South Sudan

Ministry of HealthRepublic of South Sudan Printed: 06:42 Monday, 05 June 2017 UTC

Integrated Disease Surveillance andResponse (IDSR)

Annexes W21 2017 (May 22-May 28)

Access and Utilisation

Slide 2 Map 1 Map of consultations by county (2017)

Indicator-based surveillance

Slide 3 Figure 1 Proportional mortality

Slide 4 Figure 2 Proportional morbidity

Slide 5 Figure 3 Trend in consultations and key diseases

Disease trends and maps

Malaria

Slide 6 Trend in malaria cases over time

Slide 7 Malaria maps and alert management

Acute Watery Diarrhoea (AWD)

Slide 8 Trend in AWD cases over time

Slide 9 AWD maps and alert management

Bloody diarrhoea

Slide 10 Trend in bloody diarrhoea cases over time

Slide 11 Bloody diarrhoea maps and alert management

Measles

Slide 12 Trend in measles cases over time

Slide 13 Measles maps and alert management

Sources of data

1. Weekly IDSR Reporting Form

2. Weekly EWARS Reporting Form

Contents

1 W21 2017 (May 22-May 28)

Map 1 | Map of total consultations by county (W21 2017)

Number of consultations 0 1 1,000 2,500 5,000

Hub W21 2017

Aweil 10,358 426,071

Bentiu 21,938 444,805

Bor 4,576 116,882

Juba 11,269 152,170

Kwajok 13,385 311,295

Malakal 17,574 462,342

Rumbek 12,836 248,639

Torit 6,188 174,415

Wau 9,048 246,580

Yambio 10,855 256,746

South Sudan 118,027 2,839,945

Access and Utilisation | Map of consultations by county

2 W21 2017 (May 22-May 28)

Figure 1 | Proportional mortality (2017)

Malaria

Acute Respiratory Infection (ARI)

Acute Watery Diarrhoea

Bloody diarrhoea

Acute Jaundice Syndrome (AJS)

Measles

Other

Syndrome W21 2017

# deaths % mortality # deaths % mortality

Malaria 2 6.5% 1,144 71.1%

ARI 0 0.0% 30 1.9%

AWD 0 0.0% 246 15.3%

Bloodydiarrhoea

21 67.7% 82 5.1%

AJS 0 0.0% 1 0.1%

Measles 0 0.0% 15 0.9%

Other 8 25.8% 91 5.7%

Total deaths 31 100% 1,609 100%

Proportional mortality

3 W21 2017 (May 22-May 28)

Figure 2 | Proportional morbidity (2017)

Malaria

Acute Respiratory Infection (ARI)

Acute Watery Diarrhoea

Bloody diarrhoea

Acute Jaundice Syndrome (AJS)

Measles

Other

Syndrome W21 2017

# cases % morbidity # cases % morbidity

Malaria 28,995 48.7% 727,709 50.4%

ARI 7,003 11.8% 161,806 11.2%

AWD 11,014 18.5% 288,787 20.0%

Bloodydiarrhoea

1,979 3.3% 47,048 3.3%

AJS 15 0.0% 813 0.1%

Measles 17 0.0% 1,722 0.1%

Other 10,558 17.7% 216,632 15.0%

Total cases 59,581 100% 1,444,517 100%

Proportional morbidity

4 W21 2017 (May 22-May 28)

Figure 3 | Trend in total consultations and key diseases (W21)

Total consultations

Malaria

Acute Respiratory Infection (ARI)

Acute Watery Diarrhoea

Acute Jaundice Syndrome (AJS)

Measles

Trend in consultations and key diseases

5 W21 2017 (May 22-May 28)

Num

ber

W22

201

6

W26

201

6

W31

201

6

W35

201

6

W39

201

6

W44

201

6

W48

201

6

W52

201

7

W05

201

7

W09

201

7

W13

201

7

W18

201

7

W22

201

7

0

25000

50000

75000

100000

125000

150000

175000

200000

225000

250000

Malaria | Trends over time

6 W21 2017 (May 22-May 28)

Figure 4a | Trend in number of cases over time (South Sudan)

0

20000

40000

60000

80000

100000

120000

Graph legend

2017

2016

2015

2014

727,709Cases

1,144Deaths

5Alerts

Key malaria indicators (2017) Figure 4b | % morbidity Figure 4c | Age breakdown

Jan Mar May Jul Sep Nov

Map 2 | Map of malaria cases by county (2017)

a. 2014 b. 2015

c. 2016 d. 2017

Malaria | Maps and Alert Management

7 W21 2017 (May 22-May 28)

Map 3 | Map of malaria alerts by county (2017)

Map legend

Number of malaria cases 0 1 10,000 20,000 50,000

Number of malaria alerts 0 1 10

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

5Alerts

3Verified

0Low Risk

0Moderate Risk

0High Risk

0Very High Risk

Risk Assessment

Acute Watery Diarrhoea | Trends over time

8 W21 2017 (May 22-May 28)

Figure 5a | Trend in AWD cases over time (South Sudan)

0

2500

5000

7500

10000

12500

15000

17500

20000

Graph legend

2017

2016

2015

2014

288,787Cases

246Deaths

3Alerts

Key AWD indicators (2017) Figure 5b | % morbidity Figure 5c | Age breakdown

Jan Mar May Jul Sep Nov

Map 4 | Map of AWD cases by county (2017)

a. 2014 b. 2015

c. 2016 d. 2017

Acute Watery Diarrhoea | Maps and Alert Management

9 W21 2017 (May 22-May 28)

Map 5 | Map of AWD alerts by county (2017)

Map legend

Number of AWD cases 0 1 5,000 10,000 20,000

Number of AWD alerts 0 1 10

Alert thresholdTwice the average number of cases overthe past 3 weeks. Source: IDSR

3Alerts

1Verified

0Low Risk

0Moderate Risk

0High Risk

0Very High Risk

Risk Assessment

Acute Bloody Diarrhoea | Trends over time

10 W21 2017 (May 22-May 28)

Figure 6a | Trend in bloody diarrhoea cases over time (South Sudan)

0

500

1000

1500

2000

2500

3000

3500

Graph legend

2017

2016

2015

2014

47,048Cases

0Deaths

4Alerts

Key bloody diarrhoea indicators (2017) Figure 6b | % morbidity Figure 6c | Age breakdown

Jan Mar May Jul Sep Nov

Map 6 | Map of bloody diarrhoea cases by county (2017)

a. 2014 b. 2015

c. 2016 d. 2017

Acute Bloody Diarrhoea | Maps and Alert Management

11 W21 2017 (May 22-May 28)

Map 7 | Map of bloody diarrhoea alerts by county (2017)

Map legend

Number of bloody diarrhoea cases 0 1 500 1,000 2,000

Number of alerts 0 1 10

Alert thresholdTwice the average number of cases over thepast 3 weeks. Source: IDSR

4Alerts

1Verified

0Low Risk

0Moderate Risk

0High Risk

0Very High Risk

Risk Assessment

Measles | Trends over time

12 W21 2017 (May 22-May 28)

Figure 7a | Trend in number of cases over time (South Sudan)

0

100

200

300

400

500

600

700

Graph legend

2017

2016

2015

2014

1,722Cases

15Deaths

4Alerts

Key measles indicators (2017) Figure 7b | % morbidity Figure 7c | Age breakdown

Jan Mar May Jul Sep Nov

Map 7 | Map of measles cases by county (2017)

a. 2014 b. 2015

c. 2016 d. 2017

Measles | Maps and Alert Management

13 W21 2017 (May 22-May 28)

Map 8 | Map of measles alerts by county (2017)

Map legend

Number of measles cases 0 1 50 100 250

Number of measles alerts 0 1 10

Alert threshold1 case.Source: IDSR

4Alerts

2Verified

0Low Risk

0Moderate Risk

0High Risk

0Very High Risk

Risk Assessment

For more help and support,please contact:

Dr. Pinyi Nyimol MawienDirector General Preventive Health ServicesMinistry of HealthRepublic of South Sudan

Telephone: +211 955 604 020

Dr. Alice IgaleDirector (a.i) IDSRMinistry of HealthRepublic of South Sudan

Telephone: +211 956 420 189 NotesWHO and the Ministry of Health gratefully acknowledge health cluster and health pooled fund (HPF)partners who have reported the data used in this bulletin. We would also like to thank ECHO andUSAID for providing financial support.

The data has been collected with support from the EWARS project. This is an initiative to strengthenearly warning, alert and response in emergencies. It includes an online, desktop and mobileapplication that can be rapidly configured and deployed in the field. It is designed with frontline usersin mind, and built to work in difficult and remote operating environments. This bulletin has beenautomatically published from the EWARS application.

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

Ministry of HealthRepublic of South Sudan