Somalia Update

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Somalia Update

• 04 January 2006

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Somalia (Map 1)
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Polio cases in Somalia, 2005
Map 2
Mogadishu
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Table 1 Distribution of wild polio cases and non
polio AFP cases (discarded, pending culture and
pending ITD) in Somalia by province, 2005. (As
of 04-01-06)
EMRO 04-01-06
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Table 2 Count of AFP cases by region sorted by
week of onset of paralysis in Somalia, 2005 (As
of 04-01-06)
EMRO 04-01-06
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Table 3 Count of wild cases by district sorted
by week of onset of paralysis in Somalia, 2005
(As of 04-01-06)
EMRO 04-01-06
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Table 4 Wild polio cases by province and
district, and date of onset of first and last
cases in Somalia, 2005 (As of 04-01-06)
EMRO 04-01-06
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Graph 1 Distribution of wild polio cases and non
polio AFP cases (discarded, pending culture and
pending ITD) in Somalia by week, 2005,
(04-01-06)
6-8 NOv (MOPV)
22 September-7 October (MOPV)
23 August -2 September
13-15 Dec (MOPV)
15-25 June (MOPV)
19-29 July (MOPV)
28-30 March
22-24 February
NIDs
EMRO 04-01-06
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Epidemiologic situation

• Table (1) shows that out of the total 340
  reported AFP cases for 2005 , 131 are polio
  cases, none pending ITD, 84 cases are pending
  culture of them 54 are from Mogadishu and 23 from
  Lower Shabelle.
• One new case was reported from the lab this week
  from Mogadishu.
• The increase in AFP cases in Mogadishu which
  started from week 35 is still continuing
  resulting in 197 cases in the 17 weeks from week
  35 to week 52, (Table 2) with a slight decrease
  in the last 5 weeks. The same picture is seen in
  Lower Shabelle.
• The distribution of the 131 wild poliovirus cases
  is as follow
• 124 cases from Mogadishu (2 confirmed due to
  positive contact)
• 5 cases from Lower Shabelle (1 confirmed due to
  positive contact)
• 2 case from Lasanod, Sool in North West
  (Puntlandt)
• The virus that was isolated from the Nugal case
  reported last week was mistakenly labeled as wild
  while it is a vaccine virus.
• The two cases from Sool aged 8 and 13 months were
  under immunized. Each received only 2 OPV doses.
• The December round has now been completed. Data
  about coverage is awaited.

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Important Activities

• The international staff who were in contract
  break started to return to duty station.
• The flight restriction to Somalia will come to an
  end this weekend.
• The next NID is planned for 23-25 January. In the
  south, central and north east regions. In Somali
  Land it will be delayed because of the measles
  campaign. MOPV1 will be used.
• Specific efforts are being made to ensure that
  the next rounds are implemented with high
  standards through ensuring adequate supervision
  and district level micro-planning.
• To address the refusal problem an STC is under
  recruitment in coordination with UNICEF to ensure
  adequate social mobilization strategies. The
  recent fatwa from the International Union of
  Moslem Scholars was sent to Somalia to be used in
  areas where religious reasons are the main cause
  for refusals.