The Weekly Morbidity and Mortality Report (WMMR) is published by the Ministry of Health of Pakistan (MOH) and the World Health Organization (WHO). The WMMR is built on surveillance data that health service providers and NGOs transmit on a weekly basis from health facilities and hospitals in those areas affected by the earthquake that struck Pakistan on 8 October 2005.
The WMMR objectives are to monitor the trend of health conditions over a period of time and provide vital information to all health partners. The WMMR is only a snapshot of the health conditions in those facilities where events are registered and data collected and does not necessarily reflect the situation from other health facilities.
The WMMR is a publication that has been developed for emergencies and previously used in other areas such as the Darfur Crisis.
Highlights
In the past month (Epidemiological weeks 36-39 inclusive), 159,358 health events under surveillance were reported including 73 deaths
This week, there were 290 reporting units contributing to the report
In this week 39, Total 86,126 consultations were reported, with 17 deaths
In this week 39, There was one death from acute watery diarrhoea reported from Muzaffarabad district
Five cases of measles reported this week, three cases from Muzaffarabad and two cases reported from Battagram district
Malaria cases decreased by 1% over the number in week 38
Reporting Units
The number of sites able to report decreased by 13 this week, from week 38 (303, 93%) to this week 39 (290, 89%). One site has been added in Mansehra from the Kala Dhaka area: BHU Palosa. The total number of reporting sites is 325. See Table 1 for summary statistics.
Table1. Reported heath facilities by district, Earthquake Affected Areas, Pakistan, 2 - 29 Sept 2006.
|
Area
|
Population
|
2 – 8 Sept
Week 36 |
Reporting Health Facilities
|
23 – 29 Sept
Week 39 |
|
|
9 – 15 Sept
Week 37 |
16 – 22 Sept
Week 38 |
||||
| Muzaffarabad |
894,364
|
110
|
96
|
105
|
88
|
| Bagh |
452,532
|
33
|
33
|
34
|
35
|
| Poonch |
633,712
|
55
|
51
|
56
|
59
|
| Mansehra / Balakot |
1,154,804
|
66
|
67
|
68
|
68
|
| Battagram / Shangla |
592,256
|
39
|
40
|
40
|
40
|
| Total |
3,727,668
|
303 (94%)
|
287 (88%)
|
303 (93%)
|
290 (89%)
|
Total number of consultations
In this week 39, there was a decrease in the number of reporting sites, and the number of consultations also decreased to 86,126. The highest number of consultations by district was in Muzaffarabad, with 26,717, and the lowest was in Battagram, at 5,956. The average number of consultations per facility now stands at 306, decreased from 333 in week 38 and 319 in week 37. The maximum number of consultations in a facility was 4,903, in Muzaffarabad, and the minimum was 10, in Mansehra. An increase in number of reporting site in previous weeks was partially due to field faulted setup for AWD treatment and these facilities have closed since then.
Figure 1. Weekly trend of reporting units and total number of consultations, Earthquake Affected Areas, Pakistan, 15 October 2005 29 Sept 2006.
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