M i d d l e E a s t

M i d d l e

E a s t

P o l i o Te c h n i c a l B u l l e t i n EMR: Egypt, Iraq, Jordan, Lebanon, Syria, West Bank and Gaza Strip EUR: Turkey Data in WHO as of 07 January 2013 (Week 2) – No.4

Situation Update As of 13 January 2014: The total number of confirmed wild poliovirus cases in the Syrian Arab Republic remains at 17. There were no new cases reported since the last technical bulletin. No other wild poliovirus cases have been reported from other countries in the region. Frequent population movements with less than optimal routine immunization coverage and AFP surveillance indicators continue to present a risk for further international spread of wild poliovirus. To mitigate this risk, additional supplementary immunization activities have been planned for 2014. Last week, supplementary immunization activities were completed in the Syrian Arab Republic and the West Bank & Gaza Strip. Additional, coordinated immunization activities are planned in Iraq, Jordan, Lebanon and Turkey for the end of January.

New cases – Summary: New cases this week: none Location / Date of onset: none Outbreak – Summary: Total number of cases: 17 (in Syria) Most recent case: Deir-Al-Zour, Mayadeen / 08-Oct-13 Index case: Aleppo, Fardous / 14-Jul-13 Duration of outbreak: 12 weeks Extent of outbreak: 3 governorates / 3 districts (in Syria)

SIA – Summary: Number of SIAs since Index case: 3 (3 NIDs) Number of SIAs since last case: 3 (3 NIDs)

1

Summary information as of 07 January 2014

AFP case information, 2013 No AFP case with onset in 2014 reported yet. Syria

Egypt

Iraq

Jordan

Lebanon

West Bank and Gaza Strip

Turkey

NP AFP cases

NP AFP cases

NP AFP cases

NP AFP cases

WPV cases

NP AFP cases

NP AFP cases

NP AFP cases

Nb 0 13 3 1 0 0 17

% 0% 76% 18% 6% 0% 0%

Nb 5 39 34 38 15 4 135

% 4% 29% 25% 28% 11% 3%

Nb 27 374 347 188 61 0 997

% 3% 38% 35% 19% 6% 0%

Nb 19 116 172 92 36 0 435

% 4% 27% 40% 21% 8% 0%

Nb 2 5 15 6 4 1 33

% 6% 15% 45% 18% 12% 3%

Nb 1 4 16 8 4 0 33

% 3% 12% 48% 24% 12% 0%

Nb 0 11 12 6 9 0 38

% 0% 29% 32% 16% 24% 0%

Nb 4 28 67 59 59 3 220

% 2% 13% 30% 27% 27% 1%

0 Dose 1-2 Doses 3 Doses 4+ Doses Unknown TOTAL

9 6 1 1 0 17

53% 35% 6% 6% 0%

17 14 10 88 6 135

13% 10% 7% 65% 4%

0 17 13 958 9 997

0% 2% 1% 96% 1%

5 25 42 339 24 435

1% 6% 10% 78% 6%

0 0 1 23 9 33

0% 0% 3% 70% 27%

2 2 5 19 5 33

6% 6% 15% 58% 15%

0 0 0 37 1 38

0% 0% 0% 97% 3%

19 74 9 118 0 220

9% 34% 4% 54% 0%

M F

10 7 17

59% 41%

75 60 135

56% 44%

574 423 997

58% 42%

254 181 435

58% 42%

21 12 33

64% 36%

28 5 33

85% 15%

15 23 38

39% 61%

131 89 220

60% 40%

Age 0-5 months 6-23 months 24-59 months 60-119 months 120-179 months 180+ months TOTAL

Vaccination status

Gender

TOTAL

Surveillance indicators, 2010-2013 Country / Territory Egypt

Iraq

Jordan

Lebanon

Syrian Arab Republic

Turkey

West Bank and Gaza Strip

Year

AFP cases reported

Non-polio AFP rate

AFP cases with adequate specimens (%)

2010 2011 2012 2013 2010 2011 2012 2013 2010 2011 2012 2013 2010 2011 2012 2013 2010 2011 2012 2013 2010 2011 2012 2013 2010 2011 2012 2013

1151 1023 1022 997 489 530 467 435 40 30 34 33 19 22 24 33 194 168 109 152 215 196 172 220 15 17 21 38

4.5 4.0 3.9 3.1 4.0 4.3 3.8 3.0 1.8 1.4 1.5 1.4 1.7 2.0 2.2 3.0 2.6 2.3 1.4 1.3 1.1 1.0 0.9 1.0 0.9 1.1 1.3 2.2

95 93 92 91 87 89 90 84 95 97 85 89 47 45 50 40 95 93 84 70 74 81 81 74 100 100 95 94

Targets: NP AFP rate: ≥2/100,000 pop