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Afghanistan Polio Eradication Initiative Surveillance Update Week 29 ( Ending on Saturday 19 July 2008 ) National Surveillance Office July 22, 2008.

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Presentation on theme: "Afghanistan Polio Eradication Initiative Surveillance Update Week 29 ( Ending on Saturday 19 July 2008 ) National Surveillance Office July 22, 2008."— Presentation transcript:

1 Afghanistan Polio Eradication Initiative Surveillance Update Week 29 ( Ending on Saturday 19 July 2008 ) National Surveillance Office July 22, 2008

2 AFP Case Classification Afghanistan 2008 Data up to 19 July 08 Year 2008 Reported AFP cases 754 Confirmed 11 Compatible 0 Discarded 668 Pending 75* * 58 AFP cases pending lab results 12 Inadequate AFP cases pending 60 days follow up 05 AFP cases pending ERC

3 Recent NSL1 from, Trinkot District of Uruzgan Province, onset is 24 Jun, age 18m, 0 OPV doses Recent NSL3 from, Jalalabad District of Nangarghar Province, onset is 14 May, age 08m, 10 OPV doses NSL1=07 NSL3=04 Comp= Confirmed Polio cases & Compatibles Afghanistan NSL1 NSL3 Compatible 2006 NSL1=29 NSL3=02 Comp=06 NSL1=06 NSL3=11 Comp= Data up to 19 July 08

4 2007 NSL1=06 NSL3= NSL1= 2 NSL3= 2 NSL1 NSL NSL1= 45 NSL3= 18 P1 & P3 Poliovirus Isolates Afghanistan 1999, 04, NSL1=29 NSL3= 2 NSL1=07 NSL3=04 Data up to 19 July

5 Afghanistan & Pakistan P1 isolates by genetic cluster Jan to June 08 Data up to 19 July 08 Cluster A-3D 01 Jan 08 Nawabsha 25 Feb Shikarpoor 06 Apr Nferoz 09 Apr Jacobabad Cluster B-4A 14 May Kohat 03 June Maywand 28 May Ghorak Unclassified 24 June Trinkot 03 July Swat Cluster A-3A 10 Feb Balab uluk 07 Mar Maywand 12 Jan Nadi Ali 20 Jan Nadali 05 April Mir pur khas 25 Jan Haidrabad 01 April Khinorth 23 Apr Dadu 12 May Sanghar 14 May Khisite 30 May Kabdullah 04 Jun Pishin

6 Afghanistan & Pakistan P3 isolates by genetic cluster Jan to June 08 Cluster B-1C Data up 19 July Feb Maywand 15 Apr Balabuluk 15 Apr Shah Wali Kot 27 Apr Nowshera 14 May Jalalabad 14 May Nowshera

7 Polio Virus Isolates By Type & Month, Afghanistan tOPV mOPV1 mOPV3 sNID NID Short interval additional dose NSL1 NSL3 Data up to 19 July 08

8 List Of Confirmed Polio Cases Afghanistan 2008 Data up to 19 July 08 *Confirmed by contact NoEpidProvinceDistrictDonsetPropFeverAsymSexAgeRoutineSIAs Dlast OPV Dstool 1Dstool2HcaseLabRCluster 1AFG/08/08/001HILMANDNAD ALI YYNM YESNSL1 A3A 2AFG/08/08/005HILMANDNAD ALI YYNM NoNSL1 A-3A 3AFG/08/08/012KANDAHARMAYWAND YYYM84015 No date NoNSL3 B1C 4AFG/03/08/012FARAHBALABULUK YYNF NoNSL1A3A 5AFG/08/08/027KANDAHARMAYWAND YYYM YESNSL1A3A 6AFG/03/08/041FARAHBALABULUK YYYF YESNSL3B1C 7AFG/08/08/045*KANDAHARSHAHWALIKOT YYNM1200 No date DiedNoNSL3B1C 8AFG/06/08/070NANGARHARJALALABAD YYNM DiedNoNSL3B1C 9AFG/08/08/063KANDAHARGHORAK YYYM3000 No date YESNSL1PEND 10AFG/08/08/071KANDAHARMAYWAND YYNF6605 No date NoNSL1PEND 11AFG/08/08/081UROZGANTARINKOT YYYM1800 No date YESNSL1PEND

9 Regional Reference Lab Update Afghanistan-2008 Data up to 19 July 2008 Month of onsetCases Cases under process Negative cases NPEV positive (excl PV/NPEV) NPEV % Within 28 days Positive cases CultureITDWild (incl W/V) Vaccine (excl W/V) Jan %100%27 Feb %100%28 Mar %100%126 Apr %100%114 May %100%27 Jun %97%10 Week 1 Jun %100%00 Week 2 Jun %100%00 Week 3 Jun %84%11 Week 4 Jun total %94%21 Jul %17%00 Week 1 Jul Week 2 Jul total %14%00 Total AFP cases %95%1063 (8.35%) Contacts %93%3*27 (6.69%) * Index case as well as its 2 Contacts are NSL3 – AFG/03/08/041 Index case is EV & its one contact is NSL1 - AFG/08/08/045)

10 AFP Cases Pending ERC, Afghanistan 2008 Data up to 19 July 08 EPIDDONSETDistrictProvinceSexAgeDoses Dstool2 (or 1) AsymProgressFever Lab result 60d follow- up result AFG/01/08/ TALUQANTAKHARM YES NVIRES WEAK AFG/08/08/ QALATZABULM YES NVIRES WEAK AFG/02/08/ BILCHIRAGHFARYABF NOYES NVIRES WEAK AFG/06/08/ SHINWARNANGARHARM YES EVRES WEAK AFG/08/08/ ARGHANDABZABULF NOYES EVDIED

11 AFP Cases Pending Classification >90 days, Afghanistan 2008 Data up to 19 July 08 EPIDDONSETDistrictProvinceSexAgeDoses Dstool2 (or 1) AsymProgFever Lab result Days since onset Reason for not being classified AFG/01/08/ TALUQANTAKHARM YES NVI98PEND ERC AFG/01/08/ ARCHIKUNDUZM NOYES EV97PEND FUP AFG/08/08/ QALATZABULM YES NVI94PEND ERC AFG/02/08/ BILCHIRAGHFARYABF NOYES NVI91PEND ERC

12 AFP Cases Labeled As Hot & Pending in Lab, Afghanistan 2008 Hot by criteria=AFP cases have (Fever + rapid progress+ Asymmetric paralysis + Age <48 month) * UP= Under Process in the Lab Data up to 19 July 08 ^ Pending contacts lab result Lab No EPIDDONSETDistrictProvinceSexAgeDoses Date of last OPV Dstool2 (or 1) Hot by field Hot by criteria Lab result 1130AFG/03/08/ INJILHIRATF YES UP 1153AFG/08/08/ SPIN BOLDAK KANDAHARF NOYESUP 981AFG/01/08/ IMAM SAHIB KUNDUZF YESNOUP^

13 Reported AFP Cases, Comparison By Month, Afghanistan 0 6 of 2/100,0000 <15 of 1/100,0000 <15 year Data up to 19 July 08

14 AFP Cases By Week Of Onset Afghanistan 2008 Week (Sun-Sat) Expected 2= Two cases/100,000 <15 yrs Good AFP= GBS or T. Myelitis, T. Neuritis Data up to 19 July 08 Region AFP Cases 2008 Week Number Expect 2 Reported Good AFP 03-May10-May17-May24-May31-May 07-Jun14-Jun21-Jun28-Jun 05-Jul12-Jul19-Jul Badakhshan Central Eastern Kunduz Northern South East Southern Western Afghanistan

15 Population Density Map Afghanistan 2008 Pakistan Uzbakistan Turkmanistan Iran Tajikistan China Dot=10 Persons/Sq Km

16 Non-Polio AFP Rate by Province, Afghanistan per 100,000 under 15 years Data up to 05 July

17 % of AFP cases reported within 7 days of paralysis onset by region Afghanistan Data up to 19 July 08

18 Proportion Of Adequate Stools By Region Afghanistan Data up to 19 July 08

19 AFP Cases with Stool Specimen Reaching The RRL Within 3 and 7 Days of 2 nd Specimen Collection By Region, Afghanistan Within 3 days Within 7 days Data up to 19 July 08

20 Percentage of Entero -Virus and SL isolation Afghanistan Entero Virus SL Percentage EV % by month Data up to 19 July 08


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