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  • 8/3/2019 AFP Surveillance Bulletin - India

    1/4

    GoI/NPSP

    Table 1: AFP cases by month of paralysis onset, last 13 months

    State/UT's

    Total

    AFP

    cases in

    2011

    AFP cases

    as on

    week 1,

    2011

    AFP cases

    as on

    week 1,

    2012Jan-11

    Feb-11

    Mar-11

    Apr-11

    May-11

    Jun-11

    Jul-11

    Aug-11

    Sep-11

    Oct-11

    Nov-11

    Dec-11

    Jan-12

    Andhra Pradesh 1077 0 0 72 46 59 52 62 83 99 114 153 135 99 103 0

    Andaman & Nicobar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    Arunachal Pradesh 36 0 0 0 2 1 5 6 6 3 2 4 4 1 2 0

    Assam 463 0 0 35 18 24 32 46 60 60 38 48 24 46 32 0

    Bihar 17346 3 0 1292 1045 1162 1334 1360 1392 1589 1864 1960 1604 1528 1216 0

    Chandigarh 38 0 0 3 1 2 3 1 3 5 5 4 7 3 1 0

    Chhattisgarh 310 0 0 18 20 18 21 18 31 32 44 41 22 23 22 0

    D & N Haveli 5 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0

    Daman & Diu 6 0 0 0 1 1 0 0 0 1 1 0 1 0 1 0

    Delhi 680 0 0 42 37 41 46 46 54 80 77 80 87 59 31 0

    Goa 26 0 0 2 2 1 1 1 0 6 1 4 3 1 4 0

    Gujarat 1022 0 0 91 69 70 55 77 108 93 110 117 95 79 58 0

    Haryana 961 0 0 60 42 73 60 88 86 97 118 119 92 76 50 0

    Himachal Pradesh 138 0 0 8 7 12 12 8 11 12 14 12 19 14 9 0

    Jammu & Kashmir 229 0 0 10 9 20 25 27 25 11 14 20 25 27 16 0

    Jharkhand 1493 0 0 104 92 105 102 129 129 140 180 171 135 135 71 0

    Karnataka 897 0 0 75 51 70 59 84 72 90 84 104 75 74 59 0Kerala 378 0 0 44 32 38 16 23 31 36 19 34 52 30 23 0

    Lakshadweep 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    Madhya Pradesh 2793 0 0 159 150 195 200 222 260 348 345 290 254 210 160 0

    Maharashtra 2752 0 1 185 179 191 181 180 233 322 287 281 233 269 211 1

    Manipur 19 0 0 0 0 2 1 5 0 2 4 0 4 1 0 0

    Meghalaya 29 0 0 1 0 1 2 3 5 2 5 2 3 5 0 0

    Mizoram 5 0 0 0 0 0 0 0 0 0 2 1 0 2 0 0

    Nagaland 29 0 0 2 4 1 0 3 2 2 3 5 4 2 1 0

    Orissa 1146 0 0 85 72 80 74 67 86 95 145 90 151 134 67 0

    Pondicherry 13 0 0 2 0 1 1 0 0 3 1 1 3 0 1 0

    Punjab 562 0 0 27 26 28 25 42 62 73 72 51 53 50 53 0

    Rajasthan 1797 0 0 120 111 121 106 134 170 224 207 192 184 143 85 0

    Sikkim 8 0 0 1 0 2 0 1 0 0 1 1 1 1 0 0Tamil Nadu 595 0 0 52 41 43 35 46 55 59 64 44 43 65 48 0

    Tripura 57 0 0 3 1 3 3 0 5 6 4 6 8 8 10 0

    Uttarakhand 360 0 0 21 26 21 19 30 30 28 56 39 41 31 18 0

    Uttar Pradesh 22093 5 1 1629 1359 1478 1366 1615 1827 2016 2504 2751 2153 1943 1452 1

    West Bengal 2489 0 0 138 130 178 143 184 210 212 252 286 292 265 199 0

    TOTAL 59852 8 2 4281 3574 4043 3979 4508 5037 5746 6637 6911 5807 5325 4004 2

    "0" means that report was received but no cases were identified

    Data from weekly case based reports

    email: [email protected] website: www.npspindia.org

    AFP Surveillance Bulletin - IndiaReport for week 1, ending 7 January 2012

    Polio cases and SIAs

  • 8/3/2019 AFP Surveillance Bulletin - India

    2/4

    GoI/NPSP Page 2

    Table 2: Classification of AFP cases and key surveillance indicators, 2011 and 2012

    State/UT's

    VDPV

    Total

    >90Day

    s

    VDPV

    Total

    >90Day

    s

    Andhra Pradesh 1077 0 0 0 939 138 45 3.76 3.28 81 95 0 0 0 0 0 0 0 0.00 0.00 NA

    Andaman & Nicobar 0 0 0 0 0 0 0 0.00 0.00 NA NA 0 0 0 0 0 0 0 0.00 0.00 NA

    Arunachal Pradesh 36 0 0 0 30 6 2 6.39 5.33 78 97 0 0 0 0 0 0 0 0.00 0 .00 NA

    Assam 463 0 0 0 428 35 10 3.66 3.38 91 99 0 0 0 0 0 0 0 0.00 0.00 NA

    Bihar 17346 0 0 15 16131 1200 420 40.63 37.79 88 98 0 0 0 0 0 0 0 0.00 0.00 NA

    Chandigarh 38 0 0 0 35 3 1 6.48 5.97 82 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Chhattisgarh 310 0 1 0 238 71 42 3.28 2.52 64 93 0 0 0 0 0 0 0 0.00 0.00 NA

    D & N Haveli 5 0 0 0 3 2 1 3.52 2.11 60 80 0 0 0 0 0 0 0 0.00 0.00 NA

    Daman & Diu 6 0 0 0 5 1 0 5.36 4.46 100 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Delhi 680 0 0 0 624 56 30 8.25 7.57 83 99 0 0 0 0 0 0 0 0.00 0.00 NA

    Goa 26 0 0 0 23 3 0 6.65 5.88 73 92 0 0 0 0 0 0 0 0.00 0.00 NA

    Gujarat 1022 0 0 0 951 71 22 4.67 4.34 84 95 0 0 0 0 0 0 0 0.00 0.00 NA

    Haryana 961 0 0 0 846 115 69 9.45 8.32 78 97 0 0 0 0 0 0 0 0.00 0.00 NA

    Himachal Pradesh 138 0 0 1 124 13 6 6.18 5.56 91 99 0 0 0 0 0 0 0 0.00 0.00 NA

    Jammu & Kashmir 229 0 0 0 227 2 1 4.34 4.30 98 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Jharkhand 1493 0 0 3 1345 145 85 11.10 10.00 82 96 0 0 0 0 0 0 0 0.00 0 .00 NA

    Karnataka 897 0 0 0 812 85 47 4.62 4.18 82 96 0 0 0 0 0 0 0 0.00 0.00 NA

    Kerala 378 0 0 0 347 31 11 4.10 3.77 83 96 0 0 0 0 0 0 0 0.00 0.00 NA

    Lakshadweep 0 0 0 0 0 0 0 0.00 0.00 NA NA 0 0 0 0 0 0 0 0.00 0.00 NA

    Madhya Pradesh 2793 0 1 0 2556 236 100 9.26 8.48 82 97 0 0 0 0 0 0 0 0.00 0.00 NA

    Maharashtra 2752 0 0 2 2477 273 104 7.08 6.37 82 97 1 0 0 0 0 1 0 0.13 0.00 0

    Manipur 19 0 0 0 18 1 0 1.79 1.70 89 95 0 0 0 0 0 0 0 0.00 0.00 NA

    Meghalaya 29 0 0 0 29 0 0 2.41 2.41 93 93 0 0 0 0 0 0 0 0.00 0.00 NA

    Mizoram 5 0 0 0 5 0 0 1.17 1.17 80 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Nagaland 29 0 0 0 26 3 0 3.57 3.20 97 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Orissa 1146 0 1 0 1036 109 55 8.24 7.45 81 97 0 0 0 0 0 0 0 0.00 0.00 NA

    Pondicherry 13 0 0 0 13 0 0 3.77 3.77 92 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Punjab 562 0 1 0 502 59 26 6.57 5.87 80 96 0 0 0 0 0 0 0 0.00 0.00 NA

    Rajasthan 1797 0 1 0 1626 170 81 6.38 5.77 79 97 0 0 0 0 0 0 0 0.00 0.00 NA

    Sikkim 8 0 0 0 8 0 0 3.05 3.05 100 100 0 0 0 0 0 0 0 0.00 0.00 NA

    Tamil Nadu 595 0 0 0 564 31 13 3.60 3.41 91 98 0 0 0 0 0 0 0 0.00 0.00 NA

    Tripura 57 0 0 0 50 7 1 3.84 3.37 84 91 0 0 0 0 0 0 0 0.00 0.00 NA

    Uttarakhand 360 0 0 0 336 24 9 9.06 8.46 83 97 0 0 0 0 0 0 0 0.00 0.00 NA

    Uttar Pradesh 22093 0 2 18 20045 2028 821 26.48 24.02 83 97 1 0 0 0 0 1 0 0.06 0.00 0

    West Bengal 2489 1 0 4 2282 202 63 7.37 6.76 87 98 0 0 0 0 0 0 0 0.00 0.00 NA

    TOTAL 59852 1 7 43 54681 5120 2065 13.35 12.20 84 97 2 0 0 0 0 2 0 0.02 0.00 0

    AFP cases > 15 years of age or missing age information are excluded

    AFP Surveillance Indicat

    Case ClassificationAnnualized

    RatesSpec

    2011

    Discard

    ed(non-polio

    AFP)

    AFP Surveillance Indicators

    Case ClassificationAnnualized

    RatesSpecimen

    AFPCases

    2012

    %w

    ithany

    specimen

    AFPCases

    Confirm

    edPolio

    Confirm

    edPolio

    AFPrat

    e

    Non-polioAFPrate

    %w

    ith2spec.w/in14

    days

    Pending

    Compatible

    Discard

    ed(non-polio

    AFP)

    Compatible

    AFPrat

    e

    %w

    ith2spec.w/in14

    days

    Non-polioAFPrate

    Pending

    Stool collection within 14 days

    83%

    2010

    84%

    2011

  • 8/3/2019 AFP Surveillance Bulletin - India

    3/4

    GoI/NPSP Page 3

    Table 3: Primary isolation results of AFP cases

    2012

    14

    days

    BJMC, Ahmedabad 0 0 0 0 0 0 0

    NIV, Bangalore 0 0 0 0 0 0 0

    IoS, Kolkata 0 0 0 0 0 0 0

    KIPM, Chennai 0 0 0 0 0 0 0

    NCDC, Delhi 0 0 0 0 0 0 0

    CRI, Kasauli 0 0 0 0 0 0 0

    ERC, Mumbai 0 0 0 0 0 0 0

    SGPGI, Lucknow 0 0 0 0 0 0 0

    TOTAL 0 0 0 0 0 0 0

    2011

    14

    days

    BJMC, Ahmedabad 7520 380 36 1401 5503 200 0

    NIV, Bangalore 4681 323 94 1451 2731 82 0

    IoS, Kolkata 6901 275 39 1018 5454 115 0

    KIPM, Chennai 8877 328 68 1929 6542 10 0

    NCDC, Delhi 5593 247 26 466 4558 293 3

    CRI, Kasauli 1750 86 4 301 1329 30 0

    ERC, Mumbai 5833 347 68 1667 3751 0 0

    SGPGI, Lucknow 16452 769 196 6268 8772 447 0

    TOTAL 57607 2755 531 14501 38640 1177 3

    Type

    1

    Type

    2

    Type

    3

    Mix

    Type

    1

    Type

    2

    Type

    3

    Mix

    Type

    1

    Type

    2

    Type

    314

    days

    ERC, Mumbai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    IOS, Kolkata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    NCDC, Delhi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    KIPM, Chennai 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    NIV, Bangalore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    SGPGI, Lucknow 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    BJMC, Ahmedabad 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    Type1

    Type2

    Type3

    Mix

    Type1

    Type2

    Type3

    Mix

    Type1

    Type2

    Type3

    14

    days

    ERC, Mumbai 650 1 0 0 0 198 105 157 126 0 3 0 53 0 7 0 0 0

    IOS, Kolkata 200 0 0 0 0 56 17 77 45 0 0 1 2 1 0 1 0 0

    NCDC, Delhi 240 0 0 0 0 69 22 96 50 0 0 0 1 0 0 1 0 1

    KIPM, Chennai 396 0 0 0 0 99 48 142 106 0 1 0 0 0 0 0 0 0

    NIV, Bangalore 417 0 0 0 0 118 36 135 101 0 1 0 26 0 0 0 0 0

    SGPGI, Lucknow 965 0 0 0 0 317 165 297 166 0 0 0 11 9 0 0 0 0

    BJMC, Ahmedabad 418 0 0 0 0 119 55 128 100 0 1 0 15 0 0 0 0 0

    TOTAL 3286 1 0 0 0 976 448 1032 694 0 6 1 108 10 7 2 0 1

    2011

    Number of

    AFP casesreferred for

    ITD

    Number of AFP cases with ITD result asNumber of cases

    pending forWild poliovirus Vaccine poliovirus VDPV

    NPEVbyPCR

    Nonenterovirus

    Negative

    Number of

    AFP cases

    referred for

    ITD

    NPE

    VbyPCR

    Number of cases

    pending for

    Non

    enterovirus

    Number of AFP cases with ITD result as

    0

    11239

    3547

    Polio Laboratories

    Vaccine poliovirusWild poliovirus

    Table 4: Intratypic differentiation (ITD) of isolates from AFP cases

    2012

    VDPV

    Negative

    Polio Laboratories Culturepositive

    for polio

    virus and

    NPEV

    Number of

    specimens

    received by lab

    17806

    13819

    15255

    9404

    Number of cases

    pending forNumber of

    AFP cases

    with stool

    specimensCulture

    positive for

    poliovirus

    Number of AFP cases with laboratory result

    as

    Number of AFP cases with laboratory result

    as

    Culture

    positive

    for polio

    virus and

    NPEV

    No polio

    virus or

    NPEV

    0

    Number of cases

    pending for

    Polio Laboratories

    Number of

    specimens

    received by lab

    0

    0

    0

    0

    Culture

    positive for

    poliovirus

    Number of

    AFP cases

    with stool

    specimens

    Polio Laboratories

    116036

    33085

    NPEV

    0

    NPEV

    No polio

    virus or

    NPEV

    11881

    0

    0

  • 8/3/2019 AFP Surveillance Bulletin - India

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    GoI/NPSP Page 4

    State

    Date of most

    recent

    polio case

    Type

    West Bengal 13-Jan-11 P1

    Jharkhand 22-Oct-10 P3

    Maharashtra 16-Sep-10 P1

    Bihar 01-Sep-10 P1

    Uttar Pradesh 21-Apr-10 P3

    Jammu & Kashmir07-Feb-10

    P1Haryana 13-Jan-10 P3

    Rajasthan 27-Nov-09 P3

    Uttarakhand 06-Nov-09 P3

    Himachal Pradesh 17-Oct-09 P3

    Punjab 13-Oct-09 P3

    Delhi 28-Jun-09 P3

    Madhya Pradesh 04-Aug-08 P3

    Orissa 22-Jul-08 P3

    Andhra Pradesh 16-Jul-08 P3

    Assam 09-Jun-08 P1

    Karnataka 03-Nov-07 P3

    Gujarat 16-Mar-07 P1

    Chandigarh 02-Aug-06 P1

    Tamil Nadu 18-Feb-04 P1Chhattisgarh 18-Jul-02 P1

    Kerala 29-Sep-00 P1

    Pondicherry 26-Nov-98 P1

    Goa 28-Oct-98 P1

    Daman & Diu 22-Oct-98 P1

    D & N Haveli 31-Jan-98 P1 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 201

    Nagaland 10-Dec-97 P1 & P3 112 36 36 7 18 51 4 10 8 24 112 14 16

    Meghalaya 15-Oct-97 P1 February 32 22 10 1 8 16 3 5 9 14 53 5 3

    Tripura 10-Oct-97 P1 42 11 10 3 7 9 1 1 8 14 40 16 0

    A&N Islands Before 1997 26 8 20 3 16 7 1 2 13 14 40 13 2

    Arunachal Pradesh Before 1997 49 39 6 4 42 5 9 2 36 32 34 24 2

    Lakshadweep Before 1997 118 69 8 13 117 7 14 6 76 30 38 79 2

    Manipur Before 1997 324 142 25 30 251 25 13 3 121 64 53 89 5

    Mizoram Before 1997418 187 39 62 280 29 18 6 114 78 67 119 7

    Sikkim Before 1997 283 193 32 33 334 30 18 14 137 82 49 145 3

    170 195 31 38 247 20 32 7 71 98 32 129 1

    226 155 31 43 180 16 14 7 55 203 24 60 0

    134 69 17 31 100 10 7 3 28 221 17 48 1

    1934 1126 265 268 1600 225 134 66 676 874 559 741 42Total

    June

    August

    July

    December

    November

    September

    October

    May

    Most recent Wild Polio Virus case by State

    January

    March

    April

    Month

    10 cases

    9 casesP1-3 cases in 1 district

    P3-6 cases in 2 districts

    P1-34 cases in 17 districts

    P3-10 cases in 7 districts

    0 case

    0 case

    P1=18

    P3=24

    2010

    2010

    Wild Polio cases, India

    Wild Polio cases, Bihar

    2011

    2011

    2011

    P1P3

    Wild Polio cases, UP

    P1P3

    2010

    P1=1

    P1P3