Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade

Background — During the past decade, polio eradication has stalled globally. Acute flaccid paralysis (AFP) surveillance is a key strategy for monitoring the progress of polio eradication. All AFP patients who referred to expert committee were evaluated about the causes. Methods — This case series st...

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Main Authors: Hossein Ali Ebrahimi, Nouzar Nakhaee, Roohollah Zahmatkesh, Maraym Mirzaee
Format: Article
Language:English
Published: Limited liability company «Science and Innovations» (Saratov) 2014-03-01
Series:Russian Open Medical Journal
Subjects:
Online Access:http://www.romj.org/node/93
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author Hossein Ali Ebrahimi
Nouzar Nakhaee
Roohollah Zahmatkesh
Maraym Mirzaee
author_facet Hossein Ali Ebrahimi
Nouzar Nakhaee
Roohollah Zahmatkesh
Maraym Mirzaee
author_sort Hossein Ali Ebrahimi
collection DOAJ
description Background — During the past decade, polio eradication has stalled globally. Acute flaccid paralysis (AFP) surveillance is a key strategy for monitoring the progress of polio eradication. All AFP patients who referred to expert committee were evaluated about the causes. Methods — This case series study is the result of activities for one decade of expert AFP committee of Kerman University of Medical Sciences from 2002-2011, with coverage of more than 2,650,000 populations and 730,677 child with age of ≤15 years old. All patients have gone under diagnostic and therapeutic managements. Results — The total cases referred to Kerman expert committee of AFP for ten years were 147 cases. In our study the incidence of AFP was 2.016 per 100000 populations for one year.The most common causes of AFP were Guillain-Barre syndrome (GBS). Other causes of AFP were; stroke, synovitis, myelitis, seizures, cerebral palsy, viral infections, tumors, cerebellitis and non-polio AFP. The rate of GBS in our study was 0.96 per 100000 in children 15 years old or smaller, and more in male. In this study the incidence rate in cities with low mean temperature was higher than in cities with high mean temperature. Conclusion — We had no polio case in this period. The most common cause of AFPs was Guillain–Barre syndrome. The incidence of GBS was higher in areas with low mean temperature.
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spelling doaj.art-da565de05d3c48eeb32a4f5ec349eee22022-12-21T23:32:07ZengLimited liability company «Science and Innovations» (Saratov)Russian Open Medical Journal2304-34152014-03-01310104Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decadeHossein Ali EbrahimiNouzar NakhaeeRoohollah ZahmatkeshMaraym MirzaeeBackground — During the past decade, polio eradication has stalled globally. Acute flaccid paralysis (AFP) surveillance is a key strategy for monitoring the progress of polio eradication. All AFP patients who referred to expert committee were evaluated about the causes. Methods — This case series study is the result of activities for one decade of expert AFP committee of Kerman University of Medical Sciences from 2002-2011, with coverage of more than 2,650,000 populations and 730,677 child with age of ≤15 years old. All patients have gone under diagnostic and therapeutic managements. Results — The total cases referred to Kerman expert committee of AFP for ten years were 147 cases. In our study the incidence of AFP was 2.016 per 100000 populations for one year.The most common causes of AFP were Guillain-Barre syndrome (GBS). Other causes of AFP were; stroke, synovitis, myelitis, seizures, cerebral palsy, viral infections, tumors, cerebellitis and non-polio AFP. The rate of GBS in our study was 0.96 per 100000 in children 15 years old or smaller, and more in male. In this study the incidence rate in cities with low mean temperature was higher than in cities with high mean temperature. Conclusion — We had no polio case in this period. The most common cause of AFPs was Guillain–Barre syndrome. The incidence of GBS was higher in areas with low mean temperature.http://www.romj.org/node/93Polio eradicationAcute flaccid paralysisGuillain–Barre syndrome
spellingShingle Hossein Ali Ebrahimi
Nouzar Nakhaee
Roohollah Zahmatkesh
Maraym Mirzaee
Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade
Russian Open Medical Journal
Polio eradication
Acute flaccid paralysis
Guillain–Barre syndrome
title Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade
title_full Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade
title_fullStr Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade
title_full_unstemmed Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade
title_short Study of acute flaccid paralysis surveillance system in Kerman (Iran) for one decade
title_sort study of acute flaccid paralysis surveillance system in kerman iran for one decade
topic Polio eradication
Acute flaccid paralysis
Guillain–Barre syndrome
url http://www.romj.org/node/93
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