Tajikistan hit by deadly polio outbreak: WHO

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Re: Tajikistan hit by deadly polio outbreak: WHO

With an increase to 360 suspected cases, this appears to be getting worse very quickly.

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In Tajikistan, registered 84 cases of polio

In Tajikistan, with the beginning of recorded outbreaks of polio, there were 84 laboratory confirmed cases of polio, including two deaths. This information was reported on Friday, press secretary of the World Health Organisation (WHO) on poliomileta Christiana Salvi in Tajikistan.

In Tajikistan, which is part of the system of the WHO European region, registered the first outbreak of this dangerous disease since then, as in 2002 the European Region was declared polio-free zone.

As the representative of the organization, "is a large outbreak: Currently, registered 360 cases hospitalized with a suspected virus, including 84 confirmed, including two people died."

According to Salvi, now when the first stage of the universal vaccination of children in Tajikistan, the republic is carried out under the auspices of the UN Children's Fund (UNICEF) and WHO, we should expect the recession outbreak, reports "Interfax" .

"While the global campaign for immunization, we instill all children under six years old, that is all will be covered 1.1 million children in Tajikistan. We are confident that the outcome of all three rounds of vaccinations will be a sharp decline in polio cases," - said K. Salvi.

In Tajikistan, 4-8 May is already the first stage of the universal vaccination of children under six years of polio. On May 18-22, the planned second phase, and on June 1-5, the third and final phase of vaccination.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

TAJIKISTAN: Immunization drive should stem polio outbreak - WHO


16 May 2010 13:21:03 GMT
<!-- 16 May 2010 13:21:03 GMT ## for search indexer, do not remove
-->Source: IRIN
<!-- TAJIKISTAN: Immunization drive should stem polio outbreak - WHO --><!-- IRIN -->DUSHANBE, 16 May 2010 (IRIN) - A sharp decrease in polio cases is expected as a result of an ongoing nationwide anti-polio immunization campaign in Tajikistan, according to the World Health Organization (WHO).


"During the immunization campaign we are vaccinating all children under six, which is about 1.1 million children. We are sure that the result of these three rounds will be a decrease of infected cases," Cristiana Salvi, a spokesperson for WHO in Tajikistan, told IRIN in the capital Dushanbe.
The first round of the campaign ended on 8 May 2010, the second round will take place on 18-22 May and the third is slated for 1-5 June.
According to WHO [http://www.euro.who.int/communicablediseases/outbreaks/20100511_1], as of 9 May, Tajikistan had reported 278 cases of acute flaccid paralysis (AFP), the most common sign of acute polio but also associated with a number of other pathogenic agents. Of these, 56 have been laboratory confirmed as cases of wild poliovirus type 1 (WPV1) - of which 52 are in children under the age of six ? and five others have been confirmed negative for poliovirus. The remaining cases are still being determined.
"We have two confirmed deaths," said Salvi. "We are investigating the deaths among the suspected cases but we cannot confirm polio in those cases until we get laboratory confirmation."
This is the first polio outbreak in what WHO calls the 'European region' after it was declared a polio-free zone in 2002.
So far, all AFP cases have occurred in southwestern Tajikistan - bordering Afghanistan, a polio-endemic country - and Dushanbe.
On 23 April, WHO said [http://www.euro.who.int/communicablediseases/outbreaks/20100423_1] that genetic sequencing has determined that the WPV1 found in Tajikistan is most closely related to viral strains previously identified in Uttar Pradesh, India, another polio-endemic country.
First Russian cases
Russia, Tajikistan's main trade partner and home to an estimated one million Tajik economic migrants, has reportedly banned the entry of all children under six from Tajikistan.
According to some media reports on 14 May [http://english.ruvr.ru/2010/05/14/7835989.html], two polio cases, the first in five decades, have been confirmed in Russia recently ? one in Irkutsk and the other in Moscow. Both patients are newly arrived baby girls from Tajikistan.
In a blog posted on 13 May, Allana Shaikh, a Tajikistan-based public health expert and blogger, said [http://aidwatchers.com/2010/05/a-warning-from-tajikistan/]: "Tajikistan should simply not be seeing a polio outbreak. An 82 percent vaccination rate is enough to achieve herd immunity and protect even the unvaccinated."
The World Health Organization and Centers for Disease Control and Prevention put the herd immunity threshold for polio at 80-86 percent, meaning if this proportion of the population is immune to the disease, it should theoretically no longer persist.
"There are several ways that the health system could fail on vaccination," said Shaikh. "Vaccine records could be inaccurate, causing unvaccinated children to be missed by the system. Or the cold chain is not being maintained and the vaccines are losing effectiveness ? the oral polio vaccine is especially vulnerable to warm temperatures. Whatever happened, it's a sign of a health system weakness and the Ministry of Health of Tajikistan will need support to improve it.":tiphat:http://www.alertnet.org/thenews/newsdesk/IRIN/ea6ee1779501b3cc5db264153b8b6bab.htm

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

Outbreak Notice
Polio in Tajikistan and Uzbekistan
This information is current as of today, May 16, 2010 at 12:02 EDT

Released: May 14, 2010

Current Situation

An outbreak of polio is currently ongoing in the Republic of Tajikistan. This outbreak represents the first importation of polio in the World Health Organization (WHO) European Region since it was certified polio-free in 2002.
As of April 21, 2010, the Tajikistan Ministry of Health has reported 120 cases of acute flaccid paralysis, the most common sign of polio. Of the 120 cases, 108 are in children younger than 5 years old. Ten children have died.
Uzbekistan has also reported several cases of acute flaccid paralysis. These cases have occurred near the country?s border with Tajikistan.
Polio is a disease that is most often spread through contact with the stool (bowel movement) of an infected person. Polio germs can also be spread through food and water. The disease mainly affects children under 5 years old, but unvaccinated people of any age are at risk. Signs and symptoms of the illness include limb, respiratory, and facial paralysis, as well as diarrhea.
Recommendations for US Travelers to Tajikistan and Uzbekistan

Get vaccinated for polio

• Talk to your doctor to find out if you are up to date with your polio vaccination.
• Even if you were vaccinated as a child or have been sick with polio before, you may need a booster shot to make sure that you are protected.
• If you are traveling with children, be sure that they have been vaccinated, too.

Follow safe food and water practices

• Eat foods that are fully cooked and served hot.
• Eat and drink dairy products that have been pasteurized.
• Eat only fruits and vegetables that you can wash with safe water and peel yourself.
• Drink only bottled or boiled water or beverages that have been bottled and sealed (carbonated drinks, or sports drinks). Avoid tap water, fountain drinks, and ice.

Practice good hand hygiene

• Wash hands often with soap and water. If soap and water are not available, you can use an alcohol-based hand gel.
• Wash hands especially before eating, drinking or preparing food and after using the bathroom, changing diapers, and coughing or sneezing.

Polio Risk Areas in Tajikistan

Cases have been reported in the following 20 central and southwestern districts: Beshkent, Bokhtar, Djilikul, Dushanbe City, Faizabad, Gazimal, Gissar, Kabadien, Khodjamaston, Khovaling, Kofarnokhon, Kolkhozobad, Leninsk-Rudaky, Pandj, Sarband, Shajrinau, Shartuz, Tursunzade, Vakhsh, Varzob.
The Government of Tajikistan has requested technical guidance and support from WHO. WHO is communicating with neighboring countries about the outbreak. Tajikistan borders Afghanistan to the south, Uzbekistan to the west, Kyrgyzstan to the north, and People's Republic of China to the east.
Information for Healthcare Providers

Vaccine Recommendations: Infants and Children

• The Advisory Committee on Immunization Practices (ACIP) recommends that all infants and children in the United States receive 4 doses of inactivated poliovirus vaccine (IPV), administered at 2 months, 4 months, 6?18 months, and 4?6 years of age.
• If accelerated protection is needed, the minimum interval between the first three doses is 4 weeks, and the minimum interval from dose 3 to dose 4 is 6 months.
• A dose of IPV should be administered at age ≥4 years regardless of the number of previous doses.

Vaccine Recommendations: Adults

• Travelers who have received the series with either IPV or oral polio vaccine (OPV) as a child without an adult booster dose (either OPV or IPV) should receive another dose of IPV before departure.
• Available data do not indicate the need for more than one lifetime IPV booster dose for adults.
• Travelers who are unvaccinated, incompletely vaccinated, or whose vaccination status is unknown should receive 3 doses of IPV (2 doses at 4?8 week intervals followed by a third dose 6?12 months after the second dose). (See Chapter 2, Poliomyelitis, CDC Health Information for International Travel 2010, for details.)

More Information

• WHO press release
• Tajikistan Destination Page
• Uzbekistan Destination Page
• Poliomyelitis, CDC Information for International Travel, 2010
• Polio infection, CDC website
• Polio vaccination, CDC website:tiphat:http://wwwnc.cdc.gov/travel/content/outbreak-notice/polio-tajikistan-uzbekistan.aspx

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

May 13, 2010..Significant disease outbreaks are possible due to population shifts and a decline in some immunization coverage among the general population. There have been outbreaks of polio in the southwest areas of the country near the borders with Afghanistan and Uzbekistan, including the capital city Dushanbe...:tiphat:http://www.travel.state.gov/travel/cis_pa_tw/cis/cis_1037.html

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

16th May 2010, 11:51
Tajikistan struggles against the polio virus
By Benedikt von Imhoff, dpa Dushanbe / Moscow (dpa) - In Tajikistan fighting authorities and population with a treacherous and believed to overcome disease: poliomyelitis (polio). "I fear for the health of my four children have," says the 39-year-old Nasiba in the capital Dushanbe. "I am afraid if they go with their friends or classmates to play on the road." Feverishly organized the desperately poor Central Asian country with international assistance, mass vaccination. The World Health Organization has confirmed 52 previously polio cases in Tajikistan, two people died, 300 are suspected of having the virus in hospitals.According to other data, the number of victims is far higher.

The terrified residents complain that they were only informed about the seriousness of the situation, when rumors of strange illnesses in the country accumulated. "If the children had been vaccinated before, there would not now," this dangerous situation, complains the 32-year-old Schokima. And the 59-year-old Galina's verdict: "In the prevention of diseases lags behind our country since time immemorial."

"The polio virus spreads rapidly because of poor hygienic conditions," the Health Ministry warns in Dushanbe. Polluted water, difficult social conditions, mosquitoes and not to be controlled drugs from neighboring Afghanistan favor the pathogen. Afghanistan is next to Pakistan, India and Nigeria, one of four countries where polio is raging.

The problems are also home-made: The health education in the authoritarian rule of Tajikistan is bad, experts complain. There is little warning leaflets, the state TV and radio stations reported little on preventive measures. Newspapers are rare and usually appear only once per week. Especially in the remote areas of the rugged country of high mountains, many people know nothing about the danger which threatens them. In the capital, the fear is growing daily. "In the bus you watch the other passengers, and are thinking:" Whether they are probably well? "Says Galina.

Then comb through WHO, UNICEF and the Ministry of Health staff the dirty villages, roads and houses to non-vaccinated people. In three Impfwellen total to just over a million small children are given a polio vaccine. Four million doses of vaccine are available. But the work is difficult: even in Tajikistan there are migrant workers who do not log in to the new location, let alone a record of vaccinations. In addition, drive around charlatans who demand money for alleged drugs. The mass vaccination is free.

Meanwhile, polio and the huge country, Russia has achieved. At nine months old, two girls - one in Moscow, one in Irkutsk, Siberia - have proved the doctors pathogens. The children were entered with their parents from Tajikistan. Approximately one million Tajiks are working in much richer Russia, in Moscow alone are reported 20 000. The real figure is much higher. Moscow pulls the emergency brake - and prohibits Tajik children to six years to the end of the vaccination program on 6 June entry.

In addition, Russia will stop the import of dried fruits and nuts from Tajikistan. The products can transport the polio virus. Since they are eaten uncooked, it constitutes a risk for Tajikistan is a disaster: Annual exports the Central Asian Republic of more than 100 000 tonnes of dried fruit, for many families this is their only source of income. :tiphat:http://www.greenpeace-magazin.de/index.php?id=55&tx_ttnews%5Btt_news%5D=79455&tx_ttnews%5BbackPid%5D=23&cHash=901023f119

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

The World Health Organization has confirmed 52 previously polio cases in Tajikistan, two people died, 300 are suspected of having the virus in hospitals.According to other data, the number of victims is far higher.

It is worth keeping in mind that for every paralytic case of polio, there are about 50-200 non-paralytic cases, some of whichwill still present as meningitis or other significant illness. So 360 paralytic cases likely represents tens of thousands of infections.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

http://aidwatchers.com/2010/05/a-warning-from-tajikistan/

just asking that aid benefit the poor? TIME magazine covers 1Million Shirts
Esther-mania! ?A warning from Tajikistan
By Guest Blogger | Published May 13, 2010
The following post was written by Alanna Shaikh. Alanna is a global health professional who blogs at UN Dispatch and Blood and Milk.

A polio outbreak is underway in Tajikistan. 12 people have died of the diseases since March. 32 cases of polio have been confirmed, and 171 cases of acute flaccid paralysis (a signal of possible polio) have been identified. That?s a full-fledged outbreak in a country with an 82% vaccination rate. Until this January, there hadn?t been a polio case in Tajikistan for 13 years; Tajikistan was certified polio-free in 2002.

Tajikistan should simply not be seeing a polio outbreak ? an 82% vaccination rate is enough to achieve herd immunity and protect even the unvaccinated. And we know this is not one of the rare vaccine-caused outbreaks because the WHO has done genetic analysis on the polio strain ? it is wild polio.

Something has gone wrong in the health sector in Tajikistan. There are several ways that the health system could fail on vaccination. Vaccine records could be inaccurate, causing unvaccinated children to be missed by the system. Or the cold chain is not being maintained and the vaccines are losing effectiveness ? the oral polio vaccine is especially vulnerable to warm temperatures. Whatever happened, it?s a sign of health system weakness and the Ministry of Health of Tajikistan will need support to improve it.

This outbreak calls into question the disease eradication approach to public health. Tajikistan has shown genuine commitment to polio eradication and that commitment has not been enough. Without a health sector strong enough to ensure effective vaccination coverage, a single-disease focus just doesn?t work. That idea is slowly being accepted. Eradication proponent Bill Gates called the eradication approach into question in his annual letter, mentioning slow progress to date in Nigeria.

If disease eradication is not the key to promoting global health, what is? Successful immunization against dangerous childhood diseases requires the same basic health sector resources as fighting HIV, protecting maternal health, and preventing chronic illnesses: a sufficient number of trained staff, useful data and the ability to act of it, health infrastructure, and effective financing methods. Support for those resources therefore strengthens a nation?s health as a whole.

Moving to a health systems approach for supporting global health will maximize the impact of global health spending. Every dollar spent will battle more than one disease. A broad systems approach also directly supports the goals of disease eradication by making sure that health staff are available, and trained, to provide vaccinations, and that the logistical system is in place to keep vaccines cold.

A systems approach will also support the structures needed to maintain disease elimination. Even after polio has been eliminated from a region, vaccination for the disease needs to continue as long as it still exists in human patients anywhere. And surveillance is necessary to watch and prepare for new outbreaks of the disease, like the one we are seeing in Tajikistan.

Tajikistan?s polio outbreak is a warning sign. You can?t eliminate a disease without also building a health system that ensures the disease stays eliminated.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

http://promedmail.org/pls/apex/f?p=..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1090,82767

Russian to English translationShow romanization
Archive Number 20100518.114784
Published Date 18-May-2010
Subject PRO / RUS> Poliomyelitis - Russia (Moscow, Chelyabinsk - imported cases from Tajikistan)


Poliomyelitis - Russia (Moscow, Chelyabinsk - imported cases from Tajikistan
************************************************** ************************
Date: May 18, 2010

(1)
From: ProMED-mail correspondent VM
Source: IA: ?newizv.ru?, May 17, 2010 [Moderator NP]
http://www.newizv.ru/lenta/126582/


All Russian children immediately taken away from Tajikistan
-------------------------------------------------- -

In response to the outbreak of an infectious disease of polio by the end of June 2010 from Tajikistan plan to remove all children who have Russian citizenship. This is today's chief sanitary doctor Gennady Onishchenko.

According to Rospotrebnadzor, today in Tajikistan confirmed 359 cases of polio infection. More than 10 people have died from the disease. What is worse is that 74% of infected people - children under 6 years. That is why the Russian authorities decided to remove from the Central Asian republic of all babies in May and June. According to Rospotrebnadzor, the territory of Tajikistan today live more than a thousand children who have Russian citizenship. So the last day of the Tajik people came 4253, 55 of which - children (24 children are citizens of Russia).

Gennady Onishchenko, the chief sanitary doctor, said today that all information on arrivals to the country of Russian children in Tajikistan immediately transferred from the crossing points at their place of residence for medical observation, said. Vaccinations against polio so far received more than 350 children who arrived in Russia. Meanwhile, in Tajikistan itself today completed the first phase of vaccination against this dangerous virus. The second and third stages of grafting citizens planning to spend up to June 5.

Recall that from the beginning of May in Russia were reported two cases of polio infection, one in the city of Angarsk (Irkutsk Region), and the second - in Moscow. Both cases occurred with a 9-month-old girl whose parents came to Russia from Tajikistan.

In connection with the outbreak of polio, Rospotrebnadzor banned from entering Russia children under 6 years old, citizens of Tajikistan. In addition, banned the import of dried fruits and nuts from the Central Asian republic.

(2)
From: ProMED-mail correspondent VM
Source: IA: ?metronews.ru?, May 16, 2010 [Moderator NP]
http://www.metronews.ru/news4/v_moskve_u_ewe_odnoj_devochki_podtverdilsya_diagnoz_poliomielita/

In Moscow, another girl was confirmed polio
-------------------------------------------------- ----

A second 9-month-old girl, hospitalized in infectious diseases hospital, is the bearer of a deadly virus.

Laboratory studies have shown that the little girl caught in a metropolitan hospital with a suspected polio, is a carrier of the virus and can be dangerous to others, according to Life News.

Recall that two nine girls were hospitalized in the first infectious diseases hospital of the capital on May 11.

- In one of them polio was confirmed by laboratory - told in the clinic. - As regards the second, it is not sick, but is a carrier of the virus and can infect them around.

Both girls, along with their parents recently returned to Moscow from Tajikistan, where outbreaks of infectious disease vysokozaraznogo.

Meanwhile, doctors have taken control of all the relatives Ruhshany that are directly in contact with her. Tests are passed to the district clinic this morning. Their results will be known until Monday.

(3)
From: ProMED-mail correspondent VM
Source: IA: ?metronews.ru?, May 15, 2010 [Moderator NP]
http://m.74.ru/newsline/286684.html


From the airport of Chelyabinsk taken Tajiks with suspected polio
-------------------------------------------------- -----------------

At the airport on the eve of Chelyabinsk was hospitalized 27-year-old
Tajik citizen with suspected polio. Told
Shelyabinsk.ru said reliable source. Accurate diagnosis of the migrant is not
posed. What flight arrived a man, not named: yesterday in the capital
Southern Urals aircraft landed in Yerevan (Armenia), the day before - of
Dushanbe, on 10 May - from Khujand (both - Tajikistan).

As the press service of the governor, in the Chelyabinsk region in accordance
orders of the Ministry of Health and Rospotrebnadzor prevention
delivery <wild> polio were reinforced at the beginning of the month. This is
registered in Tajikistan cases of acute flaccid paralysis,
caused by the presence of poliovirus. Given the active trade links and
movement of citizens between the former Soviet republic and our region, the South
Urals, from 7 May conducted the identification and vaccination of polio vaccine
Children under 15 years old, arrived in Tajikistan since the beginning of 2010.

Professionals required to strengthen quarantine and sanitary control
passengers arriving from Tajikistan by air, rail and
road. The crews of airplanes, buses and trains
briefed on the basic symptoms of polio and
algorithm for action in case of identification of disease. If you suspect
disease in a child or adult being a full range of
sanitary-epidemiological measures. Bodies of Internal Affairs
Chelyabinsk region also received a clear indication if necessary
supply of refugee, nomads, displaced people forced to
medical examination. It will also be stopped from entering the
RF dried fruits and nuts, the country of origin is Tajikistan,
including private traders in hand luggage.

[Comment Cor. VM. Sitautsiya outbreak of poliomyelitis in Tajikistan and the spread of infection on the territory of Russia poses a threat to the polio eradication program, not only in Russia itself, but also in Europe too. It is sad that in Russia, where since 2002 she noted the provision of "wild" polio virus, one after the other hospitalized children and adults with suspected polio.

Preprinimaemye Rospotrebnadzor measures to identify zabolevnshih polio among children who come from polio-affected regions, of course give some effect, especially in conjunction with emergency vaccination against poliomyelitis. Given that immunity to polio is formed within 2 weeks after vaccination, is considered justified interval privipkami in 16 days. Good results for the Prevention of the disease by domestic agents, a rational vaccination gives ground for hope that the system of immune protection of Russian children will not be broken, and they promptly receive immune protection .- Cor VM]

See also:
14-MAY-1910 PRO / RUS> Poliomyelitis (2 nd imported cases) - Russia (Moscow) 20100514.114516

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

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In Tajikistan, the number of hospitalized with suspected polio has risen to 409

18.05.2010, 14.40 18.05.2010, 14.40

Dushanbe, May 18. Itar-Tass. In Tajikistan, you can not locate an outbreak of polio, sweeping the heavily populated south-western districts of the republic, as well as Dushanbe. According to the Ministry of Health to date in the country registered with suspicion of a dangerous infectious disease 409 children and adolescents, and 49 more than a week ago.

However, as stressed in an interview with a correspondent. ITAR-TASS the chief of the National Center of Immunization Shamsiddin Dzhobirov, laboratory-confirmed polio while in 84 people. Three of the hospitalized died.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

http://www.reuters.com/article/idUSTRE64H2G520100518

Polio outbreak spreads in Tajikistan, WHO warns
GENEVA
Tue May 18, 2010 7:09am EDTRelated NewsIslamic nations say will tackle maternal deaths: U.S.
Mon, May 17 2010
Russia confirms first polio case in 13 years
Fri, May 14 2010
WHO panel to review H1N1 pandemic status in coming weeks
Tue, May 11 2010
WHO sees good progress on U.N. health goals for poor
Tue, May 11 2010
WHO sees good progress on UN health goals for poor
Mon, May 10 2010GENEVA (Reuters) - A polio outbreak in Tajikistan has spread, with 108 confirmed cases among children, and more expected, the World Health Organization (WHO) said on Tuesday.

Health

The epidemic in the former Soviet republic is the latest setback to the United Nations agency's multi-billion dollar efforts to eradicate the disease worldwide, begun in 1988.

Mass vaccination campaigns are underway in Tajikistan and neighboring Uzbekistan this week to prevent further spreading of the virus, WHO spokeswoman Sona Bari said.

"There are 108 confirmed cases of polio and we will probably see more cases because a number of cases are still pending analysis," she told Reuters.

Twelve Tajik children had died from paralysis, but it was not yet clear whether these were from polio, she said.

Polio, which spreads in areas with poor sanitation, attacks the nervous system and can cause irreversible paralysis within hours of infection.

Russian health authorities confirmed last Friday its first polio case in 13 years in a child visiting from Tajikistan.

There were about 1,600 cases of polio in 23 countries last year, according to a WHO progress report submitted to health ministers from its 193 member states holding their annual assembly in Geneva this week.

The virus is considered endemic in four countries -- Afghanistan, India, Nigeria and Pakistan. Insecurity has hampered efforts to reach children with an oral vaccine in Afghanistan and Pakistan, according to the WHO.

The WHO has suggested a budget of $2.6 billion for combating polio in 2010-2012, but says it faces a funding shortfall of about 50 percent for that period.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

http://avesta.tj/index.php?newsid=4884

Russian to English translationShow romanization
Today, 17:41 The news was read 23 people
In Tajikistan, launched the second phase of vaccination of children against polio

Dushanbe, May 18 - "Avesta". - | In Tajikistan, today began the second phase of the campaign to immunize children against polio. The third round is scheduled for 1 - 5 June 2010.

As noted in a joint press release from the Ministry of Health of Tajikistan, UNICEF and WHO, the results of the first round showed that more than 1.1 million children, or 99,6% of children from the target group were vaccinated.

"Ensuring that all children under 6 years of properly performed vaccinations in order to normalize the process is the professional and ethical duty of all health workers - said Minister of Health of Tajikistan Nusratullo Salimov. - Any action that disrupts vaccination of all children in the age of 6 years, contribute to undermining all our efforts to stabilize the situation. "

"Each dose of oral polio vaccine (OPV) is important because further strengthens the immunity of children against polio, - said the head of the WHO in Tajikistan, Santino Severoni. - That's why every child under the age of 6 years, at least three times should get the vaccine to stop the transmission of the virus. Every child who fails to receive the vaccine, is vulnerable to the virus.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

Polio Outbreak in Tajikistan Widens

18 May 2010
Combined Reports
http://www.themoscowtimes.com/mt_profile//A polio outbreak in Tajikistan has spread, with at least 108 confirmed cases among children, the World Health Organization said Tuesday.
Mass vaccination campaigns are under way in Tajikistan and neighboring Uzbekistan this week to prevent further spreading of the virus, WHO spokeswoman Sona Bari said.
She said 12 Tajik children had died from paralysis, but it was not yet clear whether the deaths were from polio.
Meanwhile, three children from Tajikistan have been hospitalized in the Moscow region with suspected polio, Interfax reported Tuesday. Two more Tajik girls were diagnosed with polio in Russia last week.:tiphat:http://www.themoscowtimes.com/news/article/polio-outbreak-in-tajikistan-widens/406246.html

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

While the number of cases seems to be increasing, this WHO statement that the first round of vaccination seems to have produced a drop in cases is encouraging; we don't know the onset dates of any of the cases - perhaps some of the increase is due to delayed reporting.

http://translate.googleusercontent....le.com&usg=ALkJrhhM6TxTSsbGVZTaPmEMEAY-h1ej3w

WHO does not recommend quarantine in schools and kindergartens in Tajikistan due to the situation with polio
19.05.2010 16:14 19/05/2010 16:14
WHO Representative Office in Tajikistan, said that as of May 19 in the country on suspicion of polio recorded in 431 cases of acute, flaccid paralysis (AFP), of which positive for polio were 126 cases. Deaths registered in the two cases, wrote news agency Asia-Plus " .

According to the source, the majority of cases reported in the southwestern part of the country, ie in the region, which borders Afghanistan and Uzbekistan. "As a consequence of the first round of immunization, has been a slight decrease in the number of reported polio cases and we expect further reduction in the number of cases where progress immunization campaign" - says the source.

In order to stop polio, it is necessary to vaccinate all children in Tajikistan in the age of 6 years, three times, said WHO. "Any action that disrupts vaccination of all children in the country at the age of 6 years, contribute to undermining all our efforts to stabilize the situation" - otmetchaet source.

"Vaccines are purchased by UNICEF, is currently in use worldwide and morbidity caused by wild poliovirus have been reduced by more than 99%, saving the lives of more than 5 million children from paralysis. Cases of infection associated with polio vaccine (paralytic poliomyelitis) occurs in extremely rare cases, about 1 in several million people who received vaccination, - the representative of WHO. - WHO does not recommend such measures as closing schools and kindergartens, as the virus is transmitted is hidden, and this means that polio can be widely distributed in society, yet he will not be detected in the form of paralysis. "

"The Ministry of Health, with WHO support, closely followed the investigation into the outbreak, and will consider the need for vaccination of older children, after the successful completion of three rounds of vaccination in children under 6 years", - stressed in the office.

According to WHO, in Uzbekistan, some reported cases of AFP were negative for the virus of poliomyelitis, but as a precaution, immunization campaign against polio they began on May 17. Kazakhstan is planning to campaign against polio in June.

Afghanistan, as one of the four countries (Afghanistan, India, Nigeria and Pakistan) in the world where polio is still endemic, immunization campaign held on 3 May this year.

WHO does not recommend restrictions on international travel and trade in case of detection of poliovirus, or other measures such as quarantine. But it stresses that the standard recommendation for mandatory vaccination of citizens arriving in the infected areas, and leaving them.

The recommendations are valid until until outbreak is not stopped completely.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

http://promedmail.org/pls/apex/f?p=..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1090,82859

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Archive Number 20100522.115333
Published Date 22-MAY-2010
Subject PRO / RUS> Poliomyelitis - Tajikistan (7)



Poliomyelitis - Tajikistan (7)
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Date: May 22, 2010
From: ProMED-mail Cor WM
Source: IA: ?a-rbi.ru?, May 21, 2010 [Moderator NP]
http://a-rbi.ru/ru/issues?news_id=9399

Tajikistan continues to spread polio
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Up to 126 people, an increasing number of cases of poliomyelitis in Tajikistan, mainly - children. As of May 19 in the republic were more than 430 people who have suspected acute flaccid paralysis, in 126 cases diagnosed with laboratory confirmed. This ITAR-TASS referring to the official data of the Tajik representative of the World Health Organization (WHO). According to WHO, the epicenter of the outbreak is located on the south-west of the republic, near the border with Afghanistan. Supposedly, it is from this country the virus could enter into Tajikistan. Earlier in an interview with ITAR-TASS Alexander Zemtsov, deputy commander of Russia's 201 nd military base on the border with Tajikistan, said that all the children of soldiers, and their own military in 25 years of age were vaccinated against polio, broadcast "News". Meanwhile, WHO experts assure us that both the first round of immunization of children under 6 years, there has been some reduction in outbreaks of polio and it is expected that this decline will deepen as the second and third rounds of vaccination. " In this regard, WHO officials urged the population to take this action very seriously, because the vaccination of children must be three-fold, or will be in vain all the common efforts to stabilize the epidemiological situation.

In case of detection of poliovirus, WHO does not recommend other countries to impose restrictions on international travel and trade, or to declare a quarantine. But it stresses that "compulsory vaccination of citizens arriving in the infected areas and leaving them." Recall that in Russia today identified two cases of polio. In the first case was infected 9-month-old girl that parents had brought with them from Tajikistan in the Irkutsk region. Another girl from Tajikistan with suspected polio, was admitted to the first infectious diseases hospital Moskvy.Kak reported in the Ministry of Health, Moscow region, in recent days with suspected poliomyelitis were admitted to the hospital Domodedovo, Podolsk Chekhov and area suburbs 12 children under the age of 6 years . According to preliminary data, rapid tests of three children from Tajikistan were positive. Currently, all the hospitalized people are under the supervision of physicians: samples are taken and implemented the necessary tests. If the final results of the tests confirmed polio in children, they will be sent back to Tadzhikistan.MID Russia considers this situation as an emergency. In order to prevent an epidemic of poliomyelitis in Russia, authorities stepped up quarantine and sanitary controls of passengers entering the country from Tajikistan, and imposed a temporary ban on entry in Russia Tajik children under the age of 6 years.


[Comment Cor. VM. In the development of outbreaks of poliomyelitis in Tajikistan, the fracture has not yet happened: up to 126 people has increased the number of cases, the majority of cases - children. Whole Health Ministry officials say the republic of 430 cases of acute flaccid paralysis (AFP), without specifying its etiology (a prchinami AFP can be polio, VAP, enterovirus infection or exposure to pesticides).

In Russia not yet seen a rise in the incidence of poliomyelitis. Conducted tests on polio in 12 children who were hospitalized with suspicion of the disease in the suburbs. An initial test was positive only in 3 of Tajik children. Several strange association is a statement of official representatives of the Russian Ministry of Health, that "If the final results of tests confirmed polio in children, they will be sent back to Tajikistan" - see http://info.tatcenter.ru/health/87865.htm. Somehow does not fit into the head that patients Tajik children who have the highest risk to remain disabled as a result of past infection, will be treated at home, in a country with a significantly reduced potential possible medical care, which certainly reduces their chances of a healthy recovery. - Cor VM]

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

http://www.eurasianet.org/node/61144

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Print version Uzbekistan Closes Tajikistan Border, Renews Rail Blockade
May 24, 2010 - 9:52pm, by Catherine A. Fitzpatrick
ChoihonapolioTajikistanUzbekistan
Uzbekistan has closed its border with Tajikistan due to the polio outbreak there, and has once again renewed its rail blockade halting some 2,000 freight cars, ferghana.ru reported, citing Ambassador Zafar Rakhimjanov, Uzbekistan's envoy to Dushanbe. Only persons with diplomatic passports, citizens of third countries, and citizens of Uzbekistan or Tajikistan with a valid funeral notification are allowed to cross. An unamed source in the State Committee for National Security of Tajikistan also confirmed to ferghana.ru that the border had been closed for 10 days. Uzbekistan is not letting through even Tajiks who already possessed visas for Uzbekistan.

Tajikistan is experiencing its first outbreak of polio in over a decade, with 32 confirmed cases of children infected with the virus. Uzbekistan has responded by immunizing nearly 3 million children under the age of five in the country's first national polio campaign since it was declared polio-free in 2002.

Andrei Tropin, deputy chief of the freight service of the Tajik Railroad told ferghana.ru that since May 18, Uzbekistan has not permitted cargo to pass through to Khatlon. After 8 cars were let through on May 22, no more were allowed, and currently 969 cars are stalled that were bound for Khatlon with petroleum products, construction materials and food, and 1,220 cars are awaiting passage to Dushanbe. Tropin is concerned with the coming hot weather, the risk of fires increase on the loads with oil and lubricants.

Tashkent had eased up on the blockade last week, allowing 34 cars through to Tajikistan, but had complained of congrestion due to the increased traffic to Afghanistan. There has been some speculation that Uzbekistan is deliberately halting the freight because it contains construction materials destined for Roghun, the hydropower station Tashkent is opposing due to concerns of the possible impact on its irrigation-intensive cotton industry.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

The first new case count in six days, an increase of 34 AFP cases to a total of 473.

http://translate.googleusercontent....le.com&usg=ALkJrhhGreszInBpeYfOud_VbXLSFPxMkQ

The chief sanitary doctor Gennady Onishchenko has expressed dissatisfaction with the measures taken by the Tajik doctors in connection with the outbreak of polio in the country, reports " Interfax ".

"We continue to arrive, children up to six years, who immediately hospitalized to prevent polio. This places an additional burden, which does not exist in our budget," - said Onishchenko.

He also said that Russian authorities are ready to take decisive action to ensure that previously introduced a ban on the entry of Tajik children. "We will find what steps to take in Russia in order to comprehend medical Tajik authorities to respond to our reasonable requests" - the head of Rospotrebnadzor, adding that these measures "will be effective in Russia and very sensitive for Tajikistan."

Onishchenko said referring to the World Health Organization (WHO), in Tajikistan registered 473 cases of polio. He also expressed readiness to assist the leadership of the Central Asian republics in the fight against an outbreak of infection.

The first cases of polio recorded by WHO in Tajikistan in mid-April. In addition, two cases of infection in Tajik children were registered in Russia. After that Rospotrebnadzor began the evacuation of children who have Russian citizenship, from the Central Asian republic. In addition, the agency banned the importation into Russia of nuts and dried fruits from Tajikistan. In connection with the outbreak of infection in the region of Uzbekistan has imposed restrictions on entry of Tajik citizens

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

This source has the highest confirmed cases count to date, with 129, and reports 437 AFP cases, not 473. I personally suspect the 473 is correct just based on previous projections, but it is possible that the outbreak is slowing down as a consequence of vaccination.

http://translate.google.com/transla...u/society/20100525/238464908.html&sl=ru&tl=en

25/05/2010 17:50

Dushanbe, May 25 - RIA Novosti, Lidia Isamova. Ministry of Health of Tajikistan hopes to decrease the incidence of polio in the country after vaccination.

According to the Ministry of Health of Tajikistan on 22 May, the country recorded 437 cases of acute flaccid paralysis (paralytic poliomyelitis) and 129 wild (Indian) poliovirus type 1, has one fatal case.

"At the moment the situation in Tajikistan with polio under control, it is likely that after the third round of vaccination of children, which will be held from 1 to 5 June, the incidence of polio will decline, "- said Tuesday the Deputy Minister of Health of Tajikistan Azamdzhon Mirzoyev.

In Tajikistan, 28 May, 6.3 million doses of vaccine against polio.

"This vaccination will be conducted for children aged 1 to 15 years. Polio immunization will be conducted throughout the territory of Tajikistan in the following two stages: from 1 to 5 June 2010 and from 15 to 19 June 2010" - said Mirzoyev.

On the territory of the country have already passed two rounds of polio vaccination. The first round was held from 4 to 8 May, the second - from 18 to 22 May.

Panel to monitor the Ministry of Health of Tajikistan with support from WHO and UNICEF continue to monitor the immunization campaigns across the country and explore the possible spread of polio virus.

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

Looks like the 437 might be correct after all. And now we know that at least 23 of the 29 AFP cases in Uzbekistan are negative. The case mentioned in the original post of this thread that flew into the capital of Uzbekistan (ex Tajikistan) after paralysis was, IMO, very likely to be positive, but it appears not.

http://www.irinnews.org/Report.aspx?ReportId=89258

TAJIKISTAN: Anti-polio drive widens

Photo: David Swanson/IRIN
Children aged between six and 15 will be immunized (file photo)
DUSHANBE, 26 May 2010 (IRIN) - Tajikistan is gearing up for a new round of anti-polio immunizations for children aged between six and 15, according to the Ministry of Health, in a bid to stem the outbreak.

?We can already see the results of the first [round of the] campaign ? for children under six. The number of confirmed cases is not increasing so fast as it was in the beginning of the outbreak [in April],? deputy health minister Azamjon Safolov told IRIN in the Tajik capital, Dushanbe.

The new round will be implemented in two phases in early and mid-June.

More than 1.1 million children have been immunized in the May campaign. The vaccines were provided by the World Health Organization (WHO) and the UN Children?s Fund (UNICEF) for free.

?On 28 May, 6.3 million doses of anti-polio vaccine are coming to Tajikistan as aid from WHO and UNICEF [for the next round],? Safolov said.

?As of 22 May, we have 129 confirmed cases of Type-1 poliovirus and 437 people have been hospitalised, mostly children, including the confirmed cases [of polio],? Safolov said.

On 9 May, WHO said there were 56 laboratory confirmed cases of wild poliovirus type 1 (WPV1) - of whom 52 were children under six.

According to the latest epidemiological update on polio from Tajikistan by WHO on 21 May, of the 129 confirmed poliomyelitis cases, 27 (21 percent) are younger than one, 80 (62 percent) are one to five, 15 (12 percent) are six to 14 years, and 7 (5 percent) are 15 years or older.

Meanwhile, the governments of neighbouring Kazakhstan, Kyrgyzstan, Turkmenistan and Uzbekistan have strengthened surveillance and begun or will soon begin vaccination campaigns, WHO said. Together with its international partners, WHO has deployed expert teams to Kyrgyzstan and Uzbekistan to help strengthen surveillance and to support national and sub-regional vaccination activities.

In Uzbekistan, 29 cases of acute flaccid paralysis (AFP), the most common sign of acute polio but also associated with a number of other pathogenic agents, have been reported since January, according to WHO. So far, 23 have been laboratory negative and six are pending laboratory results. The national polio immunization campaign aims to reach almost 2.9 million children under five years.

rk/at/mw

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

The headline here is a bit misleading - the 150 is the total number of children in Moscow from Tajikistan - most, if not all, were not ill.

But the 539 is a new high count for AFP.

http://translate.googleusercontent....le.com&usg=ALkJrhggNmbkdqRJYZ4ng8Or_2fV5vEklw

Because of suspected poliomyelitis in Moscow detained 150 Tajik children

In the period from 29 April to 25 May, more than 150 children from Tajikistan were detained in Moscow for suspected polio. Об этом, как передает РИА Новости , сообщил сегодня глава столичного департамента здравоохранения Андрей Сельцовский. This, as transmits RIA Novosti , reported today the head of the Moscow Department of Health Andrej Seltsovsky. According to Seltsovsky, the majority of children now freed, under the supervision of doctors are seven people.

After the outbreak of poliomyelitis in Tajikistan in airports and train stations of Moscow was organized by the clock work crews physicians involved in detection and isolation of passengers suspected of having the disease. Entry of children from Tajikistan into Russia was officially banned Rospotrebnadzor May 7. Later, however, Gennady Onishchenko said that, contrary to the prohibition of the Russian authorities, the children of Tajikistan continued to arrive on the territory of Russia.

As of May 25 in Moscow found 152 children out of Tajikistan, including 79 aged under 5 years old, said Seltsovsky. "At the moment we are still seven children, all of them will soon be released," - he said, adding that the girl who had a confirmed diagnosis of polio, was sent in Dushanbe with his mother.

According to the head of the Moscow Health Department, Moscow Medical inoculated against polio 149 of the 152 children identified in Moscow from Tajikistan. Parents of three children categorically refused vaccination.

According to Gennady Onishchenko, currently on the territory of Tajikistan recorded 539 cases of children with polio. Two cases of polio have arrived from Tajikistan young children have been laboratory confirmed in Russia - in Moscow and in Angarsk. In addition, according to Onishchenko, asymptomatic carriers of poliomyelitis virus was detected in a few who have been in Tajikistan Russian children .

 

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Re: Tajikistan hit by deadly polio outbreak: WHO

No detailed update this week, but the confirmed case count is increased to 141 (with the latest confirmed case having onset May 8, so testing is still lagging).

http://www.polioeradication.org/casecount.asp

Headlines
The Global Polio Management Team is meeting in Geneva this week and, as a result, there is no Country Support Group meeting and no weekly notes.
In summary, 35 type-1 cases were reported this week, one in Pakistan (Balochistan), one in Mali (Koulikoro), and 33 in Tajikistan.