GPEI Update: Polio this week – As of 16 October 2013

Update: Polio this week – As of 16 October 2013
Global Polio Eradication Initiative
Full report: http://www.polioeradication.org/Dataandmonitoring/Poliothisweek.aspx
[Editor’s extract and bolded text]
:: Eleven new wild poliovirus (WPV) cases were reported in the past week (one from Afghanistan, two from Ethiopia, four from Pakistan and four from Somalia).
:: The total number of WPV cases for 2013 is now 296 (all WPV1), with 99 from endemic countries and 197 from outbreak countries.
:: Although the total WPV count is now higher than the same period 2012, the quantity of cases from the three endemic countries is 60% of the same time period 2012. Afghanistan has one third and Nigeria half the amount of cases when compared to 2012. Pakistan, with the majority of cases from Federally Administered Tribal Areas (FATA), has almost identical numbers to this time 2012. The situation in North Waziristan, FATA, is becoming increasingly severe, as it is the area with the largest number of children being paralyzed by poliovirus in all of Asia; 13 WPV cases and 22 circulating vaccine-derived poliovirus type 2 (cVDPV2). See ‘Pakistan’ section for more.

Afghanistan
:: One new WPV1 case was reported in the past week. The total number of WPV cases for 2013 is now seven (all WPV1), all of which were reported from Eastern Region, close to the Pakistan border. The most recent WPV1 case had onset of paralysis on 15 September, from Kunar province…

Pakistan
:: Four new WPV1 cases were reported in the past week. All were reported from FATA (two from Khyber Agency and two from North Waziristan). The total number of WPV1 cases for Pakistan in 2013 is now 43. The most recent WPV1 case had onset of paralysis on 26 September (from Khyber Agency). The majority of WPV1 cases in Pakistan this year, 31 (72%), are from FATA, of which 14 are from Khyber Agency and 13 from North Waziristan.
:: The situation in North Waziristan is becoming increasingly severe, as it is the area with the largest number of children being paralyzed by wild poliovirus (13 cases) and cVDPV2s (22) in all of Asia. It is in an area where immunization activities have been suspended by local leaders since June 2012. It is critical that children in these areas are vaccinated and protected from poliovirus. Immunizations in neighboring high-risk areas are being intensified, to further boost population immunity levels in those areas and prevent further spread of this outbreak…

Chad, Cameroon and Central African Republic
:: Central African Republic (CAR) continues to be at serious risk of re-infection due to proximity with Chad, ongoing insecurity and humanitarian crises, and destruction of health infrastructure. To minimize the risk and consequences of potential re-infection, SNIDs were conducted on 30 September to 2 October and NIDs are planned for end October…

Horn of Africa
:: Six new WPV1 cases were reported in the past week (four from Somalia and two from Ethiopia). The total number of WPV cases (all WPV1) for 2013 in the Horn of Africa is now 197 (174 from Somalia, 14 from Kenya, six from Ethiopia and three from South Sudan). The most recent WPV1 case in the region had onset of paralysis on 19 September (from Somali region, Ethiopia)…