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					                                                                                                                     5th June/Junho 2001
                                   Infectious Disease Surveillance and Epidemic Preparedness (IDSEP) Unit
                                                  World Health Organization, Dili, East Timor,
                        in collaboration with the Division of Health Services of the Department of Social Affairs, ETTA



Week 20/2001                          (13/05/2001-19/05/2001)                                    Semana 20/2001

Important points: One case of acute flaccid paralysis                        Pontu hirak ne’ebe importante: Kazu ida kona-ba
(suspected poliomylites) reported in week 18/2001 has                        Flásida paralizia akut (suspeitu poliomielite) ne’ebe
been confirmed negative to the polio viruses by the                          hetan relatóriu iha semana 18 tinan 2001, konfirma tiha
International Reference Laboratory in Melbourne,                             ona katak negativu ba virus polio iha International
Australia.                                                                   Reference Laboratory Melbourne, Australia.
Formal reports:
This week the IDSEP Unit has received reports from 12                        Relatóriu formál :
out of 13 districts representing 18,939 consultations,                       Iha semana ida ne’e, unit IDSEP simu relatóriu husi
from 96 fixed and mobile health facilities. The three                        distritu 12, entre 13 ne’ebé reprezenta númeru
districts with the highest number of consultations per                       konsultasaun 18,939 husi fasilidade 96 permanente no
100,000 inhabitants were Lautem with 4,944 followed                          móvel. Distritu tolu ne’ebé hetan númeru konsultasaun
by Ainaro with 3,850 and Dili with 3,681.                                    pur 100,000 abitante boot liu mak, distritu Lautém ho
                                                                             4,944, tuir Ainaro ho 3,850 no Dili ho 3,681.
This week Lautem district reported the highest number
of suspected malaria cases per 100,000 inhabitants with                      Iha semana ida ne’e distritu Lautém fó relatóriu númeru
867 followed by Viqueque with 653 and Aileu with 555.                        boot liu kona-ba kazu Suspeitu malária pur 100,000
                                                                             abitante ho 867, tuir Vikeke ho 653 no Dili ho 555.
The number of upper respiratory infection cases
reported this week still remain at a high level with a total                 Relatóriu kona-ba Infesaun traktus respiratórius iha
of 5,913.                                                                    semana ida ne’e, sei hela iha nível leten ho totál kazu
                                                                             5,913.
Three cases of suspected meningitis were reported this
week from Dili district. One suspected cholera case was                      Relatóriu kazu 3 kona-ba Suspeitu meninjite iha
reported in Lautem district.                                                 semana ida ne’e, mai husi distritu Dili. Kazu ida kona-ba
                                                                             Suspeitu kólera, distritu Lautém mak fó relatóriu.
Two cases of suspected measles were reported this
week in Ainaro and Lautem districts. Three cases of                          Relatóriu kazu 2 kona-ba Sarampu iha semana ida ne’e
acute jaundice syndrome were reported from Dili and                          mai husi distritu Ainaro no Lautém. Kazu 3 kona-ba
Lautem districts.                                                            Síndroma moras kinur akut, distritu Dili no Lautém
                                                                             mak fó relatóriu.
Death of five children of less than 5 years of age were
reported this week. Three children with suspected                            Relatóriu kona-ba labarik na’in-lima ho idade tinan 5
malaria, two in Lautem district and one in Lautem                            mai kraik ne’ebé mate iha semana ida ne’e, 3 tanba
district. One child with upper respiratory tract                             Suspeitu malária; 2 iha distritu Lautém no 1 fali iha
infection and one child with neonatal tetanus in Dili                        Ainaro. Mate 2 seluk, 1 tanba Suspeitu infesaun
district. two sudden death have been reported in Laga                        traktus respiratórius superiór husi distritu Dili, no ida
subdistrict in the district of Baucau. One child more than                   fali tanba Tétanu neonatál mós husi distritu Dili. Mate
5 years and one adults. No detail information is                             na’in 2 derrepente de’it, relatóriu husi sub-distritu Laga,
available.                                                                   distritu Baucau. Ida, labarik ho idade tinan 5 ba leten no
                                                                             ida seluk ema adultu ida. La iha informasaun detalladu.
There are no reports of acute flaccid paralysis this
week.                                                                        La iha relatóriu kona-ba kazu Flásida Paralizia akut iha
                                                                             semana ida ne’e.

                                                                             Relatóriu informál:
Informal report:
Ten suspected and 5 confirmed cases of dengue fever                          Kazu 10 suspeitu no 5 konfirmadu kona-ba Isin manas
have been reported amongst the international staff                           dengue hetan relatóriu entre staf internasional sira
working in Dili district.                                                    ne’ebé serbisu iha distritu Dili.
SELECTED DISEASE INCIDENCE BY DISTRICT FOR WEEK 2001-20
WATERY DIARRHOEA - TOTAL CASES                                        SUSPECTED MALARIA - TOTAL CASES
Year-week = 2001-20                                                   Year-week = 2001-20

DISTRICT                | Freq Percent     Cum.                       DISTRICT                | Freq Percent     Cum.
------------------------+----------------------                       ------------------------+----------------------
AILEU                   |    63    8.8%     8.8%                      AILEU                   |   179    7.5%     7.5%
AINARO                  |   154   21.4%    30.1%                      AINARO                  |   137    5.8%    13.3%
BAUCAU                  |    29    4.0%    34.2%                      BAUCAU                  |    84    3.5%    16.8%
BOBONARO                |    62    8.6%    42.8%                      BOBONARO                |   133    5.6%    22.4%
COVALIMA                |    12    1.7%    44.4%                      COVALIMA                |    31    1.3%    23.7%
DILI                    |   122   16.9%    61.4%                      DILI                    |   326   13.7%    37.4%
ERMERA                  |    77   10.7%    72.1%                      ERMERA                  |   259   10.9%    48.3%
LAUTEM                  |    74   10.3%    82.4%                      LAUTEM                  |   466   19.6%    67.8%
MANATUTO                |    39    5.4%    87.8%                      MANATUTO                |   136    5.7%    73.5%
MANUFAHI                |    26    3.6%    91.4%                      MANUFAHI                |    54    2.3%    75.8%
OECUSSI                 |    37    5.1%    96.5%                      OECUSSI                 |   149    6.3%    82.1%
VIQUEQUE                |    25    3.5%   100.0%                      VIQUEQUE                |   427   17.9%   100.0%
------------------------+----------------------                       ------------------------+----------------------
                  Total |   720 100.0%                                                  Total | 2381 100.0%

BLOODY DIARRHOEA - TOTAL CASES                                        Lower Resp Tract Infection - TOTAL CASES
Year-week = 2001-20                                                   Year-week = 2001-20

DISTRICT                | Freq Percent     Cum.                       DISTRICT                | Freq Percent     Cum.
------------------------+----------------------                       ------------------------+----------------------
AILEU                   |     8    6.9%     6.9%                      AILEU                   |    87    8.7%     8.7%
AINARO                  |    12   10.3%    17.2%                      AINARO                  |   117   11.8%    20.5%
BAUCAU                  |    12   10.3%    27.6%                      BAUCAU                  |   105   10.6%    31.1%
BOBONARO                |    22   19.0%    46.6%                      BOBONARO                |    99    9.9%    41.0%
COVALIMA                |     2    1.7%    48.3%                      COVALIMA                |    23    2.3%    43.3%
DILI                    |    21   18.1%    66.4%                      DILI                    |   135   13.6%    56.9%
ERMERA                  |     4    3.4%    69.8%                      ERMERA                  |    72    7.2%    64.1%
LAUTEM                  |     7    6.0%    75.9%                      LAUTEM                  |   169   17.0%    81.1%
MANATUTO                |    12   10.3%    86.2%                      MANATUTO                |    33    3.3%    84.4%
MANUFAHI                |     1    0.9%    87.1%                      MANUFAHI                |    30    3.0%    87.4%
OECUSSI                 |     3    2.6%    89.7%                      OECUSSI                 |    52    5.2%    92.7%
VIQUEQUE                |    12   10.3%   100.0%                      VIQUEQUE                |    73    7.3%   100.0%
------------------------+----------------------                       ------------------------+----------------------
                  Total |   116 100.0%                                                  Total |   995 100.0%

ACUTE FEBRILE ILLNESS - TOTAL CASES                                   Agencies reporting this week
Year-week = 2001-03
                                                                      AGENCY                    | Freq Percent     Cum.
DISTRICT                | Freq Percent     Cum.                       --------------------------+----------------------
------------------------+----------------------                       AMI                       |     2    2.1%     2.1%
AILEU                   |     9    5.3%     5.3%                      BAIRRO PITE               |     1    1.0%     3.1%
AINARO                  |     0    0.0%     5.3%                      CAFE TIMOR                |     2    2.1%     5.2%
BAUCAU                  |     6    3.5%     8.8%                      CAM                       |     7    7.3%    12.5%
BOBONARO                |     3    1.8%    10.5%                      HEALTHNET (HNI)           |     4    4.2%    16.7%
DILI                    |     9    5.3%    15.8%                      ICRC                      |     2    2.1%    18.8%
ERMERA                  |     0    0.0%    15.8%                      IMC                       |    10   10.4%    29.2%
LAUTEM                  |   121   70.8%    86.5%                      IMVF                      |     8    8.3%    37.5%
MANATUTO                |    23   13.5%   100.0%                      MDM-F                     |     5    5.2%    42.7%
------------------------+----------------------                       MDM-P                     |    15   15.6%    58.3%
                  Total |   171 100.0%                                MSF-B                     |     6    6.3%    64.6%
                                                                      OIKOS                     |     6    6.3%    70.8%
                                                                      TIMORAID                  |     3    3.1%    74.0%
                                                                      UNTAET                    |     1    1.0%    75.0%
                                                                      WORLD VISION              |    24   25.0%   100.0%
                                                                      --------------------------+----------------------
                                                                                          Total |    96 100.0%

                                                 WEEKLY EPIDEMIOLOGICAL BULLETIN
                                                   WHO DILI OFFICE, EAST TIMOR

                                  Agency: All                         Health facility: All
                                  Type of Health Facility: All            Subdistrict: All
                                  District: All                                Region: All
                            Reporting period:              to               Year-Week: 2001-20
                         --------------------------------------------------------------------------
                       |                          | Under 5 years | 5 years & over |     Total      |
                       |Diseases/Syndromes        |---------------+----------------+---------------|
                       |                          | Cases |Deaths | Cases | Deaths | Cases |Deaths |
                       |-------------------------+-------+-------+-------+--------+-------+-------|
                       |Simple diarrhoea          | 370 |      0 | 350 |        0 | 720 |       0 |
                       |Diarrhoea with blood      |   62 |     0 |    54 |      0 | 116 |       0 |
                       |Suspected cholera         |    1 |     0 |     0 |      0 |     1 |     0 |
                       |Acute febrile illness     | 241 |      0 | 464 |        0 | 705 |       0 |
                       |Suspected malaria         | 605 |      3 | 1776 |       0 | 2381 |      3 |
                       |Suspected measles         |    1 |     0 |     1 |      0 |     2 |     0 |
                       |Suspected meningitis      |    2 |     0 |     1 |      0 |     3 |     0 |
                       |Upper Resp. Tract Infec. | 1830 |      1 | 4083 |       0 | 5913 |      1 |
                       |Lower Resp. Tract Infec. | 299 |       0 | 696 |        0 | 995 |       0 |
                       |Acute jaundice syndrome |      0 |     0 |     3 |      0 |     3 |     0 |
                       |AFP/Suspected Polio       |    0 |     0 |     0 |      0 |     0 |     0 |
                       |Neonatal tetanus          |    1 |     1 |        |        |       |        |
                       |-------------------------+-------+-------+-------+--------+-------+-------|
                       |Total No. consultations | 4686 |       5 | 1425 |       2 | 18939 |     7 |
                         --------------------------------------------------------------------------
        Please note: The last line of the Table above represents the total number of consultations (for any reason), not just the
      total number of notifications; data in that line, therefore, will generally be more than simply the sum of the column above.
   VigTimor is not a systematic method of death surveillance, and total reported deaths are likely to underestimate the true picture.

				
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