3 March 2009=
=
Poliovir=
us:
Very High Risk of Further International Spread from Sudan=
&nb=
sp;
On March 2nd=
the World Health Organization (WHO) posted on their website (www.who.int) the following notice: “=
The
recent expansion of a prolonged outbreak of wild poliovirus type 1 (WPV1) in
Sudan poses a very high risk of further international spread, requiring urg=
ent
and immediate outbreak response activities in the affected areas and height=
ened
surveillance in countries at risk.”
=
Of specific conce=
rn
to WHO is the presence of poliovirus in Port Sudan because from this area
poliovirus type 1 spread to cause over 1,200 cases of polio from 2004-2006,=
and
re-infected four nations:
Saudi Arab=
ia,
Yemen, Somalia and Indonesia.
Emergency outbreak response costs in these nations totaled over $150 million
USD.
=
WHO reports that =
the
current poliovirus type 1 outbreak is no longer confined to southern Sudan =
and western
Ethiopia.
Instead, polio infections have been documented in Uganda, Kenya, and=
northern
Sudan (Khartoum and Port Sudan).
=
In response,
“large-scale supplementary immunization activity (SIA)” has beg=
un
in northern and southern Sudan, and is planned for later this month in Ugan=
da
and Kenya.
=
While WHO advises
increased surveillance for acute flaccid paralysis (AFP) cases “across
central Africa, the Horn of Africa and the Gulf”, travelers to areas =
with
polio outbreaks who then arrive in the USA and are diagnosed clinically with
acute flaccid paralysis should also be evaluated for poliovirus infection. =
=
Daniel R. Lucey, =
MD,
MPH
EROne Institutes,
Department of Emergency Medicine
Washington Hospit=
al
Center
Georgetown
University Medical Center, Washington D.C.
Website for this
posting (requires Internet Explorer): ww=
w.BePast.org
e-mail: Daniel.R.Lucey@Medstar.net
------=_NextPart_01C99C17.E399FB30
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