Disease Outbreak Summary Report(as reported by district Hospital/BHU) for August 2014

Outbreak NameOutbreak PlaceOutbreak DzongkhagReported By 
Japanese EncaphalitisSemji, Nubi GewogTrongsaTrongsa Hospital
Japanese EncaphalitisTshachuphuPunakhaPunakha Hospital

Notifiable Diseases Summary Report for August 2014

Disease ReportedTotal Cases
chicken pox1
Viral Hepatitis5
Peripheral Neuropathy1
Scrub Typhus10
Bacterial Meningitis2
Typhoid Fever4

Monthly Notifiable Disease Surveillance Report(Reporting Center Wise) for July,2014

NDS Reporting Center wise Report

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Monthly Notifiable Disease Surveillance Summary Report for July,2014

NDS Summary Reporting Report

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FluView_ILI & SARI Surveillance Report for Week 32, 2014

The incidence of ILI and SARI for the week was 19/1000 outpatient visits and 5/100 hospitalized patients respectively. The highest incidence of ILI cases were reported from Phuntsholing and SARI from Tsirang Hospital. The ILI cases were commonly observed among age group 15-29 years while SARI cases were observed among 2-4 year age group. From 20 samples received and tested by Real-Time RT-PCR, positivity rate was 30%. Flu A/H3 and Flu B was found dominant circulating strains for the week.

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Centers for Disease Control and Prevention(CDC) Review Report on Influenza Laboratory Capacity in PHL

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Centers for Disease Control and Prevention(CDC) Review Report on Surveillance System in the Country

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Applications Invited for One Health Postgraduate Study Fellowships

Massey University is seeking applicants for One Health Postgraduate Study Fellowships as part of a 3-year program ‘Integrating Education and Action for One Health’ in Afghanistan, Bhutan, Nepal and Bangladesh. The program is funded by the European Commission under the One Health Program in Asia, and runs from 2014–2017.

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Report on Entomological investigation of Malaria outbreak in Khawrong, Langchenphu, Jomotshangkha (3rd June 2013 to 9th June 2014)

The first two malaria cases were reported from a couple, Mr. TshetenDorji and Mrs. Tsheltrim Zangmo, who had seeked treatment in India. They are nomadic herders;they had cited that, since, treatment at Basic Health Unit required hospitalization, they preferred to get treated in India. No medical prescription was available with them, though, it was most likely that, they were treated by......

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Report on Malaria Case follow up at Changray village Trongsa Dzongkhag

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Epidemiology of dog bites and Rabies post exposure prophylaxis in Bhutan, 2009–2012.(Article under peer review)

Dog bites in human and expenses incur on anti-rabies treatment is a public health problem in Bhutan. In this study we describe the epidemiology of dog bites and the use of human rabies postexposure prophylaxis (PEP) vaccine in Bhutan for a period of four years (2009-2012). Dog bites and PEP treatment data (18,813 patients’) were retrieved from 34 health centres and performed descriptive and logistic regression analyses.

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Novel Human Bufavirus Genotype 3 in Children with Severe Diarrhea Bhutan(Published Article)

We identified a new genotype of bufavirus, BuV3, in fecal samples (0.8%) collected to determine the etiology of diarrhea in children in Bhutan. Norovirus GII.6 was detected in 1 sample; no other viral diarrheal pathogens were detected, suggesting BuV3 as a cause of diarrhea. This study investigates genetic diversity of circulating BuVs.

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Multidrug-resistant Tuberculosis Patients in Bhutan, August 2011 to July 2012(Published Article)

This study aimed to describe the factors associated with multidrug-resistant tuberculosis (MDR-TB) in Bhutan. The study covered all MDR-TB patients admitted to Gidhakom Hospital, Thimphu from August 2011 to July 2012. Data were collected from MDR-TB registers, laboratory registers and inpatient records as well as from interview with patients about demographic characteristics, history of previous anti-TB treatment, compliance and contact history. There were total 19 MDR-TB patients. Majority of the patients were males (63%). Median age was 25 years for males and 30 years for females.

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Molecular Characterization and PCR-based Replicon Typing of Multiple Resistant Shigella sonnei Isolates from Bhutan(Published Article)

During a diarrhea surveillance study in Bhutan 2011, Shigella sonnei were isolated more frequently than expected. Twenty-nine S. sonnei isolated from Bhutan were characterized for antimicrobial susceptibility, integrons, gyrA gene mutation, replicon typing, plasmid and PFGE analysis.

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Rotavirus burden 2013 manuscript(Article under peer review)

During the study period, a total of 284 children (1 in 45) were hospitalized, and 2,220 children (1 in 6 children) attended the outpatient clinic with diarrhea. Group A rotavirus was detected in 5% of the stool samples from the hospitalized children with diarrhea.

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Influenza surveillance from November 2008 to 2011;including pandemic influenza A(H1N1)pdm09 in Bhutan(Published Article)

The first case of A(H1N1)pdm09 infection was detected in Bhutan in July 2009, 3 months after the virus was first reported in Mexico in April 2009. During the official WHO pandemic period( 11 June 2009 to 8 August 2010), a total of 2149 samples were collected and tested by RT-PCR of which 22.7% (487) were confirmed A(H1N1)pdm09;H3N2,H1N1 and B positive in 2.2%, 1.1% and 7.2%, respectively.

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Chikungunya Fever Outbreak,Bhutan, 2012(Published Article)

In 2012, chikungunya virus (CHIKV) was reported for the first time in Bhutan. IgM ELISA results were positive for 36/210 patient samples; PCR was positive for 32/81. Phylogenetic analyses confirmed that Bhutan CHIKV belongs to the East/Central/South African genotype. Appropriate responses to future outbreaks require a system of surveillance and improved laboratory capacity

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Strengthening the One Health Hub Bhutan

A One Health approach involving joint activities amongst human, animal and environmental sectors for the control of zoonoses has received increasing attention in recent years given the high proportion of emerging infectious diseases originating from animal species,such as avian influenza (H5N1, H1N1), Severe Acute Respiratory Syndrome (SARS), antimicrobial resistance, Nipah virus and others.

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One Health Hub Bhutan Membership Registration

To register as a One Health Hub Bhutan member, please download the Membership Registration Form and email the completed form to tjamsophl@gmail.com or karmatseerindorji@hotmail.com