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Progress toward poliomyelitis eradication--Nigeria, January 2013-September 2014.
MMWR Morb Mortal Wkly Rep. 2014 Nov 21; 63(46):1059-63.MM

Abstract

In 1988, the World Health Assembly resolved to interrupt wild poliovirus (WPV) transmission worldwide. By 2013, only three countries remained that had never interrupted WPV transmission: Afghanistan, Nigeria, and Pakistan. Since 2003, northern Nigeria has been a reservoir for WPV reintroduction into 26 previously polio-free countries. In May 2014, the World Health Organization declared the international spread of polio a Public Health Emergency of International Concern. Nigeria's main strategic goal is to interrupt WPV type 1 (WPV1) transmission by the end of 2014, which is also a main objective of the Global Polio Eradication Initiative's Polio Eradication and Endgame Strategic Plan for 2013-2018. This report updates previous reports (4-6) and describes polio eradication activities and progress in Nigeria during January 2013-September 30, 2014. Only six WPV cases had been reported in 2014 through September 30 compared with 49 reported cases during the same period in 2013. The quality of supplemental immunization activities (SIAs) improved during this period; the proportion of local government areas (LGAs) within 11 high-risk states with estimated oral poliovirus vaccine (OPV) campaign coverage at or above the 90% threshold increased from 36% to 67%. However, the number of reported circulating vaccine-derived poliovirus type 2 (cVDPV2) cases increased from four in 2013 to 21 to date in 2014, and surveillance gaps are suggested by genomic sequence analysis and continued detection of WPV1 by environmental surveillance. Interrupting all poliovirus circulation in Nigeria is achievable with continued attention to stopping cVDPV2 transmission, improving the quality of acute flaccid paralysis (AFP) surveillance, increasing vaccination coverage by strengthened routine immunization services, continuing support from all levels of government, and undertaking special initiatives to provide vaccination to children in conflict-affected areas in northeastern Nigeria.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

25412063

Citation

Etsano, Andrew, et al. "Progress Toward Poliomyelitis eradication--Nigeria, January 2013-September 2014." MMWR. Morbidity and Mortality Weekly Report, vol. 63, no. 46, 2014, pp. 1059-63.
Etsano A, Gunnala R, Shuaib F, et al. Progress toward poliomyelitis eradication--Nigeria, January 2013-September 2014. MMWR Morb Mortal Wkly Rep. 2014;63(46):1059-63.
Etsano, A., Gunnala, R., Shuaib, F., Damisa, E., Mkanda, P., Banda, R., Korir, C., Enemaku, O., Corkum, M., Usman, S., Davis, L. B., Nganda, G. w., Burns, C. C., Mahoney, F., & Vertefeuille, J. F. (2014). Progress toward poliomyelitis eradication--Nigeria, January 2013-September 2014. MMWR. Morbidity and Mortality Weekly Report, 63(46), 1059-63.
Etsano A, et al. Progress Toward Poliomyelitis eradication--Nigeria, January 2013-September 2014. MMWR Morb Mortal Wkly Rep. 2014 Nov 21;63(46):1059-63. PubMed PMID: 25412063.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Progress toward poliomyelitis eradication--Nigeria, January 2013-September 2014. AU - Etsano,Andrew, AU - Gunnala,Rajni, AU - Shuaib,Faisal, AU - Damisa,Eunice, AU - Mkanda,Pascal, AU - Banda,Richard, AU - Korir,Charles, AU - Enemaku,Ogu, AU - Corkum,Melissa, AU - Usman,Samuel, AU - Davis,Lora B, AU - Nganda,Gatei wa, AU - Burns,Cara C, AU - Mahoney,Frank, AU - Vertefeuille,John F, AU - ,, PY - 2014/11/21/entrez PY - 2014/11/21/pubmed PY - 2015/1/13/medline SP - 1059 EP - 63 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 63 IS - 46 N2 - In 1988, the World Health Assembly resolved to interrupt wild poliovirus (WPV) transmission worldwide. By 2013, only three countries remained that had never interrupted WPV transmission: Afghanistan, Nigeria, and Pakistan. Since 2003, northern Nigeria has been a reservoir for WPV reintroduction into 26 previously polio-free countries. In May 2014, the World Health Organization declared the international spread of polio a Public Health Emergency of International Concern. Nigeria's main strategic goal is to interrupt WPV type 1 (WPV1) transmission by the end of 2014, which is also a main objective of the Global Polio Eradication Initiative's Polio Eradication and Endgame Strategic Plan for 2013-2018. This report updates previous reports (4-6) and describes polio eradication activities and progress in Nigeria during January 2013-September 30, 2014. Only six WPV cases had been reported in 2014 through September 30 compared with 49 reported cases during the same period in 2013. The quality of supplemental immunization activities (SIAs) improved during this period; the proportion of local government areas (LGAs) within 11 high-risk states with estimated oral poliovirus vaccine (OPV) campaign coverage at or above the 90% threshold increased from 36% to 67%. However, the number of reported circulating vaccine-derived poliovirus type 2 (cVDPV2) cases increased from four in 2013 to 21 to date in 2014, and surveillance gaps are suggested by genomic sequence analysis and continued detection of WPV1 by environmental surveillance. Interrupting all poliovirus circulation in Nigeria is achievable with continued attention to stopping cVDPV2 transmission, improving the quality of acute flaccid paralysis (AFP) surveillance, increasing vaccination coverage by strengthened routine immunization services, continuing support from all levels of government, and undertaking special initiatives to provide vaccination to children in conflict-affected areas in northeastern Nigeria. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/25412063/Progress_toward_poliomyelitis_eradication__Nigeria_January_2013_September_2014_ L2 - https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6346a5.htm DB - PRIME DP - Unbound Medicine ER -