Week-03 · Week-03 Somalia Weekly EPI/POL Update Epidemiological Curve January 1, 2014 –January...

Somalia Weekly Update

Week-03Ending 21 January 2018

Part –I

AFP-Surveillance

Week-03 Somalia Weekly EPI/POL Update

Epidemiological Curve January 1, 2014 – January 21, 2018

Graph no. 1

0

2

4

6

8

10

12

14

16

18

Pending Lab Pending ERG Discarded Compatable WPV aVDPV

Weekly AFP cases reported by Provinces, 2016-2017 Somalia. (cases are distributed across weeks based on date of onset of paralysis).

- 7 AFP cases collected in the first 3 weeks of 2018 from 7 regions- 1 region (Galbeed) from Somaliland is silent for not reporting for 8 weeks and are collecting community samples.


Tab

le n

o.-

1

Silent (not reporting) for > 8 weeks

Reported AFP cases

Community Samples collected in silent regions

Community Samples collected but regions not silent

PROVINCE

To

tal 2

016

2017

W01

2017

W02

2017

W03

2017

W04

2017

W05

2017

W06

2017

W07

2017

W08

2017

W09

2017

W10

2017

W11

2017

W12

2017

W13

2017

W14

2017

W15

2017

W16

2017

W17

2017

W18

2017

W19

2017

W20

2017

W21

2017

W22

2017

W23

2017

W24

2017

W25

2017

W26

2017

W27

2017

W28

2017

W29

2017

W30

2017

W31

2017

W32

2017

W33

2017

W34

2017

W35

2017

W36

2017

W37

2017

W38

2017

W39

2017

W40

2017

W41

2017

W42

2017

W43

2017

W44

2017

W45

2017

W46

2017

W47

2017

W48

2017

W49

2017

W50

2017

W51

2017

W52

To

tal 2

017

2018

W01

2018

W02

To

tal 2

018

BANADIR 30 1 1 1 2 1 3 1 2 1 1 1 1 1 2 1 1 2 2 2 1 2 1 1 1 33 0

GALGADUD 25 1 1 1 1 1 1 1 2 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 27 1 1

M. SHABELLE 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 24 1 1

L. SHABELLE 24 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 2 1 1 1 31 0

HIRAN 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 0

BARI 24 1 2 1 1 1 2 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 24 0

NUGAL 11 2 1 1 1 1 1 1 1 1 10 0

MUDUG 14 1 2 1 1 1 1 1 1 1 1 1 12 1 1

TOGDHER 11 1 1 1 1 1 1 1 1 1 9 1 1

GALBEED 19 1 3 1 1 1 1 1 1 1 1 2 1 2 1 2 20 0

SANAQ 7 1 1 1 1 1 1 6 0

AWDAL 18 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 17 1 1

SAHIL 8 1 1 1 1 1 1 1 1 8 1 1

SOOL 5 1 2 1 1 1 1 1 2 1 11 0

LOWER JUBA 26 2 1 1 2 2 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 29 0

BAY 19 3 1 3 1 1 1 1 1 1 1 1 2 2 2 1 22 0

GEDO 21 1 2 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 20 1 1

MIDDLE JUBA 11 1 1 1 1 2 1 2 1 1 11 0

BAKOOL 9 1 1 1 1 1 1 1 1 1 1 10 0

Total Somalia 316 6 8 10 6 3 8 9 11 7 12 8 6 9 8 8 4 10 8 6 9 8 5 9 10 2 5 9 3 7 6 7 7 6 9 5 7 10 4 5 7 3 2 8 11 4 7 2 5 3 6 2 5 345 5 2 7

REGION

2017 2018

Discarded Pending Total Discarded Pending Total

BANADIR 33 0 33 0 0 0

M. SHABELLE 23 1 24 0 1 1

HIRAN 21 0 21 0 0 0

BARI 23 1 24 0 0 0

NUGAL 9 1 10 0 0 0

GALGADUD 27 0 27 0 1 1

MUDUG 11 1 12 0 1 1

TOGDHER 8 1 9 0 1 1

GALBEED 20 0 20 0 0 0

SANAQ 6 0 6 0 0 0

AWDAL 17 0 17 0 1 1

SAHIL 8 0 8 0 1 1

SOOL 10 1 11 0 0 0

LOWER JUBA 28 1 29 0 0 0

GEDO 20 0 20 0 1 1

MIDDLE JUBA 11 0 11 0 0 0

BAY 21 1 22 0 0 0

BAKOOL 10 0 10 0 0 0

L. SHABELLE 30 1 31 0 0 0

Grand Total 336 9 345 0 7 7

Classification of AFP cases by status (2017 & 2018)

7In process (lab)

0Pending ITD

0Discarded

0 WPV

7Pending

0 Compatibl

e

0VDPV

7 AFP Cases Reported in 2018


Tab

le n

o.-

2

Chart no. 1

0Pending ERG

Surveillance Indicators by Zone and Region 2018


Graph no. 2

Graph no. 3

1.2

3.83.5

1.2

2.0

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Central Puntland Somaliland South Total Somalia

Annualized NP-AFP Rate by Zone, 2017

- 2.1 2.2 2.0 -

2.0

4.0

6.0

8.0

10.0

In-accessible PartiallyAcceessible

Accessible Somalia

Annualized NP-AFP rate by accessibility status

Map no. 1 Map no. 2

Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2018

7 districts reported 1 AFP case each in the

first weeks of 2018.

All of these districts reported AFP cases in

2018 have annualized NP-AFP rate above 2

and also Stool adequacy rate above 80%.

The remaining 98 districts have not reported

any AFP case in 2018


Map no. 4Map no. 3

Number of NP-AFP cases reported across years during the same period (2012-2018) by zone

3 AFP cases reported from 2 zones in 2018. Only very few AFP cases reported in the first 2 weeks of 2018 compared to the cases reported in the past 6 years of the same period.


1 2 1 0

4

0 0

4

1

76

0 1

5

12

31

31

8

6

23

2

13

8

2

9

5

24

2 13

1

7

0

5

10

15

20

25

30

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

2012 2013 2014 2015 2016 2017 2018


Table no.-3

0.0% 0.0% 0.0% 0.0% 0.0%0.0% 0.0% 0.0% 0.0% 0.0%0.0% 0.0% 0.0% 0.0% 0.0%0.0% 0.0% 0.0% 0.0% 0.0%0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

CASES AND CONTACT SAMPLES WITH LAB RESULT OFNP-EV AND SLV-2018

% Specimens from cases with NPEV % Specimens from Contactswith NPEV

% SL from cases % SL from Contacts

Number of AFP Cases and Contact samples with Entero virus and Sabin like Virus Isolation

Zone

NP-AFP Cases Contact Cases

# S

amp

les

fro

m

Cas

es w

ith

lab

res

ult

# S

amp

les

fro

m

case

s w

ith

NP

-EV

# S

Ls

# S

amp

les

fro

m

Co

nta

cts

wit

h la

b

resu

lt

# S

amp

les

fro

m

con

tact

s w

ith

NP

-EV

# S

LVs

Central 0 0 0 0 0 0

Puntland 0 0 0 0 0 0

Somaliland 0 0 0 0 0 0

South 0 0 0 0 0 0

Somalia 0 0 0 0 0 0

Early case detection within 7 days from onset of paralysis at zonal and region levels-2018


1 1 1 1 1 1 1 7

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BA

NA

DIR

GA

LGA

DU

D

HIR

AN

L. S

HA

BEL

LE

M.

SHA

BEL

LE

BA

RI

MU

DU

G

NU

GA

L

AW

DA

L

GA

LBEE

D

SAH

IL

SAN

AQ

SOO

L

TOG

DH

ER

BA

KO

OL

BA

Y

GED

O

L. J

UB

A

M.

JUB

A

CENTRAL PUNTLAND SOMALILAND SOUTH TOTAL

Notification within 7 days, Regional

2 1 3 1 7

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

Notification within 7 days, Zonal

ZONE

# A

FP c

ases

NP

-AFP

Rat

e

# C

ases

wit

h

Ad

q.

Spec

imen % Stool

Adq.% Inv.

within 48 hrs.

% Notif. within 7

days

Cas

es p

en

din

g la

b r

esu

lts

Cas

es w

ith

lab

. re

sult

.

Cas

es w

ith

sto

ol i

n g

oo

d

con

d.

% C

ase

s w

ith

sto

ol i

n

goo

d c

on

d.

#o

f sa

mp

les

wit

h N

P-

EV Is

ola

ted

% S

amp

les

wit

h N

P E

V

Iso

late

d

# c

ases

wit

h S

abin

like

vi

rus

Iso

lati

on

% o

f ca

ses

wit

h

S L

V

iru

s Is

ola

tio

n

Central 2 1.2 2 100% 100% 100% 2 0 0 0 0 0 0 0

Puntland 1 3.8 1 100% 100% 100% 1 0 0 0 0 0 0 0

Somaliland 3 3.5 3 100% 100% 100% 3 0 0 0 0 0 0 0

South 1 1.2 0 100% 100% 100% 1 0 0 0 0 0 0 0

Total 7 2.0 3 100% 100% 100% 3 0 0 0 0 0 0 0

Summary of AFP surveillance key indicators by Zone, 2018


Table no.-4


Summary of AFP surveillance key indicators by Province, 2018

ZONE PROVINCENumber of AFP cases reported

NP-AFP Rate % Stool Adq. % inv. within 48 hrs.% Notif. within 7

days% Stool condition

% Samples with EV isolated

% cases with SL isolated

# Cases with late 60 days followup

CENTRAL

BANADIR 0 0.0 ---- ---- ---- ---- ---- ---- 1

GALGADUD 1 6.5 100% 100% 100% 100% ---- ---- 1

HIRAN 0 0.0 ---- ---- ---- ---- ---- ---- 1

LOWER SHABELLE 0 0.0 ---- ---- ---- ---- ---- ---- 1

MIDDLE SHABELLE 1 4.6 100% 100% 100% 100% ---- ---- 1

PUNTLAND

BARI 0 0.0 ---- ---- ---- ---- ---- ---- 1

MUDUG 1 9.3 100% 100% 100% 100% ---- ---- 1

NUGAL 0 0.0 ---- ---- ---- ---- ---- ---- 7

SOMALILAND

AWDAL 1 7.1 100% 100% 100% 100% ---- ---- 0

GALBEED 0 0.0 ---- ---- ---- ---- ---- ---- 0

SAHIL 1 20.2 100% 100% 100% 100% ---- ---- 0

SANAQ 0 0.0 ---- ---- ---- ---- ---- ---- 0

SOOL 0 0.0 ---- ---- ---- ---- ---- ---- 0

TOGDHER 1 5.5 100% 100% 100% 100% ---- ---- 0

SOUTH

BAKOOL 0 0.0 ---- ---- ---- ---- ---- ---- 0

BAY 0 0.0 ---- ---- ---- ---- ---- ---- 0

GEDO 1 5.5 100% 100% 100% 100% ---- ---- 0

LOWER JUBA 0 0.0 ---- ---- ---- ---- ---- ---- 0

MIDDLE JUBA 0 0.0 ---- ---- ---- ---- ---- ---- 0

SOMALIA7 2.0 100% 100% 100% 100% #REF! 0% 0

Epidemiological week 2017 Epidemiological week 2018

Region District Name of Sites 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10 11 12 13

Banadir WaberiTwenty One October

Banadir ShanganiUrobo

Banadir HamerewoiniKawma

Banadir Hodan Egyptian Hospital

Legend

1 Not scheduled 6 Sabin 11 WPV1+cVDPV2

2 Pending 7 NPENT + Sabin 12 Sent for sequencing

3 Negative 8 cVDPV2 13 Scheduled but not collected

4 NEV 9 WPV1 14 Sabin 2

5 NPENT 10 WPV3 15 Sabin + NPEV + NEV

Summary for Somalia Environmental Surveillance


ZONE# AFP Cases

# CONTACTS

# Contactsamples with

Lab result

Average contacts per

cases

% contacts < 5 age

% Contact collected

within 7 daysof AFP

notified

# Contact with stool in

Good Condition

# Contactpending lab

results

# Specimens with NPEV

isolated

% Specimens with NPEV

Isolated

# Contacts with Sabin

virus isolated

% contacts with Sabin like virus Isolated

Central 2 6 0 3 100% 100% 0 6 0 0 0 0

Puntland 1 3 0 3 100% 100% 0 3 0 0 0 0

Somaliland 3 9 0 3 100% 100% 0 9 0 0 0 0

South 1 3 0 3 100% 100% 0 3 0 0 0 0

Somalia 7 21 0 3 100% 100% 0 21 0 0 0 0

Note: No contact samples collected in 2018 as there is no AFP case notified in this week


Table no.-5

Summary of AFP surveillance key indicators for contacts, 2018

AFP surveillance indicators by accessibility status of districts

Accessibility# of districts

U-15 Pop in this area

# of AFP cases

Reported

# of Cases

reported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of

cases with lab

result

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notif. within 7 days

%Specimens with NPEV

% cases with Sabin like

virus

Inaccessible 17 619,320 0 0 0 0 0 0 0 0 0 0

Partially accessible

23 1,720,826 2 1 50% 1.1 0 100% 100% 100% 0 0

Accessible 75 4,024,663 5 3 60% 2.2 0 100% 100% 100% 0 0

National 115 6,364,810 7 5 72% 2.0 0 100% 100% 100% 0 0


Table n

o.-7

Accessibility% of <15

population in the

area

# of AFP cases

Reported

# of Casesreported by VPVs

% of Casesreported by VPVs

Number of cases with lab

result

% of cases with lab

result within 14

days

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notified within 7

days

%Specimens with

NPEV

% cases with Sabin like virus

Nomadic 28.8% 1 1 100% 0 0 100% 100% 100% 0 0

Rural 25.9% 5 2 40% 0 0 100% 100% 100% 0 0

Urban 45.3% 1 1 100% 0 0 100% 100% 100% 0 0

National 100% 7 4 57% 0 0 100% 100% 100% 0 0

AFP surveillance indicators by Life Style of Population 2018


Tracking lab results of AFP cases

Total AFP cases

7

Total AFP cases with stool specimens

Total AFP cases without stool

specimens

7 0

With lab results

En route In the lab

0 0 7

cVSPV2 SL EV -ve

0 0 0 0

00

7

Tracking AFP with stool specimens

cVDPV2

Other viruses

neg st

in lab

en route


Note: Both SL and EV was found in 4 samples

Samplesource

#Specimen collected

# Specimen with culture

result

# Specimens pending lab

result

# Specimenwith culture result within

14 days

% of specimen with culture

result within 14 days

Number of specimen with NPEV

% of specimen

with NPEV

Number of Specimens with Sabinisolation

% of Specimen

s with Sabin

isolation

Cases 14 0 6 --- --- --- --- --- ---

Contacts 21 0 21 --- --- --- --- --- ---

Total 35 0 27 --- --- --- --- --- ---

Lab performance indicators for AFP surveillance in Somalia, 2017


Table no.-10

Median and average number of days from onset of paralysis up to final lab result - 2018

Date of Notification

Second stool collected

Specimen reached to Lab

Primary Culture result

Date of onset ITD result

Median: no dataAverage: no data

Date second stool

collected

Date final ITD results

Median: no dataAverage: 3.no data


1 day


Chart no. 2



Village polio volunteers weekly house to house visit and AFP cases notified , January 14, 2018

Week-03 Somalia Weekly Polio Update

Central

May,2017 June,2017 July,2017 Aug,2017 Sept,2017 Oct,2017 Nov,2017 December,2017 Total 2017 January 2018

No. of HH

visited

No. of AFP cases notified

No. of HH

visited


No. of HH

visited


No. of HH

visited


No. of HH

visited


No. of HH

visited


No. of HH

visited


No. of HH

visited

No. of AFP cases

notified

No. of HH visited


No. of HH

visited


Central37438 10 46730 10 38112 6 46205 10 37,881 11 37,599 4 39,134 9 49,222 5 471,527 100 9319 1

South33505 4 43001 1 32761 6 41701 3 33,641 2 33,095 3 34,121 1 44,985 4 438,883 41 8816 No Data

Puntland 15291 2 14887 1 15175 1 19043 1 15,393 4 16,554 1 16,289 1 20,371 2 197,927 21 4065 0

Somaliland35446 2 41710 1 33807 1 43648 2 34,710 1 32,547 0 31,561 2 40,020 0 448,582 22 8010 0

Total121680 18 146328 13 119855 14 120535 16 151687 18 119795 8 121105

13 154598 11 1556919 18430210 1

Routine Immunization Services, status of Cold Chain & Vaccine stocks in AFP Surveillance Sites as of January 14, 2018


Region

Expected weekly

AFP sites visits

Health facility have a

routine EPI service

AFP sites with EPI service and

functional cold chain

Health facility have EPI

vaccine availableHealth facility have IPV vaccine available

No No. % No. % No. % No. %

Nugal 33 19 58% 19 100% 19 100% 18 95%

Bari 116 34 29% 32 94% 34 100% 33 97%

Mudug 58 39 67% 38 97% 38 97% 24 63%

Galbeed 40 23 58% 23 100% 23 100% 23 100%

Sahil 24 10 42% 10 100% 10 100% 8 80%

Sanag 19 11 58% 11 100% 11 100% 11 100%

Sool 28 10 36% 10 100% 10 100% 0 0%

Awdal 43 23 53% 23 100% 23 100% 23 100%

Togdher 52 21 40% 21 100% 21 100% 21 100%

Middle Shabelle 38 19 50% 15 79% 18 95% 19 106%

Hiran 24 24 100% 5 21% 23 96% 23 100%

Galgadud 38 23 61% 13 57% 22 96% 24 109%

Banadir 101 51 50% 22 43% 51 100% 51 100%

Lower Shabelle 51 27 53% 15 56% 26 96% 21 81%

Middle Juba 20 1 5% 0 0% 1 100% 0 0%

Bakool 26 10 38% 10 100% 10 100% 10 100%

Gedo 53 21 40% 20 95% 21 100% 19 90%

Bay 75 30 40% 31 103% 31 103% 31 100%

Lower Juba 52 23 44% 8 35% 23 100% 23 100%

Somalia 891 419 47% 326 78% 415 99% 382 92%

Part -II

Fever and rash Surveillance

- 272 Suspected cases reported since beginning of 2018


Epi-curve on suspected measles cases by week, Somalia (Week 20, 2015-Week 02, 2018)

2015 (n=7498)

2016 (n=5657)

163

149

144

208

182

172

174

199 21

417

514

0 156

161 18

013

4 151

113 12

796 95

8510

7 124

86 90 8472

102

7289 88

115

100

125

9711

115

810

587

6686

103

125

112

9512

210

987 88 83

105

140

132

102 11

511

614

212

7 141

145

109

9812

490

8274 79

6091 92

81 76 7084

76 74 71 6785

101

170

102

93 9312

811

712

2 133

154

122

155 17

319

6 210 22

822

230

925

540

837

339

938

343

644

167

049

669

965

768

566

369

6 703 72

068

6 693

584

560

538 55

446

348

844

440

032

543

633

027

7 290

352

320

507

441

416

389

410

362

440

487

401

426

406

349

416

351

272

0

100

200

300

400

500

600

700

800 2017(n=23,353)

20

18

(no

dat

a)

Fever & Rush cases reported by AFP surveillance System, January 2018


Region

Fever and Rash Cases by weekly

Tota

l 20

17

2018

W2

0

W2

1

W2

2

W2

3

W2

4

W2

5

W2

6

W2

7

W2

8

W2

9

W3

0

W3

1

W3

2

W3

3

W3

4

W3

5

W3

6

W3

7

W3

8

W3

9

W4

0

W4

1

W4

2

W4

3

W4

4

W4

5

W4

6

W4

7

W4

8

W4

9

W5

0

W5

1

W5

2

W1

Nugal 18 27 25 23 21 17 22 19 38 42 42 53 70 82 54 46 41 31 44 200 109 91 62 84 100 118 113 96 94 63 58 49 45 2050 32

Bari 73 74 81 114 85 44 90 98 67 75 47 62 44 34 56 39 26 50 35 38 36 35 22 44 44 33 33 24 42 35 34 27 28 1968 21

Mudug 45 72 82 78 77 93 73 44 52 70 73 51 42 51 37 32 56 61 49 64 77 85 72 73 64 61 115 63 65 61 67 65 63 2566 47

N/East Zone 136 173 188 215 183 154 185 161 157 187 162 166 156 167 147 117 123 142 128 302 222 211 156 201 208 212 261 183 201 159 159 141 136 6584 100

Galbeed 41 44 19 29 19 22 9 11 14 12 13 5 3 2 1 2 1 4 5 2 1 6 7 2 6 0 3 7 4 2 1 3 3 758 4

Sahil 10 13 17 15 9 39 2 17 7 17 2 3 0 5 0 4 0 2 1 1 0 1 0 2 0 0 0 3 1 4 0 2 0 576 2

Sanag 5 19 5 11 19 22 11 13 19 10 10 16 0 8 6 3 0 6 5 8 0 2 2 5 0 7 6 2 0 0 0 0 0 259 4

Sool 13 15 16 5 5 11 13 9 5 3 0 0 2 4 4 1 6 0 4 0 1 8 3 2 1 10 5 11 10 9 17 25 0 698 17

Awdal 1 2 0 6 4 23 2 24 0 4 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 2 0 0 1 105 2

Togdher 98 88 31 50 37 23 29 42 13 22 8 29 2 30 7 26 10 13 6 17 6 10 12 27 7 19 10 22 4 16 7 25 10 2324 11

N/West Zone 168 181 88 116 93 140 66 116 58 68 33 57 8 49 18 36 17 25 21 28 8 27 24 38 14 37 24 45 22 33 25 55 14 4720 40

M/ Shabelle 7 6 16 18 20 20 16 20 16 28 13 9 14 14 21 8 19 22 16 7 15 16 16 15 12 6 12 6 9 6 16 11 12 716 18

Hiran 84 57 52 69 24 48 58 15 21 0 21 14 3 3 13 8 7 4 10 4 6 3 5 5 3 7 13 15 22 49 10 30 28 1461 12

Galgadud 7 9 13 8 12 9 13 29 19 14 17 13 18 5 8 6 9 7 5 8 6 4 7 5 8 3 6 4 7 3 6 5 7 625 5

Banadir 225 205 226 202 181 116 138 140 123 117 134 93 71 140 76 62 58 69 68 75 98 58 81 50 41 71 106 76 79 74 82 69 67 5617 72

L/Shabelle 47 52 52 49 47 47 40 59 58 45 36 33 43 39 29 30 34 56 49 40 41 40 38 44 32 39 37 40 45 37 29 36 36 2106 25

Central Zone 370 329 359 346 284 240 265 263 237 204 221 162 149 201 147 114 127 158 148 134 166 121 147 119 96 126 174 141 162 169 143 151 150 10525 132

Middle Juba 0 3 5 0 3 0 0 0 0 6 3 0 3 3 0 0 0 0 2 0 4 4 1 1 1 0 0 0 2 0 0 0 0 62

No Data

Bakool 0 0 0 0 0 0 0 0 0 10 15 5 8 2 4 0 4 2 0 2 2 2 6 6 8 3 5 4 2 1 0 4 4 99

Gedo 12 13 14 2 0 0 0 0 0 0 0 1 0 0 0 0 2 8 8 24 12 24 9 9 3 35 16 12 6 8 0 0 0 241

Bay 12 18 28 12 19 26 22 8 8 12 6 7 1 10 6 7 12 9 3 4 8 5 14 22 18 19 7 9 22 12 9 36 25 654

Lower Juba 5 3 4 2 2 0 0 6 3 1 4 2 0 4 8 3 5 8 10 13 19 22 32 14 14 8 0 7 9 24 13 28 22 468

South Zone 29 37 51 16 24 26 22 14 11 29 28 15 12 19 18 10 23 27 23 43 45 57 62 52 44 65 28 32 41 45 22 68 51 1524

Grand Total 703 720 686 693 584 560 538 554 463 488 444 400 325 436 330 277 290 352 320 507 441 416 389 410 362 440 487 401 426 406 349 415 351 23353 272

Distribution of reported fever and rash cases in Somalia , 2014-2017


Map no.7 Map no.8

Data source: from the Polio surveillance system and CSR.

Region

Fever & rash cases (2014)




Nugal 1110 82 112 2050

Bari 1284 226 202 1968

Mudug 542 561 270 2566

Galbeed 121 212 45 758

Sahil 30 60 226 576

Sanag 115 114 16 259

Sool 187 86 24 698

Awdal 1 15 56 105

Togdher 407 864 223 2324

M. Shab. 285 500 206 716

Hiran 63 663 107 1461

Galgadud 299 229 261 625

Banadir 2594 1974 2226 5617

L. Shab. 1978 1611 1217 2106

M. Juba 177 48 51 62

Bakool 3 26 37 99

Gedo 126 8 104 241

Bay 309 145 9 654

L.Juba 648 74 265 468

Total 10,279 7,498 5,657 23353

Map no.9

Fever & Rush cases reported by AFP surveillance System- December 31, 2017


<1yr, 59,

22%

1_4 yrs, 142, 54%

5_9yrs, 46, 18%

Yrs10+, 16, 6%

Age-wise distribution of fever and rash cases reported by AFP surveivallance system during 2018

132

100

40

0

272

0

50

100

150

200

250

300

Zone-wise cases of fever and rash reported by AFP surveillance system in 2018

Trend of reported fever and rash cases by zone in 2015 /16/17/2018 Source AFP surveillance,


161 133 115 97 14062 43 39 19 33 12 1539 30 48 70 119 83 24 27 27 11 40 036 71

214282

491

925

667 634510

891 882979

100

0

200

400

600

800

1000

1200

Puntland

2015 2016 2017 2018

161 142

269202 243

93 72 47 29 47 29 1514 3682 104

33 35 16 9 4296

37 8

265

459

861909

823

503

275

132 99 87 113194

40

0

200

400

600

800

1000

January February March April May June July AUG Sept. Oct. Nov. Dec

Somaliland

2015 2016 2017 2018

455 443 441348

545450 514

328 281388 383 401367 315

401265 324 307 278 271 310

142

350

30

503

742

11111205

13401494

925

659547 568 515

916

132

0

200

400

600

800

1000

1200

1400

1600


Central

2015 2016 2017 2018

4027 27 30

4622 27 19 14 13 18 189

37 2946

7550

921

733

4626

45

77

115136 128 139

8264

83

207189

32

0

50

100

150

200

250


South

2015 2016 2017 2018

Part -IIIPopulation Immunity

Measles mass campaign conducted from January 02-06, 2018 targeting a total of 1,014,791 children aged from 6 months to 10 Years living in 30 districts of Puntland concluded vaccinating 933,406 children.

16

,35

6

9,0

26

9,2

27

16

,84

1

16

,48

3

7,9

86

35

,47

3

13

,15

4

9,7

57

9,7

04

11

,76

9

72

,85

1

34

,48

9

15

,71

3

21

,95

8

49

,67

8

20

5,3

37

50

,14

0

47

,78

7

8,0

09

6,4

82

5,5

65

10

,57

3

9,1

92

6,1

95

15

,27

2

5,9

02

5,4

68

8,8

72

93

3,4

06

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Alu

la

Arm

o

Bar

gal

Bo

saso

Isku

shu

ban

Qa

nd

ala

Ufa

yn

Gar

do

B/b

ayla

Rak

o

Haf

un

Wai

ye

Gar

ow

e

Bu

rtin

le

Dan

gora

yo Eyl

Gal

do

gob

Gal

kayo

Jari

ban

Ho

byo

Daa

dya

r

Gal

shal

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Qu

racy

adh

er

Bad

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Dh

ahar

Hin

galo

l

Lasq

ora

y

Bo

'am

e

Hu

du

n

Tale

h PL

Bari Karkar Nugal Mudug Ayn Sanag Sool

Coverage of measles mass vaccination campaign by districts for Puntland


Supplemental Immunization Activities

Maps showing accessibility and security/ risk level, Somalia


Map no.11Map no.10

Somalia Total 501 869 457 11689 6,179,427

Summary Strategic features and initiatives in Somalia by accessibility

ZonesAccessibility

statusVPV

AFP active Surveillance site

TPVP Settlement Under 15- POP.

CENTRALAccessible 128 216 147 2354 2,297,618 Inaccessible 62 29 21 1042 638,368 Total 190 245 168 3396 2,935,985

PUNTLANDAccessible 105 207 53 1076 459,628 Inaccessible 0 0 0 0 -Total 105 207 53 1076 459,628

SOMALILANDAccessible 81 206 53 3435 1,469,441 Inaccessible 0 0 0 0 -Total 81 206 53 3435 1,469,441

SOUTHAccessible 75 179 123 2234 1,040,636 Inaccessible 84 33 22 1548 459,119 Total 159 212 145 3782 1,499,755

SomaliaAccessible 389 808 376 9099 5,267,323 Inaccessible 146 62 43 2590 1,097,488 Somalia Total 535 870 419 11689 6,364,811


2018 SIA Calendar, Implementation status Summary


Tab

le n

o.-

14

Somalia SIA Callender for 2017

Planned Date Campaign Type Geographic Areas to be coveredTarget Age

GroupZonal target Population Implementation date Vaccine # Reached/ Vaccinated Admin Coverage in % IM Coverage in % LQAS Result

29-31 Jan-18 SNID (mOPV2)Districts of Banadir, Lower Shabelle

and Middle ShabelleU-5 years 726,699 mOPV

18-March -18 NIDs R-1

All accessible areas of Central zone

Under 5 years

931,588

bOPV

Puntland all districts 546,107

Somaliland all districts 640,440

All accessible areas of South zone 397,122

2,515,256

18-October-18 NIDs R-2

All accessible areas of Central zone

Under 5 years

931,585

bOPVPuntland all districts 545,490

Somaliland all districts 642,166All accessible areas of South zone 410,380

2,529,620

July-18 HtR - R-1

Nomadic; Agro pastoral; Scattered,

remote, far settlements & Small villages

with difficult / no road access

Under 5 years

75,650

bOPV33,787

141,037

150,359

400,834

SIADs Jemame East and Jemame West in South

SIADsSome areas in Galgadud region of Central

zone

A) Target population: includes all accessible areas including the areas/districts that became and 3% population growth added 2018.

B) Buffer stock: 1 million bOPV doses kept in country for: Transit/Cross Border Permanent Vaccination Teams and SIADs for new areas accessible.

C) Country team strategy for newly accessible areas: conduct house to house bOPV vaccination, 4 Rounds at 10 days interval, R-1 target U<5 years, R-2 target U10 years, R-3 target all age groups; R-4 target U 5 years OPV + Measles.


Table no.-16

A total of 85,367 < 10 years individuals were vaccinated week 2,2018. Among them 884 (1.0%) were vaccinated for the first time.

Transit Points Vaccination Activities as of January 14, 2017

Immunity Profile of NP-AFP cases (6-59 Months) and Contacts 2013-2018

No zero dose among the 7 cases reported in 2018, However 40% (2/5) of AFP cases and 43% (9/21) of contacts are under immunized.


Graph no.-21 Graph no.-19 Graph no.-20

0 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

GrandTotal

0 0 0 0

Immunity Profile of NP-AFP cases 6-23 Months by Zone, 2018

0 Dose 1-3 Doses 4-6 Doses 7+ Doses

7673

38 37 39

63

3329 37

54

2

61

50 43 56

56

3

69

182 127 143135

1

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-59 Months, 2013-2018

0 dose 1-3 doses 4-6 doses 7+ doses

79

22 9 10

57

216

21

1

36

2717

28

27

83 37

31

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2018

Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2018

0 dose 1-3 doses

4-6 doses 7+ doses

0 0 0 0 0

1

0

1

0 0

1

0

1 1

0

0

0

1

0

00%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2018


709

265110 118 132

0

439

164

123 144197 9

344

180

134 189186

9

409

630448 492 515

3

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunization Profile of contacts (all-2017)

0 Dose 1-3 doses

4-6 doses 7+ doses

Immunity profile of 6-59 months age NP-AFP cases by Zone 2012-2018


Graph no.-22 Graph no.-23

Graph no.-24 Graph no.-25

8

7140 25

24 24

6

19

9 817 17

1113

7 9 17 21

013

22 12 15 15

0%

20%

40%

60%

80%

100%

2012 2013 2014 2015 2016 2017 2018

SOUTH


Part -IV Routine Immunization

Trend of routine EPI coverage by zone, 2014-2017

(N.B. 2017 is annualized from 9 months data )

Source: HMIS/DHIS-2 data 2016 and 2017.

0

10

20

30

40

50

60

70

80

90

100

BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3

PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA

2014 2015 2016 2017 Nine month

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Pent1 24215 48781 73263 98229 124707 152394 181148 207148 235011 266781 299618 331481

Penta3 27543 48616 70816 91732 113674 136589 160723 181282 203464 229673 256554 283080

Measles 18379 39266 60502 81562 103608 127044 150435 174056 193371 209302 230710 249465

Target 7.50% 15.00% 22.50% 30.00% 37.50% 45.00% 52.50% 60.00% 67.50% 75.00% 82.50% 90.00%

Penat1% 5% 11% 16% 22% 28% 34% 40% 46% 52% 59% 66% 73%

Penta3% 6% 11% 16% 20% 25% 30% 36% 40% 45% 51% 57% 63%

measles% 4% 9% 13% 18% 23% 28% 33% 39% 43% 46% 51% 55%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

Immuinzation monitoring chart, Somalia2016


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Sum of Pent1 31367 61990 89840 119005148901178493215415247586272579

Sum of Penta3 26790 53670 77763 102433127572152696178791203443225161

Sum of Measles 20594 44105 64886 89207 115739139255166186190981210074

Sum of Montly target on surval% 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 8% 16% 23% 31% 38% 46% 55% 64% 70%

Sum of penta-3% 7% 14% 20% 26% 33% 39% 46% 52% 58%

Sum of Measless% 5% 11% 17% 23% 30% 36% 43% 49% 54%

0%

20%

40%

60%

80%

100%

120%

0

50000

100000

150000

200000

250000

300000

Axi

s Ti

tle

Somalia Monitoring Chart, 2017

Part -IVVaccines and Cold Chain

Management

Vaccines and Cold Chain Management

• 1st round of mOPV campaign was concluded, however we still have vials unaccounted for as

below;

• 854 vials in Banadir representing 3.7% of the total vials supplied• 61 vials in Lower Shabelle representing 0.6% of total vials supplied• 77 vials in Middle Shabelle representing 1.2% of total vials supplied

• Q1 routine vaccine have been dispatched and received in all regional states

• We have received 386,700 vials of OCV and 59,850 vials of bOPV (RI) in Nairobi.

• As we plan to hand over cold chain management in Central South to government in June

2018, all cold chain institutional Contracts have been renewed till July 2018.

• Process is under way to order for vaccines for the polio and IPV campaigns

• Mass Measles campaign supplies prepositioned in all regional states




Below table shows details regarding Benadir mOPV2 vials retrieval.

District

Vials

Received

Children

Immunized

Opened

Vials

Returned

Unopened

Vials

Returned

Usable Vials

Returned

Vials

unaccounted

for Remarks StockCard

Heliwa 1,300 22,699 1,196 104 104 0 0.0% 104

Madina 1,717 30,345 1,591 125 125 1 0.1% 125

Waberi 995 17715 937 50 50 8 0.8% 50

Howlwadag 1,173 20,191 1,052 112 112 9 0.8% 112

Hamar Jajab 943 16826 861 35 35 47 5.0% 36

Deynile 930 16361 857 68 68 5 0.5% 68

Shangani 433 7466 398 35 35 0 0.0% 35

Bondhere 1,086 19,040 995 88 88 3 0.3% 88

Shibis 1,710 30,221 1,591 119 119 0 0.0% 119

Abdiaziz 468 8270 386 41 41 41 8.8% 41

Wardhigley 1,268 22,326 1,181 75 75 12 0.9% 87

Yaqshid 3,108 54,302 2,834 150 150 124 4.0% 149

Dharkaynley 1,621 38,362 1,456 78 78 87 5.4% 78

Hodan 2,484 44,009 1,958 202 202 324 13.0% 178

Karan 2,504 43,177 2,180 132 132 192 7.7% 132

Hamarwayne 990 17802 932 57 57 1 0.1% 57

Kahda 595 595 0 0 0 0.0% 0

Total 23,325 20,456 21,000 1,471 1,471 854 3.7%



mOPV2 distribution and retrieval status of Lower Shabelle districts.

District

Vials

Received

Children

Immunized

Opened

Vials

Returned

Unopened

Vials

Returned

Usable Vials

Returned

Vials

unaccounted

for Remarks

Wanlewayn 3,080 55,469 2,962 96 96 22 0.7%

Merka 1,450 24,167 1,307 124 124 19 1.3%

Afgoi 3,000 53,877 2,947 33 33 20 0.7%

Kurtunwarey 700 11267 634 66 76 0 0.0%

Qorioley 1,250 22,351 1,214 36 36 0 0.0%

Brava 550 9528 522 28 28 0 0.0%

Total 10,030 8,833 9,586 383 383 61 0.6%



mOPV2 distribution and retrieval status of Middle Shabelle districts:

District

Vials

Received

Children

Immunized

Opened

Vials

Returned

Unopened

Vials

Returned

Usable Vials

Returned

Vials

unaccounted

for Remarks

Jowhar 2,982 52,618 2,779 134 134 69 2.3%

Balad 1,656 29,372 1,558 93 93 5 0.3%

Mahaday 990 17284 943 44 44 3 0.3%

War-Sheikh 365 6518 349 16 16 0 0.0%

Adalle 370 6642 343 27 27 0 0.0%

Rageh Elle 250 4462 236 14 14 0 0.0%

Total 6,613 5,845 6,208 328 328 77 1.2%

Part -VCommunication

Communication for Development


the end

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