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Highlights of Polio Fax Bulletin No. 1094 for Week 38_2019
I. Poliovirus Transmission
1. Endemic countries (PAKISTAN & AFGHANISTAN): Four new wild poliovirus cases reported this week from Pakistan. Eight new positive environmental samples reported this week one from Afghanistan and seven from Pakistan.
a. Human samples: Four new wild poliovirus cases reported from Pakistan this week. Total of WPV1 cases in 2019 to date are 82 (16 from Afghanistan and 66 from Pakistan). This compares with 22 cases in 2018 in the same period (Afghanistan – 16 and Pakistan – 6).
- Afghanistan: In 2019 to date, 16 WPV1 cases are reported. They include 8 cases from Uruzgan province, 5 cases from Hilmand province, 2 from Kandahar province and 1 from Kunar province. The most recent case has onset of paralysis on 2 August 2019.
- Pakistan: Four new WPV1 cases were reported this week and their details are as follows:
- Case (1): The case was reported from Torghar district, Khyber Pakhtunkhwa (KP) province, with date of onset 2 August 2019. The case is a 23-month old male child. The child received reportedly a total of 10 OPV doses out of which 3 were from routine and 7 from supplementary immunization activities (SIAs).
- Case (2): The case was reported from Lakki Marwat district, KP province, with date of onset 18 August 2019. The case is an 18-month old male child. The child did not receive any OPV doses from routine and for SIAs it is still under investigation. The case also has as a wild positive contact in addition to the index case.
- Case (3): The case was reported from Lakki Marwat district, KP province, with date of onset 24 August 2019. The case is a 30-month old female child. The child reportedly received 7 OPV doses all from SIAs and none from routine.
- Case (4): The case was reported from Lakki Marwat district, KP province, with date of onset 28 August 2019. The case is a 6-month old male child. The child reportedly received 3 OPV doses all from SIAs and none from routine.
In 2019 to date, 66 WPV1 cases are reported from Pakistan. They include 39 from Khyber Pakhtunkhwa (KP) province, 11 from KP Tribal Districts (KPTD), 6 from Sindh province, and 5 each from Punjab and Balochistan provinces. The most recent case has onset of paralysis on 28 August 2019.