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Global problems
P2-425 Eradicability of poliomyelitis in India, new evidence from recent trends
  1. R Kamath,
  2. V Bhat,
  3. D Lobo,
  4. S Pattanshetty
  1. Manipal University, Manipal, India

Abstract

Background In May 1988, the World Health Assembly committed the member nations of the WHO to achieving the goal of global eradication of poliomyelitis. In 2008, only four countries in the world remain polio-endemic, down from more than 125 in 1988. The remaining countries are Afghanistan, India, Nigeria and Pakistan. Since 1995, the Ministry of Health and Family Welfare, Government of India has been conducting intensive immunisation and surveillance activities aimed at the complete elimination of poliovirus and paralytic polio.

Objective To analyse the trend of polio cases in India with emphasis on Uttar Pradesh state.

Materials and Methods The records of last 10 years was reviewed and details regarding total AFP cases reported, AFP rate, Non-polio AFP rate, AFP with adequate specimen, total confirmed cases in India and Uttar Pradesh was obtained.

Results The total confirmed cases reported in India in the year 2010 to date are 21 compared to 741 cases in 2009. Out of 741 cases, Uttar Pradesh state contributed 602 cases. Highest number of cases (1600) was reported in the year 2002 compared year 2005 (66 cases). AFP rate was 23.64 in 2009. Percentage with two specimens collected within 14 days was 81%.

Conclusion Incidence of Polio being clustered in a geographically areas. The highest priority is reaching all children in the age group of 0–5 years. To achieve eradication, high levels of political commitment and focused implementation must be maintained at national, state/provincial and district levels.

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