Notifiable Diseases Summary Report(as reported by district Hospital/BHU) for December 2013
|Disease Reported||Total Cases|
|Dengue Hemorrhagic Fever||2|
Monthly ILI & SARI surveillance report
Monthly ILI & SARI surveillance report for October, 2013Read Full
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.Read More
The Regional Training Program in Animal and Human Health Epidemiology in South Asia that has been implemented by Massey University, New Zealand, on behalf of seven countries in the South Asia region has significantly contributed to the development of the One Health approach in this region over the past four years. This program has been funded by the European Commission Avian and Human Influenza Trust Fund and administered by the World Bank.
The aim of the Program has been to strengthen institutional capacities in epidemiology and biosecurity through epidemiology training and operationalizing the One Health concept in national government institutions responsible for control of zoonoses.The program in Bhutan, implemented by the Department of Health and Department of Livestock, has been based on two Collaborative Investigation Projects (CIPs): one to support rabies control and the other to evaluate collaboration and communication between the human and animal health sectors. These CIPs have provided the focus for staff from the human and animal health sectors to work together in designing and implementing the projects and in the supporting epidemiological training activities. The network of people involved in the CIPs forms the basis of the One Health Hub Bhutan (OHHBh).
A specific focus of this Program has been to strengthen professional collaborative networks amongst animal and public health personnelwithin each country and the South Asia region through establishment of a government-endorsed OHH in each of the seven countries, linked to form the regional ‘One Health Network - South Asia’.
We are currently working to strengthen the OHH in each country by expanding the focus of the OHH from supporting the CIPs to supporting the wider range of One Health activities in the country for managing endemic and emerging zoonotic diseases.
Hubnet is a web-based communication and collaboration system that has been set up through the Regional One Health Training Program. This system provides a secure online environment for each One Health Hub to share information and resources amongst its own members and to publicise information on One Health activities, projects and useful resources to members of OHHs in other countries and other interested parties through the Regional One Health Network-South Asia.Hubnet is a regional platform for strengthening communication and collaboration to support the One Health approach both within each country and within the region.
For additional information,please Click Here to visit our website.
To register as a One Health Hub Bhutan member, please download the Membership Registration Form and email the completed form to firstname.lastname@example.org or email@example.com
Monthly Notifiable Disease Surveillance Summary Report for October,2013
NDS Summary ReportRead Full
Monthly Notifiable Disease Surveillance Report(Reporting Center Wise) for October,2013
NDS Reporting Center wise ReportRead Full
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.Read Full
Molecular Characterization and PCR-based Replicon Typing of Multiple Resistant Shigella sonnei Isolates from Bhutan(Article under peer review)
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.Read More
S. sonnei were multi-resistant to ciprofloxacin, nalidixic acid, trimethoprim sulfamethoxazole, streptomycin, and tetracycline but susceptible to azithromycin. All isolates contained class 2 integrons which conferred resistance to dfrA1, sat1 and aadA1. Two point mutations in GyrA subunit at position Ser83Leu and Asp87Gly were detected in quinolone resistant isolates. The plasmid and PFGE patterns of S. sonnei isolates suggested closed a relationship of the isolates. Furthermore, all S. sonnei isolates carried ColE plasmid by replicon typing. ColE plasmid was co-resided with B/O or I1 plasmid in many isolates. This study suggests that the recent S. sonnei isolate in Bhutan are clonal and multidrug resistance.
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.Read More
Overall, 22.3% of the stool samples were rotavirus-positive, and the majority (90.8%) of them was detected in children under 2 years of age. From this study, we estimated that the annual incidence of hospitalization and outpatient visits due to rotavirus diarrhea was 2.4/1000 (95% CI 1.7–3.4) and 10.8/1000 (95% CI 9.1–12.7) children, respectively.
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.Read Full
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 capacityRead Full