No new cases of cVDPV2 have been reported in 2018. The last reported case of circulating vaccine-derived poliovirus (cVDPV2) is from Boukamal district, Deir Ez-Zor governorate with a date of onset of paralysis of 21 September 2017. The total number of cVDPV2 cases recorded during the outbreak remains 74.
Efforts to enhance surveillance for polioviruses continue. A new environmental surveillance site has been established in Mayadeen district of Deir Ez-Zor governorate, the epicenter of the outbreak. This takes the total number of environmental surveillance sites in Syria to 11.
Efforts to strengthen the Expanded Programme on Immunization to maintain high population immunity are ongoing. 86 routine immunization fixed centers in Idleb, Hama and Aleppo governorates have been restored.
In addition, the polio programme is supporting an ongoing measles immunization campaign. More than 1.2 million children aged 7 months to six years are reported vaccinated in six governorates.
A workshop detailing interpersonal communications (IPC) was held for 20 surveillance officers from 13 governorates to encourage the use of social data in the documentation and reporting of acute flaccid paralysis (AFP) cases