Jan 6, 2014 - O u tb reak R esp o n se. Supplem entary Im m unization A ctivities. 5. N. ID. SN. ID. C. H. D. Ja n. F e
M i d d l e
E a s t
P o l i o Te c h n i c a l B u l l e t i n EMR: Egypt, Iraq, Jordan, Lebanon, Syria, West Bank and Gaza Strip EUR: Turkey Data in WHO as of 31 December 2013 (Week 1) – No.3
Situation Update 6 January 2014: The total number of confirmed wild poliovirus cases remains at 17. There were no new wild poliovirus cases reported since the last technical bulletin. The polio outbreak was declared by the Minister of Health of the Syrian Arab Republic on 28 October 2013 with 13 confirmed cases from Deir-Al-Zour, additional cases have also been confirmed from Aleppo and Rural Damascus. Genetic sequencing indicates that the virus has been circulating in the region for nearly a year. It is linked to virus detected in environmental samples from Egypt in December 2012, which is closely linked to strains detected from environmental samples in Israel since February 2013, and the West Bank and Gaza Strip since July 2013.
New cases – Summary: New cases this week: none Location / Date of onset: none Outbreak – Summary: Total number of cases: 17 (in Syria) Most recent case: Deir-Al-Zour, Mayadeen / 08-Oct-13
Given the current situation across the region with frequent population movements and concerns about polio immunization rates and AFP surveillance indicators in key areas, the risk of further international spread of wild poliovirus is considered to be high. Coordinated supplementary immunization and surveillance activities have been planned throughout the region.
Index case: Aleppo, Fardous / 14-Jul-13
.
Duration of outbreak: 12 weeks Extent of outbreak: 3 governorates/ 3 districts (in Syria)
SIA – Summary: Number of SIAs since Index case: 2 (2 NIDs) Number of SIAs since last case: 2 (2 NIDs)
1
Summary information as of 31 December 2013
AFP case information, 2013 Syria
Egypt
Iraq
Jordan
Lebanon
West Bank and Gaza Strip
Turkey
NP AFP cases
NP AFP cases
NP AFP cases
NP AFP cases
WPV cases
NP AFP cases
NP AFP cases
NP AFP cases
Nb 0 13 3 1 0 0 17
% 0% 76% 18% 6% 0% 0%
Nb 5 38 32 35 15 4 129
% 4% 29% 25% 27% 12% 3%
Nb 27 370 345 187 59 0 988
% 3% 37% 35% 19% 6% 0%
Nb 19 115 166 90 36 0 426
% 4% 27% 39% 21% 8% 0%
Nb 2 5 15 6 4 1 33
% 6% 15% 45% 18% 12% 3%
Nb 1 4 14 8 4 0 31
% 3% 13% 45% 26% 13% 0%
Nb 0 11 12 5 9 0 37
% 0% 30% 32% 14% 24% 0%
Nb 4 27 65 58 59 3 216
% 2% 13% 30% 27% 27% 1%
0 Dose 1-2 Doses 3 Doses 4+ Doses Unknown TOTAL
9 6 1 1 0 17
53% 35% 6% 6% 0%
17 14 9 83 6 129
13% 11% 7% 64% 5%
0 17 13 949 9 988
0% 2% 1% 96% 1%
5 25 40 332 24 426
1% 6% 9% 78% 6%
0 0 1 23 9 33
0% 0% 3% 70% 27%
2 2 5 18 4 31
6% 6% 16% 58% 13%
0 0 0 36 1 37
0% 0% 0% 97% 3%
20 73 9 114 0 216
9% 34% 4% 53% 0%
M F
10 7 17
59% 41%
72 57 129
56% 44%
569 419 988
58% 42%
247 179 426
58% 42%
21 12 33
64% 36%
26 5 31
84% 16%
14 23 37
38% 62%
128 88 216
59% 41%
Age 0-5 months 6-23 months 24-59 months 60-119 months 120-179 months 180+ months TOTAL
Vaccination status
Gender
TOTAL
Surveillance indicators, 2010-2013 Country / Territory Egypt
