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Polio: How a Guinean child arrived in Mali, before being detected with polio (Itinerary)
Posted by: Mosaiqueguinee.com September 9, 2015 in News
Modern problems especially in Africa are summed up by these different threats: conflicts, epidemics, floods, climate change, terrorism, immigration ... But the problem of epidemics causes serious economic and public health consequences for Africans.
Without an end to the epidemic of Ebola virus disease and its harmful and disastrous consequences on the victims countries, now the Republic of Mali also has notified a case of polio on a child from the Republic of Guinea.
Again in Guinea. How did this happened ? Survey of the itinerary of this child of 19 months.
Child's identity:
Ibrahim Kamissoko is a boy, born in Guinea, 19 month old, of Guinean nationality, son of Mamady Kamissoko and Dogomani Dansogo. He resided in Siguiri, Barkoya district with Fakourou Kamissoko (Guinea) with his mother since birth until the onset of paralysis. The child arrived in Mali in search for physiotherapy on July 27, 2015. He is currently staying with his mom in S?b?nikoro, sector 1, Bamako Commune IV District with Badra Alou Kamissoko.
Vaccination status of the child
He would have been vaccinated only once (oral polio vaccine) according to mom, the first week of birth. The child does not have a vaccination card.
Mom said she gave birth to three (3) children born alive of which one died before the age of one month of unknown cause. There is no notion of paralysis in the family.
Circumstances of onset of the disease:
The onset of the disease dates back to July 20, 2015 marked by fever, sudden paralysis of the right lower limb. His mother would have consulted a traditional therapist the next day called Kossa Dansogo living in the same family, her big brother. The latter would have thought of witchcraft and would have given plants to make decoctions and wash the child.
On July 27, 2015, at the persistence of paralysis, the parents decide to take him to Mali for better care.
The same day, Ibrahim Kamissoko and his mom, actually arrive in Bamako, S?b?nikoro district, Commune IV.
On July 28, 2015, he was received at the reception of the Point G hospital in Bamako Service from where he was referred to the Physiotherapy Unit "Functional Rehabilitation Centre and Psychomotor Sundiata 'Health Centre Reference Commune III in Bamako.
He was consulted on the same day at the Physiotherapy Unit of the Common Reference Health Center III of Bamako district for paralysis of the right lower limb. The diagnosis of flaccid paralysis was made and stool samples taken on 1 and 2 August 2015 because the child had no stool the previous days.
The stool samples were sent to the National Directorate of Health (Immunisation Section) August 3, 2015.
On August 4, 2015, samples were sent to the laboratory of the Pasteur Institute in Abidjan. The laboratory received the stool August 6 2015 and the results were disclosed Friday, September 4, 2015 by the WHO Inter-country Support Team (IST) West Africa based in Ouagadougou.
The child was put under treatment based on oral Uteplex funnel, Alvityl syrup and functional rehabilitation sessions of the right leg that he pursues 2 times a week.
History occurred in the event of circumstances:
According to the mother at the time of the onset of paralysis, she lived with her child in Siguiri in Guinea in a family of six (6) households with several other children. The basic needs of water of the family would be provided by well water and tap water and excreta management is done through two (2) family latrines.
In Mali: the mother and her child live with the younger brother of the child's father who is on loan concession with four (4) other households and seven (7) children under the age of 15 years. Of the seven children under 15 years of the concession, one has never received vaccine doses and six (6) others are incompletely vaccinated.
Drinking water: the water supply source of the family is ensured by a public fountain.
Excreta disposal: there is a traditional latrine without cover in the concession; it is in fair condition.
Details of the circumstances:
Ibrahim Kamissoko paralysis occurred suddenly in an array of fever; parents have thought about witchcraft which is part of beliefs where the traditional therapist consultation reflex. According to the mother, no other cases of paralysis were seen in the family and the surrounding before and during the onset of paralysis of the child.
Itinary of the family before the onset of the disease:
The investigation team has not recovered notion of travel of family members during the two months preceding the onset of paralysis. The only trip taken is that of Mali to treat the child after the onset of paralysis.
The mother reports receiving in their families in Siguiri (Guinea) during the two months before disease onset, two women from Nabou, a town 130 km from Siguiri. One of them stayed for fifteen (15) days with her boy of three (3) and the other six (6) days with her daughter of three (3) years. Both children showed no health problem.
The child traveled with his mother from Siguiri to Bamako by road through Kour?mal? without transit.
Arriving at Bamako they stayed with Badra Aliou Kamissoko in S?b?nikoro before consulting the Point G Hospital the day after the "Functional Rehabilitation Centre and Psychomotor Sundiata" of the Commune III.
Response Plan for Mali
For this response, the strategy will be "door to door" and the target, all children 0 to 59 months regardless of their vaccination status. Based on the results of the investigation, Mali decided to organize four passes vaccination inclusive from 09 September to 30 November 2015.
It remains to be seen what strategy the Republic of Guinea will adopt to prevent this epidemic of polio.
Lancei TOURE
Communications Consultant
http://mosaiqueguinee.com/2015/09/0...-detre-detecte-souffrant-de-polio-itineraire/
