Investigation of Six (06) Cases of AFP Notified from Week 01 to 17 in the Health District of Kolondièba in Mali in 2023
Abstract:
Poliomyelitis
is an infectious disease caused by the poliovirus and largely affects children under
the age of 05. Our descriptive study concerned the analysis of suspected cases of
poliomyelitis notified from week 01 to 17 in the health district of Kolondièba in
2023. During this period six (06) cases of AFP were notified by Community Health
Centers (CHC) from Diaka (02 cases), Kolosso (01 case), Central (02 cases) and Fakola
(01 case) case imported from the Ivory Coast in search of care. Their age range
was 0-4 years and presented paralysis of the lower limbs for some and upper for
others. Vaccination coverage with oral polio vaccine in the first quarter in Diaka
and Kolosso was> 95%,
on the other hand, Central and Kolosso had a rate <95%. The female gender accounted
for 66.67% of cases with a sex ratio of 0.6. The attack rate was 8.91 cases per
100,000 inhabitants. Only three of the six (06) cases received at least three doses
of vaccine. The risk factors were the uncontrolled migratory flow and the inaccessibility
of health centers. The assessment of the living environment did not show any environmental
risk factors. The survey made it possible to build the capacity of service providers
on the surveillance of notifiable diseases, raise public awareness of risk factors,
the declaration of children under 15 with paralysis regardless of the cause at the
health center. and compliance with the vaccination schedule.
References:
[1] WHO. Poliomyelitis
(polio) [Internet]. [cited 2023 May 10]. Available at: https://www.who.int/en/health-topics/poliomyelitis.
[2] Dao S, Oumar
AA, Traore B, Ndoutabe M, Maiga I, Bougoudogo F. Circulation of wild polioviruses
in West Africa: the example of Mali. Public
health. 2009;21(5):507 ‑12.
[3] Public Health
Ontario [Internet]. [cited 2023 Aug 9]. Poliomyelitis (polio) and acute flaccid
paralysis. Available at: https://www.publichealthontario.ca/en/Health-Topics/Immunization/Vaccine-Preventable-Diseases/Poliomyelitis.
[4] Kuss JJ. The
Global Poliomyelitis Eradication Initiative: a long road strewn with pitfalls. Public
health. 2011;23(1):55 ‑60.
[5] WHO. Circulating vaccine-derived poliovirus type 2 – Global
update [Internet]. [cited 2023 May 10]. Available at: https://www.who.int/emergencies/disease-outbreak-news/item/circulating-vaccine-derived-poliovirus-type-2-global-update.
[6] Conté A, Sawadogo
B, Gbamou N, Kouawo M, Yanogo P, Otshadiandjeka J, et al. Epidemiological profile
of acute flaccid paralysis (AFP) from 2009 to 2018 in Guinea. Journal of Interventional Epidemiology and Public Health
[Internet]. 2021 Sep 24 [cited 2023 Aug 9];4(7). Available at: https://www.afenet-journal.net/content/series/4/3/7/full/.
[7] Yapo FB, Doumbia-Ouattara
M, Kouame LK, Boa SCN, Diakite I, Kouame-Assouan AE, et al. Role of acute anterior
poliomyelitis (AAP) in acute flaccid paralysis (AFP) in children in Côte d'Ivoire
(CI). African Journal of Neurological Sciences. 2015;34(2):41 ‑7.
[8] Wilkinson AL, Diop OM, Jorba J, Gardner T, Snider CJ, Ahmed
J. Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2020-2021.
MMWR
Morb Mortal Wkly Rep. 2022 Apr 15 ;71(15):538 ‑44.
[9] DHIS2. Mali
Health Information System - SISM [Internet]. 2022 [cited 2023 May 6]. Available
at: https://dhis2.snissmali.org/dhis/dhis-web-commons/security/login.action.
[10] Sylla K. Acute
flaccid paralysis due to polioviruses: review of 11 years of surveillance
in Guinea (2005-2015). Bull Soc Pathol Exot. 28 Feb
2020;113(1):35 ‑8 .
[11] Doumtsop JGT,
Khalef I, Diakite MLB, Boubker N. AFP epidemiology and surveillance system performance
in Mauritania from 2008 to 2012. The Pan African Medical Journal [Internet].
2014 Aug 15 [cited 2023 Aug 9];18(305). Available at: https://www.panafrican-med-journal.com/content/article/18/305/full.
[12] Alagnide EH,
Kpadonou TG, Hans Moevi AA, Niama Natta D, Azanmasso H, Tonouheoua OAG. Acute flaccid
paralysis in children in Benin: topographical and etiological aspects. Journal of
Medical Rehabilitation: Practice and Training in Physical Medicine and Rehabilitation. 2015 Mar 1;35(1):5
‑9.
[13] Mali MOH CMS.
Annual national bulletin of epidemiological surveillance [Internet]. 2022 [cited
2023 May 6]. Available at: https://mali.iddsproject.org/.
[14] Ministry of
Health & Social Affairs. Technical Guide for Integrated Disease Surveillance
and Response in Mali. In 2021. p. 542.
[15] Mali MOH CMS.
Guide to implementing community-based epidemiological surveillance in Mali [Internet].
2020 [cited 2023 May 11]. Available at: https://mali.iddsproject.org/fr/search/node?keys=GUIDE.
[16] Farhat BE,
Salaaoui E, Tlili F, Tagorti R, El Berkri S, Turki R. http://www.santetunisie.rns.tn/.
2011 [cited 2023 May 13]. Surveillance of target diseases of the national program
of ... Available at: http://www.santetunisie.rns.tn/images/articles/guide2013.pdf.
[17] Bassey BE, Rui VG, Gasasira AN, Pascal M, Weldegbriel G,
Mulum TJ, et al. Characteristics of Acute Flaccid Paralysis in Akwa Ibom State,
Nigeria, 2006-2012. Health. 7 Nov 2014;6(19): ‑2
[18] Krasnodebski J, Poreba R, Cieślawski K, Beldoch J. PubMed
Gynecology Paul. 1 Jan 1988;59(1): ‑1
[19]
Poorolajal J, Ghasemi
S, Farahani LN, Hosseini AS, Bathaei SJ, Zahiri A. Evaluation of Acute Flaccid Paralysis
in Hamadan, Iran from 2002 to 2009. Epidemiol Health. 16 Nov
2011;33:e2011011.
[20] D’Errico MM, Barbadoro P, Bacelli S, Esposto E, Moroni V, Scaccia F, et al.
Surveillance of acute flaccid paralysis in the Marches
region (Italy): 1997–2007. BMC Infectious Diseases. 9 oct 2008;8(1):135.
[21] El Hage S, Safi S, Assouad E, El Kareh A, Mokled E, Salameh
P. Acute flaccid paralysis incidence rate and epidemiology in children in Lebanon:
a rise in numbers in the post-vaccination and refugee crisis era. Afr Health
Sci. 1 juin 2022;22(2):116‑24.
[22] Bassey BE. (PDF) Surveillance of acute flaccid paralysis
in Akwa Ibom State, Nigeria 2004–2009 [Internet]. 2009 [cited 2023 Aug 9]. Available
at:
https://www.researchgate.net/publication/51856062_Surveillance_of_acute_flaccid_paralysis_in_Akwa_Ibom_State_Nigeria_2004-2009.
[23] Masa-Calles J, Torner N, López-Perea N, Torres de Mier M de V, Fernández-Martínez
B, Cabrerizo M, et al. Acute flaccid paralysis
(AFP) surveillance: challenges and opportunities from 18 years' experience, Spain,
1998 to 2015. Euro Surveill. 2018 Nov 22 ;23(47):1700423.
[24] Wyne H. Sensitivity of the acute flaccid paralysis surveillance
system for poliovirus in South Africa, 2016–2019 - PMC [Internet]. 2019 [cité 15 août 2023]. Disponible sur : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604170/.