Update on AFPSurveillanceRoutine Immunisation WorkshopHotel Stadel16/4/12
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.
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
IEAG recommendations -26. 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.
24 Pa rg24 an as 0 2 4 6 8 10 12 14 16 -P ar No ga rth na s So ut h Ba nk ur Ba a rd ha m an Da Bi ks rb hu hi n m Di na jp ur Da rji lin g Ho wr ah Hu gl Ja i lp ai gu Ko ri ch Bi ha r Ko lka ta M al M da ur sh h id ab adPa sc Na hi m di M a Pu ed rb in a ip ur M ed in Annualised Non Polio AFP Rate ( 2012 & 2011) - West Bengal ip ur Pu Ut ru ta lia rD in aj pu r 2011 2012
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 reportedData as on Week 14
Blockwise Adequate Stool of West Bengal : 2011- 2012 2011 2012 Stool Rate>80 Stool Rate<80 Stool Rate<60 No Stool collectedData as on Week 14
Blockwise Silent areas of AFP West Bengal : 2011- 2012 20122011 N=241N=61 Data as on Week 14
District wise initial case investigation - WB 2011450400350300250 Nodal SMO MO200 DIO150100 50 0 NPG SPG BDN BBM BKR DDJ MNP TML CAL HWH DJL JPG KBR UDJ PRL MLD MBD HGL NDA
District wise Initial case investigation -WB 2012200180160140120 SMO100 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
Informers in HP GP & Wards250200150100 50 0 Nov-2011 With Informer Mar-2012 Without Informer
U TT A R D DI AK S NA 10 15 20 25 30 35 40 45 50 0 5 HI D N PU DI NA R JP UR M M AL U DA RS H H ID AB H AD O O G HL KO Y LK A BA TA RPA 24 AS SC Pg AT HI s SO M U PU M ED TH R IN BA IP M ED UR BA I NIP R U D R HA M AN BI R BH U BA M N KU R PU A R UL H IA O 24 W Pg R AH s N O R TH N No of workshop Held AD No of Workshop Held and planned in West Bengal 2012 IA No of workshop Planned
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.