Compiled body of work in Field Epidemiology
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Date
2019-06
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Addis Abeba University
Abstract
Despite many intervention activities undertaking preventable communicable diseases are remain a public health problem globally. The Ethiopian government policy is more emphasis on prevention measures of communicable and non-communicable diseases. Also many strategies and programs were set to enhance disease prevention activities. Ethiopian Field Epidemiology Training Program that adapted from the United States Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS) is one of the programs focusing on capacity building public health practitioners. The training enables trainers to conduct disease surveillance and implement prevention and control measures of prioritized diseases.
I stayed from November 2017 to June 2019 in Addis Ababa university school of public health field Epidemiology training program and at Addis Ababa City administration Health Bureau field Base. During my stay, I carried out two outbreak investigations, surveillance data analysis, surveillance system evaluation, district health profile description, submission of one abstracts, one scientific manuscript for peer reviewed journals, one narrative summary of disaster management, and one epidemiological research proposal during my stay. We investigated two outbreaks (Measles and Relapsing fever) during field base residency. There was measles outbreak in Jeldu Woreda of west Shoa zone, Oromia region that we had investigated in February 2019. During this outbreak, a total of 179 measles cases and 2 deaths were reported from January 2019 to March 2019. Low measles vaccination, poor ventilation, malnutrition and weak community’s awareness were attributed for measles in the Woreda. We recommend, strengthen routine and supplemental immunization programs, good cold chain management system and increase community awareness on measles prevention and control measures. Descriptive and analytical epidemiology methods were used to describe magnitude of the diseases and identify risk factors associated with diseases. In addition a total of 33 and 14 confirmed RF cases were reported from Woreda three of Bole sub City, Addis Ababa City administration health bureau in 2018. We identified that mass sleeping ,no changing cloth at night , no taking bath at least once every two week ,no washing cloth at least once every two week and having contact history with ill LBRF person for RF outbreak in the Woreda. We recommend to organize meeting session with representative of all sectors including the sub City administrators to discuss the way how to minimize mass sleeping houses and solutions for homeless people. Addis Ababa University, College of Health Sciences, School of Public Health, 2019 AAU/SPH Dereje .D EFETP/2019 Increase awareness through continuous health information for street’s or homeless people.
Homeless people must wash cloths and take bath at least once every week.
Homeless people must change their cloth at night and stack holder help cloth and close supportive supervision by sub City health office. I conducted typhoid fever surveillance data analysis at Addis ketema sub city health office, the analysis was indicate low water and sanitation coverage and I conducted surveillance system evaluation at Addis ketema sub city health office , surveillance of selected diseases ( measles ) was assessed. The system was satisfactory at sub City level; whereas not satisfactory at 1, 4, 5 Woredas. Poor data management, infrequent supportive supervision, absence of well-organized feedback, poor utilization of manuals and guidelines were contributed for unsatisfactory of the system at the Woreda level. Health profile description was carried in Woreda nine of Addis ketema sub City , Addis Ababa health Bureau from Janua ry 22-March 23/2018. Low community awareness and low coverage of latrine and Poor waste management in the Woreda. I prepared scientific manuscript for peer reviewed journals on typhoid fever data analysis in Addis ketema sub City health office ,Addis Ababa ,Ethiopia ,2013-2017. One abstracts were done for scientific conference submission; Measles outbreak Investigation and Intervention in Jeldu Woreda of west shoa zone ,oromia ,ethiopia, 2019.
Narrative disaster management was conducted in selected Woredas of (Hudet, Moyale and Mubarek) in Dawa zone in Ethio Somali region during 2018 to identify humanitarian needs following emergency occurrence. Malnutrition is anticipated to be a major public health concern in Dawa zone. We identified shortage of drugs and medical equipment at both zonal level and all Woreda of these zones. Epidemiological research project proposal on assessment of latrine utilization and factors associated with latrine utilization in Woreda nine of Addis ketema sub City, Addis Ababa, Ethiopia, 2019 was prepared. Descriptive cross-sectional study will be used for this study in Woreda nine. A total of population Woreda nine 35,636, HH 7424 and 422 sample households with latrine will be included in the study. The overall activities of study will be expected to finish in three month (June -September), 2019. The total estimated budget required for the study is 73,321.5 ETH Birr. I prepared weekly bulletin on PHEM report of Addis ketema sub City health office for WHO Epidemiologic week 9 of 2018. The health facilities report completeness for that week was 98% and above the expected national level (80%). Dysentery cases and epidemic typhus cases were kept increasing during week 9 of 2018
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Epidemiology