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Eradication of Poliomyelitis Global & National Overview Goal : Complete interruption of wild poliovirus transmission

Eradication of Poliomyelitis Global & National Overview Goal : Complete interruption of wild poliovirus transmission Dr OR Goldie (State EPI Officer Punjab). Acute Flaccid Paralysis (AFP) surveillance System. WPV (Polio) . Case Investigation and Lab Analysis. Hospitals Clinics Community.

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Eradication of Poliomyelitis Global & National Overview Goal : Complete interruption of wild poliovirus transmission

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  1. EradicationofPoliomyelitisGlobal & National OverviewGoal : Complete interruption of wild poliovirus transmissionDr OR Goldie (State EPI Officer Punjab)

  2. Acute Flaccid Paralysis (AFP)surveillance System WPV (Polio) Case Investigation and Lab Analysis Hospitals Clinics Community AFPcases Non-Polio AFP

  3. Wild Poliovirus*, 07 Jul 2009 – 13 Aug 2010 Wild virus type 1 Wild virus type 3 Wild virus type 1/3 Wild virus type 1 Wild virus type 3 Wild virus type 1/3 Endemic countries Case or outbreak following importation (0 - 6 months) Case or outbreak following importation (6 - 12 months) *Excludes viruses detected from environmental surveillance and vaccine derived polioviruses. 1 WPV1 in Jammu and Kashmir, date of onset of 07 Feb 2010, does not appear on the map.

  4. Location of poliovirus by type, 2009* • Ludhiana • Priority District For Polio Eradication • Repeated Virus Importations • Rapid Urbanization And Industrialization • Extensive Construction Activity • Labour Forces From Endemic States • Highest percentage of migrants in Punjab * data as on 9 April 2010

  5. Location of poliovirus by type, 2010* Jammu WPV :Genetically related to an imported strain in Punjab Sept 2009 W Bengal WPV: Genetically related to Saharsa strain isolated in June 2009 Most recent virus 22 July 2010 Pakur, Jharkhand Maharashtra WPV : Genetically related to Khagaria strain isolated in June 2009 * data as on 9 Jul 2010

  6. Reduction in Genetic Diversity and Overall Burden of WPV1 2006 2007 2008 2009* 1 cluster 9 clusters 7 clusters 3 clusters Grey 1 Grey 2 Grey 3 Black 1 Black 2 Pink 1 Yellow 2 Yellow 3 Yellow 4 Grey 1 Grey 2 Grey 3 Black 1 Pink 1 Yellow 2 Yellow 3 29 14 1 1 32 3 2 2 2 71 Grey 1 Grey 2 89 38 2 11 12 459 11 14 4 Pink 1 79 Pink 1

  7. Monthly incidence of polio in Punjab January 2006 – July 17 2010* Number of cases Very High Risk Period J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J 2006 2007 2008 2009 2010

  8. Current Status Punjab is entering its Very High Risk Period for virus. • India to date has 29 WPVs including 9 WPV type 1 and 20 WPV type 3 cases • NO P1 cases reported from UP & Bihar since Oct/Nov 2009 • Majority of Punjab cases in past 3 years are related to migrants. • Last case was in Oct 2009 in Ludhiana. • Low level circulation is believed to be continuing • Intensified efforts need to be sustained

  9. Polio Eradication efforts : Ludhiana • State level mtg chaired by Hon’ble Health minister on 16 July 2010 • DTF • Intensify monitoring • Microplanning • Improve reach in slums • DTF Ludhiana 21 July 2010 • District admn support assured • Increase District level monitoring • Seek partner support in microplanning next round • Polio Activity 25-27 July • Active monitoring in slums by CS , staff, state level observers, partners • Review done by DFW (26 Jul) • Evening meetings held • Feedback: Quality of activity good, supervision needs strengthening

  10. Wild Virus /Compatible cases- 2009 Confirmed Polio -4 Compatible-3 PBJLD09021 Block- JLD West- Kartarpur Donset 09/09/2009 Age 4 mths - P1WDoses- RI-2 SIA-1 UPBJN09275 Block- Mohali Donset 28/09/2009 Age 8 mths - P3WDoses- RI-0 SIA-6 UPLNO09200 Block- LDN City Donset 20/09/2009 Age 13 mths - P1WDoses- RI-0 SIA-5 PBLDN09043 Block- Jagraon Donset 13/10/2009 Age 15 mths - P3WDoses- RI-0 SIA-8

  11. Wild Virus /Compatible cases- 2010 No Polio Case

  12. % Adequate Stool Collection Rate – Punjab 2007-2010 GDP HSP ASR TNT KPT JLD NSR FZP RPN LDN MGA FRK MHL MKS PTL BNL BTD SAN MNS 2007 82% 2008 79% < 60% 60% - 69% 70% - 79% > 80% 2009 78% 2010 82% as on week 30 ending on 7th Aug 2010

  13. Non Polio AFP Rate 2007-2010 GDP HSP ASR TNT KPT JLD NSR FZP RPN LDN MGA FRK MHL MKS PTL BNL BTD SAN MNS < 0.70 0.70 - 0.99 1.00 – 1.99 > 2.00 2007 3.86 2008 3.94 2009 4.55 2010 3.28 as on week 30 ending on 7th Aug 2010

  14. % Cases Investigated w/in 48 hrs- Punjab 2007-2010 2007 88% 2008 92% < 60% 60% - 69% 70% – 79% > 80% 2009 93% 2010 90% as on week 30 ending on 7th Aug 2010

  15. % Cases Notified w/in 10 Days - Punjab 2007-2010 GDP HSP ASR TNT KPT JLD NSR FZP RPN LDN MGA FRK MHL MKS PTL BNL BTD SAN MNS 2007 84% 2008 81% < 60% 60% - 69% 70% – 79% > 80% 2009 81% 2010 83% as on week 30 ending on 7th Aug 2010

  16. Weekly Summary Of Timeliness of District Reports- 2010 98% 98% 94% 97% 94% 98% 98% 84% 91% 97% 1st Quarter 2nd Quarter No Report received from Patiala since last 3 weeks

  17. The Impact of Polio Eradication Since the Global Eradication of Polio Initiative began in 1988, over 50 Lac disabilities have been prevented worldwide.

  18. THANK YOU

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