week-31...2nd round mopv2 campaign in central and south of somalia synchronized with kenya &...

Somalia Weekly Update

Week-31Ending 05 Aug 2018

Summary highlight

➢No new cVDPV2 isolates from environmental samples. The date of collection of most recent positive environmental sample was on 17th May 2018

➢No new cVDPV3 isolate from environmental samples. The date of collection of most recent positive environmental sample for cVDPV3 in Somalia was on 19th April 2018

➢In total, 10 cVDPV2 and seven (7) cVDPV3 viruses have been

isolated from environmental samples in 2018 compared to

two (2) VDPV2s and 0 VDPV3 in 2017

➢There are four (4) environmental sites in Somalia, all of which

are located in Banadir region (Mogadishu)

➢ Five(5) community samples with PV type 2 referred to the CDC for sequencing on 30th July 2018. Samples collected from Dollo on 10 and 11 July 2018 (which is during mOV2 campaign in South) all have OPV doses >9 and confirmed that they took mOPV2 vaccine on 9th June 2019.

➢ One (1) AFP case from Galgadud region with date of on set of paralysis on July 08 has PV-2 and sent for sequencing to CDC. The last OPV for this case was on May 08 and has 5 OPV doses and no IPV

➢No new confirmed cVDPV from human samples this week. The last case was reported from Dolo.

➢The total number of cVDPV cases remains four (4) [two (2) cVDPV3, one (1) cVDPV2 and one (1) with both cVDPV2 and cVDPV3. The dates of onset of the most recent cVDPV2 is on 26 May and cVDPV3 is on 23 May 2018

VDPVs from environmental samples

VDPVs from human samples

2

cVDPV2/3 (n=1)

Summary Environmental Samples and Lab Classification

District

Epidemiological Week-2017 Epidemiological Week-2018

Name of

Sites

Date of

Establishment

383940414243444546474849505152 1 2 3 4 5 6 7 8 9 101112131415161718192021222324252627282930313233

J. 04

J. 11

J. 18

J. 25

F.01

F.08

F.15

F.22

M.01

M.08

M.15

M.22

M.29

Ap.

05

Ap.

12

Ap.

19

Ap.

26

May

03

May

10

May

17

May

24

May

31

June 7

June

14

June

21

June

28

July

05

July

12

July

19

July

26

Aug

02

Waberi 21October 19 Sept. 2017 Bo

th

No

sam

ple

co

llect

ed

du

e t

o f

loo

din

g o

f se

wag

e

vDP

V2

ShanganiUrobo 20 Sept. 2017

Hamerewoini

Kawma21 Sept. 2017

HodanEgyptianHospital

23 Nov. 2017

Legend 9

1 Not scheduled 5 NPENT 10 Sent for sequencing

2 Pending 6 Sabin 11 Scheduled but not collected

3 Negative 7 NPENT + Sabin 12 Sabin 2

4 NEV 8 cVDPV2 13 Sabin + NPEV + NEV

cVDPV3

2nd round mOPV2 campaign in Central and South of Somalia synchronized with Kenya & Ethiopia

- After successful completion of the first round mOPV2 synchronized campaign, the second round started on August 4 and will continue till August 7 targeting approximately 700,000 U-5 children living in 37 districts

- Trained intra-campaign independent monitors are deployed for each DFA and are sharing their daily coverage data using ODK from the field

- Daily data analysis on Admin data and IM data collected by independent monitors are being analyzed daily and feedback shared for corrective measures in real time

Second round Day-1 and Day ICIM preliminary coverage data by district. Data is from daily data collected through ODK which represents less than 30% of the targeted DFA areas

Province District

Number of

HHs

Visited

% of HHs

Correctly

Marked

Number of 0-

11 Children

Seen

% of 0-11

Children

Vaccinated

Number of 0-

11 Children

Vaccinated

Number of

12-59

Children

Seen

Number of

12-59

Children

Vaccinated

% of 12-59

Children

Vaccinated

% of Total

Children

Vaccinate

d

Sum of

Missed

Children

Sum of

suspected

AFP cases

reported

% HHs

Aware

about the

Campaign

BAY BDB 1481 98% 1248 1242 100% 2420 2381 98% 99% 45 0 96%

BAY BDL 160 96% 127 127 100% 277 277 100% 100% 0 0 99%

BAY DNS 81 100% 65 63 97% 186 166 89% 91% 22 0 100%

BAY Total 1722 98% 1440 1432 99% 2883 2824 98% 98% 67 0 97%

BKL HUD 201 89% 153 147 96% 443 420 95% 95% 29 0 82%

BKL Total 201 89% 153 147 96% 443 420 95% 95% 29 0 82%

GDD ABD 80 100% 41 41 100% 172 164 95% 96% 8 0 78%

GDD ADD 160 100% 96 91 95% 286 284 99% 98% 7 0 100%

GDD BLB 120 100% 113 113 100% 265 265 100% 100% 0 0 98%

GDD DSB 122 98% 111 100 90% 228 197 86% 88% 42 0 98%

GDD GUR 200 99% 136 132 97% 363 350 96% 97% 17 0 100%

GDD Total 682 99% 497 477 96% 1314 1260 96% 96% 74 0 97%

GDO BDB 41 100% 8 8 100% 72 72 100% 100% 0 0 100%

GDO BLH 30 100% 8 8 100% 59 59 100% 100% 0 0 90%

GDO BRD 85 99% 134 134 100% 218 217 100% 100% 1 0 99%

GDO DLO 150 100% 156 156 100% 327 317 97% 98% 10 0 100%

GDO ELW 40 100% 25 25 100% 81 81 100% 100% 0 0 100%

GDO LUQ 72 100% 54 54 100% 105 105 100% 100% 0 0 100%

GDO Total 418 100% 385 385 100% 862 851 99% 99% 11 0 99%

HRN BLT 194 98% 154 154 100% 359 359 100% 100% 0 0 98%

HRN Total 194 98% 154 154 100% 359 359 100% 100% 0 0 98%

LJB AFM 80 100% 80 80 100% 172 172 100% 100% 0 0 100%

LJB KIS 233 98% 238 217 91% 569 522 92% 92% 68 0 77%

LJB Total 313 98% 318 297 93% 741 694 94% 94% 68 0 83%

Grand Total 3530 98% 2947 2892 98% 6602 6408 97% 97% 249 0 95%

Province District

Number of

HHs

Visited

% of HHs

Correctly

Marked

Number of

0-11

Children

Seen

Number of

0-11

Children

Vaccinated

% of 0-11

Children

Vaccinated

Number of

12-59

Children

Seen

Number of

12-59

Children

Vaccinated

% of 12-59

Children

Vaccinated

% of Total

Children

Vaccinated

Sum of

Missed

Children

Sum of

suspected

AFP cases

reported

% HHs

Aware

about the

Campaign

BAY BDB 1529 98% 1406 1400 100% 2721 2690 99% 99% 37 0 96%

BAY BDL 161 98% 129 129 100% 276 276 100% 100% 0 0 100%

BAY DNS 260 100% 195 194 99% 622 562 90% 93% 61 0 100%

BAY Total 1950 99% 1730 1723 100% 3619 3528 97% 98% 98 0 97%

BKL HUD 203 93% 131 126 96% 406 378 93% 94% 33 0 91%

BKL Total 203 93% 131 126 96% 406 378 93% 94% 33 0 91%

GDD ABD 80 100% 31 31 100% 149 143 96% 97% 6 0 81%

GDD ADD 160 100% 102 101 99% 300 294 98% 98% 7 0 98%

GDD BLB 130 100% 115 115 100% 271 271 100% 100% 0 0 99%

GDD DSB 240 98% 199 189 95% 476 449 94% 95% 37 0 96%

GDD GLS 40 100% 17 11 65% 115 111 97% 92% 10 0 98%

GDD GUR 240 100% 158 155 98% 485 466 96% 97% 22 0 100%

GDD Total 890 99% 622 602 97% 1796 1734 97% 97% 82 0 97%

GDO BDB 41 100% 15 15 100% 81 81 100% 100% 0 0 100%

GDO BLH 81 89% 67 62 93% 131 126 96% 95% 10 0 96%

GDO BRD 151 98% 191 191 100% 441 428 97% 98% 13 0 93%

GDO DLO 270 100% 247 240 97% 624 574 92% 93% 57 0 98%

GDO ELW 40 100% 23 23 100% 73 72 99% 99% 1 0 100%

GDO LUQ 122 100% 71 71 100% 189 187 99% 99% 2 0 100%

GDO Total 705 98% 614 602 98% 1539 1468 95% 96% 83 0 97%

HRN BLT 240 100% 197 197 100% 433 429 99% 99% 4 0 100%

HRN MTB 81 99% 29 29 100% 155 150 97% 97% 5 0 99%

HRN Total 321 100% 226 226 100% 588 579 98% 99% 9 0 100%

LJB AFM 138 99% 181 181 100% 298 297 100% 100% 1 0 100%

LJB KIS 320 98% 264 258 98% 820 798 97% 97% 28 0 92%

LJB Total 458 98% 445 439 99% 1118 1095 98% 98% 29 0 94%

Grand Total 4527 98% 3768 3718 99% 9066 8782 97% 97% 334 0 96%

IM Coverage by age group and level of awarness of HHS about the campaignDay-1 Day-2

IM coverage1st round Synchronized mOPV2 Campaign Round 1

County/ Province Sub-County/ District 0 - 59mths SeenTotal Vaccinated

FM% IM

Coverage

Lower Juba Afmadow 1,171 1,168 100%

Lower Juba Badade 266 266 100%Lower Juba Kismayo 6112 5955 97%

Bay Baidoa

Bay Qansadhere 1,646 1,644 100%

Bay Burhakaba 6,663 6,548 98%

Bay Berdale 2,088 2,053 98%

Bay Dinsor 1,738 1,612 93%

Bakool Elberde 1,171 1,168 100%

Bakool Rabdure 1,124 1,124 100%

Bakool Huddor 1,739 1,694 97%

Bakool Tieglow 252 247 98%

Bakool Wajid 1,646 1,644 100%

Gedo Luuq 538 509 95%

Gedo Dolo 488 488 100%

Gedo Gedweine 194 188 97%

Gedo Beled-xawo 552 539 98%

Gedo Elwak 238 237 100%

Gedo Garbaharre 530 530 100%

Gedo Bardera 1,075 1,075 100%

Gedo Burdubo 693 693 100%

Galgudud Dusamareb 252 237 94%

Galgudud Guriel 814 1177 95%

Galgudud Adado 693 693 100%

Galgudud Galinsor 586 655 89%

Galgudud Abudwaq 711 718 99%

Galgudud Balanbale 448 390 100%

Galgudud Elbur 451 402 89%

Galgudud Galhareri 343 303 88%

Galgudud Elgaras 343 303 88%

Galgudud Harardere 393 354 90%

Galgudud Hobyo 409 372 91%

Hiran Mataban 862 862 100%

Hiran Mahas 901 901 100%

Hiran Beletwein 2,763 2,763 100%

Hiran Bulo Burte 645 645 100%

Hiran Jalalaqsi 865 865 100%

National - Somalia 90,091 83,562 93%

NIDs round 1 of bOPV campaign conducted targeting all <5 in Somaliland, South Zone and two Regions in Central Zone (Hiran and Galgadud)

➢SomalilandCampaign date: 30 April-03 May 2018Target: 638,062Reached: 627,805 (98%)Missed: 2,206IM coverage: 97%

➢South zoneCampaign date: 08-11 May 2018Target: 467,553Reached: 457,167 (98%)Missed: 1,049IM coverage: 95%

➢Central zone(Hiran and Galgaduud)Campaign date: 05-09 May 2018Target: 213,865Reached: 199,516 (93%)IM Coverage: 97%Missed: 579

➢PuntlandCampaign date: 10-13 July 2018Target: 484,523Reached: 479,348 (99%)Missed: 5175IM Coverage: 99%

➢National Level:Target: 1,804,003Reached: 1,763,836 (97%)Missed: 8999IM coverage: 97%

Response activities SIA summaries

Three rounds of mOPV2 campaigns conducted targeting all <5 (Benadir, Middle and Lower Shabelle)

➢ 1st Round (10-13 Dec. 2017)

• Target: 726,699

• Reached: 702,667 (97%)

• Missed: 24,032

• IM coverage: 97%

• LQAS= 98% FM

➢ 2nd Round ( 29 Jan-01 Feb 2018)

• Target: 741,313

• Reached: 715,172 (96%)

• Missed: 26,141

• IM coverage: 93%

• LQAS= 98% FM

➢ IPV

• Target: 299,424

• Reached: 270,484 (90%)

➢ 3rd Round (05-08 May 2018)

• Target: 790,837

• Reached: 763,471 (97%)

• Missed: 27,366

• IM coverage: 98% FM

• LQAS= 98% FM

➢ 1st Round Synchronized campaign (09-12 July 2018)

• Target: 697,773

• Reached: 666,057 (97%)

• Missed: 31,716

• IM coverage: 99% FM

• LQAS= Of the total 27 Lots, 22 passed, 4 were satisfactory, 1 was incomplete and 0 lots failed

SIA Activity Calendar Apr – Dec. 2018Activity Target area Date Status

NID 1 bOPV Somaliland and Puntland 30 Apr- 03 May 2018 Campaign completed

NID 1 bOPVSouth and Central Except Banadir, Lower and Middle Shabelle

5-8 May 2018 Campaign completed

Third response round mOPV2Campaign

Banadir, Lowe Shabelle and Middle Shabelle 5-8 May 2018 Campaign completed

Synchronized mOPV2 Campaign (withKenya and Ethiopia), Round 1

South and Central regions without Banadir, Lower and Middle Shablle regions synchronized with Kenya response campaign

9 - 12 Jul 2018 Campaign completed

Small scale bOPV Response Banadir, Lower and Middle Shablle regions 23-Jul 2018 Campaign completed

SynchronizedmOPV2 Campaign (with Kenya and Ethiopia), Round 2

South and Central regions with out Banadir, Lower and Middle Shabelle regions synchronized with Kenya response campaign

4-8 Aug. 2018 On going

Upcoming Campaigns

NID 1 bOPV synchronized with Kenya and Ethiopia

All 19 regions in Somalia (Target: 2,499,010 Children) 3-6 September 2018 Planned

NID 2 bOPV synchronized

with Kenya and EthiopiaAll 19 regions in Somalia (Target: 2,499,010 Children) 1-4 Oct 2018 Planned

Part I

AFP Surveillance

Week-31 Somalia Weekly EPI/POL Update

Epidemiological Curve 01 January 2014 – 05 Aug 2018

Graph no. 1

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Pending Lab Pending ERG Discarded Compatable WPV aVDPV cVDPV2 cVDPV3

Weekly AFP cases reported by Provinces, 2016-2018 Somalia. (cases are distributed across weeks based on date of onset of paralysis).

- Eight (8) new AFP cases were reported last week bringing the total AFP cases reported in 2018 to 201 from 19 regions, compared to 220 AFP cases from 19 regions at the same time point in 2017.


Tab

le n

o.-

1

Silent (not reporting) for > 8 weeks

Reported AFP cases

Community Samples collected in silent regions

Community Samples collected but regions not silent

PROVINCE

To

tal 2

016

2017

W31

2017

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2017

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2017

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tal 2

017

2018

W01

2018

W02

2018

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2018

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2018

W05

2018

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2018

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2018

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2018

W30

To

tal 2

018

BANADIR 30 2 2 1 2 1 1 1 33 2 1 1 1 1 1 1 1 1 1 2 2 2 2 19

GALGADUD 25 1 2 1 1 1 1 1 1 1 27 1 2 1 1 1 1 1 1 1 1 1 1 13

M. SHABELLE 19 1 1 2 1 1 1 1 1 1 24 1 1 1 1 1 1 3 1 1 1 1 1 14

L. SHABELLE 24 1 1 1 1 1 1 1 2 1 1 2 1 1 1 31 1 2 1 1 2 2 1 1 1 1 1 1 1 16

HIRAN 15 1 1 1 1 1 1 1 1 1 21 1 1 1 1 1 1 1 7

BARI 24 1 1 1 1 1 1 1 1 1 24 3 2 1 1 2 1 2 1 1 1 15

NUGAL 11 1 1 1 1 10 1 1 1 1 1 1 1 7

MUDUG 14 1 1 1 12 1 1 1 2 1 1 1 1 1 1 11

TOGDHER 11 1 1 1 9 1 1 1 1 1 1 1 7

GALBEED 19 2 1 2 1 2 20 1 1 1 1 1 2 1 1 1 1 11

SANAQ 7 1 1 6 1 1 1 1 4

AWDAL 18 1 1 1 17 1 2 1 1 1 1 1 1 1 1 1 12

SAHIL 8 1 1 8 1 1 1 3

SOOL 5 1 2 1 11 1 1 1 3

LOWER JUBA 26 1 1 1 1 1 1 1 1 29 2 1 2 1 1 1 1 1 1 1 1 1 1 1 1 17

BAY 19 1 1 1 2 2 2 1 22 1 4 1 1 1 1 1 1 1 1 1 14

GEDO 21 2 1 1 1 20 1 1 1 1 1 1 1 3 2 1 13

MIDDLE JUBA 11 2 1 1 11 1 1 1 1 1 1 1 1 8

BAKOOL 9 1 1 1 1 1 10 1 1 1 1 1 1 1 7

Total Somalia 316 7 7 6 9 5 7 10 4 5 7 3 2 8 11 4 7 2 5 3 6 2 5 345 6 4 8 7 4 9 13 7 12 5 5 7 6 4 9 5 8 5 8 8 3 7 6 2 4 11 7 8 6 7 201

Classification of AFP cases by status (2017 & 2018)


Tab

le n

o.-

2

Chart no. 1

ZONE PROVINCE

2017 2018

Discarded

Pending

TotalDiscard

edVDPV

Pending

Total

CENTRAL

BANADIR 33 0 33 13 0 6 19

GALGADUD 27 0 27 12 0 1 13

HIRAN 21 0 21 7 1 7

L. SHABELLE 30 0 31 13 0 3 16

M. SHABELLE 24 0 24 11 1 3 14

Puntland

BARI 24 0 24 15 0 15

MUDUG 11 0 12 9 0 2 11

NUGAL 10 0 10 6 0 1 7

Somaliland

AWDAL 16 0 17 11 0 1 12

GALBEED 20 0 20 10 0 1 11

SAHIL 8 0 8 2 0 1 3

SANAQ 6 0 6 3 0 1 4

SOOL 11 0 11 3 0 3

TOGDHER 9 0 9 4 0 3 7

SOUTH

BAKOOL 10 0 10 6 0 1 7

BAY 22 0 22 12 0 2 14

GEDO 20 0 20 9 1 4 13

LOWER JUBA 29 0 29 12 0 5 17

MIDDLE JUBA 11 0 11 7 0 1 8

Grand Total 345 0 345 165 3 36 201

36In process (lab)

0Pending ITD

165Discarded

0 WPV

36Pending

0 Compatible

2cVDPV2

201 AFP cases reported in 2018

0Pending ERG

2cVDPV3

Note: The total number of cVDPV cases remains 4 (two (2) cVDPV3, one (1) cVDPV2 and one (1) had both cVDPV2 and cVDPV3).

Surveillance Indicators by Zone and Region 2018


Graph no. 2

Graph no. 3

Map no. 1 Map no. 2

3.9

12.0

4.6

6.65.5

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

Central Puntland Somaliland South Total Somalia

Annualized NP-AFP Rate by Zone, 2018

7.3

5.1 5.3 5.5

-

2.0

4.0

6.0

8.0

10.0

In-accessible PartiallyAcceessible

Accessible Somalia

Annualized NP-AFP rate by accessibility status, 2018

Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2018

▪ 104/115 districts reported at least 1 AFP case

since the first week of 2018

▪ Of the 104 districts reporting AFP cases in 2018,

101 have annualized NP-AFP rate above 2 per

100,000. In addition, 100 districts have stool

adequacy rate of above 80%

▪ The remaining 11 districts have not reported any

AFP case in 2018; However, no district in Somalia

has been silent for more than 52 consecutive

weeks

▪ 12% (n=2/17) inaccessible districts and 15%

(n=11/75) of accessible districts did not report

AFP cases in 2018. All the 17 partially accessible

districts have reported at least 1 AFP case


Map no. 4Map no. 3

Distribution of NP-AFP cases and zero-dose cases vs accessibility of districts


▪ AFP cases were reported from all

zones, regions, and accessible and

inaccessible parts of the country

▪ Geo-code information was collected

from 65.4% of AFP cases reported in

2018

▪ Of the 23 zero-dose AFP cases

reported in 2018, 12 were reported

from inaccessible districts, eight (8)

from partially- accessible districts and

two (3) from accessible districts (from

Warshakh in M Shabelle and 1 from

Jariban in Mudug regionMap no. 5 Map no.6

Number of NP-AFP cases reported across years during the same period (2013-2018) by zone

▪ Central, Somaliland and South zones have reported lower number of AFP cases compared to the number reported in 2017 during the same period. ▪ A total of 319 additional community samples were collected from healthy children. Majority of these samples were collected from access compromised and silent districts of

Central and south zones.


22 2239

73

344

115

43 39

69

270

77

40 3643

196

77

2842

51

198

83

31

5063

227

69

3340

59

201

0

50

100

150

200

250

300

350

400

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

2013 2014 2015 2016 2017 2018

Early case detection within 7 days from onset of paralysis at zonal and region levels-2018


95% (n=193/201) cases reported in 2018 were notified within 7 days of onset of paralysis. Eight AFP cases [three (3) from Bay, two (2) from Lower Jubba, one (1) from Middle Jubba, one (1) from Middle Shabelle and one (1) from Sanaaq regions had delayed notification].

19 13 7 16

13

15 11 7 12 11 3

3

3 7 7

11

13

15 7

193

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BA

NA

DIR

GA

LGA

DU

D

HIR

AN

L. S

HA

BEL

LE

M.

SHA

BEL

LE

BA

RI

MU

DU

G

NU

GA

L

AW

DA

L

GA

LBEE

D

SAH

IL

SAN

AQ

SOO

L

TOG

DH

ER

BA

KO

OL

BA

Y

GED

O

L. J

UB

A

M.

JUB

A

CENTRAL PUNTLAND SOMALILAND SOUTH TOTAL

Notification within 7 days, Regional

68 33 39 53 193

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA

Notification within 7 days, Zonal

ZONE

# A

FP c

ases

NP

-AFP

Rat

e

# C

ases

wit

h

Ad

eq

uat

e Sp

ecim

en % Stool Adequacy

% Inv. within 48

hours

% Notification

within 7 days

Cas

es

pe

nd

ing

lab

res

ult

s

Cas

es w

ith

lab

. re

sult

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Cas

es w

ith

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% C

ases

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too

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go

od

co

nd

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f sa

mp

les

wit

h N

P-E

V

Iso

late

d

% S

amp

les

wit

h N

P E

V

Iso

late

d

# c

ases

wit

h S

abin

like

vir

us

Iso

lati

on

% o

f ca

ses

wit

h

S L

Vir

us

Iso

lati

on

Central 69 4.1 68 99% 99% 99% 13 56 56 100% 8 7% 5 9%

Puntland 33 12.9 33 100% 100% 100% 3 30 30 100% 3 5% 4 13%

Somaliland 40 4.9 40 100% 100% 98% 7 33 33 100% 3 5% 1 3%

South 59 6.8 57 97% 100% 90% 13 46 46 100% 7 8% 0 0%

Total 201 5.6 198 99% 100% 96% 36 165 165 100% 21 6% 10 6%

Summary of AFP surveillance key indicators by Zone, 2018


Table no.-4


Summary of AFP surveillance key indicators by Province, 2018

ZONE PROVINCE Regional U15 Pop.Expected # of AFP

cases as of this Week

Number of AFP cases reported

NP-AFP Rate(Target

2/100000)

% Stool Adq. (Target >80%)

% inv. within 48 hrs.

(Target >80%)

% Notif. within 7 days(Target >80%)

% Stool condition

(Target >80%)

% Samples with EV isolated

(Target >7)

% cases with SL isolated

(Target >10)

# Cases with late 60 days followup

CENTRAL

BANADIR 1110807 13 19 3.1 100% 100% 100% 100% 0% 23% 0

GALGADUD 267828 3 13 8.4 100% 100% 100% 100% 8% 8% 0

HIRAN 233838 3 7 5.2 100% 100% 100% 100% 7% 0% 0

LOWER SHABELLE 948112 11 16 2.9 100% 100% 100% 100% 15% 8% 0

MIDDLE SHABELLE 375400 4 14 6.5 93% 93% 93% 100% 5% 0% 0

PUNTLAND

BARI 182218 2 15 13.8 100% 100% 100% 100% 7% 13% 2

MUDUG 186490 2 11 10.6 100% 100% 100% 100% 0% 11% 1

NUGAL 90921 1 7 13.8 100% 100% 100% 100% 8% 17% 0

SOMALILAND

AWDAL 244900 3 12 8.8 100% 100% 100% 100% 0% 9% 1GALBEED 550148 6 11 3.6 100% 100% 100% 100% 5% 0% 0SAHIL 85949 1 3 6.3 100% 100% 100% 100% 0% 0% 0SANAQ 150975 2 4 4.8 100% 100% 75% 100% 33% 0% 0SOOL 120412 1 3 4.5 100% 100% 100% 100% 0% 0% 0TOGDHER 317058 4 7 4.0 100% 100% 100% 100% 0% 0% 0

SOUTH

BAKOOL 183178 2 7 6.6 100% 100% 100% 100% 0% 0% 0BAY 540491 6 14 4.5 93% 100% 79% 100% 17% 0% 0GEDO 312710 3 13 7.2 92% 100% 100% 100% 17% 0% 0LOWER JUBA 300735 3 17 9.8 100% 100% 88% 100% 0% 0% 0MIDDLE JUBA 162640 2 8 8.5 100% 100% 88% 100% 0% 0% 0

SOMALIA 636,4810 71 201 5.6 99% 100% 96% 100% 6% 6% 4

ZONE# AFP Cases

# CONTACTS

# Contactsamples with

Lab result

Average contacts per

cases

% contacts < 5 age

% Contact collected

within 7 daysof AFP

notified

% Contact with stool in

Good Condition

# Contactpending lab

results

# Specimens with NPEV

isolated

% Specimens with NPEV

Isolated

# Contacts with Sabin

virus isolated

% contacts with Sabin like virus Isolated

Central 69 208 144 3 100% 100% 100% 64 10 7% 10 7%

Puntland 33 99 83 3 100% 100% 100% 16 9 11% 6 7%

Somaliland 40 120 99 3 100% 100% 100% 21 5 5% 5 5%

South 59 177 133 3 100% 100% 100% 44 13 10% 6 5%

Somalia 201 604 459 3 100% 100% 100% 145 37 8% 27 6%


Table no.-5

Summary of key AFP surveillance indicators for contacts, 2018

Summary of Community Samples collected in 2018 from silent districts, Egyptian hospital and inaccessible districtsZone Pending Negative NPENT PV 3 Sabin PV 1 Sabin & PV3 Sabin PV 1 Sabin VPV3 SL2 Grand Total

PUNLAND 52 157 9 1 3 1 223

SOMALILAND 5 51 8 1 1 66

CENTRAL 10 24 1 35

SOUTH 31 28 2 2 5 68

Grand Total 98 260 20 1 1 3 2 7 392

Of the total 381 community samples collected from healthy children in 2018, 48% were collected from accessible and the rest 52% were from access-compromised areas

ZoneNumber of

VPVsNumber of

cases reported # of cases Notified

by VPVProportion of cases

reported by VPV

CENTRAL 190 69 31 45%

PUNTLAND 105 33 15 45%

SOMALILAND 81 40 15 38%

SOUTH 159 59 21 36%

Total Somalia 535 201 82 41%

Distribution of AFP cases by source of case notification, 2018

Key: 1. VPVs: Village polio volunteers2. HFs: MCH, Hospitals and Private clinics3. Others: community members, district field assistants, traditional healers


Table no.-6

31 1515 21 82

29 12 22

16

79

9 63

2240

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Central Puntland Somaliland South Somalia

Pro

p. c

ases

no

tife

d b

y

Source of AFP cases notification by Zone 2018

VPV HFs Other

1 1 4 5 0 6 414

138

3120

2025 24

33

78

63

4172 53

389

14

17

4

612

410

37

16

4

7 8

9

0

50

100

150

200

250

300

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY HEALTH FACILITIES

HEALTH POST HOSPITAL MCH

PRIVATE CLINIC PRIVATE PHARMACY

2 3 2 0 0 0 00 118 24 17

7 509

22 8

3

0 00

12

109

111143

184

82

0

50

100

150

200

250

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY COMMUNITY AND VOLUNTEERS

CHW COMMUNITY HOUSEHOLD VOLUNTEERS

0 2 0 0 0 1 012

77

40

14 8 8 64

26

5

43 6

2

28

74

75

3631 28

20

21

49

4

1

1 0

0

12

17

10

7

5 7

7

0

50

100

150

200

250

300

2012 2013 2014 2015 2016 2017 2018

NOTIFIED BY VACCINATORS AND TRADITIONAL HEALERS

CAMPAIGNS DISTRICT FIELD ASST DPO

NID VACCINATOR TRADITIONAL HEALER

AFP cases by specific sources notification, 2012-2018


Distribution of AFP cases by lifestyle, age group and sex, 2018

▪ Of the 201 AFP cases

reported in 2018, 44%

(n=88) and 38% (n=76)

came from urban and

rural populations

respectively. Nomadic

communities account for

only 18% (n=37).

▪ 73% (n=147) of cases are

aged less than 5 years.

▪ 52% (n=104) AFP cases

are female.


Graph no.-10 Graph no.- 11 Graph no.-12

31 97 9180

70 69 37

51

150

144

87117

124 76

65281

181 112 129 152 88

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution of AFP cases by Life style per zone-2012-2018

Nomadic Rural Urban

56 221 167 115

164156

104

92 324 252 166

152189

96

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution AFP cases by Sex2012-2018

Female Male

129

129

348249 283

293

147

19

83

7232 33

52

54

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2013 2014 2015 2016 2017 2018

Distribution of AFP cases by Age group2012-2018

<5 Yrs ≥ 5 Yrs

AFP surveillance indicators by district accessibility status, 2018

Despite accessibility challenges, majority of indicators are above global standards


Table n

o.-7

Accessibility# of

districts

U-15 Pop in this area

# of AFP cases

Reported

# of Cases

reported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of cases with lab

result

% of Stool adequacy

% inv. Within 48

hrs.

% of Notif. within 7

days

% Specimen

s with NPEV

% cases with Sabin like virus

Inaccessible 17 619,320 26 15 58% 7.5 20 100% 100% 96% 10% 0%

Partially accessible

23 1,720,826 51 17 33% 5.3 45 96% 100% 90% 6% 2%

Accessible 75 4,024,663 124 50 40% 5.5 100 99% 101% 98% 6% 9%

National 115 6,364,810 201 82 41% 5.6 165 99% 100% 96% 6% 6%

Accessibility% of <15 populati

on in the area

# of AFP cases

Reported

# of Cases

reported by VPVs

% of Cases

reported by VPVs

NP AFP rate

Number of cases with lab

result

% of cases

with lab result

within 14 days

% of Stool

adequacy

% inv.Within 48 hrs.

% of Notifie

d within 7 days

%Specim

ens with NPEV

% cases with

Sabin like virus

Nomadic 28.80% 37 17 46% 3.6 29 69% 95% 100% 92% 0% 3%

Rural 25.90% 76 39 51% 8.3 65 80% 100% 100% 99% 8% 5%

Urban 45.30% 88 26 30% 5.5 71 83% 99% 99% 95% 7% 8%

National 100% 201 82 41% 5.7 165 79% 99% 100% 96% 6% 6%

AFP surveillance indicators by population lifestyle, 2018


Validation and zero dose investigation of AFP cases, 2018

AFP Cases Validation

Zone

# of AFP cases Reported

# of AFP cases

Validated

% of AFP cases

Validated

Central 69 31 45%

Somaliland 40 20 50%

South Zone 59 37 63%

Puntland 33 25 76%

Grand Total 201 113 56%

▪ Of the 201 AFP cases reported in 2018, 56% (n=113) were validated by the RPOs. Of the 113 AFP cases validated, (n=81, n=19, n=13) were from accessible, partially accessible and inaccessible districts respectively

▪ There were 23 zero OPV dose AFP cases reported in 2018, out of which 782% (n=18/23) were investigated


Table no.-8

Zero Dose Investigation

Zone# of Zero dose AFP

cases Reported# of Zero dose

AFP cases investigated

% of Zero dose AFP cases

investigated

Comment

Central 7 6 86% 2 from accessible and remaining from access-compromised areas

Somaliland --- ---

South Zone 15 12 80%

Puntland 1 0 0%

Grand Total 23 18 78%Table no.-9

Summery of investigation for a hot AFP case(Zero OPV dosage) from Mudug region in Puntland (SOM/MUD/JIR/18/00)

• The child is from nomadic settlement with no health facility providing immunizations. The nearest health facility is about 23 km away, in very rough road with no transportations in between

• During the last OPV Campaign ( NID December 2017) this area was not covered due to tribal conflict between two villages (Saad and Dir tribal) in the border of Puntland and Galmudug new state

• Immunizations coverage survey shows 4 children (15%) are zero dose for routine immunizations but the immunity profile was good among the target populations (91%), had more than 4 OPV dosage by SIAs

• Plan to prevent such zero dosage cases in this area

➢ Establish TPV between the two states especially in the high risk areas (CO team to agree with Galmudug new state)

➢ Improve routine immunization service delivery to remote high risk areas by establishing mobile strategies, GAVI/EPI officer to follow with UNICEF and MOH

➢ Establish community based surveillance among the nomads (focal persons and involve the key informants) ➢ Strengthen monitoring and supervision during the NID and hard to reach areas to minimize missed area (to be

done by RPOs and DPOs)

Tracking lab results of AFP cases

Total AFP cases

201

AFP cases with stool specimens

AFP cases without stool specimens

201 0

With lab results

En route In the lab

165 36

cVDPV type 2 and 3 coinfection

cVDPV2 cVDPV3 SL EV -ve

1 1 2 10 14 137

1

24

137

36

Tracking AFP with stool specimens

cVDPV2

cVDPV3

Other viruses

neg st

in lab

en route


Samplesource

#Specimen collected

# Specimen with culture

result

# Specimens pending lab

result

# Specimenwith culture result within

14 days

% of specimen with culture

result within 14 days

Number of specimen with NPEV

% of specimen

with NPEV

Number of cases with

Sabinisolation

% of Cases with Sabinisolation

Cases 402 330 72 262 79% 21 6% 10 6%

Contacts 604 459 145 364 79% 37 8% 27 6%

Total 1006 789 217 626 79% 58 7% 37 6%

Lab performance indicators for AFP surveillance in Somalia, 2018


Table no.-10

Median and average number of days from onset of paralysis to final lab results - 2018

Date of Notification

Second stool collected

Specimen reached to Lab

Primary Culture result

Date of onset ITD result

Median: 20 daysAverage: 22 days

Date second stool

collected

Date final ITD results

Median: 3 daysAverage: 3.53 days


1 day


Chart no. 2



Week-31 Somalia Weekly Polio Update

Village polio volunteers weekly house to house visit and number of AFP cases notified, 05 Aug 2018

Central

January Feberuary March April May June July Aug Sept Oct Nov December

No. of HH

visited

No. of AFP cases notified

No. of HH visited

No. of AFP cases

notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited

No. of AFP

cases notified

No. of HH

visited


No. of HH

visited

No. of AFP

cases notified

No. of HH visited


No. of HH

visited

No. of AFP

cases notifie

d

No. of HH

visited

No. of AFP

cases notifie

d

Central38002 6 39361 8 48588 5 38442 3

38,481 2

49,819 4

39,208 3 - - - - - - - - - -

South35756 2 35545 3 45593 4 36456 4

36,073 3

45,257 4

36,012 1 - - - - - - - - - -

Puntland 16237 3 16148 3 20107 2 16230 3

16,077 1

19,967 3

12,047 0 - - - - - - - - - -

Somaliland32180 6 32370 1 39613 2 32532 1

32,325 2

40,207 2

32,194 1 - - - - - - - - - -

Total 122175 17 123424 15 153901 13 123660 11 122956 8 155250 13 119461 5 0 0 0 0 0 0 00 0 0


Routine immunization services, status of cold chain & vaccine stocks in AFP surveillance sites, 05 Aug 2018

Region

Expected weekly

AFP sites visits

Health facility have a

routine EPI service

AFP sites with EPI service and functional

cold chain

Health facility have EPI

vaccine availableHealth facility have IPV vaccine available

No No. % No. % No. % No. %

Nugal 33 19 58% 19 100% 19 100% 17 89%

Bari 116 34 29% 32 94% 34 100% 32 94%

Mudug 58 39 67% 38 97% 38 97% 24 63%

Galbeed 40 23 58% 23 100% 23 100% 23 100%

Sahil 25 10 40% 10 100% 10 100% 8 80%

Sanag 21 11 52% 11 100% 11 100% 11 100%

Sool 30 10 33% 10 100% 10 100% 0 0%

Awdal 52 23 44% 23 100% 23 100% 23 100%

Togdher 47 21 45% 21 100% 21 100% 21 100%

Middle Shabelle 38 19 50% 15 79% 19 100% 19 100%

Hiran 27 22 81% 5 23% 22 100% 22 100%

Galgadud 40 26 65% 15 58% 26 100% 25 96%

Banadir 125 70 56% 25 36% 67 96% 64 96%

Lower Shabelle 56 30 54% 16 53% 30 100% 24 80%

Middle Juba 29 1 3% 0 0% 1 100% 0 0%

Bakool 31 44 142% 47 107% 11 25% 10 91%

Gedo 54 21 39% 20 95% 21 100% 19 90%

Bay 74 30 41% 30 100% 30 100% 31 103%

Lower Juba 59 30 51% 8 27% 30 100% 27 90%

Somalia 955 483 51% 368 76% 446 92% 400 90%

Part II

Fever and rash surveillance

Week-31 Somalia Weekly Polio UpdateEpi-curve on suspected measles cases by week, Somalia (2015-2018)

2015 (n=7498)

2016 (n=5657)

2015W13

2015W14

2015W15

2015W16

2015W17

2015W18

2015W19

2015W20

2015W21

2015W22

2015W23

2015W24

2015W25

2015W26

2015W27

2015W28

2015W29

2015W30

2015W31

2015W32

2015W33

2015W34

2015W35

2015W36

2015W37

2015W38

2015W39

2015W40

2015W41

2015W42

2015W43

2015W44

2015W45

2015W46

2015W47

2015W48

2015W49

2015W50

2015W51

2015W52

2016W01

2016W02

2016W03

2016W04

2016W05

2016W06

2016W07

2016W08

2016W09

2016W10

2016W11

2016W12

2016W13

2016W14

2016W15

2016W16

2016W17

2016W18

2016W19

2016W20

2016W21

2016W22

2016W23

2016W24

2016W25

2016W26

2016W27

2016W28

2016W29

2016W30

2016W31

2016W32

2016W33

2016W34

2016W35

2016W36

2016W37

2016W38

2016W39

2016W40

2016W41

2016W42

2016W43

2016W44

2016W45

2016W46

2016W47

2016W48

2016W49

2016W50

2016W51

2016W52

2017W01

2017W02

2017W03

2017W04

2017W05

2017W06

2017W07

2017W08

2017W09

2017W10

2017W11

2017W12

2017W13

2017W14

2017W15

2017W16

2017W17

2017W18

2017W19

2017W20

2017W21

2017W22

2017W23

2017W24

2017W25

2017W26

2017W27

2017W28

2017W29

2017W30

2017W31

2017W32

2017W33

2017W34

2017W35

2017W36

2017W37

2017W38

2017W39

2017W40

2017W41

2017W42

2017W43

2017W44

2017W45

2017W46

2017W47

2017W48

2017W49

2017W50

2017W51

2017W52

2018W01

2018W02

2018W03

2018W04

2018W05

2018W06

2018W07

2018W08

2018W09

2018W10

2018W11

2018W12

2018W13

2018W14

2018W15

2018W16

2018W17

2018W18

2018W19

2018W20

2018W21

2018W22

2018W22

2018W23

Series1 161414201817171921171415161813151112969585101286908472107289881110129711151087668610121195121087888310141310111114121414109812908274796091928176708476747167851017109393121112131512151719212222302540373938434467496965686669707268695856535546484440324333272935325044413841364448404240344135312831343932464140263122221929212319181215

163

149

144

208

182

172

174

199 21

417

514

0 156

161

180

134 15

111

3 127

96 9585

107 12

486 9084

7210

272

89 8811

510

012

597

111

158

105

8766

8610

312

511

295

122

109

87 88 8310

514

013

210

2 115

116

142

127 14

114

510

998

124

9082

74 7960

91 9281 76

7084

76 74 71 6785

101

170

102

93 9312

811

712

2 133

154

122

155

173

196 21

022

822

230

925

540

837

339

938

343

644

167

049

669

965

768

566

369

6 703 72

068

6 693

584

560

538 55

446

348

844

440

032

543

633

027

7 290

352

320

507

441

416

389

410

362

440

487

401

426

406

349

416

351

315

286

317

346

393

325

461

410

407

269

314

224

227

198

292

219

239

191

180

126

153

0

100

200

300

400

500

600

700

800 2017(n=23,353)

20

18

(n=

69

79

)


Fever and rash cases reported through the AFP surveillance system , 05 Aug 2018

Region

Tota

l 20

17

Fever and Rash Cases by weekly 2018

Tota

l 20

18

W1

W2

W3

W4

W5

W6

W7

W8

W9

W1

0

W1

1

W1

2

W1

3

W1

4

W1

5

W1

6

W1

7

W1

8

W1

9

W2

0

W2

1

W2

2

W2

3

W2

4

W2

5

W2

6

W2

7

W2

8

W2

9

W3

0

Nugal 2050 32 26 26 26 24 19 30 21 17 11 7 10 10 13 19 20 15 4 7 3 4 7 6 2 2 1 2 2 2 0 368

Bari 1968 21 26 20 17 20 26 26 18 22 27 33 25 27 26 29 46 28 22 13 13 18 13 14 10 16 18 10 7 11 11 613

Mudug 2566 47 45 36 27 44 25 23 24 30 15 21 20 16 10 13 14 7 17 0 8 1 0 3 5 0 1 0 0 1 4 457

N/East Zone 6584 100 97 82 70 88 70 79 63 69 53 61 55 53 49 61 80 50 43 20 24 23 20 23 17 18 20 12 9 14 15 1438

Galbeed 758 4 2 4 7 1 4 0 4 0 0 6 7 0 1 5 4 0 1 0 2 2 1 0 0 0 0 1 0 0 0 56

Sahil 576 2 0 9 2 13 5 24 5 18 4 4 4 13 2 1 1 2 0 7 0 2 0 4 2 3 0 0 0 0 0 127

Sanag 259 4 6 5 11 0 5 7 5 5 2 0 0 12 0 6 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 70

Sool 698 17 7 20 20 45 20 43 13 26 6 26 0 18 6 6 1 1 0 0 1 0 1 2 2 0 0 0 0 0 0 281

Awdal 105 2 0 11 2 5 0 10 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33

Togdher 2324 11 11 27 13 31 7 51 25 37 14 49 28 29 13 17 17 8 13 19 7 6 3 11 8 4 2 6 3 0 1 471N/West Zone 4720 40 26 76 55 95 41 135 52 89 26 85 39 72 22 35 23 12 14 27 10 10 5 17 12 7 2 7 3 0 1 1038

M/ Shabelle 716 18 15 19 23 23 23 43 30 30 33 38 22 14 17 12 5 12 12 11 5 16 10 7 9 9 4 14 13 22 19 528

Hiran 1461 12 13 3 26 26 15 22 12 18 1 5 1 0 20 17 0 35 5 0 0 0 15 16 27 0 6 1 18 13 0 327

Galgadud 625 5 7 4 6 6 8 16 11 8 6 4 7 6 4 8 5 7 4 11 7 5 7 3 2 4 3 4 2 4 3 177

Banadir 5617 72 73 79 70 70 68 56 66 59 54 48 36 26 20 40 32 58 62 47 53 40 42 25 18 16 21 32 31 48 63 1425

L/Shabelle 2106 25 28 40 36 36 28 29 52 36 35 33 20 31 23 32 20 29 31 25 19 22 19 22 23 22 23 14 21 22 18 814Central Zone 10525 132 136 145 161 161 142 166 171 151 129 128 86 77 84 109 62 141 114 94 84 83 93 73 79 51 57 65 85 109 103 3271

Middle Juba 62 0 3 3 0 1 1 2 3 0 0 2 3 3 3 4 3 4 3 4 6 3 4 3 8 2 5 3 4 2 3 85

Bakool 99 4 2 2 0 4 0 0 4 2 0 0 4 0 4 4 0 2 0 0 2 3 0 2 0 2 0 4 2 0 0 47

Gedo 241 0 1 1 51 23 61 51 100 77 35 26 32 8 8 31 3 6 3 0 0 0 1 4 2 0 3 0 0 0 2 529

Bay 654 17 17 2 0 9 4 11 11 9 0 0 0 0 0 5 5 5 5 5 0 0 1 0 2 0 0 0 0 3 0 111

Lower Juba 468 22 4 6 9 12 6 17 6 10 27 12 5 14 28 43 43 19 9 30 0 31 5 26 22 25 11 8 4 4 2 460

South Zone 1524 43 27 14 60 49 72 81 124 98 62 40 44 25 43 87 54 36 20 39 8 37 11 35 34 29 19 15 10 9 7 1232

Grand Total 23353 315 286 317 346 393 325 461 410 407 270 314 224 227 198 292 219 239 191 180 126 153 129 148 142 105 98 99 107 132 126 6979

161 133 115 97 14062 43 39 19 33 12 1539 30 48 70 119 83 24 27 27 11 40 036 71

214282

491

925

667 634510

891 882979

349 300221 240

110 78 73 15

0

200

400

600

800

1000

1200

Puntland

2015 2016 2017 2018

161 142

269202 243

93 72 47 29 47 29 1514 3682 104

33 35 16 9 4296

37 8

265

95

861909

823

503

275

132 99 87 113194197

323222

92 61 41 19 1

0

200

400

600

800

1000

January February March April May June July AUG Sept. Oct. Nov. Dec

Somaliland

2015 2016 2017 2018

455 443 441348

545450

514

328 281388 383 401367 315

401265 324 307 278 271 310

142

350

30

503

742

11111205

1340

1494

925

659547 568 515

916

574640

420 396 375296

367

103

0

200

400

600

800

1000

1200

1400

1600


Central

2015 2016 2017 2018

40 27 27 3046

22 27 19 14 13 18 18937 29

4675

50

9 217

33 4626

4577

115136 128 139

8264

83

207189

32

144

326

171

220

104 10982

7

0

50

100

150

200

250

300

350


South

2015 2016 2017 2018

Cam

pai

gn

(11

-15

M

arch

)

Cam

pai

gn

(2-6

Jan

)

Cam

pai

gn

(11

-15

M

arch

)

Cam

pai

gn

(11

-15

M

arch

)

Trends of reported fever and rash cases by zone in, 2015 -2018 Source: AFP Surveillance Reporting System


Data shows there is a steady decline of suspected measles reported after the measles mass immunization conducted in January in Puntland and March in central, south and Somaliland

Fever and rash cases reported, 05 Aug 2018Source: AFP surveillance reporting system

Week -21 Somalia Weekly Polio Update

3271

14381038 1232

6979

0

1000

2000

3000

4000

5000

6000

7000

8000

Central North East North West South Total Somalia

Zone-wise cases of fever and rash reported by AFP surveillance system in 2018

<1yr, 1141, 16%

1_4 yrs, 3933, 56%

5_9yrs, 1085, 16%

Yrs10+, 820, 12%

Age-wise distribution of fever and rash cases reported by AFP surveivallance system during 2018

Part III

Population Immunity

Maps showing accessibility and security/ risk level, Somalia


Map no.11

Source: UNDSS

Map no.10


Summary programmatic features and initiatives in Somalia by accessibility

Zone AccessibilityNumber of

SettlementPopulation

Under 15 YearsVPV

AFP active Surveillance sites

TPVP

CENTRALAccessible 2,475 2,419,077 127 251 150Inaccessible 984 516,928 63 34 21Total 3,459 2,936,005 190 285 171

PUNTLAND

Accessible 1,220 459,639 105 207 53Inaccessible 0 0 0 0 0Total 1,220 459,639 105 207 53

SOMALILANDAccessible 3,435 1,469,450 81 214 53Inaccessible 0 0 0 0 0Total 3,435 1,469,450 81 214 53

SOUTHAccessible 2,234 1,040,648 75 216 123Inaccessible 1,548 459,119 84 33 22Total 3,782 1,499,767 159 249 145

SOMALIAAccessible 9,364 5,388,814 388 888 379Inaccessible 2,532 976,047 147 67 43Total 11,896 6,364,861 535 955 422

Note: the data are preliminary and U 15 population is estimated from Surveillance historical data and U5 SIA data and are being reviewed.


Table no.-16

▪A total of 1,320,443< 10 years individuals were vaccinated week 29,2018. Among them 13,187(1%) were vaccinated for the first time.

Transit Points Vaccination activities using bOPV - 05 Aug 2018

Zones

January February March April May June July

Nu

mb

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f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

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ated

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do

ses

% Z

ero

do

ses

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ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

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ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

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ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

Nu

mb

er o

f va

ccin

ated

Zero

do

ses

% Z

ero

do

ses

CENTRAL 99939 334 0.3% 106321 362 0.3% 134103 366 0.3% 104803 334 0.3% 103405 313 0.3% 128304 401 0.3% 76710 237 76710

PUNTLAND 25067 58 0.2% 24610 59 0.2% 31565 71 0.2% 25519 61 0.2% 25516 55 0.2% 30051 54 0.2% 18135 38 18135

SOMALILAND 14705 350 2.4% 14490 377 2.6% 17807 430 2.4% 14898 343 2.3% 15809 337 2.1% 19051 481 2.5% 12001 297 12001

SOUTH 32225 1073 3.3% 34364 1123 3.3% 46605 1589 3.4% 42947 1336 3.1% 34650 937 2.7% 54538 1287 2.4% 19118 484 19118

SOMALIA 171936 1815 1.1% 179785 1921 1.1% 230080 2456 1.1% 188167 2074 1.1% 179380 1642 0.9% 231944 2223 1.0% 125964 1056 125964

Immunity Profile of NP-AFP cases and Contacts 2013-2018

▪ 23 zero dose AFP cases reported in 2018 from inaccessible and partially accessible areas of South (n=15), Central (n=7) and 1 from Puntland.▪ 6 AFP cases with zero doses reported in 2018 are in the age group of 6-59 moths and the remaining 5 AFP cases with zero dose are out of the 5-59 months age group


Graph no.-22 Graph no.-19

51 0

11

17

7

3

1

5

16

1210

11

16

49

2311

20

8

62

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-59 Months by Zone, 2018

0 dose 1-3 doses 4-6 doses 7+ doses

29

21 9 10 117

34

206

2034

6

26

2717

28

3422

25

83 37

3135

12

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases 6-23 Months, 2013-2018



888

341148 155 172 86

539

198

152 182252

88

424

230178 245

243211

493

812 575 635 650 363

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013 2014 2015 2016 2017 2018

Immunity Profile of NP-AFP Cases and Contacts combined Months, 2013-2018

0 Dose 1-3 doses 4-6 doses 7+ doses

21

0

4

5

02

1

3

6

6 6

7

3

16

4 5 5

2

12

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Immunity Profile of NP-AFP cases 6-23 Months by Zone, 2018

0 Dose 1-3 Doses 4-6 Doses 7+ Doses

Immunity profile of NP-AFP cases and Contacts combined by Zone 2012-2018




317

77101

97 99 56

102

68

5077 85

26

77

36

38 74 84

67

87100

57 78 81 68

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

SOUTH


14 12 5 0 0 0

5836 25

23 27 7

66

2716 52 62 44

114

156145 187 178 101

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

SOMALILAND


484

12729 58 69 26

306

5151

53 78 37

234

11976 59

81 60

230

430 268 273 294 132

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

CENTRAL


34 38 13 0 4 4

48

3926

29

6218

32

4748 60

1640

54123 105 97 97 62

0%

20%

40%

60%

80%

100%

2013 2014 2015 2016 2017 2018

PUNTLAND


Part -IV Routine Immunization

73

81

72

62

71

39

57

7173

52

73

5

5457

43 4346

0

58

66

57

50

57

0

72

96

87

81

90

63.1

54

76

71

59

71

38.4

57

69

53 54 54

35.2

59

75

6360

64

40.5

88.1

83.2

69.8

87.6

78.6

73.9

78.7

55

43.3

55.8

46.2

54.1

46.5

33.8

57.5

73.5

64.167.6 66.8

47.3

0

10

20

30

40

50

60

70

80

90

100

BC

G

P-1

P-3

Mea

sles

OP

V-3

IPV

BC

G

P-1

P-3

Mea

sles

OP

V-3

IPV

BC

G

P-1

P-3

Mea

sles

OP

V-3

IPV

BC

G

P-1

P-3

Mea

sles

OP

V-3

IPV

PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA

Routine Immunization coverage by zone, Somalia (2015-2018 Six months)

2016 2017 2018 (6 months)

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Sum of Pent1 24215 48781 73263 98229 124707 152394 181148 207148 235011 266781 299618 331481

Sum of Penta3 27543 48616 70816 91732 113674 136589 160723 181282 203464 229673 256554 283080

Sum of Measles 18379 39266 60502 81562 103608 127044 150435 174056 193371 209302 230710 249465

Sum of Montly target on surval% 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 5% 10% 15% 20% 25% 30% 36% 41% 47% 53% 60% 66%

Sum of P-3% 5% 10% 14% 18% 23% 27% 32% 36% 41% 46% 51% 56%

Sum of Measles% 4% 8% 12% 16% 21% 25% 30% 35% 39% 42% 46% 50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

Somalia Monitoring chart 2016


Sum of Pent1 31367 61990 89840 119005 148901 178493 215415 247586 280838 316732 347716 390910

Sum of Penta3 26790 53670 77763 102433 127572 152696 178791 203443 232459 264569 291804 327981

Sum of Measles 20594 44105 64886 89207 115739 139255 166186 190981 216931 245101 272845 310220

Sum of Montly target on surval% 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 6% 12% 17% 23% 29% 34% 42% 48% 54% 61% 67% 75%

Sum of P-3% 5% 10% 15% 20% 25% 29% 34% 39% 45% 51% 56% 63%

Sum of Measles% 4% 8% 13% 17% 22% 27% 32% 37% 42% 47% 53% 60%

0%

10%

20%

30%

40%

50%

60%

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80%

90%

100%

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

Somalia Monitoring Chart 2017

Somalia Monitoring Chart 2018


Sum of BCG 26236 56728 77239 103127 135505 162439

Sum of Pent1 37081 71460 96358 130621 166707 197335

Sum of Penta3 31324 61096 83426 113811 145058 172025

Sum of Measles 31908 63535 90555 122624 154946 181609

% of Monthly target 8% 17% 25% 33% 42% 50% 58% 67% 75% 83% 92% 100%

Sum of P-1% 7% 13% 18% 24% 31% 37%

Sum of P-3% 6% 11% 16% 21% 27% 32%

Sum of Measles% 6% 12% 17% 23% 29% 34%

0%

10%

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50%

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0

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250000


C4D and Cold Chain Management

C4D Updates (1)


Timelines of Major Activities for 2nd round Synchronized mOPV2 SIAActivity Dates Remarks

1 Engagement of Media-Radio & TV 29th Jul to 7th Aug 10 days of Radio and TV broadcast

2 Training of Community mobilizers at district level 30th July Trainings will be conducted in all districts

3Orientation of Nomadic Elders, community & local religious leaders in all Regions / Districts

31st July Orientations will be at District level

4 Community meetings in 11 cross border Districts 1st August

5 Engagement of NIAG members in 6 regions 3rd to 7th August NIAG members engagement for 5 days

6 House to house visits in 11 cross districts 1st to 7th August 7 days house to house visits in 11 cross border districts

7 House to house visits in other districts 3rd to 7th August 5 days house to house visits in other districts

8Engagement of nomadic elders during the campaign in all districts of 6 regions

3rd to 6th August Nomadic elders engagement for 4 days in all districts

9 Sound trucks engagement at District level 3rd to 7th August 5 days-All districts10 Post campaign communication Assessment 9th to 11th August Final data to be shared by 16th August

Vaccines and Cold Chain Management

• All 37,800 vials of mOPV2 for the August synchronized campaign received in Mogadishu on 16th July.

• Available balance of 3,983 vials of mOPV2 from the 1st round.

• The following regional cold chain hubs have already receive vaccine: Dhusamareb (6,998 vials), Gedo (6,600 vials) and Hudur (902 vials).

• Distribution to the other 8 cold chain hubs is going on and would be completed by 1st August.

• Routine immunization vaccines for the 3rd quarter 2018 already received also.

• IEC materials produced and available in regions and districts


Outbreak response trainings sessions conducted


Number of participants

Campaigns1st round mOPV2

In 3 regions

2nd round mOPV2

in 3 regions

3rd roundmOPV2

in 3 regions

IPV campaign

in 3 regions

Synchronized mOPV2

6 regions

bOPVcampaign

in 3 regions

Synchronized mOPV2 6 regions

RSMCs 3 3 3 3 7 3 7

DSMCs 30 30 33 32 31 32 31

CMs 871 871 893 893 655 935 655

NIAG members

0 12 12 12 18 12 16

Nomadic Elders

120

Post-campaign Supervisors & Monitors

0 0 16 16 21 16 21

C4D Updates (2)


Awareness per district 1st round mOPV2 Synchronized SIA

95%

86%

100% 100%94%

100%94%

80%

100% 100%

83%

100% 100% 99% 100%

89%

100% 100% 100%

94%

100% 100% 100% 100% 100% 100% 100% 100%97%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BDB BDL DNS ELB HUD RBD WJD ABD ADD BLB DSB GLS GUR BDB BLH BRD DLO ELW GBH LUQ BBT BLT JLX MAH MTB AFM BDD KIS

BAY BKL GDD GDO HRN LJB Total

Post-Campaign Independent Monitoring Data (14-17 July 2018)

C4D Updates (3)

92%89%

95% 95% 96% 94% 93%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Baidoa Hudur Belet weyne Dhusmareb Garbaharey Kismayu Total (6 Districts)


Polio Risk Perception: Do you think Polio is a risk in your community?

Post-Campaign Communication Assessment Data (14-17 July 2018)

C4D Updates (4)

87% 89%87% 86%

88%91%

88%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



OPV Safety Perception: Do you believe that polio vaccine is safe?


C4D Updates (5)

83% 84% 85% 84% 84% 83% 84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



Campaign Repetition: Do you believe your child should be vaccinated each time there is a polio campaign?


C4D Updates (6)

96%99%

91% 93%91%

95% 94%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%



RI Awareness: Have you ever heard of Routine immunization?


The END

week-31...2nd round mopv2 campaign in central and south of somalia synchronized with kenya &...

Documents