Compiled Body of Works in Field Epidemiology
Creators: name: Dinede, Getachew
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2018

description: Residents are expected to produce and submit Compiled Body of Works as a partial fulfillment for their Masters of Public Health degree in Field Epidemiology to School of Graduate Studies of Addis Ababa University. This Compiled Body of Works has nine chapters and 7 annexes. Chapter one presents two outbreak investigations: cholera and rubella outbreak investigation. We investigated cholera outbreak in Nefas Silk Lafto sub-city, Addis Ababa between 07 September and 01 October 2017. We identified 25 cases and recruited 50 controls for our unmated case-control study. Drinking holy water and eating raw vegetables were risks factors for cholera. However, washing hands after visiting the latrine with soap was protective factor. We recommended building flood barriers around holy waters, thorough washing of vegetables and promoting hand washing. We also investigated rubella outbreak in Saint Michael Schools, Abado Branch, Yeka sub-city, Addis Ababa between 08 February and 20 April, 2018. We identified 58 cases with 57.17% being females and 77.59% &lt;5 years children. Attack rate was higher in females. We recommended rubella vaccination and school exclusion policy. Chapter two describes tuberculosis trend, treatment outcomes and case detection in Ethiopia from 2010 to 2016. We used incident all forms TB cases enrolled in the Health Management Information System (HMIS) database of Federal Ministry of Health (FMOH) between 2010 and 2016. We extracted 881,653 incidents all forms TB cases with overall incidence of 147/100,000. We found that 47.64% and 82.06% of the cases were males and adults (≥15 years), respectively. An overall treatment success rate, cure rate and case detection rate was 92.38%, 65.35% and 61.05%, respectively. We recommended focusing pulmonary tuberculosis, males and adults in tuberculosis control. Chapter three describes human rabies surveillance system evaluation in Yeka sub-city, Addis Ababa in June 2017. We used structured questionnaires to interview participants. Human rabies surveillance system was representative. Stability and simplicity was scored very good whilst acceptability and flexibility was scored good. Timeliness was scored fair whilst data quality, sensitivity and usefulness were all scored poor. We recommended inclusion of human exposure to rabies in the system and developing rabies investigation guideline. xv Chapter four discusses community health profile assessment in Addis Ababa in February 2017. We listed lower contraceptive acceptance rate, lower skilled birth attendant, tuberculosis, acute upper respiratory infection and unspecified circulatory diseases as priority problems. Chapter five provides manuscripts prepared for peer reviewed journals for publication from cholera and rubella outbreak investigations. Chapter six provides abstracts prepared for presentation on scientific conferences from manuscripts of cholera and rubella outbreak investigations. Chapter seven presents narrative summary of meher emergency needs assessment on health and nutrition in North and East Shewa Zones of Oromia between 18 November and 09 December, 2017. We described that 76.27% and 65.08% of health centers have accessible water sources in East and North Shewa zones, respectively. No any ongoing outbreak during the assessment in both zones. In North Shewa zone, 529704 populations are anticipated to be at risk of acute watery diarrhea. Malaria is endemic in North and East Shewa zones. In North Shewa zone; 35,034 populations were at risk of food insecurity due to hailstorm disaster. Whereas; about 12,305 populations were displaced due to Basaka River overflow increasing their vulnerability to food insecurity in Fantale. Chapter eight provides a study protocol on health professionals' diagnostic knowledge of anthrax in Addis Ababa, Ethiopia. This study will provide health professionals knowledge level on anthrax diagnostic approaches in Addis Ababa helping for devising appropriate interventions on anthrax reporting. Whereas, chapter nine presents participation on workshops during the resident attachment. Annex of this Body of Works is divided into 7 sub-annexes. Cholera outbreak investigation, rubella outbreak investigation and human rabies surveillance system evaluation questionnaires are presented in annex 1, annex 2 and annex 3, respectively. Annex 4 presents prioritized health and health related problems in Addis Ababa community health profile assessment. Health and nutrition emergency needs assessment and health professionals' anthrax diagnostic knowledge assessment questionnaires are presented in annex 5 and annex 6, respectively. Annex 7 presents consent form for assessing anthrax diagnostic knowledge among health professionals.