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Return-Path: <dews.kunduz55@gmail.com> Received: from mocha3025.mochahost.com by mocha3025.mochahost.com with LMTP id 6JJOMeDl5GInVgIAaMJ/gg (envelope-from <dews.kunduz55@gmail.com>); Sat, 30 Jul 2022 04:03:44 -0400 Return-path: <dews.kunduz55@gmail.com> Envelope-to: musawy@jack.ngo, ghani@jack.ngo Delivery-date: Sat, 30 Jul 2022 04:03:44 -0400 Received: from mail-qv1-f53.google.com ([209.85.219.53]:36493) by mocha3025.mochahost.com with esmtps (TLS1.2) tls TLS_ECDHE_RSA_WITH_AES_128_GCM_SHA256 (Exim 4.95) (envelope-from <dews.kunduz55@gmail.com>) id 1oHhRj-000fBB-0k; Sat, 30 Jul 2022 04:03:44 -0400 Received: by mail-qv1-f53.google.com with SMTP id y11so5105965qvn.3; Sat, 30 Jul 2022 01:02:58 -0700 (PDT) DKIM-Signature: v=1; a=rsa-sha256; c=relaxed/relaxed; d=gmail.com; s=20210112; h=mime-version:from:date:message-id:subject:to:cc; bh=UVVAtLkBZSqzkPbiQTbns5+IRrDQDUwolk7t2B8stGk=; b=cdbBbbPE7LNP96NmGPed/lZp7zFu/sIM0hIIj4kY+vVwr9efe701CSZnFpdy+k/Qvu DcEmSZFCokenaIA17s+udHfqOzvImw++FamFHozsVXVmgxu3fqLskHy2xBjlzmwNFB1W M/Blp70+uKZTWdLQeVV+ULsfKAcX1KSvis7ag7K2YhxgFozzMDVtIaQ6b9TbtHBxcaQb mo521JKb/a4R8ZwBsL4JRSMP8k4uZedRrVe91BwuczFCk1Gr7Zxr9Xkg0aN/BP3Y+ytU VFbpJ03AeEZLZvDs6YMxyS/y2LDwlRKprvr3X5QdrpRiFK6EiLnJbOx82rX6JT54Vbn3 U6uQ== X-Google-DKIM-Signature: v=1; a=rsa-sha256; c=relaxed/relaxed; d=1e100.net; s=20210112; h=x-gm-message-state:mime-version:from:date:message-id:subject:to:cc; bh=UVVAtLkBZSqzkPbiQTbns5+IRrDQDUwolk7t2B8stGk=; b=6qlLWeFpRSof0wm/MeQ6jfuBvyjhTgS7I4EvTy0GCQrqlMmKKEEPxBNS/HHyPvqG+A 60nppjfl65E1bhkkSo4x0fvF+fPqt49piNtfPfyW9JJDPpfGoipWlWFWEMONtaR7twGT CJ2ZsKGZ+X6ZiJLAHinTXzSWcgxPlv1m99PRA2x9IsExUrvMZwRminZjGBQxEX1BiEnz qe/g0P26itA1y0LwOgMkEXS3t8Gwwl45LZ4R8x1J2pdKFaR351WLrMTHX+SF/EdmalIE QpGlRvHNTl8f2BZHZZZtaJFEMIfwkZsiPidOBzwqUBaFm1/6pxKLQif+EjE2DkOZgybo leIw== X-Gm-Message-State: ACgBeo1M+3AiEIOdGwZjeZcI75XP1k6ij0MIgjLaFV8wX55B2gxWRbg0 r/9MtyJm5wS0hlLxoflYc69gWJdIPyK8uAf55T5hwUMmcy8= X-Google-Smtp-Source: AA6agR6I7YyQ47hRqfc1jz6zzv9k6icjFT2vtWNYDKtcEV4BaQL5z/u+zWYaBizPvbZ5v3aHXvA2Tzx9CdzfqrIbwQY= X-Received: by 2002:a0c:c546:0:b0:474:8d8c:21d5 with SMTP id y6-20020a0cc546000000b004748d8c21d5mr6467444qvi.10.1659168157696; Sat, 30 Jul 2022 01:02:37 -0700 (PDT) MIME-Version: 1.0 From: Kunduz Surveillance <dews.kunduz55@gmail.com> Date: Sat, 30 Jul 2022 12:32:26 +0430 Message-ID: <CAETnkitDEaPH38eRsbgKL_PB_mFBaAq2MwsdYveaFJ730CXgfA@mail.gmail.com> Subject: Admission of one suspected CCHF case to Kunduz RH from Kanam village in Kunduz city To: kunduz moph <kunduz.moph@gmail.com>, Takhar Taloqan <dews.takhar@gmail.com>, Musawy <musawy@jack.ngo> Cc: hakim omid <hakimomid7@gmail.com>, Ghani <ghani@jack.ngo>, "Moph HMIS.KUNDUZ" <hmis.kunduz@gmail.com>, Rahmat.Totakhil@gmail.com, ghausi.kunduz@gmail.com, Popalzai Wahaj <popalzai.wahaj@gmail.com> Content-Type: multipart/mixed; boundary="000000000000a9c61b05e5013028" --000000000000a9c61b05e5013028 Content-Type: multipart/alternative; boundary="000000000000a9c61805e5013026" --000000000000a9c61805e5013026 Content-Type: text/plain; charset="UTF-8" Dear colleagues; One suspected CCHF case admitted to Kunduz regional hospital as below details Date/timing 27 Jul 2022 Location/areas affects Kanam village in Kunduz city, Kunduz province Summary On 28 Jul 2022 Kunduz Regional hospital SST reported to surveillance department of Kunduz province that one suspected CCHF case admitted to Kunduz regional hospital at 28 Jul 2022 the case is from Kanam village , in Kunduz city according patient family speech on five day ago she found high Fever, headache, muscles Pain and went to a private clinic in Kunduz Kunduz city then she referral at 28 Jul 2022 on Kunduz Regional hospital and admitted to the Kunduz RH on mentioned date the SST team starting investigation and during investigation the team found the patient Fever was high until 38Cg and laboratory shows platelet = 95000/mm3,HB=12.5 gr/dl , TLC=6000/mm3 and her situation was committed to hospitalization for intensive care and treatment supportive medicine also during the investigation one blood sample collected and shipped to CPHL for laboratory confirmation Epidemiological situation Name : Bas biom D/of Zamir Age : 60 Years Sex : Female Occupation: House Wife Address: Kanam village, in Kunduz city Phone: :0788073405 Sign : Fever, petechial, Hb=12.5gr, TLC=6000/mm3 and laboratory result shows platelet = 95000/mm3 Symptom: Fever, headache and muscle pain, Hematemesis, Hemoptysis and Blood in Stool Actions initiated - Review hospital records and registry - Interview with patient and patient accompanier for following - Filled the line list - Health education to patients caretakers and his families Contacts and coordination Proper coordination and communication done with PPHD, NDSR FP, internal ward doctors, and SST Challenges - There is no standard isolation ward in Kunduz Regional hospital - It does not enough Hematology/ Microscopic and biochemistry tests. Also there is no available platelet for transfusion to the patient - BR-- Mohammad Mohsen "Hassanyar" Kunduz:NDSR Provincial officer Graduate AFETP(Afghanistan Field Epidemiology Training Program) Email:dews.kunduz55@gmail.com Private E-mail:mohsen.hassanyar@yahoo.com <Email%3Amohsen.hassanyar@yahoo.com> Phone Number:0795212080 --000000000000a9c61805e5013026 Content-Type: text/html; charset="UTF-8" Content-Transfer-Encoding: quoted-printable <div dir=3D"ltr"><p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001p= t 0in;text-align:justify;line-height:normal;background-image:initial;backgr= ound-position:initial;background-size:initial;background-repeat:initial;bac= kground-origin:initial;background-clip:initial;font-size:11pt;font-family:C= alibri,&quot;sans-serif&quot;"><span style=3D"font-size:12pt;font-family:&q= uot;Calibri Light&quot;,&quot;sans-serif&quot;">Dear colleagues;</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001pt 0in;text-align:= justify;line-height:normal;background-image:initial;background-position:ini= tial;background-size:initial;background-repeat:initial;background-origin:in= itial;background-clip:initial;font-size:11pt;font-family:Calibri,&quot;sans= -serif&quot;"><span style=3D"font-size:12pt;font-family:&quot;Calibri Light= &quot;,&quot;sans-serif&quot;">One suspected CCHF case admitted to Kunduz regional hospital as below details </span></p> <p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001pt 0in;text-align:= justify;line-height:normal;background-image:initial;background-position:ini= tial;background-size:initial;background-repeat:initial;background-origin:in= itial;background-clip:initial;font-size:11pt;font-family:Calibri,&quot;sans= -serif&quot;"><span style=3D"font-size:12pt;font-family:&quot;Calibri Light= &quot;,&quot;sans-serif&quot;">=C2=A0</span></p> <table class=3D"gmail-MsoNormalTable" border=3D"0" cellspacing=3D"0" cellpa= dding=3D"0" style=3D"background-image:initial;background-position:initial;b= ackground-size:initial;background-repeat:initial;background-origin:initial;= background-clip:initial;border-collapse:collapse"> <tbody><tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border:1pt solid wi= ndowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Date/timing</span><span style=3D"font-size:12pt;font-family:&quot;Calibr= i Light&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:1pt so= lid windowtext;border-right:1pt solid windowtext;border-bottom:1pt solid wi= ndowtext;border-left:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">2</span><span dir=3D"RTL"></span><span dir=3D"RTL"></span><span lang=3D"= AR-SA" dir=3D"RTL" style=3D"font-size:12pt;font-family:&quot;Times New Roma= n&quot;,&quot;serif&quot;"><span dir=3D"RTL"></span><span dir=3D"RTL"></spa= n>7</span><span dir=3D"LTR"></span><span dir=3D"LTR"></span><span style=3D"= font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;= "><span dir=3D"LTR"></span><span dir=3D"LTR"></span> Jul 2022</span><span s= tyle=3D"font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-ser= if&quot;"></span></p> </td> </tr> <tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Location/areas affects</span><span style=3D"font-size:12pt;font-family:&quot;Calibri Lig= ht&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001pt 0in;text-alig= n:justify;line-height:normal;font-size:11pt;font-family:Calibri,&quot;sans-= serif&quot;"><span style=3D"font-size:12pt;font-family:&quot;Calibri Light&= quot;,&quot;sans-serif&quot;">Kanam village in Kunduz city, Kunduz =C2=A0province</span><span style=3D"font-s= ize:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"></sp= an></p> </td> </tr> <tr style=3D"height:17.7pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:17.7pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Summary</span><span style=3D"font-size:12pt;font-family:&quot;Calibri Li= ght&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:17.7pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">On 28 Jul 2022 Kunduz Regional hospital SST reported to surveillance department of Kundu= z province that=C2=A0</span><span style=3D"font-size:12pt;font-family:&quot= ;Calibri Light&quot;,&quot;sans-serif&quot;">one suspected CCHF case admitted to Kunduz regional hospital at 28 Jul 2022 t= he case is from Kanam village , in Kunduz city =C2=A0according patient famil= y speech on=C2=A0five day ago =C2=A0she found high=C2=A0</span><span style=3D"font-size:12pt;fo= nt-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;">Fever, headache= , </span><span style=3D"font-size:12pt;font-family:&quot;Calibri Light&quot= ;,&quot;sans-serif&quot;">muscles Pain</span><span style=3D"font-size:12pt;= font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"> and went to = a private clinic in Kunduz Kunduz city then she referral at 28 Jul 2022 on Kunduz Regional hospital and admitted to the Kunduz RH on mentioned date the SST team starting investigation and=C2=A0 during investigation the team found the patient =C2=A0Fever was high until 38Cg = and laboratory shows platelet =3D=C2=A095000/mm³</span><span style=3D"font-si= ze:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;">,HB= =3D12.5 gr/dl , TLC=3D6000/mm³ and her situation was committed to hospitalization for intensive care and treatment supportive medicine =C2=A0also during the investigation one blood sample collected and shipped to CPHL f= or laboratory confirmation</span><span style=3D"font-size:12pt;font-family:&= quot;Calibri Light&quot;,&quot;sans-serif&quot;"></span></p> </td> </tr> <tr style=3D"height:25.5pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:25.5pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Epidemiological situation</span><span style=3D"font-size:12pt;font-family:&quot;Calibri L= ight&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:25.5pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Name=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: Bas biom D/of Zamir </span><span style=3D"font-size:12pt;font-family:&quo= t;Calibri Light&quot;,&quot;sans-serif&quot;"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Age=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: 60 Years</span><span style=3D"font-size:12pt;font-family:&quot;Calibri Li= ght&quot;,&quot;sans-serif&quot;"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Sex=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: Female </span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Occupation: </span><span style=3D"font-size:12pt;font-family:&quot;Calib= ri Light&quot;,&quot;sans-serif&quot;">House Wife =C2=A0</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Address: Kanam village, in Kunduz city</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Phone:=C2=A0=C2=A0=C2=A0 :0788073405</span><span style=3D"color:black"><= /span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Sign=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0:=C2=A0</span>= <span style=3D"font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;s= ans-serif&quot;">Fever, petechial, Hb=3D12.5gr, TLC=3D6000/mm³ and laboratory result shows platelet =3D=C2=A095000/mm³</span>= <span lang=3D"PRS-AF" dir=3D"RTL" style=3D"font-size:12pt"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Symptom:=C2=A0</span><span style=3D"font-size:12pt;font-family:&quot;Cal= ibri Light&quot;,&quot;sans-serif&quot;">Fever, headache and muscle pain, Hematemesis, Hemoptysis and Blood in Stool</span></p> </td> </tr> <tr style=3D"height:160.9pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-top:none;bor= der-left:1pt solid windowtext;border-bottom:none;border-right:1pt solid win= dowtext;padding:0in 5.4pt;height:160.9pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Actions initiated</span><span style=3D"font-size:12pt;font-family:&quot;Calibri L= ight&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-bottom:none;border-left:none;border-right:1pt solid windowtext;paddin= g:0in 5.4pt;height:160.9pt"> <ul style=3D"margin-top:0in;margin-bottom:0in" type=3D"disc"> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D"f= ont-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"= >Review hospital records and registry</span><span style=3D"font-size:12pt;font-family= :&quot;Calibri Light&quot;,&quot;sans-serif&quot;"></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D"f= ont-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"= >Interview with patient and patient accompanier for following</span><span style=3D"f= ont-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"= ></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D"f= ont-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"= >Filled the line list</span><span style=3D"font-size:12pt;font-family:&quot= ;Calibri Light&quot;,&quot;sans-serif&quot;"></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D"f= ont-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"= >Health education to patients caretakers and his families </span><span style=3D"font-size= :12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot;"></span>= </li> </ul> </td> </tr> <tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Contacts and coordination</span><span style=3D"font-size:12pt;font-family:&quot;Ca= libri Light&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Proper=C2=A0coordination and communication done with PPHD, NDSR FP, internal ward doctors, and SST= </span><span style=3D"font-size:12pt;font-family:&quot;Calibri Light&quot;= ,&quot;sans-serif&quot;"></span></p> </td> </tr> <tr style=3D"height:158.75pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:158.75pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">Challenges</span><span style=3D"font-size:12pt;font-family:&quot;Calibri= Light&quot;,&quot;sans-serif&quot;"></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:158.75pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">- There is no standard isolation ward in Kunduz Regional hospital</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">- It does not enough Hematology/ Microscopic and biochemistry tests. Also ther= e is no available platelet for transfusion to the patient</span><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,&quot;sans-serif&quot;"><span style=3D= "font-size:12pt;font-family:&quot;Calibri Light&quot;,&quot;sans-serif&quot= ;">-=C2=A0 </span><span style=3D"font-size:12pt;font-family:&quot;Calibri Light&quot= ;,&quot;sans-serif&quot;"></span></p> </td> </tr> </tbody></table><div><br></div>BR-- <br><div dir=3D"ltr" class=3D"gmail_sig= nature" data-smartmail=3D"gmail_signature"><div dir=3D"ltr"><div><div dir= =3D"ltr"><div><div dir=3D"ltr"><div><div dir=3D"ltr"><div><div><div>Mohamma= d Mohsen &quot;Hassanyar&quot;<br></div><div>Kunduz:NDSR Provincial officer= </div><div>Graduate AFETP(Afghanistan Field Epidemiology Training=C2=A0Prog= ram)=C2=A0<br></div><a href=3D"mailto:Email%3Adews.kunduz55@gmail.com" targ= et=3D"_blank">Email:dews.kunduz55@gmail.com</a><br></div>Private E-mail<a h= ref=3D"mailto:Email%3Amohsen.hassanyar@yahoo.com" target=3D"_blank">:mohsen= .hassanyar@yahoo.com</a><br></div>Phone Number:0795212080=C2=A0 <br></div><= /div></div></div></div></div></div></div></div> --000000000000a9c61805e5013026-- --000000000000a9c61b05e5013028 Content-Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document; name="CCHF Report 28-Jul-2022.docx" Content-Disposition: attachment; filename="CCHF Report 28-Jul-2022.docx" Content-Transfer-Encoding: base64 Content-ID: <f_l67lv5iw1> X-Attachment-Id: f_l67lv5iw1 UEsDBBQABgAIAAAAIQAykW9XZgEAAKUFAAATAAgCW0NvbnRlbnRfVHlwZXNdLnhtbCCiBAIooAAC AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 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