Liberia Early Warning and Disease Surveillance Epidemiological week 33 August 7-13, 2017 Data Source: CSOs from 15 Counties and Lab

HIGHLIGHTS Keynotes and Events of Public Health Significance Public Health Events Reported A total of Sixty-five suspected cases of immediately reportable diseases and events with 17 deaths were reported from 15 counties 100% completeness 99% timeliness Two Confirmed cases of Measles were reported from Nimba County One suspected Lassa fever death was reported from Nimba County Friday, Aug 25,2017 Division of Infectious Disease and Epidemiology, NPHIL

Trend of Suspected Immediately Reportable Diseases Friday, Aug 25,2017 Division of Infectious Disease and Epidemiology, NPHIL

REPORTING COVERAGE County Number of Health Facility Report Expected Number of Reports Received Number Received on Time Completeness (%) Timeliness (%) Bomi 23 100 Bong 55 Gbarpolu 15 11 73 Grand Bassa 33 Grand Cape Mount 32 Grand Gedeh 24 Grand Kru 19 Lofa 59 Margibi 45 Maryland 25 96 Montserrado 283 Nimba 74 Rivercess River Gee Sinoe 35 Liberia 759 755 99.7 98   Friday, Aug 25, 2017 Division of Infectious Disease and Epidemiology, NPHIL

VACCINE PREVENTABLE DISEASES Measles Comparison of Suspected Cases of Measles Reported, Liberia, Epi week 1 – 33, 2016 & 2017 Suspected cases: 13 Nimba (6) Montserrado (2) Bomi (2) Margibi, River Gee and Sinoe (1) 2 confirmed cases from Sanniquellie Mah district, Nimba Cumulatively: 83.7% of suspected cases were investigated by Lab Result: 145 Positive 680 negative 46 equivocal 310 positive for Rubella Cumulative 2017 deaths recorded: 95 compared to 106 in 2016 by week 20 PPH (34%), Anemia (15%) and Sepsis (16%) accounts for the highest causes of death Division of Infectious Disease and Epidemiology, NPHIL Friday, Aug 25 27, 2017

VIRAL HEMORRHAGIC DISEASES Yellow fever Suspected cases: 3 Grand Kru Cumulatively: 136 Lab Confirmed: 0 Division of Infectious Disease and Epidemiology, NPHIL Friday, Aug 25, 2017

EVENTS OF PUBLIC HEALTH IMPORTANCE Maternal Mortality Causes of Maternal Death Reported, Liberia, Epi week 1 – 33, 2016 & 2017 Maternal deaths: 5 Nimba (2) Bong (1) Grand Gedeh (1) Lofa (1) Causes: Eclampsia (2) PPH (2) Sepsis (1) Cumulative since epi wk one: 168 PPH (33.9%), Sepsis (14.3%) & Anemia (13.1%) All deaths occurred in health facilities Friday, Aug 25, 2017 Division of Infectious Disease and Epidemiology, NPHIL

EVENTS OF PUBLIC HEALTH IMPORTANCE Neonatal Mortality Causes of Neonatal Death Reported, Liberia, Epi week 1 – 33, 2016 & 2017 Neonatal deaths: 11 Montserrado (4) Grand Gedeh (3) Maryland (2) River Gee & Grand Cape Mount (1) each Reported causes of death were: Birth asphyxia (5) Neonatal sepsis (5) Preterm (1) 9/11 were reported to have occurred at health facility Cumulatively, since Epi week 1, 382 neonatal deaths 17 Neonatal deaths reported: 5- Montserrado 4- Lofa 2- River Gee…. Causes: Birth Asphyxia, Neonatal Sepsis and Preterm Cumulatively: 243 deaths recorded Birth asphyxia (52%), Neonatal Sepsis (33%) and Preterm (9%) accounts for the highest causes of death Friday, Aug 25, 2017 Division of Infectious Disease and Epidemiology, NPHIL

Bloody Diarrhea (Shigellosis) Cholera DIARRHEA DISEASES Bloody Diarrhea (Shigellosis) Cholera Suspected cases: 2 Sinoe (1) Grand Bassa (1) Cumulative: 124 Lab. Confirmed: 2 Negative: 122 Suspected cases:5 Grand Bassa (1) Lofa (1) Montserrado (1) Margibi (1) Grand Kru (1) Cumulative: 168 Lab. Confirmed: 5 Negative: 163 Division of Infectious Disease and Epidemiology, NPHIL Friday, Aug 25, 2017

Other Reportable Diseases Human Exposure to Animal Bites (Suspected Rabies) Suspected cases: 23 Montserrado (6) Rivercess (4) Bong (3) Grand Bassa (2) Maryland (2) Lofa (2) Margibi, Grand Gedeh, Grand Cape Mount, River Gee (1) each Cumulatively: 912 suspected cases reported Division of Infectious Disease and Epidemiology, NPHIL Friday, Aug 25, 2017

Public Health Action National Level DIDE in collaboration with JHU awarded certificates of completion to 29 participants who attended Basic Data Science Training (EpiInfo) Weekly meeting with the laboratory to ensure data verification and harmonization Work with Counties to determine response state of preparedness (lab specification for CSF collection and transportation, medical supplies and IPC) Plan performance review of Auto Visual AFP detection and reporting (AVADAR) surveillance system in 4 districts in Montserrado County Follow up with counties to conduct maternal deaths investigation, revision of forms and implementation of recommendations made Counties are encouraged to conduct health education for all public health diseases based on risk Division of Infectious Disease and Epidemiology, NPHIL Friday, Aug 25, 2017

THANK YOU!!! Division of Infectious Disease and Epidemiology, NPHIL Friday Aug 25,2017