PERFORMANCE OF ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE AND INCIDENCE OF POLIOMYELITIS, 1998-1999 (AS OF 4 MARCH 1999) = FONCTIONNEMENT DE LA SURVEILLANCE DE LA PARALYSIE FLASQUE AIGUË (PFA) ET INCIDENCE DE LA POLIOMYÉLITE, 1998-1999 (AU 4 MARS 1999)

PERFORMANCE OF ACUTE FLACCID PARALYSIS (AFP) SURVEILLANCE AND INCIDENCE OF POLIOMYELITIS, 1998-1999 (AS OF 4 MARCH 1999) FONCTIONNEMENT DE LA SURVEILLANCE DE LA PARALYSIE FLASQUE AIGUË (PFA) ET INCIDENCE DE LA POLIOMYÉLITE, 1998-1999 (AU 4 MARS 1999) Performance of AFP surveillance, 1999 Fonctionnement de la surveillance de la PFA, 1999 Country/Area Pays/Territoire Expected surveillance reports receiveda Réception des rapports attendusa AFP cases reportedb Cas de PFA signalésb Annualized non-poliomyelitis AFP ratec Taux de PFA non poliomyélitique annuelc AFP cases with adequate specimensd Cas de PFA avec échantillonsd Confirmed poliomyelitis cases (wild poliovirus) Cas de poliomyélite confirmés (virus sauvage) 1999e 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 ..........................................................................................

31% 79% 70% 77% 96% 60% 73% 0% 0% 0% 0% 0% 0% 100% 100% 0% 0% 100% 0% 100% 0% 0% 0% 100% 0% 0% 100% 0% 0% 0% 0%

36 72 93 92 820 62 1 175 ... ... ... ... ... ... 4 0 ... ... 0 ... 2 ... ... ... 5 ... ... 7 ... ... ... ...

0.02 0.29 0.14 0.53 0.24 0.10 0.37 ... ... ... ... ... ... 0.80 0.00 ... ... 0.00 ... 0.30 ... ... ... 0.20 ... ... 1.10 ... ... ... ...

50% 78% 58% 69% 70% 84% 70% ... ... ... ... ... ... 50% 0% ... ... 0% ... 50% ... ... ... 40% ... ... 43% ... ... ... ...

0 0 0 0 16 0 16 0 ... ... 0 ... 0 ... 0 ... ... 0 ... ... ... ... 0 ... ... ... ... ... ... 0 0

631 (62) 0 434 (190) 26 (26) 4 017 (1 286) 0 5 108 0 7 7 0 8 0 14 0 9 6 0 0 37 19 0 0 58 0 0 112 2 0 0 0

(3) (2) (4) (0) (2) (4)

(11) (0)

(0)

(18) (0)

WEEKLY EPIDEMIOLOGICAL RECORD, No. 11, 19 MARCH 1999 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N o 11, 19 MARS 1999

Performance of AFP surveillance, 1999 Fonctionnement de la surveillance de la PFA, 1999 Country/Area Pays/Territoire Expected surveillance reports received a Réception des rapports attendus a 0% 0% 0% 100% 0% 100% 0% 0% 0% 0% 0% 0% 0% 100% 0% 100% 0% 100% 0% 100% 100% 100% 0% 100% 86% 100% 100% ... 100% 100% 100% 14% 71% 100% 100% 29% 14% 43% 100% 100% 100% 100% 100% 71% ... 29% 100% AFP cases reportedb Cas de PFA signalésb ... ... ... 1 ... 0 ... ... ... ... ... ... ... 0 ... 0 ... 4 ... 1 5 3 ... 4 0 2 2 ... 2 8 15 0 0 0 9 2 0 0 4 13 2 1 0 5 ... 0 7 Annualized non-poliomyelitis AFP ratec Taux de PFA non poliomyélitique annuelc ... ... ... 0.20 ... 0.00 ... ... ... ... ... ... ... 0.00 ... 0.00 ... 0.30 ... 0.50 0.60 0.20 ... 0.90 0.00 0.48 0.02 ... 0.57 1.39 0.74 0.00 0.00 0.00 1.58 0.68 0.00 0.00 1.20 0.29 0.69 0.84 0.00 0.44 ... 0.00 0.57 AFP cases with adequate specimensd Cas de PFA avec échantillonsd ... ... ... ... ... 0% ... ... ... ... ... ... ... 0% ... 0% ... 25% ... 100% 80% 100% ... 25% 0% 50% 100% ... 0% 50% 80% ... 0% 0% 89% 100% ... 0% 100% 77% 100% 100% 0% 100% ... 0% 71%

Confirmed poliomyelitis cases (wild poliovirus) Cas de poliomyélite confirmés (virus sauvage) 1999e ... 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 1998e 0 0 0 14 0 0 0 0 8 312 0 0 0 0 10 0 3 0 0 5 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 — Maurice f ..................................................................... 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 .......................................................................................

(2)

(4) (9)

(2) (0)

(1)

* 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) Afghanistanf .................................................................................... 71% Bahrain — Bahreïn ......................................................................... 86% Cyprus — Chypre ............................................................................ 71% Djibouti f .......................................................................................... 86% Egypt — Egypte ............................................................................. 86% Iran (Islamic Republic of) — Iran (République islamique d') ............... 43% Iraqf ................................................................................................ 86% Jordan — Jordanie .......................................................................... 86% Kuwait — Koweït ........................................................................... 86% Lebanon — Liban .......................................................................... 86% Libyan Arab Jamahiriya — Jamahiriya arabe libyenne ......................... 43% Morocco — Maroc .......................................................................... 86% Oman ............................................................................................. 86% Pakistanf ......................................................................................... 14% Qatar .............................................................................................. 71% Saudi Arabia — Arabie saoudite ....................................................... 86% Somaliaf — Somalief ...................................................................... 86% Sudanf — Soudanf .......................................................................... 86% Syrian Arab Republic — République arabe syrienne ............................ 86% Tunisia — Tunisie ........................................................................... 86%

3 0 0 0 27 7 12 0 0 1 1 4 1 1 1 18 1 2 8 5

0.38 0.00 0.00 0.00 1.00 0.35 0.70 0.00 0.00 0.90 0.40 0.34 0.90 0.01 0.80 1.89 0.40 0.13 0.90 1.00

67% ... ... ... 41% ... ... ... ... 0% 0% ... 100% ... ... ... 100% ... 87% 100%

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

49 0 0 0 12 4 30 0 0 0 0 0 0 286 0 1 10 42 0 0

(24)

(12) (4) (1)

(140) (1) (0) (8)

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WEEKLY EPIDEMIOLOGICAL RECORD, No. 11, 19 MARCH 1999 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N o 11, 19 MARS 1999

Performance of AFP surveillance, 1999 Fonctionnement de la surveillance de la PFA, 1999 Country/Area Pays/Territoire Expected surveillance reports received a Réception des rapports attendusa 14% 86% 0% 0% ... 86% 100% 100% 100% ... 100% 86% 86% 100% ... 100% ... ... 0% 100% 71% 100% ... ... 100% 100% 100% 100% 100% ... ... 0% ... 0% ... 100% 57% 14% 100% 0% ... 71% 100% 100% ... 0% 100% 100% 100% 100% 71% ... 43% 100% 100% 100% 57% 100% 100% 100% 100% 100% AFP cases reportedb Cas de PFA signalésb 0 1 ... ... ... 0 0 1 1 ... 1 3 0 0 ... 0 ... ... ... 2 3 0 ... ... 2 6 3 2 1 ... ... ... ... ... ... 0 0 2 1 ... ... 0 0 7 ... ... 2 0 15 3 13 ... 23 1 47 0 0 700 17 0 12 21 Annualized non-poliomyelitis AFP ratec Taux de PFA non poliomyélitique annuelc 0.00 0.50 ... ... ... 0.00 0.00 0.27 0.00 ... 1.77 1.79 0.00 0.00 ... 0.00 ... ... ... 0.20 1.82 0.00 ... ... 0.79 0.47 0.46 0.93 1.26 ... ... ... ... ... ... 0.00 0.00 1.23 0.12 ... ... 0.00 0.00 0.71 ... ... 0.66 0.00 0.40 1.36 1.43 ... 1.93 0.29 0.00 0.00 0.00 0.33 0.08 0.00 0.00 0.00 AFP cases with adequate specimensd Cas de PFA avec échantillonsd ... 100% ... ... ... ... ... 100% 100% ... 0% 67% ... ... ... ... ... ... ... 0% 0% ... ... ... 0% 33% 100% 50% 100% ... ... ... ... ... ... ... ... 0% 100% ... ... ... ... 43% ... ... 100% ... 53% 67% 100% ... 91% 100% 70% 0% 0% 69% 94% 0% 92% 62%

Confirmed poliomyelitis cases (wild poliovirus) Cas de poliomyélite confirmés (virus sauvage) 1999e 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 15 0 0 0 1 1998e 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 26 0 0 0 0 0 282 2

United Arab Emirates — Emirats arabes unis ..................................... West bank and Gaza strip — Cisjordanie et bande de Gaza .................. Yemenf — Yémenf .......................................................................... European Region — Région européenne (EUR) Albania — Albanie .......................................................................... Andorra — Andorre ......................................................................... Armenia — Arménie ........................................................................ Austria — Autriche .......................................................................... Azerbaijanf — Azerbaïdjanf .............................................................. Belarus — Bélarus .......................................................................... Belgium — Belgique ....................................................................... Bosnia and Herzegovina — Bosnie-Herzégovine ................................. Bulgaria — Bulgarie ........................................................................ Croatia — Croatie ........................................................................... Czech Republic — République tchèque ........................................... Denmark — Danemark .................................................................... Estonia — Estonie .......................................................................... Finland — Finlande ......................................................................... France ............................................................................................. Georgia — Géorgie ......................................................................... 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 ..................................................................... Tajikistan — Tadjikistan .................................................................. The Former Yugoslav Republic of Macedonia – Ex-République yougoslave de Macédoine .......................................... Turkey — Turquie ........................................................................... Turkmenistan — Turkménistan ......................................................... Ukraine ........................................................................................... United Kingdom — Royaume-Uni ..................................................... Uzbekistan — Ouzbékistan .............................................................. Yugoslavia, Federal Republic of — Yougoslavie, République fédérale de South-East Asia — Asie du Sud-Est (SEAR) Bangladesh f ..................................................................................... Bhutanf — Bhoutanf ........................................................................ Democratic People's Republic of Koreaf – République populaire démocratique de Coréef ................................. Indiaf — Indef ................................................................................ Indonesiaf — Indonésief .................................................................. Maldivesf ......................................................................................... Myanmarf ........................................................................................ Nepalf — Népalf .............................................................................

(26)

(5) (0)

(0)

(0)

0 3 556 (1 281) 91 (0) 0 31 (0) 29 (0)

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WEEKLY EPIDEMIOLOGICAL RECORD, No. 11, 19 MARCH 1999 • RELEVÉ ÉPIDÉMIOLOGIQUE HEBDOMADAIRE, N o 11, 19 MARS 1999

Performance of AFP surveillance, 1999 Fonctionnement de la surveillance de la PFA, 1999 Country/Area Pays/Territoire Expected surveillance reports received a Réception des rapports attendus a 100% 100% 100% 0% 86% 71% 0% 86% 0% 100% 100% ... AFP cases reportedb Cas de PFA signalésb 12 11 9 ... 3 5 ... 0 ... 25 20 ... Annualized non-poliomyelitis AFP ratec Taux de PFA non poliomyélitique annuelc 0.82 0.00 1.19 ... 0.97 0.41 ... 0.00 ... 0.67 0.47 ... AFP cases with adequate specimensd Cas de PFA avec échantillonsd 92% 91% 89% ... 100% 40% ... 0% ... 80% 95% ...

Confirmed poliomyelitis cases (wild poliovirus) Cas de poliomyélite confirmés (virus sauvage) 1999e 0 0 0 0 0 0 0 0 0 0 0 0 1998e 0 26 0 0 0 0 0 0 0 0 0 0

Sri Lankaf ........................................................................................ Thailandf — Thaïlandef .................................................................... Western Pacific — Pacifique occidental (WPR) Cambodia — Cambodge .................................................................. China — Chine ............................................................................... Lao People's Democratic Republic — République démocratique populaire lao .......................................... Malaysia — Malaisie ....................................................................... Mongolia — Mongolie ..................................................................... Pacific islands* — Iles du Pacifique* ................................................. Papua New Guinea — Papouasie-Nouvelle-Guinée .............................. Philippines ....................................................................................... Viet Nam ......................................................................................... Others ** — Autres ** ..................................................................... * ** a b

(0)

These countries have been grouped together for reporting purposes. — Ces pays ont été regroupés aux fins de la déclaration. Non-endemic countries of the Western Pacific Region. — Pays non endémiques de la Région du Pacifique occidental. The African Region reports monthly. All other regions report weekly. — Les rapports de la Région africaine sont mensuels. Toutes les autres régions soumettent des rapports hebdomadaires. The regions of the Eastern Mediterranean, Europe, South-East Asia and the Western Pacific report by date of onset. The other 2 regions report by date of notification. — 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 aged < 15. For 1999 this may represent an overestimation of the true rate. — Taux annualisé de PFA non poliomyélitique pour 100 000 personnes âgées de < 15 ans. Pour 1999, ceci peut représenter une surestimation du véritable taux. Two 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. — 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 these countries are still using the clinical classification scheme. All others are using the virological scheme. — Indique que ces pays utilisent encore la classification selon les critères cliniques. Tous les autres utilisent la classification selon les examens virologiques.

c

d

e f

... = Data not available. — Données non disponibles.