Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Sein, Carolyn
Corporate Authors:
Polio Eradication Dept, World Health Organization, Geneva, Switzerland ; Div of Viral Diseases, National Center for Immunization and Respiratory Diseases ; Global Immunization Div, Center for Global Health
Polio Eradication Dept, World Health Organization, Geneva, Switzerland ; Div of Viral Diseases, National Center for Immunization and Respiratory Diseases ; Global Immunization Div, Center for Global Health Less -
Description:
The Global Polio Eradication Initiative (GPEI) was established in 1988 by the World Health Assembly to interrupt transmission of wild poliovirus (WPV); completion of this initiative was declared a programmatic emergency of public health in January 2012. Polio cases are detected through surveillance for acute flaccid paralysis (AFP) with linked stool specimens tested for polioviruses (PVs) at accredited laboratories within the Global Polio Laboratory Network (GPLN). AFP surveillance findings are supplemented by testing sewage samples (environmental surveillance) collected at selected sites. Virologic data guide where targeted immunization activities should be conducted or improved. Key performance indicators are used to 1) monitor AFP surveillance quality at national and subnational levels to identify gaps where PV transmission could occur undetected; 2) provide evidence of where PV circulation has been interrupted; and 3) allow timely detection of an outbreak. Standardized surveillance indicators allow progress to be monitored over time and compared among countries. This report presents AFP surveillance performance indicators at national and subnational levels for countries affected by polio during 2011-2012, and trends in environmental surveillance, updating previous reports. In the 19 countries with transmission of PV (WPV and/or circulating vaccine-derived poliovirus [cVDPV]) during 2011-2012, national performance indicator targets were met in 12 (63%) countries in 2011 and 13 (68%) countries in 2012. Seven countries (37%) in 2011 had ≥80% of the population living in areas meeting performance indicators, increasing to nine countries (47%) in 2012. Performance indicators for timely reporting of PV isolation and characterization were met in four of six World Health Organization (WHO) regions in 2011 and five regions in 2012. To achieve global polio eradication, efforts are needed to improve and maintain AFP surveillance and laboratory performance.
Subject:
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Articles Community Networks Disease Outbreaks Feces Global Health Humans Laboratories Mandatory Reporting Poliomyelitis Poliovirus Population Surveillance Quality Indicators, Health Care Sewage
Source:
MMWR Morb Mortal Wkly Rep. 2013; 62(14):270-274.
Pubmed ID:
23575241
Pubmed Central ID:
PMC4604901
Document Type:
Journal Article
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:a0f8b40e5062617ab6b3d9a115c56116c1204bc62a077a2ed7184204f89deaf3
Download URL:
https://stacks.cdc.gov/view/cdc/54447/cdc_54447_DS1.pdf
File Type:

Supporting Files

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