POST 00772E : EXPANSION OF AFP SURVEILLANCE
6 April 2005
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NOTE : This posting had been sent at the beginning of March but server's
problems prevented its distribution.
Bob Davis (mailto:[email protected]) from UNICEF/ESARO draws our attention
to an article on AFP surveillance.
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Dear Colleagues,
See below the abstract of a longer piece on this subject recently published
in the Weekly Epidemiological Record and the Morbidity and Mortality Weekly
Report. Full text is at
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5347a5.htm
While the apparatus created for AFP surveillance is now being used for
other viral diseases -- notably measles, rubella, and yellow fever -- one
would like to see this same machinery used to track declines in maternal
and neonatal tetanus. The global deadline of December 2005 for MNT
elimination is approaching.
Good reading,
Bob D.
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MMWR Morb Mortal Wkly Rep. 2004 Dec 3;53(47):1113-6.Related Articles, Links
Acute flaccid paralysis surveillance systems for expansion to other
diseases, 2003-2004. Centers for Disease Control and Prevention (CDC).
Since the 1988 World Health Assembly resolution to eradicate poliomyelitis,
the number of countries where polio is endemic has decreased from 125 in
1988 to six at the end of 2003. As part of
the eradication strategy, a global surveillance system was established to
1) identify acute flaccid paralysis (AFP) cases in children aged < or =15
years and
2) deploy a network of accredited laboratories to perform virologic testing
of stool specimens to determine whether the paralysis resulted from
poliovirus infection. As AFP surveillance systems matured, countries
increasingly applied AFP surveillance strategies and infrastructure to
detect other diseases. This report describes the status of global AFP
surveillance, including its expansion or use as a model in 131 (66%) of 198
countries for the reporting of measles and other vaccine-preventable
diseases. As poliomyelitis is eradicated, AFP surveillance systems in these
and other countries might be further expanded and adapted to improve the
detection of and response to other diseases.
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