Update: Polio this week – As of 9 October 2013
Global Polio Eradication Initiative
Full report: http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx
[Editor’s extract and bolded text]

:: All 43 circulating vaccine derived poliovirus (cVDPV) polio cases this year are type 2 (cVDPV2) with the majority reported from Asia (Pakistan 29, Afghanistan 3). Most of these cases (22) are from North Waziristan in the Federally Administered Tribal Areas (FATA), Pakistan. The bulk of the remaining cVDPV2 cases (10) are from Chad and an area in and around the connecting borders of Cameroon, Chad, Niger and Nigeria. One case was reported from Somalia in January.
:: The Independent Monitoring Board met 1-2 October in London, UK. The IMB reviewed the latest epidemiology and programme developments. The next IMB report is expected to be issued within two weeks of the meeting..

Pakistan
:: Three new WPV1 cases were reported in the past week. All were reported from FATA (one from North Waziristan and two from Khyber). The total number of WPV1 cases for Pakistan in 2013 is now 39. The most recent WPV1 case had onset of paralysis on 10 September (from North Waziristan).
:: The majority of WPV1 cases in Pakistan this year, 27 (69%), are from FATA, of which 11 are from North Waziristan and 12 from Khyber.
:: Five new cVDPV2 cases were reported in the past week. All are from North Waziristan. The total number of cVDPV2 cases for Pakistan is now 29. The majority of Pakistan’s cVDPV2 cases, 23 (79%), come from FATA, of which all but one are from North Waziristan. The latest cVDPV2 case had onset of paralysis 12 September (from North Waziristan).
:: The situation in North Waziristan is particularly concerning, as it is in an area where immunization activities have been suspended by local leaders since June 2012. Immunizations in neighbouring high-risk areas are being intensified, to further boost population immunity levels in those areas and prevent further spread of this outbreak.
:: NIDs were conducted on 30 September to 2 October targeted 34.5 million children with tOPV.

Horn of Africa
:: The three cases reported from South Sudan in the previous week triggered a full outbreak response from a GPEI operational perspective. South Sudan has launched an immediate response covering children up to 15 years of age in the infected areas, targeting 544,000 children. This will be followed by a SNID and three NIDs using bOPV by the end of year. The last WPV in the country occurred in 2009 in Eastern Equatoria, an area connected with Kakuma refugee camp in northern Kenya with a large Somali population.
:: At risk countries have been put on alert. Sudan will synchronize its October SNID with South Sudan, and SIAs are on-going in Uganda.
:: Because of routes of poliovirus spread in previous Horn of Africa outbreaks, both Ethiopia and South Sudan were already considered at ‘high risk’ this year, and have been conducting immunization campaigns since the current Horn of Africa outbreak was first confirmed in May 2013.
:: Ethiopia and Somalia have deployed permanent vaccination points at all major entry points.
:: Outbreak response in Somalia and Kenya is continuing, as well as in other areas of the greater Horn of Africa, notably in Yemen. Yemen conducted a SNID in 5-8 October, targeting 65% of the country’s children. The next SNID in Yemen is planned for December. Somalia will conduct an all-age campaign covering the whole country from 20 October…