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Paper Information

Journal:   INTERNATIONAL JOURNAL OF PEDIATRICS   January 2017 , Volume 5 , Number 6 (42); Page(s) 5199 To 5201.

Adequacy of Acute Flaccid Paralysis (AFP) Surveillance Indicators for Iran in 2016, Letter to the Editor

* Arak University of Medical Sciences, Arak, Iran
Eradication of polio as a largest public health innovation is led by the World Health Organization (WHO) in the world (1). The main strategies to reach this goal included improved routine immunization, adequate response to outbreaks and effective surveillance (2). Acute Flaccid Paralysis (AFP) surveillance has considered as a comprehensive program for polio eradication, by identification of areas of poliovirus transmission as well as cases of importation. Polio-free certification should be confirmed through surveillance (3). AFP surveillance has some indicators, where used to determine sufficient sensitivity of surveillance to detect poliovirus transmission in communities (4). Table. 1 shows two cores of AFP surveillance performance indicators including non-polio AFP and stool adequacy rates for Iran in 2016 (5). In the year of 2016 recorded the 776 AFP cases (Non polio AFP rate: 4. 2 per 100, 000 <15 years) in by the surveillance system in Iran and all of them discard for confirmed polio. In this year the proportion of adequate stool specimens, Cases notified within 7 days from onset of paralysis, Cases investigated within 48 hours from notification, specimens in lab within 3 days from collection and AFP Cases investigated after 60 days from onset of paralysis were 95. 5%, 87. 8%, 98. 7%, 62. 2% and 51. 2%, respectively. Except investigated AFP Cases after 60 days from onset of paralysis indicator and the percent of specimens in lab within 3 days from collection, other AFP surveillance indicators are achieved in Iran.
Keyword(s): Acute Flaccid Paralysis,Iran,Polio,Surveillance
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