1. DEATH AUDIT_Rotavirus Outbreak
Alison Ripiapu SIO
Cynthia A Joshua
Freda Pitakaka
MHMS-Public Health Emergency and Surveillance Unit.
Ministry of Health and Medical Services

2. Ministry of Health and Medical Services
AIM
To enable MHMS to review all deaths that have occurred during the course of this outbreak in order to understand patterns and factors contributing to the deaths and ultimately to take steps to prevent future diarrhoeal related deaths.
Ministry of Health and Medical Services

3. Objectives
To determine the socio-demographic characteristics of the diarrhea related death cases
To examine the health service factors utilized by care-givers and the death cases
To ascertain the health care seeking behavior of care-givers prior to experiencing death
To identify vulnerable populations in Solomon Islands and understand factors pertaining to deaths among the reported cases.

4. Method
Audit forms were sent to all Health facilities where deaths occurred- Health facility review and detailed collection of information's from outpatient registration .
Verbal communications with surveillance nurses where death occurred through Phone calls.

5. Epidemiological summary
From Nov 2015 – March 2016 ,approx of acute diarrhea attributed to rotavirus outbreak
outbreak
Age group
0-1 years
2-4 years
5+ years
Total
Total cases 16 8 10 34

6. Clinical presentation
Ministry of Health and Medical Services

7. Treatment administered at home & health facility
90% of diarrhea death cases had vomiting & 70% with dehydration. Small proportions with fever, abdominal pain & bloody stool. Majority of the cases at least took traditional medications during illness.

8. Ministry of Health and Medical Services
Place of death 50
Half of all 10 deaths occurred in the clinics – 2/3 deaths with recorded time series died upon reaching the clinic while 1 case stayed for 7 days before died.
Ministry of Health and Medical Services

9. Factors contributed-death .
Severe dehydration
Late presentations –Health facilities
Used of custom medicine
Underlying cause-Malnutrition
Locations-transports
Unavailability of Zinc Oxide and ORS.

10. Recommendations
Strengthen the capacity (resources) of the Health Promotion Unit for continuous administering of key activities to sensitize rural communities and the populations.
Death audit – for decision-making – should do for other programs/outbreaks
Review/check primary health care package for health workers – establish a system to enhance PHC activities.
Implement target programs as priority – e.g. hand washing
Change perception of the populations – diarrhea.

11. Ministry of Health and Medical Services
Limitations
Discrepancy of death audit forms
Incomplete information
Only 10 forms received with completed information.
Acknowledged all Nurses contributed to this Rotavirus death Audit. TAGIO TUMAS
Ministry of Health and Medical Services