Confirmation of type 1 polio Mastung case - the district of Balochistan new infection - and the two type 3 cases in North Waziristan and the Khyber Agency last week, has taken all of polio in Pakistan numbered 2011-148 (146-type 1 and type 2, 3 cases). 2010 144 of the case closed.The latest offering from Mastuung Mahjabeen is 36 months, which had begun to paralysis of October 23. The child resides in Killi Akhori, Ling Shamsullah, Union Council (UC) is a tehsil Mastung Khad Koch. How to remove the parents, the child has not received the oral polio vaccine (OPV) through routine immunization and supplemental immunization activities (SIA), as the refusal of the parents' based on religious reasons.
This is the first case of polio this year Mastung. The last case had onset of paralysis, January 10, 1999. A total of seven vaccination campaigns conducted in Mastung from January 2011, all components of the vaccine against type 1 poliovirus container. The last campaign took place in October 2011. The case points to significant deficiencies in the CPU.
In North Waziristan Agency (NWA), a girl of 16 months Sonehra onset of paralysis on 20 October. The child lives in an area of Tehsil Mir Ali. When the revocation of his parents, the child had received five doses of OPV, through the AVS. Vaccination in this area has been arrested in the campaign in September after the distribution of the letter against the polio campaign, the issue was subsequently resolved. Allegedly, there are several militant groups in the region.
This is the 10th case of polio in NWA this year, all in a period of 10 weeks, which indicates considerable immunity gap. The agency has reported 7 cases of polio last year. A total of eight immunization campaigns were conducted in the NWA since January 2011, all of them using the vaccine containing components against poliovirus type 1. The last campaign was conducted from October 25 to 27, 2011.
In Khyber Agency, was 18-month-old the appearance of paralysis Rashida on 15 October. The child lives in the village of Zar Malik Faqir, Akka Khel area in Bara tehsil Maira. When the revocation of his parents, the child had received any doses of OPV through routine or AVS). The area where the child's family resides is included in the list of high-risk areas of the agency because of the inaccessibility and sustained transmission / repeated re-infection. The area was inaccessible for vaccination teams since September 2009 to date.
A total of 16 cases of polio were reported to the agency this year to date (8 cases of Bara tehsil, 4 of each of Tirah and Landi Kotal). Khyber is the only agency / district of the country so WPV1 WPV3 and traffic this year. He was prosecuted polio outbreak in Khyber agency since last year at the beginning (Khyber Agency has reported 33 cases of polio last year, 25 type 1 and 8-3), indicating a large cohort of non-immunized and in vaccinated children. Khyber Agency had eight vaccination campaigns since January 2011. The last campaign was conducted national immunization days (NIDs) in accessible areas in October 2011. Coverage remained below 95 percent in all campaigns in accessible areas, except in two cases (January to April). More than 40 percent of children in the agency has remained inaccessible to the vaccination teams in most campaigns this year, except July.
The overall adjusted finger marking the agency's coverage remained below 60% in all the campaigns of 2011.
The areas available, the coverage is not uniform, as a large number of areas where coverage less than 95 percent.
An outbreak of 148 cases reported so far is: 16 of Khyber Agency, 10 North Waziristan Agency, 4 of each of Mohmand and South Waziristan Agency FR Kohat, FR 2 each of Lakki Marwat and Orakzai and Kurram and each of the agencies in FATA Bajaur, Peshawar 5, two of each and Torghar Bunir and each of Bannu, Dir and Swabi districts of Khyber Pakhtoonkhwa, 17 Killa Abdullah, 15 Pishin, Quetta 13, 4, Khuzdar, 3 and Noshki each and every one of Loralai Kohlu, Killa Saifullah, Mastung, Kalat in Baluchistan and Dera Bugti, 7, Thatta, Badin three, two each from Tando Mohammad Khan, Kambar, Sanghar, and Gaddap SITE Karachi cities Tando Allah Yar and all, Kashmore, Hyderabad, Umerkot, Jamshoro, Saddar, Baldia, the cities of Gulshan-e-Iqbal and Orangi in Karachi in Maharashtra, one case each of Lodhran and Okara in Punjab and one case of Diamir district, Gilgit and Baltistan
