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CURRENT ISSUES CURRENT ISSUES IN AEFI IN AEFI
REPORTING IN REPORTING IN INDIAINDIA
Dr PRADEEP HALDARDr PRADEEP HALDAR
ASSISTANT COMMISONERASSISTANT COMMISONER
Government of IndiaGovernment of India
BACKGROUNDBACKGROUND
• AEFI Surveillance was initiated AEFI Surveillance was initiated along with launch of EPI/UIP along with launch of EPI/UIP programprogram
• State AEFI committees formed State AEFI committees formed • GoI issued a document in 1989 GoI issued a document in 1989
stressing the importance of AEFI stressing the importance of AEFI reporting and reducing reporting and reducing programmatic errors programmatic errors
PRESENT STATUSPRESENT STATUS
• Only few states have State AEFI Only few states have State AEFI committeescommittees
• Only a few states are reporting and Only a few states are reporting and investigating cases investigating cases
• The cases reports are not received on timeThe cases reports are not received on time• The standard formats are not used at The standard formats are not used at
timestimes• Field functionaries not clear on their roles Field functionaries not clear on their roles
Update on Update on AEFI CasesAEFI Cases
Age distribution of Serious AE/ Death following Immunization (India) - 1999 to 2006
6
5
89
38
17
50
0
0 10 20 30 40 50 60 70 80 90 100
Early Neonates (< 7 days)
Late Neonatal ( 7-28 days)
Post neonatal ( 28 days to 1 year)
1- 3 years
3-5 Years
Over 5 years
Age not known
Source : MOHFW-GOIAs on date : 20/11/2006
Total No. of reported serious /Death cases following immunization since 1999 = 205
Reported Serious/Death cases following immunization (India) 1999 to 2006 Distribution by age
Source : MOHFW-GOIAs on date : 20/11/2006
34
26
1 1 37
2
8
2
8
53
1 1
50
8
0
10
20
30
40
50
60
AndhraPradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Delhi
Jharkhand
Karnataka
Kerala
Madhya
Pradesh
Maharashtra
Orissa
Tamil Nadu
UttarPradesh
West Bengal
Total No. of cases =205
Serious/Death cases following immunization (India) 1999 to 2006 State wise reported cases
Serious AE/ Deaths Following Immunization according to Sex of the Child (India) - 1999 - 2006
105
95
5
0
20
40
60
80
100
120
Male Female Not Known
Source : MOHFW-GOIAs on date : 20/11/2006
Total No. of cases =205
Serious/Death cases following immunization (India) 1999 to 2006 Distribution by Gender
Source : MOHFW-GOIAs on date : 20/11/2006
Serious AEFI Cases (India)
28
0 0 411
2534
103
0
20
40
60
80
100
120Ye
ar_u
nkno
wn 1999
2000
2002
2003
2004
2005
2006
Total No. of cases =205
Reported Serious/Death cases following immunization (India) 1999 to 2006
AEFI cases by Districts - 1999 to 2006
2
1 1
2 2
3
1 1
6
2
1
3
2 2
4
1
13
10
2
1 1 1
3
7
1 1
3
4
1 1 1 1 1 1 1 1
2
1
2
1 1 1 1 1 1
14
2
1
14
3
4
1 1
2
3
1 1 1 1
0
2
4
6
8
10
12
14
16
Total No. of Cases = 205 in 74 districts (15 States)Source : MOHFW-GOIAs on date : 20/11/2006
Reported Serious/Death cases following immunization (India) 1999 to 2006 District wise
Serious AEFI Cases in India Reported Serious/Death cases following immunization (India) 1999 to 2006
Source : MOHFW-GOIAs on date : 20/11/2006
Serious AE/ Death cases following Immunization by Antigen type (India) 1999-2006
19
16
36
8
6
2
21
3
36
7
6
2
21
0
5
7
7
19
5
2
6
3
64
1
4
0 10 20 30 40 50 60 70
BCG
DPT
DPT1
DPT2
DPT3
DPTB
OPV
OPV0
OPV1
OPV2
OPV3
OPVB
OPV PPI
OPV SIA
MEASLES
DT
HEPB
HEPB1
HEPB2
HEPB3
HBV
TT
JE-SA14-14-2
JEV
VITAMIN A
No. of cases =306Source : MOHFW-GOIAs on date : 20/11/2006
Reported Serious/Death cases following immunization (India) 1999 to 2006 Distribution by antigen
Thank YouThank You