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Somalia Update

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Table 1: Distribution of wild polio cases and non polio AFP cases ... the Nugal case reported last week was mistakenly labeled as wild while it is a vaccine virus. ... – PowerPoint PPT presentation

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Title: Somalia Update


1
Somalia Update
  • 04 January 2006

2
Somalia (Map 1)
3
Polio cases in Somalia, 2005
Map 2
Mogadishu
4
Table 1 Distribution of wild polio cases and non
polio AFP cases (discarded, pending culture and
pending ITD) in Somalia by province, 2005. (As
of 04-01-06)
EMRO 04-01-06
5
Table 2 Count of AFP cases by region sorted by
week of onset of paralysis in Somalia, 2005 (As
of 04-01-06)
EMRO 04-01-06
6
Table 3 Count of wild cases by district sorted
by week of onset of paralysis in Somalia, 2005
(As of 04-01-06)
EMRO 04-01-06
7
Table 4 Wild polio cases by province and
district, and date of onset of first and last
cases in Somalia, 2005 (As of 04-01-06)
EMRO 04-01-06
8
Graph 1 Distribution of wild polio cases and non
polio AFP cases (discarded, pending culture and
pending ITD) in Somalia by week, 2005,
(04-01-06)
6-8 NOv (MOPV)
22 September-7 October (MOPV)
23 August -2 September
13-15 Dec (MOPV)
15-25 June (MOPV)
19-29 July (MOPV)
28-30 March
22-24 February
NIDs
EMRO 04-01-06
9
Epidemiologic situation
  • Table (1) shows that out of the total 340
    reported AFP cases for 2005 , 131 are polio
    cases, none pending ITD, 84 cases are pending
    culture of them 54 are from Mogadishu and 23 from
    Lower Shabelle.
  • One new case was reported from the lab this week
    from Mogadishu.
  • The increase in AFP cases in Mogadishu which
    started from week 35 is still continuing
    resulting in 197 cases in the 17 weeks from week
    35 to week 52, (Table 2) with a slight decrease
    in the last 5 weeks. The same picture is seen in
    Lower Shabelle.
  • The distribution of the 131 wild poliovirus cases
    is as follow
  • 124 cases from Mogadishu (2 confirmed due to
    positive contact)
  • 5 cases from Lower Shabelle (1 confirmed due to
    positive contact)
  • 2 case from Lasanod, Sool in North West
    (Puntlandt)
  • The virus that was isolated from the Nugal case
    reported last week was mistakenly labeled as wild
    while it is a vaccine virus.
  • The two cases from Sool aged 8 and 13 months were
    under immunized. Each received only 2 OPV doses.
  • The December round has now been completed. Data
    about coverage is awaited.

10
Important Activities
  • The international staff who were in contract
    break started to return to duty station.
  • The flight restriction to Somalia will come to an
    end this weekend.
  • The next NID is planned for 23-25 January. In the
    south, central and north east regions. In Somali
    Land it will be delayed because of the measles
    campaign. MOPV1 will be used.
  • Specific efforts are being made to ensure that
    the next rounds are implemented with high
    standards through ensuring adequate supervision
    and district level micro-planning.
  • To address the refusal problem an STC is under
    recruitment in coordination with UNICEF to ensure
    adequate social mobilization strategies. The
    recent fatwa from the International Union of
    Moslem Scholars was sent to Somalia to be used in
    areas where religious reasons are the main cause
    for refusals.
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