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

2. 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

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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

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