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From: Dr Sultanmahmood Noorzad <dr.s.noorzad@gmail.com>
Date: Sun, 16 Oct 2022 09:46:42 +0430
Message-ID: <CAEPnrcuSwhfKuSNkDNKS1zfsYe4FHPzj2qNt53kEWy7ReEWqew@mail.gmail.com>
Subject: Re: FW: [EXT] NDSR WER 40-2022
To: dr.shinwari@jack.ngo
Cc: "amini@jack.ngo" <Amini@jack.ngo>, hamidih@who.int
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Thank you Very Much received it.

Regards
Dr,noorzad

On Sun, Oct 16, 2022 at 8:52 AM <dr.shinwari@jack.ngo> wrote:

>
>
>
>
> *From:* HAMIDI, Hosna <hamidih@who.int>
> *Sent:* Sunday, October 16, 2022 8:44 AM
> *To:* HAMIDI, Hosna <hamidih@who.int>
> *Cc:* TANOLI, Jamshed <tanolij@who.int>; STANICZAI, Shah Mansoor <
> staniczais@who.int>; ATTIQUE, Amer <attiquea@who.int>
> *Subject:* FW: [EXT] NDSR WER 40-2022
>
>
>
> Dear Central Region Health Cluster Partners and Colleagues,
>
>
>
> As shared by MoPH, attached please find NDSR report for week 40, 2022, fo=
r
> your kind information and use.
>
>
>
> Regards,
>
> *Hosna Hamidi*
> *Regional Health Cluster Coordinator *
>
> *Central Region *
>
> [image: signature_1586931417]
>
> MOBILE: <https://www.emro.who.int/countries/afg>
>
> +93 731973257 <https://www.emro.who.int/countries/afg>
>
> EMAIL: <https://www.emro.who.int/countries/afg>
>
> hamidih@who.int
>
> WEBSITE: <https://www.emro.who.int/countries/afg>
>
> WHO EMRO Afghanistan <https://www.emro.who.int/countries/afg>
>
> GPN: <https://www.emro.who.int/countries/afg>
>
> *62108*
>
> *Promote health | Keep the world safe | Serve the vulnerable
> <https://www.emro.who.int/countries/afg>*
>
>
>
>
>
> *From: *Surveillance MoPH <surveillance.moph@gmail.com>
> *Date: *Sunday, October 16, 2022 at 6:29 AM
> *To: *information_distribution <information_distribution@googlegroups.com=
>,
> information_distribution+owners@googlegroups.com <
> information_distribution+owners@googlegroups.com>, dews-provinces <
> DEWS-Provinces@googlegroups.com>
> *Cc: *DMPP Office <office.dmpp@gmail.com>, hassan.ghiassy@yahoo.com <
> hassan.ghiassy@yahoo.com>, Mubarakshah Mubarak <mubarak.ismaeel@gmail.com=
>,
> atasayedzai (atasayedzai@gmail.com) <atasayedzai@gmail.com>, General
> Directorate of Preventive Medicine <gdpm.moph@gmail.com>,
> Naeemullahdr@gmail.com <Naeemullahdr@gmail.com>, office.gdpp@gmail.com <
> office.gdpp@gmail.com>, mirwais.ahmadzai@yahoo.com <
> mirwais.ahmadzai@yahoo.com>, anphi@moph.gov.af <anphi@moph.gov.af>,
> Ahmadzai, SAH <ahmadzai.hpd@gmail.com>, Khalid Arian <
> akhalid.arian@gmail.com>, ABOUZEID, Alaa <abouzeida@who.int>, SAHAK,
> Mohammad <sahakm@who.int>, TAHON, Mohamed Moustafa <tahonm@who.int>,
> sharafatzaman124@gmail.com <sharafatzaman124@gmail.com>, Abdul Naser
> Ikram <aikram@usaid.gov>, Abdul Naser Ikram <naserikram@gmail.com>
> *Subject: *[EXT] NDSR WER 40-2022
>
> Dear All,
>
> Please find attached the summary and full report of NDSR/ Surveillance
> priority diseases and outbreaks for week 40, 2022. For more information y=
ou
> can visit MoPH website or contact our department at MoPH.
> Summary:
>
> =C2=B7 Out of *519* functional Surveillance sentinel sites, *509 =
(**98*
> *.1%)* have submitted reports this week.
>
> =C2=B7 A total of *540**,**215* new consultations, *216,433 (40.1%=
)*
> were due to Surveillance targeted diseases. That included *115,124
> (53.2%)* males and *101,309 (46.8%)* females. Also, *105,632* *(48.8%)*
> under five years old and *110,802 (51.2%)* five years old and over,
> reported this week.
>
> =C2=B7 The main causes of consultations in this week were ARI Cou=
gh &
> Cold, *118,546 (21.9%)* cases out of total new consultations, Acute
> Diarrheal Diseases *69,080 (12.8%)* cases out of total new consultations,
> and Pneumonia, and* 21,326 (3.9%)* cases out of total new consultations.
>
> =C2=B7 A total of *177* deaths were reported this week, of which =
*35
> (19.8%)* deaths were due to Surveillance targeted diseases, which include
> *23* Pneumonia deaths, *04* COVID 19 deaths, *03 *Acute Watery Diarrhea
> (AWD) with Dehydration deaths, *02* Suspected Acute Viral Hepatitis
> deaths, *02* Suspected Measles deaths and *01* Typhoid Fever death.
>
> =C2=B7 In addition, during this week *11* outbreaks reported (*03=
 AWD*
> outbreaks were reported from *Badakhshan, Baghlan, and Parwan *Provinces,=
*
> 04 Dengue Fever* outbreaks were reported from *Kabul and Nangarhar*
> Provinces, *02 suspected Mumps* outbreaks were reported from *Herat *
> province,* 01 Dog bite/ Suspected Rabies *outbreak was reported from
> *Takhar* province and *01* suspected *Chickenpox* outbreak was reported
> from *Herat* province).
>
> =C2=B7 Also *10 Suspected CCHF* cases were reported from *Kabu=
l,
> Balkh, Baghlan, Herat, Parwan and Wardak *provinces.
>
> =C2=B7 Moreover, *949* COVID-19 confirmed cases and *538* suspect=
ed
> Measles cases with *02* deaths due to Measles were reported at the
> national level.
>
>
>
> *COVID-19 Surveillance activities:*
>
> In this week, *7425 *specimens were tested for suspected COVID-19. Out of
> which *949* specimens were confirmed for COVID-19 by RT-PCR.
>
> =C2=B7 COVID-19 cases positivity rate was 12.8 % in this week, wh=
ich
> decreased 1.1% compared to previous week.
>
> =C2=B7 Bed occupancy rate (BOR) at the national level was *45.7%,=
*
> which decreased 5.6 % compared to last week.
>
> =C2=B7 Out of *949 *confirmed cases,* 2043 *contacts of *687 *confir=
med
> cases were traced that were mostly family members with an average of 3
> contacts per one case, and will be continued until 14 days of their last
> contact with the confirmed cases. Also, surveillance screening teams
> screened all the passengers in the points of entry for fever. In addition=
,
> health education was conducted for them, about *42768 *passengers have
> been screened for COVID-19 in the points of entry of five provinces (Balk=
h,
> Nangarhar, Herat, Kandahar and Nimroz).
>
> *Challenges:*
>
> =C2=B7 Weak preparedness for the outbreak investigation and respons=
e in
> the provincial level
>
> =C2=B7 AWD outbreaks and diarrheal diseases cases are still a publi=
c
> health problem, in this week we had 03 AWD outbreaks with 05 deaths due
> to AWD with dehydration.
>
> =C2=B7 Suspected Measles cases, in this week *538 *suspected measle=
s case
> s and 02 deaths due to Measles were reported.
>
>
>
> *Recommendations:*
>
> =C2=B7 Strong RRT team should be established in the provincial le=
vel
> to timely and properly investigate and respond the diseases outbreaks
>
> =C2=B7 Strong preventive and control measures are needed for the =
control
> of AWD cases and outbreaks at the national level.
>
> =C2=B7 Measles vaccination and preventive measures should be
> strengthened and the measles response strategy should be revised.
>
> o *EPI*: As the surveillance system detected *538 *suspected Measles c=
a
> ses with 02 deaths at the national level, so further prevention and c
> ontrol measures should be conducted by the EPI team.
>
> =C2=B7 The findings should be analyzed further in different level=
s and
> appropriate actions to be taken by the concerned departments.
>
>
>
> Regards,
>
> Dr. Ahadi
>
>
>
> --
>
> Regards,
>
> --------------------------------------------------------
>
> National Disease Surveillance and Response (NDSR) Department
>
> General Directorate of M&E-HIS
>
> Ministry of Public Health
>
> Kabul - Afghanistan
>
> Mobile Phone No: +93 20 230 13 66
>
> E-Mail: surveillance.moph@gmail.com
>

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<div dir=3D"ltr">Thank you Very Much received it.<div> </div><div>Regard=
s</div><div>Dr,noorzad</div></div> <div class=3D"gmail_quote"><div dir=
=3D"ltr" class=3D"gmail_attr">On Sun, Oct 16, 2022 at 8:52 AM &lt;dr.shinwa=
ri@jack.ngo&gt; wrote: </div><blockquote class=3D"gmail_quote" style=3D"=
margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-lef=
t:1ex"><div class=3D"msg7269703529008174428"><div lang=3D"EN-US"><div class=
=3D"m_7269703529008174428WordSection1">=C2=A0<a name=3D"m_7269703529008174428__MailEndCompose"><span=
 style=3D"font-size:11pt;color:rgb(31,73,125)">=C2=A0<=
/a><div><div style=3D"border-right:none;border-bottom:none=
;border-left:none;border-top:1pt solid rgb(225,225,225);padding:3pt 0in 0in=
">From:=
 HAMIDI, Hosna &lt;<a href=3D"mailto:hamidih=
@who.int" target=3D"_blank">hamidih@who.int</a>&gt; Sent: Sunday=
, October 16, 2022 8:44 AM To: HAMIDI, Hosna &lt;<a href=3D"mailt=
o:hamidih@who.int" target=3D"_blank">hamidih@who.int</a>&gt; Cc: =
TANOLI, Jamshed &lt;<a href=3D"mailto:tanolij@who.int" target=3D"_blank">ta=
nolij@who.int</a>&gt;; STANICZAI, Shah Mansoor &lt;<a href=3D"mailto:stanic=
zais@who.int" target=3D"_blank">staniczais@who.int</a>&gt;; ATTIQUE, Amer &=
lt;<a href=3D"mailto:attiquea@who.int" target=3D"_blank">attiquea@who.int</=
a>&gt; Subject: FW: [EXT] NDSR WER 40-2022</=
p></div></div>=C2=A0Dear Central Region Health Cluster =
Partners and Colleagues, <s=
pan style=3D"font-size:11pt">=C2=A0As shared by MoPH, attached please f=
ind NDSR report for week 40, 2022, for your kind information and use. </=
u><=
u>=C2=A0<div><div>Regards,<table bor=
der=3D"0" cellspacing=3D"0" cellpadding=3D"0" width=3D"648" style=3D"width:=
4.5in;border-collapse:collapse"><tbody><tr><td width=3D"423" style=3D"width=
:211.5pt;padding:0in 0in 4.5pt">Hosna Hamidi<=
/span> Regional Health Cluster Coordinator </spa=
n>Central Region=C2=A0 </td><td width=3D"225" style=3D"width:112.5=
pt;padding:0in 0in 4.5pt"><img width=3D"133" height=3D"64" style=3D"width: 1.3888in; height: 0.6=
666in;" id=3D"m_7269703529008174428Picture_x0020_1" src=3D"cid:183df28c7205=
b006a1" alt=3D"signature_1586931417"></td></tr><tr=
><td width=3D"423" style=3D"width:211.5pt;padding:0in"><a href=3D"https://www=
.emro.who.int/countries/afg" target=3D"_blank">MOBILE:</a></=
u></td><td width=3D"225" style=3D"width:112.5pt;padding:0in"><a =
href=3D"https://www.emro.who.int/countries/afg" target=3D"_blank">+93 73197=
3257</a></td=
></tr><tr><td width=3D"423" style=3D"width:211.5pt;padding:0in">E<a href=3D"h=
ttps://www.emro.who.int/countries/afg" target=3D"_blank">MAIL: </a>=
</td><td width=3D"225" style=3D"width:112.5pt;padding=
:0in"><a href=3D"mailto:hamidih@who.int" target=3D"_blank">hamidih@who.int</a></td></tr><tr><td width=3D"423" style=3D"=
width:211.5pt;padding:0in"><a href=3D"https://www.emro.who.int/countries/afg"=
 target=3D"_blank">WEBSITE:</a></=
span></td><td width=
=3D"225" style=3D"width:112.5pt;padding:0in"><a href=3D"https://www.emro.wh=
o.int/countries/afg" target=3D"_blank">WHO EMRO Afghanistan =C2=A0</a></spa=
n></td></tr><tr><td=
 width=3D"423" style=3D"width:211.5pt;padding:0in"><=
span style=3D"font-size:11pt;color:rgb(68,84,106)"><a href=3D"https://www.e=
mro.who.int/countries/afg" target=3D"_blank">GPN: </a>=
</td><td width=3D"225" style=3D"width:112.5pt;padding:0in">6210=
8</td></=
tr><tr><td width=3D"648" colspan=3D"2" style=3D"width:4.5in;padding:0in"><p=
 class=3D"MsoNormal"><a href=3D"https://www.emro.who.int/countries/afg" target=3D"_blank">Promo=
te health | Keep the world safe | Serve the vulnerable</a></td></tr></tbody></table=
></div></div>=
=C2=A0=C2=A0<div style=3D"border-right:none;border-bo=
ttom:none;border-left:none;border-top:1pt solid rgb(181,196,223);padding:3p=
t 0in 0in">From: Surveillance MoPH &lt;<a href=3D"mailto:surveillance.mop=
h@gmail.com" target=3D"_blank">surveillance.moph@gmail.com</a>&gt; Da=
te: Sunday, October 16, 2022 at 6:29 AM To: information_distr=
ibution &lt;<a href=3D"mailto:information_distribution@googlegroups.com" ta=
rget=3D"_blank">information_distribution@googlegroups.com</a>&gt;, <a href=
=3D"mailto:information_distribution+owners@googlegroups.com" target=3D"_bla=
nk">information_distribution+owners@googlegroups.com</a> &lt;<a href=3D"mai=
lto:information_distribution+owners@googlegroups.com" target=3D"_blank">inf=
ormation_distribution+owners@googlegroups.com</a>&gt;, dews-provinces &lt;<=
a href=3D"mailto:DEWS-Provinces@googlegroups.com" target=3D"_blank">DEWS-Pr=
ovinces@googlegroups.com</a>&gt; Cc: DMPP Office &lt;<a href=3D"m=
ailto:office.dmpp@gmail.com" target=3D"_blank">office.dmpp@gmail.com</a>&gt=
;, <a href=3D"mailto:hassan.ghiassy@yahoo.com" target=3D"_blank">hassan.ghi=
assy@yahoo.com</a> &lt;<a href=3D"mailto:hassan.ghiassy@yahoo.com" target=
=3D"_blank">hassan.ghiassy@yahoo.com</a>&gt;, Mubarakshah Mubarak &lt;<a hr=
ef=3D"mailto:mubarak.ismaeel@gmail.com" target=3D"_blank">mubarak.ismaeel@g=
mail.com</a>&gt;, atasayedzai (<a href=3D"mailto:atasayedzai@gmail.com" tar=
get=3D"_blank">atasayedzai@gmail.com</a>) &lt;<a href=3D"mailto:atasayedzai=
@gmail.com" target=3D"_blank">atasayedzai@gmail.com</a>&gt;, General Direct=
orate of Preventive Medicine &lt;<a href=3D"mailto:gdpm.moph@gmail.com" tar=
get=3D"_blank">gdpm.moph@gmail.com</a>&gt;, <a href=3D"mailto:Naeemullahdr@=
gmail.com" target=3D"_blank">Naeemullahdr@gmail.com</a> &lt;<a href=3D"mail=
to:Naeemullahdr@gmail.com" target=3D"_blank">Naeemullahdr@gmail.com</a>&gt;=
, <a href=3D"mailto:office.gdpp@gmail.com" target=3D"_blank">office.gdpp@gm=
ail.com</a> &lt;<a href=3D"mailto:office.gdpp@gmail.com" target=3D"_blank">=
office.gdpp@gmail.com</a>&gt;, <a href=3D"mailto:mirwais.ahmadzai@yahoo.com=
" target=3D"_blank">mirwais.ahmadzai@yahoo.com</a> &lt;<a href=3D"mailto:mi=
rwais.ahmadzai@yahoo.com" target=3D"_blank">mirwais.ahmadzai@yahoo.com</a>&=
gt;, <a href=3D"mailto:anphi@moph.gov.af" target=3D"_blank">anphi@moph.gov.=
af</a> &lt;<a href=3D"mailto:anphi@moph.gov.af" target=3D"_blank">anphi@mop=
h.gov.af</a>&gt;, Ahmadzai, SAH &lt;<a href=3D"mailto:ahmadzai.hpd@gmail.co=
m" target=3D"_blank">ahmadzai.hpd@gmail.com</a>&gt;, Khalid Arian &lt;<a hr=
ef=3D"mailto:akhalid.arian@gmail.com" target=3D"_blank">akhalid.arian@gmail=
.com</a>&gt;, ABOUZEID, Alaa &lt;<a href=3D"mailto:abouzeida@who.int" targe=
t=3D"_blank">abouzeida@who.int</a>&gt;, SAHAK, Mohammad &lt;<a href=3D"mail=
to:sahakm@who.int" target=3D"_blank">sahakm@who.int</a>&gt;, TAHON, Mohamed=
 Moustafa &lt;<a href=3D"mailto:tahonm@who.int" target=3D"_blank">tahonm@wh=
o.int</a>&gt;, <a href=3D"mailto:sharafatzaman124@gmail.com" target=3D"_bla=
nk">sharafatzaman124@gmail.com</a> &lt;<a href=3D"mailto:sharafatzaman124@g=
mail.com" target=3D"_blank">sharafatzaman124@gmail.com</a>&gt;, Abdul Naser=
 Ikram &lt;<a href=3D"mailto:aikram@usaid.gov" target=3D"_blank">aikram@usa=
id.gov</a>&gt;, Abdul Naser Ikram &lt;<a href=3D"mailto:naserikram@gmail.co=
m" target=3D"_blank">naserikram@gmail.com</a>&gt; Subject: [EXT] =
NDSR WER 40-2022</div><div><div><div><div><div>Dear All,<s=
pan style=3D"font-size:11pt;line-height:115%">Please find attache=
d the summary and full report of NDSR/ Surveillance priority diseases and o=
utbreaks for week 40, 2022. For more information you can visit MoPH website=
 or contact our department at MoPH.<h1 style=3D"margin:0in 0in 0.0001p=
t;text-align:justify;line-height:115%;break-after:avoid">Summary:</span=
>=C2=A0=C2=A0=C2=A0 <spa=
n style=3D"font-size:12pt;line-height:115%;font-family:Cambria,serif;color:=
rgb(54,95,145)"></h1><a name=3D"m_7269703529008174428__Hlk8=
0690921">=C2=B7</a=
>=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 <spa=
n>Out of 5=
19 functional Surveillance sentinel sites, 509 (9=
8.1%) have submitted repor=
ts this week. =C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 A total of <sp=
an dir=3D"RTL"></s=
pan>540,<span=
 dir=3D"RTL"></spa=
n>215 =
new co=
nsultations, 216,433 (40.1%) were due to Surveillance targeted disea=
ses. That included 115,124 (53.2%) males and 101,309 (46.8%) =
females. Also, 105,632 (48.8%) under five years old and 11=
0,802 (51.2%) five years old and over, reported this week.</spa=
n>=C2=B7=C2=A0=C2=
=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 The main causes of consultations in this =
week were ARI Cough &amp; Cold, 118,546 (21.9%) cases out of total n=
ew consultations, Acute Diarrheal Diseases 69,080 (12.8%) cases out =
of total new consultations, and Pneumonia, and 21,326 (3.9%) cases o=
ut of total new consultations.=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0=C2=A0 A total of 177 deaths were reported this week, of which=
 35 (19.8%) deaths were due to Surveillance targeted diseases, which=
 include 23 Pneumonia deaths, 04 COVID 19 deaths, 03 A=
cute Watery Diarrhea (AWD) with Dehydration deaths, 02 Suspected Acu=
te Viral Hepatitis deaths, 02 Suspected Measles deaths and 01=
 Typhoid Fever death.=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 </=
span>In addit=
ion, during this week 11 outbreaks reported (03 AWD outbreaks=
 were reported from Badakhshan, Baghlan, and Parwan Provinces, 04=
 Dengue Fever outbreaks were reported from Kabul and Nangarhar P=
rovinces, 02 suspected Mumps outbreaks were reported from Herat <=
/b>province, 01 Dog bite/ Suspected Rabies outbreak was reported fro=
m Takhar province and 01 suspected Chickenpox outbreak=
 was reported from Herat province).=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 Also 10 Suspected CCHF cases were rep=
orted from Kabul, Balkh, Baghlan, Herat, Parwan and Wardak provinces=
.</=
u>=C2=B7</sp=
an>=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 Moreover, 949 COVID-1=
9 confirmed cases and 538 suspected Measles cases with 02 dea=
ths due to Measles were reported at the national level.</p=
>=C2=A0</u=
>COVID-19 Surveillance activities:<a name=3D"m_7269703529008174428=
__Hlk48175760">In this week,=
 7425 specimens were tested for suspected COVID-19. Out of which =
949 specimens were confirmed for COVID-19 by RT-PCR. </a><=
/span>=
=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0 COVID-19 cases positivity rate was 12.8 % in this w=
eek, which decreased 1.1% compared to previous week.=
=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0 Bed occupancy rate (BOR) at the national level was 45.=
7%, which decreased 5.6 % compared to last week.=C2=B7=
=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 Out of =
949 confirmed cases, 2043 contacts of 687 confirmed ca=
ses were traced that were mostly family members with an average of 3 contac=
ts per one case, and will be continued until 14 days of their last contact =
with the confirmed cases. Also, surveillance screening teams screened all t=
he passengers in the points of entry for fever. In addition, health educati=
on was conducted for them, about 42768 passengers have been screened=
 for COVID-19 in the points of entry of five provinces (Balkh, Nangarhar, H=
erat, Kandahar and Nimroz). Challenges:=C2=A0 =C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 Weak preparedness for t=
he outbreak investigation and response in the provincial level <span=
 style=3D"font-family:&quot;Times New Roman&quot;,serif"></sp=
an>=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0 AWD outbreaks and diarrheal diseases cases are still a pu=
blic health problem, in this week </span=
>we had 03 A<s=
pan style=3D"letter-spacing:0.05pt">WD outbreaks wit=
h 05 deaths due to AWD with dehydration.=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 <=
span style=3D"font-size:10pt;font-family:Verdana,sans-serif;letter-spacing:=
0.05pt">Suspected Mea</span=
>sles cases,<=
span style=3D"letter-spacing:0.3pt"> in this week 538 suspect=
ed measles cas=
es and 02 deaths due to Measles were reported.</spa=
n>=C2=A0Recommendations: =
=C2=B7=C2=A0=C2=A0=C2=
=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 Strong RRT team should be esta=
blished in the provincial level to timely and properly investigate and resp=
ond the diseases outbreaks =C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 Strong </sp=
an>prevent<span=
 style=3D"letter-spacing:0.05pt">ive and control m<=
span style=3D"letter-spacing:-0.05pt">easures are nee</span=
>ded for the c</span=
>ontrol of AWD ca</spa=
n>ses and outbreaks at the na</spa=
n>tional l<spa=
n style=3D"letter-spacing:-0.05pt">evel. <span=
 style=3D"font-family:&quot;Times New Roman&quot;,serif"></sp=
an>=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0=C2=A0 Mea</s=
pan>sles vaccination and preventive measures should be strengthened and the=
 measles response strategy should be revised. =C2=A0=C2=A0=C2=A0o<=
/span>=C2=A0=C2=A0=C2=A0 EPI: As the<spa=
n style=3D"letter-spacing:-0.4pt"> surveillance sy=
stem dete<span=
 style=3D"letter-spacing:-0.05pt">cted 538 s=
uspected M<spa=
n style=3D"letter-spacing:0.05pt">easles ca=
ses with 02 deaths <sp=
an style=3D"letter-spacing:0.05pt">at the national level, so further pr</s=
pan>evention<=
span style=3D"letter-spacing:-0.35pt"> and control measures should be conducted =
by the<sp=
an style=3D"letter-spacing:-0.4pt"> EPI team.=
</u=
>=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0=C2=A0=C2=A0 The findings should be ana</=
span>lyzed further in diffe</sp=
an>rent levels </span=
>and appro<sp=
an style=3D"letter-spacing:-0.05pt">priate a=
ctions to </spa=
n>be taken by<=
span style=3D"letter-spacing:-0.25pt"> the concerned dep<=
/span>artments.=C2=A0</span=
></=
u>Regards,Dr. Aha=
di<=
/u></div><div>=C2=A0</div><div>--</sp=
an></div><div>Regards,</sp=
an>----------------------------------------------------=
----National Disease Surveillance and Response (NDSR) Department </span=
>Ge=
neral Directorate of M&amp;E-HIS <=
/u>Ministry of Public Health<s=
pan style=3D"font-family:Verdana,sans-serif;color:rgb(0,112,192)">Kabul - A=
fghanistan<p=
 class=3D"MsoNormal">Mobile Phone No: +93 20 230 13 66E-Mail: <a href=3D"mailt=
o:surveillance.moph@gmail.com" target=3D"_blank">surveillance.moph@gmail.com</a></div></div></div></div></div></div></=
div></div></blockquote></div>

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