1. Situation of Communicable Diseases In Ubonratchathani Province Situation of Communicable Diseases In Ubonratchathani Province 17 April 2015

2. DF/DHF/DSS Dengue 101 cases (Rate 5.5 / 100,000 pop.) Distribute in 19 districts (target < 704 case) Case > Median and Target line in Jan - April Please case report, investigate and control by SRRT in 24 hr. And Use 3- 3-1 policy Prevent Detect and Response Epidemic area > 28 day in Muangsamsib, Khungnai and Warinchamrab Dengue 101 cases (Rate 5.5 / 100,000 pop.) Distribute in 19 districts (target < 704 case) Case > Median and Target line in Jan - April Please case report, investigate and control by SRRT in 24 hr. And Use 3- 3-1 policy Prevent Detect and Response Epidemic area > 28 day in Muangsamsib, Khungnai and Warinchamrab

3. Malaria 877 cases (Rate 47.75 / 100,000 pop.) Ubon is the highest prevalence province in Thai Endemic areas are Buntharik (411 case) Nachaluay (339 cases) and Namyuen district (43) For prevention, the risk population who have go to the forest or mountain, improve health education, use mosquito net and repellent. Malaria 877 cases (Rate 47.75 / 100,000 pop.) Ubon is the highest prevalence province in Thai Endemic areas are Buntharik (411 case) Nachaluay (339 cases) and Namyuen district (43) For prevention, the risk population who have go to the forest or mountain, improve health education, use mosquito net and repellent. Malaria

4. Influenza Influenza 603 case (Rate 32.8 / 100,000 pop.) Death 1 case : Trakan district, Female, 29 yrs, Obesity (BMI : 36.7) not received vaccine, H1N1 + Decreasing of case in April The risk patients should receive Oseltamivir in 48 hr. The 4 risk group should receive vaccine in May- June Influenza 603 case (Rate 32.8 / 100,000 pop.) Death 1 case : Trakan district, Female, 29 yrs, Obesity (BMI : 36.7) not received vaccine, H1N1 + Decreasing of case in April The risk patients should receive Oseltamivir in 48 hr. The 4 risk group should receive vaccine in May- June

5. Ebola Virus Disease Ebola situation (2014-2015 ) in west Africa total 24,872 cases death 10,326 cases (CFR 41.5%) SRRT have to still Ebola surveillance system by follow check body temperature for 21 days, who came from risk countries (Liberia, Guinea and Sierra leone) Criteria for investigation case is T> 38 C. Please Call Mr.Prateep Boontham : PM : 081-9776334 Ebola situation (2014-2015 ) in west Africa total 24,872 cases death 10,326 cases (CFR 41.5%) SRRT have to still Ebola surveillance system by follow check body temperature for 21 days, who came from risk countries (Liberia, Guinea and Sierra leone) Criteria for investigation case is T> 38 C. Please Call Mr.Prateep Boontham : PM : 081-9776334

6. DF/DHF/DSS

7. From : R506 Prevalence rate of Dengue in Thailand, 2015 1 January – 17 April 2015 Prevalence rate of Dengue in Thailand, 2015 1 January – 17 April 2015 Thailand Total 7,281 cases PR 11.3 per 100.000 pop Death 5 cases CFR 0.07% Thailand Total 7,281 cases PR 11.3 per 100.000 pop Death 5 cases CFR 0.07% Ubonratchathani Province Total 101 cases PR 5.5 per 100.000 pop in 19 districts Death 0 case Ubonratchathani Province Total 101 cases PR 5.5 per 100.000 pop in 19 districts Death 0 case Rate/100,000

8. cases Number of Case Dengue in Ubonratchathani 2014 and 2015 compare by target line Number of Case Dengue in Ubonratchathani 2014 and 2015 compare by target line Case >Target line and Median Case >Target line and Median Epide mic

9. The top high prevalence of dengue in Ubonratchathani 2015,by district Districtcase Rate/100,0 00 Khuangnai2119.3 Muang samsib910.6 Thung Sri Udom310.5 Piboon139.9 Srimuangmai68.6 Warin138.1 Sumrong47.4 Buntharik55.4 Detudom84.5

10. Spot map of Dengue case, Ubonratchathani 2015

11. Area map of DHF by district in Ubonratchathani, 2015 Area map of DHF by district in Ubonratchathani, 2015 Rate per 100,000

12. Dengue epidemic area > 28 days (2 generations) DistrictTambonMoocases Muang- Samsib Nonghang54 Khuangna i Sang tor104

13. The Clusters of Dengue in last month DistrictTambonMoo case s Date sick Khuang nai Sang tor104 15 Mar-16 Apr Khuang nai Sang tor43 19 Mar-12 Apr Detudo m Muang det14 16 Mar- 2 Apr Sumron g Khampom24 13-31 Mar

14. Proportion of Dengue by age group, Ubonratchathani, 2015 Proportion (%) Age : Min 3 month, Max 58 yrs. Sex : Male : Female = 1.55 : 1 Age : Min 3 month, Max 58 yrs. Sex : Male : Female = 1.55 : 1

15. Malaria

16. From : R506 Prevalence rate of Malaria in Thailand, 2015 1 January – 17 April 2015 Prevalence rate of Malaria in Thailand, 2015 1 January – 17 April 2015 Thailand Total 1,501 cases PR 2.33 per 100.000 pop Death 0 case Thailand Total 1,501 cases PR 2.33 per 100.000 pop Death 0 case Ubonratchathani Province Ubon is the highest prevalence in Thailand Total 877 cases (+ Laos 48) PR 47.75 per 100.000 pop Death 0 case Ubonratchathani Province Ubon is the highest prevalence in Thailand Total 877 cases (+ Laos 48) PR 47.75 per 100.000 pop Death 0 case Rate/100,000

17. Number of Case Malaria in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Number of Case Malaria in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Epide mic

18. The top high Malaria prevalence by district in Ubonratchathani, 2015 in Ubonratchathani, 2015 The top high Malaria prevalence by district in Ubonratchathani, 2015 in Ubonratchathani, 2015 NoDistrictcases Rate/100,0 00 1Nachaluay 339592.3 2Buntharik 411448.4 3Namyuan 4361.7 4Sirinthorn 1630.5 5Khongcium 925.1 6Srimuangmai 1014.4 7Detudom 2212.5

19. Spot map of Malaria case, Ubonratchathani 2015 Endemic area : Bunthari k Nachalu ay and Namyue n (793)

20. Spot map of Malaria case, Nachaluay district, 2015 Endemic area : Tambon Nachalu ay (225) Endemic area : Tambon Nachalu ay (225)

21. Spot map of Malaria case, Buntharik district, 2015 Endemic area : Tambon Huaykha (260) Endemic area : Tambon Huaykha (260)

22. Spot map of Malaria case, Namyuan district, 2015 Endemic area : Tambon Dompra dit (30) Endemic area : Tambon Dompra dit (30)

23. Proportion of Malaria by age group, Ubonratchathani, 2015 Proportion (%) Age : Min 3 years, Max 78 Sex : Male : Female = 13.3 : 1 Type : PV 67.3%, PF 30.7 %, PF+PV 2 % Age : Min 3 years, Max 78 Sex : Male : Female = 13.3 : 1 Type : PV 67.3%, PF 30.7 %, PF+PV 2 %

24. Influenza

25. From : R506 Prevalence rate of Influenza in Thailand, 2015 1 January – 17 April 2015 Prevalence rate of Influenza in Thailand, 2015 1 January – 17 April 2015 Thailand Total 23,032 cases PR 35.7 per 100.000 pop Death 20 cases CFR 0.08% Thailand Total 23,032 cases PR 35.7 per 100.000 pop Death 20 cases CFR 0.08% Ubonratchathani Total 728 cases PR 39.6 per 100.000 pop Death 1 case (Obesity Female 29 yrs., Trakan district, H1N1) Type in Ubon : H3, H1N1_2009, Flu A and Flu B Ubonratchathani Total 728 cases PR 39.6 per 100.000 pop Death 1 case (Obesity Female 29 yrs., Trakan district, H1N1) Type in Ubon : H3, H1N1_2009, Flu A and Flu B Rate/100,000

26. Number of Case Influenza in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Number of Case Influenza in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Epidemic

27. Spot map of Influenza case, Ubonratchathani 2015

28. The top 5 high Influenza prevalence rate by district in Ubonratchathani, 2015 in Ubonratchathani, 2015 The top 5 high Influenza prevalence rate by district in Ubonratchathani, 2015 in Ubonratchathani, 2015 NoDistrictcases Rate/100,0 00 1 Donmoddang113418.75 2 Warinchamra b 260162.18 3 Sumrong3870.96 4 Muang Ubon 13963.39 5 Buntharik3841.46

29. Proportion of Influenza by age group, Ubonratchathani, 2015 Proportion (%) Age : Min 2 month, Max 87 yrs. Sex : Male : Female = 1 : 1.06 Age : Min 2 month, Max 87 yrs. Sex : Male : Female = 1 : 1.06

30. Hand Food Mouth Disease

31. From : R506 Prevalence rate of HFMD. in Thailand, 2015 1 January – 17 April 2015 Prevalence rate of HFMD. in Thailand, 2015 1 January – 17 April 2015 Thailand Total 8,738 cases PR 13.56 per 100.000 pop Death 1 case CFR 0.02% Thailand Total 8,738 cases PR 13.56 per 100.000 pop Death 1 case CFR 0.02% Ubonratchathani Total 319 cases PR 17.3 per 100.000 pop Death 0 case Type in Ubon : Coxsackie A16 Ubonratchathani Total 319 cases PR 17.3 per 100.000 pop Death 0 case Type in Ubon : Coxsackie A16 Rate/100,000

32. Number of Case HFMD. in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Number of Case HFMD. in Ubonratchathani 2015, 2014 and Median 2010-2014, by month

33. Spot map of HFMD case, Ubonratchathani 2015

34. The top 5 high HFMD. prevalence rate, by district in Ubonratchathani, 2015 in Ubonratchathani, 2015 The top 5 high HFMD. prevalence rate, by district in Ubonratchathani, 2015 in Ubonratchathani, 2015 NoDistrictcases Rate/100,0 00 1Namkhun 35107.6 2Khuangnai 6761.8 3 Najaluay 2441.9 4 Tansum 1030.8 5 Warinchamra b4930.5

35. Proportion of HFMD case by age group, Ubonratchathani Province, 2015 Proportion (%) Age : Min 7 month, Max 14 yrs. Sex : Male : Female = 1.06 : 1 Age : Min 7 month, Max 14 yrs. Sex : Male : Female = 1.06 : 1

36. Food poisoning

37. From : R506 Prevalence rate Food poisoinig in Thailand, 2015 1 January – 17 April 2015 Prevalence rate Food poisoinig in Thailand, 2015 1 January – 17 April 2015 Thailand Total 37,412 cases PR 58.04 per 100.000 pop Death 0 case Thailand Total 37,412 cases PR 58.04 per 100.000 pop Death 0 case Ubonratchathani Total 2,295 cases PR 124.9 per 100.000 pop Death 0 case Ubonratchathani Total 2,295 cases PR 124.9 per 100.000 pop Death 0 case Rate/100,000

38. Number of Case Food Poisoning in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Number of Case Food Poisoning in Ubonratchathani 2015, 2014 and Median 2010-2014, by month

39. Area map of Food poisoning, Ubonratchathani 2015

40. The Top high prevalence of food poisoning in Ubonratchathani 2015,by district Districtcase Rate/100,0 00 Khuangnai335309.1 Thungsri udom72252.8 Sri muangmai135194.7 Sirinthorn96183.1 Buntharik160174.5 Warin277172.7 Sumrong80149.3 Donmoddang39144.5 Nayea35132.4

41. Proportion of food poisoning case by age group, Ubonratchathani Province, 2015 Proportion (%) Age : Min 2 month, Max 94 yrs. Sex : : Female : Male = 1.6 : 1 Age : Min 2 month, Max 94 yrs. Sex : : Female : Male = 1.6 : 1

42. Leptospirosis

43. From : R506 Prevalence rate Leptospirosis in Thailand, 2015 1 January – 17 April 2015 Prevalence rate Leptospirosis in Thailand, 2015 1 January – 17 April 2015 Thailand Total 258 cases PR 0.4 per 100.000 pop Death 4 case Thailand Total 258 cases PR 0.4 per 100.000 pop Death 4 case Ubonratchathani Total 19 cases PR 1.03 per 100.000 pop Death 0 case Ubonratchathani Total 19 cases PR 1.03 per 100.000 pop Death 0 case Rate/100,000

44. Number of Case Leptospirosis in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Number of Case Leptospirosis in Ubonratchathani 2015, 2014 and Median 2010-2014, by month

45. Area map of Leptospirosis, Ubonratchathani 2015

46. The Top high prevalence of Leptospirosis in Ubonratchathani 2015,by district Districtcase Rate/100,0 00 Muangsamsib910.6 Srimuangmai22.8 Buntharik22.1 Sumrong11.8 Trakanphuetpol21.6 Piboon21.5 Warin10.6

47. Mushroom poisoning

48. From : R506 Prevalence rate Mushroom poisoning in Thailand, 2015 1 January – 17 April 2015 Prevalence rate Mushroom poisoning in Thailand, 2015 1 January – 17 April 2015 Thailand Total 38 cases PR 0.06 per 100.000 pop Death 0 case Thailand Total 38 cases PR 0.06 per 100.000 pop Death 0 case Ubonratchathani 2014 Death 3 case in Sumrong 2015 : 4 cases PR 0.27 per 100.000 pop Death 0 case Ubonratchathani 2014 Death 3 case in Sumrong 2015 : 4 cases PR 0.27 per 100.000 pop Death 0 case Rate/100,000

49. Number of Case Mushroom poisoning in Ubonratchathani 2015, 2014 and Median 2010-2014, by month Number of Case Mushroom poisoning in Ubonratchathani 2015, 2014 and Median 2010-2014, by month

50. Spot map of Mushroom poisoning, Ubon, 2015

51. Thank you