2. Introduction
• India has no WPV case since 13/1/11.
• No Case detected through environmental
Surveillance.( last- Nov. 2010).
• WHO has removed India’s name from the list
of endemic countries with active WPV
transmission.
• India has made rapid progress towards Polio
eradication – however risk remains.
• The challenge for India is to remain polio free
until the global eradication of all circulating
wild polioviruses.
3. IEAG Recommendations
• Maintaining Immunity – optimum coverage both in RI & SIA to
minimise the consequences of WPV importation and to ensure
that cVDPVs do not develop.
• Surveillance quality must be sustained across the country with
special focus on identified HRAs :-
1. historic reservoirs of WPV transmission ( UP &
Bihar).
2. areas with recent transmission
3. Areas/populations at high risk of importation.
4. Migrant and mobile populations.
5. Regular field review of surveillance systems.
6. Efforts to improve surveillance sensitivity should
seek to optimise the reporting network to ensure all
risk populations are adequately captured by the
4. IEAG recommendations -2
6. Greater involvement of district and block level
government officials in all components of AFP
surveillance,i.e,
• response to AFP case reporting,
• sensitisation of existing reporting network,
• regular review of surveillance data and its utilization to
improve the system.
7. Systematic inclusion of HR areas/populations for RI
strengthening.
8.Timeline for harmonisation of SIA and RI microplans in
high risk areas.
9. Review of the emergency response plans at state
levels.
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Annualised Non Polio AFP Rate ( 2012 & 2011) - West Bengal
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2011
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7. Blockwise non-Polio AFP Rate of West Bengal :2011- 2012
2011
2012
NPAFP Rate>=5
NPAFP Rate 2-4.99
NPAFP Rate 1-1.99
NPAFP Rate < 1
No AFP case reported
Data as on Week 14
8. Blockwise Adequate Stool of West Bengal : 2011- 2012
2011
2012
Stool Rate>80
Stool Rate<80
Stool Rate<60
No Stool collected
Data as on Week 14
9. Blockwise Silent areas of AFP West Bengal : 2011- 2012
2012
2011
N=241
N=61 Data as on Week 14
10. District wise initial case investigation - WB 2011
450
400
350
300
250 Nodal
SMO
MO
200 DIO
150
100
50
0
NPG SPG BDN BBM BKR DDJ MNP TML CAL HWH DJL JPG KBR UDJ PRL MLD MBD HGL NDA
11. District wise Initial case investigation -WB 2012
200
180
160
140
120
SMO
100 MO
DIO
80
60
40
20
0
NPG SPG BDN BBM BKR DDJ MNP TML CAL HWH DJL JPG KBR UDJ PRL MLD MBD HGL NDA
12. Informers in HP GP & Wards
250
200
150
100
50
0
'Nov-2011 With Informer 'Mar-2012
Without Informer
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No of workshop Held
AD
No of Workshop Held and planned in West Bengal 2012
IA
No of workshop Planned
14. Way Forward
• India has no WPV case since Jan 2011.
• Rapid progress has been made towards
polio eradication.
• Gaps persisting.
• Sustained efforts by all stake holders in
improving AFP surveillance, RI and SIA
(special focus on HRAs and Mobile
populations) is the key.
