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AFP Surveillance Bulletin - India

Report for week 14, ending 7 April 2012


Table 1: AFP cases by month of paralysis onset, last 13 months
Jul-11

Aug-11

Sep-11

Oct-11

Nov-11

Dec-11

Jan-12

Feb-12

Mar-12

1110

161

289

51

62

83

98

114

157

132

106

131

101

93

95

Apr-12

Jun-11

Andaman & Nicobar

May-11

Andhra Pradesh

Apr-11

State/UT's

Total AFP cases AFP cases


AFP
as on
as on
cases in week 14, week 14,
2011
2011
2012

Arunachal Pradesh

37

Assam

470

72

91

32

46

60

60

38

48

24

46

39

33

30

28

17616

3328

3359

1332

1360

1392

1586

1858

1960

1626

1555

1450

1307

1123

928

Chandigarh

38

15

Chhattisgarh

319

50

81

21

18

30

30

44

42

24

24

31

28

24

29

D & N Haveli

0
0

Bihar

Daman & Diu

Delhi

707

109

128

46

47

53

79

78

82

87

59

56

52

43

33

Goa

26

Gujarat

1031

215

207

55

77

106

93

109

116

96

80

70

68

76

63

Haryana

996

141

234

60

83

86

98

118

116

92

80

90

107

74

53

Himachal Pradesh

141

26

37

12

11

12

14

12

19

15

11

13

17

Jammu & Kashmir

239

30

36

25

27

25

12

14

20

25

28

24

12

18

Jharkhand

1529

271

260

102

125

129

139

178

169

139

142

108

102

101

57

Karnataka

912

181

231

59

84

72

90

83

102

79

76

72

84

74

73

Kerala

392

101

83

16

23

31

36

20

34

52

35

32

34

25

24

Madhya Pradesh

2814

459

592

191

219

254

346

343

288

250

214

212

216

217

159

Maharashtra

2791

510

631

178

178

229

314

286

280

233

275

265

249

180

202

Manipur

19

Meghalaya

29

Mizoram

0
0

Lakshadweep

Nagaland
Odisha
Pondicherry

34

1157

212

237

73

67

85

93

143

89

153

137

83

107

72

57

13

0
0

Punjab

576

62

158

26

42

62

72

72

49

51

50

73

56

74

28

Rajasthan

1823

309

328

106

133

166

222

204

193

185

147

118

127

118

83

Tamil Nadu

622

119

148

35

46

55

58

64

44

43

67

74

60

57

31

Tripura

58

27

11

11

0
0

Sikkim

Uttarakhand

365

59

70

19

30

30

28

56

39

41

31

25

28

23

19

Uttar Pradesh

22374

4162

4158

1339

1595

1801

2002

2485

2729

2172

1995

1841

1593

1436

1128

West Bengal

2515

412

611

141

184

208

212

250

283

294

265

235

222

221

168

60776

11026

12042

3935

4474

4989

5710

6601

6881

5855

5454

5064

4620

4116

3303

TOTAL

"0" means that report was received but no cases were identified
Data from weekly case based reports

Polio cases and SIAs

WHO Country Office for India, National Polio Surveillance Project;


email: npspdata@npsuindia.org; website: www.npspindia.org

Page 2
Table 2: Classification of AFP cases and key surveillance indicators, 2011 and 2012
2011
2012

Total

> 90 Days

3.88

3.66

80

95

289

185

104

4.28

2.74

80

94

0.00

0.00

NA

NA

10.20

10.20

100

100
100

VDPV

Non-polio AFP rate

Discarded (non-polio
AFP)

62

AFP rate

Compatible

62

VDPV

1048

Confirmed Polio

AFP Cases

Non-polio AFP rate

AFP rate

> 90 Days

1110

Confirmed Polio

Total

Pending

Specimen
% with any specimen

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

37

34

6.57

6.04

76

97

2.68

1.34

50

Assam

470

462

3.72

3.65

91

99

91

70

21

2.73

2.10

93

99

17616

17

17175

424

424

41.27

40.23

88

98

3359

2677

682

24

29.42

23.44

91

99

Chandigarh

38

37

6.48

6.31

82

100

15

13

13.12

11.37

87

93

Chhattisgarh

319

279

39

39

3.38

2.95

64

92

81

57

24

3.03

2.13

85

99

D & N Haveli

2.82

2.82

75

100

10.83

10.83

100

100
NA

Bihar

Daman & Diu

5.36

5.36

100

100

0.00

0.00

NA

Delhi

707

675

32

32

8.57

8.19

81

98

128

98

30

6.96

5.33

87

97

Goa

26

24

6.65

6.14

73

92

4.72

4.72

100

100

Gujarat

1031

1013

18

18

4.71

4.63

84

95

207

162

45

3.57

2.80

85

96

Haryana

996

929

67

67

9.79

9.14

78

97

234

174

60

8.50

6.32

79

98

Himachal Pradesh

141

134

6.32

6.00

90

98

37

28

6.47

4.89

92

100

Jammu & Kashmir

239

237

4.53

4.49

97

100

36

35

2.66

2.59

97

100

Jharkhand

1529

1465

60

60

11.37

10.90

81

96

260

193

67

7.08

5.25

82

98

Karnataka

912

872

40

40

4.70

4.49

82

96

231

163

68

4.54

3.21

81

94

Kerala

392

377

15

15

4.25

4.09

81

96

83

61

22

3.69

2.71

86

96

0.00

0.00

NA

NA

0.00

0.00

NA

NA
97

Lakshadweep
Madhya Pradesh

2814

2741

72

72

9.33

9.09

83

97

592

454

138

7.42

5.69

83

Maharashtra

2791

2711

78

78

7.18

6.97

82

97

631

450

181

5.95

4.24

87

97

Manipur

19

19

1.79

1.79

89

95

1.38

1.38

100

100

Meghalaya

29

29

2.41

2.41

93

93

1.53

0.92

80

100

Mizoram

1.17

1.17

80

100

0.00

0.00

NA

NA

Nagaland

34

33

4.18

4.06

97

100

2.09

2.09

100

100

Odisha

1157

1125

31

31

8.32

8.09

81

97

237

185

52

6.25

4.88

82

97

13

13

3.77

3.77

92

100

5.28

5.28

100

100

Punjab

576

547

28

28

6.74

6.40

81

97

158

120

38

7.59

5.77

81

99

Rajasthan

1823

1753

68

68

6.47

6.22

79

96

328

252

76

4.37

3.36

85

98
100

Pondicherry

Sikkim

3.05

3.05

100

100

1.72

1.72

100

Tamil Nadu

622

607

15

15

3.76

3.67

91

98

148

125

23

3.12

2.64

91

98

Tripura

58

58

3.91

3.91

86

95

27

22

6.92

5.64

85

89

Uttarakhand

365

361

9.19

9.09

84

98

70

59

11

6.31

5.32

90

100

Uttar Pradesh

22374

21

21635

716

716

26.82

25.93

83

97

4158

3166

992

36

18.99

14.46

87

98

West Bengal

2515

2446

64

64

7.45

7.24

87

98

611

487

123

7.18

5.72

90

98

TOTAL

60776

50

58862

13.56

13.13

84

97

12042

9263

2778

94

10.24

7.88

87

98

1856 1856

AFP cases > 15 years of age or missing age information are excluded

Stool collection within 14 days


2011

84%

2012

87%

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

1491

140

103

1155

88

3004

NIV, Bangalore

1133

116

15

138

749

112

2266

94

82

177

IoS, Kolkata

1340

94

101

1102

38

2675

NCDC, Delhi

2185

203

69

1658

251

4331

CRI, Kasauli

442

32

30

357

23

900

KIPM, Chennai

1454

114

15

171

1153

2894

ERC, Mumbai

SGPGI, Lucknow
TOTAL

2998

151

36

578

1831

402

5994

11137

856

77

1195

8087

915

22241

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

>14
days

Number of
specimens
received by lab

15517

BJMC, Ahmedabad

7643

383

37

1427

5796

NIV, Bangalore

4835

328

92

1498

2917

9721

ERC, Mumbai

5778

341

68

1648

3721

11783

IoS, Kolkata

7141

280

39

1060

5762

14340

NCDC, Delhi

5822

259

25

485

5053

11710

CRI, Kasauli

1796

85

307

1400

3635

KIPM, Chennai

9293

337

69

1972

6915

18649

SGPGI, Lucknow

16662

772

196

6476

9218

33530

58970

2785

530

14873

40782

118885

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

39

10

14

IOS, Kolkata

99

23

26

22

26

NCDC, Delhi

202

47

44

53

47

KIPM, Chennai

130

19

47

21

38

NIV, Bangalore

131

31

39

26

29

Polio Laboratories

Number of
AFP cases
referred for
ITD

Wild poliovirus

Vaccine poliovirus

VDPV

8-14
days

>14
days

SGPGI, Lucknow

187

70

34

33

27

18

BJMC, Ahmedabad

145

48

23

27

43

933

246

223

187

224

39

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

642

197

105

153

124

52

IOS, Kolkata

205

55

18

78

49

NCDC, Delhi

253

69

24

100

59

Polio Laboratories

Number of
AFP cases
referred for
ITD

Wild poliovirus

Vaccine poliovirus

VDPV

8-14
days

>14
days
0

KIPM, Chennai

405

100

51

142

111

NIV, Bangalore

420

119

36

133

104

27

SGPGI, Lucknow

968

320

166

296

166

11

BJMC, Ahmedabad

422

122

55

129

101

14

3315

982

455

1031

714

107

TOTAL

Page 4
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

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

2010

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

Wild Polio cases, UP

Before 1997
Before 1997
Before 1997
Before 1997
Before 1997
Before 1997

2011

10 cases
P1-34 cases in 17 districts
P3-10 cases in 7 districts

0 case

P1
P3

Wild Polio cases, Bihar


2010

2011

9 cases
P1-3 cases in 1 district
P3-6 cases in 2 districts
Month

0 case

P1
P3

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

January

112

36

36

18

51

10

24

112

14

16

February
March

32

22

10

16

14

53

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
Total

134

69

17

31

100

10

28

221

17

48

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