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Surveillance Update Week 42 (Ending on Saturday 19 October, 2013)

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Surveillance Update Week 42 (Ending on Saturday 19 October, 2013) Afghanistan Polio Eradication Initiative Surveillance Update Week 42 (Ending on Saturday 19 October, 2013) National Surveillance Office October 22, 2013 AFP cases Classification, Afghanistan Year 2013 Reported AFP cases 1520 Confirmed 8 Compatible 0 cVDPV2 3 Discarded 1415 Pending * 94 * 78 Adequate AFP cases pending lab results 12 Inadequate AFP cases pending 60 days FUP 04 Inadequate AFP cases pending ERC Data up to 19 Oct 2013 Confirmed Polio cases & Compatibles Afghanistan 2012-2013 2012 # # # # # # # # # # # # ## # % % % # # 2013 # NSL1=37 # ### # ##% % ## # # %# # # # #% NSL3=0 # Comp=7 # No. Polio Date of Last No. Polio Date of Last ## # Polio case 12 Polio case 13 # NO Province Cases 12 Cases 13 # # # P1 P3 P1 P3 P1 P3 P1 P3 1 Farah 1 0 Jun-02 0 0 - - NSL1=8 2 Helmand 11 0 Nov-19 - 0 0 - - NSL3=0 3 Kandahar 11 0 Oct-20 - 0 0 - - Comp=0 4 Nangarhar 2 0 Dec-20 - 3 0 Aug-8 - 5 Kunar 4 0 Sep-21 - 5 0 Sep-19 - 6 Uruzgan 2 0 Oct-18 - 0 0 - - 7 Paktya 2 0 Oct-01 - 0 0 - - NSL1 8 Ghor 1 0 Aug-31 - 0 0 - - NSL3 9 Khost 3 0 Nov-25 - 0 0 - - Compatible Total 37 0 - - 8 0 - - Data up to 19 Oct 2013 P1 & P3 Poliovirus Isolates Afghanistan 1999, 04, 2011-2013 1999 2004 # ## # $## $ # $###$# ## $ $ $ # $ # $ #$$ ## $ ###$## $# # # # # # # # # # ##$ $ $# # ### # $ # NSL1 NSL1= 45 NSL1= 2 NSL3 NSL3= 18 NSL3= 2 2011 2012 2013 # ## # # # # # # # # # # # ## # # ## # # # # # # # # # # # # # # # # # # # # # ## ## # # # ## # # # # # # # # # # # # ## # # # # # # ### # # ## # ##### # # # # ## ## #### # # ### # # # # # # ## ## # # # # # # # # NSL1= 8 # # # NSL1=80 NSL1=37 NSL3= 0 NSL3=0 NSL3=0 Data up to 19 Oct 2013 Distribution of P1, P3 & cVDPV2 by Month & District 2011-2013 2011 Jan Feb Mar Apr May Jun NSL1= 1 NSL1= 0 NSL1= 0 NSL1= 2 NSL1= 4 NSL1= 4 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 cVDPV2= 1 2012 NSL1= 4 NSL1=1 NSL1= 1 NSL1= 0 NSL1= 4 NSL1= 3 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 2013 NSL1= 0 NSL1= 1 NSL1= 1 NSL1= 0 NSL1= 1 NSL1= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 cVDPV2= 1 cVDPV2= 1 cVDPV2= 1 NSL1 NSL3 cVDPV2 Data up to 12 Oct 2013 Distribution of P1, P3 & cVDPV2 by Month & District 2011-2013 2011 Jul Aug Sep Oct Nov Dec NSL1= 1 NSL1= 10 NSL1= 16 NSL1= 14 NSL1= 13 NSL1= 15 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 2012 NSL1= 7 NL1= 6 NSL1= 3 NSL1= 2 NSL1= 4 NSL1= 2 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 cVDPV2= 2 cVDPV2= 2 cVDPV2= 7 2013 NSL1= 1 NSL1= 2 NSL1= 2 NSL1= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL3= 0 NSL1 NSL3 cVDPV2 Data up to 19 Oct 2013 List Of Confirmed Polio Cases Afghanistan, 2013 No Date of D last EPID Province District Prog Fever Asym Sex Age Routine SIAs Dstool2 Hcase LabR Cluster onset OPV 1 AFG/06/13/018 Nangarhar Lalpoora 31-01-13 Y Y N M 12 0 0 No dose 07-02-13 N NSL1 R4 2 AFG/06/13/038 Kunar Khas kunar 28-03-13 Y Y N F 21 0 1 11-03-13 06-04-13 N NSL1 R4 3 AFG/06/13/066 Nangarhar Shinwar 06-06-13 Y Y N M 18 3 7+ 22-04-13 11-06-13 N NSL1 R4 4 AFG/06/13/081 Kunar Watapur 23-07-13 Y Y N M 18 0 0 No dose 31-07-13 N NSL1 R4 5 AFG/06/13/085 Nangarhar Batikot 08-08-13 Y Y N M 9 0 7 02-07-13 11-08-13 N NSL1 R4 6 AFG/06/13/100 Kunar Watapur 27-08-13 Y Y N F 9 1 2 26-08-13 01-09-13 N NSL1 R4 7 AFG/06/13/113 Kunar Watapur 15-09-13 Y Y N F 11 0 0 No dose 18-09-13 Y NSL1 PEND 8 AFG/06/13/115 Kunar Narang 19-09-13 Y Y Y F 17 0 7+ 16-09-13 23-09-13 Y NSL1 PEND Data up to 19 Oct 2013 cVDPV-2 Cases Afghanistan 2012-2013 2012 No EPID PROVINCE DISTRICT DONSET SEX AGE Routine SIAs DLASTOPV DSTOOL2 1 AFG/08/12/292 KANDAHAR MAYWAND 17-10-12 M 18 0 1 03-06-11 11-11-12 2 AFG/08/12/288 KANDAHAR PANJWAYI 30-10-12 M 8 0 2 08-07-12 06-11-12 3 AFG/08/12/290 KANDAHAR SPINBOLDAK 05-11-12 M 13 1 3 15-10-12 10-11-12 4 AFG/08/12/302 HILMAND NAHR-E-SARAJ 15-11-12 F 18 0 7+ 17-09-12 21-11-12 5 AFG/08/12/340 HILMAND KAJAKI 02-12-12 M 24 0 0 Zero dose 31-12-12 6 AFG/08/12/314 HILMAND NAD-E-ALI 03-12-12 F 28 0 7+ 06-10-12 09-12-12 7 AFG/08/12/338 HILMAND NAD-E-ALI 20-12-12 M 12 0 0 Zero dose 31-12-12 8 AFG/08/12/334 HILMAND WASHER 20-12-12 F 18 0 2 14-10-12 30-12-12 9 AFG/08/12/330 KANDAHAR PANJWAYI 20-12-12 M 18 0 5 18-09-12 27-12-12 10 AFG/08/12/339 HILMAND NAD-E-ALI 21-12-12 F 14 0 0 Zero dose 01-01-13 11 AFG/08/12/335 HILMAND NAWZAD 24-12-12 M 26 0 0 Zero dose 22-01-13 2013 1 AFG/08/13/013 HILMAND NAD-E-ALI 22-01-13 F 22 1 2 05-10-12 30-01-13 2 AFG/08/13/038 HILMAND NAD-E-ALI 20-02-13 F 36 0 7+ 12-02-13 26-02-13 3 AFG/08/13/054 KANDAHAR SHAHWALIKOT 13-03-13 M 14 0 0 Zero dose 17-03-13 Data up to 19 Oct 2013 cVDPV-2 Cases Afghanistan 2012-2013 • Median Age is 18 months and Median OPV doses are 2 = 1 cVDPV-2 • 12/14 cases are zero routine (86%) and two have received 1 dose each • 5/ 14 cases are zero SIAs (36 %) • All cases are reported from two provinces of South: Helmand 9 cases ( 5 from Nad Ali and 1 each from Nahrisiraj , Washer , Kajaki and Nawzad districts ) Kandahar 5 cases (2 from Panjwai and 1 each from Maiwand, Spinboldak and Shahwalikot) • Most of the cases are genetically linked with 2009 &2010 circulation, while the last two cases of Maiwand are linked across the border with Baluchistan and Killa Abdullah cVDPV-2 cases Panjwai district Kandahar province 10 Date of onset 20 Dec 2012 2011 2012 2013 9 Nawzad district Helmand province Date of onset 24 Dec 2012 8 7 6 5 4 7 3 2 1 2 2 1 1 1 1 0 Jul Jul Jul Jan Jan Jan Jun Jun Jun Oct Oct Oct Feb Sep Feb Sep Feb Sep Apr Apr Apr Dec Dec Dec Mar Mar Mar Aug Nov Aug Nov Aug Nov May May May Shahwalikot district Kandahar province cVDPV-2 tOPV Date of onset 13 Mar, 2013 Data up to 19 Oct 2013 18 19 20 No10 of cases12 13 14 15 16 17 11 0 1 2 3 4 5 6 7 8 9 Polio Virus Isolates By Type & Month, Afghanistan 2010 &Month,Afghanistan By Type Virus Isolates Polio Jan NSL3 NSL1 Feb Mar Apr May Jun Jul 2010 Aug tOPV mOPV1 mOPV3 mOPV3 mOPV1 tOPV Sep Oct Nov Dec Jan Feb Mar Apr 2011 May Jun bOPV Jul Aug Sep Oct Nov SIAD SIAD Dec Jan Feb Mop up Mop Mar Apr May 2012 SNID Jun Jul Aug NID NID Sep Oct Nov Dec Data up Data Jan Feb Mar 2013 to 19 Oct 201319 to Apr May - Jun 2013 Jul Aug Sep Oct Nov Dec Afghanistan & Pakistan P1 isolates by genetic cluster 2013 Legend R2B R4A R4 B PEND Province boundary District boundary 1 Dot =1 Polio case Afghanistan Province Pend Pakistan R4 B R4 Nangarhar 3 0 Province R2B R4B R4A Pend Kunar 3 2 FATA 0 2 25 7 Total 6 2 KPK 0 0 7 0 Sindh 1 0 2 0 Punjab 0 0 2 0 Total 1 2 36 7 Data up to 19 Oct 2013 Vaccination status of Non Polio AFP cases 6-35 Months by region 2010-2013* Afghanistan Central East Northeast North Southeast West South 100% 90% 46 66 80% 49 70% 62 109 46 95 60% 97 83 87 93 94107 120 93 98 69 28 96 115 78 92 88 31 69 46 46 25 29 50% 74 26 40% 43 20 30% 41 20% 33 5 20 19 13 19 20 19 10% 17 13 10 15 15 11 4 31 11 14 4 1 9 10 6 11 19 10 4 4 2 2 1 3 4 5 7 3 3 4 6 7 7 4 0% 12 3 4 0 1 1 2 0 1 2 0 1 1 0 1 1 0 1 4 0 Y10Y11 Y12 Y13 Y10Y11 Y12 Y13 Y10Y11 Y12 Y13 Y10Y11 Y12 Y13 Y10Y11 Y12 Y13 Y10Y11 Y12 Y13 Y10Y11 Y12 Y13 UNVACC 1-3 DOSES 4-6 DOSES 7+ Doses *Data is revised on monthly basis Data up to 12 Oct 2013 Trend adjusted FM OPV coverage in Low Performing District ( LPD) of southern region, Afghanistan 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Kandahar SW.Kot ARGHANDAB KHAKREZ S.Boldak Maiwand Panjwaie Lashkarga Nadali Nahre saraj Sangin Jan Feb 3-5 March 10-12 March 31 Mar-2Apr 14-16 Apr 5-7 May 19-21 May June SNID July SNID Aug NID Sep LPDs Trend adjusted FM OPV coverage in Low Performing District ( LPD) of Kunar province (East), Afghanistan 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 ASADABAD WATAPUR SHIGAL NARANG SARKANI MARAWAR D.
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