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Week-07 Ending 18 February 2018 Somalia Cvdpv2 Update

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Week-07 Ending 18 February 2018 Somalia Cvdpv2 Update Somalia Weekly Update Week-07 Ending 18 February 2018 Somalia cVDPV2 update • 3 new VDPV2s are isolated Site name: 21October site Site name: Kawma from 2 environmental samples 3 VDPV2s isolated from 2 3 VDPLV2s isolated from 2 collected from an ES site called Samples-2017 samples-2018 ‘KAWMA' sewage site, in Hamerewoini-Shangani district in Banadir region in Central zone • Samples were collected one week apart on 4th and 11th of January 2018 • Sequencing results were received from the CDC on February 10, 2018 • The VDPV2 from the first sample had 44 and 38 NT different from the parent Sabin and the second was 40 NT • 1 sample is pending for sequencing: (ES/SOM/BAN/HMW/KAWMA-1/18/004) • The 3 new viruses are genetically linked to previous ES viruses detected in 21October site. • These are classified as cVDPV2 as per guidelines • Kawma sewage site was established on 20th September 2017 and a total of 16 samples were collected since establishment. • Kawma ES site is 3.9 km away from 21October ES site Somalia cVDPV2 update List of ES samples sent for Sequencing in 2017 and 2018 and summary of final classification Date sent Date of Date of Sample Final NT Deference Region District Site name Year Epid. Number for Sequencing Collection Classification from parent Sequencing result Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-002 22-Oct-17 cVDPV2 02-Nov-17 38 nt 09-Nov-17 Banadir Waberi 21October 2017 ES/SOM/BAN/WBR-TOO-17-003 2-Nov-17 cVDPV2 36 & 37 nt Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/009 21-Dec-17 SL-2 2-Feb-18 10-Feb-17 Banadir Hamerewoini Kawma 2017 ES/SOM/BAN/HMW/KAWMA-1/17/010 28-Dec-17 SL-2 2-Feb-18 10-Feb-17 Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/001 4-Jan-18 cVDPV2 2-Feb-18 44 & 38 nt 10-Feb-17 Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/002 11-Jan-18 cVDPV2 2-Feb-18 40 nt 10-Feb-17 Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/003 18-Jan-18 SL-2 2-Feb-18 10-Feb-17 Banadir Hamerewoini Kawma 2018 ES/SOM/BAN/HMW/KAWMA-1/18/004 25-Jan-18 SL-2 2-Feb-18 10-Feb-17 Part –I AFP-Surveillance Week-07 Somalia Weekly EPI/POL Update Epidemiological Curve 01 January 2014 – 19 February 2018 18 16 14 12 10 8 6 4 2 0 Pending Lab Pending ERG Discarded Compatable WPV aVDPV Graph no. 1 Week-07 Somalia Weekly EPI/POL Update Weekly AFP cases reported by Provinces, 2016-2017 Somalia. (cases are distributed across weeks based on date of onset of paralysis). PROVINCE 2017W09 2017W10 2017W11 2017W12 2017W13 2017W14 2017W15 2017W16 2017W17 2017W18 2017W19 2017W20 2017W21 2017W22 2017W23 2017W24 2017W25 2017W26 2017W27 2017W28 2017W29 2017W30 2017W31 2017W32 2017W33 2017W34 2017W35 2017W36 2017W37 2017W38 2017W39 2017W40 2017W41 2017W42 2017W43 2017W44 2017W45 2017W46 2017W47 2017W48 2017W49 2017W50 2017W51 2017W52 2018W01 2018W02 2018W03 2018W04 2018W05 2018W06 2018W07 Total 2016 Total 2017 Total 2018 BANADIR 30 1 3 1 2 1 1 1 1 1 2 1 1 2 2 2 1 2 1 1 1 33 2 1 3 GALGADUD 25 1 1 2 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 27 1 2 1 1 5 M. SHABELLE 19 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 24 1 1 1 3 L. SHABELLE 24 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 2 1 1 1 31 1 1 HIRAN 15 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 1 1 2 BARI 24 1 1 2 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 24 3 3 NUGAL 11 1 1 1 1 1 1 1 1 10 1 1 MUDUG 14 1 1 1 1 1 1 1 1 12 1 1 2 TOGDHER 11 1 1 1 1 1 1 9 1 1 GALBEED 19 1 1 1 1 1 1 1 2 1 2 1 2 20 1 1 SANAQ 7 1 1 1 1 1 6 0 AWDAL 18 1 1 1 1 1 1 1 1 1 1 1 17 1 2 1 4 SAHIL 8 1 1 1 1 1 1 1 8 1 1 2 SOOL 5 2 1 1 1 1 1 2 1 11 1 1 LOWER JUBA 26 2 2 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 29 2 2 1 - BAY 19 3 1 1 1 1 1 1 1 1 2 2 2 1 22 0 GEDO 21 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 20 1 1 MIDDLE JUBA 11 1 1 1 2 1 2 1 1 11 1 1 BAKOOL 9 1 1 1 1 1 1 1 1 10 1 1 no. Table Total Somalia 316 7 12 8 6 9 8 8 4 10 8 6 9 8 5 9 10 2 5 9 3 7 6 7 7 6 9 5 7 10 4 5 7 3 2 8 11 4 7 2 5 3 6 2 5 345 6 4 8 7 3 4 2 34 Silent (not reporting) for > 8 weeks - 5 new AFP cases were reported last week making the total AFP cases reported in 2018 34 from 17 regions. Reported AFP cases - Sanaq region from Somaliland is silent and has not reported for more than 8 consecutive weeks - Only Nugal and Bay region are not reported AFP case in 2018 Community Samples collected in silent regions Community Samples collected but regions not silent Week-07 Somalia Weekly EPI/POL Update Classification of AFP cases by status (2017 & 2018) 2017 2018 REGION Discarded Pending Total Discarded Pending Total Cases 34 AFP BANADIR 33 0 33 2 1 3 Reported in 2018 M. SHABELLE 27 0 27 3 2 5 HIRAN 21 0 21 2 0 2 BARI 30 1 31 1 0 1 NUGAL 24 0 24 1 2 3 GALGADUD 24 0 24 2 1 3 MUDUG 11 1 12 2 0 2 0 21 0 13 0 TOGDHER 10 0 10 0 1 1 Compatibl Discarded GALBEED 16 1 17 3 1 4 WPV Pending e VDPV SANAQ 20 0 20 1 0 1 AWDAL 8 0 8 2 0 2 SAHIL 6 0 6 0 0 SOOL 11 0 11 0 1 1 LOWER JUBA 9 0 9 1 0 1 GEDO 10 0 10 0 1 1 0 0 21 1 22 0 0 2 13 MIDDLE JUBA - In process (lab) Pending ERG Pending ITD BAY 20 0 20 1 0 1 BAKOOL 29 0 29 0 2 2 L. SHABELLE 11 0 11 0 1 1 Chart no. 1 no. Table Grand Total 341 4 345 21 13 34 Week-07 Somalia Weekly EPI/POL Update Surveillance Indicators by Zone and Region 2018 Annualized NP-AFP Rate by Zone, 2017 12.0 10.0 11.3 8.0 6.0 4.0 5.3 4.8 4.1 2.0 2.9 0.0 Central Puntland Somaliland South Total Somalia Graph no. 2 Annualized NP-AFP rate by accessibility status 10.0 8.0 6.0 5.5 4.0 4.8 3.6 2.0 2.9 - In-accessible Partially Accessible Somalia Acceessible Map no. 1 Map no. 2 Graph no. 3 Week-07 Somalia Weekly EPI/POL Update Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, 2018 . 34 districts reported at least 1 AFP case each the first 5 weeks of 2018. All districts (n=32) reporting AFP cases in 2018 have annualized NP-AFP rate above 2 per 100,00 and also Stool adequacy rate is above 80%. The remaining 83 districts have not reported any AFP case in 2018; However, there is no district in Somalia which is silent for more than 52 consecutive weeks. Map no. 3 Map no. 4 Week-07 Somalia Weekly EPI/POL Update Number of NP-AFP cases reported across years during the same period (2012-2018) by zone 60 50 52 50 40 40 34 30 33 20 23 14 15 15 14 15 15 10 11 11 9 8 8 8 9 7 6 6 0 0 4 4 1 1 5 2 0 CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA 2013 2014 2015 2016 2017 2018 . Less number of AFPs reported in Somalia in general and also in all zones compared to number of reported AFP cases last year during the same period. Week-07 Somalia Weekly EPI/POL Update Early case detection within 7 days from onset of paralysis at zonal and region levels-2018 Notification within 7 days, Zonal Notification within 7 days, Regional 100% 100% 14 6 9 5 34 3 5 2 1 3 3 2 1 4 1 2 1 1 1 1 2 1 34 90% 90% 80% 80% 70% 70% 60% 60% 50% 50% 40% 40% 30% 30% 20% 20% 10% 10% 0% BAY BARI SOOL SAHIL GEDO HIRAN NUGAL SANAQ L. JUBAL. AWDAL MUDUG BAKOOL 0% M. JUBA GALBEED BANADIR TOGDHER CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA GALGADUD L.
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