Weekly VPD & AEFI Surveillance Bulletin

Province: Sindh
EPI Week 36 (30 Aug 2020 – 05 Sep 2020)

Week 36 Highlights
VPD Surveillance reporting
Week 36: Timeliness: 82%;
Completeness: 83%

Overall Week 1- 36: Timeliness 88%;

Completeness 91%
Cases reported & investigated
AFP 15
Suspected Measles 6
Suspected NNT 13
Suspected Diphtheria 1
Pertussis 0
Childhood TB 0

VPD Surveillance Cumulative (weeks1-36), District &Towns (Karachi) Reporting Timeliness and Completeness

Week 36 status only: Reported Vaccine Preventable Diseases and Reporting Compliance
Timeliness 82%
Completeness 83%
Measles 1 1 1 2 1 6
NNT 1 1 2 2 1 2 1 1 1 1 13
VPD

AFP 3 2 1 1 2 2 1 1 1 1 15
Pertusis 0
Diptheria 1 1
Childhood TB 0
Total VPDs 4 2 1 1 1 2 2 1 1 3 2 2 1 3 2 1 1 2 1 2 35
Timeliness 56%
AEFI

Completeness 90%
AEFI case 2 1 1 1 1 6
S Benazirabad

North Karachi
N Nazimabad
N Sheroferoz

Liaquatabad
Mirpurkhas
Tharparkar
Hyderabad

Jacobabad

Shahfaisal
Kashmore
Jamshoro

Shikarpur

BinQasim
TM Khan

Umarkot
T Allayar

Jamshed
Khairpur

Gulshan
Sanghar

Gulberg
Larkana

Kambar
Sujawal

Korangi
Matiari

Sindh
Saddar

Districts
Sukkur

Landhi
Ghotki

Orangi
Thatta

Gadap
Kimari
Baldia
Badin

Malir
Dadu

Lyari
SITE

West East South Central Malir Korangi

Divisions Hyderabad Mirkhas SBA Sukkur Larkana Karachi
Colour code: Not submitted Received on time/complete Not submitted on time

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 Total number of VPD and AEFI Cases Reported District Wise from Week 1 to 36 in 2020
Suspected
Districts NNT AFP Diphtheria Pertussis Child TB AEFI
Measles
Hyderabad 37 0 56 1 0 0 1
Matiari 13 0 30 0 0 0 0
Jamshoro 7 0 45 0 0 0 0
T Allayar 3 0 37 0 0 0 1
TM Khan 5 0 30 0 0 0 0
Dadu 4 1 50 0 0 0 0
Thatta 26 5 29 0 0 0 0
Sujawal 23 9 69 0 0 0 0
Badin 23 2 69 1 0 0 1
Mirpurkhas 1 0 66 0 0 0 0
Tharparkar 4 10 29 0 0 0 0
Umarkot 8 0 39 0 0 0 0
N Sheroferoz 3 0 45 1 0 0 0
S Benazirabad 7 0 40 1 0 1 0
Sanghar 12 2 59 1 0 0 1
Sukkur 4 2 47 1 0 0 0
Ghotki 3 4 65 1 0 0 12
Khairpur 5 1 65 0 0 0 0
Larkana 9 0 84 0 0 0 1
Jacobabad 41 3 79 0 0 0 0
Kashmore 2 3 34 0 0 0 0
Kambar 2 1 82 1 0 0 1
Shikarpur 3 1 88 0 0 0 0
Other Sindh Divisions 245 44 1237 8 0 1 18
88 42 16
Baldia 97 1 32 0 0 1 0
Orangi 26 3 21 1 0 1 6
Kimari 47 1 15 1 0 0 0
SITE 48 2 13 0 0 0 3
Gadap 172 8 55 0 0 0 2
Gulshan 30 2 23 0 0 0 1
Jamshed 25 2 18 0 0 0 1
Saddar 39 1 17 0 0 0 0
Lyari 38 0 13 0 0 0 0
N Nazimabad 44 1 11 1 0 0 1
Liaquatabad 12 0 12 0 0 0 0
North Karachi 56 1 22 0 0 1 2
Gulberg 14 1 8 1 0 0 2
Malir 15 1 7 0 0 0 1
BinQasim 14 2 19 0 0 0 0
Landhi 30 2 25 0 0 0 2
Korangi 29 6 30 0 1 0 1
Shahfaisal 7 1 8 0 0 0 5
Karachi Division 743 35 349 4 1 3 27
Sindh 988 79 1586 12 1 4 45

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AEFI Surveillance
Week 36 only: Timeliness 56% & Completeness 90%.

Overall Timeliness 52% and Completeness 92%.

Total AEFI cases notified – 45 in 2020

Cases % Cases No Measles Penta PCV10 BCG Rota T.T OPV

Diarrhea
Pain 4% 2 1 1
Inj Site
33% 15 15
Abcess
Fever 16% 7 5 1 1
Systamic
0
Illness
Swelling 9% 4 1 2
Vomiting 29% 13 1 12
Rash 7% 3 2 1
Miscarriage 2% 1 1
Total 100% 45 5 23 1 2 13

NOTE:
Following districts/Towns have not submitted weekly AEFI report of week 36
(Baldia, Kambar, Sukkur, Shikarpur)

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 Measles - Map is the Visual Guide for Number of Confirmed Cases (Week 1-36)

Confirmed Measles cases KARACHI Division Other SINDH Divisions Male: Female

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 Week: 36 Sindh Measles Surveillance Analysis 2020

Measles Clinically Compatable

Specimen Collection & Testing
Total Reported Measles cases

Non - Measles Reporting rate

Number of cases lab results

Sample received in lab ≤
Expected Measles Cases

Deaths Measles related

Complete investigation

Confirmed cases (Lab)

Total Measles cases

Measles EPI Linked
Total Population

Adequacy

<= 4 days

Rubella
District

5days
%

%
%

%
Other Sindh
34,143,126 683 245 0.690 190 78% 206 85% 161 78% 190 92% 60 24% 3 1% 11 4% 74 1 8
Divisions
Karachi
17,344,918 347 743 1.699 368 50% 388 54% 299 77% 349 90% 289 39% 25 3% 219 29% 533 0 6
Division
Total 51,488,044 1030 988 1.030 558 56% 594 62% 460 77% 539 91% 349 35% 28 3% 230 23% 607 1 14
56 460 1214
Hyderabad 2,347,596 47 37 1.354 28 76% 29 78% 24 83% 27 93% 10 34% 0 0% 1 3% 11 0 4

Matiari 825,378 17 13 1.050 11 85% 13 100% 12 92% 13 100% 7 54% 0 0% 0 0% 7 0 0

Jamshoro 1,075,807 22 7 0.940 6 86% 6 86% 3 50% 3 50% 0 0% 0 0% 0 0% 0 0 0

T-Allayar 905,961 18 3 0.319 3 100% 3 100% 3 100% 1 33% 1 33% 0 0% 0 0% 1 0 0

TM Khan 725,925 15 5 0.597 5 100% 5 100% 4 80% 5 100% 1 20% 0 0% 0 0% 1 0 1

Dadu 1,644,802 33 4 0.000 2 50% 2 50% 0 0% 1 50% 2 100% 0 0% 2 50% 4 0 0

Thatta 1,056,584 21 26 2.597 23 88% 24 92% 7 29% 21 88% 4 17% 0 0% 1 4% 5 0 2

Sujawal 836,944 17 23 1.726 16 70% 16 70% 13 81% 15 94% 9 56% 0 0% 4 17% 13 0 0

Badin 1,945,490 39 23 1.336 22 96% 22 96% 22 100% 22 100% 5 23% 0 0% 0 0% 5 0 0

Mirpurkhas 1,608,849 32 1 0.090 1 100% 1 100% 1 100% 1 100% 0 0% 0 0% 0 0% 0 0 0

Tharprkar 1,797,524 36 4 0.321 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0 0

Umarkot 1,155,714 23 8 0.500 6 75% 7 88% 2 29% 5 71% 3 43% 0 0% 1 13% 4 0 0

N Sheroferoz 1,720,942 34 3 0.252 2 67% 3 100% 2 67% 3 100% 0 0% 0 0% 0 0% 0 0 0

S Benazirabad 1,719,019 34 7 0.504 7 100% 7 100% 5 71% 6 86% 1 14% 0 0% 0 0% 1 0 0

Sanghar 2,207,149 44 12 0.785 12 100% 12 100% 12 100% 12 100% 0 0% 0 0% 0 0% 0 0 0

Sukkur 1,600,626 32 4 0.090 2 50% 4 100% 4 100% 4 100% 3 75% 0 0% 0 0% 3 0 0
Ghotki 1,783,702 36 3 0.162 3 100% 3 100% 3 100% 3 100% 1 33% 0 0% 0 0% 1 0 0
Khairpur 2,580,288 52 5 0.280 4 80% 4 80% 4 100% 4 100% 0 0% 0 0% 0 0% 0 0 0
Larkana 1,631,534 33 9 0.443 8 89% 8 89% 6 75% 8 100% 3 38% 0 0% 0 0% 3 0 1
Jacobabad 1,066,293 21 41 3.928 22 54% 30 79% 28 93% 29 97% 7 23% 3 7% 2 5% 12 1 0
Kashmore 1,172,532 23 2 0.123 2 0% 2 0% 2 0% 2 0% 1 0% 0 0% 0 0% 1 0 0
Kambar 1,428,092 29 2 0.202 2 100% 2 100% 2 100% 2 100% 0 0% 0 0% 0 0% 0 0 0
Shikarpur 1,306,374 26 3 0.111 3 100% 3 100% 2 67% 3 100% 2 67% 0 0% 0 0% 2 0 0
Baldia 830,154 17 97 5.220 29 30% 30 31% 27 90% 28 93% 26 87% 0 0% 41 42% 67 0 0
Orangi 1,479,147 30 26 0.684 11 42% 11 42% 8 73% 11 100% 8 73% 0 0% 11 42% 19 0 0
Kemari 800,142 16 47 1.986 21 45% 21 45% 15 71% 19 90% 18 86% 0 0% 18 38% 36 0 0
SITE 955,638 19 48 0.605 28 58% 30 63% 25 83% 30 100% 24 80% 0 0% 18 38% 42 0 2
Gadap 587,792 12 172 13.270 91 53% 101 66% 69 68% 76 75% 63 62% 20 12% 34 20% 117 0 1
Gulshan 1,140,379 23 30 0.253 16 53% 17 68% 15 88% 17 100% 13 76% 5 17% 7 23% 25 0 3
Jamshed 1,219,182 24 25 0.474 14 56% 15 60% 11 73% 15 100% 15 100% 0 0% 6 24% 21 0 0
Saddar 1,273,853 25 39 1.134 20 51% 20 51% 9 45% 16 80% 17 85% 0 0% 12 31% 29 0 0
Lyari 866,749 17 38 1.833 12 32% 12 32% 9 75% 12 100% 12 100% 0 0% 15 39% 27 0 0
N Nazimabad 809,934 16 44 3.924 31 70% 32 73% 29 91% 30 94% 16 50% 0 0% 6 14% 22 0 0
Liaquatabad 1,059,508 21 12 0.409 6 50% 6 50% 5 83% 6 100% 5 83% 0 0% 4 33% 9 0 0
North KHI 1,116,788 22 56 2.199 33 59% 34 61% 26 76% 33 97% 27 79% 0 0% 12 21% 39 0 0
Gulberg 740,229 15 14 0.976 10 71% 12 86% 11 92% 10 83% 7 58% 0 0% 2 14% 9 0 0
Malir 827,168 17 15 0.873 10 67% 10 67% 9 90% 10 100% 7 70% 0 0% 3 20% 10 0 0
Bin Qasim 657,325 13 14 0.879 5 36% 5 36% 3 60% 5 100% 4 80% 0 0% 6 43% 10 0 0
Landhi 1,268,325 25 30 0.911 17 57% 18 60% 17 94% 17 94% 14 78% 0 0% 8 27% 22 0 0
Korangi 1,020,810 20 29 0.990 9 31% 9 31% 6 67% 9 100% 8 89% 0 0% 14 48% 22 0 0
Shahfaisal 691,794 14 7 0.000 5 71% 5 71% 5 100% 5 100% 5 100% 0 0% 2 29% 7 0 0

This weekly epidemiological bulletin provides a snapshot of weekly trend of vaccine preventable epidemic prone diseases.
It is built upon weekly VPD reports from districts. Published jointly by the EPI Cell Government of Sindh and WHO EPI Sindh.
For more information contact Dr Waseem Maher (Technical Officer – EPI, WHO Sindh) at maherw@whio.int

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