PERFORMANCE OF ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE AND INCIDENCE OF POLIOMYELITIS, 1997-1998 (AS OF 3 JULY 1998) FONCTIONNEMENT DE LA SURVEILLANCE DE LA PARALYSIE FLASQUE AIGUË (PFA) ET INCIDENCE DE LA POLIOMYÉLITE, 1997-1998 (AU 3 JUILLET 1998) Performance of AFP surveillance, 1998 Fonctionnement de la surveillance de la PFA, 1998 Country/Area Pays/Territoire Expected surveillance reports receiveda Réception des rapports attendusa AFP cases reportedb Cas de PFA signalésb Non-poliomyelitis AFP ratec Taux de PFA non poliomyélitiquec AFP cases with adequate specimensd Cas de PFA avec échantillonsd Confirmed poliomyelitis (wild poliovirus) Cas de poliomyelite confirmés (virus sauvage) 1997e 1998e
Regional totals — Totaux régionaux AFR ..................................................................................................... AMR ....................................................................................................... EMR ....................................................................................................... EUR ........................................................................................................ SEAR ...................................................................................................... WPR ....................................................................................................... Global total — Total mondial ..................................................... African Region — Région africaine (AFR) Algeriaf – Algérief .................................................................................. Angolaf ................................................................................................... Beninf — Béninf ................................................................................... Botswanaf .............................................................................................. Burkina Fasof ......................................................................................... Burundif ................................................................................................. Cameroonf — Camerounf ...................................................................... Cape Verdef — Cap-Vertf ....................................................................... Central African Republicf — République centrafricainef .......................... Chadf — Tchadf .................................................................................... Comorosf — Comoresf .......................................................................... Congof ................................................................................................... Côte d'Ivoiref ......................................................................................... Democratique Republic of the Congof — République démocratique du Congof .................................................... Equatorial Guineaf – Guinée équatorialef ................................................ Eritreaf — Erythréef .............................................................................. Ethiopiaf — Ethiopief ............................................................................ Gabonf ................................................................................................... Gambiaf — Gambief ............................................................................. Ghanaf ................................................................................................... Guineaf — Guinéef ................................................................................ Guinea-Bissauf — Guinée-Bissauf .......................................................... Kenyaf ................................................................................................... Lesothof .................................................................................................
41% 87% 84% 73% 98% 97% 79% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 80% 40% 40% 40% 40% 40% 40% 40% 40% 40%
206 1 424 667 676 2 794 2 208 7 975 33 4 4 0 2 0 6 0 5 1 0 0 9 1 0 0 4 0 0 2 0 0 6 0
0.22 1.76 0.74 1.13 0.41 1.03 0.85 0.77 0.19 0.50 0.00 0.12 0.00 0.29 0.00 0.75 0.00 0.00 0.00 0.28 0.02 0.00 0.00 0.05 0.00 0.00 0.08 0.00 0.00 0.13 0.00
30% 77% 74% 71% 50% 86% 63% 0% 0% 75% 0% 50% 0% 50% 0% 20% 100% 0% 0% 56% 0% 0% 0% 25% 0% 0% 0% 0% 0% 33% 0%
1 088 (31) 0 1 028 (261) 7 (6) 3 042 (410) 9 (9) 5 174 0 15 3 3 3 0 21 0 10 326 0 0 6 82 0 41 19 ... 1 17 2 1 14 0
8 (8) 0 85 (0) 2 (2) 624 (105) 0 719 0 0 0 0 0 0 0 0 1 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0
(0) (2) (0) (2) (0) (8) (2)
(1) (1)
(3) (3)
(2)
(0) (2) (0) (0) (0)
WEEKLY EPIDEMIOLOGICAL RECORD, No. 29, 17 JULY 1998 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N o 29, 17 JUILLET 1998
Performance of AFP surveillance, 1998 Fonctionnement de la surveillance de la PFA, 1998 Country/Area Pays/Territoire Expected surveillance reports receiveda Réception des rapports attendusa 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 20% 40% 20% 40% 40% 80% 40% 40% 40% 40% 40% 40% 40% 40% 92% 92% 88% ... 92% 92% 92% 64% 92% 88% 92% 92% 92% 68% 92% 92% 92% 76% 92% 88% ... 72% 92% AFP cases reportedb Cas de PFA signalésb 0 8 11 0 0 0 0 3 0 50 0 0 0 0 2 0 0 26 1 0 9 9 4 6 4 48 252 ... 14 82 175 6 22 11 45 49 56 2 40 428 39 6 4 59 ... 4 78 Non-poliomyelitis AFP ratec Taux de PFA non poliomyélitiquec 0.00 0.38 0.66 0.00 0.00 0.00 0.00 1.29 0.00 0.29 0.00 0.00 0.00 0.00 0.07 0.00 0.00 0.52 0.75 0.00 0.26 0.18 0.26 0.35 0.08 2.96 0.94 ... 1.05 4.03 3.02 1.09 1.93 0.80 2.04 4.16 2.35 0.16 3.46 2.58 4.36 1.41 0.46 1.34 ... 1.01 2.05 AFP cases with adequate specimensd Cas de PFA avec échantillonsd 0% 63% 73% 0% 0% 0% 0% 67% 0% 30% 0% 0% 0% 0% 50% 0% 0% 0% 100% 0% 33% 67% 25% 33% 0% 63% 62% ... 0% 80% 88% 0% 92% 100% 88% 79% 90% 0% 67% 78% 100% 0% 0% 95% ... 0% 81%
Confirmed poliomyelitis (wild poliovirus) Cas de poliomyelite confirmés (virus sauvage) 1997e 0 10 2 2 5 0 4 2 56 383 ... 0 0 0 5 0 0 0 0 2 35 10 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1998e 0 0 0 0 0 0 0 0 0 3 (3) 0 0 0 0 1 (1) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Liberiaf — Libériaf ................................................................................. Madagascarf ........................................................................................... Malawif .................................................................................................. Malif ...................................................................................................... Mauritaniaf — Mauritanief .................................................................... Mauritiusf — Mauricef .......................................................................... Mozambiquef ......................................................................................... Namibiaf — Namibief ........................................................................... Nigerf ..................................................................................................... Nigeriaf — Nigériaf ............................................................................... Réunionf ................................................................................................. Rwandaf ................................................................................................. Saint Helenaf – Sainte-Hélènef .............................................................. Sao Tome and Principef — Sao Tomé-et-Principef .................................. Senegalf — Sénégalf ............................................................................ Seychellesf ............................................................................................. Sierra Leonef .......................................................................................... South Africa — Afrique du Sud ............................................................. Swazilandf ............................................................................................. Togof ...................................................................................................... Ugandaf — Ougandaf ........................................................................... United Republic of Tanzaniaf — République-Unie de Tanzanief ........ Zambiaf — Zambief .............................................................................. Zimbabwef ............................................................................................. Region of the Americas — Région des Amériques (AMR) Argentina — Argentine ......................................................................... Bolivia — Bolivie .................................................................................. Brazil — Brésil ..................................................................................... Canada ................................................................................................... Caribbean Epidemiology Center* — Centre d'Epidémiologie des Caraïbes* ................................................. Chile — Chili ......................................................................................... Colombia — Colombie .......................................................................... Costa Rica .............................................................................................. Cuba ...................................................................................................... Dominican Republic — République dominicaine .................................... Ecuador — Equateur ............................................................................. El Salvador ............................................................................................. Guatemala ............................................................................................. Haiti — Haïti ........................................................................................ Honduras ............................................................................................... Mexico — Mexique .............................................................................. Nicaragua ............................................................................................... Panama .................................................................................................. Paraguay ................................................................................................ Peru — Pérou ....................................................................................... United States of America — Etats-Unis d'Amérique ............................... Uruguay ................................................................................................. Venezuela ..............................................................................................
(1) (0) (0)
(5) (1)
(1)
(1) (0) (0) (0)
* These countries have been grouped together for reporting purposes. — Ces pays ont été regroupés aux fins de la déclaration. Eastern Mediterranean Region — Région de la Méditerranée orientale (EMR) Afghanistan ............................................................................................ 100% Bahrain — Bahreïn ............................................................................... 80% Cyprus — Chypre .................................................................................. 100% 60% Djiboutif ................................................................................................. Egypt — Egypte ................................................................................... 100% Iran (Islamic Republic of) — Iran (République islamique d') ................. 100% Iraq ........................................................................................................ 80% Jordan — Jordanie ............................................................................... 100% Kuwait — Koweït ................................................................................. 60% 80% Lebanonf — Libanf ............................................................................... 100% Libyan Arab Jamahiriya — Jamahiriya arabe libyenne ........................... Morocco — Maroc ................................................................................ 80% Oman ..................................................................................................... 100% Pakistan ................................................................................................. 100% Qatar ..................................................................................................... 80% Saudi Arabia — Arabie saoudite ............................................................ 100% Somalia— Somalie ............................................................................... 40% 100% Sudan — Soudan .................................................................................. Syrian Arab Republic — République arabe syrienne ............................... 100% Tunisia — Tunisie ................................................................................. 100% United Arab Emirates — Emirats arabes unis ........................................ 40% Palestine Self-Rule Areas — Territoires palestiniens autonomes ............. 100% Yemen — Yémen ................................................................................. 40% 34 0 2 0 59 155 47 10 3 0 11 30 6 172 2 33 11 29 38 15 0 8 2 0.81 0.00 3.03 0.00 0.60 1.55 1.16 1.37 1.38 0.00 1.49 0.77 1.73 0.38 3.19 1.06 1.03 0.47 1.44 1.18 0.00 0.81 0.06 40% ... 100% ... 88% ... 68% 100% ... ... 100% 70% 67% ... ... 67% ... 100% 80% 80% ... 0% ... 19 (5) 0 0 0 14 (14) 13 (12) 28 (2) 0 0 0 0 0 0 920 (220) 0 0 1 33 (8) 0 0 0 0 0 8 0 0 0 0 2 0 0 0 0 0 0 0 70 0 0 0 5 0 0 0 0 0 (7)
(2)
(21)
(2)
218
WEEKLY EPIDEMIOLOGICAL RECORD, No. 29, 17 JULY 1998 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N o 29, 17 JUILLET 1998
Performance of AFP surveillance, 1998 Fonctionnement de la surveillance de la PFA, 1998 Country/Area Pays/Territoire Expected surveillance reports receiveda Réception des rapports attendusa AFP cases reportedb Cas de PFA signalésb Non-poliomyelitis AFP ratec Taux de PFA non poliomyélitiquec AFP cases with adequate specimensd Cas de PFA avec échantillonsd
Confirmed poliomyelitis (wild poliovirus) Cas de poliomyelite confirmés (virus sauvage) 1997e 1998e
European Region — Région européenne (EUR) Albania — Albanie ................................................................................ Andorra — Andorre ............................................................................... Armenia — Arménie ............................................................................. Austria — Autriche ................................................................................ Azerbaijan — Azerbaïdjan ..................................................................... Belarus — Bélarus ................................................................................ Belgium — Belgique ............................................................................. Bosnia and Herzegovina — Bosnie-Herzégovine ................................... Bulgaria — Bulgarie ............................................................................. Croatia — Croatie ................................................................................. Czech Republic — République tchèque .............................................. Denmark — Danemark ......................................................................... Estonia — Estonie ................................................................................ Finland — Finlande .............................................................................. France .................................................................................................... Georgiaf — Géorgief ............................................................................. Germany — Allemagne ......................................................................... Greece — Grèce ................................................................................... Hungary — Hongrie ............................................................................. Iceland — Islande ................................................................................ Ireland — Irlande ................................................................................. Israel — Israël ...................................................................................... Italy — Italie ........................................................................................ Kazakhstan ............................................................................................ Kyrgyzstan — Kirghizistan .................................................................... Latvia — Lettonie ................................................................................. Lithuania — Lituanie ............................................................................ Luxembourg ........................................................................................... Malta — Malte ..................................................................................... Monaco .................................................................................................. Netherlands — Pays-Bas ....................................................................... Norway — Norvège .............................................................................. Poland — Pologne ................................................................................ Portugal ................................................................................................. Republic of Moldova — République de Moldova ................................... Romania — Roumanie .......................................................................... Russian Federation — Fédération de Russie .......................................... San Marino — Saint-Marin ................................................................... Slovakia — Slovaquie .......................................................................... Slovenia — Slovénie ............................................................................ Spain — Espagne ................................................................................. Sweden — Suède ................................................................................. Switzerland — Suisse ........................................................................... Tajikistanf — Tadjikistanf ...................................................................... The Former Yugoslav Republic of Macedonia Ex-République yougoslave de Macédoine ............................................. Turkey — Turquie ................................................................................. Turkmenistanf — Turkménistanf ........................................................... Ukraine .................................................................................................. United Kingdom — Royaume-Uni .......................................................... Uzbekistanf — Ouzbékistanf ................................................................. Yugoslavia* — Yougoslavie* ................................................................ séparément. South-East Asia — Asie du Sud-Est (SEAR) Bangladeshf ........................................................................................... Bhutanf — Bhoutanf ............................................................................. Democratic People's Republic of Koreaf République populaire démocratique de Coréef ................................... Indiaf — Indef ....................................................................................... Indonesiaf — Indonésief ....................................................................... Maldivesf ............................................................................................... Myanmarf .............................................................................................. Nepalf — Népalf ................................................................................... Sri Lankaf ............................................................................................... Thailandf — Thaïlandef .........................................................................
100% ... 100% ... 10% 100% ... 40% 41% 100% 100% ... 100% ... ... 76% ... 92% 8% ... ... 81% 100% 19% 92% 96% ... ... 100% ... 56% ... 84% 100% 96% 91% 80% ... 92% 100% 100% ... ... 57% 100% 43% 74% 62% ... 33% 100%
3 ... 4 ... 8 20 ... 1 8 1 5 ... 1 ... ... 4 ... 0 5 ... ... 5 35 22 10 0 ... ... 1 ... 5 ... 11 0 10 20 264 ... 2 0 25 ... 1 2 1 117 8 27 ... 31 19
0.66 ... 0.80 ... 0.96 2.13 ... 0.47 1.08 0.26 0.64 ... 0.72 ... ... 0.65 ... 0.00 0.65 ... ... 0.60 0.85 0.87 1.16 0.00 ... ... 2.51 ... 0.50 ... 0.28 0.00 1.78 0.91 3.49 ... 0.40 0.00 0.77 ... 0.19 0.18 0.33 1.08 1.04 0.64 ... 0.69 1.74
33% ... 75% ... 88% 85% ... 100% 75% 100% 40% ... 0% ... ... 75% ... ... 20% ... ... 20% 31% 73% 60% ... ... ... 100% ... 0% ... 36% ... 60% 80% 87% ... 0% ... 52% ... 0% 100% 100% 54% 88% 89% ... 71% 68%
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ... 0 0 0 0 0 1 0 6 0 0 0 0 0
(0)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ... 0 0 0 0 0 0 0 ... 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0
(6)
(2)
*Refers to states/areas of the former Socialist Federal Republic of Yugoslavia not otherwise listed separately. — Concerne les Etats/territoires de l'ancienne République fédérale socialiste de Yougoslavie qui ne sont pas cités
96% 100% 100% 100% 96% 100% 100% 88% 100% 100%
175 2 0 2 173 294 0 47 4 32 67
0.09 0.83 0.00 0.49 0.36 0.00 0.11 0.00 0.80 0.39
46% 50% 0% 59% 69% 0% 62% 50% 81% 79%
188 0
(3)
58 0
(0)
0 2 262 (405) 506 (0) 0 55 (0) 12 (1) 0 19 (1)
0 442 (105) 113 (0) 0 6 (0) 1 (0) 0 4 (0)
219
WEEKLY EPIDEMIOLOGICAL RECORD, No. 29, 17 JULY 1998 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N o 29, 17 JUILLET 1998
Performance of AFP surveillance, 1998 Fonctionnement de la surveillance de la PFA, 1998 Country/Area Pays/Territoire Expected surveillance reports receiveda Réception des rapports attendusa AFP cases reportedb Cas de PFA signalésb Non-poliomyelitis AFP ratec Taux de PFA non poliomyélitiquec AFP cases with adequate specimensd Cas de PFA avec échantillonsd
Confirmed poliomyelitis (wild poliovirus) Cas de poliomyelite confirmés (virus sauvage) 1997e 1998e
Western Pacific — Pacifique occidental (WPR) Cambodiaf — Cambodgef ..................................................................... China — Chine ..................................................................................... Lao People's Democratic Republicf — République démocratique populaire laof ............................................ Malaysiaf — Malaisief .......................................................................... Mongoliaf — Mongolief ........................................................................ Pacific islands* — Iles du Pacifique* ..................................................... Papua New Guineaf — Papouasie-Nouvelle-Guinéef ............................... Philippinesf ............................................................................................. Viet Nam ................................................................................................ Others ** — Autres ** .......................................................................... * ** a
100% 100% 92% 100% 72% ... 100% 100% 100% ...
76 1 619 30 39 10 0 14 136 275 9
2.87 1.03 2.84 0.91 1.60 0.00 1.46 1.04 1.86 0.04
80% 87% 70% 41% 100% 0% 43% 74% 94% 67%
8 0 0 0 0 0 0 0 1 0
(8)
0 0 0 0 0 0 0 0 0 0
(1)
These countries have been grouped together for reporting purposes. — Ces pays ont été regroupés aux fins de la déclaration. Non-endemic countries. — Pays non endémiques. The Regions of the Americas and the Western Pacific report weekly. The other 4 Regions report monthly. — Les rapports des Régions des Amériques et du Pacifique occidental sont hebdomadaires. Les 4 autres Régions notifient mensuellement. The Regions of the Eastern Mediterranean, Europe, South East Asia and the Western Pacific report by date of onset. The other 2 Regions reported by date notified. — Les Régions d’Asie du Sud-est, d’Europe, de la Méditerranée orientale et du Pacifique occidental rapportent selon la date d'apparition de la paralysie. Les 2 autres Régions rapportent selon la date de notification. Annualized non-poliomyelitis AFP rate for 100 000 persons under 15 years of age. — Taux annualisé de PFA non poliomyélitique pour 100 000 personnes de moins de 15 ans. Two stool specimens collected within 14 days of onset of paralysis, 24 to 48 hours apart, except for the Region of the Americas where only 1 stool is collected. — Deux échantillons de selles recueillis à 24-48 heures d'intervalle dans les 14 jours suivant l'apparition de la paralysie, à l'exception de la Région des Amériques, où 1 seul échantillon est recueilli. Figures in brackets indicate the number of laboratory-confirmed cases. — Les chiffres entre parenthèses indiquent le nombre de cas confirmés en laboratoire. Indicates that the designated countries are still using the clinical classification scheme. All others are using the virological scheme. — Indique que les pays désignés utilisent encore la classification selon les critères cliniques. Tous les autres utilisent la classification selon les examens virologiques.
b
c d
e f
... = Data not available. — Données non disponibles.