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Poliovirus Update Case breakdown by country Country | Year-to-date 2009 | Year-to-date 2008 | Total in 2008 | Date of onset of most recent case | India | 568 | 503 | 559 | 21 October 2009 | Pakistan | 76 | 96 | 117 | 18 October 2009 | Mauritania§ | 2 | 0 | 0 | 14 October 2009 | Nigeria | 383 | 753 | 798 | 14 October 2009 | Afghanistan | 24 | 24 | 31 | 1 October 2009 | Mali | 5 | 1 | 1 | 30 September 2009 | Chad | 33 | 26 | 37 | 20 September 2009 | Guinea | 33 | 0 | 0 | 19 September 2009 | Angola | 28 | 26 | 29 | 15 September 2009 | Burundi | 2 | 0 | 0 | 12 September 2009 | Cameroon | 2 | 0 | 0 | 31 August 2009 | Burkina Faso | 13 | 1 | 6 | 28 August 2009 | Liberia | 10 | 0 | 0 | 17 August 2009 | CAR | 14 | 2 | 3 | 9 August 2009 | Côte d'Ivoire | 27 | 0 | 1 | 6 August 2009 | Kenya | 18 | 0 | 0 | 30 July 2009 | Sierra Leone | 2 | 0 | 0 | 28 July 2009 | Sudan | 45 | 9 | 26 | 27 June 2009 | DRC | 3 | 4 | 5 | 24 June 2009 | Niger | 15 | 14 | 12 | 28 May 2009 | Uganda | 8 | 0 | 0 | 10 May 2009 | Benin | 20 | 2 | 6 | 19 April 2009 | Togo | 6 | 0 | 3 | 28 March 2009 | Ghana | 0 | 5 | 8 | 8 November 2008 | Nepal | 0 | 5 | 6 | 15 October 2008 | Ethiopia | 0 | 2 | 3 | 27 April 2008 |
India - 40 new cases were reported in the past week (two WPV1 and 38 WPV3s), bringing the total number of cases for 2009 to 568. The most recent case had onset of paralysis on 21 October (WPV3 from Ghaziabad, western Uttar Pradesh).
- The India Expert Advisory Group last week recommended the new supplementary immunization schedule for 2010, highlighted by the introduction of bivalent oral polio vaccine (bOPV) early next year to tackle both WPV1 and WPV3 serotypes concurrently. The IEAG agreed to sustain its intense effort to close immunization coverage gaps in young children and migrants, particularly in the 100 "high-risk" blocks of western Uttar Pradesh and Bihar that hold the key to eradication in India. In the short term, the IEAG recommended conducting mop-up immunization activities anywhere a WPV1 case occurred, and anywhere a WPV3 case occurred outside western Uttar Pradesh or central Bihar.
- The newly-reported WPV1s are from Moradabad, western Uttar Pradesh and from Patna, Bihar. Once again, the bulk of the newly-reported WPV3s are from western Uttar Pradesh.
- The next Subnational Immunization Days (SNIDs) will be launched on 8 November, using monovalent OPV type 1 (mOPV1), across Uttar Pradesh and Bihar.
Source: www.polioeradication.org
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