumber of cases 0 1 100 200 500

Number of alerts 0 1 10

Alert thresholdTwice the average number of casesover the past 3 weeks. Source: IEDCR

0Alerts

0%Verified

0Low Risk

0Moderate

Risk

0High Risk

0Very High

Risk

Alert management (W33 2021) Figure | % sex Figure | % age

Male Female >=5 < 5

Measles | Trend

5 W33 2021

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

Total suspected measles/rubella cases - Cox's Bazar

W01

201

8

W18

201

8

W35

201

8

W01

201

9

W18

201

9

W35

201

9

W01

202

0

W18

202

0

W36

202

0

W53

202

0

W17

202

1

W35

202

1

Figure 4 | Trend in number of suspected cases over time (W38 2017 - W33 2021)



Measles | Maps and Alert Management

Map 2 | Map of cases by camp (W33 2021)

6 W33 2021



Alert threshold1 case. Source: IEDCR

4Alerts

100%Verified

0Low Risk

0Moderate

Risk

0High Risk

0Very High

Risk


Male Female < 5

Acute Jaundice Syndrome | Trend

7 W33 2021

0

20

40

60

80

100

120

140

160

Total suspected AJS cases - Bangladesh

W01

201

8

W18

201

8

W35

201

8

W01

201

9

W18

201

9

W35

201

9

W01

202

0

W18

202

0

W36

202

0

W53

202

0

W17

202

1

W35

202

1




Acute Jaundice Syndrome | Maps and Alert Management

Map 3 | Map of cases by camp (W37 2017 - W33 2021)

8 W33 2021



Alert thresholdA cluster of 3 or more cases seen in ahealth facility. Source: IEDCR

1Alerts

100%Verified

0Low Risk

0Moderate

Risk

0High Risk

0Very High

Risk


Male Female < 5 >= 5

Acute Watery Diarrhoea | Trends

9 W33 2021

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

5,500

Total AWD cases - Bangladesh

W01

201

8

W18

201

8

W35

201

8

W01

201

9

W18

201

9

W35

201

9

W01

202

0

W18

202

0

W36

202

0

W53

202

0

W17

202

1

W35

202

1


Dengue | Trends

11 W33 2021

0

1

2

3

4

5

6

7

8

9

10

11

12

Total Dengue Cases - Suspected - Bangladesh Total Dengue Cases - Confirmed - Bangladesh

W01

201

8

W18

201

8

W35

201

8

W01

201

9

W18

201

9

W35

201

9

W01

202

0

W18

202

0

W36

202

0

W53

202

0

W17

202

1




Dengue | Maps and Alert Management


12 W33 2021



Alert thresholdTwice the average number of casesover the past 3 weeks. Source: IEDCR

0Alerts

0%Verified

0Low Risk

0Moderate

Risk

0High Risk

0Very High

Risk


No data inchart

No data inchart

Varicella (Susp.) | Trends

13 W33 2021

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

Total Varicella Cases - Suspected - Bangladesh

W01

201

8

W18

201

8

W35

201

8

W01

201

9

W18

201

9

W35

201

9

W01

202

0

W18

202

0

W36

202

0

W53

202

0

W17

202

1

W35

202

1


For more help and support, please contact:

Dr. Shownam Barua Medical Officer - Civil Surgeon Office (MO-CS) Ministry of Health and Family Welfare Cox's Bazar, Bangladesh

Telephone: +88 01723350483


Dr. Feroz Hayat Khan National Professional Officer (Disease Surveillance &Epidemiology) World Health Organization Cox's Bazar, Bangladesh

Telephone: +88 017 0120 2994


NotesWHO and the Ministry of Health and Family Welfare gratefully acknowledge all partners who havereported the data used in this bulletin. The data been collected with support from the EWARS project. This is an initiative to strengthen earlywarning, alert and response in emergencies. It includes an online, desktop and mobile application thatcan be rapidly configured and deployed in the field. It is designed with frontline users in mind, and builtto work in difficult and remote operating environments. This bulletin has been automatically publishedfrom the EWARS application. More information can be found at http://ewars-project.org Sign-up for an account with EWARS Bangladesh at http://bd.ewars.ws

Ministry ofHealth andFamilyWelfare Bangladesh

epidemiological highlights

Documents