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Weekly Polio Update Nigeria

Weekly Polio Update Nigeria. March 7, 2014. Nigeria polio cases as at Week 10, 2014. W1 ( n=1). W3 ( n=0). As at March 7, 2014 Nigeria has:- 1 confirmed WPV1 in 1 State compared to 4 cases in 4 States for the same period in 2013. Date of onset of latest case is February 1, 2014

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Weekly Polio Update Nigeria

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  1. Weekly Polio Update Nigeria March 7, 2014

  2. Nigeria polio cases as at Week 10, 2014 W1 (n=1) W3 (n=0) • As at March 7, 2014 Nigeria has:- • 1 confirmed WPV1 in 1 State compared to 4 cases in 4 States for the same period in 2013. • Date of onset of latest case is February 1, 2014 • There have been no confirmed WPV3 since November 2012. • There are no confirmed circulating vaccine derived poliovirus (cVDPV2) just as same period in 2013. # Infected States: 1

  3. Nigeria Wild poliovirus distribution 2013 & 2014 as at week 10, 2014 W1 (n=4) W1 (n=1) W3 (n=0) W3 (n=0) 2013 2014 # Infected States: 4 # Infected State: 1

  4. Nigeria cVDPV2 distribution, 2013 & 2014 as at week 10, 2014 cVDPV2 (n=0) cVDPV2 (n=0) 2013 2014 # Infected State: 0 # Infected State: 0

  5. Nigeria: Polio Compatible Cases Jan – Dec, 2013 as at week 10, 2014 No polio-compatible cases in 2014, however there 79 cases in 2013. Clustering of compatible cases in 2013 Compatibles (n= 79) Infected LGAs = 61

  6. 2013 - 2014 WPV & cVDPV2 cases by Zone and State as at week 10, 2014 Latest onset of confirmed WPV was 01-Feb-2014 from Gaya LGA, Kano State.

  7. WPV 1 Epidemiology

  8. WPV 1 monthly onset, with targeted SIAs 2008 – 2013 as at week 10, 2014

  9. WPV 1 monthly onset, with targeted SIAs 2012 – 2014 as at week 10, 2014

  10. WPV1 cases 2012 – 2014 by week and samples pending lab results for 2014 (PI & ITD) as at week 10, 2014 NB: PI = Primary Isolation; ITD = IntratypicDifferentiation

  11. Nigeria Distribution of WPV1-infected LGAs by quarter, 2012 – 2014 as at week 10, 2014 WPV1 (n=20) WPV1 (n=18) WPV1 (n= 3) WPV1 (n= 19) WPV1 (n= 13) WPV1 (n=1) # Infected LGAs 13 # Infected LGAs: 14 # Infected LGAs: 12 # Infected LGAs: 3 # Infected LGAs: 15 # Infected LGAs: 1 Qter_4’12 Qter_1’13 Qter_2’13 Qter_1’14* Qter_4’13 Qter_3’13 • Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March 2014) • Latest Onset WPV1 was 01/02/2014. note no pending lab results for 2013

  12. WPV1 (n=0) WPV1 (n=1) WPV1 (n=0) WPV1 (n=2) WPV1 (n=0) WPV1 (n=1) # Infected LGAs: 0 # Infected LGAs: 2 # Infected LGAs: 1 # Infected LGAs: 0 # Infected LGAs: 1 # Infected LGAs: 0 Nigeria Distribution of WPV1-infected LGAs in last 6 month: Oct 2013 – Mar 2014 as at week 10, 2014 Dec’13 Nov’13 Oct’13 Feb’14* Jan’14* Mar’14* • Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March 2014) • Latest Onset WPV1 was 01/02/2014. note no pending lab results for 2013

  13. WPV 3 Epidemiology

  14. WPV 3 monthly onset, with targeted SIAs, 2009 – 2014 as at week 10, 2014

  15. WPV 3 monthly onset, with targeted SIAs, 2010 – 2014 as at week 10, 2014

  16. WPV3 cases 2012 – 2014 by week and samples pending lab results (PI & ITD) for 2013 as at week 10, 2014 NB: PI = Primary Isolation; ITD = IntratypicDifferentiation

  17. Nigeria Distribution of WPV3-infected LGAs by quarter, 2012 – 2014 as at week 10, 2014 WPV3 (n=0) WPV3 (n=0) WPV3 (n=0) WPV3 (n=0) WPV3 (n=1) WPV3 (n=0) # Infected LGAs: 0 # Infected LGAs: 1 # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 Qter_4’12 Qter_1’13 Qter_2’13 Qter_1’14* Qter_4’13 Qter_3’13 * Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March) - Latest Onset WPV3 was 10/11/2012. No pending lab results for 2013

  18. Nigeria Distribution of WPV3-infected LGAs in last 6 months Oct 2013 – Mar 2014 as at week 10, 2014 WPV3 (n=0) WPV3 (n=0) WPV3 (n=0) WPV3 (n=0) WPV3 (n=0) WPV3 (n=0) # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 Oct’13 Nov’13 Dec’13 Jan’14* Mar’14* Feb’14* * Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March) - Latest Onset WPV3 was 10/11/2012. No pending lab results for 2013

  19. cVDPV2

  20. cVDPV2 cases by month 2009 – 2013 as at week 10, 2014

  21. Nigeria Distribution of cVDPV2 by LGAs/quarter, 2012 – 2014 as at week 10, 2014 cVDPV2 (n=0) cVDPV2 (n=5) cVDPV2 (n=0) cVDPV2 (n=0) cVDPV2 (n=0) cVDPV2 (n=2) # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 0 # Infected LGAs: 3 # Infected LGAs: 1 # Infected LGAs: 0 Qter_4, 2012 Qter_2, 2013 Qter_1, 2013 Qter_4, 2013 Qter_3, 2013 Qter_1, 2014 Latest Onset for cVDPV2 was 24/12/2013.

  22. Age and OPV doses of WPV cases

  23. Age group of WPV cases 2012 and 2013, as at week 10, 2014 65% < 3 yrs 70% < 3 yrs Age 2012 (n=122) Age 2013 (n=53)

  24. OPV status of WPV cases 2012 and 2013 as at week 10, 2014 47% < 3 doses 36% < 3 doses OPV status 2013 (n=53) OPV status 2012 (n=122)

  25. Nigeria OPV status of non-polio AFP cases 6 – 59 mths, 2012 – 2013 as at week 10, 2014 9% < 3 doses 6% < 3 doses OPV status 2013 (n=5,859) OPV status 2012 (n=5,274)

  26. Summary Tables

  27. WPV type by week of onset from week 10, 2013 – week 10, 2014

  28. cVDPV2 by week of onset from week 10, 2013 – week 10, 2014 tOPV was administered in 4 LGAs (Mafa, Maiduguri, Jere and Konduga) Borno State in December, 2013

  29. 2013/2014 WPV cases, Pending PI and ITD, as at week 10, 2014 * HR States; NB: PI = Primary Isolation; ITD = Intratypic Differentiation

  30. Status of Laboratory results 2011- 2013 (2013 data is as at March 7, 2014)

  31. Nigeria OPV status of non-polio AFP cases 6 – 59 mths, 2011 – 2013 as at week 10, 2014

  32. LGAsmeeting 2 AFP Surveillance core indicators, 2012/2013 as at week 10, 2014 2012 2013 LGAs reporting no AFP (0) LGAs reporting no AFP (0) LGAs meeting both indicators (695) LGAs meeting both indicators (712) LGAs not meeting both indicators (79) LGAs not meeting both indicators (62) Two AFP surveillance core indicators are NP AFP rate > 2/100,000 children under age of 15 years and % stool adequacy of >80%

  33. Tracking of Environmental Samples, • week 9, 2013 – week 10, 2014 In 2013, Environmental surveillance detected 2 WPV1 in Sokoto State and 16 cVDPV2 (Sokoto 6, Kano 2 and Borno 8). 4 cVDPV2 (Kano 1 and Borno 3) in 2014

  34. SIAs 2013 Jan’13 Feb’13 Mar’13 Apr’13 tOPV Non -Implementing States/LGAs bOPV Jul’13 Jun’13 May’13

  35. Scope of Polio SIAs and harmonization with non-Polio SIAs, Nigeria September– December 2013 Oct’13 Sep’13 IMC + bOPV bOPV MenAfrivac + bOPV YF + bOPV Nov’13 Not Implementing Dec’13

  36. Trends of LQA Results in 11 HR States

  37. Trends in LQAs from the 85 High Risk LGAs*

  38. Trends in LQAs from the 11 High risk states

  39. Trends of LQA Results in Bauchi, Borno & Yobe States BORNO BAUCHI YOBE

  40. Trends of LQA Results in Jigawa, Kaduna, Kano & Katsina States JIGAWA KADUNA KANO KATSINA

  41. Trends of LQA Results in Kebbi, Niger, Sokoto & Zamfara States KEBBI NIGER SOKOTO ZAMFARA

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