Weekly AFP Surveillance Update Pakistan · 2015. 7. 1. · 06 sindh nsl1kambar kambar sd/55/15/002 f 18 7-jan-15 0 7+ n y y n r4b5 07 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/003 F

Weekly

AFP Surveillance Update

Pakistan Week 23 (Ended on 13th June, 2015)

National Surveillance Cell Federal EPI

World Health Organization Country Office,

Chak Shahzad, Park Road,

Islamabad, Pakistan

Tel: +92-51 9255123 / 9255282 /9255184

http://www.emro.who.int/pak/information-resources/

World Health

Organization

AFP Case Profile, 2015*

Wild Polio Cases

(25)

AFP cases

pending (243)

Non-Polio AFP

Cases (1695)

Total AFP Cases Reported = 1965

^ 128 Inadequate cases not due for FUP

^ 115 Pending in the Lab

VDPV2 (02)

* Afp.rec Data as of 11-06-2015


Point in Time Comparison of Polio Cases by

Province/Region 2014 & 2015*

Region/ Province No. of polio cases

No. of infected

districts/towns Last

polio

case 2014 2015 2014 2015

FATA / FR Areas 67 08 04 03 24-May -15

Khyber Pakhtunkhwa 13 10 02 05 20-Apr-15

Balochistan - 03 - 03 20-Feb-15

Sindh 07 04 05 03 19-Feb-15

Punjab - - - - 20-Dec-14

Pakistan 87 25 11 14 24-May-15

Ten additional districts / town declared infected based on environmental samples in 2015

S.N

O.

PROVINCE/

REGION DISTRICT TEHSIL EPID NO.

SE

X

AG

E (m

)

DA

TE

ON

SE

T

OF

PA

RA

LY

SIS

NO. OPV DOSES

(based on

parents recall)

FE

VE

R

As

ym

metric

Para

lysis

Rap

id

Pro

gre

ssio

n

RE

FU

SA

L

WP

V T

YP

E

GENETICS C

lus

ter Routine SIA's

01 KPAKHTUNKHWA TANK TANK KP/63/15/002 F 9 3-Jan-15 3 7 Y Y Y N NSL1 R4B1

02 KPAKHTUNKHWA LAKKIMRWT LAKKIMRWT KP/62/15/002 M 34 07-01-15 3 7+ N Y Y N NSL1 R4B5

03 FATA KHYBER JAMRUD FT/34/15/001 M 11 05-01-15 3 7+ Y Y Y N NSL1 R4B5

04 KPAKHTUNKHWA NOWSHERA NOWSHERA KP/32/15/001 F 20 5-Jan-15 0 7+ Y Y Y N NSL1 R4B5

05 FATA WAZIR-S BIRMAL FT/65/15/001 M 9 7-Jan-15 0 1 Y Y Y N NSL1 R4B5

06 SINDH KAMBAR KAMBAR SD/55/15/002 F 18 7-Jan-15 0 7+ N Y Y N NSL1 R4B5

07 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/003 F 7 17-Jan-15 0 2 Y Y Y N NSL1 R4B5

08 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/007 F 14 31-Jan-15 3 3 Y N Y N NSL1 R4B5

09 FATA KHYBER JAMRUD FT/34/15/005 M 13 25-Jan-15 0 5 Y Y Y N NSL1 R4B5

10 KPAKHTUNKHWA TANK TANK KP/63/15/005 F 18 25-Jan-15 9 7 Y Y Y N NSL1 R4B2

11 FATA KHYBER BARA FT/34/15/007 M 8 1-Feb-15 2 5 Y Y Y N NSL1 R4B5

12 FATA KHYBER JAMRUD FT/34/15/006 M 3 1-Feb-15 0 0 Y N Y N NSL1 R4B5

13 BALOCHISTAN KABDULAH CHAMAN BN/14/15/003 F 24 3-Feb-15 0 0 Y Y Y Y NSL1 R4B5

14 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/010 M 12 8-Feb-15 0 0 Y N Y Y NSL1 R4B5

15 SINDH DADU DADU SD/24/15/007 M 120 10-Feb-15 0 7+ Y N Y N NSL1 R4B1

16 BALOCHISTAN LORALAI DUKI BN/22/15/002 M 12 9-Feb-15 0 0 Y Y Y N NSL1 R4B5

17 SINDH SUKKUR NEW SUKKUR SD/41/15/005 M 18 13-Feb-15 2 7+ Y Y Y N NSL1 R2B1

18 FATA KHYBER BARA FT/34/15/010 F 16 24-Feb-15 3 1 Y Y Y N NSL1 R4B5

19 SINDH DADU K.N.SHAH SD/24/15/009 F 54 19-Feb-15 0 7+ Y Y Y N NSL1 R4B5

20 BALOCHISTAN QUETTA QUETTA CITY BN/11/15/004 M 3 20-Feb-15 3 6 Y Y Y N NSL1 R4B2

21 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/020 M 16 17-Mar-15 0 6 Y Y Y N NSL1 R4B5

22 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/031 M 8 29-Mar-15 0 2 Y N Y Y NSL1 R4B5

23 KPAKHTUNKHWA CHARSADA SHABQADAR KP/31/15/024 M 26 20-Apr-15 3 7+ Y Y Y N NSL1 R4B5

24 FATA WAZIR-N MIR ALI FT/64/15/002 M 7 06-May-15 0 0 Y Y Y N NSL1 R4B5

25 FATA WAZIR-S LADHA FT/65/15/010 M 24 24-May-15 0 0 Y N Y N NSL1

Table 1.1: List of Confirmed Polio Cases, Pakistan 2015* (1/1)

Table 3: Urgent / ITD Pending Cases (1/1)

As on 15-06-2015

Comparison of Environmental Sampling Results, 2014-15

DISTRICT

2014 2015

Last TOTAL WILD TOTAL WILD

n n % n n %

LAHORE 29 9 31% 25 2 8% 18-May-15

MULTAN 16 0 0% 15 1 7% 28-May-15

RAWALPINDI 10 2 20% 10 1 10% 11-May-15

FAISALABAD 17 0 0% 15 0 0% 23-May-15

KHIGIQBAL 11 9 82% 11 3 27% 01-Jun-15

KHIGADAP 17 9 53% 15 3 20% 25-May-15

KHIBALDIA 11 6 55% 10 2 20% 22-May-15

SUKKUR 12 2 17% 10 4 40% 12-May-15

HYDERABAD 6 3 50% 5 1 20% 05-May-15

JACOBABAD 0 0 5 4 80% 05-May-15

PESHAWAR 16 8 50% 11 7 64% 25-May-15

DIKHAN 0 0 20 2 10% 05-May-15

QUETTA 16 4 25% 15 6 40% 28-May-15

KABDULAH 0 0 11 3 27% 01-Jun-15

ISLAMABAD 4 0 5 1 20% 11-May-15

PAKISTAN 165 52 32% 183 40 22% 01-Jun-15 * Data as of Jun, 12, 2015

Environmental Surveillance Results, Pakistan (Last 52 weeks)

* Data as of Jun, 12 2015

^^ Notified late

Table 2: LAB Update 2015*

Month of Onset

AFP Cases

No virus

isolated

Cases Under

Process Isolated Viruses from stools

Culture

ITD Vaccine viruses

NPEV Wild Results within

14 days

n n n n n % n % n n %

January 363 238 0 0 36 10 79 22% 10 354 98%

February 358 255 0 0 32 9 60 17% 10 348 97%

March 446 316 0 0 47 11 81 18% 2 444 100%

April 455 300 1 0 22 5 131 29% 1 453 100%

May 492 270 83 0 17 3 120 24% 2 407 83%

June 53 0 52 0 1 2 0 0% 1 2%

Pakistan 2167 1379 136 0 155 7 471 22% 25 2007 93%

* Data as of June, 15, 2015

Map1: Distribution of Wild Polio Cases Pakistan 2015*

Province/ Country

Date of Last Case Number of cases 2015

P1 P3 P1 P3

BALOCHISTAN Feb, 2015 Apr, 2010 03 -

FATA May, 2015 Apr, 2012 08 -

KHYBER-PAKHTUNKHWA

Apr, 2015 Oct, 2010 10 -

SINDH Feb, 2015 Jan, 2010 04 -

PUNJAB Dec, 2014 Jun, 2010 - -

AJK June, 2000 Jun, 2000 - -

GILGIT-BALTISTAN Aug, 2012 - - -

ISLAMABAD Sep, 2008 Sep, 2008 - -

PAKISTAN May, 2015 Apr, 2012 25 -

Districts/ Towns with Wild Polio Cases = 14

District with last polio case in province NSL1 = 25

Wazir-S

24/05/2015

QUETTA

20/02/2015

DADU

19/02/2015

CHARSADA

20/04/2015


Provincial Boundary

Districts Boundary

Cases randomly placed in districts

WPV and Sabin2 Cases by Districts in 2015


PROVINCE

DISTRICT

WPV Cases Sabin2 Cases

Onset of Last Case Cases Onset of Last Case Cases

FATA

KHYBER 24-Feb 5

WAZIR-S 24-May 2

WAZIR-N 6-May-15 1

Total 24-May 8

BALOCHISTAN

QUETTA 20-Feb 1

LORALAI 9-Feb 1

KABDULAH 3-Feb 1

Total 20-Feb 3

SINDH

DADU 19-Feb 2

SUKKUR 13-Feb 1

KAMBAR 4-Jan 1

Total 19-Feb 4

KPAKHTUNKHWA

PESHAWAR 29-Mar 5

CHARSADA 20--Apr 1

TANK 25-Jan 2

LAKKIMRWT 7-Jan 1

NOWSHERA 5-Jan 1

Total 20-Apr 10

PAKISTAN 24-May 25

P1 = 25

AFP Surveillance

Sewage water

P1 = 40

Source

Infected districts/Towns/Agencies/Areas On the basis of WPV isolation • WPV cases = 14 • Sewage water = 10 • Total = 24

Provincial Boundary

Districts Boundary

Cases randomly placed in districts * Afp.rec Data as of 11-06-2015

Map 2: Polio virus and Sabin2 isolates, 2015*

P1 Wild = 33

No. of districts = 17

Provincial Boundary

Districts Boundary

Cases randomly placed

in districts

Map 3: Wild Polio cases in the last 6 months;

14th December, 2014 to 13th June, 2015 *


Table 4: Distribution of AFP Cases By Week of Onset ^

Pakistan 2014-2015* [Week number / Ending on]

^ MMWR Epidemiological Weeks * Afp.rec & Afplab.rec: Data as of 11-06-2015

PROVINCE

W

08

28

Feb

2015

W

09

07

Mar

2015

W

10

14

Mar

2015

W

11

21

Mar

2015

W

12

28

Mar

2015

W

13

04

Apr

2015

W

14

11

Apr

2015

W

15

18

Apr

2015

W

16

25

Apr

2015

W

17

02

May

2015

W

18

09

May

2015

W

19

16

May

2015

W

20

23

May

2015

W

21

30

May

2015

W

22

06

Jun

2015

PUNJAB 34 50 47 56 54 46 58 55 54 53 56 60 71 41 20

SINDH 26 21 23 21 19 19 28 23 27 13 21 20 20 15 6

FATA 2 2 3 5 2 2 3 3 4 2 6 5 4 6 0

BALOCHISTAN 2 6 5 1 5 1 4 0 4 3 7 6 4 1 2

AJK 1 1 1 1 2 1 2 2 3 0 4 5 2 0 1

GILGIT

BILTISTAN 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0

ISLAMABAD 1 1 1 1 1 0 1 1 1 1 0 0 1 0 0

KPAKHTUNKHWA 30 22 21 25 17 24 26 21 22 28 27 28 23 15 9

PAKISTAN 96 104 101 110 100 93 122 106 115 100 121 124 125 78 38

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

750

800Ja

n

Apr

Jul

Oct

Jan

Apr

Jul

Oct

Jan

Apr

Jul

Oct

Jan

Apr

Jul

Oct

Jan

Apr

Jul

Oct

Jan

Apr

Graph 1:Distribution of AFP Cases by Month, Pakistan 2010-2015*

Cases (

n)

@ Non-polio AFP rate of 2/100,000 children < 15 years

2010 2011 2012 2013 2014 2015


02468

101214161820222426283032343638404244464850

Months / Years

NSL3 NSL1

^ Data incomplete

NID SNID

Virus Type

Vaccine Type

^

NSL1 & NSL3

mOPV1 Trivalent mOPV3 Bivalent

2011 2012

Confirmed Polio Cases By Poliovirus Type, 2011-2015*

2013

2014


2015

Provincial Boundary

Districts Boundary

Map 4: Monthly Comparison of P1 & P3 Polio Cases/Isolates 2013-2015*

AFP Surveillance

Sewage water

P3

P1

P3

P1

Mixture P1 & 3

P1+P3

2013

January (7) February (7) March (5) April (6)

2014



Environmental surveillance Started : July, 2009: Lahore & Karachi June, 2010: Rawalpindi, Peshawar & Quetta July, 2010: Multan April 2012: Sukkur July 2012: Hyderabad September 2012: Faisalabad

2015


Map 4.1: Monthly Comparison of P1 & P3 Polio Cases/Isolates 2012-2015*

May (11) June(6) July(10) Aug (15)

May (29) June(25) July(40) Aug(54)


AFP Surveillance

Sewage water

P3

P1

P3

P1

Mixture P1 & 3

P1+P3

Provincial Boundary

Districts Boundary

Environmental surveillance Started : July, 2009: Lahore & Karachi June, 2010: Rawalpindi, Peshawar & Quetta July, 2010: Multan April 2012: Sukkur July 2012: Hyderabad September 2012: Faisalabad

2013

2014

Provincial Boundary

Districts Boundary

May (08)

2015

June (01)

Map 4.2: Monthly Comparison of P1 & P3 Polio Cases/Isolates 2012-2014*

September (25)

October (20) November (16) December (22)

September (58)

October (20) November(17) December(29)

* Afp.rec Data as of 11-06-2015 October(42) November(55)

September (17)

AFP Surveillance

Sewage water

P3

P1

P3

P1

Mixture P1 & 3

P1+P3

Provincial Boundary

Districts Boundary

Environmental surveillance Started : July, 2009: Lahore & Karachi June, 2010: Rawalpindi, Peshawar & Quetta July, 2010: Multan April 2012: Sukkur July 2012: Hyderabad September 2012: Faisalabad October 2014: DIKhan

December (27)

2012

2013

2014

Provincial Boundary

Districts Boundary

Table 5: Polio Eradication Update, Pakistan 2012-2015*

2012

PAKISTAN

2013 2014

Province/Region Polio 1 Polio 3 Total Wild

2012 2013 2014 2015 2012 2013 2014 2015 2012 2013 2014 2015

FATA^ 17 65 179 08 2 - - - 20^ 65 179 08

KP 27 11 68 10 - - - - 27 11 68 10

SINDH 4 10 30 04 - - - - 4 10 30 04

PUNJAB 2 7 4 - - - - - 2 7 4 -

BALOCHISTAN 4 - 25 03 - - - - 4 - 25 03

AJK - - - - - - - - - - - -

Gilgit-Baltistan 1 - - - - - - - 1 - - -

ISLAMABAD - - - - - - - - - - - -

PAKISTAN 55 93 306 25 2 - - - 58 93 306 25

^ FATA reported mixture of NSL1 & NSL3

2015


REGION 0 dose 1-2 doses 3 doses 4-6 doses 7+ doses

12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15

Central Punjab 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 2% 0% 4% 7% 3% 2% 95% 91% 94% 97%

North Punjab 0% 0% 0% 0% 0% 1% 2% 1% 0% 0% 1% 0% 4% 4% 4% 4% 96% 96% 93% 96%

South Punjab 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 1% 4% 5% 2% 2% 96% 94% 96% 97%

PUNJAB 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 2% 0% 4% 6% 3% 2% 96% 93% 95% 97%

Karachi 1% 1% 6% 4% 1% 5% 6% 0% 2% 0% 4% 0% 6% 6% 7% 4% 90% 88% 78% 93%

North Sindh 0% 0% 0% 0% 0% 0% 0% 2% 1% 0% 0% 0% 4% 5% 4% 6% 94% 95% 96% 93%

South Sindh 0% 0% 0% 0% 1% 0% 1% 0% 2% 1% 1% 0% 4% 7% 8% 4% 93% 91% 91% 96%

SINDH 0% 0% 1% 1% 1% 1% 2% 1% 1% 0% 1% 0% 4% 5% 6% 5% 93% 92% 90% 94%

Central Khyber Pakhtunkhwa 2% 2% 2% 2% 1% 1% 2% 2% 0% 1% 2% 1% 2% 2% 4% 4% 95% 95% 91% 92%

North Khyber Pakhtunkhwa 2% 1% 3% 1% 2% 1% 2% 3% 2% 1% 2% 1% 9% 7% 7% 4% 85% 91% 86% 91%

South Khyber Pakhtunkhwa 2% 1% 4% 1% 1% 0% 4% 1% 1% 1% 3% 4% 9% 4% 7% 1% 87% 95% 82% 91%

Khyber Pakhtunkhwa 2% 1% 3% 1% 1% 0% 2% 2% 1% 1% 2% 2% 6% 4% 6% 3% 89% 94% 88% 92%

FATA 18% 39% 41% 12% 6% 6% 14% 2% 3% 6% 4% 6% 12% 6% 6% 10% 62% 43% 35% 71%

Rest of Balochistan 9% 5% 5% 18% 6% 3% 7% 10% 5% 5% 5% 3% 10% 25% 18% 18% 70% 60% 65% 50%

North Balochistan 12% 9% 0% 0% 10% 11% 0% 0% 3% 3% 0% 0% 17% 28% 0% 0% 57% 49% 100% 100%

Quetta Block 14% 8% 4% 6% 10% 8% 8% 19% 0% 0% 6% 19% 14% 9% 10% 13% 62% 64% 72% 44%

BALOCHISTAN 8% 6% 3% 12% 8% 6% 5% 11% 3% 4% 4% 6% 17% 20% 10% 14% 64% 64% 77% 57%

PAKISTAN 1% 3% 4% 1% 1% 1% 2% 1% 1% 1% 2% 1% 5% 6% 4% 4% 92% 89% 88% 92%

Table 6: Vaccination status of non polio AFP cases age 6-59 months 2012-2015*


Non Polio AFP Rate By Province/Regions, 2013-2015*

Target Non-Polio AFP Rate 2/ 100000 < 15 years of the age

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Punjab Sindh Khyber-Pakhtunkhwa

FATA Balochistan AJK Gilgit-Baltistan Islamabad Pakistan

No

n p

oli

o A

FP

ca

se

s/1

00,0

00 c

hil

dre

n <

15

ye

ars

2013 2014 2015


Non Polio AFP rate Up to Week No. 22 ended on 6th Jun, 2015

Percent AFP Cases with Adequate Specimens

By Province/Regions, 2013-2015*

Target Adequate Sample cases = 80%

0

10

20

30

40

50

60

70

80

90

100



AF

P C

ases w

ith A

dequate

Specim

ens (

%)

2013 2014 2015


Graph 5: Percent AFP Cases Notified within 07 days of paralysis onset

2013 ~ 2015*, By Province/Regions

Graph 6: Percent AFP Cases Investigated within 48 hours of notification

2013 ~ 2015*, By Province/Regions

Target

0

10

20

30

40

50

60

70

80

90

100



Perc

en

tag

e

0

10

20

30

40

50

60

70

80

90

100



Pe

rce

nta

ge

2013 2014 2015 * Data as of Jun,11, 2015

2000 children under 15 years of age

Non-Polio ^ AFP Rate by District

2013 2014

2013 2014

Percent AFP Cases with Adequate Specimens, by District

0% - 59 %

60% - 79%

≥ 80 %

No AFP Case reported

0.00 - 0.99

1 – 1.99

≥ 2

Non Polio AFP rate Up to Week No.

22 ended on 6th Jan, 2015

^Annualized


2015

2015

FUP = Residual Weakness at 60 days follow up.

€ Based on recall of parents 60 days Follow-up not done

S. No

DISTRICT TEHSIL EPID

SEX AGE DONSET DOSES€ DSTOOL1 DSTOOL2

LAB

FEVER

ASY

M

PR

OG

FUP

PEN

D

(DA

YS)

1 CHARSADA CHARSADA KP/31/14/026 M 46 14-06-14 7+ 26-06-14 EV Y N Y LOST 362

2 CHARSADA CHARSADA KP/31/14/033 F 30 12-08-14 7+ 17-09-14 18-09-14 EV N Y Y Y 303

3 CHARSADA CHARSADA KP/31/14/042 M 96 22-08-14 7+ 16-09-14 17-09-14 NVI UK UK Y LOST 293

4 CHARSADA CHARSADA KP/31/14/046 F 12 01-09-14 7+ 19-09-14 21-09-14 NVI N Y Y Y 283

5 CHARSADA CHARSADA KP/31/14/012 M 17 24-01-14 7+ 08-03-14 10-03-14 NVI Y UK UK LOST 503

6 CHARSADA CHARSADA KP/31/14/060 M 24 15-11-14 7+ 03-12-14 05-12-14 NVI UK UK N Y 208

7 CHARSADA CHARSADA KP/31/14/065 M 120 21-11-14 7+ 18-12-14 19-12-14 NVI N N Y Y 202

8 CHARSADA TANGI KP/31/14/061 M 27 27-11-14 7+ 15-12-14 16-12-14 NVI Y N Y Y 196

9 CHARSADA TANGI KP/31/14/056 M 18 15-10-14 7+ 12-11-14 14-11-14 EV Y Y Y Y 239

10 DIRLOWER SAMAR BAGH KP/23/14/018 M 42 07-07-14 0 CHILD DIED B/F STOOL COLLECTION UK UK UK DIED 339

11 DIRLOWER TIMERGARA KP/23/14/044 M 2 16-10-14 7+ 18-11-14 19-11-14 NVI UK UK UK Y 238

12 KOHAT KOHAT KP/50/14/037 F 8 28-09-14 6 20-10-14 21-10-14 EV Y Y N Y 256

13 PESHAWAR PESHAWAR KP/30/14/090 M 70 04-08-14 7+ 25-08-14 27-08-14 NVI Y Y Y DIED 311

14 PESHAWAR PESHAWAR KP/30/14/174 M 12 02-11-14 7+ LATE NOTIFIED Y Y Y Y 221

15 BHIMBER BARNALA AJ/60/14/007 F 32 15-12-14 7+ 12-02-15 13-02-15 NVI Y N Y Y 178


Table 7.1: AFP CASES PENDING FOR CLASSIFICATION

WITH DATE OF ONSET MORE THAN 90 DAYS* 2014 (1/1)

FUP = Residual Weakness at 60 days follow up. € Based on recall of parents 60 days Follow-up not done

S. No



LAB

FEVER

ASY

M

PR

OG

FUP

PEN

D

(DA

YS)

1 CHINIOT CHINIOT PB/54/15/006 F 108 05-01-15 3 LATE NOTIFIED N N Y DIED 157

2 FAISALABAD FAISALABAD CITY PB/51/15/015 F 132 31-01-15 7+ 17-03-15 18-03-15 NVI Y Y Y Y 131

3 FAISALABAD FAISALABAD SADAR PB/51/15/026 F 108 02-01-15 7+ LATE NOTIFIED

N N Y DIED 160

4 FAISALABAD FAISALABAD CITY PB/51/15/027 F 144 09-01-15 7+ N N Y Y 153

5 FAISALABAD FAISALABAD SADAR PB/51/15/029 M 5 17-02-15 5 22-04-15 23-04-15 NVI N Y Y 114

6 GUJRAT KHARIAN PB/23/15/011 M 24 27-01-15 7+ 01-03-15 02-03-15 NVI Y N Y Y 135

7 JHANG SHORKOT PB/53/15/007 M 161 11-02-15 7+ CHILD DIED B/F STOOL COLLECTION Y N Y DIED 120

8 KHANEWAL KABIRWALA PB/62/15/021 F 100 05-01-15 7+ LATE NOTIFIED

N Y Y Y 157

9 LAHORE RAVI TOWN PB/31/15/033 M 15 15-01-15 7+ N Y Y Y 147

10 MIANWALI PIPLAN PB/43/15/007 F 13 19-02-15 7+ 06-03-15 NVI Y N Y DIED 112

11 MUZFARGARH KOT ADDU PB/83/15/037 M 18 01-03-15 7+ 14-04-15 15-04-15 EV N Y Y 102

12 NAROWAL NAROWAL PB/26/15/011 F 25 07-01-15 7+ LATE NOTIFIED N Y Y Y 155

13 RAWALPINDI RAWALPINDI PB/11/15/014 M 5 14-02-15 6 08-03-15 09-03-15 NVI N Y Y Y 117

14 RAWALPINDI KALAR SYEDIAN PB/11/15/022 F 41 06-03-15 7+ 04-04-15 05-04-15 NVI N Y Y Y 97

15 SAHIWAL CHICHAWATNI PB/65/15/010 M 15 14-02-15 7+ 16-03-15 18-03-15 NVI N Y N 117

16 SARGODHA BHALWAL PB/41/15/011 M 21 02-03-15 7+ CHILD DIED B/F STOOL COLLECTION Y N Y DIED 101

17 SHEIKUPURA FEROZEWALA PB/33/15/014 M 15 20-01-15 7+ 21-03-15 22-03-15 VACC Y Y Y Y 142

18 SHEIKUPURA SHEIKHUPURA PB/33/15/010 M 131 30-01-15 7+ 11-03-15 12-03-15 NVI Y N Y Y 132

19 SIALKOT DASKA PB/25/15/014 M 168 02-03-15 7+ 22-03-15 26-03-15 NVI N N Y Y 101

20 TTSINGH PIR MAHAL PB/52/15/006 M 24 28-01-15 7+ 21-02-15 22-02-15 VACC N N Y Y 134

21 VEHARI MAILSI PB/63/15/014 M 4 14-02-15 3 25-03-15 26-03-15 EV N Y Y Y 117

22 KHIGADAP GADAP SD/63/15/002 M 18 08-01-15 7+ 23-01-15 24-01-15 EV Y Y Y Y 154

23 KHIGADAP GADAP SD/63/15/004 F 84 15-01-15 7+ 04-02-15 NVI Y N Y DIED 147

24 KHIGADAP GADAP SD/63/15/007 F 19 10-01-15 7+ LATE NOTIFIED Y Y Y Y 152

25 KHIKORANGI KORANGI SD/68/15/002 M 42 13-01-15 7+ 27-01-15 28-01-15 NVI Y N Y Y 149

26 BANNU BANNU KP/61/15/010 F 14 01-03-15 7+ 20-03-15 21-03-15 EV N Y Y Y 102

27 CHARSADA TANGI KP/31/15/003 M 2 01-01-15 3 28-01-15 29-01-15 VACC N Y Y Y 161

28 CHARSADA CHARSADA KP/31/15/017 F 30 05-03-15 7+ 22-03-15 23-03-15 NVI Y N Y 98

29 CHARSADA SHABQADAR KP/31/15/009 M 9 09-01-15 7+ 11-02-15 12-02-15 EV N Y UK 153

30 DIKHAN DIKHAN KP/60/15/017 F 120 03-03-15 7+ 31-03-15 01-04-15 NVI Y Y Y 100

31 KOHISTAN PATTAN KP/13/15/004 F 108 20-02-15 7+ 28-02-15 24-03-15 NVI Y Y Y 111

32 LAKKIMRWT LAKKIMRWT KP/62/15/004 F 30 02-01-15 7+ CHILD DIED B/F STOOL COLLECTION Y N N DIED 160

33 LAKKIMRWT LAKKIMRWT KP/62/15/007 M 120 17-01-15 7+ 28-02-15 NVI N Y Y Y 145

34 MARDAN MARDAN KP/40/15/011 F 71 26-02-15 7+ 14-03-15 15-03-15 NVI Y N Y Y 105

35 MARDAN TAKHT BHAI KP/40/15/040 F 21 10-03-15 7+ LATE NOTIFIED Y Y Y Y 93

36 NOWSHERA NOWSHERA KP/32/15/004 F 36 29-01-15 7+ 21-02-15 22-02-15 NVI Y N Y 133

37 PESHAWAR PESHAWAR KP/30/15/005 M 24 06-01-15 7+ 28-01-15 29-01-15 EV Y Y Y 156

38 PESHAWAR PESHAWAR KP/30/15/011 F 43 18-01-15 7+ 15-03-15 16-03-15 NVI Y Y Y 144

39 PESHAWAR PESHAWAR KP/30/15/015 M 48 04-02-15 7+ 05-03-15 06-03-15 EV Y Y Y 127

40 PESHAWAR PESHAWAR KP/30/15/018 M 24 23-02-15 4 09-03-15 10-03-15 NVI N Y Y 108

41 PESHAWAR PESHAWAR KP/30/15/025 F 132 09-03-15 7+ 26-03-15 28-03-15 NVI Y N Y 94

42 PESHAWAR PESHAWAR KP/30/15/057 F 24 27-02-15 7+ LATE NOTIFIED Y Y Y Y 104




FUP = Residual Weakness at 60 days follow up. € Based on recall of parents 60 days Follow-up not done

S. No



LAB

FEVER

ASY

M

PR

OG

FUP

PEN

D

(DA

YS)

43 SWABI LAHORE KP/41/15/022 M 10 28-02-15 7+ 04-04-15 05-04-15 VACC N Y N 103

44 SWABI SWABI KP/41/15/020 M 96 07-03-15 7+ 28-03-15 29-03-15 NVI Y Y Y 96

45 SWAT SWAT KP/24/15/004 M 167 22-02-15 7+ 09-03-15 10-03-15 NVI N N Y 109

46 MASTUNG MASTUNG BN/51/15/002 M 22 28-02-15 0 06-04-15 08-04-15 NVI Y Y Y Y 103

47 NOSHKI NOSHKI BN/15/15/002 F 22 11-03-15 7+ CHILD DIED B/F STOOL COLLECTION N N Y DIED 92

48 SIBI LEHRI BN/31/15/001 F 26 10-01-15 7+ 25-02-15 27-02-15 VACC Y Y Y Y 152

49 SIBI SIBI BN/31/15/004 M 14 02-01-15 7+ LATE NOTIFIED Y Y Y Y 160

52 HAVELI HAVELI AJ/51/15/001 M 96 20-01-15 7+ CHILD DIED B/F STOOL COLLECTION N N Y DIED 142

51 MIRPUR MIRPUR AJ/20/15/001 M 76 05-02-15 7+ LATE NOTIFIED

Y Y Y Y 126

52 NEELUM AUTHMUQAM AJ/80/15/002 F 12 10-03-15 7+ UK Y UK 93

53 SKARDU SHIGAR GB/21/15/001 M 120 04-03-15 7+ 20-03-15 22-03-15 NVI N N Y Y 99

54 BAJOUR MAMUND FT/33/15/006 M 12 09-03-15 7+ 19-04-15 20-04-15 EV Y Y Y Y 94

55 FR BANNU FR BANNU FT/69/15/004 M 30 25-01-15 7+ 05-03-15 15-03-15 NVI Y Y Y LOST 137

56 KHYBER JAMRUD FT/34/15/011 M 11 07-02-15 3 07-03-15 08-03-15 NVI Y Y Y Y 124

57 KHYBER JAMRUD FT/34/15/013 M 16 13-02-15 5 31-03-15 01-04-15 EV Y N Y Y 118

58 WAZIR-S WANA FT/65/15/002 M 22 08-02-15 2 05-03-15 07-03-15 VACC Y N Y LOST 123

59 WAZIR-S LADHA FT/65/15/005 F 13 10-03-15 0 05-04-15 06-04-15 EV Y Y Y LOST 93

60 WAZIR-S LADHA FT/65/15/009 F 22 27-02-15 3 LATE NOTIFIED Y Y UK Y 104




Documents

Weekly AFP Surveillance Update Pakistan · 2015. 7. 1. · 06 sindh nsl1kambar kambar sd/55/15/002 f 18 7-jan-15 0 7+ n y y n r4b5 07 KPAKHTUNKHWA PESHAWAR PESHAWAR KP/30/15/003 F