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Poliomyelitis - Multistate (world) - Monitoring global outbreaks (ECDC/CDTR, March 4 2013)

Giuseppe

Emeritus
[Source: European Centre for Disease Prevention and Control (ECDC), full PDF document: (LINK). Edited.]


COMMUNICABLE DISEASE THREATS REPORT

Week 9, 24 February-2 March 2013

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Poliomyelitis - Multistate (world) - Monitoring global outbreaks

Opening date: 8 September 2005 Latest update: 28 February 2013



Epidemiological summary

The number of WPV cases for 2013 remains two in Pakistan.

One new WPV case was reported in the past week, a WPV1 from Nangarhar, Afghanistan, with onset of paralysis on 31 January. It is the first WPV case in the country for 2013.

Two new WPV cases were reported in the past week, both WPV1s from Federal Capital Territory and Nasarawa, in Nigeria, with onset of paralysis on 25 January and 29 January, respectively.

These are the first WPV cases in the country for 2013.

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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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