south sudan idsr datapack - w20 2017 (may 15-may 21) · w20 cumulative (2017) 4 19 total alerts...
TRANSCRIPT
South Sudan
Ministry of Health
Republic of South Sudan
Integrated Disease Surveillance and
Response (IDSR)
Epidemiological Update W20 2017 (May 15-May 21)
Surveillance
Slide 1 Table 1 IDSR surveillance performance indicators by county (W20)
Table 2 Summary of key IDSR surveillance indicators
Table 3 IDSR report submissions (W20)
Slide 2 Figure 1 Trend in IDSR completeness over time
Slide 3 Map 1a Map of IDSR completeness by county (W20)
Map 1b Map of IDSR timeliness by county (2017)
Slide 4 Table 4 EWARS surveillance performance indicators by partner (W20)
Table 5 Summary of key EWARS surveillance indicators
Table 6 EWARS report submissions (W20)
Alert
Slide 5 Table 7 Alert performance indicators by Hub (W20)
Table 8 Summary of key alert indicators
Slide 6 Table 9 Alert performance indicators by event (W20)
Table 10 Event risk assessment
Slide 7 Map 2a - 2f Maps of key disease alerts by county (W20)
Response
Cholera
Slide 8 Table 11 Summary of key cholera response indicators
Slide 9 Figure 2 Cholera epidemic curve (National)
Slide 10 Map 3a - 3d Maps of distribution of cholera cases (Jul 2016 - present)
Slide 11 Figure 3a - 3f Cholera epidemic curves by county
Slide 12 Table 12 Summary of response indicators by Hub
Slide 13 Figure 4a Cholera cases by sex (2017)
Figure 4b Cholera cases by age (2017)
Figure 4c Cholera cases by patient outcome (2017)
Sources of data
1. Weekly IDSR Reporting Form
2. Weekly EWARS Reporting Form
3. Daily cholera line list
4. Event based surveillance form
Contents
1 W20 2017 (May 15-May 21)
Hub Reporting Performance
# counties # reports received Completeness Timeliness
Aweil 5 5 100% 100%
Bentiu 9 8 89% 11%
Bor 11 4 36% 18%
Juba 6 3 50% 50%
Kwajok 7 6 86% 0%
Malakal 13 5 38% 38%
Rumbek 8 8 100% 50%
Torit 8 8 100% 50%
Wau 3 3 100% 100%
Yambio 10 10 100% 100%
South Sudan 80 60 75% 46%
Table 1 | IDSR surveillance performance indicators by county (W20 2017) Table 2 | Summary of key IDSR surveillance indicators
W20 Cumulative (2017)
80 - Number of counties
75% 69% Completeness
46% 62% Timeliness
Table 3 | IDSR report submissions
W20 Cumulative (2017)
60 1,222 total submissions
17 42 submissions by mobile
43 133 submissions by web
Surveillance | IDSR surveillance indicators
1 W20 2017 (May 15-May 21)
Figure 1 | Trend in IDSR completeness over time
Completeness
Surveillance | Trend in IDSR completeness
2 W20 2017 (May 15-May 21)
Perc
ent
W22 2016 W26 2016 W31 2016 W35 2016 W39 2016 W44 2016 W48 2016 W52 2017 W05 2017 W09 2017 W13 2017 W18 2017
0%
20%
40%
60%
80%
100%
Map 1a | Map of IDSR completeness by county (W20 2017)
Completeness
0 25% 50% 75% 100%
Map 1b | Map of IDSR completeness by county (2017)
Completeness
0 25% 50% 75% 100%
Surveillance | Maps of IDSR completeness by county
3 W20 2017 (May 15-May 21)
Partner Performance Reporting
# sites # reports received Completeness Timeliness
COSV 1 0 0% 0%
GOAL 2 2 100% 100%
HLSS 2 1 50% 50%
IMA 0 0
IMC 8 8 100% 100%
IOM 12 11 92% 92%
IRC 1 1 100% 0%
Medair 2 2 100% 100%
MSF-E 2 2 100% 100%
MSF-H 4 3 75% 75%
SMC 2 2 100% 100%
UNIDO 0 0
UNKEA 2 2 100% 100%
World Relief 1 1 100% 100%
Total 39 35 90% 87%
Table 4 | EWARS surveillance performance indicators by partner (W20 2017) Table 5 | Summary of key EWARS surveillance indicators
W20 Cumulative (2017)
39 - Number of EWARS reporting sites
90% 82% Completeness
87% 79% Timeliness
Table 6 | EWARS report submissions
W20 Cumulative (2017)
35 703 total submissions
2 49 submissions by mobile
33 654 submissions by web
Surveillance | EWARS surveillance indicators
4 W20 2017 (May 15-May 21)
Hub W20 Cumulative (2017)
# alerts % verif. # alerts % verif.
Aweil 0 0% 0 0%
Bentiu 0 0% 4 9%
Bor 2 33% 7 7%
Juba 0 0% 0 0%
Kwajok 2 0% 3 0%
Malakal 0 0% 2 50%
Rumbek 0 0% 2 33%
Torit 0 0% 0 0%
Wau 0 0% 1 5%
Yambio 0 0% 0 0%
South Sudan 4 17% 19 13%
Table 7 | Alert performance indicators by Hub Table 8 Summary of key alert indicators
W20 Cumulative (2017)
4 19 Total alerts raised
17% 13% % verified
69% 69% % auto-discarded
2% 2% % risk assessed
0% 1% % requiring a response
Alert | Alert performance indicators
5 W20 2017 (May 15-May 21)
Event W20 Cumulative (2017)
# alerts % verif. # alerts % verif.
Indicator-based surveillance
Malaria 0 0% 0 0%
Acute WateryDiarrhoea
0 0% 0 0%
Bloody Diarrhoea 0 0% 0 0%
Measles 0 0% 1 100%
Meningitis 0 0% 0 0%
Cholera 3 0% 8 25%
Yellow Fever 0 0% 0 0%
Guinea Worm 1 0% 2 50%
AFP 0 0% 0 0%
VHF 0 0% 0 0%
Neonatal tetatnus 0 0% 0 0%
Event-based surveillance
EBS total 0 0% 0 0%
Table 9 | Alert performance indicators by event Table 10 | Event risk assessment
W20 Cumulative (2017)
1 1 Low risk
1 1 Medium risk
0 0 High risk
0 0 Very high risk
Alert | Event risk assessment
6 W20 2017 (May 15-May 21)
Map 2a | Malaria (W20 2017)
Number of alerts
0 1 10
Map 2b | Cholera (W20 2017)
Number of alerts
0 1 10
Map 2c | Bloody diarrhoea (W20 2017)
Number of alerts
0 1 10
Map 2d | Guinea Worm (W20 2017)
Number of alerts
0 1 10
Map 2e | Measles (W20 2017)
Number of alerts
0 1 10
Map 2f | Viral Haemorrhagic Fever (W20 2017)
Number of alerts
0 1 10
Alert | Maps of key disease alerts by county
7 W20 2017 (May 15-May 21)
Rapid Diagnostic Test
Cholera Treatment Centre
Case fatality is likely to be under-estimated, due to under reporting of deaths that occur in the community and are not reported to health centres
W20
% n
472
28% 131
95% 125
100% 472
0.6% 3
33% 1
Cumulative (2017)
% n Indicator
4,535 1. Total number of cases reported
16% 712 2. % tested with cholera RDT
79% 560 3. % tested with cholera RDT that were positive
85% 3,875 4. % admitted to CTC
3.4% 161 5. Case Fatality Rate (CFR)
70% 113 6. % deaths in community
Response | Cholera response indicators
Table 11 | Summary of key cholera response indicators
8 W20 2017 (May 15-May 21)
1
2
3
1
2
3
Figure 2 Cholera epidemic curve (W26 2016 - W20 2017)
Cases Deaths
Response | Cholera epidemic curve
9 W20 2017 (May 15-May 21)
Num
ber
W26 2
016
W31 2
016
W35 2
016
W39 2
016
W44 2
016
W48 2
016
W52 2
017
W05 2
017
W09 2
017
W13 2
017
W18 2
017
0
50
100
150
200
250
300
350
400
450
500
550
600
Map 3a | Distribution of cholera cases (Jul 2016 - Sep 2016)
Map 3b | Distribution of cholera cases (Jul 2016 - Dec 2016)
Map 3c | Distribution of cholera cases (Jul 2016 - Mar 2016)
Map 3d | Distribution of cholera cases (Jul 2016 - present)
Number of cholera cases
0 1 10 50 100
Response | Maps of cholera distribution over time by county
10 W20 2017 (May 15-May 21)
Figure 3a | Duk county
Figure 3b | Yirol East county
Figure 3c | Fangak county
Figure 3d | Awerial county
Cases Deaths
Figure 3e | Ayod county
Figure 3f | Pigi Canal county
Response | Cholera epidemic curves by county
11 W20 2017 (May 15-May 21)
Num
ber
W26 2
016
W39 2
016
W52 2
017
W13 2
017
0
50
100
150
200
250
300
Num
ber
W26 2
016
W39 2
016
W52 2
017
W13 2
017
0
50
100
150
200
250
300N
um
ber
W26 2
016
W39 2
016
W52 2
017
W13 2
017
0
50
100
150
200
250
300
Num
ber
W26 2
016
W39 2
016
W52 2
017
W13 2
017
0
50
100
150
200
250
300
Num
ber
W26 2
016
W39 2
016
W52 2
017
W13 2
017
0
50
100
150
200
250
300
Num
ber
W26 2
016
W39 2
016
W52 2
017
W13 2
017
0
50
100
150
200
250
300
Case Fatality Rate
% admitted to cholera treatment centre (CTC)
% deaths that occurred in the commmunity
Hub W20
Cases Deaths CFR % adm. % comm.
deaths
Aweil 0 0 0.0% 0% 0%
Bentiu 0 0 0.0% 0% 0%
Bor 35 0 0.0% 100% 0%
Juba 0 0 0.0% 0% 0%
Kwajok 115 1 0.9% 100% 100%
Malakal 99 0 0.0% 100% 0%
Rumbek 136 2 1.5% 100% 0%
Torit 87 0 0.0% 100% 0%
Wau 0 0 0.0% 0% 0%
Yambio 0 0 0.0% 0% 0%
South Sudan 472 3 0.6% 100% 33%
Hub Cumulative (2017)
Cases Deaths CFR % adm. % comm.
deaths
Aweil 0 0 0.0% 0% 0%
Bentiu 613 22 3.6% 57% 36%
Bor 1,192 76 6.4% 75% 86%
Juba 39 0 0.0% 100% 0%
Kwajok 118 1 0.8% 100% 100%
Malakal 195 4 2.1% 99% 25%
Rumbek 2,055 57 2.8% 95% 67%
Torit 323 1 0.3% 100% 0%
Wau 0 0 0.0% 0% 0%
Yambio 0 0 0.0% 0% 0%
South Sudan 4,535 161 3.4% 85% 70%
Response | Cholera response indicators by Hub
Table 12 | Summary of key cholera response indicators by Hub
12 W20 2017 (May 15-May 21)
1 23
1 23
1
2
3
Figure 4a Cholera cases by sex (2017)
Male ( 46% ; n = 2,066 )
Female ( 51% ; n = 2,326 )
Figure 4b Cholera cases by age (2017)
< 5 ( 17% ; n = 755 )
5-14 ( 31% ; n = 1,404 )
15-44 ( 41% ; n = 1,842 )
> 45 ( 11% ; n = 514 )
Figure 4c Cholera cases by outcome (2017)
Discharged ( 41.5% ; n = 1,882 )
Defaulted ( 0.1% ; n = 5 )
Died ( 3.6% ; n = 161 )
Admitted ( 48.4% ; n = 2,197 )
Response | Cholera cases by sex, age and outcome
13 W20 2017 (May 15-May 21)
For more help and support,
please contact:
Dr. Pinyi Nyimol Mawien
Director General Preventive Health Services
Ministry of Health
Republic of South Sudan
Telephone: +211 955 604 020
Dr. Alice Igale
Director (a.i) IDSR
Ministry of Health
Republic of South Sudan
Telephone: +211 956 420 189Notes
WHO 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 and
USAID for providing financial support.
The data has 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
Ministry of Health
Republic of South Sudan