Ethiopian Field Epidemiology and laboratory Training Program Compiled Body of Works in Field Epidemiology

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2018-05

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Addis Ababa Universty

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The Ethiopia field epidemiology program is a two years’ service program in field epidemiology adapted from United States center for disease control and prevention (CDC) epidemic intelligence service (EIS) program. Addis Ababa University School of public Health, Ethiopia Field Epidemiology Training Program, Federal Ministry of Health/Ethiopia Public Health Institute, CDC Ethiopia and the Regional Health Bureaus are the stockholders of the program. During a two years stayed at kolife keranio field bases of AAU School of Public Health , as Field Epidemiology and laboratory Training Program resident, we carried out two outbreak investigations, one surveillance data analysis, one evaluation of surveillance system, one woreda health profile description, one scientific manuscript ,two abstracts for scientific conference, one research proposal and one additional output. Chapter one consists of two outbreak investigations, the first AWD outbreak done at Oromiya zone East Harer at kurfa chelae district. The objective of study was to describe the distribution and to identify the risk factors associated with transmission of cholera outbreak. We used unmatched case control study. The possible potential risk factors for the outbreak was consuming food from street vender and visiting anyone having diharoa .we recommend educating the community segments on food, personal and environmental hygiene to bring behavioral change towards hygiene and sanitation. Chapter two, we investigated rabies human exposure to rabid dog. We sent the head of the 709H doges to EPHI laboratory and the result show that the dog was rabid, then we trace one epidemiological linked dog, four suspected dogs, Seven human exposures and we recommend to Strengthening rabies surveillance for immediate response to take interventional measures until the locals dogs are declared free from rabies by veterinary authorities. Chapter three consists of the surveillance Data Analysis Report of relapsing fever which was done at kolife Keranio sub-city Addis Ababa. I have worked on a five years retrospective document review of the surveillance data’s of confirmed relapsing fever cases and the usual occurrence of the case per month in sub-city was 12relapsing cases per month. We review 882 confirmed cases and we found a missed out break in2013 finally we recommend trend analysis and interpretation of relapsing fever cases weekly for early detection and response. Chapter four is the Evaluation of the surveillance system of kolife Keranio sub-city, Addis Ababa evaluation of surveillance system includes an assessment of core surveillance activities and surveillance system attributes, we used a descriptive cross sectional study by selecting one of weekly notifable disease called an epidemic typhus. The incidence was 2370/100000population Chapter five is about the health profile description of District4,kolife Keranio sub-city which is in Addis Ababa By this health profile description Demographics ,geographic, Social Indicators , Health Status of the residents and other health related conditions described briefly to inform the public ,politicians ,professionals and policy-makers about matters that affect health ,in easily and understandable form. Chapter six is of about the Manuscript from the surveillance data analysis report of relapsing fever at kolife Keranio sub-city and it is done in 2016 in Addis Ababa which prepared for submission for Peer reviewed Journals. Chapter seven has three abstract for scientific presentation. Chapter eight contains the protocol/proposal on epidemiologic research on selected topic, which is Prevalence and Associated Factors of Diabetes Mellitus, at kolife Keranio sub city, Addis Ababa Ethiopia 2018. The reasons we propose diabetes is from one of my output health profile description in 2017 diabetes was the leading cause of morbidity among NCD in the area. Generally in two years field residency we did many other, which greatly contributed to strengthen the public health emergency management at 16 districts of the kolife Keranio sub city, and East Harerge.

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Epidemiology

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