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EradicationofPoliomyelitisGlobal & National Overview
Goal : Complete interruption of wild poliovirus transmission
Dr OR Goldie (State EPI Officer Punjab)
EradicationofPoliomyelitisGlobal & National Overview
Goal : Complete interruption of wild poliovirus transmission
Dr OR Goldie (State EPI Officer Punjab)
Acute Flaccid Paralysis (AFP)surveillance System
Hospitals
Clinics
Communit
y
Hospitals
Clinics
Communit
yAFP
casesAFP
cases
WPV(Polio) WPV
(Polio)
Non-Polio AFP
Non-Polio AFP
CaseInvestigati
on andLab
Analysis
CaseInvestigati
on andLab
Analysis
Wild Poliovirus*, 07 Jul 2009 – 13 Aug 2010
Case or outbreak following importation (0 - 6 months)Endemic countries
Case or outbreak following importation (6 - 12 months)
Wild virus type 1 Wild virus type 3
Wild virus type 1/3
Wild virus type 1 Wild virus type 3 Wild virus type 1/3
Total Cases Wild Polio Virus
2009 Jan 01-13 Aug2009*
Jan 01- 13 Aug 2010*
Globally 1606 817 608
Pakistan 80 31 36
Afghanistan 38 14 13
India 741 184 27
Nigeria 388 372 6
No of countries with virus.
23 19 15
State P1 P3 Total
Bihar 38 79 117
Uttar Pradesh** 34 569 602
Delhi 3 1 4
Punjab 2 2 4
Jharkhand 2 0 2
Rajasthan 1 2 3
Haryana 0 4 4
Uttarakhand 0 4 4
Himachal Pradesh 0 1 1
Total 80 662 741
WPVs
Location of poliovirus by type, 2009*
* data as on 9 April 2010
Ludhiana • Priority District For Polio Eradication • Repeated Virus Importations• Rapid Urbanization And Industrialization • Extensive Construction Activity • Labour Forces From Endemic States • Highest percentage of migrants in Punjab
Location of poliovirus by type, 2010*
Most recent virus22 July 2010
Pakur, Jharkhand
* data as on 9 Jul 2010
Maharashtra WPV : Genetically related to Khagaria strain isolated in June 2009
Jammu WPV :Genetically related to an imported strain in Punjab Sept 2009
W Bengal WPV: Genetically related to Saharsa strain isolated in June 2009
WPVs
State P1 P3 Total
West Bengal 4 2 6
Jammu & Kashmir 1 0 1
Jharkhand 2 1 3
Maharashtra 2 0 2
Uttar Pradesh 0 10 10
Bihar 0 6 6
Haryana 0 1 1
Total 9 20 29
Reduction in Genetic Diversity and Overall Burden of WPV1
20072006
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9 clusters 7 clusters 3 clusters 1 cluster
Number of cases
2006
Monthly incidence of polio in PunjabJanuary 2006 – July 17 2010*
2007 2008 2009 2010J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J
Very High Risk Period
Current Status • India to date has 29 WPVs including 9 WPV type 1
and 20 WPV type 3 cases • NO P1 cases reported from UP & Bihar since Oct/Nov
2009• Majority of Punjab cases in past 3 years are related
to migrants. – Last case was in Oct 2009 in Ludhiana. – Low level circulation is believed to be continuing – Intensified efforts need to be sustained
Punjab is entering its Very High Risk Period for virus.
Polio Eradication efforts : Ludhiana
• State level mtg chaired by Hon’ble Health minister on 16 July 2010– DTF– Intensify monitoring– Microplanning– Improve reach in slums
• DTF Ludhiana 21 July 2010– District admn support assured– Increase District level monitoring– Seek partner support in microplanning
next round• Polio Activity 25-27 July
– Active monitoring in slums by CS , staff, state level observers, partners
– Review done by DFW (26 Jul)– Evening meetings held – Feedback: Quality of activity good, supervision
needs strengthening
Wild Virus /Compatible cases- 2009
Confirmed Polio -4
Compatible-3PBJLD09021 Block- JLD West- Kartarpur Donset 09/09/2009 Age 4 mths - P1W Doses- RI-2 SIA-1
UPLNO09200 Block- LDN City Donset 20/09/2009 Age 13 mths - P1W Doses- RI-0 SIA-5
UPBJN09275 Block- Mohali Donset 28/09/2009 Age 8 mths - P3W Doses- RI-0 SIA-6
PBLDN09043 Block- Jagraon Donset 13/10/2009 Age 15 mths - P3W Doses- RI-0 SIA-8
Wild Virus /Compatible cases- 2010
No Polio Case
% Adequate Stool Collection Rate – Punjab 2007-2010
< 60%
60% - 69%
> 80%
70% - 79%
GDP
HSPASR
FZP
FRK
MKSBTD
MNSSAN
LDNMGA
PTL
JLDKPT
NSRRPN
TNT
MHL
BNL
200782%
200879%
200978%
201082%
as on week 30 ending on 7th Aug 2010
GDP
HSPASR
FZP
FRK
MKSBTD
MNSSAN
LDNMGA
PTL
JLDKPT
NSRRPN
TNT
MHL
BNL
20083.94
20073.86
< 0.70< 0.70
0.70 - 0.990.70 - 0.99
1.00 – 1.991.00 – 1.99
>> 2.00 2.00
Non Polio AFP Rate 2007-2010Non Polio AFP Rate 2007-2010
20094.55 2010
3.28
as on week 30 ending on 7th Aug 2010
% Cases Investigated w/in 48 hrs- Punjab 2007-2010
< 60%
60% - 69%
70% – 79%
> 80%
200892%
200788%
200993%
201090%
as on week 30 ending on 7th Aug 2010
% Cases Notified w/in 10 Days - Punjab 2007-2010
GDP
HSPASR
FZP
FRK
MKSBTD
MNSSAN
LDNMGA
PTL
JLDKPT
NSRRPN
TNT
MHL
BNL
< 60%
60% - 69%
70% – 79%
> 80%
200784% 2008
81%
200981%
201083%
as on week 30 ending on 7th Aug 2010
Weekly Summary Of Timeliness of District Reports- 2010
1st Quarter 2nd Quarter
98%98%
94%
97%
84%
94%
98%
97%
91%
98%
No Report received from Patiala since last 3 weeks
The Impact of Polio Eradication
Since the Global Eradication of Polio Initiative began in 1988, over 50 Lac disabilities have been prevented worldwide.
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