IDPs Health status in Jalozai Camp KPK,

1. This weekly diseases situation 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
Disease situation in Jalozai IDP’s camp, Khyber Pakhtunkhwa
Week 48 (November 25th to December 01st, 2012)
Highlights:
 Acute Respiratory tract infections (ARI) accounted for 30.5% or 1,754 cases of the total patients (5,760 consultations) in all age groups and is showing 3.1% increase in percentage of ARI patient visits as compared to week 47, 2012.  Other Acute Diarrhea (OAD) accounted for 5.2% or 301 cases of the total patient consultations in all age groups by showing 2% decrease in percentage as compared to OAD patient visits in previous week.  Confirmed Malaria (MAL) shared 0.2% or 9 cases of all patient visits in current week.  Skin Infections (SCB) reported as 2% or 103 cases of the total patient consultations.  Total of 2 Cutaneous Leishmaniasis (CL) alerts were reported in this week.
Weekly disease consultations in Jalozai IDPs camp:-
Figure 1: Distribution of consultations by percentage Table 1: Cases reported from Jalozai IDPs camp
Disease name Week-48 Cases %
Upper Respiratory Tract Infection (URTI)
1,661 28.8
Pneumonia (PN)
93 1.6
Bloody Diarrhea (BD)
5 0.1
Other Acute Diarrhea (OAD)
301 5.2
Acute Watery Diarrhea (AWD)
- -
Confirmed Malaria (MAL)
9 0.2
Scabies (SCB)
103 1.8
Chronic Viral Hepatitis (CVH)
- -
Suspected Measles (Meas)
- -
Pyrexia Unknown Origin (PUO)
- -
Cutaneous Leishmaniasis (CL)
2 <1
Suspected Typhoid Fever (TF)
13 0.2
Other diseases (OTH)
3,573 62 Total consultations
5,760
A total 5,760 consultations have been reported through DEWS during week 48 (November 25 to December 1, 2012) (table 1). Seven (7) health static units (Merlin International 4, CAMP Organization 2 and FATA health facility 1) from Jalozai IDPs camp shared daily/weekly disease surveillance data through DEWS.

2. This weekly diseases situation 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
Major causes for seeking health care percentage trend in Jalozai IDPs camp:-
Figure 2:Weekly disease percentage trend in Jalozai IDPs camp (Week 14 to 48, 2012):
Figure 2 shows percentage trend of major communicable diseases in Jalozai IDPs camp. In this week ARI shared 30.5% or 1,661 cases is showing 3.1% increase and OAD shared 5.2% or 301 cases is showing 2% decrease in percentage.
Total consultations reported from all health units in Jalozai IDPs camp:-
Communicable diseases CAMP Merlin FATA Health facility (2 units) (4 units) (1 unit) Wk-47 % Wk-48 % Wk-47 % Wk-48 % Wk-47 % Wk-48 % (Cases) (Cases) (Cases) (Cases)
Acute Upper Respiratory Infection 346 20 493 26.4 746 36 1,147 39 37 7.3 21 2.2
Pneumonia (<5yrs) - - - - 36 1.7 55 2 - - - -
Pneumonia (>5yrs) - - - - 22 1.1 38 1.3 - - - -
Bloody Diarrhea (<5yrs) - - 1 0.1 - - 1 <1 - - - -
Bloody Diarrhea (>5yrs) 1 0.1 2 0.1 - - 1 <1 - - - -
Other Acute Diarrhea (<5yrs) 56 3.2 58 3.1 104 5 98 3.3 30 6 40 4.2
Other Acute Diarrhea (>5yrs) 41 2.3 32 1.7 32 1.5 37 1.3 39 7.7 36 3.8
Suspected Measles (Meas) 2 0.1 - - - - - - - - - -
Confirmed Malaria 9 0.5 6 0.3 5 0.2 3 0.1 - - - -
Cutaneous Leishmaniasis (CL) 1 0.1 2 0.1 - - - - - - - -
Pyrexia Unknown Origin (PUO) - - - - - - - - - - - -
Scabies (SCB) 23 1.3 32 1.7 35 1.7 41 1.4 53 10.4 30 3.2
Suspected Typhoid Fever (TF) 10 0.6 12 0.6 2 0.1 1 <1 - - - -
Chronic Viral Hepatitis (CVH) - - - - - - - - - - - -
Other diseases 1,257 72 1,226 66 1,097 53 1,526 52 350 69 821 86.6 Total Consultations 1,746 1,864 2,079 2,948 509 948
A comparison of the ARI consultations by health units in Jalozai camp on week 48 (November 25 to December 1) shows that high proportion of ARI cases are reported accounted for 30.5% (URTI 28.8% and Pneumonia 1.6%), or

3. This weekly diseases situation 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
1,754 cases followed by Other Acute Diarrhea 5.2% or 301 cases. Confirmed Malaria comprised 0.2% or 9 cases in consolidated data out of total consultations. Disease trends by percentage in IDPs Jalozai camp:-
Figure 3: Most common communicable diseases situation in Jalozai IDPs camp as percentage of consultations (Week 47 and 48 comparison)
The above figure 3 shows major health causes percentage situation in Jalozai IDPs camp. During week 48 high percentages of ARI consultations were reported from Merlin health units as compared to CAMP health units and FATA health facility. Similarly percentages of OAD consultations were reported from FATA health unit as compared to CAMP and Merlin health facilities.In this week ARI 42% and OAD 4.6% were shared from Merlin health facilities, ARI 26.4% and OAD 4.8% were from CAMP health units, also ARI 2.2% and OAD 8% were from FATA health center. Total of 2 Cutaneous Leishmaniasis (CL) alerts were reported from CAMP health facilities in this week. Distribution of consultations percentage by age and gender
Figure 4: Age and gender wise segregated disease situation in Jalozai IDPs camp, week 48
Figure 4 shows comparison of the consultations by gender and age wise in health events in over all diseases, male to female patients’ ratio reported was 39.6% or 2,279 cases and 60.4% or 3,481 cases respectively.

4. This weekly diseases situation 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
Immunization in Jalozai IDPs camp:-
Table 3 (a & b): Immunization (Jalozai IDP's Camp, Nowshera) from 25th November to 1st December, 2012
a) Routine vaccination of Jalozai IDPs camp (Week 48): EPI Routine Vaccination OPV U5 yrs (Other than Routine)* Women TT1 TT2 TT3 TT4 TT5 Total Children BCG Polio PENTA Measles Fully Immunized Birth 1 2 3 1 2 3 <1 year 115 48 88 61 63 88 61 63 98 59 45 Pregnant 74 49 13 1 0 >=1 year 5 0 8 17 18 28 17 18 44 12 1,123 Non- Pregnant (15-49y) 27 10 20 8 2 Total 120 48 96 78 81 116 78 81 142 71 1,168 - 101 59 33 9 2 2,283
b) Routine vaccination of Jalozai IDPs camp (Consolidated data of all vaccination points in Jalozai IDP camp): EPI Routine Vaccination OPV U5 yrs (Other than Routine)* Women TT1 TT2 TT3 TT4 TT5 Total Children BCG Polio PENTA Measles Fully Immunized Birth 1 2 3 1 2 3 <1 year 2,408 1,606 2,802 2,149 2,010 2,841 2,174 2,014 2,412 1,595 3,575 Pregnant 2,835 1,654 287 56 6 >=1 year 1,420 0 1,539 839 818 1,561 840 824 3,308 711 74,795 Non- Pregnant (15-49y) 7,440 1,139 1,092 523 102 Total 3,828 1,606 4,341 2,988 2,828 4,402 3,014 2,838 5,720 2,306 78,370 - 10,275 2,793 1,379 579 108 127,375
*OPV dosage received during OPD and not the ones in the routine Laboratory test conducted in Jalozai IDPs camp:- Table 4 (a & b): Laboratory test situation in IDPs Jalozai Camp, Nowshera
a) laboratory test situation data in Jalozai IDPs camp (November 25 to December 1, 2012): Test Name MP (microscopy) MP (RDT)* HB% HBS HCV B.GROUP Typhoid B.SUGAR ESR LEISHMANIASIS PREGNENCIES URINE ALBUMIN URINE SUGAR URINE R/E STOOL R/E BILIRUBIN Syphilis SPUTUM FOR AFB TOTAL +Ve 6 9 13 5 7 - 0 14 - 8 43 16 0 59 3 14 2 0 - -Ve
42
106
105
126
124
-
8
109
-
8
32
138
154
102
2
144
114
0
- Total 48 115 118 131 131 111 8 123 0 16 75 154 154 161 5 158 116 0 1,624

5. This weekly diseases situation 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 Health Centers Slides/RDT examined P. Falciparum P. Vivax Mixed Total +ve Falciparum + Mixed Slide Positivity Rate (SPR) Falciparum Rate Merlin
67
0
3
0
3
0
4.5
0 CAMP
48
0
6
0
6
0
12.5
0 Total 115 0 9 0 9 0 7.8 0
A total of 115 slides were examined for Malaria in this week. Out of total slides examined 9 (8%) were positive; out of which P. Falciparum 0 (0%), P. Vivax 9 (8%) and Mixed 0 (0%) were shared.
b) laboratory test situation data in Jalozai IDPs camp (Consolidated): Test Name MP (microscopy) MP (RDT)* HB% ++ HBS HCV B.GROUP Typhoid B.SUGAR ESR LEISHMANIASIS PREGNENCIES URINE ALBUMIN URINE SUGAR URINE R/E STOOL R/E BILIRUBIN Syphilis SPUTUM FOR AFB TOTAL +Ve 535 732 497 59 59 - 17 200 - 11 821 151 25 526 94 36 8 0 - -Ve
1,066
1,491
1,701
1,850
1,800
-
96
1,582
-
68
651
1,557
1,688
1,381
128
1,447
1,640
2
- Total 1,601 2,223 2,198 1,909 1,859 1,766 113 1,782 24 79 1,472 1,708 1,713 1,907 222 1,483 1,648 2 23,709
Nutrition situation in Jalozai IDPs camp:-
Table 5: Nutrition situation in IDPs Jalozai camp Nowshera
 Nutrition situation data (Week 48): CMAM Finding No of Children screened (6- 59 months) MAM MUAC < 12.5-11.5 cm SAM MUAC < 11.5cm Malnutrition at Risk Borderline MUAC ≤13.5-12.5 cm No Of PLW Screened Malnourish PLW Gender wise
M
F
M
F
M
F
M
F
P
L
P. MUAC<21
L. MUAC<21 Number of screened
75
94
12
14
0
5
9
12
60
24
16
8 Total 169 26 5 21 84 24
 Nutrition situation data (Consolidated): CMAM Finding No of Children screened (6- 59 months) MAM MUAC < 12.5-11.5 cm SAM MUAC < 11.5cm Malnutrition at Risk Borderline MUAC ≤13.5-12.5 cm No Of PLW Screened Malnourish PLW Gender wise
M
F
M
F
M
F
M
F
P
L
P. MUAC<21
L. MUAC<21 Number of screened
5,485
5,631
486
690
128
173
670
838
2,343
3,570
355
272 Total 11,116 1,176 301 1,508 5,913 627

6. This weekly diseases situation 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
Health Education situation in Jalozai IDPs camp:-
Table 6: Health education situation in IDP's Jalozai camp Nowshera
 Data of health education situation (Week 48, 2012)  Data of health education situation (Consolidated) Sessions
Number of Sessions Total participants Sessions
Number of Sessions Total participants Males Females
Total Males Females
Total Total Sessions 652 2,462 2,838 5,300 Total Sessions 17,928 53,841 90,561 144,402
MCH in Jalozai IDPs camp:-
Figure 5: MCH situation in IDP's Jalozai camp Nowshera (November 25 to December 1, 2012)