Bangladesh: Rohingya Emergency Response EWARS Epidemiological Bulletin W4 2018, 30 January 2018
Total population of 728,786 (84%) persons under surveillance. 147 (93%) of 158 health facilities enrolled in EWARS.
Completeness of reporting in W4 was 69% (101/147 health facilities).
Total of 95 alerts were triggered, of which 100% were verified; 3% are undergoing risk assessment, and 3% completed risk assessment.
Unexplained fever. 3 alerts (Balukahali, Kutupalong, and Ukhia UHC). 162 cases in this week (W4) exceeded twice the number of cases in the past 3 weeks. Trend to be followed in subsequent weeks. One alert was discarded as the cases did not meet the case definition.
Acute watery diarrhoea. 11 alerts. 334 cases in this week (W4) exceeded twice the number of cases in the past 3 weeks. Trend to be followed in subsequent weeks.
- Action: Risk assessment will be conducted in Balukhali’
Bloody diarrhoea. 2 alerts (Zone EE). 3 cases in this week (W4) and exceeded twice the number of cases in past 3 weeks. Given oral antibiotics. No further action needed.
Acute respiratory infection (ARI). 7 alerts (Zone TT, YY, and Mainnerghona). 414 cases in this week (W4) exceeded twice the number of cases in past 3 weeks. No cases had severe pneumonia or any other severe complications. Trend to be followed in subsequent weeks.
IEDCR tested a total of 20 upper respiratory tract samples from the Kutapalong camp in early December for respiratory pathogens by multiplex real time PCR. Twelve (60%) were positive for rhinovirus & 12 were positive for human coronavirus. Among the 20, 8 (40%) were co-infected. Two samples were positive for both Influenza and coronavirus.
Suspected AFP. No case were reported in W4.
- Action: Please immediately notify all future cases to the MoHFW and the CS/IEDCR/WHO joint alert response cell.
Neonatal tetanus. 1 alert (Kutupalong RC). Two cases were reported and did not meet the clinical case definition.
Suspected meningitis. 2 alerts were reported from Moinarghona (a total of 3 cases). The alert is discarded because the cases did not meet the clinical case definition
Suspected TB. 3 alerts with a total of 4 cases were reported (Zone YY, TT) and were referred to BRAC. One patients has already started treatment.
- Action: Collaborative efforts to refer the patients to MoH and BRAC facilities to ensure laboratory confirmation and DOTS.
Suspected pertussis. 1 alert with a total of 2 cases reported from Balukhali. One case has met the clinical definition and is under treatment in the MSF Balukhali clinic. The second case has not met the clinical case definition and the alert was discarded.
Suspected leprosy. 1 alert of one case was reported in Zone EE and was referred to IOM for confirmation and treatment.
Suspected malaria. 2 alerts for a total of 2 cases reported from Zone EE and referred to BRAC for lab confirmation.
- Action. Collaborative efforts to refer the patients to BRAC facilities to ensure laboratory confirmation and treatment.