More Than 12 Years Without Indigenous Wild Polio Virus! Date of onset of last indigenous wild polio virus case: AFP cases investigated since: 19 March 1997 79,823
Poliomyelitis Surveillance - Report for Polio Week 52, ending December 28, 2008 (as of 04 Aug 2009) Table 1: Classification of AFP cases with onset in 2008 and key surveillance indicators Reported AFP Expected AFP Reported AFP 2007 2008 2008
Classification Confirmed Polio Poliocompatible Non-polio (Discarded) Pending
Indicators Non-polio AFP % with 2 % Reported Rate/ 100,000 < Specimens w/n Within 14 Days 15 yrs 14 Days of Onset of Onset % With Followup % Inadequate Stools With Follow-up Pending Classification > 90 Days After Onset
Latest Report Date
Australia Brunei Darussalam Cambodia China Hong Kong, SAR, China Japan Korea, Republic of Lao PDR Macao, SAR, China Malaysia Mongolia New Zealand Pacific Island Countries Papua New Guinea Philippines Singapore Vietnam Western Pacific Region 3 2.5 2 1.5 1 0.5 0 CAM CHN
35 4 94 4,985 14 0 26 19 0 106 8 4 13 25 509 12 391 6,245
41 1 54 2,794 9 171 84 23 1 95 8 9 10 26 335 7 330 3,998
62 4 76 5,154 12 0 8 58 1 122 7 7 10 12 494 8 384 6,419
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 0 0 0 0 0 0 0 0 2 1 0 0 6
62 4 76 5,151 12 8 58 1 122 7 7 10 10 493 8 384 6,413
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1.51 4.00 1.41 1.84 1.33 0.10 2.52 1.00 1.28 0.88 0.78 1.00 0.46 1.47 1.14 1.16 1.61 100%
34% 75% 83% 90% 92% 100% 69% 100% 67% 71% 57% 40% 17% 73% 75% 94% 88%
52% 75% 89% 93% 92% 88% 81% 100% 85% 71% 57% 10% 92% 87% 75% 85% 91%
0%* 100% 100% 97% 100% 100% 71% 100% 55% 100% 100% 100% 100% 92% 100% 99% 95%
0% 100% 100% 94% 100% 83% 100% 100% 100% 100% 100% 99% 100% 100% 91%
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24-Jun-09 07-Mar-09 12-May-09 12-Jun-09 30-Mar-09 02-Feb-09 21-Feb-09 07-Jan-09 06-Mar-09 18-Feb-09 19-Mar-09 15-Jun-09 18-Mar-09 22-Apr-09 24-Apr-09 13-Apr-09
* Follow-up is not required by the Polio Expert Committee if a case can be classified as non-polio AFP on the information available.
non-polio AFP rate (2006) non-polio AFP rate (2007) non-polio AFP rate (2008)
80% 60% 40%
adequate stools (2006) adequate stools (2007) adequate stools (2008) LAO MAA MOG PNG PHL VTN
20% 0% CAM CHN LAO MAA MOG PNG PHL VTN
Table 2: Laboratory investigation of AFP cases with onset in 2008 Country National Lab1 VIDRL* VIDRL* NIID Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab Prov. Lab PHLC NIH NIID IMR, KL PHI IESR VIDRL* VIDRL* RITM SGH NIHE PI AFP Cases with Specimens AFP Cases Positive For: P1 P2 P3 Polio Mix Polio/NPEV Pending % Positive for NPEV % Results Reported w/n 28 Days Latest Report Date
Australia Brunei Darussalam Cambodia China, Anhui China, Beijing China, Chongqing China, Fujian China, Gansu China, Guangdong China, Guangxi China, Guizhou China, Hainan China, Hebei China, Heilongjiang China, Henan China, Hubei China, Hunan China, Jiangsu China, Jiangxi China, Jilin China, Liaoning China, Neimongol China, Ningxia China, Qinghai China, Shaanxi China, Shandong China, Shanghai China, Shanxi China, Sichuan China, Tianjin China, Tibet China, Xinjiang China, Yunnan China, Zhejiang Hong Kong2, SAR, China Korea, Rep. Of Lao PDR Malaysia Mongolia New Zealand Pacific Island Countries Papua New Guinea Philippines Singapore Vietnam, North Vietnam, South Total
44 4 76 230 45 75 110 115 294 297 196 39 396 81 494 237 258 269 178 58 97 67 30 38 102 346 28 207 326 24 9 61 216 148 13 8 57 127 7 4 8 9 506 7 192 195 6,328
0 0 0 0 1 0 0 0 0 4 1 2 2 0 3 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 1 2 0 0 0 1 1 0 0 0 0 0 0 0 21
0 0 0 2 0 2 0 1 3 0 5 0 5 0 2 2 3 2 6 0 1 0 1 0 3 15 2 3 2 0 0 1 6 2 0 0 1 0 0 0 0 0 0 0 0 0 70
0 0 0 3 0 0 1 2 1 1 3 0 4 0 4 1 0 2 5 0 0 0 0 0 2 8 0 2 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 1 1 45
0 0 0 1 0 0 1 0 5 1 2 0 10 2 6 0 1 1 1 1 1 0 0 0 1 5 1 1 1 0 0 0 1 0 0 0 0 2 0 0 0 0 3 0 1 0 49
0 0 1 1 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 1 0 0 0 0 2 2 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 14
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
10% 0% 29% 7% 13% 6% 11% 3% 11% 12% 10% 15% 14% 5% 10% 11% 15% 6% 12% 13% 10% 5% 7% 3% 12% 13% 4% 10% 9% 17% 0% 3% 8% 6% 8% 0% 26% 0% 0% 25% 7% 0% 5% 8% 11% 13% 10%
100% 100% 100% 93% 100% 97% 97% 99% 89% 99% 98% 100% 97% 99% 90% 87% 98% 99% 97% 100% 87% 97% 98% 97% 98% 90% 100% 96% 97% 98% 22% 99% 98% 87% 96% 88% 100% 98% 100% 100% 100% 100% 90% 100% 98% 100% 95%
03-Feb-09 05-Jan-09 12-Feb-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 12-Jun-09 07-Feb-09 02-Feb-09 31-Jul-09 10-Apr-09 02-Mar-09 02-Feb-09 03-Feb-09 02-Apr-09 22-Apr-09 06-Feb-09 16-Mar-09 04-May-09
* Specimen test reports are under the guidelines of the June 2006 test algorithm.
1
Acronyms: VIDRL - Victorian Infectious Diseases Reference Laboratory, Australia NIID - National Institute of Infectious Diseases, Japan PHLC - Public Health Laboratory Centre, Hong Kong SGH - Singapore General Hospital IMR, KL - Institute of Medical Research, Kuala Lumpur IMR, PNG - Institute of Medical Research, Papua New Guinea IESR - Institute of Environmental Science and Research, New Zealand RITM - Research Institute for Tropical Medicine, Philippines PHI - Public Health Institute, Mongolia NIH - National Institute of Health, Seoul NIHE - National Institute of Hygiene and Epidemiology, Hanoi PI - Pasteur Institute, Ho Chi Minh
2
Includes cases from Macao, SAR, China
Table 3: Intratypic differentiation of polio isolates from AFP cases with onset in 2008 Country Regional Reference Lab 1
AFP Cases w/ Polio Isolates
ITD Results2 P1S P1W P2S P2W P3S P3W Pending3 Discordant4 VDPV
Sequencing Not VDPV Pending
ITD Results ITD Results w/n 14 Days of w/n 60 Days of Onset Receipt
China Hong Kong, SAR, China New Zealand Singapore Australia Malaysia Pacific Island Countries Papua New Guinea Philippines Japan Cambodia Korea, Rep. Of Lao PDR Mongolia Vietnam Total
CCDC PHLC IESR SGH VIDRL VIDRL VIDRL VIDRL VIDRL NIID NIID NIID NIID NIID NIID
204 0 0 0 0 3 0 0 3 0 1 0 1 1 3 216
53 1 3 0 0 1 2 60
0 0 0 0 0 0 0 0
119 2 7 1 2 0 2 133
0 0 0 0 0 0 0 0
90 3 6 0 0 0 4 103
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
83% 100% 100% 100% 100% 100% 100% 85%
38% 75% 100% 100% 100% 0% 33% 40%
Table 4: Laboratory investigation of polio isolates from non-AFP cases in 20085 Country Regional Reference Lab Polio Isolates ITD Results P1S P1W P2S P2W P3S P3W Pending Discordant Sequencing VDPV Pending
China Hong Kong, SAR, China* New Zealand Singapore Australia Malaysia Pacific Island Countries Papua New Guinea Philippines Cambodia Japan Korea, Rep. Of Lao PDR Mongolia Vietnam Total
CCDC PHLC IESR SGH VIDRL VIDRL VIDRL VIDRL VIDRL NIID NIID NIID NIID NIID NIID
58 5 0 3 0 16 0 0 0 0 0 0 0 0 1 83
25 1 0 10 1 37
0 0 0 0 0 0
11 4 0 5 0 20
0 0 0 0 0 0
22 0 3 5 0 30
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0
0
* Includes isolates from Macao, SAR, China. 1 2 4
Acronyms: CCDC - Chinese Center for Disease Control and Prevention VIDRL - Victorian Infectious Diseases Reference Laboratory, Australia NIID - National Institute of Infectious Diseases, Japan PHLC - Public Health Laboratory Centre, Hong Kong SGH - Singapore General Hospital
ITD Results: S - Sabin; W - Wild
Antigenic ITD <> Molecular ITD for all serotypes. Cases with discordant ITD results may be counted more than once under "ITD results", ie. as "discordant" and "S" or "W", depending on the results of sequencing.
3
Pending ITD = Pending Antigenic ITD and/or Pending Molecular ITD Total Pending Cases = Pending ITD + Pending Sequencing 5
Based on year of collection of sample, if available. Otherwise, based on year of receipt at reference laboratory.