Surveillance of acute flaccid paralysis in Belarus
The ten-years experience of acute flaccid paralysis (AFP) surveillance in Belarus has been summarized. Among 456 AFP cases reported from 1996 to 2005, 11 were classified as vaccine-associated paralytic poliomyelitis (VAPP), 445--as non-polio AFP. The risk of VAPP for the period 1996-2001 was 1 case...
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Published in | Žurnal mikrobiologii, ėpidemiologii i immunobiologii no. 2; p. 24 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | Russian |
Published |
Russia (Federation)
01.03.2007
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Abstract | The ten-years experience of acute flaccid paralysis (AFP) surveillance in Belarus has been summarized. Among 456 AFP cases reported from 1996 to 2005, 11 were classified as vaccine-associated paralytic poliomyelitis (VAPP), 445--as non-polio AFP. The risk of VAPP for the period 1996-2001 was 1 case per 745,000 used doses of oral poliovaccine (OPV). For the recipients of OPV the risk was 1 case per 911,700 doses and for the first-dose recipients--1 case per 96,000 doses. The high incidence of VAPP was a reason for implementation of sequential polio vaccination schedule in 2000. Guillain-Barre syndrome dominated among non-polio AFP (39.3% of cases); more rare were traumatic neuritis (27.9% of cases), transient monoparalysis (12.1%), myelitis (7.6%). Non-polio AFP differed from VAPP by following epidemiological and virological characteristics: predominance of previously repeatedly vaccinated against poliomyelitis; development of paralysis in long-term period after vaccination; isolation of non-polio viruses belonged to three serotypes of Coxsackie B viruses (B1, B4, B6) and six serotypes of Echo viruses (6, 7, 11, 14, 24, 25) in 8.1% of cases; absence of typical for polio residual paralyses in patients who excreted vaccine polioviruses. |
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AbstractList | The ten-years experience of acute flaccid paralysis (AFP) surveillance in Belarus has been summarized. Among 456 AFP cases reported from 1996 to 2005, 11 were classified as vaccine-associated paralytic poliomyelitis (VAPP), 445--as non-polio AFP. The risk of VAPP for the period 1996-2001 was 1 case per 745,000 used doses of oral poliovaccine (OPV). For the recipients of OPV the risk was 1 case per 911,700 doses and for the first-dose recipients--1 case per 96,000 doses. The high incidence of VAPP was a reason for implementation of sequential polio vaccination schedule in 2000. Guillain-Barre syndrome dominated among non-polio AFP (39.3% of cases); more rare were traumatic neuritis (27.9% of cases), transient monoparalysis (12.1%), myelitis (7.6%). Non-polio AFP differed from VAPP by following epidemiological and virological characteristics: predominance of previously repeatedly vaccinated against poliomyelitis; development of paralysis in long-term period after vaccination; isolation of non-polio viruses belonged to three serotypes of Coxsackie B viruses (B1, B4, B6) and six serotypes of Echo viruses (6, 7, 11, 14, 24, 25) in 8.1% of cases; absence of typical for polio residual paralyses in patients who excreted vaccine polioviruses. |
Author | Protas, I I Kozhemiakin, A K Fel'dman, E V Samoĭlovich, E O Svirchevskaia, E Iu Ermolovich, M A Shimanovich, V P Kotova, I F |
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Snippet | The ten-years experience of acute flaccid paralysis (AFP) surveillance in Belarus has been summarized. Among 456 AFP cases reported from 1996 to 2005, 11 were... |
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SubjectTerms | Acute Disease Administration, Oral Antibodies, Viral - blood Case-Control Studies Coxsackievirus Infections - diagnosis Coxsackievirus Infections - prevention & control Coxsackievirus Infections - virology Enterovirus B, Human - classification Enterovirus B, Human - isolation & purification Genome, Viral Guillain-Barre Syndrome - prevention & control Humans Incidence Muscle Hypotonia - etiology Muscle Hypotonia - prevention & control Myelitis - prevention & control Neuritis - prevention & control Paralysis - etiology Paralysis - prevention & control Poliomyelitis - diagnosis Poliomyelitis - immunology Poliomyelitis - prevention & control Poliovirus - genetics Poliovirus - immunology Poliovirus - isolation & purification Poliovirus Vaccine, Inactivated - administration & dosage Poliovirus Vaccine, Oral - administration & dosage Poliovirus Vaccine, Oral - adverse effects Republic of Belarus - epidemiology Risk Factors Sentinel Surveillance Species Specificity Vaccination - adverse effects |
Title | Surveillance of acute flaccid paralysis in Belarus |
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