Disease situation update, IDP camps (“Jalozai”, “Togh Sarai” and “New Durrani”)

Khyber Pakhtunkhwa and FATA

Week 42 (October 13 – 19, 2013) – Eid-ul-Adha week
Highlights:

Acute Respiratory tract Infections (ARI) accounted for 22.6% or 411 cases of the total
patients (1,818 consultations) in all age groups and is showing 1% increase in percentage of
ARI patient visits as compared to week 41.

Other Acute Diarrhea (OAD) accounted for 9.5% or 172 cases of the total patient
consultations in all age groups by showing 0.1% decrease in percentage as compared to OAD
patient visits in previous week.

Suspected malaria (MAL) shared 1.4% or 25 cases of all patient visits.

Skin Infections (SCB) reported as 2.2% or 40 cases of the total patient consultations.

No alert was reported in this week.

Consolidated situation in KP and FATA IDP camps:-

Figure 1: Proportional morbidity Table 1: Cases reported from 3 IDP camps

Week-42
Disease name
Cases %
Upper Respiratory Tract Infection
(URTI) 387 21.3
Pneumonia (PN) 24 1.3
Bloody Diarrhea (BD) - -
Other Acute Diarrhea (OAD) 172 9.5
Acute Watery Diarrhea (AWD) - -
Suspected Malaria (MAL) 25 1.4
Scabies (SCB) 40 2.2
- - Chronic Viral Hepatitis (CVH)
Suspected Measles (Meas) - -
Pyrexia Unknown Origin (PUO) 18 1
Cutaneous Leishmaniasis (CL) - -
Suspected Typhoid Fever (TF) 6 0.3
Other diseases (OTH) 1,146 63
Total consultations 1,818 -
Table 1 shows a total of 1,818 consultations reported through DEWS during week 42. Eight (8) health static units
(6 from Jalozai IDP camp and 1 each from Togh Sarai and New Durrani Kurram Agency IDP camps) shared
daily/weekly disease surveillance data through DEWS.

This weekly IDP camps update report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.
For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: kpk.fata.dews@gmail.com. Page 1
Consolidated trend in 3 IDP camps:-
Figure 2: Weekly trend of ARI, OAD, Mal and SCB (Week 38, 2012 to week 42, 2013):

Figure 2 shows proportional trend in KP and FATA IDP camps. ARI shared 22.6% or 411 cases is showing 1%
increase in percentage and OAD shared 9.5% or 172 cases is showing 0.1% decrease as compared to last week in
percentage.
Table 2: Consultations from 3 IDP camps (last two weeks comparison):-
Jalozai, Nowshera Togh Sarai, Hangu New Durrani, Kurram
(6 health units) (1 unit) (1 unit)
Communicable diseases
Wk-41 Wk-42 Wk-41 Wk-42 Wk-41 Wk-42
% % % % % %
(Cases) (Cases) (Cases) (Cases) (Cases) (Cases)
Acute Upper Respiratory
520 23 281 24 92 15.7 75 19 108 12.4 31 12.5
Infection
Pneumonia (<5yrs) 3 0.1 - - - - - - 35 4 12 4.8
Pneumonia (>5yrs) 6 0.3 3 0.3 - - - - 36 4.1 9 3.6
Bloody Diarrhea (<5yrs) - - - - - - - - - - - -
Bloody Diarrhea (>5yrs) 4 0.2 - - - - - - - - - -
Other Acute Diarrhea (<5yrs) 135 6 51 4.3 62 10.6 39 9.8 27 3.1 6 2.4
Other Acute Diarrhea (>5yrs) 71 3.1 58 5 27 4.6 12 3 32 3.7 6 2.4
Suspected Measles (Meas) - - - - - - - - - - - -
Suspected Malaria 32 1.4 6 0.5 15 2.6 11 2.8 26 3 8 3.2
Proxy Unknown Origin (PUO) - - - - - - - - 47 5.4 18 7.3
Cutaneous Leishmaniasis (CL) 2 0.1 - - - - - - - - - -
Scabies (SCB) 48 2.1 24 2 20 3.4 9 2.3 30 3.4 7 2.8
Suspected Typhoid Fever (TF) 2 0.1 6 0.5 - - - - - - - -
Chronic Viral Hepatitis (CVH) - - - - - - - - - - - -
Other diseases 1,435 63.6 745 63.5 371 63.2 250 2.3 532 61 151 61
Total Consultations 2,258 - 1,174 - 587 - 396 - 873 - 248 -
A comparison of the ARI consultations in 3 IDP camps on week 42 shows that high proportion of ARI cases are
reported accounted for 22.6% (URTI 21.9% and Pneumonia 1.7%), or 411 cases followed by OAD 9.5% or 172
cases. Suspected malaria comprised 1.4% or 25 cases in consolidated data out of total consultations.

This weekly IDP camps update report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.
For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: kpk.fata.dews@gmail.com. Page 2
Figure 3: Weekly trend of ARI, OAD, Mal and SCB (“Jalozai” IDP camp, Nowshera)

Figure 3 shows proportional trend in Jalozai IDP camp. ARI shared 24.2% or 284 cases is showing 1% increase and
OAD shared 9.3% or 109 cases is showing 0.2% increase in percentage as compared to week 41.
Figure 4: Weekly trend of ARI, OAD, Mal and SCB (“Togh Sarai” IDP camp, Hangu)

Figure 4 shows proportional trend in Togh Sarai IDP camp. During week 42 ARI shared 19% or 75 cases is showing
3% increase and OAD shared 13% or 51 cases is showing 2.3% decrease as compared to previous week.
Figure 5: Weekly trend of ARI, OAD, Mal and SCB (“New Durrani” IDP camp, Kurram Agency)

Figure 5 shows proportional trend in New Durrani IDP camp. During week 42 ARI shared 21% or 52 cases showing
0.5% increase in percentage and OAD shared 5% or 12 cases showing 2% decrease as compared to last week.
This weekly IDP camps update report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.
For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: kpk.fata.dews@gmail.com. Page 3
Figure 6: Last two weeks morbidity situation in 3 IDP camps:-

The figure 6 shows last two weeks comparison of ARI, BD, OAD and SCB proportional in 3 IDP camps. High
proportion of ARI and OAD consultations reported from Jalozai IDP camp as compared to Togh Sarai and New
Durrani IDP camp in week 42. Similarly suspected malaria high proportion reported from New Durrani IDP camp as
compared to Togh Sarai and Jalozai IDP camps. ARI 24%, OAD 9.3% and suspected Malaria 0.5% shared from
Jalozai IDP camp. Also ARI 19%, OAD 13% and suspected Malaria 3% reported from Togh Sarai IDP camp while ARI
21%, OAD 5% and suspected malaria 3.2% reported from New Durrani IDP camp. No alert was reported in this
week.
Figure 7: Age and gender wise segregate morbidity in 3 IDP camps

Figure 7 shows comparison of the consultations by gender and age wise in all diseases, male to female patients’
ratio reported was 46.4% or 844 cases (523 cases from Jalozai, 211 cases from Togh Sarai and 110 cases from New
Durrani ) and 53.6% or 974 (651 cases from Jalozai, 185 cases from Togh Sarai and 138 cases from New Durrani
IDP camp) respectively.
This weekly IDP camps update report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.
For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: kpk.fata.dews@gmail.com. Page 4
“Jalozai” IDP camp:-
Table 3 (a & b): Immunization status
a) Routine vaccination (Week 42):
EPI Routine Vaccination
OPV

Immunized
Polio PENTA U5 yrs
Children

Measles
(Other Women TT1 TT2 TT3 TT4 TT5

Fully
BCG

than
Birth 1 2 3 1 2 3
Routine)*

Total
year
<1

24 17 22 16 12 22 16 12 25 - - Pregnant 1 6 0 1 0

Non-
year
>=1

0 0 0 0 0 0 0 0 6 - - Pregnant 4 3 4 1 2
(15-49y)
Total

24 17 22 16 12 22 16 12 31 - - - 5 9 4 2 2 221

b) Routine vaccination (Consolidated data of all vaccination points in “Jalozai” IDP camp):
EPI Routine Vaccination
Immunized OPV
Polio PENTA U5 yrs
Children

Measles

(Other Women TT1 TT2 TT3 TT4 TT5

Fully
BCG

than
Birth 1 2 3 1 2 3
Routine)*
<1 year

Total
4,610

3,274

5,382

4,534

4,391

5,416

4,571

4,399

4,730

3,548

3,765

4,368

2,981

638

122

32
Pregnant
>=1 year

Non-
78,377
1,711

1,893

1,165

1,232

1,909

1,176

1,239

5,006

1,205

8,056

1,498

1,755

677

150
Pregnant
5

(15-49y)
82,142

12,424
Total

6,321

3,279

7,275

5,699

5,623

7,325

5,747

5,638

9,736

4,753

4,479

2,393

799

182
163,842
-

*OPV dosage received during OPD and not the ones in the routine
Laboratory analysis:-
Table 4 (a): Week 42 lab analysis
MP (microscopy)

URINE ALBUMIN
LEISHMANIASIS

PREGNENCIES

URINE SUGAR

SPUTUM FOR
STOOL R/E
Test Name

MP (RDT)*

URINE R/E

BILIRUBIN
B.GROUP

B.SUGAR
Typhoid

Syphilis

TOTAL
HB%

HCV
HBS

AFB
ESR

+Ve 0 12 9 0 0 - 5 1 - 0 0 2 0 6 0 0 0 0 -

-Ve 4 25 4 8 8 - 6 8 - 1 4 12 14 10 1 14 6 0 -

Total 4 37 13 8 8 6 11 9 1 1 4 14 14 16 1 14 6 0 167

This weekly IDP camps update report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.
For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: kpk.fata.dews@gmail.com. Page 5
 *
Malaria slides /RDT examined report
Table 4 (b): Consolidated lab analysis

URINE ALBUMIN
LEISHMANIASIS

PREGNENCIES

URINE SUGAR

SPUTUM FOR
(microscopy)

STOOL R/E
Test Name

MP (RDT)*

URINE R/E

BILIRUBIN
B.GROUP

B.SUGAR
Typhoid
HB% ++

Syphilis

TOTAL
HCV
HBS

AFB
ESR
MP

+Ve 670 1,005 1,497 110 96 - 58 611 - 72 1,853 257 59 1,484 202 282 9 0 -

-Ve 1,628 3,059 3,207 4,068 4,034 - 259 3,669 - 176 1,676 4,404 4,595 3,679 309 4,123 2,258 6 -

Total 2,298 4,064 4,704 4,178 4,130 3,842 317 4,280 81 248 3,529 4,661 4,654 5,163 511 4,405 2,267 6 53,338

Health education situation:-

Table 5: Health education situation in “Jalozai” IDP camp

 Data of health education situation (Week 42)  Data of health education situation (Consolidated)
Number of Total participants Number of Total participants
Sessions Sessions
Sessions Males Females Total Sessions Males Females Total
Total Sessions 87 371 450 821 Total Sessions 30,005 91,242 171,424 262,666

MCH situation:-
Figure 8: MCH situation in “Jalozai” IDP camp (Week 42)

This weekly IDP camps update report is published jointly by the World Health Organization, Ministry of Health, Government of Khyber Pakhtunkhwa, FATA and Health partners.
For Correspondence; Peshawar WHO-EHA Office: Tel: +92-091-5701831, E-mail: kpk.fata.dews@gmail.com. Page 6