library(dhis2bulletin)
create_charts(params)

The Ministry of National Health Services, Regulations and Coordination (MoNHSRC) partially rolled out the implementation of Integrated Disease Surveillance and Response (IDSR) in 2019, which make us enable to issue weekly bulletin.

Key messages

Integrated Disease Surveillance and Response (IDSR) Sites

if (!exists('data/table1.csv')) {
  table1 <-
    data.table::fread(system.file('extdata', 'table1.csv', package = 'dhis2bulletin'))
  data.table::fwrite(table1, 'data/table1.csv')
} else {
  table1 <- data.table::fread('data/table1.csv')
}
table_alignment <- paste0('ll', paste0(rep('c', ncol(table1) - 2), collapse = ''))
knitr::kable(table1,
             align = table_alignment,
             format.args = list(big.mark = ','),
             format = 'markdown')

Table 1. ARS (Agreed Reporting Sites)

Dengue Outbreak Update

The National Institute of Health, Emergency Operation Center (EOC) has been activated since 16th September 2019 to monitor the disease situation. A daily situation report is being disseminated to federal and provincial health departments.

The Seasonal Awareness & Alert Letter (SAAL) and Advisory on Prevention and Control of Dengue has been widely disseminated and made available at NIH website: www.nih.org.pk along with IEC material. The National Guidelines for Dengue Vectors Control in Pakistan are also available at Directorate of Malaria Control. Website www.dmc.gov.pk.

Figure 1. IDSR priority diseases reported during last 4 weeks from reporting districts of Pakistan

Figure 2. IDSR priority diseases reported during last 12 weeks from reporting districts of Pakistan

Figure 3. IDSR priority diseases reported from Azad Jammu and Kashmir (Mirpur) during last 4 weeks

Figure 4: IDSR priority diseases reported from Balochistan (Gwadar, Kech and Killa Abdullah) during last 4 weeks

Figure 5: IDSR priority diseases reported from Khyber Pakhtunkhwa (Haripur and Lakki Marwat) during last 4 weeks

Figure 6: IDSR priority diseases reported from Islamabad (ICT HF) during last 4 weeks

IDSR Background

As part of IHR monitoring framework, Joint External Evaluation (JEE) was conducted in 2016, which recommended establishing disease surveillance and response mechanism in Pakistan as an essential core capacity. Accordingly, an Integrated Disease Surveillance and Response (IDSR) system was developed and has been initially rolled out to one district from every province/regions. KP and AJK are sending data on regular basis. Three drought affected districts from Balochistan and two from Sindh have also been included in the IDSR System. All three districts of Balochistan are sharing data on weekly basis and analyzed using DHIS-2 platform. And other districts will come on board as the training and support is rolled out.

Objectives

News & Events

Following activities were conducted during last week (04-10 November 2019):

The tables below were describing the data excluding agreed IDSR priority diseases, they are mainly drought affected areas (support provided by WHO)

Figure 7: Reported cases of other diseases from reporting AJK districts during last 4 weeks

Figure 8: Reported cases of other diseases from reporting Balochistan districts during last 4 weeks

Figure 9: Reported cases of other diseases from reporting Khyber Pakhtunkhwa districts during last 4 weeks



prcleary/dhis2bulletin documentation built on Jan. 21, 2020, 7:27 p.m.