Sudan Polio Update

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Sudan Polio Update

• 03 March 2005

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Epidemiologic Situation (1)

• 10 more cases were confirmed this week
• Two of the new cases from South Sudan (Upper
  Nile) with dates of onset in January 6 and 14.
  Seven cases from North Sudan with dates of onset
  between 8 January and 6 February. The two cases
  in February are reported in Kassala State. The
  case from Hamshkoreib/ Kassala (under rebel
  control, at Eritrean border ) was confirmed, it
  had onset in December 04 but exact date not known
  (not appearing on maps or Graphs)
• The number of infected States are still 18 States
  
• The total number of confirmed polio cases for
  2004 became 126 (118 in north and 8 in south
  Sudan) after adding the Hamshkoreib case.
• The virus circulation is now concentrated in
  upper Nile region in South Sudan and in the
  eastern areas of the country

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Epidemiologic Situation (2)

• The confirmed cases with onset in 2005 reached 16
  cases (13 from north and 3 from south)
• Kassala (01/01/05), (03/02/05), (06/02/05)
• Blue Nile (02/01/05), (09/01/05)
• Bahr El Gabal (05/01/05)
• Gadaref (07/01/05), (08/01/05), (24/01/05)
• White Nile (09/01/05)
• Sennar (10/01/05)
• Unity (21/01/05), (29/01/05)
• Upper Nile (Unity) , south Sudan all P1
  (03/01/05), (06/01/05) and (14/01/05), all from
  same area of previous cases in Western Upper
  Nile/Unity
• Cases pending ITD
• North
• Blue Nile P3 (07/01/05)
• Red Sea P3(14/01/05)
• South Sudan
• No cases pending ITD

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Important Recent Activities (1)

• The February campaign was completed (27 Feb-1st
  Mar) in North Sudan as part of the synchronized
  campaigns in 22 African countries
• H.E. The President of Sudan participated in
  Launching the campaign in South Kordofan,
• The First Vice President launched the campaign in
  Blue Nile
• H.E. Federal MOH and Wali of Khartoum launched
  the campaign in Khartoum in Gabal El Awlya
  Locality (in the middle of IDP camps)
• Ceremonies were covered by TV
• A press conference was held the day before the
  campaign and was addressed by MOH, WHO and UNICEF
  

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Important Recent Activities(2)

• The Ambassador of Goodwill of UNICEF (Mr Mahmoud
  Quabil) appeared on a TV show dedicated for the
  polio campaign (together with WHO/EMRO, MO and
  MOH staff ). He also developed some TV spots to
  be used in coming rounds.
• All localities of Khartoum received extra
  technical support through WHO TAs
• A team of WHO and UNICEF observers (from EMRO,
  MENARO and country offices) monitored the
  campaign in all localities of Khartoum, the
  observations were generally positive indicating
  that MOH implemented all the recommendations made
  in the previous rounds and that the technical
  support provided to Khartoum was very
  appropriate.
• Provisional information from different States
  indicate a high quality campaign
• Independent monitors started the post campaign
  survey
• It was unfortunate that one of the State
  supervisors in Kassala (the daughter of Minister
  of investment) and a local guide died in a car
  accident during the campaign while using the car
  of HE MOH.

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Important Recent Activities(3)

• Campaign in the South started on 28 February,
  activities ongoing however, few areas in Upper
  Nile, EEQ and Lakes and some roads are no go due
  to inter clan clashes. Vaccine was dropped in
  alternative areas and rental cars are making
  deliveries with military escort
• The coordination meeting for North-South Sudan
  will be held in Nairobi on 17-18 March to
  identify any remaining gap areas and assign
  responsibilities for their coverage and to ensure
  optimum coordination and exchange of information.
  This will be followed by one day meeting on
  coordination of EPI/measles activities

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Technical Support (1)

• Technical support North
• Current status (team leader, 2 STCs in Khartoum,
  1 STC for Kassala and Gadaref, one STC for south
  Darfur and one for White Nile), total of 6
  international staff
• 2 STOP team members (north Darfur and Northern
  State).
• One STC will reach Khartoum on 3rd March and
  will be based in Red Sea.
• Names of 2 other STCs were sent to Sudan awaiting
  government concurrence (Gezeira and Darfur).
• Remaining needs (1 NMO for Gadaref, 1 STC for
  River Nile and 1 TO for federal level)
• UNICEF recruited one STC for polio activities.
• Technical support should be provided before the
  April round to Khartoum and other priority States
  (Kassala, Gadaref, Sennar and Unity)

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Technical Support (2)

• Technical support south
• Current status
• (team leader, Nairobi)
• Loki Dr Afework, MO Mr Philipe Van De Graff ,
  log officer
• E EQ Vacant, Mr Alasow assisting (STP)
• WEQ Dr Jayaprakash (STP)
• BEG Dr Dagoye(STP)
• UN/ Jonglei
• West UN Dr Ba (STP)
• East UN STP DR Alasow (moved to support training
  in EE)
• Jonglei Dr Vasquez (STC)
• Lakes Dr Chacko(STP)
• In the pipeline STC for EE (Dr Kadyrov) One
  STC (Dr Jude) to help in Nairobi
• There is a need for more support for preparation
  and monitoring of coming rounds (short periods)