Mortality Associated with Priority Diseases in Flood-Affected Areas Using District Health Information System (DHIS2) During September-December 2022: Pakistan Experience

Nadia Nisar, Zeeshan Iqbal, Muhammad Sartaaj, Aamer Ikram, Najma Javad, Kashif Ali, Jahanzeb Anjum, Muazam Abbas Ranjha, Mumtaz Ali Khan, Muhammad Asif Khan Bettani, Wasif Shah, Nida Tanveer, Paul Cleary, Chloe Byers, Anne Wilson, Muhammad Salman, Mamoon A. Aldeyab

Research output: Contribution to journalArticlepeer-review


Objectives: To quantify the burden of communicable diseases and characterize the most reported infections during public health emergency of floods in Pakistan. Methods: The study's design is a descriptive trend analysis. The study utilized the disease data reported to District Health Information System (DHIS2) for the 12 most frequently reported priority diseases under the Integrated Disease Surveillance and Response (IDSR) system in Pakistan. 

Results: In total, there were 1,532,963 suspected cases during August to December 2022 in flood-Affected districts (n = 75) across Pakistan; Sindh Province reported the highest number of cases (n = 692,673) from 23 districts, followed by Khyber Pakhtunkhwa (KP) (n = 568,682) from 17 districts, Balochistan (n = 167,215) from 32 districts, and Punjab (n = 104,393) from 3 districts. High positivity was reported for malaria (79,622/201,901; 39.4%), followed by acute diarrhea (non-cholera) (23/62; 37.1%), hepatitis A and E (47/252; 18.7%), and dengue (603/3245; 18.6%). The crude mortality rate was 11.9 per 10 000 population (1824/1,532,963 [deaths/cases]). 

Conclusion: The study identified acute respiratory infection, acute diarrhea, malaria, and skin diseases as the most prevalent diseases. This suggests that preparedness efforts and interventions targeting these diseases should be prioritized in future flood response plans. The study highlights the importance of strengthening the IDSR as a Disease Early Warning System through the implementation of the DHIS2.

Original languageEnglish
Article numbere89
Number of pages6
JournalDisaster Medicine and Public Health Preparedness
Early online date9 May 2024
Publication statusPublished - 9 May 2024

Cite this