The public health system is continually being challenged by recurrent and unexpected disease outbreaks and is facing the challenge of managing health consequences of natural and human made disasters, emergencies, crisis and conflicts. These problems continue to disrupt the health care system, and successful detection and response to these challenges is becoming increasingly complicated.

Public health emergency management (PHEM) is the process of anticipating, preventing, preparing for, detecting, responding to, controlling and recovering from consequences of public health threats in order that health and economic impacts are minimised.Untitled-1.jpg

Investigations of diseases are now more complex in nature than they were in the past because of a variety of new pathogens, risk factors and outbreaks, which cross jurisdictions and national boundaries—often raising political and economic concerns. The ability to quickly recognize and respond to widely dispersed disease outbreaks is a challenge to the public health system, particularly in an era of increasing natural disaster, global population mobility, emergence of new infectious agents and the wide distribution of manufactured foods.

The PHEM process was designed in 2009 based on Ministry of Health’s initiative to re-design the overall health system. PHEM identified diseases and other public health emergencies to be included into the national surveillance system. The current surveillance system targets diseases, which are either weekly reportable or immediately reportable. This is based on whether a given disease is epidemic potential, or set to be eradicated or eliminated, or a major causes of morbidity and mortality; or if it is required to be reported internationally. Although it is a success by itself to have such a system, the challenges listed above require that we build a vibrant public health system which can effectively and efficiently deal with the ever growing problems of diseases outbreaks, nutritional emergencies and health consequences of natural and human made disasters.



Intro to AFP Surveillance_Ethiopia GIS_rev2          Click Here To Download

Malaria Guidelines Ethiopia 3rd ed 2012   Click Here To Download 

Measles outbreak response vaccination guideline   Click Here To Download  

Meningitis Guideline_WHO  Click Here To Download 

Meningomeningitis management Click Here To Download 

MNT Surveillance Manual Ethiopia Click Here To Download 

National Cholera guideline 2011 ETH Click Here To Download 

National Measels Guideline Final 01 July 2012  Click Here To Download 

NEW AFP guideline finalII April 2006  Click Here To Download 

PHEM guideline-final April 2012  Click Here To Download 

Qajeelfama Taaskifoorsii Hojii Ittisa fi To'annoo AWD Click Here To Download  

SAM guideline final March 2007 Click Here To Download 

Standard operation for outbreak MM Click Here To Download


List of immidiatly and weekly reported diseases  Click Here To Download 

Standard Case Definition of Immediately and Weekly Report  Click Here To Download 

Community Case Definitions of Immediately and Weekly Report  Click Here To Download 

Daily Epidemic Reporting Format for Woreda Click Here To Download

Daily Epidemic Reporting Format for Regions Click Here To Download 

Case based Reporting Format  Click Here To Download 

AFP case investigation form  Click Here To Download 

GW case based reporting format Click Here To Download 

Influenza case based reporting format  Click Here To Download 

Case based Laboratory Reporting Format  Click Here To Download 

Weekly Reporting FormClick Here To Download 

Weekly Reporting Form_HEW Click Here To Download 

Line List Click Here To Download 

Line list for Guinea Worm Click Here To Download 

Rumour log book  of Suspected Epidemics Click Here To Download 

NNT additional format Click Here To Download 


The major public health risks identified in the Ethiopian health system from high priority to low priority are: -

  • Epidemics of communicable disease
  • Drought conditions with malnutrition
  • Food contamination
  • Flood
  • Pandemic Influenza
  • Diseases that affect people during conflicts and in displaced populations
  • Accidents including chemical spills
  • Earthquake, volcanic eruptions
  • Bioterrorism
  • Immediately Reportable Diseases

    Weekly Reportable Diseases

    1. Acute Flaccid Paralysis

    14. Dysentery

    2. Anthrax

    15. Malaria

    3. Avian Human Influenza

    16. Meningococcal Meningitis

    4. Cholera

    17. Relapsing fever

    5. Dracunculiasis / Guinea worm

    18. Severe Malnutrition


    19. Typhoid fever

    7. NNT

    20. Typhus

    8. Pandemic Influenza A

    21. Maternal Death Surveillance and Response (MDSR)

    9. Rabies


    10. Smallpox


    11. SARS


    12. VHF

    13. Yellow fiver