Epidemiology

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Browsing Epidemiology by Author "Abiy Girmay"

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    Compiled Body of Work in Field Epidemiology
    (Addis Abeba University, 2019-06) Kefyalew Amene; Abiy Girmay; Abigiya Wondmagegnehu; Misgana Bancha
    This document contains a two years field epidemiology training program outputs to be submitted to Addis Ababa University, School of Public Health, Department of Preventive Medicine for partial fulfillment of master's degree in Field Epidemiology. This document is organized by classifying in to seven chapters. These seven chapters are outbreak investigation one, outbreak investigation two, surveillance data analysis, surveillance system evaluation, narrative summary of disaster situation visited, health profile description project and epi-project thesis proposal. Chapter one: contains report of first outbreak investigation. The outbreak was rubella outbreak at General Tadesse Biru Primary School, Addis Ababa, Ethiopia 2018. Unmatched case-control study was conducted to investigate the outbreak in which I was leading the investigation. Chapter two: is about outbreak investigation two. This outbreak was suspected chickenpox outbreak, which was occurred in Aleltu Soldier Training Center, North Shewa Zone of Oromia region. Unmatched case-control study was conducted to investigate this suspected outbreak and I was the leading this investigation. Chapter three: is about analysis of five years (2013-2017) malnutrition surveillance data of Addis Ababa City Administration. A retrospective record review data analysis was conducted. Cases and deaths were described epidemiologically and trend of cases was also seen. Incidence rate of malnutrition and trend of cases through time was determined. Chapter four: addresses MDSR surveillance system evaluation in Addis Ababa City Administration, Ethiopia, 2018. It describes the status of the system in the city administration towards meeting its establishment objectives. System attributes including simplicity, flexibility, usefulness, stability, acceptability, representativeness, timeliness, data quality, sensitivity, cost and predictive value positive were described in regard to MDSR system. Chapter five: presents a narrative summary of disaster situation visited. The disaster situation was about Internally Displaced Populations (IDPs), which was happened in Kochere and Yirga chefe woredas found in Gedeo zone of SNNP region, Ethiopia due to Ethnic based border conflict between SNNP and Oromia regions. Chapter six: contains health profile description of woreda 05 of Nefas silk sub-city, Addis Ababa, Ethiopia 2018. Health and health related information were presented, which can be used for evidence based planning and effective utilization of limited resources. These data can be used to identify risk factors and prioritize public health problems to take appropriate interventions. The last chapter (chapter seven) contains the epi-project proposal. The epi-project proposal was developed to assess predisposing factors of undernutrition in Addis Ababa city administration 2019. Unmatched case-control study will be conducted to identify the predisposing risk factors of undernutrition in the city administration.
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    Compiled Body of Works in Field Epidemiology
    (Addis Abeba University, 2019-05) Dessalew Shitu; Abiy Girmay; Fikru Regassa
    This document contains all outputs which are accomplished in residency periods in field epidemiology training program. This body of works is compiled as per the format provided by the program and submitted to graduate school of public health for partial fulfillment of Master Degree in Field Epidemiology. The document is organized by eight chapters consisting of expected outputs produced through the two years of residency periods. Chapter one contains two outbreak investigation reports. The two studies conducted on Rotavirus and suspected anthrax outbreaks using case-control study design. Chapter two contains report of surveillance data analysis which was conducted on five years aggregated meningococcal meningitis data reported through weekly bases in Southern Nations,Nationalities and Peoples (SNNP) region. Surveillance system evaluation report is included in chapter three which was conducted on meningococcal meningitis surveillance system as proxy indicator in Kolfe Keranio Sub-city, Addis Ababa. Chapter four contain health profile assessment of Ginir woreda in Bale zone, Oromia region. Chapter five contains scientific manuscript of Rotavirus outbreak for peer reviewed journals. In chapter six, two abstracts are presented on Rotavirus outbreak investigation and meningococcal meningitis surveillance data analysis. The other expected output is disaster situation narrative summary report which was conducted on IDPs in Bale zone and it was described on chapter seven. Lastly, epidemiologic research proposal ent it led ‘Mapping the risk of anthrax outbreaks both in humans and animals in Waghimra and South Gondar zones of Amhara regional state’ are presented on chapter eight.
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    Compiled Body of Works in Field Epidemiology
    (Addis Abeba University, 2019-06) Mukemil Hussen; Abiy Girmay
    The Ethiopia Field Epidemiology Training Program (EFETP) is a two year an in-service training program in field epidemiology adapted from the United States Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS) program. The program is designed to assist the Ministry of Health in building or strengthening health systems by recruiting promising health workers and building their competencies through on-the-job mentorship and training. Because trainees work in active public health teams that are tackling the most serious and acute problems of the population, their work is exciting and leads to improvements in program implementation even as the trainees are learning. The EFETP program has two main components, each of which contributes to the award of the Master‘s degree (MPH) in Field Epidemiology. A classroom-teaching component (25%) and practical attachment or field placement component (75%) consisting of disease investigations, surveillance evaluations, surveys, and applied research on national health problems. Residents have the opportunity for public health practice in the real world. From the beginning of first week of November 2017 up to the end of June 2019, I stayed in Field Epidemiology Training Program, School of Public Health-Addis Ababa University and Ethiopia Public Health Institute (EPHI) field base. This body of work has nine chapters, including reports of three outbreak investigations, one surveillance data analysis, one evaluation of surveillance system, and one Woreda health profile description, four abstracts for scientific conference, one disaster assessment report, one research proposal, as an additional output Weekly Bulletin and Feedback. Chapter one: Three outbreak investigations were conducted. Descriptive and Analytic Epidemiology was used during investigations. These are: measles outbreak investigation in two neighboring Adaarand Telalak districts of Afar region, November 2018; Cholera outbreak investigation in Amibara District, Zone 3, Afar, January 2019; Chikungunya outbreak investigation in Adaar district Afar, April 2019. We identified several factors that contributed to measles,cholera and Chikungunya outbreaks occurred in different districts. Chapter two: Five years (2013 to 2017) Afar region Dysentery surveillance data was analyzed in March, 2018. In Chapter three: Evaluation of surveillance system was conducted in Addis Ababa city administration in March, 2018. Chapter four: Health profile description of Woreda 06 District of Nifas silk lafto sub city, Addis Ababa March, 2018. Chapter five :Two scientific manuscripts for Peer Reviewed Journals was done on Re-emergency of Chikungunya fever in Ethiopia after 3 years 2019 and Surveillance data analysis of dysentery, Afar, Ethiopia-March, 2018. Chapter six: Four abstracts were prepared for scientific conference.(1) Measles Outbreak Investigation and response in Adaar and Telalak District, Afar region, Ethiopia, November 2018. (2) Cholera outbreak investigation and response in Amibara woreda, Afar region, Ethiopia-January, 2019. (3) Chikungunya outbreak investigation and response in Adaar woreda, Afar region, Ethiopia, April 2019. And (4) Dysentery surveillance data analysis in Afar region, Ethiopia, March 2018. Chapter seven: Narrative summary of disaster situation was conducted in Fafan zone of Somali region in August, 2018. Chapter eight: Protocol/proposal for Epidemiologic Research Project was prepared on the t it le ―Assessment of magnitude of immunization coverage and Associated Factors among children Age 12–23 Months in Adaar district, Afar June to August, 2019. Finally, in chapter nine: additional outputs; Coordinating Ebola Preparedness activity in Ethiopia, RHB Public health emergency operation center establishment; Short term training and workshops conducted; Weekly bulletin and Weekly Feedback were included.
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    Compiled Body of Works in Field Epidemiology
    (Addis Abeba University, 2021-03) Emebet Alemu; Abiy Girmay; Abdunnasir Abagaro
    In our country. the principal health techniques has prevention of disease so to perform this public Health emergency Management has the core and has been giving specific interest to the manipulate of epidemic inclined diseases, of worldwide subject and ailments on eradication and elimination programs, through surveillance activities. The function of public Health practitioners include ensuring high quality health promotion, disease prevention and manage activities, conducting surveillance on rising public health threats and offering pertinent information to policy makers and public health officials. From October, 2019 to end of Jan, 2021 I have stayed in Field Epidemiology Training Program, School of Public Health AAU and at both EPHI and Oromia Regional Health Bureau field base. We carried out two outbreak investigations, one surveillance data analysis, one assessment of surveillance system, and one woredas Health profile description, four abstracts for scientific conference, one Disaster assessment, one lookup notion and education as outputs. Chapter One: We performed epidemiological investigations of two outbreaks. We used descriptive and Case Control Study in the course of investigations. We identified several factors that contributed to malaria outbreak in Shebe Sonbo district and observed that Low coverage Indoor Residual Spray and presence of stagnant water have been attributed for the outbreak. We recommended acceptable environmental management through optimized community participation. We also confirmed measles outbreak in Fitche Prison. Being unvaccinated and overcrowded Living circumstance for measles infection had been observed to be risk elements for developing the disease. We recommended use of standard prison and Health policy and for any health campaign measles immunization focused on prison community, and additionally health training on capacity of transmissions, treatment and prevention of measles infection has to be enhanced. Chapter Two: We did Measles surveillance data analysis of six years (2014-2019) of Bale zone to describe by person, Place and time. Less than 5 years was the most affected age group observed through 5-14 years. Enhancing improved events and campaign measles immunization targeting much less than 15 years of age would prevent future risk. Chapter Three: We performed Malaria assessment of surveillance system in East Showa Zone from June 15-30, 2019. The average surveillance system of the area mainly at lower stage used to be weak. Regular monitoring of program unique supportive supervision and continuous feedback system be strengthened for greater enhancement of thecompleteness and timeliness and/or surveillance system as a whole. Chapter Four: We did health profile, health and health associated data, of Lomé Woredas from January 1-18, 2018, health and health related data the major causes of adult morbidity in woredas were acute upper respiratory tract infection acute febrile disease and Diarrhea While in under-five years, non-bloody Diarrhea, acute febrile disease and upper respiratory tract infection were the three leading causes of morbidity. Chapter Five: We did scientific manuscript for peer reviewed journals on Measles outbreak in Fitche Prison, North Showa Zone. Chapter Six: We organized four abstracts for submission to scientific convention in the course of residency time. These are: Outbreak of malaria-Shebe Sonbo Jimma Zone Oromia Region, Ethiopia, 2020 Measles Outbreak-Fitche Prison, North Showa Zone, Oromia Region, Ethiopia, 2019. Six years (2014-2019) measles surveillance information analysis Bale Zone, Oromia Region, Ethiopia, 2019.Health Profile in Lome Woredas , East Showa Zone , Oromia Region ,2018 Chapter Seven: We conducted Natural Disaster (Flooding) assessment (Narrative summary of disaster situation) in Oromia Region to identify humanitarian needs in Flood affected areas from July 22 to August 19, 2020 in Fentale Woredas and Methehara Town of East Showa Zones. Malaria outbreak was happed flood hap pine in zones. Malaria are the most predicted risk in the zones. Food was a major problem after Flood occur for the first thee day. Chapter Eight: We prepared one proposal for research project. The objective of this study is to assess magnitude of childhood measles vaccination status among Child aged12-23 month and determinant factors in Ginner District. We designed cross-sectional community and facility the sample measurement will be calculated using n= (Z α/2)2 P (1 − P) d2. Chapter Nine: We did In COVID19 diseases Surveillance case Team and we also did weekly PHEM bulletin of Oromia Region from March 2019 to October 2020.