GPEI Update: Polio this week – As of 5 June 2013

Update: Polio this week – As of 5 June 2013
Global Polio Eradication Initiative
[Editor’s extract and bolded text]

. The Independent Monitoring Board (IMB) meeting report… [see next post]

. Wild poliovirus type 1 (WPV1) was isolated from environmental sampling from Israel [see WHO GAR below]

. Outbreak response in the Horn of Africa is continuing, following detection of WPV cases in Somalia and Kenya. Two large-scale campaigns have already been implemented in Somalia, with overall good coverage and community participation reported. See ‘Horn of Africa’ section for more.

. One new WPV case was reported in the past week (WPV1 from Khyber Agency, Federally Administered Tribal Areas – FATA), bringing the total number of WPV cases for 2013 to ten. It is the most recent WPV case in the country and had onset of paralysis on 10 May.
. One new positive environmental sample (WPV1) has been confirmed, from Peshawar, Khyber Pakhtunkhwa (KP). This year, 18 environmental samples positive for WPV1 have been reported (of which 12 were collected in Peshawar, FATA and Hyderabad, Sindh).

Horn of Africa
. Three new WPV cases were reported in the past week (all from Banadir, Somalia), bringing the total number of WPV1 cases in the region to nine (two WPV1s from Kenya and seven WPV1s from Somalia). The most recent WPV1 case in the region had onset of paralysis on 14 May (WPV1 from Kenya).
. Outbreak response activities are continuing across the Horn of Africa.
. In Somalia, the second large-scale immunization campaign was conducted last week, including in Banadir (which includes Mogadishu), including targeting children aged less than ten years. Overall, high-quality coverage was reported with strong community participation. Two-large scale campaigns have now been implemented in Somalia.
. Lessons from these campaigns are now being addressed in preparation of the next rounds on 12 June. Focus is on fine-tuning microplans to include schools, more clearly define vaccinator team daily workloads, improving supervision and expanding the scope and content of monitoring activities.
. In Kenya, immunization activities began on 26 May to reach nearly 440,000 children aged less than 15 years across Dadaab. Preparations are already ongoing for the next SNIDs, including parts of Nairobi, on 15 June.
. Immunization campaigns are also planned and being conducted in other areas of the Horn of Africa, notably Ethiopia and Yemen, to urgently boost population immunity levels and minimize the risk of spread of the outbreak. In Ethiopia, in border areas with Kenya and Somalia, an immunization activity was held on 31 May (targeting children aged less than 15 years). Focus was particularly on reaching children in refugee camps. Broader activities are planned for late June. In Yemen, activities were held this week (2-5 June) to reach 2.1 million children, with a second round planned for late June to reach 3.5 million children.
. A full Horn of Africa outbreak response plan for the end of 2013 and the first half of 2014 is being finalized.