week-11 - humanitarianresponse · 2018-04-01 · week-11 somalia weekly epi/pol update o.-2 chart...

Somalia Weekly Update

Week-11Ending 18 March 2018

Measles Mass immunization campaign in South, Central and Somaliland

• A nationwide measles campaign conducted starting from 11th March in Accessible and Partially accessible districts of South,

Central and Somaliland. The campaign continued for 5 days. WHO, UNICEF, national and local health authorities aim to

reach more than 4.6 million children aged from six months to 10 years during the overall campaign.

Over 4000 vaccination teams and 1100 supervisors are deployed in southern states and 1345 teams and

Around 300 supervisors deployed in Somaliland.

• Measles campaign inaugurated by Federal minister of health in Mogadishu and president of Somaliland in Hargeisa.

Campaign targeting 2.6 million children in the southern states, along with 1.1 million children in Somaliland. The

vaccinations was provided at fixed centers as well as temporary vaccination sites.

• Vitamin A also provided for the under 5 years children

• Admin data is being processed by regions and Zones and coverage will be shared soon.

• Post campaign house to house assessment will be conducted using standard checklist by independent monitors in all regions.

• Puntland already implemented the campaign in January when more than 933,000 children were vaccinated.

cVDPV2 update- AFP cases and contacts

List of AFP cases and contacts with PV2 and pending final classification

Type of Sample

EPI-Code for the case and contacts

Region DistrictDistance from the nearest ES

siteOnset date mOPV2

IPV from routine EPI

Status

AFP case SOM/BAN/WDA/18/001 BanadirWARDEGLY

1.9 Km from UROBO ES site. Located at the Upstream side of the 2 ES sites.

2/15/2018took 2 does mOPV2 from Campaign

noPending in the CDC

AFP case SOM/BAN/DYN/18/001 Banadir DANYILE

4.9 Km from Egyptian Hosp. ES site. Also located in the upstream of the ES site

2/10/2018took 2 does mOPV2 from Campaign

yes PV2-SABIN

Contact SOM/BAN/DYN/18/001/C1 Banadir DANYILEtook 2 does mOPV2 from Campaign

yes PV2-SABIN

Contact SOM/MSH/JOW/18/001/C1Middle Shabelle

JOWHAR

Jowhar is capital of Middle Shabelle which is 92 KM Mogadishu. NO ES sites

took 2 does mOPV2 from Campaign

no PV2-SABIN

No new cVDPV2 reported since the last was reported on 11 January 2018 from an ES site called KAWMA in Banadir region An AFP from DANYILE district in Banadir and the 2 contacts from Banadir and M. Shabelle were classified as PV2-SABIN. 1 AFP from WARDEGLEY with PV2 is still pending for final classification in CDC 2 PV2-Sabines are isolated from 2 samples collected from KAWMA ES site on 8th and 15th of March 2018. 3 ES samples are still pending final

classification in CDC

AFP with PV2 pending in the CDC

Epoi-CODE SOM/BAN/WDA/18/001

Date of illness 2/14/2018

Date of onset 2/15/2018

Date of Notification 2/17/2018

Date of Investigation 2/17/2018

NAME of patient ABDIHAFID ALI SHIDANE

AGE 10

SEX M

DISTRICT WARDEGLY

PROVINCE BANADIR

VILLAGE HAMAR BILE

# EPI DOSES 1

# NID DOSES 3

# total DOSES 4

Date of last OPV (mOPV2) 1/29/2018

IPV 0

Date of 1st stool collected 2/17/2018

Date of 2nd stool collected 2/18/2018

Notified by VOLUNTEERS

Date sample reached to

Nairobi 2/20/2018

AFP case-1 with PV2 - SOM/BAN/WDA/18/001

List of ES samples sent for Sequencing in 2017 and 2018 and summary of final classification

Region District Site name Year Epid. Number Date of Sample CollectionFinal

Classification

Date sent

for Sequencing

NT Deference

from parent

Date of Sequencing

result

Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-002 22-Oct-17 cVDPV2 02-Nov-17 38 nt 09-Nov-17

Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-003 2-Nov-17 cVDPV2 36 & 37 nt

Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/009 21-Dec-17 SL-2 2-Feb-18 10-Feb-18

Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/010 28-Dec-17 SL-2 2-Feb-18 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/001 4-Jan-18 cVDPV2 2-Feb-18 44 & 38 nt 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/002 11-Jan-18 cVDPV2 2-Feb-18 40 nt 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/003 18-Jan-18 SL-2 2-Feb-18 10-Feb-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/004 25-Jan-18 SL-2 24-Feb-18

Banadir Hodan Egyptian Hospital 2018 ES/SOM/BAN/HDN/EGH/18/005 01-Feb-18 SL-2 22-Feb-2018 03-March-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/006 08-Feb-18 SL-2 12-March-2018 15-March-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/007 15-Feb-18 SL-2 12-March-2018 15-March-18

Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/008 Pending

Banadir Hodan Egyptian Hospital 2018 ES/SOM/BAN/HDN/EGH/18/008 Pending

Banadir Waberi 21October 2018 ES/SOM/BAN/WBR-TOO-18-008 Pending

ES Samples3 ES samples from 3 different ES samples were sent for sequencing and is still pending

Classification summary of ES samples - 2018

SitePENDING for

Lab resultWILD & VDPV2 NEGATIVE cVDPV2 NEV

Sabin

1&3Sabin 2 NPENT

Sent for

sequencingGrand Total

21 October 3 0 3 0 0 0 0 4 1 11

UROBO 3 0 8 0 0 0 0 0 0 11

KAWMA 3 0 1 2 0 0 4 0 1 11

HODAN 2 0 5 0 1 1 1 0 1 11

Total 11 0 17 2 1 1 5 4 3 44

A total of 3 ES samples pending in the CDC

Legend

1 Not scheduled 6 Sabin 11 WPV1+cVDPV2

2 Pending 7 NPENT + Sabin 12 Sent for sequencing

3 Negative 8 VDPV2 13 Scheduled but not collected

4 NEV 9 WPV1 14 Sabin 2

5 NPENT 10 WPV3 15 Sabin + NPEV + NEV

Summary Environmental Samples and lab classification

Region District

Epidemiological week 2017 Epidemiological week 2018

Name of Sites 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13

Banadir WaberiTwenty One

October

Banadir Shangani Urobo

Banadir Hamerewoini Kawma

Banadir Hodan Egyptian Hospital

Part –I

AFP-Surveillance

Week-11 Somalia Weekly EPI/POL Update

Epidemiological Curve 01 January 2014 – 18 March 2018

Graph no. 1

0

2

4

6

8

10

12

14

16

18

2014

W01

2014

W03

2014

W05

2014

W07

2014

W09

2014

W11

2014

W13

2014

W15

2014

W17

2014

W19

2014

W21

2014

W23

2014

W25

2014

W27

2014

W29

2014

W31

2014

W33

2014

W35

2014

W37

2014

W39

2014

W41

2014

W43

2014

W45

2014

W47

2014

W49

2014

W51

2015

W01

2015

W03

2015

W05

2015

W07

2015

W09

2015

W11

2015

W13

2015

W15

2015

W17

2015

W19

2015

W21

2015

W23

2015

W25

2015

W27

2015

W29

2015

W31

2015

W33

2015

W35

2015

W37

2015

W39

2015

W41

2015

W44

2015

W46

2015

W48

2015

W50

2015

W52

2016

W02

2016

W04

2016

W06

2016

W08

2016

W10

2016

W12

2016

W14

2016

W16

2016

W18

2016

W20

2016

W22

2016

W24

2016

W26

2016

W28

2016

W30

2016

W32

2016

W34

2016

W36

2016

W38

2016

W40

2016

W42

2016

W44

2016

W46

2016

W48

2016

W50

2016

W52

2017

W02

2017

W04

2017

W06

2017

W08

2017

W10

2017

W12

2017

W14

2017

W16

2017

W18

2017

W20

2017

W22

2017

W24

2017

W26

2017

W28

2017

W31

2017

W33

2017

W35

2017

W37

2017

W39

2017

W40

2017

W42

2017

W44

2017

W46

2017

W48

2017

W50

2017

W52

2018

W02

2018

W04

2018

W06

2018

W08

2018

W10

Pending Lab Pending ERG Discarded Compatable WPV aVDPV

Weekly AFP cases reported by Provinces, 2016-2017 Somalia. (cases are distributed across weeks based on date of onset of paralysis).

- 8 new AFP cases were reported last week making the total AFP cases reported in 2018 to 66 from 19 regions as compared to 80 AFP cases from 19 regions as the same time point in 2017.

- Sahil region from Somaliland is silent and has not reported for 8 consecutive weeks. The regional team has requested to collect community samples from health children in health facilities.


Tab

le n

o.-

1

Silent (not reporting) for > 8 weeks

Reported AFP cases

Community Samples collected in silent regions

Community Samples collected but regions not silent

PROVINCE

To

tal

2016

2017

W09

2017

W10

2017

W11

2017

W12

2017

W13

2017

W14

2017

W15

2017

W16

2017

W17

2017

W18

2017

W19

2017

W20

2017

W21

2017

W22

2017

W23

2017

W24

2017

W25

2017

W26

2017

W27

2017

W28

2017

W29

2017

W30

2017

W31

2017

W32

2017

W33

2017

W34

2017

W35

2017

W36

2017

W37

2017

W38

2017

W39

2017

W40

2017

W41

2017

W42

2017

W43

2017

W44

2017

W45

2017

W46

2017

W47

2017

W48

2017

W49

2017

W50

2017

W51

2017

W52

To

tal 2

017

2018

W01

2018

W02

2018

W03

2018

W04

2018

W05

2018

W06

2018

W07

2018

W08

2018

W09

2018

W10

To

tal 2

017

BANADIR 30 1 3 1 2 1 1 1 1 1 2 1 1 2 2 2 1 2 1 1 1 33 2 1 1 1 1 6

GALGADUD 25 1 1 2 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 27 1 2 1 1 1 6

M. SHABELLE 19 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 24 1 1 1 1 4

L. SHABELLE 24 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 2 1 1 1 31 1 2 1 4

HIRAN 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 1 1 1 3

BARI 24 1 1 2 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 24 3 2 1 1 7

NUGAL 11 1 1 1 1 1 1 1 1 10 1 1 1 3

MUDUG 14 1 1 1 1 1 1 1 1 12 1 1 1 3

TOGDHER 11 1 1 1 1 1 1 9 1 1 2

GALBEED 19 1 1 1 1 1 1 1 2 1 2 1 2 20 1 1 1 1 1 5

SANAQ 7 1 1 1 1 1 6 1 1

AWDAL 18 1 1 1 1 1 1 1 1 1 1 1 17 1 2 1 1 1 1 7

SAHIL 8 1 1 1 1 1 1 1 8 1 1 2

SOOL 5 2 1 1 1 1 1 2 1 11 1 1

LOWER JUBA 26 2 2 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 29 2 1 2 1 6

BAY 19 3 1 1 1 1 1 1 1 1 2 2 2 1 22 1 4 1 1 1 8

GEDO 21 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 20 1 1 2

MIDDLE JUBA 11 1 1 1 2 1 2 1 1 11 1 1 2

BAKOOL 9 1 1 1 1 1 1 1 1 10 1 1 2

Total Somalia 316 7 12 8 6 9 8 8 4 10 8 6 9 8 5 9 10 2 5 9 3 7 6 7 7 6 9 5 7 10 4 5 7 3 2 8 11 4 7 2 5 3 6 2 5 345 6 4 8 7 4 9 13 7 12 4 74

Classification of AFP cases by status (2017 & 2018)

28In process (lab)

0Pending ITD

46Discarded

0 WPV

28Pending

0 Compatibl

e

0VDPV

74 AFP Cases Reported in 2018


Tab

le n

o.-

2

Chart no. 1

0Pending ERG

ZONE PROVINCE

2017 2018

Discarded Pending Total Discarded Pending Total

CENTRAL

BANADIR 33 0 33 3 3 6

GALGADUD 27 0 27 5 1 6

HIRAN 21 0 21 3 3

LOWER SHABELLE 30 0 31 3 1 4

MIDDLE SHABELLE 24 0 24 3 1 4

Puntland

BARI 24 0 24 5 2 7

MUDUG 11 0 12 2 1 3

NUGAL 10 0 10 2 1 3

Somaliland

AWDAL 16 0 17 6 1 7

GALBEED 20 0 20 2 3 5

SAHIL 8 0 8 2 0 2

SANAQ 6 0 6 0 1 1

SOOL 11 0 11 1 0 1

TOGDHER 9 0 9 1 1 2

SOUTH

BAKOOL 10 0 10 1 1 2

BAY 22 0 22 2 6 8

GEDO 20 0 20 1 1 2

LOWER JUBA 29 0 29 3 3 6

MIDDLE JUBA 11 0 11 1 1 2

Grand Total 345 0 345 46 28 74

Surveillance Indicators by Zone and Region 2018


Graph no. 2

Graph no. 3

4.1

14.7

6.4 6.9 6.2

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

Central Puntland Somaliland South Total Somalia

Annualized NP-AFP Rate by Zone, 2017

4.3

6.5 6.4 6.2

-

2.0

4.0

6.0

8.0

10.0

In-accessible PartiallyAcceessible

Accessible Somalia

Annualized NP-AFP rate by accessibility status

Map no. 1 Map no. 2

Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2018

60 districts reported at least 1 AFP case since

the first week of 2018.

All districts (n=60) reporting AFP cases in

2018 have annualized NP-AFP rate above 2

per 100,00 and also Stool adequacy rate is

above 80%.

The remaining 55 districts have not reported

any AFP case in 2018; However, there is no

district in Somalia which is silent for more

than 52 consecutive weeks.


Map no. 4Map no. 3

Distribution of NP-AFP cases and zero-dose cases Vs accessibility of districts


AFP cases were reported from

across the country from all zones,

all regions and also from the

accessible and the inaccessible

parts of the country.

All the 7 zero dose AFP cases

reported in 2018 were reported

from access compromised districts

of central and South zones. 3 from

inaccessible and 4 from partially

accessible districtsMap no. 5 Map no.6

Number of NP-AFP cases reported across years during the same period (2012-2018) by zone

All zones have reported less number of AFP cases compared to the number of reported AFP cases in 2017 during the same period.


0 0 1 1 2

44

10 9

23

89

29

15

10

18

72

23

7

1412

56

24

14

1923

80

23

13

1820

74

0

10

20

30

40

50

60

70

80

90

100

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

2013 2014 2015 2016 2017 2018

Early case detection within 7 days from onset of paralysis at zonal and region levels-2018


• 95% (n=70/74) cases reported in 2018 were notified within 7 days of onset of paralysis. 3 AFP cases from Bay and 1 from Lower Jubba regions had delayed notification.

6 6 3 4 4 7 3 3 7 5 2 1 1 2 2

5

2

5

2

70

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BA

NA

DIR

GA

LGA

DU

D

HIR

AN

L. S

HA

BEL

LE

M.

SHA

BEL

LE

BA

RI

MU

DU

G

NU

GA

L

AW

DA

L

GA

LBEE

D

SAH

IL

SAN

AQ

SOO

L

TOG

DH

ER

BA

KO

OL

BA

Y

GED

O

L. J

UB

A

M.

JUB

A

CENTRAL PUNTLAND SOMALILAND SOUTH TOTAL

Notification within 7 days, Regional

23 13 18 16 70

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

Notification within 7 days, Zonal

ZONE

# A

FP c

ases

NP

-AFP

Rat

e

# C

ases

wit

h

Ad

q.

Spec

imen % Stool

Adq.% Inv.

within 48 hrs.

% Notif. within 7

days

Cas

es p

en

din

g la

b r

esu

lts

Cas

es w

ith

lab

. re

sult

.

Cas

es w

ith

sto

ol i

n g

oo

d

con

d.

% C

ase

s w

ith

sto

ol i

n

goo

d c

on

d.

#o

f sa

mp

les

wit

h N

P-

EV Is

ola

ted

% S

amp

les

wit

h N

P E

V

Iso

late

d

# c

ases

wit

h S

abin

like

vi

rus

Iso

lati

on

% o

f ca

ses

wit

h

S L

V

iru

s Is

ola

tio

n

Central 23 4.1 23 100% 100% 100% 6 17 17 100% 0 0% 3 18%

Puntland 13 14.7 13 100% 100% 100% 4 9 9 100% 0 0% 2 22%

Somaliland 18 6.4 18 100% 100% 100% 6 12 12 100% 0 0% 0 0%

South 20 6.9 18 90% 100% 80% 12 8 8 100% 2 13% 0 0%

Total 74 6.2 72 97% 100% 95% 28 46 46 100% 2 2% 5 11%

Summary of AFP surveillance key indicators by Zone, 2018


Table no.-4


Summary of AFP surveillance key indicators by Province, 2018

ZONE PROVINCE Regional U15 Pop.Expected # of AFP

cases as of this Week

Number of AFP cases reported

NP-AFP Rate % Stool Adq.% inv. within

48 hrs.% Notif.

within 7 days% Stool

condition

% Samples with EV isolated

% cases with SL isolated

# Cases with late 60 days followup

CENTRAL

BANADIR 1,110,807 4 6 2.8 100% 100% 100% 100% 0% 33% 0

GALGADUD 267,828 1 6 11.6 100% 100% 100% 100% 0% 20% 0

HIRAN 233,838 1 3 6.7 100% 100% 100% 100% 0% 0% 0

LOWER SHABELLE 948,112 4 4 2.2 100% 100% 100% 100% 0% 33% 0

MIDDLE SHABELLE 375,400 1 4 5.5 100% 100% 100% 100% 0% 0% 0

PUNTLAND

BARI 182,218 1 7 20.0 100% 100% 100% 100% 0% 40% 0

MUDUG 186,490 1 3 8.4 100% 100% 100% 100% 0% 0% 0

NUGAL 90,921 0 3 17.2 100% 100% 100% 100% 0% 0% 0

SOMALILAND

AWDAL 244,900 1 7 14.9 100% 100% 100% 100% 0% 0% 0GALBEED 550,148 2 5 4.7 100% 100% 100% 100% 0% 0% 0SAHIL 85,949 0 2 12.1 100% 100% 100% 100% 0% 0% 0SANAQ 150,975 1 1 3.4 100% 100% 100% 100% ---- ---- 0SOOL 120,412 0 1 4.3 100% 100% 100% 100% 0% 0% 0TOGDHER 317,058 1 2 3.3 100% 100% 100% 100% 0% 0% 0

SOUTH

BAKOOL 183,178 1 2 5.7 100% 100% 100% 100% 100% 0% 0BAY 540,491 2 8 7.7 88% 100% 63% 100% 0% 0% 0GEDO 312,710 1 2 3.3 50% 100% 100% 100% 100% 0% 0LOWER JUBA 300,735 1 6 10.4 100% 100% 83% 100% 33% 0% 0MIDDLE JUBA

162,640 1 2 6.4 100% 100% 100% 100% 0% 0% 0

SOMALIA 6,364,810 24 74 6.2 97% 100% 95% 100% 2% 11% 2

ZONE# AFP Cases

# CONTACTS

# Contactsamples with

Lab result

Average contacts per

cases

% contacts < 5 age

% Contact collected

within 7 daysof AFP

notified

% Contact with stool in

Good Condition

# Contactpending lab

results

# Specimens with NPEV

isolated

% Specimens with NPEV

Isolated

# Contacts with Sabin

virus isolated

% contacts with Sabin like virus Isolated

Central 23 69 53 3 100% 100% 100% 16 2 4% 6 11%

Puntland 13 39 27 3 100% 100% 100% 12 1 4% 5 19%

Somaliland 18 54 36 3 100% 100% 100% 18 0 0% 4 11%

South 20 60 24 3 100% 100% 100% 36 3 13% 2 8%

Somalia 74 222 140 3 100% 100% 100% 82 6 4% 17 12%


Table no.-5

Summary of AFP surveillance key indicators for contacts- 2018

Community Samples collected from healthy children- 2018

Zone Total Samples collected Discarded Pending for lab result NP-EV SL

Central 0 0 0 0 0

Puntland 10 5 5 0 0

Somaliland 10 5 5 0 0

South 0 0 0 0 0

TOTAL 20 10 10 0 0

ZoneNumber of VPVs

Number of cases reported

# of cases Notified by

VPV

Proportion of cases reported

by VPV

CENTRAL 190 23 14 61%

PUNTLAND 105 13 7 54%

SOMALILAND 81 18 7 39%

SOUTH159 20 6 30%

Somalia 535 74 34 46%

Distribution of AFP cases by source of case notification, 2017

Key: 1. VPVs: Village polio volunteers2. HFs: MCH, Hospitals and Private clinics3. Others: community members, district field assistants, traditional healers


Table no.-6

2 25

151

143 163 1913467

268

131

74105 104

28

79253

13864

48 50 12

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Year of onset

Source of AFP cases notification 2012-2018

VPV HFs Other

1 1 4 5 0 6 214

138

3120

2025

9

33

78

63

4172 53

14

9

14

17

4

612

2

10

37

16

4

7 8

1

0

50

100

150

200

250

300

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY HEALTH FACILITIES

HEALTH POST HOSPITAL MCH

PRIVATE CLINIC PRIVATE PHARMACY

2 3 2 0 0 0 00 118 24 17

7 009

22 8

3

000

12

109

111143

184

34

0

50

100

150

200

250

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY COMMUNITY AND VOLUNTEERS

CHW COMMUNITY HOUSEHOLD VOLUNTEERS

0 2 0 0 0 1 012

77

40

14 8 80

4

26

5

43 6

0

28

74

75

3631 28

9

21

49

4

1

1 0

0

12

17

10

7

5 7

30

50

100

150

200

250

300

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY VACCINATORS AND TRADITIONAL HEALERS

CAMPAIGNS DISTRICT FIELD ASST DPO

NID VACCINATOR TRADITIONAL HEALER

AFP cases by specific sources notification 2012-2018


Distribution of AFP cases by life style, age group and sex, 2018

Of the total 66 AFP cases

reported in 2018, 41%

(n=30) and 36% (n=27)

are from Urban and

Rural population

respectively. Nomadic

communities account for

only 23% (n=17).

74% (n=55) of cases are

aged less than 5 years.

59% (n=44) AFP cases

are female.


Graph no.-10 Graph no.- 11 Graph no.-12

31 97 9180

70 69 17

51

150

144

87117

12427

65281

181 112 129 152 30

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution of AFP cases by Life style per zone-2012-2018

Nomadic Rural Urban

56 221 167 115

164156

44

92 324 252 166

152189

30

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution AFP cases by Sex2012-2018

Female Male

129

129

348249 283

293

55

19

83

7232 33

52

19

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution of AFP cases by Age group2012-2018

<5 Yrs ≥ 5 Yrs

AFP surveillance indicators by accessibility status of districts

Accessibility# of districts

U-15 Pop in this area

# of AFP cases

Reported

# of Casesreported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of cases with lab result

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notif. within 7 days

%Specim

ens with NPEV

% cases with Sabin

like virus

Inaccessible 17 619,320 5 4 80% 4.3 2 100% 100% 100% 0% 0%

Partially accessible

23 1,720,826 21 7 33% 6.5 12 100% 100% 100% 0% 8%

Accessible 75 4,024,663 48 23 48% 6.4 32 100% 100% 100% 3% 13%

National 115 6,364,810 74 34 46% 6.2 46 100% 100% 100% 2% 11%


Table n

o.-7

Accessibility% of <15 populati

on in the area

# of AFP cases

Reported

# of Cases

reported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of cases with lab

result

% of cases

with lab result

within 14 days

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notifie

d within 7 days

%Specim

ens with NPEV

% cases with

Sabin like virus

Nomadic 28.80% 17 11 65% 6.0 9 78% 94% 100% 100% 0% #REF!

Rural 25.90% 27 12 44% 10.6 20 80% 100% 100% 100% 5% 15%

Urban 45.30% 30 11 37% 6.8 17 94% 97% 100% 100% #REF! 12%

National 100% 74 34 46% 7.6 46 85% 97% 100% 100% 2% 11%

AFP surveillance indicators by Life Style of Population 2018


Validation and zero dose investigation of AFP cases, 2018

AFP Cases Validation

Zone

# of AFP cases

Reported

# of AFP

cases

Validated

% of AFP

cases

Validated

Central 23 13 57%

Somaliland 18 8 44%

South Zone 20 12 69%

Puntland 13 11 85%

Somalia 74 44 59%

Of the total 74 cases reported in 2017, 59% (n=44) were validated by the RPOs

There were 7 zero OPV dose AFP cases reported in 2018 and of which 57% (n=4/7) were investigated


Table no.-8

Zero Dose Investigation

Zone

# of Zero dose

AFP cases

Reported

# of Zero dose

AFP cases

investigated

% of Zero dose

AFP cases

investigated

Comment

Central 1 1 100% Inaccessible

Somaliland 0 0 0 0

South Zone 6 3 50% Inaccessible

Puntland 0 0 0

Grand Total 7 4 57%

Table no.-9

Tracking lab results of AFP cases

Total AFP cases

74

Total AFP cases with stool specimens

Total AFP cases without stool

specimens

74 0

With lab results

En route In the lab

46 0 28

cVDPV2 SL EV -ve

0 5 1 40

6

40

28

Tracking AFP with stool specimens

cVDPV2

Other viruses

neg st

in lab

en route


Samplesource

#Specimen collected

# Specimen with culture

result

# Specimens pending lab

result

# Specimenwith culture result within

14 days

% of specimen with culture

result within 14 days

Number of specimen with NPEV

% of specimen

with NPEV

Number of Specimens with Sabinisolation

% of Specimen

s with Sabin

isolation

Cases 148 92 56 78 85% 2 2% 5 11%

Contacts 222 140 82 119 85% 6 4% 17 12%

Total 370 232 138 197 85% 8 3% 22 12%

Lab performance indicators for AFP surveillance in Somalia, 2017


Table no.-10

Median and average number of days from onset of paralysis up to final lab result - 2018

Date of Notification

Second stool collected

Specimen reached to Lab

Primary Culture result

Date of onset ITD result

Median: 20 daysAverage: 22 days

Date second stool

collected

Date final ITD results

Median: 3 daysAverage: 3.53 days


1 day


Chart no. 2



Week-11 Somalia Weekly Polio Update

Village polio volunteers weekly house to house visit and AFP cases notified, 18 March 2018

Central

January Feberuary March April May June July Aug Sept Oct Nov December

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of AFP

cases notifi

ed

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of

AFP cases notifi

ed

Central38002 5 39361 8 19428 1 - - - - - - - - - - - - - - - - - -

South35756 1 35545 3 18052 2 - - - - - - - - - - - - - - - - - -

Puntland 16237 2 16148 3 8062 2 - - - - - - - - - - - - - - - - - -

Somaliland32180 6 32370 1 16022 0 - - - - - - - - - - - - - - - - - -

Total

122175

14 123424 15 61564 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0


Routine Immunization Services, status of Cold Chain & Vaccine stocks in AFP Surveillance Sites. 18 March 2018

Region

Expected weekly AFP

sites visits

Health facility have a

routine EPI service

AFP sites with EPI service and functional

cold chain

Health facility have EPI

vaccine availableHealth facility have IPV vaccine available

No No. % No. % No. % No. %

Nugal 33 19 58% 19 100% 19 100% 18 95%

Bari 116 34 29% 32 94% 34 100% 33 97%

Mudug 58 39 67% 38 97% 38 97% 23 61%

Galbeed 40 23 58% 23 100% 23 100% 23 100%

Sahil 25 10 40% 10 100% 10 100% 8 80%

Sanag 21 11 52% 11 100% 11 100% 11 100%

Sool 28 10 36% 10 100% 10 100% 10 100%

Awdal 52 23 44% 23 100% 23 100% 23 100%

Togdher 47 21 45% 21 100% 21 100% 21 100%

Middle Shabelle 38 19 50% 15 79% 18 95% 19 106%

Hiran 24 24 100% 5 21% 23 96% 23 100%

Galgadud 38 25 66% 18 72% 24 96% 15 63%

Banadir 122 63 52% 25 40% 59 94% 63 107%

Lower Shabelle 56 28 50% 15 54% 27 96% 23 85%

Middle Juba 29 1 3% 0 0% 1 100% 0 0%

Bakool 26 10 38% 10 100% 10 100% 10 100%

Gedo 53 21 40% 20 95% 20 95% 19 95%

Bay 75 30 40% 30 100% 30 100% 30 100%

Lower Juba 52 24 46% 24 100% 24 100% 20 83%

Somalia 933 435 47% 349 80% 425 98% 392 92%

Part -II

Fever and rash Surveillance

- 272 Suspected cases reported since beginning of 2018


Epi-curve on suspected measles cases by week, Somalia (2015-2018)

2015 (n=7498)

2016 (n=5657)

163

149

144

208

182

172

174

199 21

417

514

0 156

161 18

013

4 151

113 12

796 95

8510

7 124

86 90 8472

102

7289 88

115

100

125

9711

115

810

587

6686

103

125

112

9512

210

987 88 83

105

140

132

102 11

511

614

212

7 141

145

109

9812

490

8274 79

6091 92

81 76 7084

76 74 71 6785

101

170

102

93 9312

811

712

2 133

154

122

155 17

319

6 210 22

822

230

925

540

837

339

938

343

644

167

049

669

965

768

566

369

6 703 72

068

6 693

584

560

538 55

446

348

844

440

032

543

633

027

7 290

352

320

507

441

416

389

410

362

440

487

401

426

406

349

416

351

315

286

317

346

393

325

461

410

0

100

200

300

400

500

600

700

800 2017(n=23,353)

20

18


Fever & rash cases reported by AFP surveillance System 18 March 2018

RegionFever and Rash Cases by weekly 2017

Tota

l 2

01

7 Fever and Rash Cases by weekly 2018

Tota

l 2

01

8

W3

2

W3

3

W3

4

W3

5

W3

6

W3

7

W3

8

W3

9

W4

0

W4

1

W4

2

W4

3

W4

4

W4

5

W4

6

W4

7

W4

8

W4

9

W5

0

W5

1

W5

2

W1

W2

W3

W4

W5

W6

W7

W8

W9

W1

0

Nugal 70 82 54 46 41 31 44 200 109 91 62 84 100 118 113 96 94 63 58 49 45 2050 32 26 26 26 24 19 30 21 17 10 231

Bari 44 34 56 39 26 50 35 38 36 35 22 44 44 33 33 24 42 35 34 27 28 1968 21 26 20 17 20 26 26 18 22 27 223

Mudug 42 51 37 32 56 61 49 64 77 85 72 73 64 61 115 63 65 61 67 65 63 2566 47 45 36 27 44 25 23 24 30 15 316

N/East Zone 156 167 147 117 123 142 128 302 222 211 156 201 208 212 261 183 201 159 159 141 136 6584 100 97 82 70 88 70 79 63 69 52 770

Galbeed 3 2 1 2 1 4 5 2 1 6 7 2 6 0 3 7 4 2 1 3 3 758 4 2 4 7 1 4 0 4 0 0 26

Sahil 0 5 0 4 0 2 1 1 0 1 0 2 0 0 0 3 1 4 0 2 0 576 2 0 9 2 13 5 24 5 18 4 82

Sanag 0 8 6 3 0 6 5 8 0 2 2 5 0 7 6 2 0 0 0 0 0 259 4 6 5 11 0 5 7 5 5 2 50

Sool 2 4 4 1 6 0 4 0 1 8 3 2 1 10 5 11 10 9 17 25 0 698 17 7 20 20 45 20 43 13 26 6 217

Awdal 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 2 0 0 1 105 2 0 11 2 5 0 10 0 3 0 33

Togdher 2 30 7 26 10 13 6 17 6 10 12 27 7 19 10 22 4 16 7 25 10 2324 11 11 27 13 31 7 51 25 37 14 227N/West Zone 8 49 18 36 17 25 21 28 8 27 24 38 14 37 24 45 22 33 25 55 14 4720 40 26 76 55 95 41 135 52 89 26 635

M/ Shabelle 14 14 21 8 19 22 16 7 15 16 16 15 12 6 12 6 9 6 16 11 12 716 18 15 19 23 23 23 43 30 30 33 257

Hiran 3 3 13 8 7 4 10 4 6 3 5 5 3 7 13 15 22 49 10 30 28 1461 12 13 3 26 26 15 22 12 18 1 148

Galgadud 18 5 8 6 9 7 5 8 6 4 7 5 8 3 6 4 7 3 6 5 7 625 5 7 4 6 6 8 16 11 8 6 77

Banadir 71 140 76 62 58 69 68 75 98 58 81 50 41 71 106 76 79 74 82 69 67 5617 72 73 79 70 70 68 56 66 59 54 667

L/Shabelle 43 39 29 30 34 56 49 40 41 40 38 44 32 39 37 40 45 37 29 36 36 2106 25 28 40 36 36 28 29 52 36 35 345Central Zone 149 201 147 114 127 158 148 134 166 121 147 119 96 126 174 141 162 169 143 151 150 10525 132 136 145 161 161 142 166 171 151 129 1494

Middle Juba 3 3 0 0 0 0 2 0 4 4 1 1 1 0 0 0 2 0 0 0 0 62 0 3 3 0 1 1 2 3 0 0 13

Bakool 8 2 4 0 4 2 0 2 2 2 6 6 8 3 5 4 2 1 0 4 4 99 4 2 2 0 4 0 0 4 2 0 18

Gedo 0 0 0 0 2 8 8 24 12 24 9 9 3 35 16 12 6 8 0 0 0 241 0 1 1 51 23 61 51 100 77 35 400

Bay 1 10 6 7 12 9 3 4 8 5 14 22 18 19 7 9 22 12 9 36 25 654 17 17 2 0 9 4 11 11 9 0 80

Lower Juba 0 4 8 3 5 8 10 13 19 22 32 14 14 8 0 7 9 24 13 28 22 468 22 4 6 9 12 6 17 6 10 27 119

South Zone 12 19 18 10 23 27 23 43 45 57 62 52 44 65 28 32 41 45 22 68 51 1524 43 27 14 60 49 72 81 124 98 62 630

Grand Total 325 436 330 277 290 352 320 507 441 416 389 410 362 440 487 401 426 406 349 415 351 23353 315 286 317 346 393 325 461 410 407 269 3529

Fever & rash cases reported by AFP surveillance System 18 March 2018


1494

770635 630

3529

0

500

1000

1500

2000

2500

3000

3500

4000

Zone-wise cases of fever and rash reported by AFP surveillance system in 2018

Pu

ntl

and

Som

alila

nd

Sou

th

Tota

l

Cen

tral

Trend of reported fever and rash cases by zone in 2015 /16/17/2018 Source AFP surveillance,


161 133 115 97 14062 43 39 19 33 12 1539 30 48 70 119 83 24 27 27 11 40 036 71

214282

491

925

667 634510

891 882979

349 300

121

0

200

400

600

800

1000

1200

Puntland

2015 2016 2017 2018

161 142

269202 243

93 72 47 29 47 29 1514 3682 104

33 35 16 9 4296

37 8

265

95

861909

823

503

275

132 99 87 113194197

323

115

0

200

400

600

800

1000

January February March April May June July AUG Sept. Oct. Nov. Dec

Somaliland

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

455 443 441348

545450 514

328 281388 383 401367 315

401265 324 307 278 271 310

142

350

30

503

742

11111205

13401494

925

659547 568 515

916

574 640

280

0

200

400

600

800

1000

1200

1400

1600


Central

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

40 27 27 3046

22 27 19 14 13 18 18937 29

4675

50

9 21 733 46

2645

77115

136 128 139

8264

83

207189

32

144

326

160

0

50

100

150

200

250

300

350


South

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

Cam

pai

gn

(2-6

Jan

)

- Number of reported Suspected Measles declined after campaign

Part -IIIPopulation Immunity

Measles mass campaign conducted from January 02-06, 2018 targeting a total of 1,014,791 children aged from 6 months to 10 Years living in 30 districts of Puntland concluded vaccinating 933,406 children.

16

,35

6

9,0

26

9,2

27

16

,84

1

16

,48

3

7,9

86

35

,47

3

13

,15

4

9,7

57

9,7

04

11

,76

9

72

,85

1

34

,48

9

15

,71

3

21

,95

8

49

,67

8

20

5,3

37

50

,14

0

47

,78

7

8,0

09

6,4

82

5,5

65

10

,57

3

9,1

92

6,1

95

15

,27

2

5,9

02

5,4

68

8,8

72

93

3,4

06

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Alu

la

Arm

o

Bar

gal

Bo

saso

Isku

shu

ban

Qa

nd

ala

Ufa

yn

Gar

do

B/b

ayla

Rak

o

Haf

un

Wai

ye

Gar

ow

e

Bu

rtin

le

Dan

gora

yo Eyl

Gal

do

gob

Gal

kayo

Jari

ban

Ho

byo

Daa

dya

r

Gal

shal

e

Qu

racy

adh

er

Bad

han

Dh

ahar

Hin

galo

l

Lasq

ora

y

Bo

'am

e

Hu

du

n

Tale

h PL

Bari Karkar Nugal Mudug Ayn Sanag Sool

Coverage of measles mass vaccination campaign by districts - Puntland


Source: Admin and IM data

Supplemental Immunization Activities

Maps showing accessibility and security/ risk level, Somalia


Map no.11

Source: UNDSS

Map no.10

Somalia Total 501 869 457 11689 6,179,427

Summary Strategic features and initiatives in Somalia by accessibility

ZonesAccessibility

statusVPV

AFP active Surveillance site

TPVP Settlement Under 15- POP.

CENTRALAccessible 128 216 147 2354 2,297,618 Inaccessible 62 29 21 1042 638,368 Total 190 245 168 3396 2,935,985

PUNTLANDAccessible 105 207 53 1076 459,628 Inaccessible 0 0 0 0 -Total 105 208 53 1076 459,628

SOMALILANDAccessible 81 206 53 3435 1,469,441 Inaccessible 0 0 0 0 -Total 81 206 53 3435 1,469,441

SOUTHAccessible 75 179 123 2234 1,040,636 Inaccessible 84 33 22 1548 459,119 Total 159 212 145 3782 1,499,755

SomaliaAccessible 389 809 376 9099 5,267,323 Inaccessible 146 62 43 2590 1,097,488 Somalia Total 535 933 419 11689 6,364,811


2018 SIA Calendar, Implementation status Summary


Tab

le n

o.-

14

Somalia SIA Callender for 2017

Planned Date Campaign Type Geographic Areas to be covered Target Age Group Zonal target Population Implementation date Vaccine used # Reached/

Vaccinated

Admin Coverage

in % IM Coverage in %

LQAS Result

29-Jan- 01 Feb. 2018 SNID (mOPV2)Districts of Banadir, Lower Shabelle and

Middle ShabelleU-5 years 726,699

29 January - 01 February 2018

mOPV 715,172 96% 93%• 46 lots Passed,

• 7 Failed,

• 15 Discarded

01-05 April 2018

TentativeSNID (IPV)

Districts of Banadir, Lower Shabelle and

Middle ShabelleU-2 years 290,691 IPV

23-26 April -2018 NIDs R-1

All accessible areas of Central zone

Under 5 years

931,588

bOPVPuntland all districts 546,107

Somaliland all districts 640,440

All accessible areas of South zone 397,122

2,515,257

July-2018 HtR - R-1

Nomadic; Agro pastoral; Scattered, remote,

far settlements & Small villages with

difficult / no road access

Under 5 years

75,650

bOPV33,787

141,037

150,359

400,834

18-Oct-2018 NIDs R-2

All accessible areas of Central zone

Under 5 years

931,588

bOPVPuntland all districts 546,107

Somaliland all districts 640,440

All accessible areas of South zone 397,122

2,515,257

SIADs Jemame East and Jemame West in South

SIADsSome areas in Galgadud region of Central

zone

A) Target population: includes all accessible areas including the areas/districts that became and 3% population growth added 2018.

B) Buffer stock: 1 million bOPV doses kept in country for: Transit/Cross Border Permanent Vaccination Teams and SIADs for new areas accessible.

C) Country team strategy for newly accessible areas: conduct house to house bOPV vaccination, 4 Rounds at 10 days interval, R-1 target U<5 years, R-2 target U10 years, R-3 target all age groups; R-4 target U 5 years OPV + Measles.


Table no.-16

A total of 441,250 < 10 years individuals were vaccinated week 10,2018. Among them 4,737 (1%) were vaccinated for the first time.

Transit Points Vaccination activities using bOPV - 18 March 2018

Zones

January February March April May June

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

CENTRAL 99939 334 0.3% 106321 362 0.3% 51912 144 0.3%

PUNTLAND 25067 58 0.2% 24610 59 0.2% 12035 26 0.2%

SOMALILAND

14705 350 2.4% 14490 377 2.6% 6875 156 2.3%

SOUTH 32225 1073 3.3% 34364 1123 3.3% 18707 675 3.6%

SOMALIA 171936 1815 1.1% 179785 1921 1.1% 89529 1001 1.1%

Immunity Profile of NP-AFP cases (6-59 Months) and Contacts 2013-2018

5 zero dose AFP cases reported in 2018 from inaccessible and partially accessible areas of South (n=4) and Central (n=1) zones. 1 AFP case with zero OPV dose is out of the 5-59 months age group


Graph no.-23 Graph no.-19 Graph no.-20

0 0 0

5

52

01

2

5

6 66

6

24

7

3

6

3

19

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2018

0 dose 1-3 doses 4-6 doses 7+ doses

709

265110 118 132 21

439

164

123 144197

24

344

180

134 189186

75

409

630448 492 515

102

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunization Profile of contacts (all-2017)

0 Dose 1-3 doses 4-6 doses 7+ doses

7673

38 37 405

63

3329 37

54

5

61

50 43 56

56 24

69

182 127 143135

19

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-59 Months, 2013-2018


0 0

2

2

0

1

1

2

3

5

2

14

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-23 Months by Zone, 2017

0 Dose 1-3 Doses 4-6 Doses 7+ Doses

29

21 9 10 11 2

34

206

2034

2

26

2717

28

34

14

25

83 37

3135

5

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2018


Graph no.-21 Graph no.-22

Immunity profile of 6-59 months age NP-AFP cases by Zone 2012-2018




6

37 38 2524 24 5

6

159 8

17 172

1110

7 9 17 206

922 12 15 15 3

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

SOUTH


2 4 3 1 0

410

94

4 6 1

13

15

6

3 1014

6

1618

3330 43

346

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

SOMALILAND


526 28

8 13 150

10

24

812

11 18

2

1829

26 19 1418 6

13 31

98 61 6664

7

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

CENTRAL


4 74 4 1 0

11

10

5 55

13

0

1

4

11 12 154

6

311

29 24 19 22

3

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

PUNTLAND


Part -IV Routine Immunization

No IPV data collected for years 2014,15 and 16Source: HMIS/DHIS-2 data 2016 and 2017.

1

45

51

49

43

49

0

41

51

57

43

58

0

33

43

37

36

31

0

44

54

45

43

41

0

73

81

72

62

71

39

57

71 7

3

52

73

5

54

57

43

43

46

0

58

66

57

50

57

0

72

96

87

81

90

63

.1

54

76

71

59

71

38

.4

57

69

53 5

4

54

35

.2

59

75

63

60

64

40

.5

0

10

20

30

40

50

60

70

80

90

100

BCG P-1 P-3 Measles OPV-3 IPV BCG P-1 P-3 Measles OPV-3 IPV BCG P-1 P-3 Measles OPV-3 IPV BCG P-1 P-3 Measles OPV-3 IPV

PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA

2015 2016 2017

Routine Immunization coverage by zone, Somalia (2015-2017)

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Sum of Pent1 24215 48781 73263 98229 124707 152394 181148 207148 235011 266781 299618 331481

Sum of Penta3 27543 48616 70816 91732 113674 136589 160723 181282 203464 229673 256554 283080

Sum of Measles 18379 39266 60502 81562 103608 127044 150435 174056 193371 209302 230710 249465

Sum of Montly target on surval% 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 5% 10% 15% 20% 25% 30% 36% 41% 47% 53% 60% 66%

Sum of P-3% 5% 10% 14% 18% 23% 27% 32% 36% 41% 46% 51% 56%

Sum of Measles% 4% 8% 12% 16% 21% 25% 30% 35% 39% 42% 46% 50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

Somalia Monitoring chart 2016

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Sum of Pent1 31367 61990 89840 119005 148901 178493 215415 247586 280838 316732 347716 390910

Sum of Penta3 26790 53670 77763 102433 127572 152696 178791 203443 232459 264569 291804 327981

Sum of Measles 20594 44105 64886 89207 115739 139255 166186 190981 216931 245101 272845 310220

Sum of Montly target on surval% 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 6% 12% 17% 23% 29% 34% 42% 48% 54% 61% 67% 75%

Sum of P-3% 5% 10% 15% 20% 25% 29% 34% 39% 45% 51% 56% 63%

Sum of Measles% 4% 8% 13% 17% 22% 27% 32% 37% 42% 47% 53% 60%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

Somalia Monitoring Chart 2017

Part -V Vaccines and Cold Chain

Management

Vaccines and Cold Chain Management

• CCEOP operational development plan (ODP) on going and draft plan expected by end of

March 2018

• Plans are under way to deliver the 10-dose IPV to Mogadishu before the proposed start

date of campaign (1st April 2018).

• Final hand over of three regional cold chain stores in Central South to new partners (NGOs)

completed in Kisamyo, Dusharmreb and Baidoa. This hand over was from Swisso Kalmo to

HIRDA ( Lower Juba & Galgadud) and INTERSOS (Bay) respectively

• Updated the IPV vaccine management response plan and shared with WHO and CDC

• Completed the Measles vaccination campaign in Central South with no major logistical

problems reported.


the end

2018 Activity plan and calendar

ActivityPlanned date

mOPV2 second round (Banadir, Middle and Lower Shabelle) 29 Jan – 01 Feb.

Measles response campaign (SCZ)/ Somaliland 11 – 15 March

mOPV2 response review and IPV campaign planning meeting 24 – 26 March

IPV campaign (Banadir, Middle and Lower Shabelle) 1st – 5th April

Transition Planning Workshop 11 – AprilOutbreak Response Assessment Mission (OBRA 1) TBD (April)

NIDs 1 23 – 26 April

HOA TAG meeting TBD (April)Measles 5 year strategic plan workshop 30 Apr – 4 May

EPI/POL Program Review Meeting 9 – 13 JulyOutbreak Response Assessment Mission (OBRA 2) TBD (July)

Hard- to- Reach campaign 13 – 16 August

NIDs 2 15 – 18 Oct.Outbreak Response Assessment Mission (OBRA 3) TBD (Oct)

Graph no. 1

week-11 - humanitarianresponse · 2018-04-01 · week-11 somalia weekly epi/pol update o.-2 chart...

Documents