health information bulletin 2nd quarter bulletin 2012.pdf · eastern 18 18 17 82 83 99 93 91 90 167...

Compilation by the Division of Health Information Research and Analysis (HIU) For any queries please contact Dr. Sheetal Singh on [email protected] or on ph: 3306177 ext 340171

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GOPD SOPD Outreach Home Visit Village Health Worker

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Types of Services

Outpatient Services, 2nd Quarter, 2012

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Eastern

Northern

Western

PUBLIC HEALTH INFORMATION SYSTEM (PHIS) PUBLIC HEALTH INFORMATION SYSTEM (PHIS) Outpatient Services A total of 141,131 patients were seen through GOPD compared to 170,885 in the 1st Quarter of this year. Similar numbers were seen for the same period last year. About 13,000 patients were seen at SOPD, 14,000 through outreach, 10,000 through home visits and 12,000 by village health workers. More patients were seen through outreach and home visits in the 2nd quarter compared to the first quarter.

Minor procedures and dressings were carried out for majority of the patients visiting the GOPD particularly in the Central Division. Similar to the trends in the first quarter of 2012 respiratory conditions, followed by musculoskeletal and skin conditions were the leading cause of morbidity.

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Patients Seen at Health Centre by Health Professionals, 2nd Quarter

Health Information Bulletin Second Quarter Feedback

2012


Nurses attended to about 140,000 patients followed by Medical officers (63,000) and 45,000 by Nurse practitioners Maternal Health Services At Antenatal Clinics there were a total of 1887 normal pregnancies seen compared to 2487 in the first quarter of 2012. More at risk pregnancies were seen at ANC in the second quarter (1647) compared to the first quarter of 2012 (1355). Among the complications/risk factors were those outlined in the table as follows:

Oral pills and Provera Injections were the commonest contraceptive methods followed by condoms reported by all divisions. A total of 2650 papsmears were recorded through family planning clinics and 110 through postnatal clinics. This is slightly more than the numbers reported for the first quarter of this year.

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Contraceptive Method

Distribution of Contraceptive Method, 2nd Quarter, 2012

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Eastern

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Western

Risk Factor/Complication (% of at risk pregnancies)

Multiple Pregnancy 12% Elderly Primip 5% Hypertension 4% Anaemia at first pregnancy 4% Anaemia 3% Obstructed Labour 3% Cardiac 3% Previous C-section 2% VDRL positive 2%

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Central Eastern Northern Western

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Papsmear Numbers, 2nd Quarter, 2012

Postnatal Clinic

Family Planning Clinic


Child Health Services Immunisation

Based on the above figures, estimated coverage of MR1 was about 84.8%. This is an improvement from the quarter 1estimated coverage of about 74%. This has been estimated using ¼ of 2011 livebirths(20425) as denominator.

Among the 1 week to 2 month old children attending IMCI clinic, feeding problems such as not being able to feed particularly from Northern Division was most commonly reported. Likewise, local bacterial infection (16%) followed by diarrhoea without dehydration were also very common (15%).

DIVISIONS HepB0 BCG0 OPV0 DPT-HepB-Hib1 OPV1 DPT-HepB-

Hib2 OPV2 DPT-HepB-Hib3 OPV3 MR1 MR2 TetTox

>15yrs

Tet Tox16

Central 23 23 23 2281 2002 1760 1759 1609 1610 1923 165 1101 157

Eastern 18 18 17 82 83 99 93 91 90 167 49 68 92

Northern 12 12 12 430 430 406 406 400 400 560 147 108 209

Western 35 36 40 1352 1362 1243 1251 1155 1157 1432 49 59 44

TOTAL 88 89 92 4145 3877 3508 3509 3255 3257 4082 410 1336 502

Outside Area 7 7 11 311 302 261 261 199 200 250 47 62 0

total + OA 95 96 103 4456 4179 3769 3770 3454 3457 4332 457 1398 502

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Common Conditions

Prevalence of IMCI Conditions, 1wk-2mnth olds, 2nd Quarter, 2012


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Reports Received Jan-June, 2012

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Among the 2 months to 5yr old children attending IMCI clinic, respiratory conditions (particularly those classified as no pneumonia – cough and cold) was most common – prevalence of 23%; Skin conditions such as abscesses or cellulitis were also very common. Low weight was also recorded among 7% of those attending IMCI.

Compliance to Reporting and Challenges faced

The preceding analysis is based on 91% of reports from the Divisions - 89% of Central, 94% of Western, 95% of Northern and 84% of Eastern Divisions, which is an improvement compared to 81% received overall in the 1st quarter.

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Prevalence of common IMCI Conditions among 2mnths-<5yrs, 2nd Quarter, 2012


The major limitations faced in compiling this report include: � Unavailability of population statistics and appropriate denominators to calculate meaningful rates for

example contraceptive prevalence rate. Hence absolute numbers have been used for this which can limit comparisons

� At present all reports (even zone reports are being received directly at National Level) making it difficult for entry and compilation whilst ensuring quality of output. Hence it would be appreciated if the Divisions could compile the PHIS reports to ensure submission of only 1 consolidated report to the National level per division each month. This would foster accuracy and timeliness in providing feedback to you.

HOSPITAL INFORMATION SYSTEM Data on hospital services has been obtained from the Hospital discharge data (patisplus) from CWM Hospital, Lautoka Hospital, Labasa Hospital and Nadi Hospital. Also data from Manual tear offs has been obtained from the following hospitals:

Central Western Northern Eastern

Korovou Maternity Hospital

Ba Mission Hospital Nabouwalu Hospital Cicia Hospital

Navua Maternity Hospital

Naiserelagi Maternity Hospital

Rabi Health Centre Lakeba Hospital

P J Twomey Hospital Rakiraki Hospital Waiyevo Hospital Levuka Hospital

Tamavua Hospital Sigatoka Hospital Lomaloma Hospital

Vunidawa Hospital Tavua Hospital Matuku Hospital

Wainibokasi Hospital Moala Health Centre

Rotuma Hospital

Vunisea Hospital


There were a total of3103admissions in the second quarter compared to 3661 in the first quarter of 2012, comprising of 52% females and 48% males. Injuries, Poisoning and external causes accounted for about 23% of the total admissions, followed by infectious and parasitic diseases (18%), diseases of the circulatory system (17%) and diseases of the respiratory system (13%). Other causes for admission comprised less than 10% of total admissions.

Most admissions were reported in the Central Division followed by the Western and Northern Divisions in the second Quarter. Whilst admissions due to injury, poisoning and external causes were most common in the Central Division, certain infectious and parasitic diseases were the leading cause for admissions in the other 3 divisions.

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Top 10 Causes of Morbidity

Injury, Poisoning & Certain External CausesCertain Infectious & Parasitic DiseasesDiseases of Circulatory SystemDiseases of Respiratory SystemEndocrine, Nutritional & Metabolic DiseasesDiseases of Skin & Subcutaneous TissueDiseases of Genitourinary System Diseases of Digestive System

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MORTALITY There were a total of 1342 deaths reported in the second quarter of 2012. Similar to the results of the first quarter, these constituted of 55% males and 45% females. The major causes of death included:Diseases of circulatory system (31%), Endocrine, Nutritional and Metabolic disease (25%) and Neoplasms (12%).

Diseases of circulatory system was the leading cause of death followed by endocrine, nutritional and metabolic disease. Majority of deaths reported from Central and Western Divisions. Similar trends were noted in the 1st quarter of 2012.

Most deaths reported among the 70+ age groups. A total of 77 deaths in the < 5 age group gives an estimated Under 5 mortality rate of about 15.1 per 1000 livebirths.


Similar to 1st Quarter report, there were a total of 59 infant deaths giving an estimated infant mortality rate of 11.7 per 1000 livebirths (using ¼ of 2011 livebirths as denominator). Majority of the deaths were reported in the postneonatal period followed by late neonatal period. Apart from the 3 divisional hospitals, infant deaths were also reported from Raiwaqa, Wainibokasi, Sigatoka, Nadi, Seaqaqa and Levuka.

A total of 41 fetal deaths were reported in the second quarter. Majority of deaths were from Lautoka Hospital and these were due to unspecified causes. There is a need to improve cause of death reporting through death certificates for more targeted interventions. The commonest cause of deaths among both males and females were diseases of the circulatory system followed by endocrine, nutritional and metabolic disease (which includes Diabetes) and neoplasms. There were twice the number of deaths due to diseases of the circulatory system among males compared to females. Likewise, deaths due to neoplasms accounted for twice the number of deaths among females compared to males.

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Fetal Deaths By Facility

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Similar to national level, in Central Division, majority of deaths were due to diseases of circulatory system followed by endocrine, nutritional and metabolic disease and neoplasms. Majority of deaths reported from CWMH followed by Nausori, Korovou, Wainibokasi and Vunidawa Hospitals.The death rate is about 6.6 per 1000 population (using ¼ of 2011 Central Population), which is similar to the first quarter report (6.1).


In Western Division, diseases of circulatory system followed by endocrine, nutritional and metabolic disease and neoplasms also were the major causes of death. Majority of deaths reported from LautokaHospitalThe death rate is about 5.8 per 1000 population (using ¼ of 2011 Western population). This is slightly less than the first quarter death rate of 6.23.

Diseases of circulatory system, endocrine, nutritional and metabolic diseases were the leading causes of death, similar to national level trends. Most deaths were from Levuka, followed by Vunisea and Lakeba. The death rate in Eastern Division is about 4.7 per 1000 population (using ¼ of 2011 Eastern Population), which is slightly higher than the rate estimated in the first quarter report (3.33).


In Northern Division, the major causes of death are similar to the national level trends. Most deaths reported from Labasa Hospital, Taveuni and Nabouwalu, similar to the trends in the 1st quarter. The death rate in Northern division is about 5.9 per 1000 population (using ¼ of 2011 Northern Population), which is also similar to first quarter result. NON-COMMUNICABLE DISEASES Diabetes

A total of 61 new cases of Diabetes were reported in 2012 compared to 121 for the same period last year. 15 facilities had reported in the second quarter, which is an improvement from the first quarter reporting during which only 6 facilities had reported. Among those facilities that reported, Wainibokasi had the highest number of new cases followed by Valelevu and Lami.


The age distribution of new cases has been similar to the pattern last year as well as for the same period last year, with most number of cases in the middle age population particularly 55-59 age group. In 2012 most cases were reported among the Female I-Taukei population compared to Female Indo-Fijian population last year. Cancer The statistics on cancer are presented using the ICD-O codes, compiled from histopathology, cytology reports, PATISPLUS reports and Death Certificates.A total of 126 cases of cancer were reported in 2nd quarter 2012 compared to 263 for the same period last year. Of these 67% were females and 33% were males. Majority of the cases were reported in the 55-59 age group

Overall less number of cancer cases were reported in 2012 compared to the same period last year. Apart from unknown primary sites, Prostate, colorectal and Esophageal cancers were the main cancer sites reported among males in the 2nd quarter for 2012.

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Common Cancer Sites

Cancer Sites among Males, 2nd Quarter, 2011 vs 2012

2011

2012


Similar to trends among males, there were in total less number of cancer cases in quarter 2 of 2012 compared to the same period last year. The main cancer sites reported among females in the 2nd quarter for 2012 include cervix, breast, ovary and endometrial cancers.

There were 3 cases in the paediatric population (0-14 years) in the second quarter of 2012 compared to 5for the same period last year. 2 cases were among unknown primary sites and 1 case involving the nervous system. MENTAL HEALTH The source of information on mental health was through the St. Giles Admissions Register. There were a total of 107 admissions, comprising of 52% males and 48% females in the second quarter of 2012.

Majority of cases were in the 30-34 age group compared to 45-49 age group in the 1st quarter of 2012. Similar to 1st Quarter results, most admissions were among single individuals.

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Common Cancer Sites Among Females, 2nd Quarter, 2011 vs 2012

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Age Groups

Age Distribution of Cases

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Distribution by Marital Status


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Age Distribution of Cases

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Proportion Tested For HIV

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Apart from other causes for admission not specified, majority of admissions were due to Schizophrenia and other Psychotic Disorders. This was followed by Bipolar Affective Disorders.

TUBERCULOSIS (TB) Data on TB was obtained from the National TB Programme. A total of 52 new cases of TB reported in the second quarter compared to 50 in the 1st quarter of 2012. There were 4 relapse cases – 2 from Central and 2 from Western and 1 default case.

Overall the number of new cases amongst males and females was evenly distributed. However in the Northern Division 3 times the number of females were diagnosed compared to males. 66% of total TB cases were smear positive in the 2nd quarter, 2012. About 53% of the cases were tested for HIV at national level

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Sex Distribution of Cases

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Smear Positives among total TB cases

No. of smear positives

Total


Of the 22 patients who were evaluated for outcomes in the second quarter, the pie chart indicates that majority were cured (68%).

Notifiable Diseases Data for Notifiable Diseases are obtained from the Notifiable Diseases Certificates, every week-ending. April recorded the highest number of cases, followed by May and June. This can be attributed to the timeliness of reports being sent by the facilities to HIU. The leading diseases are Viral Illness, ARI, Diarrhea, Influenza and Conjunctivitis. The number of cases reported in June is quite low and can be attributed to the timeliness and under reporting from the facilities in June.

Diseases April May June Total ARI 3,848 3,787 2,635 10,270

Chicken Pox 110 150 100 360

Conjunctivitis 598 501 390 1,489

Dengue Fever 76 48 21 145

Diarrhoea 1,792 1,379 990 4,161

Dysentry - Amoebic 1 0 0 1

Dysentry - Bacillary 19 13 4 36

Typhoid Fever 57 50 30 137

Para - Typhoid Fever 1 0 0 1

Fish Poisoning 81 152 73 306

Ciguatera Fish Poisoning 0 5 2 7

Food Poisoning 1 3 9 13

Hepatitis 5 15 2 22

Influenza 1,294 1,087 483 2,864

Leptospirosis 70 21 8 99

Measles 1 0 0 1

Meningitis 1 1 12 14

Mumps 2 1 2 5

Pneumonia 232 181 111 524

Rheumatic Fever 1 0 1 2

Rubella 13 1 15 29

Tetanus 1 0 0 1

Cured68%

Treatment Completed

4%

Died18%

Treatment Failure

0%

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Transfer out5%

Outcomes of TB Patients in 2nd Quarter

Cured

Treatment CompletedDied


Trachoma 7 15 23 45

Tropical Ulcer 0 1 0 1

Typhus - Flea/ Mite Borne 3 0 0 3

Viral Illness/ Infection 4,644 3,617 3,247 11,508

Gonorrhea 64 51 56 171

Candidiasis 2 1 0 3

Chlamydia 1 0 0 1

Congenital Syphilis 0 1 0 1

Syphilis 20 19 14 53

Genital Herpes 0 1 0 1

Herpes Zoster 9 2 4 15

OpthalmiaNeonatorium 0 0 1 1

PID 0 0 1 1

The number of cases reported in June is quite low and can be attributed to the timeliness and under reporting from the facilities in June.

Viral Illness/

InfectionARI Diarrhoea Influenza Conjunctivit

is Pneumonia Chicken Pox Fish Poisoning Gonorrhoea Dengue

Fever

April 4644 3848 1792 1294 598 232 110 81 64 76

May 3617 3787 1379 1087 501 181 150 152 51 48

June 3247 2635 990 483 390 111 100 73 56 21

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Top Ten Diseases

Top Ten Notifiable Diseases for 2nd Quarter 2012


The graph shows the most common diseases for the top ten diseases for the 1st and 2nd Quarter Reports 2012. There are stable trends for most of the diseases. Central Division

Graph showing the top ten diseases for Suva Urban Areas. The leading diseases are Viral Illness, ARI, Diarrhoea, and Conjunctivitis. The facilities which have most cases of Notifiable diseases are Nuffield Clinic, Samabula, Raiwaqa, and Lami. This may be due to the population.

Viral Illness/ Infection ARI Diarrhoea Influenza Conjunctivitis Pneumonia Chicken Pox Fish Poisoning

1st Quarter 10179 12868 5852 2835 1470 747 293 448

2nd Quarter 11508 10270 4161 2864 1489 524 360 306

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Common Diseases in Top Ten Diseases from 1st and 2nd Quarter Report 2012

Viral Illness/

InfectionARI Diarrhoea Conjunctivit

is Influenza Chicken Pox Pneumonia Fish Poisoning

Dengue Fever Gonorrhoea

Suva Private 0 0 0 0 0 1 0 0 23 0

Lami 28 96 115 73 202 40 0 17 0 0

Nuffield Clinic 723 323 202 101 0 33 0 30 5 1

Samabula 648 278 168 101 0 20 0 33 0 9

Raiwaqa 494 537 328 73 87 31 112 16 0 1

CWM Hosp 0 0 9 0 1 0 0 0 0 2

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Top Ten Diseases for Suva Urban Areas - 2nd Quarter 2012


The most common diseases for Suva Rural Areas are ARI, Viral Illness and Diarrhoea. Valelevu has the highest number of diseases being reported, and can be attributed to the larger population catchment.

Among the facilities in the Serua/Namosi subdivision, Navua has the highest number of cases. The most common diseases are ARI, Viral Illness, Influenza and Diarrhoea.

The highest number of cases recorded for Rewa Sub division was reported from Nausori and included ARI and Viral Illness.

ARIViral Illness/

Infection DiarrhoeaConjunctiviti

s Pneumonia InfluenzaFish

Poisoning Gonorrhoea Chicken PoxHerpes Zoster

Valalevu 2167 924 446 71 44 0 27 24 8 6

Naulu 199 42 0 0 3 30 0 3 0 1

Makoi 0 134 0 16 0 0 2 0 3 0

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Top Ten Diseases for Suva Rural - 2nd Quarter 2012

ARIViral Illness/

Infection Influenza DiarrhoeaConjunctivit

is Pneumonia Trachoma Chicken PoxTyphoid

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Korovisilou 82 69 55 37 29 19 11 4 0 2

Beqa 0 0 9 1 0 0 0 0 0 0

Navua 370 130 110 103 39 10 0 1 0 5

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Top Ten Diseases for Serua/ Namosi - 2nd Quarter 2012

ARI Viral Illness/ Infection Diarrhoea Conjunctivit

is Influenza Pneumonia Fish Poisoning

Dengue Fever Chicken Pox Gonorrhoea

Wainibokasi 471 388 141 70 13 0 30 15 2 4

Mokani 267 231 81 23 0 19 5 8 2 1

Nausori 876 786 123 76 147 104 18 2 14 9

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Diseases

Top Ten Diseases for Rewa - 2nd Quarter 2012


As seen in the 1st Quarter report, there was only 1 facility which was reporting under the Tailevu Sub division. The above graph shows the reports from all the 3 facilities under this sub division. According to the Received Certificate Register for 2012 Korovou has submitted all their reports. Lodoni Health Centre has yet to submit the reports for January and May, whilst Nayavu still has to submit the 1st quarter reports to HIU.

The graph shows that the leading disease is Viral Illness for Naitasiri sub division. The above graphs for the Central Division illustrate trends for the different top ten diseases by sub division. The most common diseases are ARI, Diarrhoea, Viral Illness, Influenza and Conjunctivitis. Many facilities have yet to submit their reports on time to HIU as illustrated by the graph below:

Influenza Viral Illness/ Infection ARI Diarrhoea Conjunctiviti

s Chicken Pox Letospirosis Dengue Fever

Typhoid Fever

Herpes Zoster

Nayavu 0 168 0 34 0 0 0 0 0 0

Lodoni 20 141 0 16 11 0 0 0 3 0

Korovou 300 0 154 26 41 11 8 6 2 3

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Diseases

Top Ten Diseases for Tailevu - 2nd Quarter 2012

Viral Illness/ Infection ARI Diarrhoea Chicken Pox Conjunctiviti

s Gonorrhoea Dengue Fever

Fish Poisoning

Herpes Zoster Letospirosis

Nakorosule 301 22 13 0 9 2 0 0 0 0

Naqali 323 33 0 20 0 2 0 0 0 1

Vunidawa 74 27 40 5 14 1 2 2 2 0

0100200300400500600700800

No.

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ases

Diseases

Top Ten Diseases for Naitasiri - 2nd Quarter 2012


These reports are compiled in 1st week of July, still there are nearly 50% reports pending. Western Division

The graph shows the trend for Lautoka subdivision for top ten diseases. Natabua and Viseisei health centres had the most of the Notifiable diseases. This may be due to under reporting of diseases from the other facilities.

In the 2nd quarter, all 3 facilities in the Western Division are reporting, unlike in the 1st quarter when reports from Namaka Health Centre were not received. Viral Illness is the leading disease reported from Namaka Health Centre.

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100

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0 8 8

77

8

100

8 8

85

15 38

23

69

0

46

31

15 0 23

100

62

8 310

20406080

100

% R

epor

ts

Facilities

Graph Showing the % Received and % Pending Certificates for each facilities Central Divisions for 2nd Quarter 2012

% Pending

% Received

ARI Diarrhoea Viral Illness/ Infection Gonorrhoea Pneumonia Conjunctivit

isDengue Fever

Typhoid Fever Syphilis Influenza

Viseisei 177 65 49 1 34 8 1 1 1 0

STI Clinic 0 0 0 61 0 0 0 0 14 0

Natabua 82 32 21 0 13 3 2 0 0 15

Kese 19 3 10 2 0 12 0 0 0 0

Lautoka Hosp 0 0 0 0 0 0 15 16 0 0

050

100150200250300

No.

of C

ases

Diseases

Top Ten Diseases for Lautoka - 2nd Quarter 2012

Viral Illness/ Infection Diarrhoea ARI Pneumonia Influenza

Conjunctivitis Chicken Pox Gonorrhoea

Fish Poisoning

Dengue Fever

Bukuya 0 24 46 0 104 3 0 0 0 0

Namaka 1102 179 272 15 0 48 16 9 5 1

Nadi 564 479 214 115 0 45 5 10 10 10

0200400600800

10001200140016001800

No.

of C

ases

Diseases

Top Ten Diseases for Nadi - 2nd Quarter 2012


Viral Illness is the leading disease reported from Nailaga Health Centre in Ba Subdivision. Other common Notifiable Diseases from Ba Sub division included Diarrhoea, Influenza and ARI and these were consistently reported from all facilities.

The graph for 2nd quarter shows that reports are being received from all the facilities underTavua subdivisions, unlike in 1st quarter report. Viral Illness/infection, conjunctivitis and diarrhea were the commonest diseases reported from these facilities.

Viral Illness/

InfectionDiarrhoea Influenza ARI Conjunctivi

tis Letospirosis Dengue Fever

Typhoid Fever

Chicken Pox

Gonorrhoea

Nailaga 433 168 0 209 18 0 0 0 3 0

Ba Mission 36 130 58 0 0 22 3 7 0 0

Balevuto 8 87 200 1 2 4 10 3 1 0

Ba H/C 0 11 74 7 22 0 0 0 0 1

0100200300400500600

No.

of C

ases

Diseases

Top Ten Diseases for Ba - 2nd Quarter 2012

Viral Illness/ Infection Conjunctivitis Diarrhoea Influenza Typhoid Fever Chicken Pox Trachoma Gonorrhoea

Nadarivatu 0 0 0 16 3 0 0 0

Tavua 370 54 31 0 10 13 8 2

0100200300400

No.

of C

ases

Diseases

Top Ten Diseases for Tavua - 2nd Quarter 2012

Viral Illness/ Infection ARI Influenza Diarrhoea

Conjunctivitis Chicken Pox Letospirosis

Typhoid Fever

Dengue Fever Rubella

Vatulele 8 0 52 0 0 0 0 0 0 0

Korolevu 53 268 0 118 45 11 0 0 0 0

Raiwaqa 131 77 32 69 44 6 0 6 2 8

Keiyasi 0 0 195 0 4 9 5 8 0 0

Lomawai 543 602 0 21 21 2 3 1 1 0

Sigatoka 441 0 46 3 6 6 17 8 14 0

0200400600800

100012001400

No.

of C

ases

Diseases

Top Ten Diseases for Nadroga - 2nd Quarter 2012


Of the top ten diseases reported from Nadroga Sub division the leading diseases include Viral Illness and ARI, and are mostly reported from Lomawai and Sigatoka.

Viral Illness is the most common disease in Ra subdivisions. The highest number of cases are reported from Nanukuloa and Rakiraki. For Western Division there were variations in the top ten diseases. However, in overall the most common Notifiables in Western division are Viral Illness followed by ARI, Influenza, and Diarrhoea. Also noted is the poor reporting from the facilities which can influence accuracy of results and interpretation as illustrated below by the graph on reports received from the Western Division:

The graph shows that there are some facilities which did not submit reports on time and some failed to submit any reports at all.

Viral Illness/ Infection Influenza ARI Diarrhoea

Conjunctivitis Chicken Pox Letospirosis Syphilis Gonorrhoea

Congential Syphilis

Nasau 0 120 0 0 0 0 0 0 0 0

Namarai 29 0 2 0 0 0 1 0 0 0

Nanukuloa 139 0 93 14 2 5 0 0 0 0

Rakiraki 64 0 0 22 32 8 4 3 2 1

050

100150200250

No.

of C

ases

Diseases

Top Ten Diseases for Ra - 2nd Quarter 2012

92

31

92

0 0

46 46

92

15

92 69 38

92 62 46 31

54 54 46

77 54

77

85

92

0

85 46

69 62 31

54

8

69

8

100

100

54 54

8

85

8 31 62

8 38 54 69

46 46 54

23 46

23

15 8

100

15 54

31 38 69

46

020406080

100120

Laut

oka

Hosp

ital …

Laut

oka

Hosp

ital …

Laut

oka

STI C

linic

Laut

oka

Mat

erni

ty

Laut

oka

Heal

th …

Nat

abua

Hea

lth …

Nac

ula

Heal

th …

Kese

Hea

lth C

entr

e

Mal

olo

Heal

th …

Vise

isei H

ealth

…

Nad

i Hos

pita

l

Nad

i Mat

erni

ty

Nam

aka

Heal

th …

Buku

ya H

ealth

…

Ba H

ealth

Cen

tre

Ba M

issio

n Ho

spita

l

Bale

vuto

Hea

lth …

Nai

laga

Hea

lth …

Tavu

a Ho

spita

l

Nad

ariv

atu …

Siga

toka

Hos

pita

l

Lom

awai

Hea

lth …

Keiy

asi H

ealth

…

Koro

levu

Hea

lth …

Tau

Heal

th C

entr

e

Raiw

aqa

Heal

th …

Vatu

lele

Hea

lth …

Raki

raki

Hos

pita

l

Nan

ukul

oa …

Nam

arai

Hea

lth …

Nas

au H

ealth

…

% R

epor

ts

Facilities

Graph Showing the % Received & % Pending Certificates for each Facilities Western Divisions for 2nd Quarter 2012

% Pending

% Received


Northern Division

The leading disease for Macuata subdivision is Influenza and most cases are reported from Seaqaqa health centre. Other leading diseases are Viral Illness and ARI and are mostly being reported from Wainikoro Health Centre.

ARI was the most frequent disease reported from Cakaudrove. There were roughly equal distribution of cases among the various facilities in this subdivision.

Influenza Viral Illness/ Infection ARI Diarrhoea Conjunctivit

isTyphoid

Fever Chicken Pox Dengue Fever Pneumonia Syphilis

STI Clinic 0 0 3 0 0 0 0 0 0 1

Seaqaqa 506 0 0 31 63 4 7 1 0 0

Dreketi 0 9 0 27 11 0 1 0 0 0

Naduri 17 24 6 0 5 4 0 0 0 0

Lagi 0 0 25 2 4 0 0 0 8 0

Wainikoro 25 257 301 46 23 0 7 0 1 1

Labasa Hosp 0 68 1 20 0 14 0 14 0 3

0

100

200

300

400

500

600

No.

of C

ases

Diseases

Top Ten Diseases for Macuata - 2nd Quarter 2012

ARI Viral Illness/ Infection Diarrhoea Influenza Chicken Pox Rubella Conjunctiviti

sTyphoid

FeverDengue Fever

Trophical Ulcer

Nakorovatu 11 29 2 0 0 0 1 0 0 0

Korotasere 115 40 13 25 0 0 0 0 0 0

Saqani 137 69 13 0 0 4 0 0 0 0

Tukavesi 111 103 39 0 0 0 2 0 0 0

Natewa 114 57 26 0 17 0 0 0 0 0

Savusavu 14 6 16 38 0 0 0 3 2 1

0100200300400500600

No.

of C

ases

Diseases

Top Ten Diseases for Cakaudrove - 2nd Quarter 2012


The graph shows that the most leading disease for Rabi is Influenza.

The leading diseases reported from Bua subdivision are ARI and Viral Illness. Most diseases are consistently reported from Wainunu health centre.

Most of the cases are being reported from the Waiyevo Health Centre. The leading diseases are Viral Illness, ARI and Diarrhoea. The Graphs for Northern division shows that the most common notifiable diseases are ARI, Viral Illness and Influenza. Some facilities did not report any diseases, and it is unclear if any cases were reported or this was due to failure to submit reports to HIU as shown by the graph below:

Influenza ARI Conjunctivitis DiarrhoeaCiguatera Fish

Poisoning Trachoma Pneumonia

Rabi 257 77 75 55 3 1 1

0100200300

No.

of C

ases

Diseases

Top Ten Diseases for Rabi - 2nd Quarter 2012

ARIViral Illness/

Infection DiarrhoeaConjunctiviti

sTyphoid

Fever PneumoniaDengue Fever Letospirosis Rubella

Dysentry -Bacillary

Wainunu 183 66 46 0 7 17 6 3 2 2

Lekutu 35 89 9 19 11 0 0 0 0 0

Nabouwalu 30 25 1 4 0 0 0 0 0 0

050

100150200250300

No.

of C

ases

Diseases

Top Ten Diseases for Bua - 2nd Quarter 2012

Viral Illness/ Infection ARI Diarrhoea Conjunctiviti

sFish

Poisoning Influenza Gonorrhoea Typhoid Fever Chicken Pox Trachoma

Vuna 151 148 43 12 20 0 0 0 0 0

Qamea 5 6 5 4 0 0 0 0 0 0

Waiyevo 236 120 142 64 22 9 8 3 3 2

0100200300400500

No.

of C

ases

Diseases

Top Ten Diseases for Taveuni - 2nd Quarter 2012


The graph trend shows that the reports are still pending from the facilities. The total percentage of reports received from Northern Division is 63%. Eastern Division

The leading disease for Ovalau is ARI. Most cases are reported from Levuka and Koro compared to other facilities.

The leading diseases for Lakeba sub division is Viral Illness and most of the cases are being reported from Matuku Health Centre.

92 69

0

100 77 46

77 69

77

8

85 77

92 92

38

85

0

92 92 92 46

62

8 31

100

0 23 54

23 31

23

92

15 23 8 8

62

15

100

8 8 8

54

380

20406080

100120

% R

epor

ts

Facilities

Graph Showing the % Received & % Pending Certificates for each Facilities Northern Divisions for 2nd Quarter 2012

% Pending

% Received

ARI Diarrhoea Conjunctivitis Viral Illness/ Infection Influenza Chicken Pox Typhoid Fever Gonorrhoea Fish Poisoning

Bureta 0 0 0 0 0 6 6 0 0

Koro 387 42 8 55 0 7 0 1 0

Qarani 12 0 0 11 0 0 0 1 1

Levuka 152 159 75 0 35 14 0 2 2

0100200300400500600

No.

of C

ases

Diseases

Top Ten Diseases for Ovalau - 2nd Quarter 2012

Viral Illness/ Infection ARI Influenza Fish Poisoning Diarrhoea Chicken Pox Tetanus Food

Poisoning Conjunctivitis

Kabara 51 0 0 2 4 0 0 1 0

Matuku 246 0 0 0 0 0 0 0 0

Moala 17 76 6 25 7 2 1 0 1

Lakeba 76 51 24 0 9 0 0 0 0

050100150200250300350400450

No.

of C

ases

Diseases

Top Ten Diseases for Lakeba - 2nd Quarter 2012


Viral Illness and ARI are the most common disease in the Kadavu sub division. In the 2nd Quarter, Rotuma only reported 2 cases of Fish Poisoning. Most of the reports are pending from this sub division. Most of the cases are reported from Lomaloma and the leading diseases are Viral Illness and ARI. However some facilities are not submitting reports as shown below:

Nevertheless, the reporting system for Eastern division has improved as compared to 1st quarter.

Source: NNDSS Forms 2012

Viral Illness/ Infection ARI Diarrhoea Influenza Fish

Poisoning Pneumonia Chicken Pox Conjunctivitis Trachoma Syphilis

Daviqele 1 0 2 17 0 3 0 0 0 0

Kavala 55 14 9 0 11 3 4 2 1 0

Vunisea 119 145 35 2 0 0 0 0 0 1

020406080

100120140160180200

No.

of C

ases

Diseases

Top Ten Diseases for Kadavu - 2nd Quarter 2012

100 69

92 92 85 85

0

85 85 62

92 69

92 77

85

0 31

8 8 15 15

100

15 15 38

8 31

8 23

15

020406080

100120

% R

epor

ts

Facilities

Graph Showing the % Received & % Pending Certificates for each Facilities Eastern Divisions for 2nd Quarter 2012

% Pending

% Received

57% 45%

56% 45%

58%

56%

63%

76%

0%

20%

40%

60%

80%

Central Western Northern Eastern

% R

epor

ts

Divsions

Graph showing the % Reports Received for 1st and 2nd Quarter 2012

1st Quarter

2nd Quarter


It is apparent the submission of reports from health facilities throughout Fiji still has scope for improvement. In terms of reports received for 2nd Quarter 58% was received from central, 56% from Western, 63% from Northern and 76% from Eastern. It is encouraging to note that the compliance to reporting has improved compared to the 1st quarter report from all divisions, particularly in the Eastern. Similar to the 1st quarter results, the leading Notifiable diseases for 2nd Quarter 2012 were Viral Illness, ARI, Influenza and Diarrhoea. Hence, appropriate strategies should be initiated to reduce the incidence of these diseases. HIV We thank the Family Health Programme for the following section on HIV. The graphs are based on the cumulative number of HIV cases.

There were 56% females and 43% males in the first half of this year, compared to overall 53% males and 47% for all cumulative cases since 1989. Overall majority of cases were reported in the I-Taukei population.

Heterosexual was the most common mode of transmission, followed by perinatal transmission. The 20-29 age group was the commonest age group affected.

237212

00

50

100

150

200

250

Male Female Unknown

No.

Gender

HIV Cases by Gender1.370

5523

10

50100150200250300350400

Fijian Indian Oth Unk

No. of Cases

Races

HIV Cases by Ethnicity2.

24 12

210

137

4313

2 80

50

100

150

200

250

No.of Cases

Age Group

HIV Cases By Age Group4.

90%

3% 0%

0%

5%

2% 0%

Mode of Transmission of HIV

Hetrosexual

Homosexual

Blood Transfusion

IV drug

Perinatal

Unknown

Body Piercing

3.


The cumulative number of HIV cases, since the first case in 1989 is 449. There were 30 new cases reported in 2012 so far. There have been extra tests carried out in quarter 2 e.g. 300 extra tests among sex workers. Locum clinic pilot project was commenced in quarter 2 (afterhours) for vulnerable groups and there has been increased HIV awareness by President of Fiji in secondary schools followed by good media coverage. These events may have contributed to increase in testing and slight increase in HIV confirmed cases.

1989199019911992 1993 1994 1995 1996 1997 19981999200020012002 2003 2004 2005 2006 2007 2008200920102011 2012

New 4 3 3 4 3 6 8 4 4 7 12 10 17 26 31 29 29 36 23 31 43 33 53 30

Cum. Total 4 7 10 14 17 23 31 35 39 46 58 68 85 111 142 171 200 236 259 290 333 366 419 449

4 7 10 14 17 23 31 35 39 46 58 6885

111142

171200

236259

290

333366

419449

Summary of HIV cases in Fiji5.

health information bulletin 2nd quarter bulletin 2012.pdf · eastern 18 18 17 82 83 99 93 91 90 167...

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