World Health Organization – Regional Office for Eastern Mediterranean 1- AFP SURVEILLANCE 18-Apr-16 Week 15, ending 17 April 2016 Number 915 Table 1: Acute Flaccid Paralysis (AFP) cases by week of onset Reported AFP cases by week of onset - Week (15/16) / Ending on : 17/04/2016 Country 2014 2015 2016 to date, Total AFP AFP Total AFP Total AFP Total W04 W04 31 Jan 16 W05 16 Feb 07 W06 16 Feb 14 W07 16 Feb 21 W08 16 Feb 28 W09 06 Mar 16 W10 13 Mar 16 W11 20 Mar 16 W12 27 Mar 16 W13 03 Apr 16 W14 10 Apr 16 W15 17 Apr 16 Afghanistan 2421 2738 771 47 49 67 61 50 45 55 42 48 42 36 7 Bahrain 161910021000201110 Djibouti 3 3 1 100000000000 Egypt 1000 1046 305 17 19 14 16 29 25 23 29 18 18 18 4 Iran 753780199141717171913118571 Iraq 590 520 197 12 22 12 11 15 11 10 16 13 5 Jordan **** 62902000310023131 Kuwait 323212003311120000 Lebanon **** 501133131142131334 Libya 43541301021031200 Morocco 1037815121022300 Oman 343912111011000100 Pakistan 5370 5812 1389 100 95 112 101 105 113 85 91 73 46 21 1 Palestine **** 213820104213120100 Qatar 7 112 000000000110 Saudi Arabia 22725465561786427600 Somalia 42028179644696831091 Sudan 442 436 122 9 7 11 10 12 7 8 18 5 9 4 1 Syria **** 306235886877913742521 Tunisia 44642003132410000 U.A.E 253115001113111000 Yemen 578 537 198 13 22 14 17 10 5 17 10 9 11 4 Total EMR 12547 13211 3584 236 259 275 269 277 259 245 233 198 168 94 14 No data = No report received Table 2: Confirmed polio cases by month of onset 17/04 Confirmed polio cases by month of onset Country 2015 2016 May May July July 2015 2015 2015 2015 2015 2015 2015 2015 2016 2016 2016 2016 April April June June March March August August January January October October February February December December November September September Total year 2014 Total year 2015 Afghanistan 28201 312133421111 Bahrain 0 0 0 00000000000 Djibouti 0 0 0 00000000000 Egypt 0 0 0 000000000 Iran 0 0 0 00000000000 Iraq 2 0 0 000000000 0 Jordan **** 0 0 0 000000000000 Kuwait 0 0 0 0000000000 0 Lebanon **** 0 0 0 000000000 0 Libya 0 0 0 00000000000 Morocco 0 0 0 0000000000 Oman 0 0 0 00000000000 Pakistan 3065422824054493242 Palestine **** 0 0 0 000000000 0 Qatar 0 0 0 00000000000 Saudi Arabia 0 0 0 000000000 Somalia 5 0 0 00000000 Sudan 0 0 0 00000000000 Syria **** 1 0 0 00000000 0 Tunisia 0 0 0 000000000 00 U.A.E 0 0 0 0000000000 Yemen 0 0 0 0000000 Total EMR 342 74 23 11 3 6 1 8 7 8 11 4 3 5 3 0 **** UNRWA cases are included with those of country of residence 2- World Health Organization – Regional Office for Eastern Mediterranean AFP SURVEILLANCE 18-Apr-16 Week 15, ending 17 April 2016 Number 915 Table 3: Investigation of AFP cases with paralysis onset in 2015 & 2016 up to Week (15/16) / Ending on : 17/04/2016) 2015 2016 Wild cases Wild cases AFP Specimen AFP Specimen **** **** Case classification Case classification ** COUNTRY ** * * adequate adequate *** *** rate VDPV VDPV specimens Cases specimens Cases Latest onset of paralysis onset of paralysis onset Wild P1 Poliovirus P1 Wild Poliovirus P1 Wild Poliovirus P3 Wild Wild P3 Poliovirus P3 Wild AFP cases pending AFP cases pending AFP cases pending AFP cases pending % with % with Polio CompatiblePolio Polio CompatiblePolio Non polio AFP rate rate Non polio AFP line List Total Confirmed Polio Polio Confirmed Total Total Confirmed Polio Polio Confirmed Total Pending Classification Pending Classification classification and lab > 90 classification and lab > 90 Annualized Non polio AFP Non polio AFP Annualized Total AFP cases onset 2015 Total AFP cases onset 2016 days from onset of paralysis days from onset of paralysis classification > 90 days from classification > 90 days from Discarded (non polio AFP) Discarded Discarded (non polio AFP) Discarded Date Afghanistan 2738 20 3 2 2713 0 13.8 2 0 93.0 20 0 771 3 0 169 599 0 13.1 9 0 92.0 3 0 17/04/2016 Bahrain 19 0 0 0 19 0 7.0 0 0 94.7 0 0 10 0 0 5 5 0 12.5 0 0 100.0 0 0 17/04/2016 Djibouti 3 0 0 3 0 0 1.0 3 2 66.7 0 0 1 0 0 1 0 0 1.1 0 0 100.0 0 0 17/04/2016 Egypt 1046 0 0 0 1045 1 3.0 0 0 94.2 0 0 305 0 0 81 224 0 2.9 3 0 88.5 0 0 13/04/2016 Iran 780 0 0 0 779 1 4.3 0 0 96.9 0 0 199 0 0 13 186 0 3.6 0 0 95.0 0 0 16/04/2016 Iraq 520 0 0 0 518 2 3.6 0 0 81.9 0 0 197 0 0 56 141 1 4.6 7 1 79.7 0 0 09/04/2016 Jordan 90 0 0 0 90 0 3.2 0 0 96.7 0 0 20 0 0 15 5 0 2.4 0 0 95.0 0 0 14/04/2016 Kuwait 32 0 0 0 32 0 3.7 0 0 96.9 0 0 12 0 0 1 11 0 4.6 0 0 91.7 0 0 17/04/2016 Lebanon 113 0 0 1 112 0 5.2 1 0 84.1 0 0 31 0 0 16 15 0 4.7 1 0 74.2 0 0 16/04/2016 Libya 54 0 0 0 54 0 2.6 0 0 94.4 0 0 13 0 0 4 9 0 2.1 0 0 92.3 0 0 16/04/2016 Morocco 78 0 0 18 60 0 0.8 18 1 57.7 0 0 15 0 0 10 5 0 0.5 1 0 60.0 0 0 28/03/2016 Oman 39 0 0 0 39 0 4.5 0 0 97.4 0 0 12 0 0 2 10 0 4.7 0 0 100.0 0 0 17/04/2016 Pakistan 5812 54 8 53 5693 4 7.4 53 6 87.3 54 0 1389 8 0 211 1170 0 6.0 23 4 90.8 8 0 16/04/2016 Palestine 38 0 0 0 38 0 2.2 0 0 92.1 0 0 20 0 0 14 6 0 3.6 1 0 95.0 0 0 17/04/2016 Qatar 11 0 0 0 11 0 3.7 0 0 100.0 0 0 2 0 0 2 0 0 2.3 0 0 100.0 0 0 17/04/2016 Saudi Arabia 254 0 0 0 254 0 2.7 0 0 98.0 0 0 65 0 0 65 0 0 2.3 6 6 100.0 0 0 17/04/2016 Somalia 281 0 1 6 274 0 4.9 6 3 96.1 0 0 79 0 0 32 47 0 4.6 0 0 100.0 0 0 15/04/2016 Sudan 436 0 0 0 436 0 2.6 0 0 97.2 0 0 122 0 0 17 105 0 2.4 0 0 100.0 0 0 17/04/2016 Syria 235 0 0 0 235 0 3.0 0 0 90.2 0 0 88 0 0 16 72 0 3.8 0 0 89.8 0 0 16/04/2016 Tunisia 64 0 0 0 64 0 2.4 0 0 85.9 0 0 20 0 0 1 19 0 2.6 1 1 90.0 0 0 15/04/2016 U.A.E 31 0 0 0 31 0 3.0 0 0 90.3 0 0 15 0 0 4 11 0 5.0 0 0 100.0 0 0 17/04/2016 Yemen 537 0 0 33 504 0 4.1 33 23 90.7 0 0 198 0 0 162 36 0 5.2 47 43 94.4 0 0 16/04/2016 EMR 13211 74 12 116 13001 8 5.4 116 35 90.2 74 0 3584 11 0 897 2676 1 4.9 99 55 91.2 11 0 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 18-Apr-16 Week 15, ending 17 April 2016 Number 915 Table 4: Investigation of contacts of AFP cases with paralysis onset in 2016 up to Week (15/16) / Ending on : (17/04/2016) % Contact No. of -ve index No. of eligible % of eligible % of eligible Total % of % of contacts with specimens in % Contact % Contact No. of % of wild No.of AFP cases No. of district AFP cases for AFP cases AFP cases number of contacts specimens collected lab within 3 specimens specimens contacts polio virus Contacts identified identified No. of contact with contact with 3+ Contacts* under 5 within 7 days of days of positive for positive for positive for isolation from positive for positive by infected from Country AFP cases sampling* samplings contacts * years notification of index collection NPEV Sabin like virus wild virus contacts VDPVs contact contacts Afghanistan 771 62 82.3 82.3 311 94.5 63.7 33.9 18.0 11.0 1 0.4 1 1 Bahrain 10 0 0 0 0 0 Djibouti 10 0 0 00 Egypt 305 41 41.5 41.5 72 69.4 62.5 100.0 15.0 13.3 0 0.0 0 0 Iran 199 11 27.3 27.3 21 85.7 0.0 85.7 4.8 0.0 0 0.0 0 0 Iraq 197 40 72.5 62.5 274 64.6 15.3 92.9 16.2 1.5 0 0.0 0 0 Jordan 20 1 0.0 0.0 0 0 0 0 Kuwait 12 1 100.0 100.0 17 41.2 47.1 100.0 0.0 0.0 0 0.0 0 0 Lebanon 31 8 12.5 12.5 3 100.0 0.0 0 0 0 Libya 13 1 0.0 0.0 0 0 0 0 Morocco 15 6 16.7 16.7 4 100.0 100.0 0 0 0 Oman 12 0 11 81.8 100.0 81.8 0.0 0.0 0 0.0 0 0 Pakistan 1389 128 79.7 77.3 382 89.0 55.2 68.4 14.8 9.0 2 0.6 0 0 Palestine 20 1 0.0 0.0 0 0 0 0 Qatar 20 0 0 00 Saudi Arabia 65 0 0 0 0 0 Somalia 79 0 229 93.0 100.0 42.1 13.6 8.6 0 0.0 0 0 Sudan 122 0 44 72.7 63.6 0.0 0.0 0.0 0 0.0 0 0 Syria 88 9 44.4 22.2 189 29.6 87.8 65.4 1.2 0.0 0 0.0 0 0 Tunisia 20 2 50.0 0.0 5 0.0 60.0 100.0 0.0 0.0 0 0.0 0 0 U.A.E.