WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR AFRICA
ORGANISATION MONDIALE DE LA SANTÉ
BURAU REGIONAL DE L’AFRIQUE
OFFICE OF THE WHO REPRESENTATIVE FOR LIBERIA
WEEKLY SURVEILLANCE ACTIVITIES REPORT for WEEK-44 (October 27 to November 3) 2003
November 08 2003
Table 1. Summary Data for Week 33 to Week 44
Month
August
September
October
November
Dates
Week
AWD/
Cholera
Severe
Cases
Death
CFR %
Bloody
Diarrhea
AJS
/YF
Measles
ALRL
I/Pneum.
Malaria
11-17
33
2,722
317
1
0.04
18-24
34
1,823
259
4
0.21
71
0
0
845
2,108
25-31
35
2,268
284
8
0.35
137
1
3
1,863
3,224
1-7
36
2,285
160
2
0.09
199
0
2
2,095
4,185
8-14
37
2,278
181
5
0,22
126
1
9
2,636
6,478
15-21
38
2,352
158
2
0.17
141
0
3
2,288
6,384
22-28
39
2,502
181
2
0.09
218
0
4
2,076
5,374
29-05
40
2,064
214
2
0.09
231
0
1
1,769
4,402
06 -12
41
1,566
180
1
0.06
294
0
5
2803
5095
13-19
42
1252
162
4
0.32
189
2
3
1,766
3,347
20-26
43
1005
170
0
0
251
0
4
1,469
4972
27-02
44
1015
155
1
0.01
151
0
5
1,337
3,568
Source of data: Week 44 data was collected from 31 health facilities located in Montserrado, parts of Margibi and Bong Counties. Four WHO supported MOHSW
Clinics in Grand Cape MT, Bomi and Gbarpolu Counties reported in week 44. MSF Belgium reported from11; IRC reported from six, MERCY Corps from five, NWMT,
MSF Swiss and Catholic Mission each from three clinics, PMU from two and ACF from one clinic reported in Week 44. MSF France & Holland, MDM, IMC and SCFUK
did not report in Week 44.
Cholera: 1,015 cholera cases were reported to WHO in week 44.
Thirty-one health facilities operating in Monrovia and some parts of
Margibi, Grand Cape Mount, Bomi, Bong and Gbarpolu Counties have
reported in week 44. The trend of cholera cases has decreased since
week 41, but remained relatively the same during the weeks 43 and 44
(Table 1 and Figure 1). There was one cholera-associated death
reported in week 44.
Acute lower respiratory infections: 1,337 cases of Acute
Lower Respiratory Infections were reported in week 44.
Bloody diarrhea (Dysentery): 151 cases of bloody diarrhea
(Dysentery) were reported in week 44. Reported cases in this week are
low because the three MDM supported clinics in Bong County did not
report in week 44 (Figure 3). Specimens collected did not show any
growth of SD1 so far. WHO has sent a team to Bong County to assess
the situation.
Yellow Fever (Acute Jaundice Syndrome): No AJS was
reported in week 44. Health workers should always be
reminded to report AJS/YF cases as soon as possible to
Surveillance Officers or to their Medical Coordinators for
further investigation.
Malaria: Malaria cases reported in week 44 were 3,568.
Out of 1280 patients who took RDT, only 280 cases
became confirmed malaria cases thus making the
confirmation rate 22% (Figure 4.)
Meningitis: No incidence of meningitis was reported in Week 44.
OBSERVATIONS/PROBLEMS
Health facilities and supporting partners are urged to submit
weekly reports timely. Health workers should report YF, AFP
cases immediately to MOHSW or WHO for further investigations
and specimen collections. Partners should also report Maternal &
Neonatal Tetanus and measles cases to MOHSW
EPI/Epidemiology Divisions or WHO/EPI for appropriate
investigations.
For any information, please contact Dr. Omar J. Khatib, Representative WHO Liberia e mail wco. wholr@undp.org
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Figure 1. Reported Cholera cases by Weeks, Liberia
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR AFRICA
3000
ORGANISATION MONDIALE DE LA SANTÉ
BURAU REGIONAL DE L’AFRIQUE
OFFICE OF THE WHO REPRESENTATIVE FOR LIBERIA
2500
Number of cases
2000
1500
1000
500
51
49
47
45
43
41
39
37
35
33
31
29
27
25
23
21
Epidemiological weeks
Figure 4: Clinical and confimed cases of malaria, Weeks 34 to 44, Liberia,2003
7000
6478
6384
6000
5374
5095
5000
New cases
19
17
15
13
9
11
7
5
3
1
0
4185
4000
4972
4402
3568
3347
3224
3000
2108
2000
1000
810
533
358
718
512
757
560
436
537
376
0
34
35
36
37
38
39
40
41
42
43
280
44
Weeks
Clinical
Confirmed
For any information, please contact Dr. Omar J. Khatib, Representative WHO Liberia e mail wco. wholr@undp.org
2
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR AFRICA
ORGANISATION MONDIALE DE LA SANTÉ
BURAU REGIONAL DE L’AFRIQUE
OFFICE OF THE WHO REPRESENTATIVE FOR LIBERIA
Figure 3. Incidence of Bloody Diarrhoea in Weeks 42 to 44, 2003, Liberia
300
200
New
Cases
100
0
Week 44
Week 43
Week 42
Bushrod
Paynesville
Island
others
Bong
Margibi
Grand Cap
Mount
Bapolu
Total
Week 42
52
42
30
62
1
189
Week 43
32
33
46
112
25
251
Week 44
31
61
22
6
24
1
6
151
Health Facility Locations
For any information, please contact Dr. Omar J. Khatib, Representative WHO Liberia e mail wco. wholr@undp.org
3
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR AFRICA
ORGANISATION MONDIALE DE LA SANTÉ
BURAU REGIONAL DE L’AFRIQUE
OFFICE OF THE WHO REPRESENTATIVE FOR LIBERIA
Figure 2. Incidence of AWD During Weeks 42 to 44, 2003. Liberia
1400
1200
New Cases
1000
800
600
400
Week 44
Week 43
Week 42
200
0
Bushrod
Island
C.
Gardnersvi
Paynesville
Monrovia
lle
Sinkor
Verginia
Gbarpolu
Bomi
Bong
Grand
Cape
Mount
Margibi
Total
Week 42
221
118
55
185
178
383
0
8
15
1251
Week 43
135
159
121
230
52
55
0
136
12
1005
Week 44
140
193
189
337
43
32
23
30
1015
12
8
8
Health Facility Locations
For any information, please contact Dr. Omar J. Khatib, Representative WHO Liberia e mail wco. wholr@undp.org
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