PERFORMANCE OF ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE AND INCIDENCE OF POLIOMYELITIS (DATA RECEIVED IN WHO HEADQUARTERS AS OF 8 NOVEMBER 2017) FONCTIONNEMENT DE LA SURVEILLANCE DE LA PARALYSIE FLASQUE AIGUË (PFA) ET INCIDENCE DE LA POLIOMYÉLITE (DONNÉES REÇUES PAR LE SIÈGE DE L’OMS AU 8 NOVEMBRE 2017) Country/area Pays/territoire Performance of AFP surveillance, 2017 Fonctionnement de la surveillance de la PFA, 2017 Poliomyelitis cases Cas de poliomyélite
AFP cases reported Cas de PFA signalés
Annualized AFP cases with 2017 2016 non-poliomyelitis adequate WPV1 cVDPV 3, 4, 5 WPV1 cVDPV3, 4, 5 AFP rate1 specimens2 PVS1 PVDVc3, 4, 5 PVS1 PVDVc3, 4, 5 Taux de PFA Cas de PFA avec non poliomyélitique échantillons conformes2
annuel1 Regional totals – Totaux régionaux AFR AMR EMR EUR SEAR WPR Global total – Total mondial African Region – Région africaine (AFR) Algeria – Algérie Angola Benin – Bénin Botswana Burkina Faso Burundi Cameroon – Cameroun Cabo Verde – Cap–Vert Central African Republic – République centrafricaine Chad – Tchad Comoros – Comores Congo Côte d’Ivoire Democratic Republic of the Congo5 – République démocratique du Congo5 Equatorial Guinea – Guinée équatoriale Eritrea – Erythrée Ethiopia – Ethiopie Gabon Gambia – Gambie Ghana Guinea – Guinée Guinea-Bissau – Guinée-Bissau Kenya Lesotho Liberia – Libéria Madagascar Malawi Mali Mauritania – Mauritanie Mauritius – Maurice Mozambique Namibia – Namibie 724
26 309 1525 14 961 1320 35 147 4827 84 089
07.65 00.75 08.22 00.98 07.55 01.53 05.11
95% 78% 90% 84% 87% 89% 90%
0 10 4 1 0 0 0 0 14 63 33 1 0 0 0 0 0 0 0 0 0 0 0 3 14 73 37 5
376 361 169 11 232 97 701 4 144 539 37 91 283 1461 12 73 864 38 22 437 410 64 381 8 73 575 245 214 44 7 309 21
04.28 04.32 04.11 01.92 03.27 02.17 09.79 02.06 08.13 10.26 10.72 05.93 03.86 04.32 05.45 03.21 02.41 09.24 03.20 05.22 09.96 07.14 02.24 01.17 03.53 06.83 03.55 03.40 03.66 02.90 03.33 03.04
82% 98% 93% 91% 90% 89% 89% 100% 90% 91% 92% 95% 94% 86% 58% 100% 92% 92% 100% 92% 94% 84% 88% 100% 81% 93% 82% 87% 98% 57% 84% 86%
– – – – – – – – – – – – –
– – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– 10 – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
WEEKLY EPIDEMIOLOGICAL RECORD, NO 47, 24 NOVEMBER 2017
Country/area Pays/territoire
Performance of AFP surveillance, 2017 Fonctionnement de la surveillance de la PFA, 2017
Poliomyelitis cases Cas de poliomyélite
AFP cases reported Cas de PFA signalés
annuel1 05.83 23.85 – 02.53 – 00.00 02.33 – 02.22 02.37 06.87 03.73 03.49 02.78 04.05 03.69 03.21
Annualized AFP cases with 2017 2016 non-poliomyelitis adequate WPV1 cVDPV 3, 4, 5 WPV1 cVDPV3, 4, 5 AFP rate1 specimens2 PVS1 PVDVc3, 4, 5 PVS1 PVDVc3, 4, 5 Taux de PFA Cas de PFA avec non poliomyélitique échantillons conformes2
Niger 454 Nigeria5 – Nigéria5 14 999 Reunion – Réunion ND Rwanda 116 Saint Helena – Saint-Hélène ND Sao Tome and Principe – Sao Tomé-et-Principe – Senegal – Sénégal 117 Seychelles ND Sierra Leone 57 South Africa – Afrique du Sud 312 South Sudan – Soudan du Sud 307 Swaziland 14 Togo 97 Uganda – Ouganda 461 United Republic of Tanzania – République-Unie de Tanzanie 735 Zambia – Zambie 192 Zimbabwe 145 Region of the Americas – Région des Amériques (AMR) Argentina – Argentine 153 Bolivia (Plurinational State of) – Bolivie (État plurinational de) 21 Brazil – Brésil 319 Canada 6 CAREC – Centre d’épidémiologie des Caraïbes* 28 Chile – Chili 57 Colombia – Colombie 126 Costa Rica 27 Cuba 11 Dominican Republic – République dominicaine – Ecuador – Equateur 36 El Salvador 39 Guatemala 28 Haiti – Haïti 8 Honduras 40 Mexico – Mexique 471 Nicaragua 14 Panama 17 Paraguay 23 Peru – Pérou 41 United States of America – États–Unis d’Amérique ND Uruguay 1 Venezuela (Bolivarian Republic of) – Venezuela (République bolivarienne du) 59
82% 99% – 96% – – 92% – 91% 79% 89% 93% 98% 89% 97% 92% 88%
– – – – – – – – – – – – – –
– – – – – – – – – – – – – –
– – 4 1 – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – –
01.73 00.67 00.69 00.13 01.79 01.76 01.13 02.63 00.72 00.00 01.01 01.99 00.51 00.25 01.63 01.84 00.81 01.91 01.21 00.56 – 00.16 00.78
77% 86% 68% 33% 68% 72% 83% 93% 100% – 89% 85% 61% 63% 93% 81% 100% 94% 91% 71% – – 86%
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– –
* These countries have been grouped together for reporting purposes. – Ces pays ont été regroupés dans le but de déclarer des cas. Eastern Mediterranean Region – Région de la Méditerranée orientale (EMR) Afghanistan Bahrain – Bahrein Djibouti Egypt – Egypte Iran (Islamic republic of) – Iran (République islamique d’) Iraq Jordan – Jordanie Kuwait – Koweit Lebanon – Liban Libya – Libye Morocco – Maroc Oman Pakistan5 Qatar Saudi Arabia – Arabie saoudite 2535 15 4 1038 639 557 92 40 67 72 97 32 7818 13 176 17.97 09.13 01.45 04.52 03.60 05.03 04.56 06.09 07.11 03.97 01.21 04.10 14.74 07.56 02.26 94% 100% 100% 93% 98% 86% 100% 88% 72% 96% 66% 81% 88% 92% 97% 9 – – – – – – – – – – – 5 – – – 13 – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – 20 1 – – – – – –
RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, No 47, 24 NOVEMBRE 2017 725
Country/area Pays/territoire
Performance of AFP surveillance, 2017 Fonctionnement de la surveillance de la PFA, 2017
Poliomyelitis cases Cas de poliomyélite
AFP cases reported Cas de PFA signalés
annuel1 07.38 03.24 03.90 02.30 05.22 02.30 05.55
Annualized AFP cases with 2017 2016 non-poliomyelitis adequate WPV1 cVDPV 3, 4, 5 WPV1 cVDPV3, 4, 5 AFP rate1 specimens2 PVS1 PVDVc3, 4, 5 PVS1 PVDVc3, 4, 5 Taux de PFA Cas de PFA avec non poliomyélitique échantillons conformes2
Somalia – Somalie 298 Sudan – Soudan 465 Syrian Arab Republic5 – République arabe syrienne5 297 Tunisia – Tunisie 51 United Arab Emirates – Emirats arabes unis 47 West Bank and Gaza Strip – Cisjordanie et bande de Gaza 32 Yemen – Yémen 576 European Region – Région européenne (EUR) Albania – Albanie 6 Andorra – Andorre – Armenia – Arménie 8 Austria – Autriche 1 Azerbaijan – Azerbaïdjan 14 Belarus – Bélarus 52 Belgium – Belgique NA Bosnia and Herzegovina – Bosnie-Herzégovine 3 Bulgaria – Bulgarie 6 Croatia – Croatie 2 Cyprus – Chypre 1 Czech Republic – République tchèque 6 Denmark – Danemark ND Estonia – Estonie – Finland – Finlande ND France ND Georgia – Georgie 9 Germany – Allemagne ND Greece – Grèce 8 Hungary – Hongrie 9 Iceland – Islande ND Ireland – Irlande ND Israel – Israël 24 Italy – Italie 41 Kazakhstan 89 Kyrgyzstan – Kirghizistan 57 Latvia – Lettonie – Lithuania – Lituanie – Luxembourg ND Malta – Malte – Moldova (Republic of) – Moldavie (République de) 2 Monaco ND Montenegro – Monténégro 2 Netherlands – Pays-Bas ND Norway – Norvège 10 Poland – Pologne 42 Portugal 6 Romania – Roumanie 21 Russian Federation – Fédération de Russie 304 San Marino – Saint Marin ND Serbia – Serbie 8 Slovakia – Slovaquie 3 Slovenia – Slovénie – Spain – Espagne 32 Sweden – Suède ND Switzerland – Suisse 5 Tajikistan – Tadjikistan 13 The former Yugoslav Republic of Macedonia – Ex-République yougoslave de Macédoine 2 Turkey – Turquie 244 Turkmenistan – Turkménistan 29 Ukraine 133 United Kingdom – Royaume-Uni ND Uzbekistan – Ouzbékistan 128 726
99% 97% 75% 81% 96% 100% 91%
– – – – – 63 – – – – – – – –
– – – – – – – – – – – – – –
00.93 00.00 01.77 00.10 00.87 04.50 00.00 00.64 00.71 00.37 00.72 00.50 – 00.00 – – 01.56 – 00.60 00.75 – – 01.36 00.59 02.53 04.10 00.00 00.00 – 00.00 00.37 – 01.98 – 01.32 00.89 00.35 00.80 01.62 – 00.50 00.44 00.00 00.52 – 00.52 00.54 00.65 01.41 02.26 02.53 – 01.71
100% – 100% – 93% 92% – 100% 67% – 100% 50% – – – – 100% – 88% 78% – – 33% 61% 100% 79% – – – – 50% – 100% – 50% 39% 40% 90% 90% – 38% – – 50% – 20% 100% 100% 80% 100% 97% – 100%
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
WEEKLY EPIDEMIOLOGICAL RECORD, NO 47, 24 NOVEMBER 2017
Country/area Pays/territoire
Performance of AFP surveillance, 2017 Fonctionnement de la surveillance de la PFA, 2017
Poliomyelitis cases Cas de poliomyélite
AFP cases reported Cas de PFA signalés
annuel1 South-East Asia Region – Asie du Sud-Est (SEAR) Bangladesh 1216 Bhutan – Bhoutan 7 Democratic People’s Republic of Korea – République populaire démocratique de Corée 79 India – Inde 32 010 Indonesia – Indonésie 1018 Maldives 4 Myanmar 300 Nepal – Népal 294 Sri Lanka 60 Thailand – Thaïlande 158 Timor Leste 1 Western Pacific Region – Pacifique occidental (WPR) 02.51 04.41 01.95 09.92 01.88 03.38 02.88 03.03 01.62 01.40 00.17
Annualized AFP cases with 2017 2016 non-poliomyelitis adequate WPV1 cVDPV 3, 4, 5 WPV1 cVDPV3, 4, 5 AFP rate1 specimens2 PVS1 PVDVc3, 4, 5 PVS1 PVDVc3, 4, 5 Taux de PFA Cas de PFA avec non poliomyélitique échantillons conformes2
99% 86% 99% 86% 83% 67% 97% 98% 87% 71% –
– – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – –
Australia – Australie 41 Brunei Darussalam – Brunéi Darussalam 1 Cambodia – Cambodge 49 China – Chine 3864 China, Hong Kong SAR – Chine, Hong Kong RAS 14 China, Macao SAR – Chine, Macao RAS 2 Japan – Japon ND Lao People’s Democratic Republic4 – République démocratique populaire lao4 77 Malaysia – Malaisie 123 Mongolia – Mongolie 5 New Zealand – Nouvelle–Zélande 7 Pacific Island countries and areas – Pays et territoires insulaires du Pacifique* 12 Papua New Guinea – Papouasie–Nouvelle–Guinée 25 Philippines 314 Republic of Korea – République de Corée 45 Singapore – Singapour 5 Viet Nam 243
01.15 00.99 01.06 01.73 01.80 02.31 – 04.05 01.73 00.83 00.94 01.78 01.10 01.10 00.77 00.94 01.17
37% 0% 78% 92% 79% 50% – 73% 84% 80% 29% 67% 48% 66% 91% 100% 95%
– – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – 3 – – – – – – – – – – – – – – – – – –
* These countries have been grouped together for reporting purposes. – Ces pays ont été regroupés dans le but de déclarer des cas. CAREC: Caribbean Epidemiology Centre; VDPV: vaccine-derived poliovirus; cVDPV1: circulating vaccine-derived poliovirus type-1; cVDPV2: circulating vaccine-derived poliovirus type-2 – Caribbean Epidemiology Centre, connu sous le nom de CAREC; PVDV: poliovirus dérivé d’une souche vaccinale; PVDV1c: poliovirus circulant dérivé d’une souche vaccinale de type 1; PVDV2c: poliovirus circulant dérivé d’une souche vaccinale de type 2. Endemic countries are shaded. – Les pays d’endémie sont grisés. Other countries with wild poliovirus cases in 2015 and 2016 were infected following virus importation. – 1
Annualized non-poliomyelitis AFP rate for 100 000 population aged <15 years. UNPD population data is used to calculate the non-polio AFP rate. – Taux annualisé de PFA non poliomyélitique pour 100 000 personnes âgées de <15 ans. Les données sur la population collectées par le Programme des Nations Unies pour le développement (PNUD) sont utilisées pour calculer le taux de PFA non poliomyélitique. Defined as 2 stool specimens collected within 14 days of onset of paralysis, 24–48 hours apart, except for the Region of the Americas, where only 1 specimen is collected. – Défini comme 2 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. For cVDPV definition see document «Reporting and classification of vaccine-derived polioviruses» at http://www.polioeradication.org/Portals/0/Document/Resources/VDPV_ReportingClassification.pdf. Implementation as of 15 August 2015. Figures exclude cVDPV from non-AFP sources. – La définition d’un PVDVc est disponible (uniquement en langue anglaise) dans le document «Reporting and classification of vaccine-derived polioviruses», sur http://polioeradication.org/wp-content/uploads/2016/09/Reporting-and-Classification-of-VDPVs_Aug2016_EN.pdf. Mise en œuvre au 15 août 2015. Sont exclus de ces chiffres les PVDVc de source non-PFA. cVDPV1 reported in Lao People’s Democratic Republic. – Le PVDV1c a été signalé en République démocratique populaire lao. cVDPV2 reported in Democratic Republic of the Congo, Nigeria, Pakistan and Syrian Arab Republic – Le PVDV2c a été signalé au Le PVDV2c a été signalé au Nigéria, au Pakistan, en République arabe syrienne et en République démocratique du Congo.
2
3
4 5
ND – Country not reporting AFP data or country conducting supplementary poliovirus surveillance through other means (e.g environmental, enterovirus or both) – Pays ne rapportant pas de données sur la PFA ou pays menant une politique de surveillance de la polio supplémentaire par le biais d’autres moyens (par exemple, surveillance environnementale ou des entérovirus, ou les deux). The most recent AFP and wild poliovirus data can be found on the WHO web site (https://extranet.who.int/polis/public/CaseCount.aspx) which is updated weekly. – Les données les plus récentes concernant les cas de PFA et les poliovirus sauvages peuvent être consultées sur le site OMS suivant: https://extranet.who.int/polis/public/CaseCount.aspx, où elles sont mises à jour une fois par semaine. RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, No 47, 24 NOVEMBRE 2017 727