SN

1
2
3
4
5
6
7
8a
8b
8c
9
10
11
12
13a
13b
13c
14
15
 16
17
18
19
20
20a
20b
21
22
23
24
24a
24b
24c
24d
25
26
27
28
xx
29
30
31
32
33
34
35
36
37
38
39
40
41
 Reporting LOCAL GOVT (LGA)

Reporting Month

DISEASE

Buruli Ulcer
CSM
Cholera
Diarrhoea with dehydration (< 5yrs)
Diarrhoea (with blood)
Diphtheria
Dracunculiasis (Guinea Worm Disease)
Hepatitis A
Hepatitis B
Hepatitis C
Human African Trypanosomiasis (HAT)
Lassa fever (Viral hemorrhagic fever)
Leprosy
Lymphatic Filariasis
Malaria
Malaria (severe)
Malaria (Pregnant Women)
Measles
Neonatal Tetanus
New HIV/ AIDS cases
Onchocerciasis
Pertussis
Pneumonia (< 5yrs)
AFP/Polio
AFP
Confirmed Polio
Rabies (Human)
Severe Acute Respiratory Illness (SARI)
Schistosomiasis
Sexually Transmitted Infections (STIs):
Vaginal discharge
Genital Ulcer
Urethral discharge
Others STIs
Trachoma
Tuberculosis
Typhoid
Yellow Fever
NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
Adverse Events following immunization
Asthma
Diabetes Mellitus
Hypertension
Injuries (Road Traffic Accident)
Malnutrition
Maternal Deaths
MNS Disorder (Epilepsy, Schizorphernia depression etc)
Noma
Perinatal Deaths
Sickle Cell Disorder
Snake Bite
Soil Transmitted Helminths
SALIHU M IMAM
Name of Reporting Officer
 FUNTUA LGA FUNTUA

APRIL Year 2021

Cases out-patients

0-28 days 1-11 months 12-59 months 5-9 years 10-19 years

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 6 9 12 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
5 215 770 519 420
0 4 5 12 19
0
0 5 8 4 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 55
0 0 0 0 0
0 0 1 0 31
0 0 0 0 75
0 0 0 0 0
0 0 0 3 15
0 2 10 25 3
0 0 0 0 0

0 0 0 0 0
0 0 2 4 11
0 8 13 3 27
0 0 0 0 75
0 4 3 10 52
0 12 18 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 0 3 18 10
0 0 0 0 0
0 0 0 0 0
 HEALTH FACILITY LEVE
ROUTINE MONTHLY NOTIFICATION F

FUNTUA Sta

2021

20-40 years >40 years Total 0-28 days 1-11 months

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
11 2 45 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
582 334 2845 3 17
21 5 66 0 1
10 16 26
0 0 17 0 0
0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

96 37 188 0 0
0 0 0 0 0
64 83 179 0 0
39 101 215 0 0
0 0 0 0 0
12 10 40 0 0
10 29 79 0 1
1
0 1 0 0

0 0 0 0 0
7 5 29 0 0
53 76 180 0 8
139 188 402 0 0
71 63 203 0 1
0 0 30 0 10
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
1 0 31 0 0
0 0 0 0 0
0 0 0 0 0
Signature
FACILITY LEVEL
OTIFICATION FORM: IDSR 003
State KATSINA

Cases in-patients

12-59 months 5-9 years 10-19 years 20-40 years >40 years

0 0 0 0 0
1 0 1 0 0
0 0 0 2 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12 50 17 25 10
3 5 6 4 2
0 12 6
0 3 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 1 1 0
0 0 0 0 0
0 0 0 0 0
4 10 1 2 5
0 0 0 0 0

0 0 0 0 0
0 1 1 3 4
2 1 11 20 17
0 0 29 42 54
1 4 12 21 16
12 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0

1 4 2 0 0
0 0 0 0 0
0 0 0 0 0
Signature
 Total cases in DE
& out patient
Total 0-28 days 1-11 months 12-59 months

0 0
2 2
2 2
0 0
0 0
0 0
0 0
0 0
1 46
0 0
0 0
0 0
0 0
0 0
134 2979
21 87
18 44
3 20
0 0
0 0 0
0 0
0 0 0
0 0 0
0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
0 0 0
1 1
0
0 0 0
0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 188 0 0 0
0 0 0 0 0
1 180 0 0 0
2 217 0 0 0
0 0 0 0 0
0 40 0 0 0
1
23 102 0 0
0 0 0 0 0

0 0 0 0 0
9 38 0 0 0
55 235 0 0 0
125 527 0 0 0
1 1
55 250 0
2 1
22 52 0
0
0 0
0 0 0 0 0
0 0 0 0
0 0 0
7 38 0 0 0
0 0 0 0 0
0 0 0 0 0
 5/10/2021
Date
 #VALUE!

DEATHS

5-9 years 10-19 years 20-40 years >40 years Total

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 2
0 3
1
0 0 0 3
0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2
0 0 0 3
0 0 0 0 0

0 0 0 0 0
1 2
0 0 3
3 2
0 0 5
1 2 1
0 4
2
0 0 0 4
0 0 0 0 3
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
SN

1
2
3
4
5
6
7
8a
8b
8c
9
10
11
12
13a
13b
13c
14
15
 16
17
18
19
20
20a
20b
21
22
23
24
24a
24b
24c
24d
25
26
27
28
xx
29
30
31
32
33
34
35
36
37
38
39
40
41
 Reporting LOCAL GOVT (LGA)

Reporting Month

DISEASE

Buruli Ulcer
CSM
Cholera
Diarrhoea with dehydration (< 5yrs)
Diarrhoea (with blood)
Diphtheria
Dracunculiasis (Guinea Worm Disease)
Hepatitis A
Hepatitis B
Hepatitis C
Human African Trypanosomiasis (HAT)
Lassa fever (Viral hemorrhagic fever)
Leprosy
Lymphatic Filariasis
Malaria
Malaria (severe)
Malaria (Pregnant Women)
Measles
Neonatal Tetanus
New HIV/ AIDS cases
Onchocerciasis
Pertussis
Pneumonia (< 5yrs)
AFP/Polio
AFP
Confirmed Polio
Rabies (Human)
Severe Acute Respiratory Illness (SARI)
Schistosomiasis
Sexually Transmitted Infections (STIs):
Vaginal discharge
Genital Ulcer
Urethral discharge
Others STIs
Trachoma
Tuberculosis
Typhoid
Yellow Fever
NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
Adverse Events following immunization
Asthma
Diabetes Mellitus
Hypertension
Injuries (Road Traffic Accident)
Malnutrition
Maternal Deaths
MNS Disorder (Epilepsy, Schizorphernia depression etc)
Noma
Perinatal Deaths
Sickle Cell Disorder
Snake Bite
Soil Transmitted Helminths
SALIHU M IMAM
Name of Reporting Officer
 FUNTUA LGA FUNTUA

MAY Year 2021

Cases out-patients

0-28 days 1-11 months 12-59 months 5-9 years 10-19 years

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 9 12 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 9 26 41 16
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
36 179 528 460 408
3 7 10 21 29
0
0 3 6 6 0
0
0 0 0 0 29
0 0 0 0 0
0 0 0 0 0
0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 2 1 9
0 0 0 0 0
0 0 1 0 31
0 0 0 0 29
0 0 0 0 0
0 0 0 5 15
0 2 14 9 27
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 1 0 3
0 0 0 0 101
0 3 11 25 51
0 29 47 7 0
0
0 0 0 0 0
0 0 0 0 0
0
0 10 15 29 12
0 0 0 0 0
0 0 0 0 0
 HEALTH FACILITY LEVE
ROUTINE MONTHLY NOTIFICATION F

FUNTUA Sta

2021

20-40 years >40 years Total 0-28 days 1-11 months

0 0 0 0 0
0 0 0 0 0
0 0 0 0 2
0 0 21 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
41 13 146 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
415 334 2360 9 22
19 25 114 1 2
0 0 0
0 0 15 0 2
0 0
 78 89 196 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

12 14 38 0 0
0 0 0 0 0
64 83 179 0 0
78 89 196 0 0
0 0 0 0 0
20 0 40 0 0
12 10 68 0 1
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
14 25 43 0 0
161 125 387 0 0
33 46 169 0 1
0 0 83 0 16
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
1 0 67 0 5
0 0 0 0 0
0 0 0 0 0
Signature
FACILITY LEVEL
OTIFICATION FORM: IDSR 003
State KATSINA

Cases in-patients

12-59 months 5-9 years 10-19 years 20-40 years >40 years

0 0 0 0 0
1 1 1 0 0
2 0 2 0 0
4 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 6 4 10 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
26 90 64 41 34
4 7 11 4 12
0 0 0
3 3 0 0 0
 0 0 0 2 1
0 0 0 0 0
0 0 0 0 0
0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 0 2 1
0 0 0 0 0
0 0 0 0 0
6 1 7 1 2
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
1 0 1 5 10
0 0 27 52 71
4 10 21 7 13
21 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0

7 1 1 0 0
0 0 0 0 0
0 0 0 0 0
Signature
 Total cases in DE
& out patient
Total 0-28 days 1-11 months 12-59 months

0 0
2 2
6 6
7 28
0 0
0 0
0 0
0 0
29 177
0 0
0 0
0 0
0 0
0 0
286 2646
41 155
0 0
8 23
0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
1
0 0
3 5
0
0 0 0
0
 3 199 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 38 0 0 0
0 0 0 0 0
1 180 0 0 0
3 199 0 0 0
0 0 0 0 0
0 40 0 0 0
1 2
18 86 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
17 60 0 0 0
150 537 0 0 0
56 225 0 0 0
4 1
37 120 0
0
0 0
0 0 0 0 0
0 0 0 0
0 0 0
1
14 81 0 0
0 0 0 0 0
0 0 0 0 0
 6/10/2021
Date
 #VALUE!

DEATHS

5-9 years 10-19 years 20-40 years >40 years Total

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 0 0 0 0
0 0 0 0 0
2 1
0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1
0 0 0 2
0 0 0 0 8
0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 3
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
1 2
0 0 3
3 4 1
0 7
1 1 2
0 4
0 0 0 0 5
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
SN

1
2
3
4
5
6
7
8a
8b
8c
9
10
11
12
13a
13b
13c
14
15
 16
17
18
19
20
20a
20b
21
22
23
24
24a
24b
24c
24d
25
26
27
28
xx
29
30
31
32
33
34
35
36
37
38
39
40
41
 Reporting LOCAL GOVT (LGA)

Reporting Month

DISEASE

Buruli Ulcer
CSM
Cholera
Diarrhoea with dehydration (< 5yrs)
Diarrhoea (with blood)
Diphtheria
Dracunculiasis (Guinea Worm Disease)
Hepatitis A
Hepatitis B
Hepatitis C
Human African Trypanosomiasis (HAT)
Lassa fever (Viral hemorrhagic fever)
Leprosy
Lymphatic Filariasis
Malaria
Malaria (severe)
Malaria (Pregnant Women)
Measles
Neonatal Tetanus
New HIV/ AIDS cases
Onchocerciasis
Pertussis
Pneumonia (< 5yrs)
AFP/Polio
AFP
Confirmed Polio
Rabies (Human)
Severe Acute Respiratory Illness (SARI)
Schistosomiasis
Sexually Transmitted Infections (STIs):
Vaginal discharge
Genital Ulcer
Urethral discharge
Others STIs
Trachoma
Tuberculosis
Typhoid
Yellow Fever
NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
Adverse Events following immunization
Asthma
Diabetes Mellitus
Hypertension
Injuries (Road Traffic Accident)
Malnutrition
Maternal Deaths
MNS Disorder (Epilepsy, Schizorphernia depression etc)
Noma
Perinatal Deaths
Sickle Cell Disorder
Snake Bite
Soil Transmitted Helminths
SALIHU M IMAM
Name of Reporting Officer
 FUNTUA LGA FUNTUA

JUNE Year 2021

Cases out-patients

0-28 days 1-11 months 12-59 months 5-9 years 10-19 years

0 0 0 0 0
0 0 0 0 0
0 0 0 6 8
0 8 12 0 0
0 17 21 28 75
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3 7 16 21
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
23 843 981 890 965
12 26 49 37 68
110
0 0 0 3 2
1
0 0 0 0 10
0 0 0 0 0
0 0 0 0 0
0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 94
0 0 0 0 0
0 0 0 0 0
0 0 0 0 89
0 0 0 0 0
0 0 0 1 3
0 0 16 31 33
2
0 0 0 0

0 0 0 0 0
0 7 14 24 75
0 3 1 0 16
0 0 0 0 15
0 0 3 1 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0
0 11 37 48 13
0 0 0 0 0
0 0 0 0 0
 HEALTH FACILITY LEVE
ROUTINE MONTHLY NOTIFICATION F

FUNTUA Sta

2021

20-40 years >40 years Total 0-28 days 1-11 months

0 0 0 0 0
0 0 0 0 0
0 0 14 0 0
0 0 20 0 3
52 31 224 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 15 110 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
890 860 5452 5 27
55 22 269 3 11
159 78 347
0 0 5 0 0
0 0
 16 8 34 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

137 179 410 0 0

0 0 0 0 0
0 0 0 0 0
126 109 324 0 0
0 0 0 0 0
25 22 51 0 0
49 55 184 0 0
0 0 2 0 0

0 0 0 0 0
43 39 202 0 2
162 182 364 0 1
203 181 399 0 0
6 4 14 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 0 109 0 2
0 0 0 0 0
0 0 0 0 0
Signature
FACILITY LEVEL
OTIFICATION FORM: IDSR 003
State KATSINA

Cases in-patients

12-59 months 5-9 years 10-19 years 20-40 years >40 years

0 0 0 0 0
1 0 1 0 0
0 0 5 0 0
5 0 0 0 0
2 2 1 3 5
0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 2 6 4 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
38 73 154 291 106
4 7 14 19 10
8 5 11
0 0 0 0 0
 0 0 1 3 1
0 0 0 0 0
0 0 0 0 0
0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 10 8 9
0 0 0 0 0
0 0 0 0 0
8 19 11 8 9
0 0 0 0 0

0 0 0 0 0
4 2 13 10 6
1 0 8 46 61
0 0 2 59 54
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0

12 7 1 0 0
0 0 0 0 0
0 0 0 0 0
Signature
 Total cases in DE
& out patient
Total 0-28 days 1-11 months 12-59 months

0 0
2 2
5 19
8 28
14 238
0 0
0 0
0 0
23 133
0 0
0 0
0 0
0 0
0 0
694 6146
68 337
24 371
0 0
0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
1 2
0
2 3
0
0 0 0
0
 5 39 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 410 0 0 0
0 0 0 0 0
0 0 0 0 0
27 351 0 0 0
0 0 0 0 0
0 51 0 0 0
47 321 0 0 0
0 0 0 0 0

0 0 0 0 0
27 239 0 0 0
117 481 0 0 0
115 514 0 0 0
0 14 0 0 0
0 0 0 0 0
0
0 0
0 0 0 0 0
0 0 0 0
0 0 0
1
22 131 0 0
0 0 0 0 0
0 0 0 0 0
 7/10/2021
Date
 #VALUE!

DEATHS

5-9 years 10-19 years 20-40 years >40 years Total

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 0 0 0 0
0 0 0 0 0
1 2
0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2
0 0 6
1
0 0 0 6
0 0 0 0
0 0 0 0 0
0
 1
0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1
0 0 0 1
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
1 4
0 0 5
1 4
0 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0
SN

1
2
3
4
5
6
7
8a
8b
8c
9
10
11
12
13a
13b
13c
14
15
16
17
 18
19
20
20a
20b
21
22
23
24
24a
24b
24c
24d
25
26
27
28
xx
29
30
31
32
33
34
35
36
37
38
39
40
41
 Reporting LGA

Reporting Month

DISEASE

Buruli Ulcer
CSM
Cholera
Diarrhoea with dehydration (< 5yrs)
Diarrhoea (with blood)
Diphtheria
Dracunculiasis (Guinea Worm Disease)
Hepatitis A
Hepatitis B
Hepatitis C
Human African Trypanosomiasis (HAT)
Lassa fever (Viral hemorrhagic fever)
Leprosy
Lymphatic Filariasis
Malaria
Malaria (severe)
Malaria (Pregnant Women)
Measles
Neonatal Tetanus
New HIV/ AIDS cases
Onchocerciasis
Pertussis
Pneumonia (< 5yrs)
AFP/Polio
AFP
Confirmed Polio
Rabies (Human)
Severe Acute Respiratory Illness (SARI)
Schistosomiasis
Sexually Transmitted Infections (STIs):
Vaginal discharge
Genital Ulcer
Urethral discharge
Others STIs
Trachoma
Tuberculosis
Typhoid
Yellow Fever
NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
Adverse Events following immunization
Asthma
Diabetes Mellitus
Hypertension
Injuries (Road Traffic Accident)
Malnutrition
Maternal Deaths
MNS Disorder (Epilepsy, Schizorphernia depression etc)
Noma
Perinatal Deaths
Sickle Cell Disorder
Snake Bite
Soil Transmitted Helminths

SALIHU MUSTAPHA IMAM

Name of Reporting Officer
 FUNTUA State

Year

Cases Out-patients - CO
0-28 days 1-11 months 12-59 months 5-9 years

0 0 0 0
0 0 0 1
0 0 0 0
0 0 0
0 0 0 13
0 0 0
0 0 0 0
0 0 0 0
0 4 11 25
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 353 748 626
2 6 10 22

0 12 41 8
0
0 1 1 1
0 0 0 0
0 0 0 0
0 0 0

0 0 1 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 9
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 0
0 0 5 3
0 6 19 27
0 0 0 0

0 0 0 0
0 0 1 7
0 2 7 11
0 1 2 2
0 0 0 0
1 14 29 15

0 0 0 0
0 0 0 0
0
0 7 16 25
0 0 0 0
0 0 0 0
 LGA L
ROUTINE MONTHLY NOTIF

KTS Total No. of Health

2021 HFs Re

Out-patients - CO
10-19 years 20-40 years >40 years Total 0-28 days

0 0 0 0 0
1 1 0 3 0
0 0 0 0 0
0 0
9 2 4 28 0
0 0
0 0 0 0 0
0 0 0 0 0
16 10 4 70 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
581 461 621 3430 3
49 30 21 140 1
0 0 0
1 0 0 62 0
0
10 19 19 51 0
0 0 0 0 0
 0 0 0 0 0
0 0

0 0 0 2 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

62 121 94 299 0
0 0 0 0 0
9 17 36 64 0
125 101 20 246 0
0 0 0 0 0
7 20 3 38 0
6 10 8 76 0
1
0 1 0

0 0 0 0 0
1 0 0 9 0
82 192 241 535 0
119 273 290 687 0
0 0 0 0 0
0 0 0 59 1
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
10 0 0 58 0
0 0 0 0 0
0 0 0 0 0
 LGA LEVEL
NTHLY NOTIFICATION FORM: IDSR 003
otal No. of Health Facilities (HFs) 54
HFs Reporting Timely 48
Cases In-patients - CI
1-11 months 12-59 months 5-9 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9 22
1 3
0 0
0 0
0 0
10-19 years
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
29 16
4 21
0
0 0
0 0
0 0
0 0 0 0
0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 6
0 0 0 0
0 1 0 0
0 4 2 0
0 0 0 0

0 0 0 0
0 0 1 1
1 2 4 41
0 1 0 55
0 0 0 0
1 17 10 0
0
0 0 0 0
0 0 0 0
0
4 3 11 0
0 0 0 0
0 0 0 0

Signature
003
LGA Reporting Status (T / L / N)

HFs Reporting Late 4

Total Cases
I
(CI+CO)
20-40 years >40 years Total 0-28 days

0 0 0 0 0
0 0 0 3 0
0 0 0 0 0
0 0 0
0 0 1 29 0
0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 2 72 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
81 43 203 3633 0
1
9 2 41 181
0 0 0 0
0 0 0 62 0
0 0
1 2 3 54 0
0 0 0 0 0
 0 0 0 0 0
0 0 0
0 0
0 0 0 2 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 0 0 299 0
0 0 0 0 0
0 0 0 64 0
2 0 8 254 0
0 0 0 0 0
0 0 1 39 0
0 0 6 82 0
0 0 0 1 0
0 0
0 0 0 0 0
0 0 2 11 0
65 0 113 648 0
82 104 242 929 0
0 0 0 0 0
0 0 29 88 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 18 76 0
0 0 0 0 0
0 0 0 0 0

5/9/2019
Date
 HFs Not Reporting
DEATHS (In-patients/Out-patients) - DIO
1-11 months 12-59 months 5-9 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1
0 0
0 0
0 0
0 0
0
10-19 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0 0
0 0
0 0
0 0 0 0
0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
6
0 0 0
4
0 0 0
0 0 0 0
4 1
0 0
0
0 0 0 0
0 0 0 0
0
0 0 0 0
0 0 0 0
0 0 0 0
ents) - DIO
20-40 years >40 years Total

0 0 0
0 0 0
0 0 0
0
0 0 0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 2
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1
0 1
0 0 0
0 0 0
0
0 0 0
0 0 0
4
0 10
9
0 13
0 0 0
0 0 5
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
SN

1
2
3
4
5
6
7
8a
8b
8c
9
10
11
12
13a
13b
13c
14
15
16
17
 18
19
20
20a
20b
21
22
23
24
24a
24b
24c
24d
25
26
27
28
xx
29
30
31
32
33
34
35
36
37
38
39
40
41
 Reporting LGA

Reporting Month

DISEASE

Buruli Ulcer
CSM
Cholera
Diarrhoea with dehydration (< 5yrs)
Diarrhoea (with blood)
Diphtheria
Dracunculiasis (Guinea Worm Disease)
Hepatitis A
Hepatitis B
Hepatitis C
Human African Trypanosomiasis (HAT)
Lassa fever (Viral hemorrhagic fever)
Leprosy
Lymphatic Filariasis
Malaria
Malaria (severe)
Malaria (Pregnant Women)
Measles
Neonatal Tetanus
New HIV/ AIDS cases
Onchocerciasis
Pertussis
Pneumonia (< 5yrs)
AFP/Polio
AFP
Confirmed Polio
Rabies (Human)
Severe Acute Respiratory Illness (SARI)
Schistosomiasis
Sexually Transmitted Infections (STIs):
Vaginal discharge
Genital Ulcer
Urethral discharge
Others STIs
Trachoma
Tuberculosis
Typhoid
Yellow Fever
NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
Adverse Events following immunization
Asthma
Diabetes Mellitus
Hypertension
Injuries (Road Traffic Accident)
Malnutrition
Maternal Deaths
MNS Disorder (Epilepsy, Schizorphernia depression etc)
Noma
Perinatal Deaths
Sickle Cell Disorder
Snake Bite
Soil Transmitted Helminths

SALIHU MUSTAPHA IMAM

Name of Reporting Officer
 FUNTUA State

JANUARY Year

Cases Out-patients - CO
0-28 days 1-11 months 12-59 months 5-9 years

0 0 0 0
0 0 0 0
0 0 0 0
0 50 43
0 0 10 21
0 0 0
0 0 0 0
0 0 0 0
0 0 1 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 213 399 374
0 30 115 160

0 0 3 2
0
0 0 0 0
0 0 0 0
0 0 0 0
0 12 3

0 0 1 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 0

0 0 0 0
0 0 2 1
0 0 0 0
0 0 0 0
6 21 35 16
2 17 25 0

0 0 0 0
0 0 0 0
0
0 0 10 1
0 0 0 0
0 0 0 0
 LGA L
ROUTINE MONTHLY NOTIF

KATSINA Total No. of Health

2023 HFs Re

Out-patients - CO
10-19 years 20-40 years >40 years Total 0-28 days

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
93 0
16 0 0 47 0
0 0
0 0 0 0 0
0 0 0 0 0
7 13 7 29 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
408 311 266 2011 13
120 140 161 726 0
0 143 183 326
0 0 0 5 0
0
7 18 6 31 0
0 0 0 0 0
 0 0 0 0 0
15 0

0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

112 162 261 475 0

0 0 0 0 0
29 49 37 115 0
55 74 80 209 0
0 0 0 0 0
10 20 15 47 0
0 0 0 0 0
2
0 0 2 0

0 0 0 0 0
7 7 1 18 0
24 79 55 158 0
9 92 106 207 0
26 30 20 154 0
0 0 0 44 1
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
1 0 0 12 0
0 0 0 0 0
0 0 0 0 0
 LGA LEVEL
NTHLY NOTIFICATION FORM: IDSR 003
otal No. of Health Facilities (HFs) 54
HFs Reporting Timely 48
Cases In-patients - CI
1-11 months 12-59 months 5-9 years
0 0
0 0
0 0
17 21
0 13
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
156 139
6 20
0 0
0 0
0 0
10-19 years
0 0
0 0
0 0
2 6
0 0
0 0
0 2
0 0
0 0
0 0
0 0
0 0
182 151
30 20
0
0 0
0 0
0 0
 0 0 1 0
3 1

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 1 1 2
0 0 0 11
0 0 0 6
1 9 12 0
10 12 0 0
0
0 0 0 0
0 0 0 0
0
3 1 0 0
0 0 0 0
0 0 0 0

Signature
003
LGA Reporting Status (T / L / N)

HFs Reporting Late 4

Total Cases
I
(CI+CO)
20-40 years >40 years Total 0-28 days

0 0 0 0 0
2 1 3 0 0
0 0 0 0 0
38 131 0
7 0 28 75 0
0 0 0
0 0 0 0 0
0 0 0 0 0
4 2 8 37 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
43 69 753 2764 0
18 20 114 840 0
30 20 71 397
0 0 0 5 0
0 0
3 2 5 36 0
0 0 0 0 0
 0 0 1 1 0
4 19 0
0 0
0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 1 1 476 0
0 0 0 0 0
2 0 3 118 0
0 0 0 209 0
0 0 0 0 0
0 0 0 47 0
0 0 0 0 0
0 0 0 2 0
0 0
0 0 0 0 0
1 0 5 23 0
27 29 67 225 0
34 71 111 318 0
0 0 22 176 0
0 0 23 67 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 4 16 0
0 0 0 0 0
0 0 0 0 0

2/11/2023
Date
 HFs Not Reporting
DEATHS (In-patients/Out-patients) - DIO
1-11 months 12-59 months 5-9 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1
0 0
0 0
0 0
0
10-19 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0 0 0
0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 6
0 0
2 2
0 0
0
0 0 0 0
0 0 0 0
0
0 0 0 0
0 0 0 0
0 0 0 0
ents) - DIO
20-40 years >40 years Total

0 0 0
0 0 0
0 0 0
0
0 0 0
0
0 0 0
0 0 0
1
0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 3
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
1 3
4
2 6
8
5
0 12
0 0 4
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
SN

1
2
3
4
5
6
7
8a
8b
8c
9
10
11
12
13a
13b
13c
14
15
16
17
 18
19
20
20a
20b
21
22
23
24
24a
24b
24c
24d
25
26
27
28
xx
29
30
31
32
33
34
35
36
37
38
39
40
41
 Reporting LGA

Reporting Month

DISEASE

Buruli Ulcer
CSM
Cholera
Diarrhoea with dehydration (< 5yrs)
Diarrhoea (with blood)
Diphtheria
Dracunculiasis (Guinea Worm Disease)
Hepatitis A
Hepatitis B
Hepatitis C
Human African Trypanosomiasis (HAT)
Lassa fever (Viral hemorrhagic fever)
Leprosy
Lymphatic Filariasis
Malaria
Malaria (severe)
Malaria (Pregnant Women)
Measles
Neonatal Tetanus
New HIV/ AIDS cases
Onchocerciasis
Pertussis
Pneumonia (< 5yrs)
AFP/Polio
AFP
comformed polio
Rabies (Human)
Severe Acute Respiratory Illness (SARI)
Schistosomiasis
Sexually Transmitted Infections (STIs):
Vaginal discharge
Genital Ulcer
Urethral discharge
Others STIs
Trachoma
Tuberculosis
Typhoid
Yellow Fever
NON-COMMUNICABLE DISEASES / CONDITIONS / EVENTS
Adverse Events following immunization
Asthma
Diabetes Mellitus
Hypertension
Injuries (Road Traffic Accident)
Malnutrition
Maternal Deaths
MNS Disorder (Epilepsy, Schizorphernia depression etc)
Noma
Perinatal Deaths
Sickle Cell Disorder
Snake Bite
Soil Transmitted Helminths

SALIHU MUSTAPHA IMAM

Name of Reporting Officer
 FUNTUA State

FEBUARY Year

Cases Out-patients - CO
0-28 days 1-11 months 12-59 months 5-9 years

0 0 0 0
0 0 0 0
0 0 0 0
0 47 28
0 0 1 18
0 0 0
0 0 0 0
0 0 0 0
0 1 0 6
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
101 192 371 208
55 62 88 34

0 0 0 2
0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0

0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 18 92
0 0 0 0

0 0 0 0
0 1 0 1
0 4 3 2
0 0 0 0
0 4 3 7
0 3 5 0

0 0 0 0
0 0 0 0
0
0 1 2 7
0 0 0 0
0 0 0 0
 LGA L
ROUTINE MONTHLY NOTIF

KATSINA Total No. of Health

2023 HFs Re

Out-patients - CO
10-19 years 20-40 years >40 years Total 0-28 days

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
75 0
12 22 19 72 0
0 0
0 0 0 0 0
0 0 0 0 0
7 9 4 27 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
562 182 195 1811 7
59 39 52 389 4
0 11 16 27
0 0 0 2 0
0 0
7 9 3 20 0
0 0 0 0 0
 0 0 0 0 0
0 0

0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

138 107 156 401 0

0 0 0 0 0
41 37 29 107 0
43 61 52 156 0
0 0 0 0 0
0 20 0 0 0
69 42 31 252 0
1
0 0 1 0

0 0 0 0 0
0 2 0 4 0
11 8 11 39 0
1 19 24 44 0
11 8 4 37 0
0 0 0 8 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
2 0 0 12 0
0 0 0 0 0
0 0 0 0 0
 LGA LEVEL
NTHLY NOTIFICATION FORM: IDSR 003
otal No. of Health Facilities (HFs) 54
HFs Reporting Timely 48
Cases In-patients - CI
1-11 months 12-59 months 5-9 years
0 0
0 0
0 0
22 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
93 73
9 10
0 0
0 0
0 0
10-19 years
0 0
0 0
2 3
0 0
0 0
0 0
0 4
0 0
0 0
0 0
0 0
0 0
99 102
21 13
14
0 0
0 2
0 0
 0 0 0 0
0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
11 21 29 35
0 0 0 0

0 0 0 0
0 0 0 0
1 1 0 4
0 0 0 0
1 2 4 3
2 3 0 0
0
0 0 0 0
0 0 0 0

1 1 2 0
0 0 0 0
0 0 0 0

Signature
003
LGA Reporting Status (T / L / N)

HFs Reporting Late 4

Total Cases
I
(CI+CO)
20-40 years >40 years Total 0-28 days

0 0 0 0 0
0 0 0 0 0
0 3 0 8 0
28 103 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
6 3 13 40 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
91 67 532 2343 0
18 22 97 486 0
8 3 25 52
0 0 0 2 0
0 0 0
4 1 7 27 0
0 0 0 0 0
 0 0 0 0 0
0 0 0
0 0
0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0
0 0 0 401 0
0 0 0 0 0
6 10 16 123 0
0 0 0 156 0
0 0 0 0 0
0 0 0 0 0
19 8 123 375 0
0 0 1 2 0
0 0
0 0 0 0 0
1 0 1 5 0
4 6 16 55 0
12 14 26 70 0
1 0 11 48 0
0 0 5 13 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 4 16 0
0 0 0 0 0
0 0 0 0 0

2/11/2023
Date
 HFs Not Reporting
DEATHS (In-patients/Out-patients) - DIO
1-11 months 12-59 months 5-9 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 3
1 2
0
0 0
0 0
0 0
0
10-19 years
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3
0
0 0
0 0
0 0
0 0 0 0
0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 1
0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
1
0 0 0
1
0 0 0
2 1
0 0
0
0 0 0 0
0 0 0 0
0
0 0 0 0
0 0 0 0
0 0 0 0
ents) - DIO
20-40 years >40 years Total

0 0 0
0 0 0
0 0 0
0 0
0 0 0
0
0 0 0
0 0 0
1 1
2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 5
0 0 6
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 2
0 0 0
0
0 0 0
0 0 0
1 2
3
2
0 3
2
0 3
0 0 3
0 0 0
0 0 0
0 0 0
0
0 0 0
0 0 0
0 0 0