WHO Epi Report

Bob Sims · medicine forum addict Joined: 24 Mar 2005 Posts: 98

Meningococcal disease in India - update 3

30 May 2005

As of 26th May, 2005, the cumulative total of the number of cases is at
368 with 37 deaths (CFR=10.1%). 248 cases have been discharged from
hospital. The age distribution of cases show about 6% under age five,
32% between the ages of 5-14 years, 44% between 15-29 years, 10%
between
the ages of 30-44 and 6% aged 45 and older. The highest numbers of
deaths 62% was in the 15-29 age groups. The sex distribution of cases
shows about 74% are males and 26% females. The geographic distribution
of cases reported in Delhi shows the highest numbers of cases in the
zones of City, Shahdara North and South, Sadar Paharganj, Shahdara
South, Civil Lines and Central.

Contact tracing of all clinical suspect cases is being done and 305
households have been administered chemoprophylaxis. For cases residing
outside Delhi, the concerned district authorities have been informed.
All hospitals of Delhi Govt. and the Central Govt. have administered
approximately 12,000 vaccinations of quadrivalent meningococcal vaccine
to identified high risk groups (including health care workers).

Cerebral spinal fluid (CSF) samples have been received for testing at
the National Institute of Communicable Diseases (NICD), Delhi, 35
samples have tested positive so far for serogroup A.

For more information, please see the update of the Communicable
Diseases
Department, WHO Regional Office for South-East Asia

Poliomyelitis in Yemen - update

30 May 2005

On 29 May, the Ministry of Health Yemen confirmed an additional 71
cases, bringing the total number of cases associated with this outbreak
to 179. The majority of the new cases are from the same governorate as
the index case, Hudaidah governorate, on the Red Sea coast. These
additional cases were expected, as a significant increase in acute
flaccid paralysis (AFP) cases had been detected since the start of the
outbreak.

The outbreak was reported on 22 April, and the first case had onset of
paralysis on 25 February. Currently, 11 governorates are known to be
affected by the outbreak.

The rise in cases underlines the urgent need to conduct high-quality
immunization campaigns to rapidly boost population immunity levels. As
part of this effort, on 29 May the Ministry of Health launched a
nationwide immunization campaign, to reach all of the country's
children
under the age of 5 years with polio vaccine. More than 32,000
vaccinators have been recruited by the Ministry of Health. Between 30
May and 2 June, these vaccinators will go house-to-house to administer
polio vaccine to all children under 5 years of age across Yemen. The
second round National Immunization Day (NID) will be launched on 11
July.

Yemen has significantly strengthened active AFP surveillance throughout
the country to determine the spread of the outbreak, and is
implementing
appropriate nationwide immunization campaigns to rapidly boost
population immunity levels. To support the Ministry of Health, all UN
organizations, led by WHO and UNICEF, have joined forces to make these
polio campaigns a UN-priority in Yemen.

For more information

:: Polio Eradication Initiative

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