Giuseppe
Emeritus
[Source: European Centre for Disease Prevention and Control (ECDC), full PDF document: (LINK). Edited.]
COMMUNICABLE DISEASE THREATS REPORT
Week 10, 3-9 March 2013
(?)
Poliomyelitis - Multistate (world) - Monitoring global outbreaks
Opening date: 8 September 2005 Latest update: 8 March 2013
Epidemiological summary
A total of nine wild poliovirus cases, all WPV1, have been reported in 2013.
These include five cases from Pakistan, with three of these being reported in the past week from Khyber Pakhtunkhwa (two cases) and Pubjab (one case).
In addition, three cases have been reported from Nigeria, including one case from Yobe in the past week, and one in Afghanistan (none in the past week).
National or sub-national immunisation days are being organised in all three countries, although there are security concerns in some areas.
The number of reported cases in these three countries is below what was reported during the same time period in 2012.
(?)
ECDC assessment
2012 ended with the fewest wild polio cases ever reported. Two hundred and twenty-two wild polio cases were reported in 2012 ?a reduction of over 60% compared with 2011.
However, there are profound concerns about the polio situation for 2013, especially due to difficulties in the implementation of the immunisation programme in Pakistan.
The programme has been severely affected by the recent attacks that have killed several polio vaccination campaign workers in Pakistan.
This may well have an effect on neighbouring Afghanistan, which, together with Pakistan and Nigeria, is one of the three remaining polio-endemic countries in the world.
Other neighbouring countries, such as China, where a polio outbreak in 2011 was imported from Pakistan, will be equally at risk.
The discovery of the wild polio virus strain in Egypt linked to Pakistan and the recent violence against healthcare workers in Nigeria, causes additional concern.
The WHO European Region so far remains polio-free.
ECDC follows reports on polio cases worldwide through epidemic intelligence in order to highlight polio eradication efforts and identify events that increase the risk of re-introduction of wild poliovirus (WPV) into the EU.
The last polio cases in the European Union occurred in 2001 when three young Bulgarian children of Roma ethnicity developed flaccid paralysis from WPV. Investigations showed that the virus originated from India.
The latest outbreak in the WHO European Region was in Tajikistan in 2010 when WPV1 imported from Pakistan caused an outbreak of 460 reported cases. The last indigenous WPV case in Europe was in Turkey in 1998.
An outbreak in the Netherlands in a religious community opposed to vaccinations caused two deaths and 71 cases of paralysis in 1992.
(?)
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COMMUNICABLE DISEASE THREATS REPORT
Week 10, 3-9 March 2013
(?)
Poliomyelitis - Multistate (world) - Monitoring global outbreaks
Opening date: 8 September 2005 Latest update: 8 March 2013
Epidemiological summary
A total of nine wild poliovirus cases, all WPV1, have been reported in 2013.
These include five cases from Pakistan, with three of these being reported in the past week from Khyber Pakhtunkhwa (two cases) and Pubjab (one case).
In addition, three cases have been reported from Nigeria, including one case from Yobe in the past week, and one in Afghanistan (none in the past week).
National or sub-national immunisation days are being organised in all three countries, although there are security concerns in some areas.
The number of reported cases in these three countries is below what was reported during the same time period in 2012.
(?)
ECDC assessment
2012 ended with the fewest wild polio cases ever reported. Two hundred and twenty-two wild polio cases were reported in 2012 ?a reduction of over 60% compared with 2011.
However, there are profound concerns about the polio situation for 2013, especially due to difficulties in the implementation of the immunisation programme in Pakistan.
The programme has been severely affected by the recent attacks that have killed several polio vaccination campaign workers in Pakistan.
This may well have an effect on neighbouring Afghanistan, which, together with Pakistan and Nigeria, is one of the three remaining polio-endemic countries in the world.
Other neighbouring countries, such as China, where a polio outbreak in 2011 was imported from Pakistan, will be equally at risk.
The discovery of the wild polio virus strain in Egypt linked to Pakistan and the recent violence against healthcare workers in Nigeria, causes additional concern.
The WHO European Region so far remains polio-free.
ECDC follows reports on polio cases worldwide through epidemic intelligence in order to highlight polio eradication efforts and identify events that increase the risk of re-introduction of wild poliovirus (WPV) into the EU.
The last polio cases in the European Union occurred in 2001 when three young Bulgarian children of Roma ethnicity developed flaccid paralysis from WPV. Investigations showed that the virus originated from India.
The latest outbreak in the WHO European Region was in Tajikistan in 2010 when WPV1 imported from Pakistan caused an outbreak of 460 reported cases. The last indigenous WPV case in Europe was in Turkey in 1998.
An outbreak in the Netherlands in a religious community opposed to vaccinations caused two deaths and 71 cases of paralysis in 1992.
(?)
-
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