Business and Economics
Vol 9 No 2 (2024): December
Enhancing Global Poliomyelitis Surveillance Performance is Crucial for Eradication Efforts
Meningkatkan Kinerja Surveilans Polio Global Sangat Penting untuk Upaya Pemberantasan
MSc Community Health, Diyala Health Directorate, Public Health Department, Field Epidemiology Division, Iraq
*
MSc Community Health, Diyala Health Directorate, Second Baquba Sector , Field Epidemiology Division, Iraq
BCHD, Diyala Health Directorate, Public Health Department, Field Epidemiology Division, Iraq
(*) Corresponding Author
Abstract
Background: Poliomyelitis remains a significant public health challenge, with global efforts focused on its eradication. One critical strategy in this endeavor is the implementation of an acute flaccid paralysis (AFP) surveillance system, which is essential for early detection and response to poliovirus transmission. Specific Background: Despite the system's importance, there is limited evaluation of its performance, particularly in regions like Diyala province, Iraq. Knowledge Gap: Previous studies have not adequately assessed the AFP surveillance performance indicators specific to this region, necessitating a comprehensive analysis. Aims: This study aimed to evaluate the performance indicators of the AFP surveillance system in Diyala province during 2021, utilizing established World Health Organization (WHO) standards. Results: The cross-sectional study analyzed data from seven primary health care centers. Key findings revealed a Non-Polio Acute Flaccid Paralysis rate of 5.11 per 100,000 children under 15 years. Performance indicators included 100% reporting completeness, 95% timeliness of notification and investigation, and 97% stool quality for laboratory analysis. Furthermore, 97.3% of specimens reached the national laboratory within three days, demonstrating high operational efficiency. Novelty: This study is one of the first to provide a detailed evaluation of the AFP surveillance system in Diyala province, highlighting areas of strength and compliance with WHO targets. Implications: The findings underscore the effectiveness of the AFP surveillance system in this region, suggesting that its continued implementation can significantly contribute to the global eradication efforts of poliomyelitis while also serving as a model for similar evaluations in other regions.
Highlights:
- High reporting completeness and timeliness in AFP surveillance.
- Non-Polio AFP rate exceeds WHO targets, indicating effective monitoring.
- Study supports global efforts toward poliomyelitis eradication.
Keywords: Poliomyelitis, Acute Flaccid Paralysis, Surveillance System, Performance Indicators, Iraq
References
- . A. Abdel-Fattah, E. G. Abdel-Hady, R. El-Masry, and A. Kanddeel, “Acute Flaccid Paralysis in North East Delta, Egypt: A Retrospective Analysis of Prospectively Collected Surveillance Data,” Journal of Infection and Public Health, vol. 12, no. 5, pp. 714-719, 2019.
- . R. Al-Dubaiee, M. A. Qassimi, A. Al-Dar, A. Al Serouri, and Y. Khader, “Impact of the Protracted War in Yemen on the Acute Flaccid Paralysis Surveillance System: Retrospective Descriptive Analysis,” JMIR Public Health and Surveillance, vol. 7, no. 5, e27638, 2021.
- . S. S. A. W. Al-Kinani, “Guillian–Barre Syndrome: A Frequent Cause of Acute Flaccid Paralysis in Diyala Governorate, 2011-2015,” Iraqi Journal of Community Medicine, vol. 28, no. 4, 2015.
- . K. A. Almoayed, A. B. Break, M. Al-Qassimi, A. Assabri, and Y. Khader, “The Acute Flaccid Paralysis (AFP) Surveillance System in Yemen, 2010-2015: Descriptive Study Based on Secondary Data Analysis,” JMIR Public Health and Surveillance, vol. 5, no. 4, e14413, 2019.
- . A. A. M. Aradhi, L. M. Hasson, and I. M. Hameed, “Polio Outbreak Response: Evaluation of Acute Flaccid Paralysis Surveillance in Karbala, Iraq,” International Journal of Preventive Medicine, vol. 11, 2020.
- . A. S. Arie, “Polio Virus Spreads from Syria to Iraq,” BMJ (Clinical Research Ed.), vol. 348, g2481, 2014. doi:10.1136/bmj.g2481.
- . A. S. Bandyopadhyay and G. R. Macklin, “Global Polio Eradication: Progress and Challenges,” in Human Viruses: Diseases, Treatments and Vaccines, Cham: Springer, 2021, pp. 629-649.
- . M. Blangiardo, A. Boulieri, P. Diggle, F. B. Piel, G. Shaddick, and P. Elliott, “Advances in Spatiotemporal Models for Non-Communicable Disease Surveillance,” International Journal of Epidemiology, vol. 49, Supplement 1, pp. i26-i37, 2020.
- . Centers for Disease Control and Prevention, “Progress Toward Global Eradication of Poliomyelitis, 1988-1993,” MMWR. Morbidity and Mortality Weekly Report, vol. 43, no. 27, pp. 499-503, 1994.
- . N. H. Farag et al., “Estimating Population Immunity to Poliovirus in Jordan’s High-Risk Areas,” Human Vaccines & Immunotherapeutics, vol. 16, no. 3, pp. 548-553, 2020.
- . Global Polio Eradication Initiative, “History of Polio.” [Online]. Available: http://polioeradication.org/polio-today/history-of-polio/. [Accessed: Nov. 11, 2021].
- . K. R. Habib, “Polio Eradication in Bangladesh: Evaluation of AFP Surveillance Indicators, 2011-2015,” International Journal of Immunology, vol. 5, no. 1, pp. 11, 2017.
- . W. Howard et al., “Sensitivity of the Acute Flaccid Paralysis Surveillance System for Poliovirus in South Africa, 2016–2019,” Journal of Medical Microbiology, vol. 70, no. 10, 001441, 2021.
- . J. A. Jasem et al., “An Epidemiological Analysis of Acute Flaccid Paralysis and Its Surveillance System in Iraq, 1997-2011,” BMC Infectious Diseases, vol. 14, no. 1, pp. 1-9, 2014.
- . J. S. Lickness, “Surveillance to Track Progress Toward Polio Eradication—Worldwide, 2018–2019,” MMWR. Morbidity and Mortality Weekly Report, vol. 69, 2020.
- . A. Makoni et al., “Evaluation of the Acute Flaccid Paralysis (AFP) Surveillance System, Gokwe North District, Zimbabwe, 2015: A Descriptive Cross Sectional Study,” The Pan African Medical Journal, vol. 27, 2017.
- . C. Mbaeyi et al., “Response to a Large Polio Outbreak in a Setting of Conflict—Middle East, 2013–2015,” MMWR. Morbidity and Mortality Weekly Report, vol. 66, no. 8, pp. 227, 2017.
- . H. K. Membo et al., “Acute Flaccid Paralysis Surveillance Indicators in the Democratic Republic of Congo During 2008-2014,” Pan African Medical Journal, vol. 24, no. 1, 2016.
- . J. K. Odoom et al., “Evaluation of AFP Surveillance Indicators in Polio-Free Ghana, 2009–2013,” BMC Public Health, vol. 14, no. 1, pp. 1-8, 2014.
- . I. A. Raji et al., “Evaluation of Acute Flaccid Paralysis Surveillance Indicators in Sokoto State, Nigeria, 2012–2019: A Secondary Data Analysis,” BMC Public Health, vol. 21, no. 1, pp. 1-9, 2021.
- . I. Rehman and M. Saleem, “Evaluation of Acute Flaccid Paralysis (AFP) Surveillance System in Bajaur Agency, Federally Administrated Tribal Areas (FATA), Pakistan During 2015,” Iproceedings, vol. 4, no. 1, e10616, 2018.
- . S. Saadoon and F. Lami, “Trends of Performance Indicators of Acute Flaccid Paralysis (AFP) in Iraq, 2007-2016,” Iproceedings, vol. 4, no. 1, e10596, 2018.
- . D. Sowa, “Evaluation of the Acute Flaccid Paralysis Surveillance (AFP) System in Sierra Leone, 2012,” International Journal of Infectious Diseases, vol. 21, pp. 144, 2014.
- . A. A. Tegegne et al., “Analysis of Acute Flaccid Paralysis Surveillance in Ethiopia, 2005-2015: Progress and Challenges,” The Pan African Medical Journal, vol. 27, Supplement 2, 2017.
- . J. N. Tuma, “Surveillance to Track Progress Toward Polio Eradication—Worldwide, 2019–2020,” MMWR. Morbidity and Mortality Weekly Report, vol. 70, 2021.
- . World Health Organization and Global Polio Eradication Initiative, “Polio Endgame Strategy 2019-2023: Eradication, Integration, Certification and Containment,” no. WHO/Polio/19.04, World Health Organization, 2019.
- . F. Zerriouh et al., “Evaluation of the Acute Flaccid Paralysis Surveillance System in Polio-Free Jordan, 2012-2016: Retrospective Secondary Analysis,” JMIR Public Health and Surveillance, vol. 5, no. 3, e14217, 2019.
- . D. J. Zomahoun, “Impact of COVID-19 Pandemic on Global Poliovirus Surveillance,” MMWR. Morbidity and Mortality Weekly Report, vol. 69, 2021.
Downloads
Download data is not yet available.