Ethiopia Field Epidemiology Training Program (efetp) Compile Body Of Works In Field Epidemiology

Residents are expected to produce and summit Compile Body of Works as a partial fulfillmentrnfor their Masters of public health degree in field epidemiology to school of graduate studies ofrnAddis Ababa University. This Compile Body of Works has six chapters and four annexes. rnChapter I: Presents two outbreaks; Cholera and brucellosis investigations. We investigatedrncholera outbreak in Kafta Humera District Wester Zone of Tigray region. Since August 28, tornSeptember 16, 2018 there were139 cases of daily workers those come from different camps tornthe district. We use them for descriptive analysis without control. Open defecation of farm areasrnand drinking untreated river water, contact tracing, crowding in one camp room among thernidentified risk factors. More over weak early contact tracing seasonal flood and distance of farmsrnto health facility furnishes the way to aggravate for long time in controlling. The incidence raternwas only male daily workers and new comers that live in camps. rnWe recommended to mobilize ORP sites near to the farms, distribution of water chemicals andrnshould have early contact tracing. We have also an investigation brucellosis outbreak DeguarnTemben district. We use 50 cases and 150 unmatched controls. From the cases 26(52%) of werernmales. rnHere we investigated the abortion case in animals and associated materials was the source ofrnhuman brucellosis. Human 4(100%), and animal 18(38%) samples taken were confirmedrnseropositive by RBPT. The odds ratio of having aborted animal and assisting abortions havernsignificant association from risk factors identified. No death at all. We recommended publicrnhealth education to reduce contact, not to use raw animal products and keeping environmentalrnhygiene.rnChapter II: Describes surveillance data analysis on suspected anthrax in Tigray region. Werndescribed four year reported data of suspected anthrax cases in human and animals. 404rnsuspected cases and 6 deaths were recorded (3015-2018) and 1.46 % mortality rate at regionrnlevel. 55.8% of the cases were recorded in 2016 and 44% case fatality rate was seen in animalsrn(2018). All sex and age groups were affected. Central zone was the highest recorded cases by therntwo Sectors. We stressed surveillance activities should give attention in general and specially torncentral zone together.rnChapter III: Surveillance system evaluation on suspected anthrax cases in Abi-Adi and KolarnTemben districts of Tigray region. We use purposive selection method based the data analysisrnresult we describe in chapter two. rnSuspected anthrax was under the immediate reportable diseases in human and animals. Wernshowed 83.3% case definition of anthrax in all health facilities, reporting format and daily listedrncases by simple chart in two health offices. Surveillance focal persons have a problem datarnanalysis. They couldn‘t take training. Applying the Attributes, core activities in suspectedrnanthrax were well practiced however, as sensitivity of the system, the focal person complainsrnthey had additional work load. Ours recommendation training and some logistics such asrncomputers, stationary should be needed to complete by the district and region.rnChapter IV: Public health surveillance system in Kola temben. We assessing the public healthrnstatus of 8 health centers and 28 health posts at district level, Education, water resources supplyrnof power and road access. In representativeness health facility and educational facility were atrngood level. However, Coverage of water supply (55%), one health center and one separaterntechnical school needs prioritizing and environmental hygiene at woreda level needs attentionrnand so the prioritize diseases.rnChapter V. Epidemic research project proposal here we proposed an assessment of brucellosis inrnsoutheast zone of Tigray in three districts. Brucellosis is a miss diagnosed and chronic nature; itrnwas not common in our region to see a case of brucellosis in human. The incidence of outbreakrnin Degua Temben points as, to see the status of knowledge attitude and practice of therncommunity to assess. We will have tried to build community based definitions and mobilizingrnthe professional in diagnosing and the public contact with brucellosis.rnChapter VI: Manuscripts prepared for scientific peer received journals for publication from datarnanalysis of suspected anthraxrnChapter VII: Additional works and activities: Abstract of Anthrax for scientific writingrnChapter VIII: Training on capacity building on brucellosis case definition in human and animals, rnBulletin‘s week 12 and Consent f

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