Afghanistan Polio Eradication InitiativeSurveillance Update Week 15(Ending on Saturday 18 April 2009)National Surveillance OfficeApril 21, 2009

AFP Case Classification Afghanistan 08-09 Data up to 18 Apr 09^ 64 AFP cases pending lab results 8 Inadequate AFP case pending 60 days follow 5 Pending ERC

Confirmed Polio cases & Compatibles Afghanistan 07-092007NSL1=06NSL3=11Comp=02NSL1=25NSL3=06Comp=32008Polio cases are placed by village 2009Recent NSL1 from Bargi Matal District of Nuristan Province, onset is 30 Mar, age 24m, 18 OPV dosesNSL1=6NSL3=0Comp=0 Data up to 18 Apr 09

P1 & P3 Poliovirus Isolates Afghanistan 1999, 04, 07-092008NSL1=25NSL3=062004NSL1= 2NSL3= 21999NSL1= 45NSL3= 182007NSL1=06NSL3= 11NSL1=6NSL3=02009 Data up to 18 Apr 09

Distribution of P1 & P3 by Month & District 07-09MarFebJanAprMayJun20072008NSL1=0NSL3=0NSL1=0NSL3=0NSL1=1NSL3=0NSL1=1NSL3=1NSL1=0NSL3=0NSL1=2NSL3=0NSL1=2NSL3=0NSL1=1NSL3=1NSL1=1NSL3=0NSL1=0NSL3=2NSL1=1NSL3=1NSL1=3NSL3=02009NSL1=3NSL3=0NSL1=1NSL3=0NSL1=2NSL3=0 Data up to 18 Apr 09NSL1=0NSL3=0

Distribution of P1 & P3 by Month & District 07-08SepAugJulOctNovDec20072008NSL1=0NSL3=3NSL1=0NSL3=1NSL1=0NSL3=1NSL1=2NSL3=1NSL1=0NSL3=3NSL1=0NSL3=1NSL1=2NSL3=1NSL1=2NSL3=0NSL1=6NSL3=0NSL1=6NSL3=0NSL1=0NSL3=1NSL1=1NSL3=0 Data up to 18 Apr 09

List Of Confirmed Polio Cases Afghanistan 2008*Confirmed by contact Data up to 18 Apr 09

List Of Confirmed Polio Cases Afghanistan 2009*Confirmed by contact Data up to 18 Apr 09

Polio Virus Isolates By Type & Month, Afghanistan 05-09sNID NID Short interval additional dose 20082009 Data up to 18 Apr 09

Afghanistan & Pakistan P1 isolatesby genetic cluster 2008

Data up to 18 Apr 09

Afghanistan & Pakistan P1 isolatesby genetic cluster 2009

Data up to 18 Apr 09

Afghanistan & Pakistan P3 isolatesby genetic cluster 2008 Data up to 15 Apr 09

Afghanistan & Pakistan P3 isolates by genetic cluster 2009 Data up to 15 Apr 09

Regional Reference Lab Update Afghanistan 2009 Data up to 18 Apr 09* Index case AFG/08/09/017 is EV, while its contact is NSL1

AFP Cases Labeled As Hot & Pending in Lab, Afghanistan 2009Hot by criteria=AFP cases have (Fever + rapid progress+ Asymmetric paralysis + Age

Reported AFP Cases, Comparison By Month, Afghanistan 06-09@ of 2/100,0000

AFP Cases By Week Of Onset Afghanistan 2009Week (Sun-Sat) Expected 2= Two cases/100,000

AFP Cases Pending ERC, Afghanistan 2009 Data up to 18 Apr 09

AFP Cases Pending Classification > 90 Days, Afghanistan 2009 Data up to 18 Apr 09

Population Density Map Afghanistan 2009

Non-Polio AFP Rate by Province, Afghanistan per 100,000 under 15 years (Annualized) 200920082007 Data up to 4 Apr 09

% of AFP cases reported within 7 days of paralysis onset by region Afghanistan 07-09 Data up to 18 Apr 09

Proportion of Adequate Stools By Region Afghanistan 07-09 Data up to 18 Apr 09

AFP Cases with Stool Specimen Reaching The RRL Within 3 and 7 Days of 2nd Specimen Collection By Region, Afghanistan 07-09Within 3 daysWithin 7 days Data up to 18 Apr 09

Percentage of Entero -Virus and SL isolation Afghanistan 07-09Entero VirusSLPercentageEV % by month 07-09 Data up to 18 Apr 09

Correct the dots and number next to the map