The Australian Paediatric Surveillance Unit (APSU) is a national resource, established in 1993 to facilitate active surveillance of uncommon rare childhood diseases, complications of common diseases or adverse effects of treatment. Acute flaccid paralysis (afp) surveillance: the surveillance strategy. Accurate diagnosis of the cause of AFP has profound implications for therapy and prognosis. Remove this presentation Flag as Inappropriate I Don't Like This I like this Remember as a Favorite. (16) found that surveillance with alpha-feto-protein (AFP) and ultrasound (US) was cost-effective regardless of HCC incidence. At the same time, using the right counter-surveillance tactics and techniques, you can elude most forms of physical and electronic eavesdropping. Conversely, Lin et al. In polio cases, infectivity in the pharyngeal foci is around one week, and in the intestinal foci 6-8 weeks. Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. Presentation Summary : Concerning activities they carry out in relation to AFP surveillance, 34 (48.6%) said they search AFP case by going house to house, 4 (5.7%) gave health This study describes AFP surveillance in Spain from 1998 to 2015. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. Background More than 99% of poliovirus infections are non-paralytic and therefore, not detected by acute flaccid paralysis (AFP) surveillance. Alpha-fetoprotein (AFP, α-fetoprotein; also sometimes called alpha-1-fetoprotein, alpha-fetoglobulin, or alpha fetal protein) is a protein that in humans is encoded by the AFP gene. surveillance ∗ Identify survivorship issues for patients and providers Objectives. AFP is defined by the acute onset of weakness or paralysis with reduced muscle tone in children. With extensive ES and continued circulation of polioviruses, Pakistan presents a unique opportunity to quantify the impact of … Finding and reporting children with acute flaccid paralysis (AFP), 1. Environmental surveillance (ES) can detect circulating polioviruses from sewage without relying on clinical presentation. The Global Polio Eradication Initiative (GPEI) was established in 1988 by the World Health Assembly to interrupt transmission of wild poliovirus (WPV); completion of this initiative was declared a programmatic emergency of public health in January 2012 (1,2). AFP Acute flaccid paralysis AFR African region AFRO African Regional Office AVADAR Auto-visual acute flaccid paralysis detection and reporting bOPV Bivalent oral poliovirus vaccine CBS Community-based surveillance CDC U.S. Centers for Disease Control and Prevention CIF Case investigation form CSR Community Surveillance and Response The Global Polio Eradication Initiative (GPEI) was established in 1988 by the World Health Assembly to interrupt transmission of wild poliovirus (WPV); completion of this initiative was declared a programmatic emergency of public health in January 2012 (1,2). IPV PLUS OPV..can prevent VAPP while maintaing benefits of OPV.. AFP surveillance helps to detect reliably areas where poliovirus transmission is occurring. Positif . The AFP gene is located on the q arm of chromosome 4 (4q25). Evaluating Surveillance Indicators Supporting the Global Polio Eradication Initiative, 2011–2012. Kinerja Baik. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Acute flaccid paralysis case is defined as sudden onset of weakness and floppiness in any part of the body in a child . Polio legacy planning discussion. Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. (16) found that surveillance with alpha-feto-protein (AFP) and ultrasound (US) was cost-effective regardless of HCC incidence. Department of Health & Family Welfare, Government of West Bengal, No public clipboards found for this slide, Consultant Paediatrician at J&K Healthcare Services. While ES often outperforms, or is more sensitive than AFP surveillance, the sensitivity of the ES system has not been well characterized. Title Concerning Activities They Carry Out In Relation To Afp Surveillance, 34 PPT. Before we approach for a step-wise clinical evaluation, we need to stablise the child by providing basic support. Download Share Share. 3. acute flaccid paralysis (afp) surveillance 28 3.1 poliomyelitis: disease background 28 3.2 goals and objectives of polio eradication programme 30 3.3 polio eradication strategies 31 3.4 afp surveillance 33 3.5 key roles of surveillance officers in afp surveillance 51 3.6 outbreak response 52 3.7 vaccine derived polioviruses (vdpvs) 56 4. Alpha-fetoprotein (AFP, α-fetoprotein; also sometimes called alpha-1-fetoprotein, alpha-fetoglobulin, or alpha fetal protein) is a protein that in humans is encoded by the AFP gene. 4 ACRONYMS AFP Acute Flaccid Paralysis AFRO World Health Organization, Regional Office for Africa CFR Case Fatality Ratio CRI Congenital Rubella Infection CRS Congenital Rubella Syndrome ELISA Enzyme linked Immuno-Sorbent Assay During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. On the other hand, the overall surveillance function in a country can become badly disjointed and inefficient with field workers participating in multiple complicated systems, using different surveillance methods, … If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. The standardized system of AFP surveillance adopted internationally has made it … Ghana recorded the last case of indigenous wild poliovirus in 1999 but suffered two more outbreaks in 2003 and 2008. Any child under 15 years of age with AFP* or any person of any age with paralytic illness if polio is suspected Get the plugin now. AFP Surveillance Welcome to the APSU. Background The polio environmental surveillance (ES) system has been an incredible tool for advancing polio eradication efforts because of its ability to highlight the spatial and temporal extent of poliovirus circulation. A person of any age with acute flaccid paralysis ----- AFP Surveillance For the Polio Eradication program, crucial that AFP surveillance should not miss poliomyelitis cases Case definition has to catch as many cases as possible even those that are not polio: High sensitivity Low specificity All geographic areas to be covered, up to district All AFP cases investigated and polio excluded Now customize the name of a clipboard to store your clips. Surveillance of AFP - Free download as Powerpoint Presentation (.ppt) or view presentation slides online. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. PPT – AFP surveillance PowerPoint presentation | free to view - id: 45816-MzQ2Z. Those who successfully complete each individual 5-day course will earn the Mobius Certification for that course. The concepts underpinning surveillance and the number of different surveillance systems in use have expanded rapidly in recent years [].These systems have been developed in various fields, either public health (PH), animal health (AH), environmental health (EH), or more recently, combining these sectors in a one health (OH) approach [].Although the need for effective surveillance systems … Corporation Active surveillance for AFP has been designed for eradication, but all communicable diseases that are subject to control need a responsive surveillance system. Thus, although there is some disagreement between published models, surveil-lance … Thus, although there is some disagreement between published models, surveil-lance … 4 ACRONYMS AFP Acute Flaccid Paralysis AFRO World Health Organization, Regional Office for Africa CFR Case Fatality Ratio CRI Congenital Rubella Infection CRS Congenital … Carcinoembryonic antigen (CEA) monitoring in patients with stage I-IV colorectal cancer has been, and remains, a controversial issue in oncology practice. Several follow up campaigns in the period 2007 -2011 were conducted. Alpha Fetoprotein (AFP): Alpha fetoprotein (AFP) is the most widely used biomarker for HCC surveillance, but this test has a sensitivity of only 47 to 64% and a specificity of 82 to 95% for detecting HCC among persons with HCV infection. Acute Flaccid Paralysis ( GBS and Poliomyelitis ) Dr. Raghav Kakar 2. Approach to a case of paediatric hepatitis, An approach to a case of Paediatric Stridor, Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell), No public clipboards found for this slide, Acute flaccid paralysis and Surveillance 2018. integrated with AFP surveillance. Initially, the unit functioned with a WHO consultant and a national counterpart, who, after further training in epidemiology, was appointed in 1961, as the Epidemiologist of the Department of Health Services. AFP surveillance การเฝ้าระวังผู้ป่วยกล้ามเนื้ออ่อนแรงเฉียบพลัน Author: doggyrin Last modified by: aim Created Date: 12/13/2006 2:53:48 AM Document presentation format: Acute Flaccid Paralysis Notification Criteria. Acute flaccid paralysis (afp) surveillance: the surveillance strategy. • Alpha-fetoprotein (AFP) lacks adequate sensitivity and specificity for effective surveillance and for diagnosis • Not all tumors secrete AFP • However, generally accepte d that serum levels greater than 500 mcg/L in a high-risk patient is diagnostic of HCC Lok et al, Gastroenterology 2010;138:493-502 Forner et al, Hepatology 2008;47:97-104 Several techniques for antepartum fetal surveillance currently in use are discussed in the ACOG bulletin. Acute flaccid paralysis (AFP) is a clinical syndrome which has many infectious and non-infectious causes. Conversely, Lin et al. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. AJOG: June 2011. surveillance function to remain close to the control function. Now customize the name of a clipboard to store your clips. Clipping is a handy way to collect important slides you want to go back to later. See our Privacy Policy and User Agreement for details. The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines on antepartum fetal surveillance. The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. Recommendations vary from bimonthly monitoring to no monitoring in the surveillance setting (for stage I-III disease). Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. Polio free. It allows detecting poliovirus (PV) reintroductions from endemic countries. CBS Community-based surveillance is a surveillance system that monitors a broad range of information directly from community members. However in spinal cord disorders, once a patient is out of spinal shock phase, then hyperreflexia is demonstrable below the level of lesion. If you continue browsing the site, you agree to the use of cookies on this website. Those who successfully complete each individual 5-day course will earn the Mobius Certification for that course. 15 years of age or paralysis in a person of any age in whom polio is suspected. According to the 2014 WHO AFP surveillance report, the stool adequacy During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. Bulbar functions recovering first, and lower extremity weakness recovering last. Abnormal ST segment depression in GBS....Arrhythmia. Recent immunisation –swine influenza vaccine, older rabies vaccine (nervous system), OPV...conjugated meningococcal. If you continue browsing the site, you agree to the use of cookies on this website. The four steps of surveillance are: 1. finding and reporting children with acute flaccid paralysis (AFP) 2. obtaining and sending stool and throat samples to the NVRL for analysis for the doctors to End Polio. 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