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Annual Report of the Department of Health 2010 - Unrwa

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VIRAL HEPATITIS<br />

Figure 27, shows <strong>the</strong> incidence rate <strong>of</strong> <strong>the</strong> reported viral hepatitis cases (mainly due to hepatitis A virus) Agency-wide during <strong>the</strong> last ten<br />

years. Attention still needs to be paid to prevent this disease by maintaining good hygienic conditions especially in schools and houses.<br />

50<br />

44.1<br />

43.4<br />

47.3<br />

40<br />

39.4<br />

30.9<br />

30<br />

27.2<br />

20<br />

20.4 22.7<br />

20.3<br />

21.9<br />

23<br />

24.1<br />

10<br />

0<br />

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 <strong>2010</strong><br />

Figure 27 - Incidence rate <strong>of</strong> reported viral hepatitis (per 100,000) Agency-wide, 1999- <strong>2010</strong><br />

BRUCELLOSIS<br />

The incidence <strong>of</strong> brucellosis increased from 5.2 per 100,000 in 2009 to 6.0 in <strong>2010</strong>.The highest incidence rate is still reported from Syria<br />

(39.8/100,000). Incidence rates from o<strong>the</strong>r Fields are 1.9/100,000 in Jordan, 1.6/100,000 in Lebanon, 0.2/100,000 in <strong>the</strong> Gaza Strip and<br />

0.0/100,000 in <strong>the</strong> West Bank.<br />

TYPHOID FEVER<br />

The incidence <strong>of</strong> typhoid fever Agency-wide is almost <strong>the</strong> same <strong>of</strong> <strong>the</strong> previous year at 5.7/100,000. However, this may not reflect <strong>the</strong> true<br />

epidemiological picture, due to <strong>the</strong> low referral <strong>of</strong> suspected cases to <strong>the</strong> laboratory. More attention needs to be given to confirmation <strong>of</strong><br />

and follow up <strong>of</strong> suspected cases. The highest incidence was observed in <strong>the</strong> Gaza Strip (14.3/100,000) followed by Syria (7.7/100,000) while<br />

West Bank Field reported no cases. The cases observed in <strong>the</strong> Gaza Strip in <strong>2010</strong> were sporadic, no outbreak took place.<br />

20<br />

15<br />

14.3<br />

10<br />

7.7<br />

5.7<br />

5<br />

0.3 1.2<br />

0<br />

0<br />

Jordan Lebanon Syria Gaza Strip West Bank agency<br />

Figure 28 - Incidence rate <strong>of</strong> reported Typhoid (per 100,000) by Field, <strong>2010</strong><br />

BLOODY DIARRHOEA<br />

The incidence <strong>of</strong> bloody diarrhoea Agency-wide is 182.5/100,000 with significant variations between Fields. Figure 29 shows <strong>the</strong> incidence<br />

rates <strong>of</strong> bloody diarrhoea by Field during <strong>2010</strong>.<br />

333.4<br />

350<br />

300<br />

250<br />

200<br />

124.9<br />

168.7<br />

182.5<br />

150<br />

100<br />

57 56.5<br />

50<br />

0<br />

Jordan Lebanon Syria Gaza Strip West Bank agency<br />

Figure 29 - Incidence rate <strong>of</strong> reported bloody diarrhoea (per 100,000) by Field, <strong>2010</strong><br />

68

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