Presentation on Projects 1 & 2, Basic FETP Liberia Obediah R. Gweh Cohort 1 Trainee Saclepea Mah District Nimba County

Acknowledgement I will like to acknowledge Ministry of Health, Liberia AFENET Emory University US CDC WHO My mentors ( Justin and Dr Peter)

Expanded Surveillance Summary Report on Week 31- 42 During the weeks under review, there were Thirty-Four cases of Acute Watery Diarrhoea(AWD) Thirty-Four Measles cases Four hundred and Ninety-four EVD cases Eighty- eight Bloody Diarrhea

Fig 2.1:Timeliness and Completeness of Reporting, Week 31-42, 2015, Saclepea Mah District, Nimba County HEALTH FACILITY WK 31 WK 32 WK 33 WK 34 WK 35 WK 36 WK 37 WK 38 WK 39 WK 40 WK 41 WK 42 % Timeliness WK 31-42 % Completeness WK 31-42 SCHC T L 92 100 Kpaytuo 83 Sac ULIC Cocopa Karnwee Flumpa Flumpa Ulic Beindin Legend T ON Time L Late NR No report % Cumulative >80% On Time >50% - 80% On Time < 50 % On Time

Fig 2.2:Timeliness and Completeness of Reporting, Week 31-42,2015, Saclepea Mah District, Nimba County HEALTH FACILITY WK 31 WK 32 WK 33 WK 34 WK 35 WK 36 WK 37 WK 38 WK 39 WK 40 WK 41 WK 42 % Timeliness WK 31-42 % Completeness WK 31-42 DMC T L 92 Kpein 83 100 Bunadin Dou Duayee Zahn Bahnla Tunukpuyee T ON Time L Late NR No report % Cumulative >80% On Time >50% to 80% On Time < 50 % On Time Legend

Timelines and Completeness of Reporting Week 31-42, 2015, Saclepea District, Nimba County Percentages Percentages Health Facilities Health Facilities

Summary of Key Priority Diseases Week 31-42, 2015, Saclepea Mah District, Nimba Cases Death Case Facility rate % AFP 0% AWD 34 Cholera Lassa Fever Neonatal Death Maternal Death Measle Meningitis VHF Neonatal tetanus EVD 494 Human Rabies Bloody diarrhea 88

No of Cases Weeks

No of Cases Weeks

Public Health Action Investigated measles outbreak Coordinated in mass measles campaign in Kayptuo community Attended IDSR training Ensured health workers in my district attend IDSR training Gave feedback to OIC on result of measles infection test

Suspected Measles Outbreak Investigation, Kpaytuo Community, Saclepea District

Introduction Measles is highly contagious Attack rate in a exposed individual is 90% Transmission occurs person to person On the 15th of October, 2015 we got a call from Kpaytuo Health center of 5 cases of suspected measles. We investigated to Establish if there was an outbreak Verify the outbreak Carry out active case search Commence response  

Methods Kpaytuo community, has a population of 4,676 One health facility A case was defined as any person with high fever and rashes with or without running nose, eye red and cough, between 1st October and 17th October, 2015 The team carried out One on one interview Active case search in the community Collected blood specimen from 5 active cases

RESULTS Of the 22 cases 13 (59%) were females Median age is 13 (2-37)years No death Attack rate 47/10,000 population 2 (9%) were fully vaccinated Index case is a 15year old farmer, with no history of recent travels(his son became infected) All 5 blood specimen were positive for measles Two-day selective measles vaccination was done

Discussion The outbreak was confirmed It affected females more Most of the cases have never been immunized Seems to have subsided (no new cases have been identified) Health education seems to be effective in curbing the spread of the disease