Notifiable Diseases Summary Report(as reported by district Hospital/BHU) for June 2013
|Disease Reported||Total Cases|
Update on novel coronavirus infectionSurveillance guidelines
Clinical management guidelines
Infection Prevention and Control guidelines
Guidelines on laboratory diagnosis
Research findings, including this recent supplemental EMRO publication
FAQs that are posted on the WHO HQ website
A draft case investigation protocol
Disease summaries (for example presentations given at WHA and the following)
H7N9 Avian InfluenzaClick here to read article on "Global Concerns Regarding Novel Influenza A (H7N9) Virus Infections"
Click here to read article on "Human Infection with a Novel Avian-Origin Influenza A (H7N9) Virus"
Monthly Notifiable Disease Surveillance Summary Report for April,2013
NDS Summary ReportRead Full
Monthly Notifiable Disease Surveillance Report(Reporting Center Wise) for April,2013
NDS Reporting Center wise ReportRead Full
Influenza Like-Illness and Severe Acute Respiratory Illness surveillance, 2012 (supplement)
Influenza Like-Illness and Severe Acute Respiratory Illness surveillance, 2012 (supplement) by Sonam Wangchuk, Sangay Zangmo,Public Health Laboratory, Department of Public Health,MoHRead Full
Report on Chicken Pox Outbreak at Shingkhar Pry School, Zhemgang
Report on Chicken Pox Outbreak at Shingkhar Pry School, Zhemgang by Dr. Namkha Dorji, Medical Officer, Zhemgang BHU IRead Full
Monthly ILI & SARI surveillance report
Monthly ILI & SARI surveillance report for November, 2012Read Full
An Update On Coronavirus Infection
An Update On Coronavirus InfectionRead Full
Chargaray Lower Secondary School ARI outbreak investigation report
Report on outbreak investigation in Chargaray Lower Secondary School, SamtseRead Full
Report on Chikungunya Fever Outbreak in Bhutan
Report on Chikungunya Fever Outbreak in BhutanRead Full
Acute Glomerulonephritis outbreak at Buli Middle Secondary School,2012
Report on Suspected post streptococcal Acute Glomerulonephritis outbreak at Buli Middle Secondary SchoolRead Full
Nutritional deficiency outbreak at Langthel Lower Secondary School,2012
Report on Nutritional deficiency outbreak at Langthel Lower Secondary School,TrongsaRead More
Background:On 11th 2012, Langthel BHU staff called CMO over five students suffering from legs swelling from Langthel Lower Secondary School. After consultation with CMO, the students were referred to Trongsa hospital on 12th June for further clinical investigation. Following examination/investigation, the cause of an outbreak was suspected as nutritional deficiency. On 14th June, the team comprising DHO, CMO and BHU staff visited Langthel LSS to investigate.
Finding:Clinically, all five students examined in the hospital had bilateral legs swelling with no other sign and symptoms associated. However, one case had high blood pressure. Lab result showed low protein level in the blood. During the investigation in the school, 12 additional students were found having/had history of similar symptom (bilateral leg swelling). Out of 17 cases; 9 were old and 8 were new cases. All cases complained leg swelling on and off. All were border students except for the one. The school menu revealed mostly carbohydrate rich diet.
Conclusion:Probable Nutritional deficiency (protein and multi vitamin) may be the cause of the current outbreak.Read Full
Report on Nutritional Neuropathy in Lhuentse Schools
Report on Nutritional Neuropathy in Lhuentse SchoolsRead Full
Investigation of Acute Gastroentritis Outbreak in Ngaglam HSS,Pemagatshel,2012
Report on Investigation of Acute Gastroentritis Outbreak in Ngaglam Higher Secondary School, Nganglam Dungkhag, Pemagtashel by Sonam Wangcuk, Head, PHL, Tsheten, Medical Technologist, PHL and Dorji Tshering, Sr TechnicianRead More
Background:On 14th May 2012 (around 10.00 AM), an outbreak of acute gastroenteritis (AGE) in Nganglam Higher Secondary School was reported to Public Health Laboratory by Medical Officer (MO) of Nganglam BHU-1. Cause of an outbreak was initially suspected food poisoning.
Objective:To verify and confirm acute gastroenteritis outbreak
Methodology:All AGE cases were interviewed to ascertain source of an outbreak. Stool sample were collected from some cases and tested in lab. Environment investigation was carried at school water source and in the school kitchen. Water samples were collected from source till taps of the school for quality testing.
Results:All cases had diarrhea and adnominal cramp associated with fever, nausea and vomiting. An overall attack rate of an AGE outbreak was 28% however, sex specific attack rate was observed high among girls (40%) compare to boys (20%). Affected age group ranges from 15 - 21 years. Water was found grossly contaminated at source till tap points in the school and organism isolated from stool was Shigella species.
Conclusion:The causative agent of an outbreak was confirmed as Shigella species and source of an AGE outbreak was found to be contaminated water. Risk factor linked to an outbreak was student’s habit of drinking water directly from tap.Read Full(Registered Member)     Register Now
WHO Global Influenza Update
Virological Update     Read Full
Epidemiological Update     Read Full
Peer-reviewed literature: Influenza-associated burden of disease in low and middle income countries – Examples from Kenya, Bangladesh and China     Read Full