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  • Philippines - 2019/2020 Polio

    Source: https://newsinfo.inquirer.net/115966...cted-in-sewage


    DOH urges polio shots; virus detected in sewage
    By: Jovic Yee - Reporter / @jovicyeeINQ
    Philippine Daily Inquirer / 06:20 AM September 01, 2019

    MANILA, Philippines — The Department of Health (DOH) on Saturday appealed to parents to have their children vaccinated against polio, after a test on Manila’s sewage showed the existence of the virus that causes the debilitating disease.

    Health Secretary Francisco Duque III said a recent sampling of Manila’s sewage tested positive for the vaccine-derived poliovirus (VDPV), which the World Health Organization (WHO) defined in its website as “an excreted vaccine-virus that can continue to circulate for an extended period of time.”...

  • #2
    POLIO CASE CONFIRMED IN THE PHILIPPINES: DOH TO MOUNT MASS IMMUNIZATION CAMPAIGN

    Press Release/19 September 2019

    The Department of Health (DOH) confirms that Polio is re-emerging in the Philippines, nineteen years after the country was declared polio-free by the World Health Organization (WHO) in 2000.

    Polio is an infectious disease which spreads rapidly. It can cause paralysis and, on rare occasions, can be fatal. There is no cure for polio—it can only be prevented with multiple doses of polio vaccines that have long been proven safe and effective.

    One polio case was confirmed in a 3-year-old girl from Lanao del Sur. Aside from the confirmed case, a suspected case of acute flaccid paralysis is awaiting confirmation. In addition, the poliovirus has been detected in samples taken from sewage in Manila and waterways in Davao as part of the regular environmental surveillance. The samples were tested by the Research Institute for Tropical Medicine and verified by the Japan National Institute for Infectious Diseases and the United States Centers for Disease Control and Prevention.

    A single confirmed polio case of vaccine-derived polio virus type 2 (VDPV2) or two positive environmental samples that are genetically linked isolated in two different locations is considered an epidemic in a polio free country.

    DOH, in close coordination with local government units and concerned national agencies, and with the support of WHO, the United Nations Children’s Fund (UNICEF), and other partners, is preparing a rapid response to the polio outbreak. This includes a series of synchronized oral polio vaccinations to protect every child under the age of 5 years in areas at risk beginning in October 2019. The DOH is also working with partners to strengthen environmental and Acute Flaccid Paralysis surveillance throughout the country to detect poliovirus.

    “We strongly urge parents, health workers and local governments to fully participate in the synchronized polio vaccination,” Health Secretary Francisco Duque III said, adding that “It is the only way to stop the polio outbreak and to protect your child against this paralyzing disease.”

    “Aside from immunization, we remind the public to practice good personal hygiene, wash their hands regularly, use toilets, drink safe water, and cook food thoroughly,” the Health Chief concluded.

    https://www.doh.gov.ph/node/18012



    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #3
      WHO, UNICEF and partners support Philippine Department of Health’s polio outbreak response

      19 September 2019 Joint News Release

      The Philippine Department of Health (DOH) today announced an outbreak of polio in the country. A poliovirus case was confirmed on 16 September 2019 in a 3-year-old girl from Lanao del Sur. In addition, environmental samples from sewage in Manila and waterways in Davao were confirmed to contain the virus.

      “We are very concerned that polioviruses are now circulating in Manila, Davao, and Lanao del Sur,” said World Health Organization (WHO) Representative in the Philippines, Dr Rabindra Abeyasinghe. “WHO and UNICEF are working closely with the Department of Health to strengthen surveillance and swiftly respond to this outbreak. We urge all parents and caregivers of children under 5 years of age to have them vaccinated so that they are protected against polio for life.”

      “It is deeply disconcerting that poliovirus has re-emerged in the Philippines after nearly two decades. The outbreak calls for urgent action to protect more children from being infected. It reminds us of the importance of increasing immunization coverage to 95% of children to stop polio virus transmission in the Philippines. Vaccination is the only and best protection against polio that mainly affects children under 5 years of age. As long as one single child remains infected, children across the country and even beyond are at risk of contracting polio,” said Oyun Dendevnorov, UNICEF Philippines Representative, “UNICEF is working with Department of Health and WHO to accelerate actions for the health and safety of children in the Philippines, especially in the affected regions.”

      Polio outbreak response

      Prior to the declaration of the outbreak, the Department of Health and its partners launched a polio immunization campaign in the City of Manila. Further mass polio immunization rounds will be rolled out from October 2019.

      The Global Polio Eradication Initiative (GPEI) is supporting the Philippine Government’s response, providing technical advice, on-the-ground monitoring and risk communication. The GPEI is a public-private partnership led by national governments with five partners – WHO, Rotary International, the US Centers for Disease Control and Prevention (CDC), UNICEF, and the Bill & Melinda Gates Foundation. Its goal is to eradicate polio worldwide.

      Local government action and advice to parents and caregivers

      WHO and UNICEF urge local governments to ensure that vaccination campaigns are planned and implemented effectively. Every community leader, religious leader and celebrity must mobilize their communities to participate in immunization activities.

      Parents and caregivers are advised that the best protection for their children is vaccination. It takes multiple doses of polio vaccine to achieve full immunity against polio.

      WHO and UNICEF also remind families to wash their hands regularly with soap and water, use a toilet, consume food that is fully cooked, and drink safe water. If the safety of your water is in doubt, boil it, ensuring it is bubbling vigorously for at least one minute before allowing it to cool.

      Oral polio vaccine

      The oral polio vaccine (OPV) is a safe and effective vaccine that has saved millions of lives over the years. More than 18 million people are able to walk today who would otherwise have been paralyzed, and 1.5 million childhood deaths have been averted thanks to the polio vaccine. Since the introduction of the polio vaccine in 1988, cases have decreased by over 99%.

      OPV contains an attenuated (weakened) form of the virus, activating an immune response in the body. When a child is immunized with OPV, the weakened virus replicates in the intestine for a limited period, thereby developing immunity by building up antibodies. During this time, the virus is also excreted in their faeces. In areas where there is inadequate sanitation and hygiene, the excreted weakened virus can spread in the immediate community before eventually dying out.

      If a population is not sufficiently immunized, the weakened virus can continue to circulate. The longer it is allowed to survive, the more changes it undergoes. In rare instances, the virus can change to a vaccine-derived poliovirus (VDPV), a form that has regained the ability to cause paralysis.

      The polio outbreak in the Philippines is confirmed to be from a circulating vaccine-derived poliovirus type 2. This is of particular concern, as wild poliovirus type 2 was certified as globally eradicated in 2015. Poorly conducted immunization activities, when too few children have received the required three doses of polio vaccine, leave them susceptible to poliovirus, either from vaccine-derived or wild polioviruses. Full immunization protects them from both forms of the virus.

      Philippines declared polio-free in 2000

      The last known case of wild poliovirus recorded in the Philippines was in 1993. The country was declared wild polio-free in 2000 along with the rest of WHO’s Western Pacific Region.

      Vaccination coverage in the Philippines has been steadily declining over the past few years. To stop the spread of polio in the Philippines, at least 95% of children under 5 years of age need to be vaccinated.

      https://www.who.int/philippines/news...break-response
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • #4
        Philippines confirms 2nd polio case after declaring outbreak
        ByJIM GOMEZ, ASSOCIATED PRESSMANILA, Philippines — Sep 20, 2019, 10:10 AM ET
        Francisco Duque IIIThe Associated Press

        Philippine health officials on Friday confirmed a second case of polio in a 5-year-old child a day after declaring the country's first outbreak in nearly two decades, and announced plans for a massive immunization program.

        Health Secretary Francisco Duque III said authorities confirmed the new case in a boy from Laguna province south of Manila after samples were found positive for the polio virus.

        Health officials declared a new outbreak Thursday after confirming the disease in a 3-year-old girl in southern Lanao del Sur province. They said the polio virus has also been detected in sewage in Manila and in waterways in the southern Davao region, prompting plans for an immunization drive starting next month that is likely to include tens of thousands of children under age 5.
        ...
        https://abcnews.go.com/Health/wireSt...break-65742515
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

        Comment


        • #5
          DOH & ROTARY INTERNATIONAL INK AGREEMENT TO END POLIO NOW
          Press Release/20 September 2019



          The Department of Health (DOH) today signed a Memorandum of Agreement (MOA) with Rotary International’s 10 Districts to heighten polio awareness and vaccination campaign in light of the reemergence of poliomyelitis in the country.

          Polio eradication is one of Rotary’s longest standing and most significant efforts. The Rotary Districts will provide support through fundraising, advocacy and volunteer recruitment, as DOH intensifies its health promotion activities focusing on sanitation and hygiene, and prepares for a rapid response polio vaccination campaign.

          In 2018, 12 out of the 17 regions in the country were identified as high-risk areas for polio reemergence. The National Capital Region is one of the identified regions with a high-risk of re-infection due to a number of factors including low polio vaccination coverage coupled with poor surveillance of polio symptoms, ongoing practice of open defecation, and poor sanitary practices in communities. OPV coverage at the National Capital Region has been steadily decreasing from 77.25% in 2016 to 23.45% in the second quarter of 2019.

          To mitigate the risk, DOH – Metro Manila Center for Health Development will conduct three (3) rounds of supplemental Oral Polio Immunization to ensure protection against polio among children under 5 years old.

          DOH will also strengthen surveillance of children below five years old who developed sudden onset of muscle weakness or paralysis of the upper and lower extremities, intensify implementation of the Zero Open Defecation Program, and strengthen environmental sanitation and personal hygiene.

          “It is unthinkable that a child will suffer from a disease that is highly preventable by vaccination. Together let us all work to protect our children and ensure their future,” Health Secretary Francisco T. Duque III concluded.
          https://www.doh.gov.ph/node/18013
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • #6
            Polio outbreak– The Philippines

            Disease outbreak news
            24 September 2019


            On 19 September 2019, the Philippines declared an outbreak of polio. Two cases have been reported to date, both caused by vaccine-derived poliovirus type 2 (VDPV2). Environmental samples taken from sewage in Manila on 13 August and a waterway in Davao on 22 August have also tested positive for VDPV2.
            The first case was confirmed on 14 September following testing by the National Polio Laboratory at the Research Institute for Tropical Medicine, the Japan National Institute of Infectious Diseases (NIID) and the United States Centers for Disease Control and Prevention (CDC). The case-patient is a 3-year-old girl from Lanao del Sur in the southern Philippines. The virus isolated is genetically linked to VDPV2 previously isolated from environmental samples in Manila and Davao. This indicates that the virus is circulating.

            The second case was confirmed on 19 September and is a 5-year-old boy from Laguna Province, approximately 100 km south-east of Metro Manila. Investigations and further characterization of the virus are ongoing.

            In addition, VDPV1 has also been isolated from environmental samples collected on 1 July, 22 July, 13 August, and 27 August from Manila.

            Vaccine-derived polioviruses are rarely occurring forms of the poliovirus that have genetically changed from the attenuated (weakened) virus contained in oral polio vaccine. They only occur when the vaccine virus is allowed to pass from person to person for a long time, which can only happen in places with limited immunization coverage and inadequate sanitation and hygiene. Over time, as it is passed between unimmunized people, it can regain the ability to cause disease. When the population is fully immunized with both oral polio vaccine and inactivated polio vaccine, this kind of transmission cannot take place. The gut immunity in people immunized with oral polio vaccine stops the virus from being passed on. Full immunization therefore protects against both vaccine-derived and wild polio viruses.

            Public health response
            • Acute flaccid paralysis (AFP) and environmental surveillance are being enhanced to detect poliovirus.
            • Field investigation is currently underway in Lanao del Sur to define the geographic scope of the circulation of the virus and inform planning for outbreak response including mass immunization campaigns.
            • The Department of Health (DOH) reinforced its recommendation that all children should be vaccinated according to the routine immunization schedule.
            • WHO and other partners of the Global Polio Eradication Initiative (GPEI) are supporting the Department of Health and local health authorities in their detailed investigations and supporting efforts to enhance surveillance, strengthen routine immunization, communicate risk to the public and implement outbreak response in line with internationally agreed polio outbreak response guidelines.
            WHO risk assessment

            WHO currently assesses the risk of international spread from the Philippines to be low. However, the risk of further spread within the Philippines is high due to limited population immunity (coverage of bivalent oral polio vaccine (OPV) and inactivated polio vaccine (IPV) was at 66% and 41% respectively in 2018) and suboptimal AFP surveillance.

            WHO advice

            It is important that all countries, in particular those with frequent travel and contact with polio-affected countries and areas, strengthen surveillance for AFP cases in order to detect virus importation and to facilitate a rapid response. Countries, territories and areas should also maintain uniformly high routine immunization coverage to minimize the consequences of any possible polio virus introduction or transmission.
            WHO recommends that all travellers and residents in polio-affected areas be fully vaccinated against polio.

            As per the advice of an Emergency Committee convened under the International Health Regulations (2005), the international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC). Countries affected by poliovirus transmission are subject to Temporary Recommendations . To comply with the Temporary Recommendations issued under the PHEIC, any country infected by poliovirus should declare the outbreak as a national public health emergency.
            ...

            https://www.who.int/csr/don/24-septe...hilippines/en/
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #7
              Source: https://www.aljazeera.com/news/2019/...055300864.html

              Red Cross alarm over polio outbreak in Philippines after 19 years
              Humanitarian group warns as many as 11 million Filipino children under five face a risk of death or disability.
              3 hours ago

              The International Red Cross and its Philippine affiliate have warned of an "alarming comeback" of the polio virus in the country, prompting the government to declare a national outbreak.

              The humanitarian group said in a statement on Wednesday that it is "scaling up" its efforts in the Philippines to help contain the highly infectious disease, which was declared eradicated in the country 19 years ago.

              Chris Staines, head of the International Federation of Red Cross and Red Crescent Societies (IFRC) in the Philippines, said as many as 11 million Filipino children under the age of five face a "high risk of disability and even death" because of the virus...

              Comment


              • #8
                Source: https://www.mindanews.com/top-storie...-test-results/


                3 children with “polio-like symptoms” confined in Marawi City hospital; DOH awaits test results
                By Froilan Gallardo -
                October 15, 2019 12:01 am

                MARAWI CITY (MindaNews / 14 October) — Three more children with “polio-like symptoms” were admitted to a local hospital here as health officials launched a province-wide vaccination on Monday to eradicate the crippling infectious disease.

                Lanao del Sur is where the first confirmed case of polio was reported 19 years after its supposed eradication in the country.

                Dr. Shalimar Sani Rakiin, chief of the Amai Pakpak Medical Center said the three children — all siblings and all under five years old — were admitted to the hospital last week.

                “All exhibited a weakening of their leg muscles which are symptoms of the polio virus,” Rakiin appraised Health Secretary Francisco Duque III and other officials here...

                Comment


                • #9
                  Source: https://www.who.int/csr/don/24-octob...hilippines/en/

                  Circulating vaccine-derived poliovirus type 1 – The Philippines

                  Disease outbreak news: Update
                  24 October 2019

                  On 27 September 2019 , a circulating vaccine-derived poliovirus type 1 (cVDPV1) has been confirmed in environmental samples in Philippines. The virus has been isolated from ten environmental samples, all genetically related, which were collected from one sewage collection site and its tributary pumping stations in Manila, between 1 July and 23 September 2019. This sewage collection site in the city of Manila has a catchment area of over 600,000 people.
                  Vaccine-derived polioviruses are rarely occurring forms of the poliovirus that have genetically changed from the attenuated (weakened) virus contained in oral polio vaccine. They only occur when the vaccine virus is allowed to pass from person to person for a long time, which can only happen in places with limited immunization coverage and inadequate sanitation and hygiene. Over time, as it is passed between more unimmunized people, it can regain the ability to cause disease. When the population is fully immunized with both oral polio vaccine and inactivated polio vaccine, this kind of transmission cannot take place. The gut immunity in people immunized with oral polio vaccine stops the virus from being passed on. Full immunization therefore protects against both vaccine-derived and wild polio viruses.
                  Philippines reported it’s last indigenous wild poliovirus in 1993 and the country is currently having an ongoing circulating vaccine derived poliovirus type 2 (cVDPV2) outbreak since September 2019. There has been persistently suboptimal immunization coverage for oral polio vaccine (OPV) and inactivated polio vaccine (IPV) in the country: 66% and 41% respectively in 2018.
                  Public health response

                  The Department of Health is coordinating the response activities, with the support of partners including the Global Polio Eradication Initiative (GPEI) and WHO. Public health response measures include:
                  • Outbreak response with bivalent OPV in the National Capital Region, strengthened routine immunization activities including inactivated polio vaccine (IPV) and strengthening of acute flaccid paralysis (AFP) and environmental surveillance.
                  • Polio outbreak investigation to determine the number and characteristics of cases and the context for environmental isolates, along with determining the geographic extent and assessing the risk of further transmission.
                  • Ongoing retrospective records review in health facilities to identify AFP cases for investigation.
                  WHO risk assessment

                  Given the subnational surveillance and immunity gaps and high levels of population movement within the country, the risk of national spread associated with this confirmed cVDPV1 is considered to be high.
                  The country is currently being affected by an ongoing cVDPV2 outbreak (Please see the Disease outbreak news published on 24 September 2019).
                  WHO advice

                  Countries, territories and areas should maintain uniformly high routine immunization coverage at the district level to minimize the consequences of any possible polio virus introduction or transmission. It is important that all countries, in particular those with frequent travel links and contacts with polio-affected countries and areas, strengthen surveillance for AFP cases in order to rapidly detect any new virus importation and to facilitate a rapid response.
                  WHO’s International Travel and Health recommends that all travellers and residents in polio-affected areas be fully vaccinated against polio. Residents (and visitors for more than 4 weeks) from infected areas should receive an additional dose of oral polio vaccine (OPV) or inactivated polio vaccine (IPV) within 4 weeks to 12 months of travel.
                  As per the advice of an Emergency Committee convened under the International Health Regulations (2005), efforts to limit the international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC). Countries affected by poliovirus transmission are subject to Temporary Recommendations . To comply with the Temporary Recommendations issued under the PHEIC, any country infected by poliovirus should declare the outbreak as a national public health emergency and consider vaccination of all international travellers.
                  For more information:





                  Comment


                  • #10
                    Source: https://www.rappler.com/nation/24356...ctober-28-2019

                    DOH confirms 3rd case of polio since outbreak
                    The Department of Health says the girl did not receive any dose of oral polio vaccine
                    Janella Paris
                    Published 1:48 PM, October 28, 2019
                    Updated 1:48 PM, October 28, 2019


                    MANILA, Philippines – The Department of Health (DOH) on Monday, October 28, confirmed the third case of polio in the country since it declared an outbreak in September.

                    The disease was found in a 4-year-old girl from Datu Piang in Maguindanao. According to the DOH, the girl did not receive any dose of oral polio vaccine (OPV).

                    The child had been under surveillance since September, after showing symptoms like fever, diarrhea, vomiting, and muscle pain, prompting the Cotabato Regional Medical Center to record a case of acute flaccid paralysis (AFP). AFP is a "sudden onset of paralysis or weakness in any part of the body of a child less than 15 years of age" according to the World Health Organization. Not all cases of AFP are from polio, as it is a symptom that may develop from other diseases like West Nile fever.

                    The stool samples tested positive of vaccine-derived poliovirus 2(VDPV2) and were found to be genetically linked to the virus found in the 3-year-old girl from Morogong, Lanao del Sur, the case that prompted the declaration of an outbreak in September. This means that the virus from Maguindanao and Lanao del Sur have similar structures...

                    Comment


                    • #11
                      Source: https://www.gmanetwork.com/news/news...io-case/story/


                      DOH confirms PHL's fourth polio case
                      Published November 5, 2019 11:28pm
                      By ANGELICA Y. YANG, GMA News

                      The Department of Health (DOH) has confirmed the fourth polio case in the Philippines on Tuesday evening.

                      The DOH, in a press statement, did not provide details of the case, just that the patient is from Mindanao.

                      "The test conducted by our Research Institute for Tropical Medicine and the Institute of Infectious Diseases- Japan confirms the fourth polio case in the country," Health Secretary Francisco Duque said in the statement.

                      The DOH is currently spearheading a vaccination campaign for children below five years of age in the municipalities where the third and fourth polio cases were discovered.

                      The DOH will be administering the next round of polio vaccinations in Mindanao from November 25 to December 8...

                      Comment


                      • #12
                        Source: http://www.xinhuanet.com/english/201..._138570069.htm

                        3 more confirmed polio cases reported in southern Philippines
                        Source: Xinhua| 2019-11-20 19:21:31|Editor: xuxin

                        MANILA, Nov. 20 (Xinhua) -- The Philippines reported on Wednesday three more confirmed polio cases in the southern Philippines, bringing the total cases to seven since the outbreak in September.

                        Health Undersecretary Rolando Enrique Domingo said the new cases includes a two-year-old girl from Maguindanao province, a one-year-old boy from Cotabato City and a four-year-old girl from Cotabato province.

                        Domingo said they are looking at water supply as the possible source of infection as polio virus is spread through oral-fecal route...

                        Comment


                        • #13
                          Source: https://www.doh.gov.ph/doh-press-rel...S%20OF%20POLIO
                          DOH CONFIRMS THREE MORE CASES OF POLIO

                          Press Release/20 November 2019
                          The Department of Health (DOH) today confirmed three (3) more cases of poliovirus, all from Mindanao, bringing the total of new cases this year to seven (7). Samples from the three (3) new cases that were sent to the Research Institute for Tropical Medicine and the National Institute of Infectious Diseases - Japan came out positive for poliovirus.

                          All three (3) cases were admitted to the Cotabato Regional Medical Center. The first case is a two year-old female from Maguindanao who presented with fever and weakness in both legs. The second case is a one year-old male from Cotabato City with fever, cough, and weakness in both legs. The third case is a four year-old female from North Cotabato showing fever, weakness of the right leg, neck, and facial muscles.

                          The first two cases were unvaccinated with the polio vaccine, while the third received incomplete doses.

                          “It is unacceptable that more children are falling victim to this vaccine-preventable disease. We are more determined than ever to make sure that no child shall be missed during the next round of the Sabayang Patak Kontra Polio in Metro Manila and Mindanao,” Health Secretary Francisco Duque III declared.

                          “We should not be satisfied with our children receiving only 1 or 2 doses of the polio vaccine. Let us ensure that they receive the complete doses of the vaccine to fully protect them from Polio,” the Health Chief added.

                          The previous round of the Sabayang Patak in October reported a 96% coverage among children 0-59 months old from the 17 cities/municipality in NCR. Davao del Sur recorded a 92% coverage from its 10 city/municipalities while Lanao del Sur reported an 85% coverage from 40 city/municipalities.

                          “We are reiterating to all parents and caregivers to have their 0-59 months children immunized with the polio vaccine from November 25 to December 7,” Health Secretary Francisco Duque III concluded.


                          Comment


                          • #14
                            Source: https://newsinfo.inquirer.net/119432...polio-case-doh

                            BREAKING: Girl, 9, from Basilan is PH’s 8th polio case – DOH
                            By: Daphne Galvez - Reporter
                            INQUIRER.net / 03:10 PM November 25, 2019

                            MANILA, Philippines — A nine-year-old girl from Basilan has been confirmed as the eighth polio case in the country this year, the Department of Health (DOH) reported Monday.

                            DOH said samples were taken from the girl and sent to the Research Institute for Tropical Medicine and the National Institute of Infectious Diseases–Japan for tests. And the tests came out positive for the poliovirus.

                            The health department also said the nine-year-old girl has not received vaccines against the disease...

                            Comment


                            • #15
                              Source: https://reliefweb.int/report/philipp...-december-2019

                              UNICEF-WHO Philippines: Polio Outbreak Situation Report #11 (11 December 2019)
                              Report from World Health Organization, UN Children's Fund
                              Published on 11 Dec 2019

                              Highlights

                              5 new human cases reported in the past week

                              In response to first human Vaccine Derived Polio Virus type 1 (VDPV1) case from the island province of Basilan, in the Bangsamoro Autonomous Region in Muslim Mindanao (BARMM), outbreak immunization was conducted in Maluso, Basilan with bivalent Oral Polio Vaccine (bOPV) against polio type 1, vaccinating 13,547 children under 10 years old (102% of the target)

                              Currently 9 human cases confirmed with circulating VDPV type 2 (cVDPV2); one case with VDPV1, one case with cVDPV1; and one case with immunodeficiency-related VDPV type 2 (iVDPV2).

                              A case with VDPV1 from Sultan Kudarat is pending genetic analysis - One case of cVDPV1 from Malaysia was confirmed as genetically linked to the Basilan case...

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