Evaluation of the Surveillance System for Acute Flaccid Paralysis (Afp) in Iran During the Years 2003-2007 and Its Comparison With Worldwide Standards



Akhtar E¹ ; Fadaeinobari R² Show Affiliations
Source: Journal of Isfahan Medical School Published:2014

Abstract

Background: This study aimed to evaluate the surveillance system for acute flaccid paralysis (AFP) in Iran during the years 2003-2007 and compare it with worldwide standards. Methods: In this cross-sectional study, we analyzed all cases of acute flaccid paralysis reported to health centers in Isfahan province, Iran, from 2003 to 2007. Required information was gathered after reviewing the medical records of patients, and was analyzed using SPSS software. Findings: A total of 115 patients with acute flaccid paralysis were reported, out of which 41% were women and 59% were men. Mean age of subjects was 5.71 ± 3.83, ranging from one to fifteen years. The average incidence of acute flaccid paralysis was 1.74%, which was lower than expected (2). Among the national indicators including case notification (80% within 7 days <), case investigation (80% within 48 hours <), specimen collection (80% within14 days <), specimen transport and testing (80% within 3 days <), 60 days of follow-up (90% <), and classification of cases (100% within 70 days), only the two indicators of case investigation and 60 days of follow-up were less than the expected level compared with global standards. Conclusion: Based on the present study, the surveillance of acute flaccid paralysis cases is working properly, but further evaluation and improving the quality of health care systems is required for the eradication of this disease. Thus, continuing the massive vaccination against polio virus and following up of patients with this disease is recommended.