Somalia Weekly Update
Week-06Ending 11 February 2018
• 3 new VDPV2s are isolated
from 2 environmental
samples collected from an
ES site called ‘KAWMA'
sewage site, in Hamerewoini
district in Banadir region in
Central zone
• Samples were collected one
week apart on 4th and 11th of
January 2018
• Sequencing results were
received from the CDC on
February 10, 2018
• The VDPV2 from the first
sample had 44 and 38 NT
different from the parent
Sabin and the second was 40
NT
• The 3 new viruses are
genetically linked to
previous ES viruses detected
in 21October site.
• These are classified as
cVDPV2 as per guidelines
Somalia cVDPV2 update
• Kawma sewage site was established on 20th September 2017 and a total of 16 samples were collected since establishment
Site name: 21October site3 VDPV2s isolated from 2
Samples-2017
Site name: Kawma3 VDPLV2s isolated from 2
samples-2018
List of ES samples sent for Sequencing in 2017 and 2018 and summary of final classification
Region District Site name Year Epid. NumberDate of Sample
Collection
Final
Classification
Date sent
for
Sequencing
NT Deference
from parent
Date of
Sequencing
result
Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-002 22-Oct-17 cVDPV2 02-Nov-17 28 nt 09-Nov-17
Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-003 2-Nov-17 cVDPV2 36 & 37 nt
Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/009 21-Dec-17 SL-2 2-Feb-18 10-Feb-17
Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/010 28-Dec-17 SL-2 2-Feb-18 10-Feb-17
Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/001 4-Jan-18 cVDPV2 2-Feb-18 44 & 38 nt 10-Feb-17
Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/002 11-Jan-18 cVDPV2 2-Feb-18 40 nt 10-Feb-17
Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/003 18-Jan-18 SL-2 2-Feb-18 10-Feb-17
Somalia cVDPV2 update
mOPV2 second round campaign
The second round mOPV2 campaign conducted from 29 January – 01 February 2018 in all 29 accessible and partially
accessible districts of Banadir, Lower Shabelle and Middle Shabelle targeting 726,000 under 5 children.
Preliminary data collected through the ODK showers most districts have achieved more than 90% administrative and
intra-campaign independent monitoring coverage.
Data collected through the ODK in Banadir region shows, there are 413,577 under 5 children vaccinated which is 98%
of the target. Both intra-campaign and post campaign data also shows 91%.
Proportion of households who are aware about the campaign were found 85%.
All vials distributed to vaccinators (Unopened/Opened/Used) were collected and no single vial reported missing far
mOPV2 Round 2. The DPOs received their clearance letter of handing over mOPV2 Vials to cold chain team.
Part –I
AFP-Surveillance
Week-06 Somalia Weekly EPI/POL Update
Epidemiological Curve 01 January 2014 – 11 February 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).
- 5 new AFP cases were reported last week making the total AFP cases reported in 2018 29 from from 16 regions.- Only Nugal, Sanaq and Bay region are not reported AFP case in 2018
Week-06 Somalia Weekly EPI/POL Update
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
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
2018
W03
2018
W04
2018
W05
2018
W06
To
tal 2
017
BANADIR 30 1 1 2 1 3 1 2 1 1 1 1 1 2 1 1 2 2 2 1 2 1 1 1 33 2 2
GALGADUD 25 1 1 1 1 2 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 27 1 2 3
M. SHABELLE 19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 24 1 1 2
L. SHABELLE 24 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 1 1
HIRAN 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 1 1 2
BARI 24 2 1 1 1 2 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 24 3 3
NUGAL 11 2 1 1 1 1 1 1 1 1 10 0
MUDUG 14 2 1 1 1 1 1 1 1 1 1 12 1 1 2
TOGDHER 11 1 1 1 1 1 1 1 9 1 1
GALBEED 19 1 1 1 1 1 1 1 1 2 1 2 1 2 20 1 1
SANAQ 7 1 1 1 1 1 6 0
AWDAL 18 1 2 1 1 1 1 1 1 1 1 1 1 1 17 1 2 1 4
SAHIL 8 1 1 1 1 1 1 1 1 8 1 1 2
SOOL 5 2 1 1 1 1 1 2 1 11 1 1
LOWER JUBA 26 1 2 2 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 29 2 2
BAY 19 3 1 3 1 1 1 1 1 1 1 1 2 2 2 1 22 0
GEDO 21 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 2 1 2 1 1 11 1 1
BAKOOL 9 1 1 1 1 1 1 1 1 1 10 1 1
Total Somalia 316 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 6 4 8 7 3 1 29
REGION
2017 2018
Discarded Pending Total Discarded Pending Total
BANADIR 33 0 33 0 2 2
M. SHABELLE 27 0 27 1 2 3
HIRAN 21 0 21 1 1 2
BARI 30 1 31 1 0 1
NUGAL 24 0 24 1 1 2
GALGADUD 24 0 24 0 3 3
MUDUG 11 1 12 2 0 2
TOGDHER 10 0 10 0 0 0
GALBEED 16 1 17 2 2 4
SANAQ 20 0 20 1 0 1
AWDAL 8 0 8 2 0 2
SAHIL 6 0 6 0 0 0
SOOL 11 0 11 0 1 1
LOWER JUBA 9 0 9 1 0 1
GEDO 10 0 10 0 1 1
MIDDLE JUBA 21 1 22 0 0 0
BAY 20 0 20 1 0 1
BAKOOL 29 0 29 0 2 2
L. SHABELLE 11 0 11 0 1 1
Grand Total 341 4 345 13 16 29
Classification of AFP cases by status (2017 & 2018)
16In process (lab)
0Pending ITD
13Discarded
0 WPV
16Pending
0 Compatibl
e
0VDPV
29 AFP Cases Reported in 2018
Week-06 Somalia Weekly EPI/POL Update
Tab
le n
o.-
2
Chart no. 1
0Pending ERG
Surveillance Indicators by Zone and Region 2018
Week-06 Somalia Weekly EPI/POL Update
Graph no. 2
Graph no. 3
3.5
11.3
6.4
3.5
4.9
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Central Puntland Somaliland South Total Somalia
Annualized NP-AFP Rate by Zone
3.5 4.4
5.3 4.9
-
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
29 districts reported at least 1 AFP case each
the first 5 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 86 districts have not reported
any AFP case in 2018 however there is no
district in Somalia which is silent for more
than 52 consecutive weeks.
Week-06 Somalia Weekly EPI/POL Update
Map no. 3 Map no. 4
Number of NP-AFP cases reported across years during the same period (2012-2018) by zone
Less number of AFPs reported in Somalia in general and also in all zones compared to number of reported AFP cases last year during the same period.
Week-06 Somalia Weekly EPI/POL Update
0 0 1 1 2
18
3
7
13
42
10
5
78
30
11
4
6 6
27
13
6
12
10
41
10
5
9
5
29
0
5
10
15
20
25
30
35
40
45
CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA
2013 2014 2015 2016 2017 2018
Early case detection within 7 days from onset of paralysis at zonal and region levels-2018
Week-06 Somalia Weekly EPI/POL Update
All the 29 AFP cases reported in 2018 were notified within 7 days of onset of paralysis.Nugal, Sanaq and Bay regions did not report AFP cases in 2018
2 3 2 1 2 3 2 4 1 2 1 1 1 1 2 1 29
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
10 5 9 5 29
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
ases
wit
h s
too
l in
go
od
co
nd
.
#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 10 3.5 10 100% 100% 100% 6 4 4 100% 0 0% 0 0%
Puntland 5 11.3 5 100% 100% 100% 3 2 2 100% 0 0% 0 0%
Somaliland 9 6.4 9 100% 100% 100% 3 6 6 100% 0 0% 0 0%
South 5 3.5 5 100% 100% 100% 4 1 1 100% 0 0% 1 100%
Total 29 4.9 29 100% 100% 100% 16 13 13 100% 0 0% 1 7.7%
Summary of AFP surveillance key indicators by Zone, 2018
Week-06 Somalia Weekly EPI/POL Update
Table no.-4
Week-06 Somalia Weekly EPI/POL Update
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 follow-up
CENTRAL
BANADIR 2 1.9 100% 100% 100% 100% --- 0% 2
GALGADUD 3 11.6 100% 100% 100% 100% --- 0% 3
HIRAN 2 8.9 100% 100% 100% 100% --- 0% 2
LOWER SHABELLE 1 1.1 100% 100% 100% 100% --- 0% 1
MIDDLE SHABELLE 2 5.5 100% 100% 100% 100% --- 0% 2
PUNTLAND
BARI 3 17.1 100% 100% 100% 100% --- 0% 3
MUDUG 2 11.2 100% 100% 100% 100% --- 0% 2
NUGAL 0 0.0 --- --- --- --- --- --- 4
SOMALILAND
AWDAL 4 17.0 100% 100% 100% 100% 0% 0% 1GALBEED 1 1.9 100% 100% 100% 100% 0% 0% 2SAHIL 2 24.2 100% 100% 100% 100% 0% 0% 1SANAQ 0 0.0 --- --- --- --- --- --- 1SOOL 1 8.6 100% 100% 100% 100% --- 0% 1TOGDHER 1 3.3 100% 100% 100% 100% --- 0% 1
SOUTH
BAKOOL 1 5.7 100% 100% 100% 100% --- 0% 2BAY 0 0.0 --- --- --- --- --- --- 1GEDO 1 3.3 100% 100% 100% 100% --- 100% 29LOWER JUBA 2 6.9 100% 100% 100% 100% --- 0% 0MIDDLE JUBA 1 6.4 100% 100% 100% 100% --- 0% 0
SOMALIA29 4.9 100% 100% 100% 100% 0 7.7% 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 VDPV2 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
Week-02 Somalia Weekly EPI/POL Update
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
Central10 30 12 3 100% 100% 12 18 0 0 0 0
Puntland5 15 6 3 100% 100% 6 9 0 0 0 0
Somaliland9 27 18 3 100% 100% 18 9 0 0 0 0
South5 15 3 3 100% 100% 3 12 0 0 0 0
Somalia29 87 39 3 100% 100% 39 48 0 0 0 0
Week-06 Somalia Weekly EPI/POL Update
Table no.-5
Summary of AFP surveillance key indicators for contacts, 2018
ZoneNumber of VPVs
Number of cases reported
# of cases Notified by
VPV
Proportion of cases reported
by VPV
CENTRAL 190 190 10 60%
PUNTLAND 105 105 5 60%
SOMALILAND 81 81 9 67%
SOUTH159 159 5 40%
Somalia 535 535 29 59%
Distribution of AFP cases by source of case notification, 2017
Key: 1. VPVs: Village polio volunteers2. HFs: MCH, Hospitals and Private clinics3. Others: community members, district field assistants, traditional healers
Week-06 Somalia Weekly EPI/POL Update
Table no.-6
2 25
151
143 163 191 1767
268
131
74105 104 7
79253
13864
48 50 5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2012 2013 2014 2015 2016 2017 2018
Year of onset
Source of AFP cases notification 2012-2018
VPV HFs Other
1 1 4 5 0 6 014
138
3120
2025
4
33
78
63
4172 53
3
9
14
17
4
612
0
10
37
16
4
7 8
00
50
100
150
200
250
300
2012 2013 2014 2015 2016 2017 2018
NOTIFIED BY HEALTH FACILITIES
HEALTH POST HOSPITALMCH PRIVATE CLINICPRIVATE PHARMACY
2 3 2 0 0 0 00 118 24 17
7 009
22 8
3
000
12
109
111143
184
170
50
100
150
200
250
2012 2013 2014 2015 2016 2017 2018
NOTIFIED BY COMMUNITY AND VOLUNTEERS
CHW COMMUNITY HOUSEHOLD VOLUNTEERS
0 2 0 0 0 1 112
77
40
14 8 8 0
4
26
5
43 6
0
28
74
75
3631 28
3
21
49
4
1
1 0
0
12
17
10
7
5 7
10
50
100
150
200
250
300
2012 2013 2014 2015 2016 2017 2018
NOTIFIED BY COMMUNITY AND VOLUNTEERS
CAMPAIGNS DISTRICT FIELD ASST DPO
NID VACCINATOR OTHER TRADITIONAL HEALER
AFP cases by specific sources notification 2012-2018
Week-06 Somalia Weekly EPI/POL Update
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 2 2 100% 3.5 0 0 0 0 0 0
Partially accessible
23 1,720,826 7 3 43% 4.4 3 100% 100% 100% 0 0
Accessible 75 4,024,663 20 12 60% 5.3 10 100% 100% 100% 0 10%
National 115 6,364,810 29 17 59% 4.9 13 100% 100% 100% 0 7.7%
Week-06 Somalia Weekly EPI/POL Update
Table n
o.-7
Accessibility
% of <15 population in the
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 cases
with lab result
within 14 days
% of Stool
adequacy
% inv.Within 48 hrs.
% of Notified within 7
days
%Specim
ens with NPEV
% cases with
Sabin like virus
Nomadic 28.8% 7 6 86% 4.0 3 100% 100% 100% 100% 0% 0%
Rural 25.9% 14 7 50% 8.8 7 57% 100% 100% 100% 0% 14%
Urban 45.3% 8 4 50% 2.9 3 100% 100% 100% 100% 0% %
National 100% 29 17 59% 4.7 13 77% 100% 100% 100% 0% 7.7%
AFP surveillance indicators by Life Style of Population 2018
Week-06 Somalia Weekly EPI/POL Update
Tracking lab results of AFP cases
Total AFP cases
29
Total AFP cases with stool specimens
Total AFP cases without stool
specimens
29 0
With lab results
En route In the lab
13 0 16
cVSPV2 SL EV -ve
0 1 0 12
1
12
16
Tracking AFP with stool specimens
cVDPV2
Other viruses
neg st
in lab
en route
Week-06 Somalia Weekly EPI/POL Update
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 58 26 32 23 77% 0 0% 1 8%
Contacts 87 39 48 35 77% 0 0% 0 0%
Total 145 65 80 59 77% 0 0% 1 2%
Lab performance indicators for AFP surveillance in Somalia, 2017
Week-06 Somalia Weekly EPI/POL Update
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
Median: no dataAverage: no data
1 day
Week-06 Somalia Weekly EPI/POL Update
Chart no. 2
Median: no dataAverage: no data
Median: no dataAverage: no data
Week-06 Somalia Weekly Polio Update
Village polio volunteers weekly house to house visit and AFP cases notified , 11 February 2018
Central
January Feberuary March April May June July Aug Sept Oct Nov December
No. of HH
visited
No. of AFP
cases notifie
d
No. of HH visited
No. of AFP cases notified
No. of HH
visited
No. of AFP
cases notified
No. of HH
visited
No. of AFP
cases notified
No. of HH
visited
No. of AFP
cases notifie
d
No. of HH
visited
No. of AFP
cases notifie
d
No. of HH
visited
No. of AFP
cases notified
No. of HH
visited
No. of AFP
cases notified
No. of HH
visited
No. of AFP
cases notified
No. of HH
visited
No. of AFP
cases notifie
d
No. of HH
visited
No. of AFP
cases notifie
d
No. of HH
visited
No. of AFP
cases notifie
d
Central38002 5 9479 1 0 0 0 0 0 0 0 0 0 0 0 0 - 0 - 0 - 0 - 0
South35756 1 9295 1 0 0 0 0 0 0 0 0 0 0 0 0 - 0 - 0 - 0 - 0
Puntland 16237 2 3957 1 0 0 0 0 0 0 0 0 0 0 0 0 - 0 - 0 - 0 - 0
Somaliland32180 6 8044 0 0 0 0 0 0 0 0 0 0 0 0 0 - 0 - 0 - 0 - 0
Total122175 14 30775 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
Week-06 Somalia Weekly Polio Update
Routine Immunization Services, status of Cold Chain & Vaccine stocks in AFP Surveillance Sites. 11 February 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% 23 61%
Galbeed 40 23 58% 23 100% 23 100% 23 100%
Sahil 25 10 40% 10 100% 10 100% 8 80%
Sanag 21 11 52% 11 100% 11 100% 11 100%
Sool 28 10 36% 10 100% 10 100% 10 100%
Awdal 52 23 44% 23 100% 23 100% 23 100%
Togdher 47 21 45% 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 25 66% 18 72% 24 96% 15 63%
Banadir 122 63 52% 25 40% 59 94% 63 107%
Lower Shabelle 56 28 50% 15 54% 27 96% 23 85%
Middle Juba 29 1 3% 0 0% 1 100% 0 0%
Bakool 26 10 38% 10 100% 10 100% 10 100%
Gedo 53 21 40% 20 95% 20 95% 19 95%
Bay 75 30 40% 30 100% 30 100% 30 100%
Lower Juba 52 24 46% 24 100% 24 100% 20 83%
Somalia 933 435 47% 349 80% 425 98% 392 92%
Part -II
Fever and rash Surveillance
- 272 Suspected cases reported since beginning of 2018
Week-06 Somalia Weekly Polio Update
Epi-curve on suspected measles cases by week, Somalia (Week 20, 2015-Week 05, 2018)
2015 (n=7498)
2016 (n=5657)
163
149
144
208
182
172
174
199 21
417
514
0 156
161
180
134 15
111
3 127
96 9585
107 12
486 90 84
7210
272
89 8811
510
012
597
111
158
105
8766
8610
312
511
295
122
109
87 88 8310
514
013
210
2 115
116
142
127 14
114
510
998
124
9082
74 7960
91 9281 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
315
286
317
346
393
0
100
200
300
400
500
600
700
800 2017(n=23,353)
20
18
Week-06 Somalia Weekly Polio Update
Fever & Rush cases reported by AFP surveillance System 11 February 2018
Region
Fever and Rash Cases by weekly 2017
Tota
l 20
17
Fever and Rash Cases by weekly 2018
Tota
l 20
18
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
W2
W3
W4
W5
Nugal 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 26 26 26 24 134
Bari 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 26 20 17 20 104
Mudug 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 45 36 27 44 199
N/East Zone 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 97 82 70 88 437
Galbeed 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 2 4 7 1 18
Sahil 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 0 9 2 13 26
Sanag 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 6 5 11 0 26
Sool 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 7 20 20 45 109
Awdal 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 0 11 2 5 20
Togdher 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 11 27 13 31 93N/West Zone 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 26 76 55 95 292
M/ Shabelle 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 15 19 23 23 98
Hiran 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 13 3 26 26 80
Galgadud 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 7 4 6 6 28
Banadir 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 73 79 70 70 364
L/Shabelle 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 28 40 36 36 165
Central Zone 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 132 136 145 161 161 735
Middle Juba 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 0 3 3 0 1 7
Bakool 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 4 2 2 0 4 12
Gedo 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 0 1 1 51 23 76
Bay 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 17 17 2 0 9 45
Lower Juba 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 22 4 6 9 12 53
South Zone 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 43 27 14 60 49 193
Grand Total 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 315 286 317 346 393 1657
Distribution of reported fever and rash cases in Somalia , 2014-2017
Week-06 Somalia Weekly Polio Update
Map no.7 Map no.8
Data source: from the Polio surveillance system and CSR.
Region
Fever & rash cases (2014)
Fever & rash cases (2015)
Fever & rash cases (2016)
Fever & rash cases (2017)
Fever & rash cases (2018)
Nugal 1110 82 112 2050 134
Bari 1284 226 202 1968 104
Mudug 542 561 270 2566 199
Galbeed 121 212 45 758 18
Sahil 30 60 226 576 26
Sanag 115 114 16 259 26
Sool 187 86 24 698 109
Awdal 1 15 56 105 20
Togdher 407 864 223 2324 93
M. Shab. 285 500 206 716 98
Hiran 63 663 107 1461 80
Galgadud 299 229 261 625 28
Banadir 2594 1974 2226 5617 364
L. Shab. 1978 1611 1217 2106 165
M. Juba 177 48 51 62 7
Bakool 3 26 37 99 12
Gedo 126 8 104 241 76
Bay 309 145 9 654 45
L.Juba 648 74 265 468 53
Total 10,279 7,498 5,657 23353 1657Map no.9
Fever & Rush cases reported by AFP surveillance System. 11 Feb 2018
Week -04 Somalia Weekly Polio Update
<1yr, 297, 18%
1_4 yrs, 888, 54%
5_9yrs, 300, 18%
Yrs10+, 172, 10%
Age-wise distribution of fever and rash cases reported by AFP surveillance system
735
437
292193
1657
0
200
400
600
800
1000
1200
1400
1600
1800
Zone-wise cases of fever and rash reported by AFP surveillance system
Trend of reported fever and rash cases by zone in 2015 /16/17/2018 Source AFP surveillance,
Week-06 Somalia Weekly Polio Update
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
349
88
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
95
861909
823
503
275
132 99 87 113194197
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
574
161
0
200
400
600
800
1000
1200
1400
1600
January February March April May June July AUG Sept. Oct. Nov. Dec
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
144
49
0
50
100
150
200
250
January February March April May June July AUG Sept. Oct. Nov. Dec
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
e
Qu
racy
adh
er
Bad
han
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 - Puntland
Week-06 Somalia Weekly Polio Update
Supplemental Immunization Activities
Maps showing accessibility and security/ risk level, Somalia
Week-06 Somalia Weekly EPI/POL Update
Map no.11
Source: UNDSS
Map 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 105 208 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 389 809 376 9099 5,267,323 Inaccessible 146 62 43 2590 1,097,488 Somalia Total 535 933 419 11689 6,364,811
Week-06 Somalia Weekly EPI/POL Update
2018 SIA Calendar, Implementation status Summary
Week-06 Somalia Weekly EPI/POL Update
Tab
le n
o.-
14
Somalia SIA Callender for 2017
Planned Date Campaign Type Geographic Areas to be coveredTarget Age
Group
Zonal target
PopulationImplementation date Vaccine # Reached/
Vaccinated
Admin Coverage
in %
IM Coverage in
%
LQAS Result
29-Jan- 01 Feb. 2018 SNID (mOPV2)Districts of Banadir, Lower Shabelle
and Middle ShabelleU-5 years 726,699
29 January - 01 February 2018
mOPV
April 2018 SNID (IPV)Districts of Banadir, Lower Shabelle and
Middle ShabelleU-2 years 290,691 IPV
18-March -2018 NIDs R-1
All accessible areas of Central zone
Under 5 years
931,588
bOPVPuntland all districts 546,107
Somaliland all districts 640,440
All accessible areas of South zone 397,122
2,515,256
July-2018 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
18-Oct-2018 NIDs R-2
All accessible areas of Central zone
Under 5 years
931,585
bOPVPuntland all districts 545,490
Somaliland all districts 642,166
All accessible areas of South zone 410,380
2,529,620
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.
Week-06 Somalia Weekly EPI/POL Update
Table no.-16
A total of 215,199 < 10 years individuals were vaccinated week 5,2018. Among them 2300 (1%) were vaccinated for the first time.
Transit Points Vaccination Activities as of 11 February 2018
Zones
January February March April May June
Nu
mb
er o
f va
ccin
ated
Zero
do
ses
% Z
ero
do
ses
Nu
mb
er o
f va
ccin
ated
Zero
do
ses
% Z
ero
do
ses
Nu
mb
er o
f va
ccin
ated
Zero
do
ses
% Z
ero
do
ses
Nu
mb
er o
f va
ccin
ated
Zero
do
ses
% Z
ero
do
ses
Nu
mb
er o
f va
ccin
ated
Zero
do
ses
% Z
ero
do
ses
Nu
mb
er o
f va
ccin
ated
Zero
do
ses
% Z
ero
do
ses
CENTRAL 99939 334 0.3% 25229 89 0.4%
PUNTLAND 25067 58 0.2% 5828 16 0.3%
SOMALILAND 14705 350 2.4% 3633 103 2.8%
SOUTH 32225 1073 3.3% 8573 277 3.2%
SOMALIA 171936 1815 1.1% 43263 485 1.1%
Immunity Profile of NP-AFP cases (6-59 Months) and Contacts 2013-2018
2 zero dose reported in 2018 1 from inaccessible and 1 from partially accessible areas of South zone.
Week-06 Somalia Weekly EPI/POL Update
Graph no.-23 Graph no.-19 Graph no.-20
0 0 0
2
2
2
0
1
0
3
2
2
3
2
9
2 1 2
0
5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2018
0 dose 1-3 doses 4-6 doses 7+ doses
709
265110 118 132
6
439
164
123 144197
15
344
180
134 189186 27
409
630448 492 515
39
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
7673
38 37 40 2
63
3329 37
54
3
61
50 43 56
56
9
69
182 127 143135
5
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
0 0
1
1
0
1
0
1
1
2
0
3
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Immunity Profile of NP-AFP cases 6-23 Months by Zone, 2017
0 Dose 1-3 Doses 4-6 Doses 7+ Doses
29
21 9 10 11
1
34
206
2034
1
26
2717
28
34
3
25
83 37
3135
0
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2013 2014 2015 2016 2017 2018
Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2018
0 dose 1-3 doses 4-6 doses 7+ doses
Graph no.-21 Graph no.-22
Immunity profile of 6-59 months age NP-AFP cases by Zone 2012-2018
Week-06 Somalia Weekly EPI/POL Update
Graph no.-24 Graph no.-25
Graph no.-26 Graph no.-27
6
37 38 2524 24
2
6
159 8
17 170
11 10
7 9 17 202
922 12 15 15
0
0%
20%
40%
60%
80%
100%
2012 2013 2014 2015 2016 2017 2018
SOUTH
0 dose 1-3 doses 4-6 doses 7+ doses
2 4 3 1 0
410
94
4 6 1
1315
6
3 1014
3
16 18
3330 43
34
2
0%
20%
40%
60%
80%
100%
2012 2013 2014 2015 2016 2017 2018
SOMALILAND
0 dose 1-3 doses 4-6 doses 7+ doses
526 28
8 13 150
10
24
812 11 18
2
1829
26 19 1418
2
13 31
98 61 66 64
2
0%
20%
40%
60%
80%
100%
2012 2013 2014 2015 2016 2017 2018
CENTRAL
0 dose 1-3 doses 4-6 doses 7+ doses
4 74 4 1 0
11
10
5 55
13
0
1
4
11 12 154
2
311
29 24 19 221
0%
20%
40%
60%
80%
100%
2012 2013 2014 2015 2016 2017 2018
PUNTLAND
0 dose 1-3 doses 4-6 doses 7+ doses
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
Week-06 Somalia Weekly EPI/POL Update
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 -IVCommunication
Communication for development
Week - 5 Somalia Weekly EPI/POL Update
885 social mobilizers were deployed mostly in high risk localities during the mOPV2 campaign. Below are the results of their work:
RegionsTotal
No. SM
Number of SM
reported Daily Data
No. of total HH reached
by social mobilizers
No. of mosques
announcing polio
messages
No of total Schools
and madrasas
No. of total religious leaders reached
No of people reached through
community meetings
No. of total villages
reached by sound truck
Banadir 607 607 193,522 105 103 171 524 206
Lower Shabelle
150 150 46,429 72 61 83 321 114
Middle Shabelle
128 128 42,148 74 55 97 231 172
Total 885 885 282,099 251 219 351 1,076 492
Communication for development
Week-34 Somalia Weekly EPI/POL Update
Some photographs of the official launching ceremony
And vaccination in households
the end