C. Groeneveld, M. Banda, N. Kayeyi, ML. Mazaba, M. Kapina
Surveillance and Disease Intelligence Unit
Zambia National Public Health Institute
- Current outbreaks
- Cholera: Six suspected cases tested negative for Vibrio Cholreae tested negative for cholera
- Ebola Virus Disease: Zero cases were reported
Acute Flaccid Paralysis (AFP): No cases were reported in the week under review.
Measles: A total of nine cases were reported this week from Lusaka (2), Northern (4), North Western (2) and Luapula (1) provinces. Three specimens were investigated for measles.
Maternal Deaths: Countrywide nine maternal deaths were registered from Lusaka (3), Eastern (2), Southern (1), North Western (1), Copperbelt (1) and Luapula (1) provinces.
Dengue: One case was confirmed from Lusaka province from a person who recently travelled West Africa
Dysentery: Nationwide 841 of cases of dysentery were recorded this week. Of the twelve samples tested 1 was positive for S. dysenteriae
Regional Public Health Events
NATIONAL IDSR HEALTH FACILITY REPORTING RATES, WEEK 29 2019
VACCINE PREVENTABLE DISEASES
Measles and Rubella
HIGH BURDEN DISEASES
EARLY WARNING DISEASES
Ebola Virus, DRC and Uganda , 2018-2019
PUBLIC HEALTH ACTIONS
All provinces and districts affected by the outbreaks should conduct laboratory tests on suspect- ed cases to confirm the outbreak. Samples from suspected outbreaks must be tested in the appropriate district or provincial laboratory and at a national reference laboratory.
Ebola Virus Disease Preparedness
All provinces to strengthen EVD surveillance among all health care providers and raise community awareness of EVD prevention
Provide weekly reports in IDSR reports of active searches including zero reposting in at-risk districts, including ports of entry
Ensure epidemic preparedness measures for detecting cases, sample testing/transportation and managing cases are effected
All border districts to strengthen point of entry EVD screening
Vaccine-Preventable Disease Surveillance in Silent Districts
Provinces to ensure silent districts not reporting AFP cases are supported for active surveillance
Provincial health offices to ensure sub regional attainment of the Non-Polio AFP rate of 2 cases per 100,000
Prioritize sample referral of suspected cases to the national reference laboratory
All suspected measles /AFP cases to be given a provisional clinical diagnosis before blood / stool samples are sent to the national reference laboratory for tests.
Active Surveillance in Cholera Hotspots
Known cholera prone regions to access risks and ensure epidemic preparedness and response measures in place for cholera prevention and control.
Regions that have reported Cholera outbreaks should conduct public education on preventative measures and work all relevant stakeholders to prevent cholera outbreaks
Reported by: Surveillance and Disease Intelligence Unit
Writers: Chanda Groeneveld, Muzala Kapin’a, Moses Banda, Nkomba Kayeyi, Mazyanga M Liwewe, Victor Mukonka and Zambia National Public Health Institute (ZNPHI)