Syria cVDPV2 Outbreak Situation Report #5 - 18 July 2017

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New cVDPV2 cases this week: 4

Total number of cVDPV2 cases: 27

Outbreak grade: 3

Index case

Onset of paralysis: 3 March 2017

Location: Mayadeen district, Deir Ez - Zor

Age: 22 months

Vaccination status: 2 OPV doses/zero IPV

Most recent cases: Mayadeen district, Deir Ez - Zor

Onset of paralysis: 6 June 2017

Age: 8 months

Vaccination status: 1 OPV/zero IPV Tell Abyad district, Raqqa

Onset of paralysis: 25 April 2017, age: 97 months, vaccination status: 3 OPV/1 IPV

Affected districts: Mayadeen and Tell Abyad districts

Immunization response: Two rounds planned for Deir Ez - Zor and Raqqa. First rounds in both governorates are expected to commence 22 July.

Characteristics of the cVDPV2 cases:

Median age: 15 months Gender ratio male - female: 1:2

Vaccination status of the cases:

  • IPV: 4 cases (15%) received IPV

  • OPV: 30% zero dose, 48% have received - 2 doses

Key Highlights

  • Twenty - seven (27) cases of circulating vaccine - derived poliovirus type - 2 (cVDPV2) have been confirmed in Syria — 26 cases are from Mayadeen district, Deir Ez - Zor governorate, and 1 case from Tell Abyad district, Raqqa governorate. This is an increase of 4 cases, since the last situation report dated 12 July. The most recent case (Mayadeen district) had onset of paralysis on 6 June.

  • Monovalent type - 2 oral polio vaccine (mOPV2) reached Deir Ez - Zor on 12 July. Vaccines for Raqqa are scheduled for transport this week, by air to Qamishli, then by road to Tell Abyad and Tabqa (Thawra). Immunization rounds for both Deir Ez - Zor and Raqqa governorates are expected to commence 22 July.

  • OCHA is in communication with all parties in Deir Ez - Zor and Raqqa regarding ceasefire days during campaign implementation. OCHA met with WHO on 16 July to discuss campaign operations.

  • A two - day training workshop on vaccine management and micro - planning for Raqqa field staff was successfully conducted in Damascus. Final micro - plans have been developed by Ministry of Health with the support of WHO and UNICEF.

  • Training of vaccinators and supervisors and distribution of communication materials within Deir Ez - Zor is ongoing.

  • The total number of acute flaccid paralysis (AFP) cases detected in Deir Ez - Zor governorate since the beginning of 2017 is 87 ( 66 from Mayadeen, 10 from Deir Ez - Zor, and 11 from Boukamal districts). Raqqa governorate has reported 14 AFP cases (6 from Raqqa, 7 from Tell Abyad, and 1 from Thawra districts).