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

Outbreak NameOutbreak PlaceOutbreak DzongkhagReported By 
AGEKharchu DratshangBumthangBumthang Hospital

Notifiable Diseases Summary Report for April 2014

Disease ReportedTotal Cases
Typhoid Fever4

Weekly ILI & SARI Surveillance Report

ILI & SARI surveillance report for Week 16, 2014

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

NDS Reporting Center wise Report

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Monthly Notifiable Disease Surveillance Summary Report for February,2014

NDS Summary Reporting Report

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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