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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

Collecting polio environmental sample, training health workers in Nigeria

Collecting polio environmental sample, training health workers in Nigeria

by | Jul 1, 2023 | Terry's Polio Eradication Update

No new Wild Polio cases reported this week.  We are now 3 weeks since the most recent reported Wild Polio Case – on 6/10/23 in Afghanistan. 

What is that Polio Picture? Dr Humayun Asghar – Collecting the first sample for polio environmental surveillance while training health workers, Nigeria. © WHO . “Dr Humayun has sowed the seeds of Acute Flaccid Paralysis surveillance in Pakistan all through his own initiative and drive and nurtured and supported the lab network in the Eastern Mediterranean Region; as one of the architects of the regional and global laboratory network, he has contributed to building a great legacy.” Dr Hamid Jafari, WHO Polio Director for the Eastern Mediterranean Region, says this contribution to Polio eradication cannot be overstated.

A Win Against Polio is a Win for Global Health!

2023 Circulating Vaccine Derived Polio Cases – 125 Benin – 3, Central African Republic – 7, Chad – 8, Cite d’ Ivoire – 2, DR Congo – 71, Indonesia – 3, Israel – 1, Madagascar – 13, Mali – 3, Mozambique – 3, Nigeria – 10, Somalia – 2, Zambia – 1.

New Polio Cases & Samples This Week –

  • Côte d’Ivoire: one cVDPV2 positive environmental sample
  • DR Congo: four cVDPV1 and three cVDPV2 cases
  • Madagascar: three cVDPV1 cases and eight cVDPV1 positive environmental samples
  • Nigeria: three cVDPV2 cases
  • Zambia: one cVDPV2 case

2022 Circulating Vaccine Derived Polio Case Total – 909 Afghanistan – 43, Algeria – 3, Benin – 11 (3 in 2021), Burundi – 1, Cameroon – 3 (3 in 2021), Central African Republic – 5, 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 – 15 (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

“You only live once, but if you do it right, once is enough.”“

— Mae West (1893-1980), American Actress 

The Final Two Polio Endemic Countries:

Pakistan

 

 

as of 7/1/2023

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 7/1/2023

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

Confidence in surveillance

Confidence in surveillance

by | Mar 17, 2023 | Terry's Polio Eradication Update

What is that Polio Picture?

Confidence in surveillance essential for certifying a Polio-free world – Latest recommendations from independent global certification body – The Global Commission for the Certification of Poliomyelitis Eradication (GCC) met recently in Amman, Jordan, to review progress towards interrupting wild poliovirus type 1 (WPV1) transmission in polio-endemic Pakistan and Afghanistan, implementation of the Global Surveillance Action Plan, and to hear from the six regional certification commissions on current regional priorities and issues.

“It will be the quality of poliovirus surveillance that will allow the GCC to certify the eradication of WPV1 with the highest possible level of confidence,” said Professor David Salisbury, GCC Chair. 

 

Support water, sanitation, and hygiene efforts on World Water Day (March 22)

A Win Against Polio is a Win for Global Health!

2023 Circulating Vaccine Derived Polio Cases – 13, Benin – 1, Chad – 2, Indonesia – 2, Israel – 1, Madagascar – 5, Nigeria – 1, Somalia – 1

New Polio Cases & Samples This Week –  Benin – 1 (2023) cVDPV2 Case, Burundi – 1 cVDPV2 Case + 5 Samples, Chad – 2 (2023) cVDPV2 Cases, DR Congo – 6 cVDPV2 Cases, Niger – 1 cVDPV2 Case, Pakistan – 1 WPV1 Sample.

2022 Circulating Vaccine Derived Polio Case Total – 826.  Afghanistan – 43, Algeria – 3, Benin – 11 (3 in 2021), Burundi – 1, Cameroon – 3 (3 in 2021), Central African Republic – 5, Chad -44 (0 in 2021), DR Congo – 433 (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 – 21 (2 in 2021), Niger – 15 (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

“Everybody is a genius.  But if you judge a fish by it’s ability to climb a tree, it will live it’s whole life believing that it is stupid.”

— Albert Einstein 

The Final Two Polio Endemic Countries:

Pakistan

 

 

as of 3/18/2023

0 new Polio cases reported this week. The most recent cases had an onset of paralysis on 9/20/22.
1 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 3/18/2023

0 new Polio cases reported this week. The most recent cases had an onset of paralysis on 9/10/22.
0 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

Polio surveillance efforts to keep their communities safe amid crisis

Polio surveillance efforts to keep their communities safe amid crisis

by | Sep 4, 2021 | Terry's Polio Eradication Update

What is that Polio Picture? Keep Kenya Polio-Free during Covid – When the pandemic caused lock downs in Nairobi, community health workers had to move to protect against COVID-19 in addition to polio. See how local health workers educated community members on stopping the spread of disease and strengthened Polio surveillance efforts to keep their communities safe amid crisis.

WHO and UNICEF would like to thank His Highness Sheikh Mohammed bin Zayed bin Sultan Al Nahyan, Crown Prince of Abu Dhabi, for his generous contribution of US$ 13 million to support global polio activities. This funding compliments contributions through the UAE Pakistan Assistance Program for campaign activities in Pakistan.

 

 A Win Against Polio is a Win for Global Health!

2021 Circulating Vaccine Derived Polio Cases – 276 – Afghanistan – 43 (308 in 2020), Angola – 0 (3 in 2020),Benin – 2 (3 in 2020), Burkina Faso – 1 (65 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 (61 in 2020), DRC – 10 (81 in 2020), Ethiopia – 9 (36 in 2020), Ghana – 0 (11 in 2020), Guinea – 6 (44 in 2020), Liberia – 3 (0 in 2020),Madagascar – 6 (2 in 2020), Mali – 0 (51 in 2020), Malaysia – 0 (1 in 2020),  Niger – 0 (10 in 2020), Nigeria – 123 (8 in 2020), Pakistan – 8 (135 in 2020), Philippines – 0 (1 in 2020), Senegal  – 13 (0 in 2020) ,Sierra Leone – 5 (10 in 2020), Somalia – 0 (13 in 2020), South Sudan – 9 (50 in 2020), Sudan – 0 (58 in 2020),Tajikistan – 32 (1 in 2020), Togo – 0 (9 in 2020), and Yemen – 3 (33 in 2020).

A total of 1,106 Vaccine Derived Polio cases were reported in 26 countries in 2020.

Quote of the Day

“The man who does not read good books has no advantage over the man who cannot read them.”

Mark Twain (1835-1910)

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.  No 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.  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