1. Liberia Early Warning and Disease Surveillance
Epidemiological week 28
July 10-16, 2017
Data Source: CSOs from 15 Counties and Lab

2. Division of Infectious Disease and Epidemiology, NPHIL
HIGHLIGHTS
Public Health Events Reported
Keynotes and Events of Public Health Significance
Fifty-two suspected cases
14 deaths
99% completeness and timeliness
One confirmed case of measles was reported
Friday, July 21,2017
Division of Infectious Disease and Epidemiology, NPHIL

3. 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
Grand Bassa 33
Grand Cape Mount 32
Grand Gedeh 24
Grand Kru 19
Lofa 59
Margibi 44 43 98
Maryland 25
Montserrado
283
Nimba 74
Rivercess
River Gee
Sinoe 35
Liberia
759
758 99
Friday, July 21, 2017
Division of Infectious Disease and Epidemiology, NPHIL

4. VACCINE PREVENTABLE DISEASES
Measles
Comparison of Suspected Cases of Measles Reported, Liberia, Epi week 1 – 28, 2016 & 2017
Suspected cases: 7
Montserrado (4)
Nimba (1)
Lofa (1)
Grand Gedeh (1)
Cumulatively: 949
(84% of suspected cases were investigated by Lab.)
Lab. Result:
122 Positive
89 epi-linked
631 negative
** 244 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, July 21, 2017

5. VACCINE PREVENTABLE DISEASES
Neonatal Tetanus
Suspected cases: 3
Grand Bassa (2)
Montserrado (1)
Cumulatively:10
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, July 21, 2017

6. VIRAL HEMORRHAGIC DISEASES
Yellow fever
Suspected cases: 2
Rivercess (1)
Margibi (1)
Cumulatively: 128
Lab Confirmed: 0
Division of Infectious Disease and Epidemiology, NPHIL
Friday, July 21, 2017

7. EVENTS OF PUBLIC HEALTH IMPORTANCE
Maternal Mortality
Causes of Maternal Death Reported, Liberia, Epi week 1 – 28, 2016 & 2017
Maternal deaths: 6
Nimba (2)
Grand Gedeh, Lofa, Sinoe, Montserrado
Causes:
Postpartum hemorrhage
Sepsis
Pre-eclampsia
Eclampsia
Anemia
Renal failure
Cumulative: 144
PPH (32.6%), Sepsis (14.5%) and Anemia (13%)
Friday, July 21, 2017
Division of Infectious Disease and Epidemiology, NPHIL

8. EVENTS OF PUBLIC HEALTH IMPORTANCE
Neonatal Mortality
Causes of Neonatal Death Reported, Liberia, Epi week 1 – 28, 2016 & 2017
Neonatal deaths: 8
Grand Bassa (3)
Montserrado (2)
Lofa (1)
Bomi (1)
Maryland (1)
Causes:
Neonatal sepsis (3)
Birth asphyxia (2)
Neonatal tetanus (2)
Preterm (1)
Cumulatively: 339 deaths recorded
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, July 21, 2017
Division of Infectious Disease and Epidemiology, NPHIL

9. Division of Infectious Disease and Epidemiology, NPHIL
DIARRHEA DISEASES
Bloody Diarrhea (Shigellosis)
Suspected cases: 6
Montserrado (5)
Sinoe (1)
Cumulative: 148
Lab. Confirmed: 3
Negative: 139
Division of Infectious Disease and Epidemiology, NPHIL
Friday, July 21, 2017

10. Other Reportable Diseases
Human Exposure to Animal Bites
(Suspected Rabies)
Suspected: 20
Montserrado (5)
Rivercess (5)
Margibi (3)
Lofa (2)
Nimba (2)
Grand Bassa (2)
Bong (1)
Cumulatively: 827
Division of Infectious Disease and Epidemiology, NPHIL
Friday, July 21, 2017

11. PUBLIC HEALTH MEASURES
National level
Weekly meeting with the laboratory to ensure data verification and harmonization
Ongoing IDSR supportive supervision to 8 counties (Bong, Nimba, Lofa, Grand Bassa, Margibi, Grand Cape Mount, Bomi and Gbarpolu)
Implementation of an Auto Visual AFP detection and reporting (AVADAR) surveillance 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
Counties are encouraged to update their cholera preparedness plans and review existing stocks of supplies for prepositioning
Friday, July 21, 2017
Division of Infectious Disease and Epidemiology, NPHIL

12. Division of Infectious Disease and Epidemiology, NPHIL
THANK YOU!!!
Friday July 21,2017
Division of Infectious Disease and Epidemiology, NPHIL