1. Global and National Update March 2024.pptx

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IPPI 2024 TRAINING MATERIAL FOR HEALTH CARE PROVIDER

Health & Medicine

Epidemiology of Polio
Global and National Update

Data in WHO HQ as of 16 Jan. 2024
1Excludes viruses detected from environmental surveillance; 2Onset of paralysis: 17 Jan. 2023 to 16 Jan. 2024
Endemic country (WPV1)
WPV1 cases (latest onset)
Pakistan 6 24-Oct-23
Afghanistan 6 04-Sep-23
cVDPV1 cases (latest onset)
DR Congo 98 12-Nov-23
Madagascar 21 16-Sep-23
Mozambique 3 11-Sep-23
cVDPV2 cases (latest onset)
Indonesia 3 22-Nov-23
Côte d'Ivoire 6 22-Nov-23
DR Congo 113 19-Nov-23
Tanzania 3 16-Nov-23
Chad 49 12-Nov-23
South Sudan 2 07-Nov-23
Mali 12 06-Nov-23
Nigeria 69 30-Oct-23
Guinea 34 28-Oct-23
Mauritania 1 17-Oct-23
CAR 14 07-Oct-23
Mozambique 1 28-Sep-23
Somalia 4 16-Sep-23
Yemen 3 28-Aug-23
Kenya 8 21-Aug-23
Niger 1 09-Jul-23
Burundi 1 15-Jun-23
Burkina Faso 2 04-Jun-23
Zambia 1 03-Apr-23
Benin 2 15-Mar-23
Israel 1 13-Feb-23
Global WPV1 & cVDPV Cases1, Previous 12 Months2

Certificate of Eradication - WPV 3
3

P1 wild P3 wild
P2 wild
* data as on 25 January 2024
Wild Poliovirus Cases, India
No WPV case since January 2011
1600
1934
1126
265268
225
134
66
676
874
559
741
42
1 0 0 0 0 0 0 0 0 0 0 0 0 0
0
300
600
900
1200
1500
1800
2100
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023* 2024*

Last Wild Poliovirus Cases by Type, India
WPV2
24/10/1999
Aligarh (UP)
WPV1
13/01/2011
Howrah (WB)
WPV3
22/10/2010
Pakur (JH)
5

6.7 5.7
Non-Polio AFP Rate, India
Target: ≥ 2
2022
Non-polio AFP cases per 100,000 under 15 population
2023*
* data as on 24th January 2024

88% 89%
Percent Adequate Stools Collected, India
Target: ≥80%
2022 2023*
* data as on 24th January 2024

Programme Priorities
Risks
• Importation of Wild Poliovirus
from endemic countries, esp.
considering political situation in
Afghanistan
• Emergence of VDPVs
• Missed transmission due to
inadequate surveillance
sensitivity
Priorities
• High coverage during Polio
SIAs, with focus on
vulnerable children in HRAs
• High routine immunization
coverage with bOPV and IPV
(including fIPV-3)
• Highly sensitive AFP
Surveillance

3rd March 2024 (29 States)
To be decided (7 States)
Map of States going for NID March 2024

10
Summary
•India maintains polio free status since 2011
•High risk of Poliovirus importation in the country
- Wild Polio virus transmission ongoing in Afghanistan and Pakistan
- Intense cVPDV2 transmission
•Sensitivity of AFP surveillance had declined in 2020, 21 due
to COVID-19 pandemic but is on recovery since 2022.
- Orient staff to report all cases of AFP
- Intensify active case searches
•Conducting quality SNID is important

Please insert State and District specific Slides

Thanks

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1. Epidemiology of Polio Global and National Update

2. Data in WHO HQ as of 16 Jan. 2024 1Excludes viruses detected from environmental surveillance; 2Onset of paralysis: 17 Jan. 2023 to 16 Jan. 2024 Endemic country (WPV1) WPV1 cases (latest onset) Pakistan 6 24-Oct-23 Afghanistan 6 04-Sep-23 cVDPV1 cases (latest onset) DR Congo 98 12-Nov-23 Madagascar 21 16-Sep-23 Mozambique 3 11-Sep-23 cVDPV2 cases (latest onset) Indonesia 3 22-Nov-23 Côte d'Ivoire 6 22-Nov-23 DR Congo 113 19-Nov-23 Tanzania 3 16-Nov-23 Chad 49 12-Nov-23 South Sudan 2 07-Nov-23 Mali 12 06-Nov-23 Nigeria 69 30-Oct-23 Guinea 34 28-Oct-23 Mauritania 1 17-Oct-23 CAR 14 07-Oct-23 Mozambique 1 28-Sep-23 Somalia 4 16-Sep-23 Yemen 3 28-Aug-23 Kenya 8 21-Aug-23 Niger 1 09-Jul-23 Burundi 1 15-Jun-23 Burkina Faso 2 04-Jun-23 Zambia 1 03-Apr-23 Benin 2 15-Mar-23 Israel 1 13-Feb-23 Global WPV1 & cVDPV Cases1, Previous 12 Months2

3. Certificate of Eradication - WPV 3 3

4. P1 wild P3 wild P2 wild * data as on 25 January 2024 Wild Poliovirus Cases, India No WPV case since January 2011 1600 1934 1126 265268 225 134 66 676 874 559 741 42 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 600 900 1200 1500 1800 2100 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023* 2024*

5. Last Wild Poliovirus Cases by Type, India WPV2 24/10/1999 Aligarh (UP) WPV1 13/01/2011 Howrah (WB) WPV3 22/10/2010 Pakur (JH) 5

6. 6.7 5.7 Non-Polio AFP Rate, India Target: ≥ 2 2022 Non-polio AFP cases per 100,000 under 15 population 2023* * data as on 24th January 2024

7. 88% 89% Percent Adequate Stools Collected, India Target: ≥80% 2022 2023* * data as on 24th January 2024

8. Programme Priorities Risks • Importation of Wild Poliovirus from endemic countries, esp. considering political situation in Afghanistan • Emergence of VDPVs • Missed transmission due to inadequate surveillance sensitivity Priorities • High coverage during Polio SIAs, with focus on vulnerable children in HRAs • High routine immunization coverage with bOPV and IPV (including fIPV-3) • Highly sensitive AFP Surveillance

9. 3rd March 2024 (29 States) To be decided (7 States) Map of States going for NID March 2024

10. 10 Summary •India maintains polio free status since 2011 •High risk of Poliovirus importation in the country - Wild Polio virus transmission ongoing in Afghanistan and Pakistan - Intense cVPDV2 transmission •Sensitivity of AFP surveillance had declined in 2020, 21 due to COVID-19 pandemic but is on recovery since 2022. - Orient staff to report all cases of AFP - Intensify active case searches •Conducting quality SNID is important

11. Please insert State and District specific Slides