Sudan Polio Update

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Sudan Polio Update

• 14 April 2005

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Epidemic curve of poliomyelitis in Sudan in
relation to SIAs
Number Vaccinated In millions In North south
1.0
1.4
7.4
7.6
0.15
7.1
6.2 (north)
NIDs in North and SNIDs in south
NID
SNID \MU
EMRO 14/04/05
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Epidemic curve of poliomyelitis in Sudan in
relation to SIAs
0.15
1.0
1.4
7.4
7.6
Number Vaccinated In millions In North south
7.1
6.2 (north)
NIDs in North and SNIDs in south
SNID \MU
NID
EMRO 14/04/05
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Sudan Infected Localities, 2004-2005
Khartoum State
2004
2005
EMRO 14/04/05
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Polio cases in Sudan in Relation to the
Oct/Nov/Jan NIDS
Polio cases in Sudan in Relation to the
Oct/Nov/Jan NIDS
NIDs 10-12 Oct . 2004
NIDs 21-23 Nov. 2004
Cases from 20 Oct 30 Nov. 04
Cases from 1 Dec - 19 Jan 05
Cases before 20 Oct. 04
64 Cases
29 Cases
44 Cases
SNIDs 10-12 Jan. 2005
SNIDs 27 Feb 1 Mar 2005
Cases after 20 Jan 05
Cases after 9 Mar 05
8 Cases
3 Cases
EMRO 14/04/05
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Cases of AFP, confirmed Polio cases cases
pending in the lab by State 2004-2005
EMRO 14/04/05
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Epidemiologic Situation (1)

• Three new cases were confirmed this week (P1).
• One case from Upper Nile (date of onset,
  09/03/05)
  
• One case from Sennar (date of onset, 11/03/05)
• One case from Kassala (date of onset, 13/03/05)
• The number of infected States are still 18
  States.
  
• The total number of confirmed polio cases for
  2004 is 126.
  
• 118 in north and 8 in south Sudan
• 123 P1 cases and 3 P3 cases
• The confirmed cases with onset in 2005 is 22
  cases.
  
• North 18 P1 cases from
• Kassala (5), Blue Nile (2), Bahr El Gabal (1),
  Gedarif (4) White Nile (1), Sennar (2), Unity (2)
  and Upper Nile(1)
  
• South 4 P1 cases from
• Upper Nile (Unity)
• In 2005 the virus circulation is concentrated in
  upper Nile region in South Sudan and in the
  eastern areas of the country (bordering Eritrea
  and Ethiopia).
• No isolates pending ITD from North or South.

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Epidemiologic Situation (2)

• The last case in Kassala is from Hamshkoreib an
  area under NDA control very close to Eritrea. The
  child is 5 years old and did not receive any
  vaccination as this area is not properly accessed
  during SIAs.
• The circulation in Kassala is concentrated among
  Rashaida community who have close contact and
  continuous movement with Arabian Peninsula (Saudi
  Arabia) and Eritrea. This tribe is also connected
  with some areas in Red Sea (Sawaken) and this is
  the probable route of the virus from Red Sea to
  Kassala
• The circulation in Gedaref State is probably
  related to Sennar State.
  
• There is close contact and trade between Galabat
  (an area that had 2 cases) in Gedaref and
  Ethiopia (El Matama, Amhara)
  
• Upper Nile case is 10 years old (Zero dose)
• Sennar case received 6 OPV doses and is 30
  months old
  

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Important Recent Activities

• South
• Campaign was completed, provisional reports from
  the field indicates good quality
  
• North
• The campaign started on 11 April
• HE the President of Sudan inaugurated the
  campaign in Raja in Bahr El Gazal one day before
  the campaign
  
• National Inauguration of the campaign took place
  in Kassala by HE the Federal State Minister of
  Health, HE Wali of Kassala and Kassala Minister
  of Health, Federal EPI manager and
  representatives from UN agencies. Local
  inaugurations took place as well in all States.
• Today is the fourth day where defaulter tracing
  is still continuing
  
• The campaign was technically supported by WHO
  through, WHO team leader, 6 STCs, 2 STOP team
  members, 7 temporary advisors and from UNICEF by
  2 STC (for communication and field support)
• Concentration in this round was on improvement of
  plans, maps, supervision, Defaulter tracing and
  monitoring
  
• Finger marking was expanded to include main towns
  in Different States. VIT A was distributed in all
  States except Khartoum and White Nile where it
  was included in February round.

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Future Plans

• South
• Next Campaign (3rd NID) will start on 2-5 May in
  Upper Nile, 16-19 May for the other Regions
  
• WHO is meeting with WFP to work on the flight
  schedule for the third round with the plan to
  send staff from all other regions to Upper Nile
  to support and supervise the round
• Fourth round is planned to take place May 30th to
  June 2 for Upper Nile other regions 14-16 June.
  
• North
• Next campaign (4th NID in 2005) is planned for
  Mid May
  
• International surveillance review planned to take
  place 9-18 June.