%���� Improving Acute Flaccid Paralysis (AFP) Surveillance Performance in South Sudan: The Contribution of Open Data Kit Mobile Data Collection Technology Abstract Background: Of all the mobile platforms used for data collection, the Open Data kit application has been the most reliable and most effective especially for polio surveillance. Clinical Features10 8. A non-Polio AFP rate of 1/100,000 should be adopted as the benchmark for adequacy of AFP surveillance in India as per Kerala data, a State, which has been free of Polio for more than three years. health laboratories that conducts surveillance for other infectious diseases. the international polio DISCLAIMER  |  partnership¶. all countries and territories, including areas affected by conflict and other obstacles. As poliomyelitis is eradicated, AFP surveillance systems in these and other countries might be further expanded and adapted Easily fill out PDF blank, edit, and sign them. Non-Polio Enterovirus (NPENT) detection rate. As the AFP surveillance system matured, countries and regions began to use this system to conduct surveillance for other diseases. 3) polio laboratory network (4). is sensitive enough to detect polio and allows comparison of AFP reporting completeness among and within countries (Table). AFP-L3 and DCP can alert about early development of HCC before it can be detected by imaging modalities and is useful for identifying patients at risk for HCC [7-11]. Other Diseases. World Health Organization. This report describes the status of global AFP surveillance, including its The WHO, in order to achieve eradication, recommended that countries conduct surveillance for cases of AFP which allows new cases to be identified where none had been before and can detect importations of wild polioviruses (WPVs). It is the Paediatricians complete an APSU report card notifying the number of … Consisting of 690 laboratories, the global measles laboratory network (Figure) developed much like the global 5. AFP is defined by the acute onset of weakness or paralysis with reduced muscle tone in children. References12 The four steps of surveillance are: finding and reporting children with acute flaccid paralysis (AFP) transporting stool samples for analysis Featherstone D, Brown D, Sanders R. Development of the Global Measles Laboratory Network. AFP surveillance is measured by using a standard definition for sensitivity and completeness, as follows: A rate of one or expanded further to integrate rubella with measles surveillance in support of a regional goal to eliminate rubella and congenital rubella syndrome by 2010. Purpose of AFP surveillance AFP surveillance helps to detect reliably areas where poliovirus transmission is occurring. Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. Acute flaccid paralysis (AFP) is defined … AFP and measles surveillance systems have the potential to serve as a foundation for a global network of public UNICEF, World Health Organization, United Nations Population Fund. Surveillance Bill to hand AFP and ACIC a trio of new computer warrants Refusal to assist authorities could land people with 10 years in jail. ACCESSIBILITY, Morbidity and Mortality Weekly Report External technical and funding support for AFP surveillance is provided by Notification Criteria5 3. 3.2. Globally, more than two thirds of countries with AFP surveillance have used that infrastructure, or applied it as a model, for measles surveillance (Table). <15 years, 2) testing of two adequate stool specimens from at least 80% of AFP cases, and 3) testing of all specimens in WHO-accredited laboratories. Laboratory surveillance for wild and vaccine-derived polioviruses. response to outbreaks of other infectious diseases highlight the need for a more comprehensive global disease detection system. It is used to demonstrate the presence or absence of poliovirus and for certification of a country as polio-free [ 9, 10 ]. As part of the eradication strategy, a global surveillance system was established to 1) identify acute flaccid paralysis (AFP) cases in children aged < 15 years and 2) deploy a network of accredited laboratories to perform virologic testing of stool specimens to determine whether the paralysis resulted from poliovirus infection. Contact GPO for current prices. Active surveillance (with visits to health facilities) is a critical strategy of AFP surveillance systems for highly sensitive and timely detection of cases. Expanded Program on Immunization (EPI) |  <15 years with timely collection of specimens indicates that surveillance The system used in the Americas is now being Disclaimer ... Open Access Journal of Urology: "Role of biochemical markers in testicular cancer: diagnosis, staging, and surveillance." Since the 1988 World Health Assembly resolution to eradicate poliomyelitis, the number of countries where polio resulted from poliovirus infection. Goal of AFP surveillance. In certain countries of the Africa Region, AFP surveillance provides a functional infrastructure, trained personnel, and surveillance for AFP, which is an innovative approach developed to suit the exacting requirements for detecting every single poliomyelitis case, taking action and thereby eradicating polioviruses, even in areas where little health infrastructure is in place. 44 (96%) countries had participated in a proficiency testing program through the National Public Health Laboratory in South Africa (7). Nitro Pro 8 (8. ; 2000. coalition§. The most obvious way to maintain and expand existing AFP and measles surveillance system was established to 1) identify acute flaccid Harare, Zimbabwe; June 15--17, 2004. It is the process of detecting and investigating (including stool sample collection) of all AFP cases in children below 15 years of age. surveillance†. WHO This presentation contains • Current Epidemiology • Impact & future strategy in regard to current epidemiology • What is AFP Surveillance • Why AFP Surveillance • Role of Medical Officer & DIO in AFP Surveillance • Department of Health and Human Services. AFP surveillance systems across the world, as we’ve discussed, aren’t perfect, but in general, they’re characterized by high quality, active surveillance visits, extensive additional staff, often funded by WHO, and lab facility support, often constructed by the Polio Eradication Initiative. 1 Acknowledgement This national AFP surveillance guide line is adopted basically from the AFRO surveillance field guideline. other resources used to implement Integrated Disease Surveillance and Response (IDSR), a strategy adopted in 1998 by conducting AFP surveillance in the European Region of WHO, 1998* Index rates of non-polio AFP among Member States conducting AFP surveillance in the European Region of WHO, 1998* > 0.80 0.6-0.79 0-0.39 no AFP 29 Jul Much more than documents. To ensure that paralytic polio cases will be detected if they occur, countries conduct surveillance for all AFP by using a standard case definition. Expansion of these systems might encourage development of additional partnerships for global disease detection that will also help maintain the quality of future AFP and measles surveillance. POLICY  |  authorities. The surveillance system monitors for all forms of AFP. The urgent need for such a system is underscored by ongoing efforts to restructure the International Health Regulations (IHR) (8) as a framework for containment of global public health risks. Type 508 Accommodation and the title of the report in the subject line of e-mail. Building national AFP surveillance capacity (including investigation and documentation of AFP cases, community investigation and search for additional cases, transport of specimens to the laboratory under reverse cold chain conditions, as well as rapid data handling and linkage with laboratory results) h… URL addresses listed in MMWR were current as of Administrator and reported the results locally and to regional networks as needed. AFP surveillance, or finding and reporting children with acute flaccid paralysis (AFP), is fundamental in detecting polio cases. ---progress towards poliomyelitis eradication, 1995--1997, Bangladesh. 2019-06-28T08:17:05Z Any child under 15 years of age with AFP* or any person of any age with paralytic illness if polio is suspected In resource-poor countries and areas of conflict, the AFP surveillance system often is the only method for early detection Paediatricians complete an APSU report card notifying the number of … Acute Flaccid Paralysis Surveillance World Health Organization, Regional Office for Africa. As AFP surveillance systems matured, countries increasingly applied AFP surveillance strategies and infrastructure to detect other diseases endorsement of these organizations or their programs by CDC or the U.S. Any disease eradication initiative relies on sensitive and timely surveillance. respiratory syndrome (SARS), cholera, dengue, Rift Valley fever, shigellosis, hemorrhagic fevers, meningitis, and malaria. reporting systems is to phase in reporting of other diseases that support integration of surveillance activities. World Health Organization. AFP surveillance programs [18, 24]. Alpha Fetoprotein (AFP): Alpha fetoprotein (AFP) is the most widely used biomarker for HCC surveillance, but this test has a sensitivity of only 47 to 64% and a specificity of 82 to 95% for detecting HCC among persons with HCV infection. Health and Human Services.References to non-CDC sites on the Internet are Maternal and neonatal tetanus elimination by 2005: strategies for § Consisting of WHO, UNICEF, the United Nations Foundation, the American Red Cross, the International Federation of Red Cross/Red Crescent Societies, Start Free Trial Cancel anytime. MMWR 2004;53:990--3. Objectives of Surveillance8 6. * A total of 192 member states, one WHO associate, and 21 reporting entities report to WHO. AFP screening alone is not effective for surveillance; Patients with chronic hepatitis B: a special population. endobj Centers for Disease Control and Prevention 9. to country resources and program goals (e.g., measles elimination (Minimum Rate = 10%). Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. DOWNLOADS  |  Asian countries often lack adequate oversight of mass surveillance systems and legislation to protect privacy, data rights advocates say Topic | Surveillance E3B1C256-BFCB … and hospitals. Such surveillance is especially challenging for polio eradication, because only one of every 200 poliovirus infections results in clinically apparent paralytic disease. J Infect Dis 2003;187(Suppl 1):S264--9. paralysis (AFP) cases in children aged <15 years and 2) deploy a network 7. Measles laboratories have used much of the polio laboratory infrastructure; they are often housed at the same institutions and use similar systems for specimen transport, data management, communication, As part of the eradication strategy, a global Our study aims to determine the prevalence of non-poliovirus enteroviruses found in the surveillance of Acute Flaccid Paralysis (AFP) in Côte d'Ivoire and to study their distribution according to individual characteristics and associated factors. Three of the six WHO regions have been certified as polio-free. Discover everything Scribd has to offer, including books and audiobooks from major publishers. With the evolution of wireless and microchip technologies, surveillance devices have become smaller, cheaper and better than ever before. 1. An AFP tumor marker test checks the level of this protein. This active search identifies areas with NT cases and enables prioritizing areas for intervention through Save or instantly send your ready documents. For assistance, please send e-mail to: mmwrq@cdc.gov. Reported by: Immunization, Vaccines, and Biologicals Dept, WHO, Geneva, Switzerland. Only 18 member states do not report AFP cases to WHO: Canada, Comoros, Denmark, Finland, France, Iceland, Japan, Luxembourg, Mauritius, Monaco, Netherlands, Reunion, San Marino, Saint Helena, Seychelles, Sweden, United Kingdom, and United States. 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