Regional Epidemiology Surveillance Unit
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April 2013 PDF

MONTHLY SURVEILLANCE REPORT

                  A total of 2,300 notifiable diseases were reported by the 10 Sentinel Surveillance Hospitals from April 1 to 30, 2013. 

NOTIFIABLE DISEASES IN THE REGION:

Disease Entity

CV

DC

DN

DS

DO

TOTAL

Acute Bloody Diarrhea

32

49

1

0

1

83

Adverse Event following immunization

0

0

3

0

2

5

Acute Encephalitis Syndrome

0

0

1

0

0

1

Acute Flaccid Paralysis

0

0

0

0

0

0

Acute Hemorrhagic Fever

0

0

0

0

0

0

Cholera

0

0

0

0

0

0

Dengue

112

494

52

56

89

803

Diphtheria

0

0

0

0

0

0

Hepatitis A

0

2

0

0

0

2

Hepatitis B

7

9

0

2

1

19

Hepatitis C

0

0

0

0

0

0

Hand Foot Mouth Disease

0

0

0

0

0

0

Influenza Like Illness

118

772

222

45

91

1248

Leptospirosis

0

2

1

1

0

4

Malaria

0

0

0

0

0

0

Measles

0

6

3

1

0

10

Meningitis, Bacterial

7

2

1

1

2

13

Meningo

0

0

0

0

0

0

Non-Neonatal Tetanus

0

2

2

1

0

5

Neonatal Tetanus

0

0

0

0

0

0

Pertussis

0

1

4

0

0

5

Rabies

0

0

0

0

0

0

Typhoid Fever

9

49

31

5

8

102

TOTAL

285

1388

321

112

194

2300

Figure 1 - Cases admitted in the 10 sentinel hospitals


DISCUSSIONS:
                                         

                  Among the diseases monitored, Influenza-like Illness ranks first at 1,248 cases.   Dengue cases of 803, second, 61.5% are from Davao City.  Third is Typhoid  Fever cases. Twenty-eight (28) fatalities noted.

 

MEASLES CASES

 

Trend              

                  A total of 10 suspect measles  cases was reported from the different DRUs (Disease Reporting Unit) in Davao Region from April 1 to 30,2013.   This is 52.3%  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 6 mos to 25 y.o. (median = 1 y0.). Majority of cases were male (80%). Most cases came from Davao City. 


Figure 3 - Profile of cases as to immunization status

DENGUE CASES


 Figure 4 - Epicurve for Dengue, Davao Region, April 1 to 30,2013

                    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 epidemic threshold.

                    Dengue suspects total to 803. Most of the cases came from Davao City (61.5%). 53% were males. 169 of the cases are from the agegroup 5 to 9 years old. 


Figure 5 - Dengue suspect cases by agegroup and sex , Davao Region, April 1 to 30, 2013.

ACUTE BLOODY DIARRHEA CASES

                     Acute Bloody Diarrhea cases total to 83. 59% of the cases came from Davao City. There are 53 males and 30 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, April 1 to 30, 2013

Figure 7 - Acute Bloody Diarrhea Cases by District, Davao Region, April 1 to 30, 2013

Figure 8 - Acute Bloody Diarrhea cases by agegroup and sex , Davao Region,                 April 1 to 30, 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, April 1 to 30,2013

Figure 10 – Monthly Acute Watery Diarrhea Cases, April 1 to 30, 2013

Clustering of Cases In:

      Brgy Talomo Poblacion, Talomo South, Davao City
      Brgy. Mintal, Tugbok District, Davao City
      Brgy. Bucana, Talomo North, Davao City
      
Brgy. Buhangin Poblacion, Buhangin District, Davao City
      Brgy. Central, Mati City, Davao City

Figure 11 – Weekly Acute Watery Diarrhea Cases by Province, April 1 to 30, 2013

Figure 12 – Weekly Acute Watery Diarrhea Cases by District, Davao City, April 1 to 30, 2013

Figure 13 - Acute Watery Diarrhea Cases by Age Group, Davao Region, April 1 to 30, 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 27 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 April 2013.   As of April  2013, 6 HIV-related deaths have been reported by hospitals. 


Figure 14. HIV/STIs Cases detected from accredited HIV  Testing Laboratories in Davao Region April 1– 30, 2013.

 

 

 

 

 

 

 

 

 

                                                                                    

 

 

 

 

 



       

 

 

 

 

 

 

 



 

 

 



 

 

 

 

 
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