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1. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
Epidemiological Week 10 Dates Covered by this Bulletin: Mar 5 – 11/2023
• Surveillance report Completeness Rate:
The proportion of health facilities that
reported surveillance data was 100%, which
is above the minimum requirement (80%).
• Surveillance Timeliness Rate: The
proportion of health facilities that reported
the surveillance data timely was also above
the minimum requirement i.e., 100%.
• Malaria: During the week a total of 1192
health facilities visitors were suspected and
examined for malaria of which 5.7 % (68
cases) were confirmed and treated as
malaria which was 5 cases less than last
week and no inpatient death was reported.
• Dysentery: A total of 8 cases, which is 3
case less than last week, and no death were
reported in the week.
• Typhoid fever: 1 cases, which is 3 case less
than last week and no death were reported in
the week.
• Epidemic Typhus: 4 cases were reported
in this week.
• Relapsing Fever : 0 cases were reported
• Severe Acute Malnutrition: A total of 21 cases
where 14 were inpatient. No death was reported in
the week.
• Suspected Meningitis Cases: no suspected
Meningitis case, was reported in the week.
• Measles: 4 suspected measles case were reported
during this week.
• Maternal death : no maternal death was reported.
• Perinatal Death: 1 Perinatal Death were reported
this week
• Neonatal Tetanus: No neonatal Tetanus case &
death was reported during the week.
• Scabies: 5 scabies cases were reported during the
week.
• All case death: 3 death was reported from the pilot
site (legehare HC).
• Zero Reports: Zero suspected Anthrax, Rabies
exposure, Acute Watery Diarrhea, Avian Human
Influenza, Dracunculiases/ Guineaworm, Pandemic
Influenza, SARS,Smallpox, Yellow Fever, and
Viral hemorrhagic fever were reported during the
week.
Highlights of the week
We are producing timely information for immediate action

2. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
•
Table 1: Comparison of surveillance data of Epidemiological
week 10, 2023, Dire Dawa, Ethiopia
Indicators/diseases/conditions 2023 Week 9 Week10 Deference %change
Percent of Health Facility reported 100 100
Percent of Health Facility reported timely 100 100
Total malaria suspected fever examined 1171 1192 21
Total Malaria Confirmed and Clinical 73 68 -5
Dengue fever 2 0
Chikunguniya 0 0 0
Dysentery 11 8
Typhoid fever 4 1
Epidemic Typhus 5 4
Severe Acute Malnutrition 34 19 15
Scabies 8 5
Suspected Measles 9 4
Rabies exposure 0 0 0
Suspected Meningitis 2 0
Suspected Anthrax 0 0 0
Maternal Death 1 0
prenatal death 1 1
Acute Flaccid Paralysis 0 0
Acute Watery Diarrhea 0 0 0
Neonatal Tetanus 0 0
Avian Human Influenza 0 0
Drancunculiasis/Guinea worm 0 0
Pandemic Influenza 0 0
SARS 0 0
Small pox 0 0
Yellow Fever 0 0
I. Regional Public Health Surveillance Data
Summary
We are producing timely information for immediate action

3. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
The Administration’s surveillance completeness rate was 100% in the week that is above the
minimum requirement (80%) and 9 operational weredas have achieved above the minimum
requirement in the week as indicated in figure one below.
Figure 1: Surveillance data completeness rate by health facility , Week 10, from of 2019-2023
Similarly, the Administrations surveillance timeliness rate was 100% in the week, which is
above the minimum requirement (80%) as indicated in figure two below
II. Public Health Surveillance Reporting
Completeness and Timeliness Rates
We are producing timely information for immediate action
Figure 2: Surveillance data Timeliness rate by health facility , Week 10, from 2019-2023
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completeness in % in Dire Dawa Adm. by Health Facilities week one from 2019 to 2023
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Timeliness
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Timeliness in % in Dire Dawa Adm. by Health Facilities from 2019 to 2021
2020 GC 2021 GC minimum standard 2022 Gc

4. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
III. Diseases/conditions under Surveillance updates
1. Malaria
• During the week a total of 1192 health facilities visitors were suspected and fever
examined for malaria of which 5.7 % (68 cases) were confirmed and treated as malaria .
Among this 69.12 % (47) were due to plasmodium falciparum and 30.88 % (21 cases)
were due to plasmodium vivax. Slide positivity rate was 5.7 % in the week.
• As indicated in figure three below, the number of cases reported in week 10 of 2023 is
declining once again. it is less than its threshold , preventive intervention should
continue. Immediate case management should also continue. Precaution should be
made. week 19.16% decrement of suspected fever examined illness , malaria decreased
by 18.63% which is mainly due to intensive intervention in the last few weeks , keep the
good work
Figure 3: Malaria (clinical and laboratory-confirmed) trends of Dire dawa Administration by week from
2022, and week 10 of 2023 Ethiopia.
The highest malaria cases were reported from Goro HC 18 case , Followed by 9 cases from
GGHC, 8 case from GGHC, 6 case, Sabiyan Hospspital with one inpatient, 7 cases from
DDHC, 3 cases from MJHC, 2 cases from LHHC and 5 from ZHC, 1 outpatient case from
Dilchora hosp,. No death were reported during the week. 7 HC reported zero case.
Comparison of Malaria cases in the last three consequent weeks with its threshold are
indicated in figure four below.
We are producing timely information for immediate action
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Malaria cases in Dire Dawa Administration by week, 2023
2022 yr Threshold 2023 yr

5. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
III. Diseases/conditions under Surveillance updates
2. Dysentery
During the week, 8 dysentery cases were reported, which is less than last week.
As indicated in figure five below, the number of cases reported during the week
is less than the same week reported during 2021, 2022 (6,3 case) respectively.
We are producing timely information for immediate action
Figure 4: Comparison of weekly Malaria cases distribution with its threshold, Epidemiological week7,8,9 &
10 of 2023, Dire Dawa, Ethiopia.
Figure 5: trends of dysentery cases in dire dawa admin by week from 2020 to week
10 of 2023
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WHO EPI week
Trends of Dysentery cases in Dire Dawa Adm. by week
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2023 GC
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2022
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week 7
threshold week 7
week 8
threshold week 8
week 9
threshold week 9
week 10
threshold week 10
No . of cases
Comparison of weekly Malaria cases
distribution with its threshold
week 7
threshold week 7
week 8
threshold week 8
week 9
threshold week 9
week 10
threshold week 10

6. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
III. Diseases/conditions under Surveillance updates
Figure 6: Dysentery cases distribution in Dire Dawa by health facilities from 2019 to 2021
3. Typhoid Fever
During the week, 1 cases of typhoid fever with no inpatient and no death
were reported.
We are producing timely information for immediate action
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Health facilities
Dysentery cases distribution in Dire Dawa Adm. by Health facilities from 2019
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2021 GC
Figure 7: Typhoid fever cases trend by week, 2020-2021,2022 and 2023 Dire dawa,
Ethiopia
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WHO EPI week
Trends of Typhoid fever cases in Dire Dawa Adm. by week
from 2020 to 2023
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2020 GC
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2022 GC

7. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
III. Diseases/conditions under Surveillance updates
4. Epidemic Typhus
4 suspected cases were reported this week.
5. Relapsing Fever: 0 cases were reported this week.
6. Severe Acute Malnutrition
During the week, 21 cases, 7( 33.33 %) OPD and 14 ( 66.66%) IPD with one
deaths were reported. which showed a 13 cases decrement as compared to
last week. The severe acute malnutrition cases reported during this week is
still the highest among this week of 2020, 2021,2022 ( 14,14,20)
respectively.
Figure 8: Malnutrition in Dire Dawa Adm. By week from 2020 to 2023 week 9
6 cases from Dilchora Hospi where all are inpatient one death, 4 inpatient case
from Sabiyan hospital, 4 case from GHC, 2 from KHC. 9 HF reported zero cases
and one death was reported during this week .
We are producing timely information for immediate action
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8. Dire Dawa Health Bureau Public Health Emergency
Management Directorate
Weekly Epidemiological
Bulletin
III. Diseases/conditions under Surveillance updates
7. Suspected Meningitis Cases:
no suspected Meningitis case were reported this week.
8. Measles: 4 suspected measles case were reported during the week where 1 from
GGHC,3 from LHHC.
9. Maternal Death: no maternal death was reported this Week.
10. Prenatal death : 1 prenatal death from Dilchora hospital were reported this week .
11. Neonatal Death : no neonatal Tetanus case and death were reported
12. All case death: 3 death were reported from Legahare Health canter. LHC is the pilot site
for this report.
12. Dengue Fever: no suspected cases of dengue fever were reported this week.
We are producing timely information for immediate action
Prepared by
 Arafat Ibrahim (MPH in F.Epi.)
Regional Surveillance Coordinator
Tel - +251911725326
E-mail: arafatibraim@gmail.com
Approved by
 Ibrahim Abdulhamid (MSc)
DDAHB PHEM Directorate Director
For more information and notification
Telephone: +251- 251112330
+251251121398
Toll free: 6407
P.0. Box 1377 , Dire Dawa, Ethiopia