16. An Outcome of Acute Flaccid Paralysis Surveillance in Khyber Pakhtunkhwa During 2015
Sher Bahadur1, Gohar Rehman1, Rizwan Anwar1, Attaullah Jan1, Shams ur Rehaman1, Shehnaz Bakhtiar2 and Shaista Rasool1
ABSTRACT
Objective: The present study aims to determine the final outcome (diagnosis) of AFP cases reported in Khyber Pakhtunkhwa (KP).
Study Design: Descriptive study
Place and Duration of Study: This study was conducted at Health Department with Joint Collaboration World Health Organization from January 2015 to January 2016.
Materials and Methods: This study was based on evaluation of secondary data related to APF surveillance data. Formal permission was taken from Provincial Polio Surveillance Unit, health department KP, data was received in MS Excel sheet which was transformed into SPSS version 20 for analysis.
Results: A total of 1217 cases with mean age of 42 ± 34.2 (ranged 1 to 172 moths) out of whom 724 (59.5%) were being male and 493 (40.5%) were being female. The children with age range of 13-24 months (2 years) were high in proportion. Most of the children presented with history of fever 802 (65.9%) and asymmetrical weakness 809 (66.5%). Traumatic Injection Neuritis (TIN) was the leading cause of AFP accounted for 266(21.9%), followed by GBS 214(17.6%), Unspecified fall 190(15.6%), Arthritis 54(4.4%) and Meningitis 33(2.7%) respectively. There was no single case of true poliomyelitis although 27(2.2%) cases were suspected during initial health assessment. Apart from these etiologies, there were 55 other clinical conditions associated with AFP.
Conclusion: Traumatic injection neuritis and GuillainBarre Syndrome misleading the causes of AFP in the region among children. Unspecified Injuries/trauma and fall plays a significant role in disability among children and account for overuse of hospital services.
Keywords: Traumatic injection neuritis, GuillainBarre syndrome, Arthritis, poliomyelitis and Meningitis
Citation of article: Bahadur S, Rehman G, Anwar R, Jan A, Rehaman S, Bakhtiar S, Rasool S. An Outcome of Acute Flaccid Paralysis Surveillance in Khyber Pakhtunkhwa During 2015. Med Forum 2017;28(2):60-63.