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The five steps of acute flaccid paralysis (AFP) surveillance

The five steps of acute flaccid paralysis (AFP) surveillance

by | Jul 21, 2023 | Terry's Polio Eradication Update

No new Wild Polio cases reported this week.  We are now 5 weeks since the most recent reported Wild Polio Case – on 6/10/23 in Afghanistan. 

What is that Polio Picture? The five steps of acute flaccid paralysis (AFP) surveillance:

  • Finding and reporting children with acute flaccid paralysis (AFP). The first links in the surveillance chain are the staff in all health facilities – from district health centers to large hospitals. They must promptly report every case of acute flaccid paralysis (AFP) in any child under 15 years of age.
  • Transporting stool samples for analysis. In the early stages, polio may be difficult to differentiate from other forms of acute flaccid paralysis, such as Guillain-Barré Syndrome, Transverse Myelitis, or traumatic neuritis.
  • Isolating poliovirus In a laboratory, virologists begin the task of isolating poliovirus from the stool samples.
  • Mapping the virus. Once wild poliovirus has been identified, further tests are carried out to determine where the strain may have originated.
  • Environmental Surveillance. Environmental surveillance involves testing sewage or other environmental samples for the presence of poliovirus.

Have you made your 2023-24 Rotary Year donation to The Rotary Foundation’s PolioPlus Fund? If not, why not do it today!

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A Win Against Polio is a Win for Global Health!

2023 Circulating Vaccine Derived Polio Cases – 171 Benin – 3, Burkina Faso – 1, Central African Republic – 10, Chad – 10, Cote d’ Ivoire – 2, DR Congo – 93, Indonesia – 3, Israel – 1, Madagascar – 13, Mali – 3, Mozambique – 3, Nigeria – 16, Somalia – 2, Zambia – 1.

New Polio Cases & Samples This Week –

  • Chad: five cVDPV2 cases
  • Congo: one cVDPV2 positive environmental sample
  • DR Congo: eight cVDPV1 cases, 16 cVDPV2 cases and two cVDPV2 positive environmental samples
  • Madagascar: eight cVDPV1 positive environmental samples
  • Somalia: three cVDPV2 positive environmental samples
  • Tanzania: one cVDPV2 case
  • Zambia: one cVDPV2 positive environmental sample

2022 Circulating Vaccine Derived Polio Case Total – 912 Afghanistan – 43, Algeria – 3, Benin – 11 (3 in 2021), Burundi – 1, Cameroon – 3 (3 in 2021), Central African Republic – 6, Chad -44 (0 in 2021), DR Congo – 507 (28 in 2021), Republic of Congo – 1, Eritrea – 1, Ethiopia – 1, Ghana – 3, Indonesia – 1, Israel – 1, Madagascar – 14 (13 in 2021), Malawi – 4, Mali – 2, Mozambique – 22 (2 in 2021), Niger – 16 (18 in 2021), Nigeria – 48 (415 in 2021), Pakistan – 8, Somalia – 5 (1 in 2021), Sudan – 1, Togo – 2, United States – 1, Yemen – 162 (69 in 2021).

2021 Circulating Vaccine Derived Polio Cases -689 in 22 Countries.  

2020 Circulating Vaccine Derived Polio Cases – 1,113 in 26 countries in 2020.

Quote of the Day

“Kindness in words creates confidence. Kindness in thinking creates profoundness. Kindness in giving creates love.”

— Lao Tzu

The Final Two Polio Endemic Countries:

Pakistan

 

 

as of 7/22/2023

0 new Polio cases reported this week. The most recent cases had an onset of paralysis on 2/20/23.
0 WPV1 and 0 CVDPV2-Positive Environmental Samples were reported this week in Afghanistan.
1 Wild Polio cases – 2023
20 Wild Polio cases – 2022
1 Wild Polio case – 2021
84 Wild Polio cases – 2020

Afghanistan

 

 

as of 7/22/2023

0 new Polio cases reported this week. The most recent cases had an onset of paralysis on 6/10/23.
0  WPV1 and 0 CVDPV2-Positive Environmental Samples were reported this week in Afghanistan.
5 Wild Polio cases – 2023 (all from Nangarhar Province)
2 Wild Polio case – 2022
4 Wild Polio cases – 2021
56 Wild Polio cases – 2020

Our Goal is Global Polio Eradication!!

Terry Ziegler, Polio Update Newsletter Editor Rotary Region 36

House-to-House visits in Somalia

House-to-House visits in Somalia

by | Feb 28, 2023 | Terry's Polio Eradication Update

What is that Polio Picture? 

Children wait to be vaccinated during house-to-house visits for a national polio vaccination campaign in Mogadishu, Somalia, on Tuesday 06 June 2022. Photo credits: ©WHO/ Ismail Taxta

A Win Against Polio is a Win for Global Health!

2023 Circulating Vaccine Derived Polio Cases – 3  Indonesia -2, Nigeria -1

New Polio Cases & Samples This Week – Afghanistan – 2 WPV1 Samples, Benin – 1 cVDPV2 Sample, Chad – 7 cVDPV2 Cases, DR Congo – 6 cVDPV2 Cases, Indonesia – 1 cVDPV2 (2023) Case, Nigeria – 4  cVDPV2 Cases (3 in 2022, 1 in 2023), Yemen – 10 cVDPV2 Samples.

2022 Circulating Vaccine Derived Polio Case Total – 754.  Afghanistan – 43, Algeria – 3, Benin – 10 (3 in 2021), Cameroon – 2 (3 in 2021), Central African Republic – 5, Chad -43 (0 in 2021), DR Congo – 375 (28 in 2021), Eritrea – 1, Ethiopia – 1, Ghana – 3, Indonesia – 1, Israel – 1, Madagascar – 13 (13 in 2021), Malawi – 4, Mali – 1, Mozambique – 19 (2 in 2021), Niger – 14 (18 in 2021), Nigeria – 47 (415 in 2021), Pakistan – 8, Somalia – 5 (1 in 2021), Sudan – 1, Togo – 2, United States – 1, Yemen – 160 (69 in 2021).

2021 Circulating Vaccine Derived Polio Cases -689 in 22 Countries.  

2020 Circulating Vaccine Derived Polio Cases – 1,113 in 26 countries in 2020.

Quote of the Day

”All is flux, nothing is stationary.”

— Heraclitus of Ephesus, Greek pre-Socratic philosopher

The Final Two Polio Endemic Countries:

Pakistan

 

 

as of 2/18/2023

0 new Polio cases reported this week. The most recent cases had an onset of paralysis on 9/20/22.
0 WPV1 and 0 CVDPV2-Positive Environmental Samples were reported this week in Afghanistan.
   20 Wild Polio cases – 2022
   1 Wild Polio case – 2021
   84 Wild Polio cases – 2020

Afghanistan

 

 

as of 2/18/2023

0 new Polio cases reported this week. The most recent cases had an onset of paralysis on 9/10/22.
2 WPV1 and 0 CVDPV2-Positive Environmental Samples were reported this week in Afghanistan.
   2 Wild Polio case – 2022
   4 Wild Polio cases – 2021
   56 Wild Polio cases – 2020

Our Goal is Global Polio Eradication!!

Terry Ziegler, Endowment/Major Gifts Adviser Rotary Region 36

Somalia: Call to Action Meeting for Polio Outbreak Response

Somalia: Call to Action Meeting for Polio Outbreak Response

by | Apr 16, 2022 | Terry's Polio Eradication Update

No new Wild Polio case was reported this week.

What is that Polio Picture? On March 21, the Federal Government of Somalia, the World Health Organization (WHO), and members of the Global Polio Eradication Initiative (GPEI) recommitted to stopping the ongoing outbreak of circulating poliovirus type 2 (cVDPV2) in Somalia at a three-day meeting convened in Nairobi, Kenya. High-level delegates at the meeting included HE Fawziya Abikar Nur, Federal Minister of Health and Human Services, Dr. Mamunur Rahman Malik, WHO Representative to Somalia and Head of Mission, alongside senior representation from the Bill & Melinda Gates Foundation (BMGF), the Centers for Disease Control and Prevention (CDC), Rotary International, Save the Children, the United Nations Children’s Fund (UNICEF), and other UN agencies and partners.

Together, the Government and GPEI partners, which include WHO, UNICEF, the BMGF, CDC, Rotary International, GAVI, the Vaccine Alliance, and other key partners endorsed the Somalia Polio Eradication Action Plan 2022 to reaffirm their commitment.

The Somalia Polio Eradication Action Plan 2022 outlines a four-point call to action to stop the spread of the current outbreak, which is one of the longest-lasting cVDPV2 outbreaks to be reported so far.

SAGE April 2022 – Convening this month in Geneva, the Strategic Advisory Group of Experts on Immunization (SAGE), the global advisory body to the World Health Organization (WHO) on all things immunization, urged concerted action to finish wild polioviruses once and for all.

The group, reviewing the global wild poliovirus epidemiology, highlighted the unique opportunity, given current record low levels of this strain. At the same time, it noted the continuing risks, highlighted in particular by the detection of wild poliovirus in Malawi in February, linked to wild poliovirus originating in Pakistan.

On circulating vaccine-derived poliovirus (cVDPV) outbreaks, SAGE expressed concern at continuing transmission, in particular in Nigeria which now accounts for close to 90% of all global cVDPV type 2 cases, as well as the situation in Ukraine, and its disruption to health services, urging for strengthening of immunization and surveillance across Europe.  It also noted the recent detection of cVDPV type 3 in Israel in children, and in environmental samples in occupied Palestinian territories, urged high-quality vaccination activities, and strengthened surveillance.

Preparing for the post-certification era, the group underscored the importance of global cessation of all live, attenuated oral polio vaccine (OPV) use from routine immunization, planned one year after global certification of wild poliovirus eradication.  To ensure appropriate planning, coordination, and implementation, the group endorsed the establishment of an ‘OPV Cessation Team’, to consist of wider-than-GPEI stakeholder participation and ensure leadership on all aspects of OPV cessation.

Ukraine

Rotarians have two weeks to support a unique opportunity to help the over three million refugees fleeing their homes in Ukraine due to the proximity of Rotary Clubs in and around the borders of Ukraine.

All Rotarians are encouraged to donate to The Rotary Foundation’s Ukraine Disaster Response Fund between now and April 30, 2022.  Donate at https://my.rotary.org/en/disaster-response-fund 

Rotary statement on the effect of the continuing humanitarian crisis in Ukraine and on polio eradication efforts.

Read More...
 A Win Against Polio is a Win for Global Health!

2022 Circulating Vaccine Derived Polio Case Total – 34. DR Congo – 16 (28 in 2021), Israel – 1, Madagascar – 1 (12 in 2021), Nigeria – 15 (415 in 2021), Somalia – 1 (1 in 2021).

2021 Circulating Vaccine Derived Polio Cases – 659 – Afghanistan – 43 (308 in 2020), Angola – 0 (3 in 2020),Benin – 2 (3 in 2020), Burkina Faso – 1 (65 in 2020), Cameroon – 3 (7 in 2020), CAR – 0 (4 in 2020), Chad – 0 (99 in 2020), Congo – 2 (2 in 2020), Cote d’ Ivoire – 0 (64 in 2020), DR Congo – 28 (81 in 2020), Ethiopia – 10 (36 in 2020), Ghana – 0 (11 in 2020), Guinea – 6 (44 in 2020), Guinea Bissau – 3 (0 on 2020), Liberia – 3 (0 in 2020),Madagascar – 13 (2 in 2020), Mali – 0 (52 in 2020), Malaysia – 0 (1 in 2020), Mozambique – 2, Niger – 17 (10 in 2020), Nigeria – 415 (8 in 2020), Pakistan – 8 (135 in 2020), Philippines – 0 (1 in 2020), Senegal  – 17 (0 in 2020) ,Sierra Leone – 5 (10 in 2020), Somalia – 1 (14 in 2020), South Sudan – 9 (50 in 2020), Sudan – 0 (58 in 2020), Tajikistan – 32 (1 in 2020), Togo – 0 (9 in 2020), Ukraine – 2 (0 in 2020), and Yemen – 32 cVDPV2 + 3 cVDPV1 (33 in 2020).

New This Week – Israel – 4 cVDPV3 Samples, Nigeria – 1 cVDPV2 Case + 4 cVDPV2 Samples.

A total of 1,110 Vaccine Derived Polio cases were reported in 26 countries in 2020.

Quote of the Day

“If you walk the footsteps of a stranger, you’ll learn things you never knew you never knew.“

— from “Colors of the Wind. POCAHONTAS”

The Final Two Polio Endemic Countries:

Pakistan

 

 

0 new Polio cases were reported this week.
0 Wild Polio cases – 2022 (1 Wild Polio case, 2021). The most recent case had an onset of paralysis on 1/27/21.
84 Wild Polio cases – 2020. No WPV1 or cVDPV2 Positive Environmental Samples were reported this week in Pakistan.

Afghanistan

 

 

0 new Polio cases reported this week.
1 Wild Polio case – 2022, (4 Wild Polio cases, 2021). The most recent cases had an onset of paralysis on 1/11/22.
56 Wild Polio cases – 2020.  No WPV1 & CVDPV2-Positive Environmental Sample were reported this week in Afghanistan.

Our Goal is Global Polio Eradication!!

Terry Ziegler, Endowment/Major Gifts Adviser Rotary Region 36

Polio Surveillance activities in Mogadishu, Somalia

Polio Surveillance activities in Mogadishu, Somalia

by | May 28, 2021 | Terry's Polio Eradication Update

What is that Polio Picture? This picture shows Polio Surveillance activities in Mogadishu, Somalia.  Surveillance is critical to assure the eradication of the Poliovirus in a community.

 A Win Against Polio is a Win for Global Health!

How Many Children have we saved from the paralysis of Polio?
That number has now reached 20 Million! That’s a number to celebrate and to share!

2021 Circulating Vaccine Derived Polio Cases – 94 – Afghanistan – 38 (308 in 2020), Angola – 0 (3 in 2020),Benin – 1 (3 in 2020), Burkina Faso – 1 (62 in 2020), Cameroon – 0 (7 in 2020), CAR – 0 (4 in 2020), Chad – 0 (99 in 2020), Congo – 2 (2 in 2020), Cote d’ Ivoire – 0 (72 in 2020), DRC – 7 (81 in 2020), Ethiopia – 0 (26 in 2020), Ghana – 0 (11 in 2020), Guinea – 5 (44 in 2020), Liberia – 2 (0 in 2020),Madagascar – 4 (2 in 2020), Mali – 0 (48 in 2020), Malaysia – 0 (1 in 2020),  Niger – 0 (8 in 2020), Nigeria – 6 (8 in 2020), Pakistan – 7 (135 in 2020), Philippines – 0 (1 in 2020), Senegal  – 4 (0 in 2020) ,Sierra Leone – 4 (10 in 2020), Somalia – 0 (13 in 2020), South Sudan – 6 (50 in 2020), Sudan – 0 (58 in 2020), Tajikistan – 6 (1 in 2020), Togo – 0 (9 in 2020), and Yemen – 2 (33 in 2020).

A total of 1,087 Vaccine Derived Polio cases were reported in 26 countries in 2020.

Quote of the Day

“Rotary is the heart and soul of Polio eradication.” – Bill Gates, Jr 

The Final Two Polio Endemic Countries:

Pakistan

 

 

0 new Polio cases reported this week.
1 Wild Polio cases – 2021. The most recent case had an onset of paralysis on 1/27/21.
84 Wild Polio cases – 2020.  One WPV1 & CVDPV2 Positive Environmental Sample was reported this week in Pakistan.

Afghanistan

 

 

0 new Polio cases reported this past week.
1 Wild Polio case – 2021. The most recent cases had an onset of paralysis on 1/1/21.
56 Wild Polio cases – 2020.  No WPV1 & CVDPV2-Positive Environmental Samples were reported this week in Afghanistan.

Our Goal is Global Polio Eradication!!

Terry Ziegler, Endowment/Major Gifts Adviser Rotary Region 36

Somali children waiting for their Polio vaccinations

Somali children waiting for their Polio vaccinations

by | Apr 23, 2021 | Terry's Polio Eradication Update

What is that Polio Picture? This picture shows Somali children waiting for their Polio vaccinations.

Dr Hamid Jafari, Director of Polio Eradication for WHO’s Eastern Mediterranean Region, recently declared Somalia’s outbreak of circulating vaccine-derived poliovirus type 3 (cVDPV3) closed a full 28 months after this strain of polio was last detected in Somalia.

Seven children were paralyzed by the type 3 strain in the 2018 outbreak, and sewage samples regularly monitored for poliovirus tested positive for cVDPV3 a dozen times, beginning March 2018. There is no doubt that the virus circulated widely around southern and central Somalia. Despite extensive disease surveillance measures, no cVDPV3 has been identified since 7 September 2018, when the last child developed paralysis.

World Immunization Week is 24-30 April

Join with Rotary to promote the power of vaccines. 

During World Immunization Week, 24-30 April, join with Rotary to combat vaccine hesitancy and misinformation by spreading the facts about why #VaccinesWork

 

A Win Against Polio is a Win for Global Health!

How Many Children have we saved from the paralysis of Polio?
That number has now reached 20 Million! That’s a number to celebrate and to share!

2021 Circulating Vaccine Derived Polio Cases – 64 – Afghanistan – 32 (308 in 2020), Angola – 0 (3 in 2020),Benin – 0 (3 in 2020), Burkina Faso – 0 (61 in 2020), Cameroon – 0 (7 in 2020), CAR – 0 (4 in 2020), Chad – 0 (99 in 2020), Congo – 1 (2 in 2020), Cote d’ Ivoire – 0 (72 in 2020), DRC – 1 (81 in 2020), Ethiopia – 0 (26 in 2020), Ghana – 0 (11 in 2020), Guinea – 5 (44 in 2020), Mali – 0 (45 in 2020), Malaysia – 0 (1 in 2020),  Niger – 0 (8 in 2020), Nigeria – 3 (8 in 2020), Pakistan – 6 (135 in 2020), Philippines – 0 (1 in 2020), Senegal  – 3 (0 in 2020) ,Sierra Leone – 2 (9 in 2020), Somalia – 0 (13 in 2020), South Sudan – 0 (54 in 2020), Sudan – 0 (58 in 2020), Tajikistan – 5 (1 in 2020), Togo – 0 (9 in 2020), and Yemen – 0 (33 in 2020).

A total of 1,077 Vaccine Derived Polio cases were reported in 26 countries in 2020.

Quote of the Day

“Baseball is a lot like life.  The line drives are caught and the squibbers go for base hits.  It’s an unfair game..” Rod Kanehl, Mets Infielder 1962-64

The Final Two Polio Endemic Countries:

Pakistan

 

 

0 new Polio cases reported this week.
1 Wild Polio cases – 2021. The most recent case had an onset of paralysis on 1/27/21.
84 Wild Polio cases – 2020.  Four WPV1 & CVDPV2 Positive Environmental Samples were reported this week in Pakistan.

Afghanistan

 

 

0 new Polio cases reported this past week.
1 Wild Polio case – 2021. The most recent cases had an onset of paralysis on 1/1/21.
56 Wild Polio cases – 2020.  Three WPV1 & CVDPV2-Positive Environmental Samples were reported this week in Afghanistan.

Our Goal is Global Polio Eradication!!

Terry Ziegler, Endowment/Major Gifts Adviser Rotary Region 36