ACUTE FLACCID PARALYSIS SURVEILLANCE: A 5 YEARS STUDY OF BANNU, PAKISTAN
Abstract
Background: Acute flaccid paralysis (AFP) is clinical presentation marked by acute onset of weakness and reduced tone. Aetiologies of AFP are diverse including infectious agents, trauma or autoimmune reaction. Currently only three countries in the world that are Nigeria, Pakistan and Afghanistan have endemic poliomyelitis. Pakistan’s polio crisis represents one of the last hurdles in a 23-year campaign run by the World Health Organization. Bannu due to its geographical location stands out to be one of highest risk areas for Poliomyelitis. The objective of this study was to determine frequency of AFP and their aetiologies in District of Bannu during time period of four years from 2007 to 2011. Methods: It was a cross-sectional descriptive study. Data was collected from EDO office District Bannu and analysed using Microsoft Excel 2007. Results: During this period there were 180 cases of AFP in district Bannu. 15% of cases were diagnosed as Guillian Barre Syndrome, making it the leading aetiology. Only 3 (1.66%) cases were diagnosed with Poliomyelitis. Out of 180 AFP cases 104 cases were male and 76 cases were female. Conclusion: Bannu needs enthusiastic educational and vaccination campaigns to eradicate Polio from the area and henceforth from the Pakistan.References
Alberta Health and Wellness. Public Health Notifiable Diseases Management Guidelines; August. 2011
Growdon JH, Fink JS. Paralysis and movement disorder. In: Isselbacher KJ, Braunwald E, Wilson JD, eds. Harrison's principles of internal medicine. New York, NY: McGrawHill Book Company, 1994:115–25.
Marx A, Glass JD, Sutter RW. Differential Diagnosis of Acute Flaccid Paralysis and Its Role in Poliomyelitis Surveillance.Epidemiol Rev 2000;22(2):298–316.
Global Polio Eradication Initiative > Home [Internet]. [cited 2013Nov 27]. Available from: http://www.polioeradication.org/
WHO. Poliomyelitis [Internet]. [cited 2013Nov27]. Available from: http://www.who.int/mediacentre/factsheets/fs114/en/Global Polio Eradication Initiative: http://www.polioeradication.Org.
Progress towards interrupting wild poliovirus transmission worldwide: January 2010-March 2011.WklyEpidemiol Rec.2011;86(20):199–204.
Mandell GL, Bennet JE, Dolin R. 8th ed. Vol. 171. Philadelphia: Elsevier Saunders; 2015. Principles and Practice of Infectious Diseases; p.2345–50.
Acute Flaccid Paralysis Surveillance. HSE Health Protection Surveillance Centre. [Internet] [Cited 2013 Nov 11] Available from:http://www.hpsc.ie.
Center for Disease Control and Prevention (CDC)Update on vaccine-derived polioviruses. MMWR Morb Mortal Wkly Rep 2006;55(40):1093–7.
Saladin, Kenneth S. Anatomy & Physiology: The Unity of Form and Function. 6th ed. New York McGraw-Hill, 2012.
Center for Disease Control and Prevention (CDC). Progress toward global eradication poliomyelitis,1997. MMWR Morb Mortal Wkly Rep 1998;47(20):414–9.
Center for Disease Control and Prevention (CDC). Progress Toward Poliomyelitis Eradication--Pakistan, 1994-1998. MWMRMorbMortal Wkly Rep 1999;48(6):121–6.
Center for Disease Control and Prevention (CDC). Progress toward poliomyelitis eradication — People’s Republic of China, 1990-1996. MMWRMorb Mortal Wkly Rep 1996;45(49):1076–9.
AFP Surveillance Update 2010. Expanded Program on Immunization, Ministry of Health, Islamabad, (Polio Eradication Initiative - National Surveillance Cell). [Cited 2013 Nov 27] Available from: http://poliopluspakistan.org/research-reports/afp-surveillance-update-2010/
Polio eradication. Eastern Mediterranean Regional Office, World Health Organization. [Cited 2013 Nov 27] Available from: http://www.emro.who.int/polio/
Centers for Disease Control and Prevention (CDC). Progress Toward Poliomyelitis Eradication — Afghanistan and Pakistan, January 2011–August 2012. MMWR Morb Mortal Wkly Rep 2012;61(39);790–5.
Tsang RS, Valdivieso-Garcia A. Pathogenesis of Guillain syndrome. Expert Rev Anti InfecTher 2003;1(4) 597–608.
Tekgul H, Sardaroglu G, Tutuncuoglu S. Outcme of axonal and demyelinating forms of Guillain-Barre syndrome in children. PediatrNeurol 2003;28(4):295–9.
Harris BN, Dürrheim DN, Ogunbanjo GA.Polio eradication--the validity of surveillance indicators. Trop Med Int Health 2003;8(5):386–91
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