TABLE. Acute flaccid paralysis (AFP) surveillance indicators and number of reported cases of wild poliovirus (WPV) and number and proportion of WPV-positive environmental surveillance samples, by region and period — Pakistan, January 2018–September 2019.
| Characteristic | Area |
|||||||
|---|---|---|---|---|---|---|---|---|
| Pakistan total | Azad Jammu and Kashmir | Gilgit-Baltistan | Islamabad | Khyber Pakhtunkhwa | Punjab | Balochistan | Sindh | |
|
2018 AFP surveillance indicators
| ||||||||
| No. of AFP cases |
12,276
|
266 |
112 |
145 |
3,216 |
5,514 |
580 |
2,443 |
| Nonpolio AFP rate* |
14.0
|
12.8 |
17.1 |
21.2 |
20.6 |
12.2 |
14.2 |
12.7 |
| % with adequate specimens† |
87
|
88 |
85 |
80 |
86 |
88 |
87 |
88 |
|
2019 AFP surveillance indicators
| ||||||||
| No. of AFP cases |
10,800
|
273 |
115 |
140 |
2,400 |
5,207 |
465 |
2,200 |
| Nonpolio AFP rate* |
16.2
|
17.1 |
23.5 |
27.1 |
20 |
15.3 |
14.9 |
15 |
| % with adequate specimens† |
88
|
92 |
86 |
90 |
86 |
88 |
89 |
90 |
|
Reported WPV cases
| ||||||||
| Jan–Jun 2018 |
3
|
—§ |
— |
— |
— |
— |
3 |
— |
| Jul–Dec 2018 |
9
|
— |
— |
— |
8 |
— |
— |
1 |
| Jan–Sep 2019 |
72
|
— |
— |
— |
53 |
5 |
6 |
8 |
|
Total Jan 2018–Sep 2019
|
84
|
0
|
0
|
0
|
61
|
5
|
9
|
9
|
|
Environmental surveillance no. of samples (%)
| ||||||||
| Jan–Jun 2018 |
43 (13)
|
NA |
NA |
2 (33) |
13 (21) |
6 (6) |
6 (10) |
16 (16) |
| Jul–Dec 2018 |
96 (27)
|
NA |
NA |
5 (83) |
30 (39) |
23 (23) |
18 (30) |
20 (19) |
| Jan–Sep 2019 |
250 (43)
|
NA |
NA |
3 (25) |
31 (26) |
63 (35) |
45 (46) |
108 (65) |
| Total Jan 2018–Sep 2019 | 389 | NA | NA | 10 | 74 | 92 | 69 | 144 |
Abbreviation: NA = not available.
* Per 100,000 children aged <15 years.
† Adequate stool specimens are defined as two stool specimens of sufficient quality for laboratory analysis, collected ≥24 hours apart, both within 14 days of paralysis onset, and arriving in good condition at a World Health Organization–accredited laboratory with reverse cold chain maintained, without leakage or desiccation, and with proper documentation.
§ A dash indicates that no cases were reported in the area during the given period.