MONTHLY SURVEILLANCE REPORT

                  A total of 1,971 notifiable diseases were reported by the 10 Sentinel Surveillance Hospitals from July 1 to 27, 2013. 

NOTIFIABLE DISEASES IN THE REGION:

Figure 1 - Cases admitted in the 10 sentinel hospitals

DISCUSSIONS:                                         

                  Among the diseases monitored, Dengue ranks first at 1,033 cases, 71.4% comes from Davao City.. Influenza like Illness cases of 839, second.  Third is Typhoid Fever cases. Thirty-nine (39) fatalities noted.

MEASLES CASES

Trend           

                 A total of 4 suspect measles  cases was reported from the different DRUs (Disease Reporting Unit) in Davao Region from July 1 to 27,2013.   This is 94%  lower compared to the same period last year.  There were no deaths for 2012.

Figure 2 - Distribution of Measles cases by province

Profile of Cases        

                 Ages of cases ranged from 11 mos to 38 y.o. (median = 20 y0.).  Both male and female have 2 cases each.  Most cases came from Davao City.

Figure 3 - Profile of cases as to immunization status

DENGUE CASES

 Figure 4 - Epicurve for Dengue, Davao Region, July 1 to 27,2013

            Five (5) year trend shows increase in the middle of the year probably due to start of the rainy season.  The epicurve shows the cases reached the alert threshold.

           Dengue suspects total to 1,033. Most of the cases came from Davao City (71.4%). 50.3% were males. 218 of the cases are from the agegroup 5 to 9 years old.

Figure 5 - Dengue suspect cases by agegroup and sex , Davao Region, July 1 to 27, 2013.

ACUTE BLOODY DIARRHEA CASES

               Acute Bloody Diarrhea cases total to 14. 92.8% of the cases came from Davao City. There are 8 males and 6 females. Most of the cases belong to the agegroup of 40 years old and above.

Figure 6 - Acute Bloody Diarrhea Cases by Province, Davao Region, July 1 to 27, 2013

Figure 7 - Acute Bloody Diarrhea Cases by District, Davao Region, July 1 to 27, 2013

Figure 8 - Acute Bloody Diarrhea cases by agegroup and sex , Davao Region,               July 1 to 27, 2013.

                                    ACUTE WATERY DIARRHEA

                  Monitoring cases of Acute Watery Diarrhea is not routinely done by the Regional Epidemiology Surveillance Unit, but seeing significant increase in cases as shown in figure 9, below, that shows that number of cases have exceeded alert levels.  The various Epidemiology Surveillance Units have been informed and provided with recommendations for action.


 Figure 9 – Epicurve for Acute Watery Diarrhea, Davao Region, July 1 to 27,2013

Figure 10 – Monthly Acute Watery Diarrhea Cases, July 1 to 27, 2013

Clustering of Cases In:

                 Brgy. Talomo(Pob) Talomo South , Davao City           
                 Brgy Lapu-Lapu Agdao, Davao City
                 Brgy. Cabantian, Buhangin District, Davao City                   
                 Brgy Ma-a, Talomo South, Davao City
                 Brgy. Matina Crossing, Talomo North, Davao City
                 Brgy. Bucana, Talomo North, Davao City
                 Brgy. Central, Mati, Davao Oriental 

Figure 11 – Weekly Acute Watery Diarrhea Cases by Province, July 1 to 27, 2013

Figure 12 – Weekly Acute Watery Diarrhea Cases by District, Davao City, July 1 to 27, 2013

Figure 13 - Acute Watery Diarrhea Cases by Age Group, Davao Region, July 1 to 27, 2013

HIV AND OTHER SEXUALLY TRANSMITTED INFECTIONS (STI)

                 Pursuant to AO No. 2005-0027 through a memorandum from Assistant Secretary for Health and Director IV, National Epidemiology Center Dr. Enrique Tayag dated February 15,2012; Heads/Chief of Clinics, Laboratories and Blood Banks are required to submit monthly report of detected HIV/STI cases to NEC/RESU.

                 Reports are collected from 28 accredited HIV Testing Laboratories (including blood banks) in the Davao Region.  Data collected include confirmed HIV results, positive for Syphilis, Hepatitis B, Hepatitis C and Gonorrhea. Also collected are results from testing of blood units in blood banks.

  Davao Region is one of the five major contributors to the National HIV Registry, sharing 6% in June 2013.   As of June  2013, no HIV-related deaths have been reported by hospitals. 

Figure 14. HIV/STIs Cases detected from accredited HIV  Testing Laboratories in Davao Region as of June 2013.