AFP surveillance

1
AFP surveillance?????????????????????????????????
????????????

• ???????? ????????????, ?.?.
• ???????????????

2
????????????????????

• WHO ??????????????????????????????????????????????
  ?????????????????????????????? ?.?. 2543
• ??????????????????????????????????? ?.?. 2530
  (???????????????????????????????? 6)
• ??????????????????????????? (wild type)
  ????????? ?.?. 2541

3
4 ?????????? ???????????????????

• Routine immunization ????????? 3
  ?????????????????? 1 ?? (???????????????????????
  90)
• ??????????????????????????? AFP ???????????
  1100,000 ???????? ????????????? 15 ?? ??????????
• ?????????????? 48 ??????? ????????????????? 72
  ??????? ????????????????
• NID ??????????

4
????????????? AFP surveillance
????????????????? ??????????????????????!!
?????????????????????????????????????? 14 ???
5
?????????????????????????????? AFP

• ????????????? AFP ????????????????
  ??????????????????????????????????? (1100,000
  ????????)
• ????????????????????????????????????? ( ??????
  80 ??????????)
• ??????? 2 ???????? ???????????????? 24 ???????
• ????????? 14 ????????????????????
• ??????????????????????????????????????????????

6
?????????????????????????? AFP

• ????????????? AFP ??????????? 15 ?? ?????? ?????
  24 ???????

????? ?????????????????????????? ??
?????????????????????????????? ????????????????
(?????? trauma)

• ??????????????????? 2 ????? (8 ????)
  ???????????????? 24 ??.
• ???????????????????????????????? AFP
  investigation form
• ?????????????????? (AFP3/40)
• ????????? (??????????????????)

????????????????????? (30)60 ??? (?? residual
paralysis) (AFP3/FU/40)
7
??????????? AFP surveillance ????????

• Non-polio AFP rate ????????????? 15 ?? ?????????
  1100,000 ?????
• Zero report ????????????? ??????????
  ????????????? 90 ????????????????????
• ?????????????? 48 ??. ????????????? 90
  ??????????????????????????
• ?????????????????????????? ????????????? 80
  ??????????????????????????
• ????????????????????????????????????? 3 ???
  ????????????? 80
• ????????????????????? 60 ???????????????? 80

8
AFP Active Case Search
9
????????????

• ?????????????????????? ??????????????????
  ????????????????????????????????
• ??????????????????????????????????????????????????
  ????????????????????? ????????????????????????

10
???????

• AFP ?????????????? (Syndrome) ?????????
• ??????? AFP ?????????????????????????? ??? ????
  Poliomyelitis, Transverse myelitis, Hypokalemia,
  Weakness caused ???????

11
??????????? Active search
OPD card ??? IPD chart ?????????????? 15 ??
??????????? (ICD 10) ???? 21 ???
???????????????????
??????????????????????????????????
Key words ??????????????????? hypotonia, muscle
weakness, flaccid, motor power lt 5, hyporeflexia
(DTR lt 2), ????????????? ?????????????,
???????????????, ??????, ?????????
12
?????????? 21 ???

• AFP
• Acute anterior poliomyelitis
• Acute myelopathy
• Guillain-Barre syndrome
• Acute demyelinating neuropathy
• Acute axonal neuropathy
• Peripheral neuropathy
• Acute intermittent porphyria
• Critical illness neuropathy
• Myasthenia Gravis
• Botulism

• Insecticide intoxication
• Tick paralysis
• Idiopathic inflammatory myopathy
• Trichinosis
• Hypokalemic, Hyperkalemic paralysis
• Traumatic neuritis
• Transverse myelitis
• Myalgia
• Weakness (Malaise, Fatigue)
• Hemiplegia

13
??????????? Active search
????????????????????????????????????????????????
AFP ???????
???????????????????????? AFP
Onset ???? 3 ????? ???????????????????????????????
??????????????????????????
Onset ??????? 3 ????????????? ????????????????????
??????? ????????????????????
14
??????????? Active search

• ?????????????????????????????????????????????????
  ????????????????????????? ???? ????? ??????
• ?????????????????????????????????????????
• ?????????????