scholarly journals Reply to Comment on Dhiman, R. et al. Correlation of Non-Polio Acute Flaccid Paralysis Rate with Pulse Polio Frequency in India. Int. J. Environ. Res. Public Health 2018, 15, 1755

2018 ◽  
Vol 16 (1) ◽  
pp. 63
Author(s):  
Rachana Dhiman ◽  
Sandeep Prakash ◽  
V. Sreenivas ◽  
Jacob Puliyel
Keyword(s):  
Public Health ◽  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis ◽  
Pulse Polio

We thank the authors for their interest in our paper [...]

scholarly journals Comment on Dhiman, R. et al. Correlation of Non-Polio Acute Flaccid Paralysis Rate with Pulse Polio Frequency in India. Int. J. Environ. Res. Public Health 2018, 15, 1755

2018 ◽  
Vol 16 (1) ◽  
pp. 13
Author(s):  
Siddalingaiah H.S.
Keyword(s):  
Public Health ◽  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis ◽  
Pulse Polio

The authors of the published article ‘Correlation between Non-Polio Acute Flaccid Paralysis Rates with Pulse Polio Frequency in India’ [...]

scholarly journals Correlation between Non-Polio Acute Flaccid Paralysis Rates with Pulse Polio Frequency in India

2018 ◽  
Vol 15 (8) ◽  
pp. 1755 ◽  
Author(s):  
Rachana Dhiman ◽  
Sandeep Prakash ◽  
V. Sreenivas ◽  
Jacob Puliyel
Keyword(s):  
Regression Analysis ◽  
Causal Relationship ◽  
Correlation Coefficient ◽  
Acute Flaccid Paralysis ◽  
Uttar Pradesh ◽  
Cumulative Effect ◽  
Flaccid Paralysis ◽  
Pulse Polio ◽  
Polio Immunization ◽  
The Government

The last case of polio from India was reported in 2011. That year, the non-polio acute flaccid paralysis (NPAFP) rate in India was 13.35/100,000, where the expected rate is 1–2/100,000. A previous study of data from 2000 to 2010 has detailed the NPAFP rate in a state correlated with the pulse polio rounds conducted there, and the strongest correlation with the NPAFP rate was found when the number of doses from the previous 4 years were used. However, a simple association being found with regression analysis does not prove a causal relationship. After publication of those findings, as the threat of polio had lessened, the number of rounds of OPV administration was brought down. The present study has been done to look at data till the end of 2017, to see if the incidence of NPAFP declined with this reduction in polio immunization rounds. We used polio surveillance data acquired by the Government of India from 2000–2017. Correlation of the NAFP rate to the number of polio rounds in the state was examined, and the cumulative effect of polio doses administered in previous years was sought. NPAFP rate correlated with the OPV pulse polio rounds in that year (R = 0.46; p < 0.001), and the NPAFP rate started to decrease from 2012 when the number of pulse polio rounds had decreased. NPAFP rates in the states of Uttar Pradesh (UP) and Bihar were the highest in the country. Looking at the high-NPAFP states of UP and Bihar, we found that the correlation coefficient was strongest when doses used over 5 years was considered (R = 0.76; p < 0.001). The response to the reduction in OPV rounds (de-challenging) adds credence to the assumption that OPV was responsible for the change in the NPAFP rate. Now that India has been polio-free for over 6 years, we propose that we may be able to reduce NPAFP by further reducing pulse polio rounds.

scholarly journals Increased detection of enterovirus A71 infections, Germany, 2019

2019 ◽  
Vol 24 (39) ◽  
Author(s):  
Sindy Böttcher ◽  
Sabine Diedrich ◽  
Kathrin Keeren ◽  
Keyword(s):  
Public Health ◽  
Aseptic Meningitis ◽  
Molecular Analysis ◽  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis ◽  
Health Authorities ◽  
Enterovirus A71 ◽  
Hospitalised Patients ◽  
Public Health Authorities

We report on the increased circulation of enterovirus A71 in Germany in 2019. Strains were mainly identified in hospitalised patients with suspected aseptic meningitis/encephalitis. Molecular analysis showed co-circulation of EV-A71 sub-genogroups C1 and C4, a signal for physicians and public health authorities to include/intensify EV diagnostic in patients showing signs of aseptic meningitis, encephalitis or acute flaccid paralysis/myelitis.

Conducting Public Health Surveillance in Areas of Armed Conflict and Restricted Population Access: A Qualitative Case Study of Polio Surveillance in Conflict-affected Areas of Borno State, Nigeria

2021 ◽  
Author(s):  
Eric Wiesen ◽  
Raymond Dankoli ◽  
Melton Musa ◽  
Jeff Higgins ◽  
Joseph Forbi ◽  
...  
Keyword(s):  
Public Health ◽  
Armed Conflict ◽  
Public Health Surveillance ◽  
Acute Flaccid Paralysis ◽  
Qualitative Case Study ◽  
Health Surveillance ◽  
Flaccid Paralysis ◽  
Gis Technology ◽  
The Impact

Abstract This study examined the impact of armed conflict on public health surveillance systems, the limitations of traditional surveillance in this context, and innovative strategies to overcome these limitations. A qualitative case study was conducted to examine the factors affecting the functioning of poliovirus surveillance in conflict-affected areas of Borno state, Nigeria using semi-structured interviews of a purposeful sample of participants. The main inhibitors of surveillance were inaccessibility, the destroyed health infrastructure, and the destroyed communication network. These three challenges created a situation in which the traditional polio surveillance system could not function. Three strategies to overcome these challenges were viewed by respondents as the most impactful. First, local community informants were recruited to conduct surveillance for acute flaccid paralysis in children in the inaccessible areas. Second, the informants engaged in local-level negotiation with the insurgency groups to bring children with paralysis to accessible areas for investigation and sample collection. Third, GIS technology was used to track the places reached for surveillance and vaccination and to estimate the size and location of the inaccessible population.A modified monitoring system tracked tailored indicators including the number of places reached for surveillance and the number of acute flaccid paralysis cases detected and investigated, and utilized GIS technology to map the reach of the program. The surveillance strategies used in Borno were successful in increasing surveillance sensitivity in an area of protracted conflict and inaccessibility. This approach and some of the specific strategies may be useful in other areas of armed conflict.

Acute flaccid paralysis

2015 ◽  
Vol 2 (3) ◽  
pp. 49
Author(s):  
Muralidharan Jayashree ◽  
Muliai Baalaaji
Keyword(s):  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis

Evaluation of Acute Flaccid Paralysis Surveillance System in Polio-Free Jordan, 2012

2018 ◽  
Author(s):  
Fatima Zerriouh ◽  
M Abdallat ◽  
L Ghaffari ◽  
I Iblan ◽  
K Abusal ◽  
...  
Keyword(s):  
Surveillance System ◽  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis ◽  
Acute Flaccid Paralysis Surveillance

Acute flaccid paralysis and enterovirus in Spain. Results from 2019 surveillance

2021 ◽  
Vol 22 (1) ◽  
pp. 28-38
Author(s):  
N. López-Perea ◽  
J. Masa-Calles ◽  
M. Cabrerizo ◽  
V. Gallardo-García ◽  
C. Malo ◽  
...  
Keyword(s):  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis

Acute flaccid paralysis caused by West Nile virus – Authors' reply

2003 ◽  
Vol 3 (4) ◽  
pp. 189-190 ◽  
Author(s):  
A Arturo Leis ◽  
Dobrivoje S Stokic ◽  
Jonathan Fratkin
Keyword(s):  
West Nile Virus ◽  
Acute Flaccid Paralysis ◽  
Flaccid Paralysis ◽  
West Nile
Sign in / Sign up

Export Citation Format

Share Document