AFP Surveillance Bulletin - India

GoI/NPSP
AFP Surveillance Bulletin - India

Report for week 1, ending 7 January 2012
Table 1: AFP cases by month of paralysis onset, last 13 months
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
Oct-11
Nov-11
Dec-11
72
46
59
52
62
83
99
114
153
135
99
103
Arunachal Pradesh
36
Assam
463
35
18
24
32
46
60
60
38
48
24
46
32
17346
1292
1045
1162
1334
1360
1392
1589
1864
1960
1604
1528
1216
Chandigarh
38
Chhattisgarh
310
18
20
18
21
18
31
32
44
41
22
23
22
D & N Haveli
0
0
Andhra Pradesh
Andaman & Nicobar
Bihar
Daman & Diu
Jan-12
Jan-11
Total AFP cases AFP cases

AFP
as on
as on
cases in week 1,
week 1,
2011
2011
2012
1077
State/UT's
Delhi
680
42
37
41
46
46
54
80
77
80
87
59
31
Goa
26
Gujarat
1022
91
69
70
55
77
108
93
110
117
95
79
58
Haryana
961
60
42
73
60
88
86
97
118
119
92
76
50
Himachal Pradesh
138
12
12
11
12
14
12
19
14
Jammu & Kashmir
229
10
20
25
27
25
11
14
20
25
27
16
Jharkhand
1493
104
92
105
102
129
129
140
180
171
135
135
71
Karnataka
897
75
51
70
59
84
72
90
84
104
75
74
59
Kerala
378
44
32
38
16
23
31
36
19
34
52
30
23
Madhya Pradesh
2793
159
150
195
200
222
260
348
345
290
254
210
160
Maharashtra
2752
185
179
191
181
180
233
322
287
281
233
269
211
Manipur
19
Meghalaya
29
Mizoram
0
0
Lakshadweep
Nagaland
29
1146
85
72
80
74
67
86
95
145
90
151
134
67
13
Punjab
562
27
26
28
25
42
62
73
72
51
53
50
53
Rajasthan
1797
120
111
121
106
134
170
224
207
192
184
143
85
Orissa
Pondicherry
Sikkim
Tamil Nadu
595
52
41
43
35
46
55
59
64
44
43
65
48
Tripura
57
10
0
0
Uttarakhand
360
21
26
21
19
30
30
28
56
39
41
31
18
Uttar Pradesh
22093
1629
1359
1478
1366
1615
1827
2016
2504
2751
2153
1943
1452
West Bengal
2489
138
130
178
143
184
210
212
252
286
292
265
199
59852
4281
3574
4043
3979
4508
5037
5746
6637
6911
5807
5325
4004
TOTAL
"0" means that report was received but no cases were identified
Data from weekly case based reports
Polio cases and SIAs
email: npspdata@npsuindia.org
website: www.npspindia.org
Page 2
GoI/NPSP
Table 2: Classification of AFP cases and key surveillance indicators, 2011 and 2012
2011
2012
Non-polio AFP rate
% with any specimen
AFP rate
3.76
3.28
81
95
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
Total
VDPV
> 90 Days
45
Compatible
138
VDPV
939
Confirmed Polio
AFP Cases
Non-polio AFP rate
> 90 Days
AFP rate
Total
Pending
Specimen
1077
Confirmed Polio
Discarded (non-polio
AFP)
Case Classification
Discarded (non-polio
AFP)
Andaman & Nicobar
Pending
Surveillance Indicators
Annualized
Rates
Compatible
Andhra Pradesh
AFP Cases
State/UT's
Specimen
% with any specimen
Case Classification
AFP
% with 2 spec. w/in 14

days
Surveillance Indicators
Annualized
Rates
% with 2 spec. w/in 14

days
AFP
Arunachal Pradesh
36
30
6.39
5.33
78
97
0.00
0.00
NA
NA
Assam
463
428
35
10
3.66
3.38
91
99
0.00
0.00
NA
NA
17346
15
16131
1200
420
40.63
37.79
88
98
0.00
0.00
NA
NA
Chandigarh
38
35
6.48
5.97
82
100
0.00
0.00
NA
NA
Chhattisgarh
310
238
71
42
3.28
2.52
64
93
0.00
0.00
NA
NA
D & N Haveli
3.52
2.11
60
80
0.00
0.00
NA
NA
Daman & Diu
5.36
4.46
100
100
0.00
0.00
NA
NA
Delhi
680
624
56
30
8.25
7.57
83
99
0.00
0.00
NA
NA
Goa
26
23
6.65
5.88
73
92
0.00
0.00
NA
NA
Gujarat
1022
951
71
22
4.67
4.34
84
95
0.00
0.00
NA
NA
Haryana
961
846
115
69
9.45
8.32
78
97
0.00
0.00
NA
NA
Himachal Pradesh
138
124
13
6.18
5.56
91
99
0.00
0.00
NA
NA
Jammu & Kashmir
229
227
4.34
4.30
98
100
0.00
0.00
NA
NA
Jharkhand
1493
1345
145
85
11.10
10.00
82
96
0.00
0.00
NA
NA
Karnataka
897
812
85
47
4.62
4.18
82
96
0.00
0.00
NA
NA
Kerala
378
347
31
11
4.10
3.77
83
96
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
NA
Bihar
Lakshadweep
Madhya Pradesh
2793
2556
236
100
9.26
8.48
82
97
0.00
0.00
NA
Maharashtra
2752
2477
273
104
7.08
6.37
82
97
0.13
0.00
Manipur
19
18
1.79
1.70
89
95
0.00
0.00
NA
NA
Meghalaya
29
29
2.41
2.41
93
93
0.00
0.00
NA
NA
Mizoram
1.17
1.17
80
100
0.00
0.00
NA
NA
Nagaland
29
26
3.57
3.20
97
100
0.00
0.00
NA
NA
Orissa
1146
1036
109
55
8.24
7.45
81
97
0.00
0.00
NA
NA
Pondicherry
13
13
3.77
3.77
92
100
0.00
0.00
NA
NA
Punjab
562
502
59
26
6.57
5.87
80
96
0.00
0.00
NA
NA
Rajasthan
1797
1626
170
81
6.38
5.77
79
97
0.00
0.00
NA
NA
NA
Sikkim
3.05
3.05
100
100
0.00
0.00
NA
Tamil Nadu
595
564
31
13
3.60
3.41
91
98
0.00
0.00
NA
NA
Tripura
57
50
3.84
3.37
84
91
0.00
0.00
NA
NA
NA
Uttarakhand
360
336
24
9.06
8.46
83
97
0.00
0.00
NA
Uttar Pradesh
22093
18
20045
2028
821
26.48
24.02
83
97
0.06
0.00
West Bengal
2489
2282
202
63
7.37
6.76
87
98
0.00
0.00
NA
NA
TOTAL
59852
43
54681
5120 2065
13.35
12.20
84
97
0.02
0.00
AFP cases > 15 years of age or missing age information are excluded
Stool collection within 14 days

2010
83%
2011
84%
GoI/NPSP
Page 3
Table 3: Primary isolation results of AFP cases

2012
Number of AFP cases with laboratory result
as
Polio Laboratories
Number of
AFP cases
with stool
specimens
Culture
Culture
positive
positive for for polio
poliovirus virus and
NPEV
NPEV
No polio
virus or
NPEV
Number of cases
pending for
Number of
specimens
received by lab
<=14
days
>14
days
BJMC, Ahmedabad
NIV, Bangalore
IoS, Kolkata
KIPM, Chennai
NCDC, Delhi
CRI, Kasauli
ERC, Mumbai
SGPGI, Lucknow
TOTAL
2011
Number of AFP cases with laboratory result
as
Polio Laboratories
Number of
AFP cases
with stool
specimens
Culture
Culture
positive
positive for for polio
poliovirus virus and
NPEV
NPEV
No polio
virus or
NPEV
Number of cases
pending for
<=14
days
Number of
specimens
received by lab
>14
days
15255
BJMC, Ahmedabad
7520
380
36
1401
5503
200
NIV, Bangalore
4681
323
94
1451
2731
82
9404
IoS, Kolkata
6901
275
39
1018
5454
115
13819
KIPM, Chennai
8877
328
68
1929
6542
10
17806
NCDC, Delhi
5593
247
26
466
4558
293
11239
CRI, Kasauli
1750
86
301
1329
30
3547
ERC, Mumbai
5833
347
68
1667
3751
11881
SGPGI, Lucknow
16452
769
196
6268
8772
447
33085
57607
2755
531
14501
38640
1177
116036
TOTAL
Table 4: Intratypic differentiation (ITD) of isolates from AFP cases

2012
Number of AFP cases with ITD result as
Type 1
Type 2
Type 3
Mix
Type 1
Type 2
Type 3
Mix
Type 1
Type 2
Type 3
NPEV by PCR
Non enterovirus
Negative
Number of cases
pending for
<= 7
days
ERC, Mumbai
IOS, Kolkata
NCDC, Delhi
KIPM, Chennai
NIV, Bangalore
Polio Laboratories
Number of
AFP cases
referred for
ITD
Wild poliovirus
Vaccine poliovirus
VDPV
8-14
days
>14
days
SGPGI, Lucknow
BJMC, Ahmedabad
TOTAL
2011
Number of AFP cases with ITD result as
Type 1
Type 2
Type 3
Mix
Type 1
Type 2
Type 3
Mix
Type 1
Type 2
Type 3
NPEV by PCR
Non enterovirus
Negative
Number of cases
pending for
<= 7
days
ERC, Mumbai
650
198
105
157
126
53
IOS, Kolkata
200
56
17
77
45
NCDC, Delhi
240
69
22
96
50
Polio Laboratories
Number of
AFP cases
referred for
ITD
Wild poliovirus
Vaccine poliovirus
VDPV
8-14
days
>14
days
0
KIPM, Chennai
396
99
48
142
106
NIV, Bangalore
417
118
36
135
101
26
SGPGI, Lucknow
965
317
165
297
166
11
BJMC, Ahmedabad
418
119
55
128
100
15
3286
976
448
1032
694
108
10
TOTAL
Page 4
GoI/NPSP
Most recent Wild Polio Virus case by State
State
West Bengal
Jharkhand
Maharashtra
Bihar
Uttar Pradesh
Jammu & Kashmir
Haryana
Rajasthan
Uttarakhand
Himachal Pradesh
Punjab
Delhi
Madhya Pradesh
Orissa
Andhra Pradesh
Assam
Karnataka
Gujarat
Chandigarh
Tamil Nadu
Chhattisgarh
Kerala
Pondicherry
Goa
Daman & Diu
D & N Haveli
Nagaland
Meghalaya
Tripura
A&N Islands
Arunachal Pradesh
Lakshadweep
Manipur
Mizoram
Sikkim
Date of most
recent
polio case
Wild Polio cases, UP

2010
2011
Type
P1
P3
P1
P1
P3
P1
P3
P3
P3
P3
P3
P3
P3
P3
P3
P1
P3
P1
P1
P1
P1
P1
P1
P1
P1
P1
P1 & P3
P1
P1
13-Jan-11
22-Oct-10
16-Sep-10
01-Sep-10
21-Apr-10
07-Feb-10
13-Jan-10
27-Nov-09
06-Nov-09
17-Oct-09
13-Oct-09
28-Jun-09
04-Aug-08
22-Jul-08
16-Jul-08
09-Jun-08
03-Nov-07
16-Mar-07
02-Aug-06
18-Feb-04
18-Jul-02
29-Sep-00
26-Nov-98
28-Oct-98
22-Oct-98
31-Jan-98
10-Dec-97
15-Oct-97
10-Oct-97
Before 1997
Before 1997
Before 1997
Before 1997
Before 1997
Before 1997
10 cases
P1-34 cases in 17 districts
0 case
P1
P3
Wild Polio cases, Bihar

2010
2011
9 cases
P1-3 cases in 1 district
Month
0 case
P1
P3
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
January
112
36
36
18
51
10
24
112
14
16
February
32
22
10
16
14
53
March
42
11
10
14
40
16
April
26
20
16
13
14
40
13
May
49
39
42
36
32
34
24
June
118
69
13
117
14
76
30
38
79
July
324
142
25
30
251
25
13
121
64
53
89
August
418
187
39
62
280
29
18
114
78
67
119
September
283
193
32
33
334
30
18
14
137
82
49
145
October
170
195
31
38
247
20
32
71
98
32
129
November
226
155
31
43
180
16
14
55
203
24
60
December
134
69
17
31
100
10
28
221
17
48
Total
1934
1126
265
268
1600
225
134
66
676
874
559
741
42
Wild Polio cases, India

2010
P1=18
P3=24
2011
P1=1
P1
P3
2009 2010 2011

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GoI/NPSP

AFP Surveillance Bulletin - India

Daman & Diu

Total AFP cases AFP cases

Jammu & Kashmir

Polio cases and SIAs

Non-polio AFP rate

% with any specimen

Non-polio AFP rate

Andaman & Nicobar

% with 2 spec. w/in 14

% with 2 spec. w/in 14

Daman & Diu

Jammu & Kashmir

Stool collection within 14 days

Table 3: Primary isolation results of AFP cases

Table 4: Intratypic differentiation (ITD) of isolates from AFP cases

Number of AFP cases with ITD result as

Number of AFP cases with ITD result as

Wild Polio cases, UP

Wild Polio cases, Bihar

Wild Polio cases, India

2009 2010 2011

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