Polio Eradication In Sindh, Pakistan

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Polio Eradication In Sindh, Pakistan

• Prof Dr. Noshad Ahmed Shaikh
• Health Secretary Sindh Pakistan
• Geneva Feb 2005

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Number and proportion of confirmed polio cases
by countries and WHO regions in 2003
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Number and proportion of confirmed polio cases
by countries and WHO regions in 2004
Up to 30-Jan-2005
17 Countries of which 6 endemic
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Confirmed Compatible Polio Cases, 2004
Dir Lower 08-08-2004
Khaniwal30-12-2004
Cases randomly distributed in districts.
Dadu 14-12-2004
NSL1 44
NSL3 7
Compatible 16
Districts with Confirmed Polio cases 28
District with Polio Compatible cases 10
District in each province with last polio case
Data as of 29-01-2005
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District wise Confirmed Polio Cases from 1998 to
2004, Sindh
Contd.
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District wise Confirmed Polio Cases From 1998 to
2004, Sindh
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Distribution of Confirmed Polio Cases
By Province Month, 2004
Data as of 19-01-2005
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Confirmed Polio Cases By Month, 2001- 04
2001
2002
2003
2004
Cases (n)
Months
Data as of 19-01-2005
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Confirmed Polio Cases By Poliovirus Type By
Month, 2000 - 2004
NID (22)
SNID (13)
Cases (n)
2000
2001
2002
2003
2004
Months / Years
P1
P3
Data as of 19-01-2005
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P1W Genetic Map in Sindh Province 2000-2004
Sub Lineage
20/31
8 of 3 Lineages Plus 5 Unknown
2000
20/20
23/23
31/31
26/26
2001
2002
2004
2003
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P3W Genetic Map in Sindh Province 2000-2004
Sub Lineage
21/34 5 clu.
8 C of 4 CL
2000
5/5 3 CL.
8/8 2 CL
9/9 2 CL
2/2 1 CL
2001
2002
2003
2004
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Onset of last polio case by type of virus and
district in Sindh
Jacobabad P1 23rd Jul. 04
Larkana P1 20th Oct. 04
Shikarpur P3 16th Mar. 03
2004
Ghotki P3 22nd Mar. 04
NS Feroz P1 23rd Apr. 03
2003
2002
Sukkur P1 30th Jun.02
2001
2000
Dadu P1 14th Dec. 04
Khairpur P1 3rd Oct. 04
1999
1998
N. Shah P1 15th Feb. 04
Karachi, P1 Orangi 18th Aug. 04
Mirpurkhas P1 10th Oct. 04
Thatta P1 16th Jul. 03
Tharparkar P1 8th Dec.98
Sanghar P1 26th Aug. 04
Hyderabad P1 7th Oct. 04
Badin P1 23rd Dec. 03
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CSPs Coverage of NIDs SNIDs for 2001, 2002,
2003, 2004 2005
Sindh Province
2001 2002
2003
2004 2005
NIDs
SNIDs
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Immunization status of Non-Polio AFP cases
For Southern Sindh 2001
34
35
25
Cases ()
75
50
59
53
Age
Data as of 04-12-2004
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Immunization status of Non-Polio AFP cases
For Southern Sindh 2002
14
36
28
Cases ()
81
57
56
14
Age
Data as of 04-12-2004
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Immunization status of Non-Polio AFP cases
For Southern Sindh 2003
9
20
14
Cases ()
14
85
73
66
43
Age
Data as of 04-12-2004
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Immunization status of Non-Polio AFP cases
For Southern Sindh 2004
Cases ()
92
73
73
53
Age
Data as of 04-12-2004
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Multiply dosed, unresponsive children are
protected by Herd Immunity in well vaccinated
communities
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Major constraints to campaign quality in Sindh

• Autaq system still common
• Youngest age group frequently missed for this and
  other reasons
  
• Spotty coverage district averages mask many
  poor talukas and UCs
  
• Frequent turnover of Managers due to pressures
• Refusal of vaccination in mega-cities (Karachi)
• Vaccinator credibility

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