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1 Country Country 1 World Health Organization – Regional Office for Eastern Mediterranean AFP SURVEILLANCE 25-Jul-16 Week 29 ending 24 Jul 2016 Number 929 Table 1: Acute Flaccid Paralysis (AFP) cases by week of onsetup to Week (29/16) / Ending on : 24/07/16 Country 2014 2015 2016 to to date, W 18 W 19 W 20 W 21 W 22 W 23 W 24 W 25 W 26 W 27 W 28 W 29 03 Jul 03 16 Jul 10 16 Jul 17 16 Jul 24 16 05 Jun 16 05 Jun 16 12 Jun 16 19 Jun 16 26 Total Total AFP Total AFP Total AFP 08 May 16 08 May 16 15 May 16 22 May 16 29 Afghanistan 2421 2738 1610 59 61 52 63 54 65 56 62 60 61 50 9 Bahrain 16 19 10 0 0 0 0 0 0 0 0 0 0 0 0 Djibouti 3 3 3 0 0 0 0 0 0 0 0 0 0 0 0 Egypt 1000 1046 569 27 19 20 21 20 12 15 18 8 16 2 0 Iran 753 780 414 18 18 14 16 15 16 22 14 8 8 5 0 Iraq 590 520 344 11 18 6 6 9 2 15 6 6 5 7 0 Jordan **** 62 90 58 4 0 3 5 4 4 1 2 1 1 1 0 Kuwait 32 32 22 3 1 0 1 0 0 0 0 0 0 0 0 Lebanon **** 50 113 53 2 3 0 1 1 0 0 2 3 2 1 1 Libya 43 54 22 2 3 0 0 0 0 0 0 0 0 0 0 Morocco 103 79 31 1 1 2 2 2 1 0 0 0 0 0 0 Oman 34 39 19 1 0 0 2 0 0 0 1 1 1 0 0 Pakistan 5370 5814 3251 146 139 146 120 129 132 136 110 99 61 18 0 Palestine **** 21 38 30 1 1 0 0 2 0 0 0 0 1 0 0 Qatar 7 11 4 0 0 0 1 0 1 0 0 0 0 0 0 Saudi Arabia 227 254 146 9 6 3 3 4 5 2 2 0 0 0 0 Somalia 420 281 172 12 7 10 2 12 1 5 14 2 3 1 0 Sudan 442 436 267 7 14 13 7 6 9 11 13 8 9 8 0 Syria **** 306 235 147 7 7 4 3 2 3 3 2 3 2 0 0 Tunisia 44 64 47 3 1 3 0 3 0 1 0 0 0 1 0 U.A.E 25 31 22 0 0 1 2 0 1 1 0 0 0 0 0 Yemen 578 537 398 14 14 16 29 15 11 18 17 7 13 9 0 Total EMR 12547 13214 7639 327 313 293 284 278 263 286 263 206 183 103 10 No data = No report received Table 2: Confirmed polio cases by month of onset 24/07 Confirmed polio cases by month of onset Country 2014 2015 2015 2016 Mar May May July July 2015 2015 2015 2015 2015 2016 2016 2016 2016 2016 2016 2016 April June June Total year Total year Total year August August January January October October February February December December November November September September Afghanistan 28 20 7 6 3 3 4 2 1 1 2 1 1 1 0 0 Bahrain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Djibouti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Egypt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Iran 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Iraq 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jordan **** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Kuwait 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Lebanon **** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Libya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Morocco 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Oman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pakistan 306 54 29 13 5 4 4 9 3 2 4 2 3 0 2 0 Palestine **** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Qatar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Saudi Arabia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Somalia 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Sudan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Syria **** 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Tunisia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 U.A.E 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Yemen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total EMR 342 74 36 19 8 7 8 11 4 3 6 3 4 1 2 0 **** UNRWA cases are included with those of country of residence 2 World Health Organization – Regional Office for Eastern Mediterranean AFP SURVEILLANCE 25-Jul-16 Week 29 ending 24 Jul 2016 Number 929 Table 3: Investigation of AFP cases with paralysis onset in 2015 & 2016 up to Week (29/16) / Ending on : 24/07/16 2015 2016 Wild Wild cases AFP Specimen AFP Specimen cases **** **** Case classification Case classification ** COUNTRY ** * * adequate adequate *** *** rate AFP) AFP) VDPV VDPV Cases Cases specimens specimens Latest Wild P1 Poliovirus Wild P3 Poliovirus Wild P1 Poliovirus Wild P3 Poliovirus AFP cases pending AFP cases pending AFP cases pending AFP cases pending % with % with Polio Compatible Polio Compatible line List Non polio AFP rate rate Non polio AFP from onset of paralysis from onset of paralysis classification > 90 days classification > 90 days Discarded (non polio Discarded (non polio Total Confirmed Polio Total Confirmed Polio Pending Classification Pending Classification classification and lab > 90 classification and lab > 90 Annualized Non polio AFP Total AFP cases onset 2015 Total AFP cases onset 2016 Date days from onset of paralysis days from onset of paralysis Afghanistan 2738 20 3 0 2715 0 13.8 0 0 93.0 20 0 1610 6 0 242 1362 0 14.4 18 0 92.0 6 0 25/07/16 Bahrain 19 0 0 0 19 0 7.0 0 0 94.7 0 0 10 0 0 0 10 0 6.5 0 0 100.0 0 0 24/07/16 Djibouti 3 0 0 0 3 0 1.0 0 0 66.7 0 0 3 0 0 2 1 0 1.8 2 0 33.3 0 0 03/07/16 Egypt 1046 0 0 0 1045 1 3.0 0 0 94.2 0 0 569 0 0 72 497 0 2.6 2 1 91.9 0 0 14/07/16 Iran 780 0 0 0 779 1 4.3 0 0 96.9 0 0 414 0 0 23 391 0 3.9 0 0 95.2 0 0 24/07/16 Iraq 520 0 0 0 518 2 3.6 0 0 81.9 0 0 344 0 0 39 304 1 4.2 14 2 82.0 0 0 25/07/16 Jordan 90 0 0 0 90 0 3.2 0 0 96.7 0 0 58 0 0 25 33 0 3.7 0 0 100.0 0 0 24/07/16 Kuwait 32 0 0 0 32 0 3.7 0 0 96.9 0 0 22 0 0 8 14 0 4.5 2 2 95.5 0 0 05/06/16 Lebanon 113 0 0 0 113 0 5.2 0 0 84.1 0 0 53 0 0 14 39 0 4.3 5 0 79.2 0 0 24/07/16 Libya 54 0 0 0 54 0 2.6 0 0 94.4 0 0 22 0 0 8 14 0 1.9 3 2 95.5 0 0 31/05/16 Morocco 79 0 0 1 78 0 0.8 1 0 57.0 0 0 31 0 0 13 18 0 0.5 6 0 64.5 0 0 28/06/16 Oman 39 0 0 0 39 0 4.5 0 0 97.4 0 0 19 0 0 4 15 0 3.9 0 0 94.7 0 0 25/07/16 Pakistan 5814 54 10 1 5745 4 7.4 1 0 87.2 54 0 3251 13 0 294 2944 0 7.4 37 2 90.5 13 0 24/07/16 Palestine 38 0 0 0 38 0 2.2 0 0 92.1 0 0 30 0 0 3 27 0 2.8 0 0 96.7 0 0 24/07/16 Qatar 11 0 0 0 11 0 3.7 0 0 100.0 0 0 4 0 0 2 2 0 2.4 0 0 100.0 0 0 17/07/16 Saudi Arabia 254 0 0 0 254 0 2.7 0 0 98.0 0 0 146 0 0 48 98 0 2.7 9 9 99.3 0 0 21/07/16 Somalia 281 0 1 0 280 0 4.9 0 0 96.1 0 0 172 0 0 7 165 0 5.3 0 0 99.4 0 1 23/07/16 Sudan 436 0 0 0 436 0 2.6 0 0 97.2 0 0 267 0 0 38 229 0 2.8 0 0 97.8 0 0 24/07/16 Syria 235 0 0 0 235 0 3.0 0 0 90.2 0 0 147 0 0 11 136 0 3.4 2 0 89.8 0 0 23/07/16 Tunisia 64 0 0 0 64 0 2.4 0 0 85.9 0 0 47 0 0 6 41 0 3.2 0 0 89.4 0 0 22/07/16 U.A.E 31 0 0 0 31 0 3.0 0 0 90.3 0 0 22 0 0 5 17 0 3.9 0 0 100.0 0 0 30/06/16 Yemen 537 0 0 18 519 0 4.1 18 10 90.7 0 0 398 0 0 153 245 0 5.5 66 61 91.0 0 0 24/07/16 EMR 13214 74 14 20 13098 8 5.4 20 10 90.2 74 0 7639 19 0 1017 6602 1 5.5 166 79 91.4 19 1 2014 12546 342 59 0 12116 30 4.9 0 0 90.7 342 0 * Confirmed polio cases refer to wild isolation from AFP cases or from contacts of negative index AFP cases ** Non-polio AFP per 100,000 children <15 years *** Adequate here refers to two stool specimens collected at least 24 hours apart, within 14 days of paralysis onset **** AFP cases co infected with P1 and P3 are counted seperately as wild isolates 3 World Health Organization – Regional Office for Eastern Mediterranean AFP SURVEILLANCE 25-Jul-16 Week 29 ending 24 Jul 2016 Number 929 Table 4: Investigation of contacts of AFP cases with paralysis onset in 2016 up to Week (29/16) / Ending on : 24/07/16 Total % Contact No.
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