Further information: World Health Organization Iraq Country Office: Hussains@who.int Data Source: Ministry of Health/ WHO Map scale: A3 Creation date: 20 May 2015 GLIDE number: OT-2014-000074-IRQDocument name: irq_EWARN_snapshot_A3_W13

Domiz

Arbat

Esiyan

Raniya

Zawita

Shariya

Harsham

Gawilan

BasirmaBaharka

Aliawa

Qushtapa

Chamishku

Bardarash

Brazilian

KowergosekDarashakran

MarthaShooni

Bajit Kandala

Ninewa

Erbil

Dahuk

Salah al-Din

Kirkuk

Sulaymaniyah

Anbar

Diyala

Measles outbreak

61

S.Measles alert4

S.Leishmaniasis alert3

S.Leishmaniasis alert1

S.Leishmaniasis alert1

S.Measles alert

S.Meningitis alert

1

1

Animal bite alert 1

S.Meningitis alert 1

Upper Acute respiratory Infections (U/ARI)

Acute Diarrhoea (AD)Skin Diseases (SKN)

Bloody Diarrhoea

67,713Lower Acute respiratory Infections (L/ARI)10,440

8,272

1543,632

Acute Jaundice Syndrome (AJS)53Suspected Measles68

8 Suspected Leishmaniasis2 Suspected Meningitis

Kifri

AFP alert1

Domiz

Arbat

HarshamGawilan

BaharkaRania

Darashakran

Bajit Kandala

!

!

!!!

! !!

Ninewa

ErbilDahuk

Kirkuk

Sulaymaniyah

Diyala

ACUTE JAUNDICE SYNDROME CASES53

2

4 6128

15

2

1

Sharya!1

Zawita!1

Acute diarrhoea (AD)

Other diseases

Proportion of distributed diseases by reporting site Outbreak/Alert

Lower Acute respiratory Infections

Skin diseases

Upper Acute respiratory Infections

Reporting site

Outbreak (1)

Alert (10)

XX

XX

All alerts are investigated

S. = Suspected

Anbar

Ninewa

Al-Obaidi

IRAQ: Early Warning and Alert Response Network (EWARN) Snapshot № 9 Displacement Crisis in Iraq (week 1 to week 13, 2015)

IRAQ

IranSyria

Saudi Arabia

159,905 # OF CONSULTATIONS

0 3000 6000 9000 12000 15000

Week 1Week 2Week 3Week 4Week 5Week 6Week 7Week 8Week 9Week 10Week 11Week 12Week 13

13% LOWER ARI

87% UPPER ARI

DISTRIBUTION OF ACUTE RESPIRATORY INFECTIONS (ARI)

32% under 5 years

68%above 5 years

PERCENTAGE OF REPORTED CASES BY AGEONLY IN REPORTING SITES

TOTAL REPORTED CASE BY GENDER

48%Male

52%Female

0%

20%

40%

60%

80%

100%

120Domiz

Raniya

Kasnazan

Brazilian

Awen Eshar

AL-Obaidi

Zawita

Esiyan

Aliawa

Basirma

Arbat IDP

Shariya

Kowergosek

Arbat Refugee

Bardarash

Chamishku

Gawilan

Harsham

Martshmoony

Darashakran

Qushtapa

Zaytona

Baharka

Bajit Kandala

67,713 CASES OF UPPER /ARI

10,440 CASES OF LOWER /ARI

8,272 CASES OF SKIN DISEASES

3,632 CASES OF ACUTE DIARRHOEA

%Lower/ARI%Upper/ARI %Skin diseases%AD

0 5000 10000 15000 20000 25000 3000035000Zaytona

Awen EsharBrazilian

AliawaAL-Obaidi

EsiyanRaniya

ChamishkuHarsham

MartshmoonyZawita

QushtapaBaharka

Arbat RefugeeBasirma Gawilan

Arbat IDPDomiz

BardarashKowergosek

Bajit KandalaDarashakran

ShariyaNumber of consultations

CONSULTATIONS BY REPORTING SITE

ARBAT IDP 61 Measles cases

0

10

20

30

40

50

60

7080

Bajit KandalaKowergosekArbat IDP

Case

s

68 CASES OF SUSPECTED MEASLES

0 1 2 3 4 5 6 7 8

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Week 12

Week 13

DISTRIBUTION OF ACUTE JAUNDICE SYNDROME

16

16

16

15

14

14

11

19

17

18

15

23

24

Number of reporting sites per week

During week 13, twenty four (24) reporting sites (eight refugee camps,eleven Internally Displaced People’s (IDP) camps and five mobile clinics)submitted timely weekly EWARN reports.

During week 13, the number of consultations increased by 2,611, from10,257 in week-12 to 12,868 (male=4,866 and female=5,391). The highestnumber of consultations this week (n=1454) was reported WHO partnerIOM from Essian IDP camp.

An alert of suspected Acute Flaccid Paralysis (AFP) was reported by IOM mobile clinic in Sulaymaniyah. The case was a 5 year old male from Kifiy. The alert wasimmediately investigated and responded to by the DoH, WHO and IOM.Stool samples were collected and shipped to National Laboratory in Baghdad and were they tested to be negative.

Acute Respiratory Infection (ARI), skin disease (SKN) and Acute Diarrhea(AD) remain the leading causes of morbidity during this week with 5,377689 and 252 cases respectively reported from all the camps reporting to EWARN.

The proportion of AD remains steady ranging between 2% to 4%(week 13=2%) of total consultations. SKN diseases trend remained constantfrom week 2-13 (week 13=5%). ARI proportion shows a high but steadycaseload since week 13 (w12=42% and w13=42%)

The below graph indicates the proportion of cases of ARI, SKN Infection andAD for week 13. According to the data generated by EWARNs, itindicates that ARI proportion of total cases is the highest in most campsfollowed by SKN infections and then by acute diarrhea. The graph indicatesthat the Domiz refugee camp has the highest proportion of skin infectionscases followed by Baharka IDP camp and then by Qushtapa refugee camp.

HIGHLIGHTS