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Afghanistan Polio Eradication Initiative. Surveillance Update Week 15 ( Ending on Saturday 18 April 2009 ). National Surveillance Office April 21, 2009. AFP Case Classification Afghanistan 08-09. ^ 64 AFP cases pending lab results 8 Inadequate AFP case pending 60 days follow

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Afghanistan Polio Eradication Initiative

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Afghanistan Polio Eradication Initiative

Surveillance Update

Week 15

(Ending on Saturday 18 April 2009)

National Surveillance Office

April 21, 2009


AFP Case Classification Afghanistan 08-09

^ 64 AFP cases pending lab results

8 Inadequate AFP case pending 60 days follow

5 Pending ERC

Data up to 18 Apr 09


NSL1

NSL3

Compatible

Confirmed Polio cases & Compatibles Afghanistan 07-09

2007

2008

2009

Recent NSL1 from Bargi Matal District of Nuristan Province, onset is 30 Mar, age 24m, 18 OPV doses

NSL1=06

NSL3=11

Comp=02

NSL1=25

NSL3=06

Comp=3

NSL1=6

NSL3=0

Comp=0

Data up to 18 Apr 09

Polio cases are placed by village


NSL1

NSL3

1999

P1 & P3 Poliovirus Isolates Afghanistan 1999, 04, 07-09

2004

NSL1= 2

NSL3= 2

NSL1= 45

NSL3= 18

2008

2009

2007

NSL1=6

NSL3=0

NSL1=06

NSL3= 11

NSL1=25

NSL3=06

Data up to 18 Apr 09


NSL1

NSL3

2007

Jan

Apr

May

Jun

Mar

Feb

Distribution of P1 & P3 by Month & District 07-09

NSL1=0

NSL3=0

NSL1=2

NSL3=0

NSL1=1

NSL3=1

NSL1=0

NSL3=0

NSL1=0

NSL3=0

NSL1=1

NSL3=0

2008

NSL1=2

NSL3=0

NSL1=1

NSL3=1

NSL1=1

NSL3=0

NSL1=1

NSL3=1

NSL1=3

NSL3=0

NSL1=0

NSL3=2

2009

NSL1=3

NSL3=0

NSL1=1

NSL3=0

NSL1=2

NSL3=0

NSL1=0

NSL3=0

Data up to 18 Apr 09


NSL1

NSL3

Distribution of P1 & P3 by Month & District 07-08

2007

Jul

Oct

Nov

Dec

Sep

Aug

NSL1=0

NSL3=1

NSL1=0

NSL3=1

NSL1=2

NSL3=1

NSL1=0

NSL3=3

NSL1=0

NSL3=3

NSL1=0

NSL3=1

2008

NSL1=2

NSL3=1

NSL1=2

NSL3=0

NSL1=6

NSL3=0

NSL1=0

NSL3=1

NSL1=1

NSL3=0

NSL1=6

NSL3=0

Data up to 18 Apr 09


List Of Confirmed Polio Cases Afghanistan 2008

Data up to 18 Apr 09

*Confirmed by contact


List Of Confirmed Polio Cases Afghanistan 2009

Data up to 18 Apr 09

*Confirmed by contact


2005

2006

2007

NSL1

NSL3

tOPV mOPV1 mOPV3

Polio Virus Isolates By Type & Month, Afghanistan 05-09

2008

2009

Short interval additional dose

Data up to 18 Apr 09

sNID

NID


A-3A

A-3D

B-4A

Afghanistan & Pakistan P1 isolatesby genetic cluster 2008

Data up to 18 Apr 09


A-3A

A-3D

B-4A

PEND

Afghanistan & Pakistan P1 isolatesby genetic cluster 2009

Data up to 18 Apr 09


Afghanistan & Pakistan P3 isolatesby genetic cluster 2008

Data up to 15 Apr 09


Afghanistan & Pakistan P3 isolates by genetic cluster 2009

Data up to 15 Apr 09


Regional Reference Lab Update Afghanistan 2009

* Index case AFG/08/09/017 is EV, while it’s contact is NSL1

Data up to 18 Apr 09


AFP Cases Labeled As Hot & Pending in Lab, Afghanistan 2009

Hot by criteria=AFP cases have (Fever + rapid progress+ Asymmetric paralysis + Age <48 month)

Data up to 18 Apr 09


Reported AFP Cases, Comparison By Month, Afghanistan 06-09

@ of 2/100,0000 <15 year

@ of 1/100,0000 <15 year

2006

2009

2008

2007

Data up to 18 Apr 09


AFP Cases By Week Of Onset Afghanistan 2009

Expected 2= Two cases/100,000 <15 yrs

Good AFP= GBS or T. Myelitis, T. Neuritis

Data up to 18 Apr 09

Week (Sun-Sat)


AFP Cases Pending ERC, Afghanistan 2009

Data up to 18 Apr 09


AFP Cases Pending Classification > 90 Days, Afghanistan 2009

Data up to 18 Apr 09


Tajikistan

Uzbakistan

China

Turkmanistan

Iran

Pakistan

Dot=10 Persons/Sq Km

Population Density Map Afghanistan 2009


0-0.99

1-2.99

3-4.99

5+

Non-Polio AFP Rate by Province, Afghanistan per 100,000 under 15 years (Annualized)

2007

2008

2009

Data up to 4 Apr 09


% of AFP cases reported within 7 days of paralysis onset by region Afghanistan 07-09

Data up to 18 Apr 09


Proportion of Adequate Stools By Region Afghanistan 07-09

Data up to 18 Apr 09


AFP Cases with Stool Specimen Reaching The RRL Within 3 and 7 Days of 2nd Specimen Collection By Region, Afghanistan 07-09

Within 3 days

Within 7 days

Data up to 18 Apr 09


Percentage of Entero -Virus and SL isolation Afghanistan 07-09

Entero Virus

SL

EV % by month 07-09

Percentage

Data up to 18 Apr 09


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