Compiled Body of Works in Field Epidemiology

Abstract

Executive summary This body of works contains my outputs that were completed during the last two and half year residency time. This works included major outputs such as Outbreak investigation, Surveillance data analysis, surveillance system evaluation, Health profiles description, research project and other outputs expected from laboratory track like Narrative summary of laboratory report, Quality manual for selected health facility laboratory, Standard Operating procedure for selected health facility laboratory. Additionally it contains scientific manuscripts for peer revived journal and abstracts for scientific conferences. Outbreak of rotavirus was happened among under-five children who live in Dano woreda, West shewa zone Oromia regional state from January 5 to February 10, 2017. On this outbreak 919 under-five children were affected with rotavirus that was associated with age of the children, vaccination status, and drinking water. Surveillance data of East Shewa zone was analyzed for data of suspected meningitis cases. Health Management and Information System (HMIS) four data (2004-2007 EFY) was analyzed to characterize the cases by time, place and Person. In the four year period 882 cases were recorded with annual incidence rate of 15.6 cases per 100,000 people. The surveillance system evaluation system was conducted in Ada‘a woreda, East shewa zone Oromia regional state on two twenty two priority diseases, maternal death and epidemic typhus. The evaluation identified that there were discrepancy of reporting facilities between woreda health office and health centers. There were no national guide line, shortage of reporting formats and no cases definitions of evaluated top priority diseases. Health profile was done for Mojo town administration, east shewa zone Oromia regional state. The assessment found that 100% health coverage, poor toilet coverage of the town, high prevalence and incidence of HIV that related to high population traffic in the town. Regarding to laboratory quality manual and standard operating procedures, quality manual was prepared for Batu Hospital which did not have quality manual previously. Two Standard Opening procedure, for VIKIA Rapid Tests and Wantai Rapid Test for detection of HIV 1& HIV2 antibodies were prepared to Adama regional laboratory. Narrative summary was prepared for my residency place Adama regional laboratory. My research project was concentrated on malaria, especially on performance of laboratory professionals of Afar Region who diagnose malaria microscopically. Off 119 laboratory professionals in the region in 2017, 83% of them participated on the research. The findings of this research indicated that the performance of laboratory professionals working in Afar region was poor which associated with malaria microscopy training, year of experience and their theoretical knowledge. Other requirements of field epidemiology residents, abstract and manuscript were also prepared for scientific conferences and peer reviewed journals. Abstract of rotavirus outbreak investigation and suspected meningitis case were sent to scientific conferences and abstract of rotavirus outbreak investigation was presented on the first Ethiopian Field Epidemiology and Laboratory Training program scientific conference. The manuscript of rotavirus outbreak investigation surveillance data analysis of suspected meningitis also sent to international journals.