Dr. I. P hiri EDC Health Cluster Meeting 11 March 2013

1. Update on Epidemic Prone Diseases and Events Extracted from the Weekly Disease Surveillance System Report Week 9 ending 03-03-13 Dr. I. Phiri EDC Health Cluster Meeting 11 March 2013

2. Highlights for Week 5 • 3 suspected cholera cases • 5 diarrhoea deaths reported • 4 malaria deaths reported • 2 suspected anthrax cases reported • 1 suspected AFP case reported CSR - DDC AFRO

4. Timeliness week 1 to 9 of 2013

5. Cholera investigation Reportat ShasheClinic in Beitbridge • A 58 year old Morgan Moyo from (Paye) Kwatalaniin Chief Chitaudze area of Beitbridge district • He and wife visited South Africa – Messina on the 1st of March 2013 • bought sadza and beef with potatoes and cabbage salad mixed with tomatoes and mayonnaise from a food purveyor • The two returned to Zimbabwe on Saturday the 2nd of March • In Beit Bridge they stayed at CephasNgulube’shouse ate dinner comprised of goat meat purchased from an unlicensed meat vender • On Sunday 3rd March left Beitbridge for Shashe around 1400hrs before that they also ate bananas and drank tap water

6. On Monday the 4th he went for cattle herding • The patient drank mazoe and biscuits used water from a hand dug spring to dilute the Mazoe • He also drank the water from the hand dug spring • He later complained about diarrhea without abdominal pains on Monday night • He had 4 bouts of diarrhea during the night • Watery diarrhea and vomiting started on Tuesday morning(5th March) • He was later taken to Shashe RHC already dehydrated and prostrate • The RHC reported the suspect after just 10am the same day on Tuesday to the district • The DMO was informed instantly (immediately within 24 hrs)

7. Action Taken • The RRT visited the RHC on Wednesday morning the 6th and observed the following: • The patient had improved through rehydration though patient was still vomiting, having diarrhea and had stomach distention • Disinfectants (HTH) were supplied from the district • Management at the RHC • The patient was admitted • Rehydrated with 8 vacolitresof ringers lactate • Ciprifloxacin as an antibiotic backup • The stool specimen had been collected on Tuesday •  Report compiled by RRT

8. National office notified Friday after lab confirmation done by SD bioline and culture • Sample sent to Harare for genotying • Vibriocholerae O1 Biotype El TorSerotypeInabaidentified and reported this morning from NMRL sensitivity to Ciprofloxacillin, Nalidixic, Cotrimoxazole, Cefriaxone • Expecting full report from the Province with gaps for cholera commodities needed • Lab capacitation expired SD bioline

9. Typhoid cases week 9 • Harare continue to have typhoid cases and Chitungwiza 13 cases week 8 and 3 cases week 9 • Chegutu in Mash. West reported 2 cases • Cumulative cases 6 843 of these 142 confirmed cases 7 deaths

13. Epidemic Prone Conditions and Events week 8 and week 9

14. Thank you