Pandemic Response and Activities: Bangladesh

Mr. Barun Dev Mittra, Additional Secretary, Ministry of Health and Family Welfare

Dr. M Mushtuq Husain, PhDSenior Scientific Officer, IEDCR (NIC, Bangladesh)

Dr. Be-Nazir Ahmed, Principal Scientific Officer, IEDCR (NIC, Bangladesh)

Pandemic Response and Activities: Bangladesh

Pandemic Situation in Bangladesh

• Identification of first case: 18th June, 2009

• Total number of lab confirmed cases: 74 (19.08.09)• Epidemiological features (36 cases)• Primary cases (Returning from abroad): 24(66.7%)• Secondary cases: 12 (33.3%)• Age range: 1 to 46 yrs • Male/ Female: 21 (58.3%)/ 15(41.7%)• Number cured : 30• Number under treatment: 6

Pandemic Response and Activities: Bangladesh

Detection of CasesDetection of Cases

a. Through surveillance on ILI and SARIi. Community surveillance ii. Hospital based surveillance iii. 36 cases detected

b. Through screening at Points of Entry (PoE): 4 cases detected

c. Event based surveillance: a. Rapid Response Teams: National (1), District

(64) and Sub-district (481)b. 34 cases detected

Pandemic Response and Activities: Bangladesh

Hospital based Influenza Surveillance:Hospital based Influenza Surveillance:May 2007 to June 2009May 2007 to June 2009

Sample positivity SARI and severe pneumonia

Influenza Like Illness

Sample collected 448 4707

Influenza positive 111(25%) 495 (11%)

Influenza types

Influenza A 110 (99%) 307 (62%)

Influenza B 1 (1%) 188 (38%)

Influenza types

Influenza A (H1) 0 (0%) 137 (45%)

Influenza A (H3) 110 (100%) 170 (55%)

Influenza A (H5) 0 (0%) 0 (0%)

Pandemic H1N1 0 (0%) 0 (0%)

PreparednessPreparedness• Establishment of Influenza ward/isolation units– 30 district general hospitals – 20 medical college and specialized hospitals – Formation of Pandemic Influenza Management Committees

• Lab facilities– test for Influenza A (H1N1) 2009 with real time RT-PCR in two labs– two BSL 3 labs (IEDCR and ICDDRB) are almost ready to start

functioning• Training

– 5000 physicians, 150 lab medicine specialist, Red Crescent personnel

• Antiviral stock– Oseltamivir: 2.5 million capsules

Pandemic Response and Activities: Bangladesh

ConclusionConclusion

• Strong rapid response teams• Effective surveillance system • A dedicated group at NIC• Good collaboration and coordination: intra/inter national• Managed the 38 pandemic cases, contact tracing

professionally • Has capability to handle up to several thousand cases with

ease• Challenges:– Constraint to increase surge capacity on a huge scale

Pandemic Response and Activities: Bangladesh

Thank You

Pandemic Response and Activities: Bangladesh