1. Bhopal Global and National Update.pptx

Bhopal Global and National Update

1. Epidemiology of Polio Global and National Update

2. Global Wild Poliovirus 2016 - 2022 Data in WHO HQ as of 09 Aug. 2022

3. Global WPV1 & cVDPV Cases 1 , Previous 12 Months 2 Data in WHO HQ as of 09 Aug. 2022 Endemic country (WPV1) 1 Excludes viruses detected from environmental surveillance; 2 Onset of paralysis 10 Feb. 2022 to 09 Aug. 2022 WPV 1 VDPV 1 VDPV 2 VDPV 3

4. Global WPV1 & cVDPV Cases 1 , Previous 6 Months 2 Data in WHO HQ as of 09 Aug. 2022 Endemic country (WPV1) 1 Excludes viruses detected from environmental surveillance; 2 Onset of paralysis 10 Feb. 2022 to 09 Aug. 2022

5. Last Wild Poliovirus Cases by Type, India WPV2 24/10/1999 Aligarh (UP) WPV1 13/01/2011 Howrah (WB) WPV3 22/10/2010 Pakur (JH) 5

6. P1 wild P3 wild No WPV case since January 2011 * data as on 20 November 2021 P2 wild 1600 1934 Wild Poliovirus Cases, India

7. Global scenario implication India has had no polio cases for over eleven years (since 2011) But the world is not free of polio, and although progress continues W ild poliovirus (WPV) transmission has not been interrupted in Pakistan and Afghanistan Recent isolation of WPV1 in Malawi in 2021 and in Mozambique in 2022 It shows that the importation of poliovirus is a real threat to the polio-free status of India

8. Rationale As per the letter MoHFW , GoI (No- Z-16026/ 02/2012- CC & V dated 05 Aug 2022 “To maintain India’s polio-free status and as per the recommendations of 30 th Meeting of India Expert Advisory Group (IEAG) on Polio in May-22, an exercise was undertaken for district risk assessment for SNID area prioritization” Four key components criteria were: Susceptibility (Immunization Component) Surveillance Polio Virus Containment Risk of the district for importation

9. Susceptiblity

10. % of First Day Coverage

11. % Migratory sites found not covered by the team

12. % Migratory sites "NOT" part of micro plans

13. % of X Generation

14. % Unimmunized children found in migratory sites

15. % Unimmunized children found (H2H)

16. % Missed Children (end of Round Survey)

17. Block Wise FIC Coverage BLOCK Target April-June 2022 FIC % FIC UHB 01 740 609 82 UHB 02 1262 1036 82 UHB 03 1885 1248 66 UHB 04 1796 1024 57 UHB 05 1111 743 67 UHB 06 1040 676 65 UHB 07 1536 1120 73 UHB 08 1455 1301 89 PHANDA 1257 1285 102 BERASIYA 1659 1389 84 Others     #DIV/0! Grand Total 13741 10431 76

18. Polio Antigen Coverage BLOCK TARGET fIPV 2 fIPV 2 ( %) OPV 3 OPV 3 (%) OPV Booster OPV Booster (%) UHB 01 740 667 90.1 664 90 700 95 UHB 02 1262 1117 88.5 1118 89 973 77 UHB 03 1885 1155 61.3 1140 60 1120 59 UHB 04 1796 1053 58.6 1127 63 1021 57 UHB 05 1111 746 67.1 744 67 764 69 UHB 06 1040 739 71.0 727 70 759 73 UHB 07 1536 874 56.9 869 57 691 45 UHB 08 1455 1029 70.7 1089 75 1187 82 PHANDA 1257 1338 106.5 1299 103 1271 101 BERASIYA 1659 1374 82.8 1376 83 1204 73 Others     #DIV/0!   #DIV/0!   #DIV/0! Grand Total 13741 10092 73.4 10153 74 9690 71

19. BLOCK fIPV 1 Penta1 Gap OPV 1 Penta1 Gap fIPV 2 Penta3 Gap OPV 3 Penta3 Gap UHB 01 665 620 45 642 620 22 667 652 15 664 652 12 UHB 02 1133 1118 15 1126 1118 8 1117 1132 -15 1118 1132 -14 UHB 03 1208 1209 -1 1208 1209 -1 1155 1140 15 1140 1140 UHB 04 1005 1068 -63 1071 1068 3 1053 1127 -74 1127 1127 UHB 05 777 777 777 777 746 744 2 744 744 UHB 06 713 712 1 712 712 739 736 3 727 736 -9 UHB 07 800 807 -7 807 807 874 873 1 869 873 -4 UHB 08 1141 1187 -46 1187 1187 1029 1089 -60 1089 1089 PHANDA 1273 1256 17 1276 1256 20 1338 1299 39 1299 1299 BERASIYA 1399 1420 -21 1412 1420 -8 1374 1385 -11 1376 1385 -9 Others                 Grand Total 10114 10174 -60 10218 10174 44 10092 10177 -85 10153 10177 -24

20. Surveillance

21. AFP Surveillance Status Bhopal 2018 2019 2020 2021 2022 No. of resident AFP cases 35 34 16 21 22 Non polio AFP Rate 3.09 2.93 1.34 1.73 6.6 Adequate Stool Rate 80% 85% 75% 81% 95% Notification within 10days of Onset 83% 91% 75% 90% 95% Investigation with 48 Hours of Notification 80% 76% 88% 95% 91% Dist. AFP Workshops 1 1 1 8/23/2022

22. UHB wise AFP Cases-2022 8/23/2022

23. Risk of Importation

24. Field validated ward wise HRAs -2022 Are we including HRAs in RI Microplanning? 2. Are we including HRAs in NID/SNID Microplanning? W ard N ewly Identified HRAs 57 27 55 25 26 23 54 23 56 17 52 15 75 15 38 13 62 12 72 12 80 12 82 12 79 11 85 11 36 10 73 10 68 9 74 9 76 9 77 9 84 9 W ard N ewly Identified HRAs 59 8 66 8 1 7 12 7 44 7 58 7 60 7 65 7 67 7 64 6 70 6 81 6 16 5 30 5 53 5 83 5 29 4 61 4 3 2 78 2

25. Programme Priorities Risks Importation of Wild Poliovirus from endemic countries, esp. considering political situation in Afghanistan Emergence of VDPVs Missed transmission due to inadequate surveillance sensitivity Priorities High coverage during Polio SIAs, with focus on HRAs High routine immunization coverage with bOPV and IPV Highly sensitive AFP Surveillance

26. Thanks