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

Outbreak NameOutbreak PlaceOutbreak DzongkhagReported By 
MumpsWangdue LSSWangduephodrangWangduephodrang Hospital
Suspected Cases Of ILITashidingkha MSSPunakhaPunakha Hospital
MumpsDawakha LSSParoDawakha BHU

Notifiable Diseases Summary Report for October 2014

Disease ReportedTotal Cases
Kalaazar1
Scrub Typhus8
Typhoid Fever1
Viral Hepatitis2
Bacterial Meningitis1
Mumps93

Dominance of Emerging G9 and G12 Genotypes and Polymorphism of VP7 and VP4 of Rotaviruses from Bhutanese Children with Severe Diarrhea Prior to the Introduction of Vaccine

Bhutan is a small landlocked country located between India and China. Part of the population is concentrated in the capital Thimphu, but most are scattered sparsely throughout the country. Diarrhea is a major cause of illness and death in Bhutanese children, and the morbidity rate from diarrhea in ,5 years old children is 314.6/1,000 population [1,2], while 13% of deaths are attributable to diarrhea [3]. Approximately 83% of the population have access to safe drinking water and 91% have access to sanitary toilets [1]. A shift from bacterial to possibly viral diarrhea has been observed, although information regarding childhood diarrhea is...

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National Workshop on Severe Acute Respiratory Infections (SARI) Surveillance,Bumthang,1-3 October,2014

The SARI surveillance system is one of the important surveillance systems in the country which was established for monitoring trends in respiratory illnesses and to understand the epidemiology of influenza viruses and other respiratory pathogens by Public Health Laboratory.

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FluView_ILI & SARI Surveillance Report for Week 41, 2014

The incidence of ILI and SARI for the week was 13/1000 outpatient visits and 3/100 hospitalized patients respectively. The highest incidence of ILI and SARI cases were reported from Trashigang and Punakha Hospital respectively. The ILI cases were commonly observed among age group 15-29 years while SARI cases were observed among 2-4 year age group. From 24 samples received and tested by Real-Time RT-PCR, positivity rate was 29.17%. Flu B and A/H3 was found dominant circulating strain for the week.....

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

NDS Reporting Center wise Report

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Monthly Notifiable Disease Surveillance Summary Report for September,2014

NDS Summary Reporting Report

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Preliminary Report on Surveillance for Diarrhea Etiologic Agents at Public Health Laboratory in Stool Specimens from Children in Bhutan, from July 2013 to August 2014

After the successfully completion of two years collaborative Surveillance between the Public Health Laboratory and the Department of Enteric Diseases, AFRIMS, Bangkok on Diarrhea Etiologic Agents in Stool Samples from Children Attending Jigme Dorji Wangchuk National Referral Hospital (JDWNRH), Thimphu, the collaborative surveillance on diarrhea etiologic agents has been extended to Eastern Regional Referral Hospital (Mongar), Central Regional Referral Hospital (Gelephu) and Phuntsholing General Hospital in July 2013 to further understand the epidemiology of diarrhea etiologic pathogens among the Bhutanese children for another two years.

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Ebola virus Disease Update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in Guinea, Liberia, Nigeria, and Sierra Leone. Between 12 and 13 August 2014, 152 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 76 deaths were reported from the four countries as follows: Guinea, 9 new cases and 3 deaths; Liberia, 116 new cases and 58 deaths; Nigeria, 0 new cases and 1 death; and Sierra Leone, 27 new cases and 14 deaths.

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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