POLIO ERADICATION POLIO ERADICATION POLIO ERADICATION POLIO ERADICATION INITIATIVE, INITIATIVE, INITIATIVE, INITIATIVE,

AFGHANISTANAFGHANISTANAFGHANISTANAFGHANISTAN

Surveillance Update Surveillance Update Surveillance Update Surveillance Update

Epidemiological Week 49Epidemiological Week 49Epidemiological Week 49Epidemiological Week 49

((((Ending on Ending on Ending on Ending on Saturday 10 December 2016)Saturday 10 December 2016)Saturday 10 December 2016)Saturday 10 December 2016)

National Surveillance Office

December 13, 2016

Year 2014 2015 2016

Reported AFP cases 2,421 2,738 2,682

Confirmed 28 20 12

Compatible 6 3 0

VDPV2 0 0 1

Discarded 2,387 2,715 2,525

Pending 0 0 *144

AFP Case Classification

Data up to 10 Dec 2016

* 111 AFP cases pending lab results

27 Inadequate AFP cases

6 Inadequate AFP cases Pending ERC

#

#

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# ##

###

Confirmed Polio cases & Compatibles, 2015-2016

NSL1

Compatible

2015

NSL1 = 12

Comp = 0

Province

No. Polio Date of Last No. Polio Date of Last

Cases 15 Polio case 15 Cases 16 Polio case 16

P1 P1 P1 P1

Helmand 2 Oct-20 1 Jan-23

Kandahar 1 Dec-20 1 Apr-04

Nangarhar 8 Oct-14 - -

Kunar 2 Nov-19 4 May-29

Farah 4 June-07 - -

Hirat 1 June-27 - -

Paktika - - 6 Oct 12

Nimroz 1 Aug-07 - -

Faryab 1 Oct, 22 - -

Total 20 - 12 -

NSL1 = 20

Comp = 3

Last Case of NSL3 was from Maywand district

of Kandahar province date of onset 11-04-2010

%% %

#

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# #### # #

##

#

#

# ##

#

#

#

##

#

#

#

#

#

#

GomalDila

Wormamay

Bermel

Wazakhah

Janikhel

Turwo (Tarwe)

Urgun

Omna

Sharan

Yosufkhel

Sarobi

Matakhan

Ziruk

Gyan

Zarghunshahr

Yahyakhel

Sarrawzah(Sarhawzah)

Naka

2016

Data up to 10 Dec 2016

Year Infected

Provinces

Infected

Districts

2014 10 19

2015 7 15

2016 4 4

Data as of date

2015

Monthly Comparison of Polio Cases/ Isolates 2015-2016*

2016

Jan Feb Mar Apr May Jun

NSL1= 1 NSL1= 2 NSL1= 1 NSL1= 1 NSL1= 1

NSL1 NSL1 Sewage

NSL1= 2 NSL1= 1NSL1= 2NSL1 = 1 NSL1= 0 NSL1= 0

NSL Sewage = 3 NSL Sewage = 2 NSL Sewage = 1 NSL Sewage = 1 NSL Sewage = 0NSL Sewage = 0

NSL Sewage = 0 NSL Sewage = 0 NSL Sewage = 0 NSL Sewage = 0 NSL Sewage = 0

NSL1= 0

NSL Sewage = 0

Data up to 10 Dec 2016

Monthly Comparison of Polio Cases/ Isolates 2015-2016

Jul Aug Sep Oct Nov Dec

2016

NSL1 NSL1 Sewage

NSL1= 1

2015

NSL1= 3 NSL1= 3 NSL1= 4 NSL1= 2 NSL1= 1

NSL Sewage = 0 NSL Sewage = 1 NSL Sewage = 4 NSL Sewage = 3 NSL Sewage = 1 NSL Sewage = 2

NSL1= 0

NSL Sewage = 0

NSL1= 2

NSL Sewage = 0

NSL1= 2

NSL Sewage = 0

NSL1= 2

NSL Sewage = 0

Data up to 10 Dec 2016

NSL1= 0

NSL Sewage = 0

NSL1= 0

NSL Sewage = 0

No Epid Province District

Date of

onset Prog Fever Asym Sex

Age in

month Routine SIAs

D Last

OPV Dstool2 Hcase LabR Cluster

1 AFG/08/15/049 Hilmand Reg 21-01-15 Y Y Y F 36 0 2 18-11-14 29-01-15 N NSL1 R4B5C

2 AFG/03/15/163 * Farah Gulistan 23-04-15 Y Y Y F 179 0 NA Over Age 01-05-15 N NSL1 R4B5C

3 AFG/03/15/208 * Farah Bakwa 21-04-15 Y Y Y F 18 0 0 No dose 12-05-15 Y NSL1 R4B5C

4 AFG/03/15/180 Farah Gulistan 05-05-15 Y Y N F 28 0 0 No dose 10-05-15 N NSL1 R4B5C

5AFG/03/15/230 Farah Balabluk 07-06-15 Y Y N M 55 0 7+ 07-06-15 10-06-15 N NSL1 R4B5C

6 AFG/03/15/259 Hirat Shindand 27-06-15 Y Y N F 12 0 0 11-05-15 03-07-15 N NSL1 R4B5C

7 AFG/06/15/208 Nangarhar Achin 17-07-15 Y Y N M 22 0 4 17-08-14 26-07-15 Y NSL1 R4B5C

8 AFG/06/15/220 Nangarhar Achin 01-08-15 Y Y N M 7 0 3 11-05-15 08-08-15 Y NSL1 R4B5C

9 AFG/08/15/341 Nimroz Zaranj 07-08-15 Y Y Y M 42 1 8 15-06-15 11-08-15 Y NSL1 R4B5C

10 AFG/06/15/245 Nangarhar Achin 27-08-15 Y Y N M 12 3 7+ 12-08-15 31-08-15 Y NSL1 R4B3A

11 AFG/06/15/261 Nangarhar Achin 01-09-15 Y Y Y M 8 0 2 06-09-15 08-09-15 Y NSL1 R4B3A

12 AFG/06/15/264 Nangarhar Sherzad 06-09-15 Y Y N F 34 3 7+ 17-08-15 09-09-15 N NSL1 R4B5C

13 AFG/06/15/260 Nangarhar Batikot 04-09-15 Y Y N M 11 0 0 No dose 08-09-15 N NSL1 R4B3A

14 AFG/06/15/297 Nangarhar Momandara 14- 10-15 Y Y N F 24 0 5 5-10-15 18-10-2015 N NSL1 R4B5C

15 AFG/02/15/266 Faryab Qaysar 22-10-15 Y Y N M 30 0 6 17-08-15 25-10-15 N NSL1 R4B5C

16 AFG/06/15/329 Nangarhar Lalpoora 27-10-15 Y Y Y F 24 0 0 No Dose 06-11-15 N NSL1 R4B5C

17 AFG/06/15/331 Kunar Dara-e-Peach 03-11-15 Y Y N F 36 0 2 04-10-15 12-11-15 Y NSL1 R4B5C

18 AFG/08/15/486 Hilmand Nahr-e-Saraj 20-10-15 Y Y Y F 77 0 7 12-12-14 25-11-15 N NSL1 R4B5C

19 AFG/06/15/342 Kunar Chapadara 19-11-15 Y Y Y F 20 0 0 No dose 27-11-15 Y NSL1 R4B5C

20 AFG/08/15/542 * Kandahar Shahwalikot 20-12-15 Y Y N M 60 0 1 19-10-15 No sample N NSL1 R4B5C

* Confirmed by contact

List of Confirmed Polio List of Confirmed Polio List of Confirmed Polio List of Confirmed Polio Cases, Cases, Cases, Cases, 2015201520152015

Data up to 10 Dec 2016

No Epid Province District

Date of

onset Prog Fever Asym Sex

Age in

month Routine SIAs

D Last

OPV Dstool2 Hcase LabR Cluster

1 AFG/06/16/037 Kunar Shigal wa Sheltan 1-Feb-16 Y Y Y M 29 0 5 24- Dec-15 02-02-16 Y NSL1 R4B5C5

2 AFG/08/16/069* Helmand Nawzad 23-Jan-16 Y Y N M 59 0 7 12-Jan-16 19-03-16 N NSL1 R4B5C3

3 AFG/06/16/095 Kunar Shigal wa Sheltan 27-Mar-16 Y Y N M 12 0 0 - - Y NSL1 R4B5C5

4 AFG/06/16/101* Kunar Shigal wa Sheltan 26-Feb-16 Y Y Y M 13 0 0 - 05-04-16 Y NSL1 R4B5C5

5 AFG/08/16/141 Kandahar Shahwalikot 04-Apr-16 Y Y N F 12 0 2 - 09-04-16 N NSL1 R4B5C3

6 AFG/06/16/162 Kunar Shigal wa Sheltan 29-May-16 Y Y Y M 12 0 0 31-May-16 01-06-16 Y NSL1 R4B5C5

7 AFG//07/16/156 Paktika Bermel 02-Aug-16 Y Y Y M 18 0 0 11-08-16 N NSL1 R4B5C1

8 AFG//07/16/160 Paktika Bermel 11-Aug-16 Y Y Y M 18 0 0 - 22-08-16 Y NSL1 R4B5C1

9 AFG/07/16/191 Paktika Bermel 28-Sep-16 Y Y Y F 36 0 2 27-Sep-16 07-10-16 Y NSL1 R4B5C1

10 AFG/07/16/195* Paktika Bermel 01-Sep-16 Y Y Y M 24 0 0 - 06-10-16 Y NSL1 R4B5C1

11 AFG/07/16/201 Paktika Bermel 07-Oct-16 Y Y Y F 36 0 2 - 16-10-16 Y NSL1 R4B5C1

12 AFG/07/16/206 Paktika Bermel 12-Oct-16 Y Y Y M 86 0 0 - 21-10-16 Y NSL1 R4B5C1

List of Confirmed Polio List of Confirmed Polio List of Confirmed Polio List of Confirmed Polio Cases, 2016Cases, 2016Cases, 2016Cases, 2016

* Confirmed by contactData up to 10 Dec 2016

VDPV2 Case, 2016

No EPID PROVINCE DISTRICT DONSET SEX AGE Routine SIAs DLASTOPV DSTOOL2

1 AFG/07/16/174 PAKTIKA BERMEL 10-09-16 F 17 0 0 08-09-16 18-09-16

Data up to 10 Dec 2016

May be classified as aVDPV

AFP Cases Reported Among Nomads 2016*

Region EPID D/onset Province District Sex Age Routine SIAs D/Stool2 Lab Result

WESTERN AFG/03/16/019 20-Jan-16 FARAH PURCHAMAN M 120 0 10 25-Jan-16 NVI

EASTERN AFG/06/16/043 8-Feb-16 KUNAR ASADABAD M 36 0 3 15-Feb-16 NVI

EASTERN AFG/06/16/070 4-Mar-16 NANGARHAR KUZKUNAR M 24 3 7 9-Mar-16 NVI

SOUTH EASTERN AFG/07/16/052 11-Mar-16 KHOST TEREZAYI M 60 3 40 17-Mar-16 NVI

SOUTHERN AFG/08/16/131 31-Mar-16 KANDAHAR KANDAHAR F 24 4 7 5-Apr-16 NVI

CENTRAL AFG/05/16/138 1-Apr-16 DAYKUNDI GIZAB M 60 0 1 12-Apr-16 NVI

SOUTHERN AFG/08/16/172 3-Apr-16 URUZGAN SHAHID-E-HASSAS F 84 0 4 2-May-16 SL1

SOUTHERN AFG/08/16/142 5-Apr-16 HILMAND LASHKARGAH F 42 3 7 10-Apr-16 EV

WESTERN AFG/03/16/108 8-Apr-16 FARAH GULESTAN M 28 0 11 15-Apr-16 SL2

SOUTHERN AFG/08/16/179 24-Apr-16 ZABUL TARNAK WA JALDAK M 48 1 3 27-Apr-16 NVI

NORTH EASTERN AFG/01/16/196 29-Apr-16 TAKHAR BAHARAK F 24 5 7 NO STOOLS

SOUTH EASTERN AFG/07/16/089 6-May-16 PAKTYA GARDEZ M 39 0 27 13-May-16 EV

SOUTHERN AFG/08/16/256 14-May-16 KANDAHAR DAMAN M 24 0 7 6-Jun-16 SL1 SL3

WESTERN AFG/03/16/176 19-May-16 GHOR PASABAND M 78 0 2 29-May-16 EV

CENTRAL AFG/05/16/199 25-May-16 KABUL KHAK-E- JABBAR M 120 3 5 2-Jun-16 NVI

SOUTHERN AFG/08/16/257 4-Jun-16 KANDAHAR MAYWAND F 30 0 4 12-Jun-16 NVI

SOUTHERN AFG/08/16/281 5-Jun-16 KANDAHAR KANDAHAR M 59 2 10 18-Jun-16 NVI

SOUTH EASTERN AFG/07/16/108 9-Jun-16 GHAZNI GHAZNI F 60 5 20 13-Jun-16 NVI

SOUTHERN AFG/08/16/305 21-Jun-16 KANDAHAR MAYWAND M 60 0 7 28-Jun-16 EV

SOUTHERN AFG/08/16/337 10-Jul-16 ZABUL DAYCHOPAN F 48 0 4 15-Jul-16 NVI

WESTERN AFG/03/16/233 12-Jul-16 HIRAT GUZARA M 30 0 4 19-Jul-16 EV

SOUTHERN AFG/08/16/349 14-Jul-16 KANDAHAR KHAKREZ M 132 0 5 20-Jul-16 NVI

CENTRAL AFG/05/16/311 15-Jul-16 KABUL KABUL M 139 3 15 10-Aug-16 NVI

SOUTHERN AFG/08/16/388 1-Aug-16 HILMAND NAD-E-ALI M 144 0 0 11-Aug-16 NVI

SOUTHERN AFG/08/16/393 9-Aug-16 KANDAHAR ARGHANDAB (K) M 18 2 7 15-Aug-16 EV

SOUTH EASTERN AFG/07/16/158 12-Aug-16 PAKTYA GARDEZ M 47 5 27 18-Aug-16 NVI

CENTRAL AFG/05/16/367 22-Sep-16 BAMYAN WARAS M 48 5 16 26-Sep-16 NVI

SOUTHERN AFG/08/16/473 28-Sep-16 KANDAHAR KANDAHAR F 36 2 7 6-Oct-16 EV

SOUTHERN AFG/08/16/486 9-Oct-16 KANDAHAR KANDAHAR F 18 0 7 14-Oct-16 NVI

SOUTHERN AFG/08/16/494 10-Oct-16 KANDAHAR SHAHWALIKOT F 24 1 7 23-Oct-16 EV

* Revised on monthly basis

SL 3 10%

EV 8 28%

NV 18 62%

Total samples with results 29 100%

Map Showing AFP cases Reported Among Nomads 14-16

Year # of Cases

2014 34

2015 30

2016 31

YR_14

YR_15

YR_16

Environmental Samples Collection Sites by Province and District 2016

Hilmand

Kandahar

Kabul

Kunar

Nangarhar

Sample Collection Site

S.No Province District/ No. of sites

1 NangarharJalalabad (2 sites)

Behsud ( 1 site)

2 Kunar Asadabad (1 site)

3 Kandahar Kandahar (4 sites)

4 HelmandLashkargah (2 sites)

Nahr-e-Siraj (2 sites)

5 Kabul Kabul (3 sites)

Summary of Laboratory data for Environmental Surveillance, Afghanistan, ( Sep 2013 to date)

SN Site

Total Samples 2013- to dateEnvironmental samples collection by Month

Sep

13

Oct

13

Nov

13

Dec

13

Jan

14

Feb

14

Mar

14

Apr

14

May

14

Jun

14

Jul

14

Aug

14

Sep

14

Oct

14

Nov

14

Dec

14

Jan

15

Feb

15

Mar

15

Apr

15

May

15

Jun

15

Jul

15

Aug

15

Sep

15

Oct

15

Nov

15

Dec

15

Jan

16

Feb

16

Mar

16

Apr

16

May

16

Jun

16

Jul

16

Aug

16

Sep

16

Oct

16

Nov

16

Dec

16

Kandahar Province 106Kandahar city

1 KDH-Khandak 41

2 KDH-Rarobat 41

3 KDH-Chawnie 7 closed

4 KDH-Loya wiala 16

5 KDH- Karwan Kocha* 1

Helmand Province 1221 LSK-Bolan Br 36

2 LSK-Radio M 36

3 Nahr-e-Siraj-Zarat Bagh 29

4 Nahr-e-Siraj-Baran Sarai 21

Nangarhar Province 821 J-abad-Radar Br 33

2 J-abad-Sangi Qala 33

3 Behsud- Hada Farm 16

Kunar Province 24Asadabad city

1 Mandacool 24

Kabul Province 90Kabul city

1 Qila-e-Zaman K 30

2 Karta-e-Naw 30

3 Khawaja Bughra 30

Afghanistan 424 10 97 148 169

Summary: Total sites= 15

Total samples collected= 424 Total samples with results available= 402

Total samples positive for WPV= 37 Total samples positive for SL or SL+NPEV= 233

Total samples positive for NPEV= 121 Total samples NVI= 11

Wild poliovirus type 1

SL and SL+NPEV

No Virus Isolated

Under Process

NPEV

Not Due* New site added in Dec 16

0

1

2

3

4

5

6

7

8

9

10

11

12J

an

Feb

Mar

Ap

r

May

Ju

n

Ju

l

Au

g

Sep

Oct

Nov

Dec

Jan

Feb

Mar

Ap

r

May

Ju

n

Ju

l

Au

g

Sep

Oct

Nov

Dec

Jan

Feb

Mar

Ap

r

May

Ju

n

Ju

l

Au

g

Sep

Oct

Nov

Dec

No

of

case

s

Polio Virus Isolates By Type & Month, 2014-2016

NSL1

tOPV mOPV1 bOPVSNID NID SIAD IPV

2014 20162015

Data up to 10 Dec 2016

5 2 3

5 4

1 2 3 6 3 5

5

7

2 7 3

45

26 24

19 19 4 4

8 5

26

29 1

4

19 23

11

11

7

9

27

32

12

52

57 3

4

23

5

24

8 230

19

3

21

2

18

2

19

5

17

5 156

19

7

20

1

14

2

10

2 12

4

98 25

3

28

5 243

20

7 30

3 276

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Y14Y15Y16 Y14Y15Y16 Y14Y15Y16 Y14Y15Y16 Y14Y15Y16 Y14Y15Y16 Y14Y15Y16

Zero Dose 1-3 DOSES 4-6 DOSES 7+ Doses

Vaccination status of Non Polio AFP cases 6-59 Months by region,

2014-2016

Northeast NorthEast SoutheastCentral West South

1 1 1 1 1 2 1 2 1 1 1

4 1

1

3 16 10 11

17

11 6

14

3

2

5

20

14

19

16

18

4

6 4 2

13

7

13

7

12

5

27

40 28

10

2 13

6

14

5

65

99

70

48 50 43

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

14 15 16 14 15 16 14 15 16 14 15 16 14 15 16

Zero Dose 1-3 DOSES 4-6 DOSES 7+ Doses

Vaccination status of Non Polio AFP cases 6-59 Months- Nangarhar,

Kunar, Kandahar, Helmand and Farah Provinces

2014-2016

Kandahar HelmandKunar FarahNangarhar

Vaccination status of non polio AFP cases age 6-59 months 2014-2016

RREGION PROVINCE0 Doses 1-3 Doses 4-6 Doses 7+ Doses

2014 2015 2016 2014 2015 2016 2014 2015 2016 2014 2015 2016

BADAKHSHAN BADAKHSHAN 0.0% 0.0% 0.0% 3.7% 0.0% 0.0% 3.7% 10.0% 5.9% 92.6% 90.0% 94.0%

CENTRAL

BAMYAN 0.0% 0.0% 0.0% 5.0% 0.0% 4.0% 10.0% 13.6% 0.0% 85.0% 86.4% 96.0%

DAYKUNDI 0.0% 0.0% 0.0% 0.0% 10.0% 8.3% 14.3% 5.0% 0.0% 85.7% 85.0% 92.0%

KABUL 0.0% 0.0% 0.0% 0.9% 0.0% 0.9% 4.7% 4.7% 0.0% 94.4% 95.3% 99.0%

KAPISA 0.0% 0.0% 0.0% 3.4% 0.0% 0.0% 6.9% 0.0% 0.0% 89.7% 100.0%100.0

%

LOGAR 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 11.5% 13.0% 5.9% 88.5% 87.0% 94.0%

PANJSHER 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 14.3% 12.5% 0.0% 85.7% 87.5%100.0

%

PARWAN 0.0% 0.0% 0.0% 2.6% 0.0% 0.0% 5.1% 11.1% 9.5% 92.3% 88.9% 90.0%

WARDAK 0.0% 0.0% 0.0% 5.9% 0.0% 0.0% 11.8% 9.5% 4.3% 82.4% 90.5% 96.0%

EASTERN

KUNAR 3.6% 2.1% 3.1% 0.0% 2.1% 9.4% 0.0% 10.6% 0.0% 96.4% 85.1% 88.0%

LAGHMAN 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 4.0% 100.0% 100.0% 96.0%

NANGARHAR 0.0% 0.7% 0.8% 0.0% 2.8% 0.8% 2.8% 2.1% 1.6% 97.2% 94.5% 97.0%

NURISTAN 12.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 28.6% 87.5% 100.0% 71.0%

NORTH EASTERN

BAGHLAN 0.0% 0.0% 0.0% 0.0% 1.3% 2.0% 9.1% 15.4% 2.0% 90.9% 83.3% 96.0%

KUNDUZ 0.0% 0.0% 0.0% 0.0% 2.4% 2.9% 14.3% 19.5% 14.3% 85.7% 78.0% 83.0%

TAKHAR 0.0% 0.0% 0.0% 0.0% 0.0% 1.8% 14.3% 10.3% 10.9% 85.7% 89.7% 87.0%

Vaccination status of non polio AFP cases age 6-59 months 2014-2016

RREGION PROVINCE0 Doses 1-3 Doses 4-6 Doses 7+ Doses

2014 2015 2016 2014 2015 2016 2014 2015 2016 2014 2015 2016

SOUTH

EASTERN

GHAZNI 0.0% 0.0% 0.0% 3.3% 0.0% 0.0% 6.7% 6.4% 6.5% 90.0% 93.6% 94.0%

KHOST 0.0% 0.0% 0.0% 7.5% 0.0% 0.0% 10.0% 7.1% 10.7% 82.5% 92.9% 89.0%

PAKTIKA 0.0% 0.0% 9.1% 0.0% 0.0% 21.2% 14.3% 3.7% 9.1% 85.7% 96.3% 61.0%

PAKTYA 0.0% 0.0% 0.0% 3.6% 0.0% 0.0% 7.1% 0.0% 4.0% 89.3% 100.0% 96.0%

SOUTHERN

HILMAND 2.0% 0.8% 0.0% 17.0% 8.5% 7.5% 16.0% 14.0% 5.0% 65.0% 76.7% 88.0%

KANDAHAR 0.0% 1.2% 0.6% 11.6% 6.0% 6.3% 14.5% 8.4% 10.8% 73.9% 84.4% 82.0%

NIMROZ 0.0% 4.3% 0.0% 0.0% 13.0% 0.0% 15.4% 13.0% 20.0% 84.6% 69.6% 80.0%

URUZGAN 0.0% 0.0% 0.0% 12.9% 6.7% 20.7% 25.8% 24.4% 6.9% 61.3% 68.9% 72.0%

ZABUL 0.0% 0.0% 0.0% 33.3% 5.4% 4.0% 25.0% 35.1% 16.0% 41.7% 59.5% 80.0%

WESTERN

BADGHIS 0.0% 2.1% 2.3% 0.0% 4.2% 2.3% 7.7% 20.8% 4.5% 92.3% 72.9% 91.0%

FARAH 1.8% 1.8% 0.0% 0.0% 0.0% 2.2% 10.9% 7.3% 4.3% 87.3% 90.9% 93.0%

GHOR 0.0% 0.0% 0.0% 2.0% 3.6% 2.1% 13.7% 14.5% 8.5% 84.3% 81.8% 89.0%

HIRAT 0.0% 0.0% 0.0% 0.7% 1.8% 0.0% 8.0% 5.9% 3.3% 91.3% 92.3% 97.0%

Grand Total 0.3% 0.4% 0.5% 4.0% 2.7% 3.3% 9.8% 9.9% 6.1% 85.9% 87.0% 90.0%

SIAs Quality of VHRDs (South), Mar- Nov 2016

>=90% 80-89%

SIAs Quality of VHRDs (Others), Mar- Nov 2016

>=90% 80-89%

Regional Reference Lab Update, 2016

Data up to 10 Dec 2016

Month of

onsetCases

Cases under processNegative cases

NPEV

positiveNPEV %

Within 14

days

Positive cases

Culture ITD Wild Vaccine

Jan 267 0 0 209 42 16% 100% 0 16

Feb 228 0 0 149 48 21% 100% 1 30

Mar 210 0 0 143 37 18% 100% 1 29

Apr 233 0 0 168 44 19% 100% 1 20

May 248 0 0 152 68 27% 100% 1 27

Jun 259 0 0 180 70 27% 75% 0 9

Jul 285 0 0 175 93 33% 96% 0 17

Aug 248 0 0 146 72 29% 91% 2 28

Sep 186 0 0 134 38 20% 95% 1 13

Oct 233 1 0 177 38 17% 100% 2 15

Nov

Week 159 2 0 43 8 14% 97% 0 6

Nov

Week 275 5 0 52 11 15% 93% 0 7

Nov

Week 344 23 0 17 1 2% 48% 0 3

Nov

Week 441 41 0 0 0 0% 0% 0 0

Nov total 219 71 0 112 20 9% 68% 0 16

Dec 2 2 0 0 0 0% 0% 0 0

T.AFP cases 2618 74 0 1744 571 22% 93% 9 220

Contacts 1232 32 0 806 283 23% 94% 4 107

T.Cases 3850 106 0 2550 854 22% 93% 13 327

HOT cases reported this week

AFP Cases Labeled As Hot & Pending in Lab, 2016

Data up to 10 Dec 2016

EPID DONSET Province District Sex Age DosesDate of last

OPV

Dstool2

(or 1)Hot by field

Hot by

criteriaL20B+

AFG/07/16/242 12-01-16 PAKTYA DAND WA PATAN M 15 7+ 11-08-16 12-05-16 YES YES No

AFG/08/16/549 12-02-16 KANDAHAR DAMAN M 7 4 12-01-16 12-07-16 YES YES No

AFG/03/16/415 11-03-16 FARAH QALA-E-KAH M 25 7+ 11-08-16 19-11-16 YES YES No

AFG/08/16/559 12-05-16 NIMROZ ZARANJ M 12 7+ 11-07-16 12-10-16 YES YES No

AFG/03/16/399 11-10-16 HIRAT PASHTUNZARGHUN F 5 6 11-09-16 14-11-16 YES YES No

AFG/08/16/546 11-12-16 HILMAND LASHKARGAH F 14 7+ 11-08-16 12-02-16 YES YES No

AFG/07/16/234 15-11-16 PAKTYA CHAMKANI F 24 7+ 11-08-16 26-11-16 YES YES No

AFG/03/16/412 18-11-16 BADGHIS QALA-E-NAW M 4 4 17-10-16 24-11-16 YES YES No

AFG/03/16/416 18-11-16 HIRAT SHINDAND M 9 7+ 11-09-16 27-11-16 YES YES No

AFG/06/16/362 24-11-16 LAGHMAN MEHTARLAM F 14 7+ 11-08-16 28-11-16 YES YES No

AFG/03/16/344 26-09-16 HIRAT GUZARA M 42 7+ 29-08-16 29-09-16 YES YES No

AFG/07/16/218 26-10-16 PAKTIKA BERMEL F 18 1 27-10-16 11-08-16 YES YES No

AFG/08/16/543 27-11-16 NIMROZ ZARANJ M 12 7+ 11-07-16 12-06-16 YES YES No

AFG/08/16/551 27-11-16 ZABUL SHINKAY M 24 7+ 11-08-16 12-02-16 YES YES No

AFG/08/16/547 28-11-16 HILMAND NAHR-E-SARAJ F 23 7 11-08-16 12-02-16 YES YES No

AFG/08/16/550 29-11-16 URUZGAN TIRINKOT M 9 7+ 30-08-16 12-03-16 YES YES No

AFG/05/16/480 30-11-16 BAMYAN SHIBAR F 33 7+ 17-10-16 12-05-16 YES YES No

AFG/06/16/366 30-11-16 NANGARHAR BEHSUD M 27 7+ 11-08-16 12-03-16 YES YES No

L20B+ CasesMonth Confirmed Discarded Pending VDPV Total

Jan 5 5

Feb 1 7 8

Mar 1 3 4

Apr 5 5

May 14 14

Jun 5 5

Jul 11 1* 12

Aug 12 12

Sep 2 10 2* 1 13

Oct 2 8 10

Nov 9 3 10

TOTAL 6 89 6 98

*3 Inadequate cases pending 60 days/ERC

3 cases pending ITD

Data up to 10 Dec 2016

AFP Cases Pending ERC, 2016

Data up to 10 Dec 2016

EPID DONSET Province District Sex Age DosesDstool2

(or 1)Lab result

60d follow-up

result

AFG/08/16/555 10-06-16 HILMAND KAJAKI M 96 7 .NO

STOOLSRES WEAK

AFG/05/16/475 30-08-16 KABUL KABUL M 144 3 .NO

STOOLSRES WEAK

AFG/08/16/491 10-09-16 HILMAND NAD-E-ALI M 148 7 15-10-16 EV RES WEAK

AFG/05/16/377 21-09-16 KABUL KABUL F 60 7+ 06-10-16 NVI DIED

AFG/02/16/247 30-09-16 BALKH NAHR-E- SHAHI F 48 7+ 21-10-16 EV DIED

AFG/08/16/539 25-11-16 KANDAHAR KANDAHAR M 156 7+ .NO

STOOLSDIED

020406080

100120140160180200220240260280300

Ja

n

Feb

Ma

r

Ap

r

Ma

y

Ju

n

Ju

l

Au

g

Sep

Oct

No

v

Dec

Ja

n

Feb

Ma

r

Ap

r

Ma

y

Ju

n

Ju

l

Au

g

Sep

Oct

No

v

DE

C

Ja

n

Feb

Ma

r

Ap

r

Ma

y

Ju

n

Ju

l

Au

g

Sep

Oct

No

v

Dec

Nu

mb

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f ca

ses

Month-wise Reported AFP Cases, 2014-2016

@ of 2/100,000

AFP Cases By Week Of Onset, 2016

Week (Sun-Sat) Expected 2= Two cases/100,000

Adequate Stools (%) By Region, 2014-2016

0

10

20

30

40

50

60

70

80

90

100

Per

cen

tag

e

2014 2015 2016

Data up to 10 Dec 2016

0

5

10

15

20

25

Pe

rce

nta

ge

Y14 Y15 Y16

% of Entero -Virus and SL Isolation, 2014-2016

EV

SL

Per

cen

tage

0

5

10

15

20

25

30

35

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Y14 Y15 Y16

EV % by month 14-16

Per

cen

tage

0

5

10

15

20

25

30

35

Pe

rce

nta

ge

Y14 Y15 Y16

0

2

4

6

8

10

12

14

16

18

20

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Y14 Y15 Y16

SL % by month 14-16

Data up to 10 Dec 2016

Adequate 2015

AFP surveillance: quality key indicatorsNon-polio AFP rate 2015

Data up to 30 Nov 2016

Non-polio AFP rate 2016

Adequate 2016

10%

EV 2016

EV 2015

% SL1, SL2 and SL3 Isolation by Month, 2016

0

5

10

15

20

25

30

Jan Feb Mar Apr May Jun Jul Aug Sep OctSL1 SL2 SL3

tOPV withdrawn on 23

Apr 2016

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

No. of Reported

AFP Cases270 234 212 234 255 264 289 252 189 235 235 13

Isolation

of

SL1 8 17 18 12 13 5 10 12 12 13 10 0

SL2 2 4 12 3 1 0 0 0 1 0 0 0

SL3 13 20 17 12 21 7 12 22 6 11 10 0

Data up to 10 Dec 2016

Region

NP AFP Rate Stool

ADEQ %NPEV % SL %

20

14

20

15

20

16

20

14

20

15

20

16

20

14

20

15

20

16

20

14

20

15

20

16

Badakshan 9 10 10 98 96 98 15 19 22 19 5 4

Central 9 10 11 97 98 97 15 16 19 5 5 6

Eastern 16 20 19 91 95 95 26 22 22 10 8 10

North Eastern 14 13 12 94 94 93 21 27 24 4 5 4

Northern 14 14 13 92 91 91 19 20 20 2 5 6

South Eastern 11 11 13 98 97 92 22 22 22 9 9 13

Southern 13 17 17 82 85 85 27 21 23 10 15 13

Western 15 17 15 97 95 94 23 24 25 5 6 6

Total 13 14 14 92 93 92 22 21 22 7 8 8

AFP surveillance indicators by regions, 2014- 2016*

* Revised on monthly basis Data up to 12 Oct 2016

AFP surveillance indicators, key provinces, 2014- 2016*

* Revised on monthly basis Data up to 12 Oct 2016

Region PROVINCE

NP AFP Rate Stool ADEQ % NPEV % SL %

20

14

20

15

20

16

20

14

20

15

20

16

20

14

20

15

20

16

20

14

20

15

20

16

EAST

KUNAR 14 24 24 87 99 96 22 18 15 9 6 16

LAGHMAN 11 15 13 97 91 97 21 21 25 6 10 5

NANGARHAR 18 19 20 91 94 95 28 23 25 11 7 8

NURISTAN 10 12 16 78 100 69 11 27 0 22 18 0

SOUTH

EAST

GHAZNI 17 8 9 100 98 92 21 19 22 22 8 14

KHOST 13 14 13 98 98 100 19 25 16 7 8 13

PAKTIKA 13 14 21 98 98 87 24 18 26 15 7 13

PAKTYA 12 10 12 93 92 88 23 19 24 2 14 9

SOUTH

HILMAND 9 12 9 80 91 85 29 24 25 12 13 14

KANDAHAR 18 20 27 81 82 85 26 18 21 16 15 12

NIMROZ 11 17 21 89 71 81 17 7 20 10 7 12

URUZGAN 17 20 17 85 95 85 30 30 37 0 8 10

ZABUL 11 12 14 84 85 88 24 17 21 2 15 7

WEST

BADGHIS 15 16 22 95 95 86 21 25 28 2 7 9

FARAH 19 19 17 95 92 97 23 20 30 4 11 19

GHOR 17 16 11 99 93 96 27 21 22 8 1 7

HIRAT 13 17 14 98 97 96 22 25 22 5 5 3

AFP surveillance indicators, key provinces, 2014- 2016*

* Revised on monthly basis Data up to 23 Nov 2016

Region Province

NP AFP Rate ADEQ Stool (%) NPEV % SL %

20

14

20

15

20

16

20

14

20

15

20

16

20

14

20

15

20

16

20

14

20

15

20

16

BADAKHSHAN BADAKHSHAN 13 10 10 93 96 98 15 20 22 19 5 5

CENTRAL

BAMYAN 11 14 19 94 100 98 6 24 30 9 2 2

KABUL 7 8 9 99 99 97 15 18 14 4 6 8

KAPISA 11 10 14 94 97 93 25 13 9 2 3 12

LOGAR 15 15 16 97 90 97 14 10 26 8 10 3

PARWAN 11 15 16 99 98 100 18 12 14 4 4 4

WARDAK 9 10 14 95 100 100 12 14 32 6 2 4

PANJSHER 2 19 18 100 100 100 22 17 33 11 0 0

DAYKUNDI 7 9 7 94 93 95 10 10 14 5 7 14

NORTH

EAST

KUNDUZ 15 9 10 94 91 95 27 28 34 4 5 3

TAKHAR 13 11 11 93 95 92 17 35 15 2 4 4

BAGHLAN 17 18 15 97 96 95 20 21 28 5 5 7

NORTH

BALKH 16 15 12 91 86 88 17 18 25 2 4 5

FARYAB 15 12 13 93 93 92 18 24 20 1 7 5

JAWZJAN 11 15 13 95 100 95 21 30 16 4 6 5

SAMANGAN 8 16 18 95 89% 97 28 20 21 0 9 8

SAR-E-PUL 4 15 11 89 94 83 17 11 13 3 4 10

0102030405060708090

100

2014 2015 2016

% AFP Cases with Stool Specimen Reaching RRL after 2nd Specimen Collection, 2014-2016

Within 7 days

0102030405060708090

100

2014 2015 2016

Data up to 10 Dec 2016

Within 3 days