Browsing by Author "Habtamu Yimer"

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    Compiled Body of Works in Field Epidemiology.
    (Addis Abeba university, 2015-05) Habtamu Yimer; Teklehaymanot G/Hiwot
    This document contains a two years Field Epidemiology and Laboratory Training Program outputs which is equivalent with thesis to be submitted to graduate school of public health for partial fulfillment of master degree in Field Epidemiology. It includes reports of disease outbreak investigations, public health surveillance data analysis, surveillance system evaluation, narrative summary of disaster situation report, manuscripts, abstracts, and training reports. This compiled body of works contains total of outputs which all of them were done during my residency time in the program. The body of works is categorized in to nine chapters as follows: The first chapter contains two outbreak investigations: the first outbreak investigation conducted wasmeasles outbreak investigation in YilmanaDensa district, WestGojam zone, Amhara from January 8-20/2014. The second outbreak investigated was measles outbreak investigation in Grawa district, East Harrerge zone, Oromia Region, April 27-March 8/2015. The second chapter is surveillance data analysis on prevalence of HIV among TB patients in Debre Tabor Hospital, in Amhara Region, fromMay 2009 to December 2013. The third chapter is evaluation of malaria surveillance system in NorthWollo zone of Amhara region from December 24/2014 - January 7/ 2015. The fourth chapter isdescription of Health profile of Bati district in Oromia special zone of Amhara region from 09-20March 2014. The fifth and sixth chapters are development of manuscript and abstracts for scientific presentations and according to this three abstracts have been written and three of them were submitted.The seventh output is Belg humanitarian need assessment which was conducted in selected districts of South Wollo zone of Amhara region on June 23 to July 4, 2014, The eighth output is an Epidemiologic Protocol/Proposal for Epidemiologic Research Project namely, A assessment of immunization status and factors affecting it among children aged 12-23 months old in Mekidela Woreda of South Wello Zone Amhara Region, North west Ethiopia, 2015. The ninth chapter contains activities done in addition to the main out puts which are mentioned asfollows; Ebola virus disease outbreak preparedness assessment report in Humera (Tigray Region) andMetema (Amhara Region), September 2014.Ebola Screening on land port entry in Lare District, Gambella Region, Ethiopia, 15-21/10/2014. Trainings, conference and other activities and participate in the preparation of weekly bulletin article in Amhara regional health bureau of PHEM core process. Different trainings and conferences of public health have been conducted in different places at different times, to mention some of these: -I have attended 5th AFENET scientific conference in Addis Ababa starting from 17-21 Nov 2013. I have attended training by mentor Initiative organization sponsor by AFENET on vector borne diseases in Dubai March 23-27/2015.Measles Post Epidemic Evaluation, I have attended and presented outbreak investigation on Measles post epidemic evaluation, at Dangila Town from 22 and 23/02/2014.PHEM National Review Meeting, I have attended PHEM National annual review meeting in Hawassa, August 15-19, 2014. Training for HWs on EVD, In Gambella regional state, on 11 October 2014 Training was given for a total of 20 Health Workers working in Lare HC. Those are mention above and others, included as the additional outputs. Meanwhile, since the program’s philosophy is learning by doing, numerous activities were carried out at the field base, which greatly contributes to strengthen the public health workforce capacity through training, conducting disease surveillance and emergency planning, preparedness and response activities.
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    Compiled Body of Works in Field Epidemiology.
    (Addis Abeba University, 2015-05) Habtamu Yimer; Teklehaymanot G/Hiwot
    Background: Measles is an extremely contagious and remains a common disease and major contributor to child-mortality worldwide and kills approximately 1-3 of every 1000 infected individuals. An estimated 10 million cases and 164,000 deaths from measles occur worldwide each year. On January 17/2014 West Gojam zone, Amhara region reported suspected measles cases from Yilmana Denssa district. As part of it West Gojam zone has been reporting remarkable measles cases started On December 5/2013. An investigation was conducted to identify the cause of the outbreak and to undertake appropriate prevention and control interventions Method: Unmatched Case control study design was used to investigate the outbreak and identify risk factors for the occurrences of the outbreak. We used a structured questionnaire to solicit information from cases and controls. Analysis was made using Epi Info version 7.1.3.3 and Microsoft Excel. Result:Totally 292 cases and 5 deaths (4 facility and 1 community deaths) were identified. Sample was taken for seven cases and all of them found to be positive for measles IGM. . Out of 292 total cases 169 (58%) were females. The mean ages 13 years and overall attack rate (AR) of the case was 120/100,000 populations. 92.5% of affected cases were unvaccinated. Exposure to a measles cases was significantly associated with illness (OR= 6.3, CI (1.78-22.73) with p-value 0.001) Conclusion: Unvaccinated children less than 15 years of age were primarily affected by the outbreak. Most of the cases were unvaccinated. So mass vaccination campaign from 6 months -14 years of age groups should be conducted to stop the transmission.