Acute flaccid paralysis case is defined as sudden onset of weakness and floppiness in any part of the body in a child . for the doctors to End Polio. AFP surveillance การเฝ้าระวังผู้ป่วยกล้ามเนื้ออ่อนแรงเฉียบพลัน Author: doggyrin Last modified by: aim Created Date: 12/13/2006 2:53:48 AM Document presentation format: Corporation Ambil 2 spec <14 stlh lumpuh dengan kondisi baik (>= 80 %) Pemeriksaan laboratorium Biofarma, BLK Sby, Puslit Jkt. Cancer Site Estimated NewCases Estimated Deaths Cervix 12,990 4,120 Ovary 22,280 14,240 Uterus 60,050 10,470 Vulva 5,950 1,110 Vaginal/Other 4,620 950 Gynecologic Malignancies 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. It allows detecting poliovirus (PV) reintroductions from endemic countries. AFP is a complex clinical syndrome with a broad array of potential etiologies. The programme is able to identify where the polio virus is circulating through its highly sensitive surveillance activities. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. If you continue browsing the site, you agree to the use of cookies on this website. Polio free. Acute flaccid paralysis (afp): surveillance standard for certification. Nationwide AFP (acute flaccid paralysis) surveillance is the gold standard for detecting cases of poliomyelitis. VPL (terfokus) VPL (menyebar luas) 3 tahun kinerja AFP baik. 4 ACRONYMS AFP Acute Flaccid Paralysis AFRO World Health Organization, Regional Office for Africa CFR Case Fatality Ratio CRI Congenital Rubella Infection CRS Congenital … AFP surveillance การเฝ้าระวังผู้ป่วยกล้ามเนื้ออ่อนแรงเฉียบพลัน Author: doggyrin Last modified by: aim Created Date: 12/13/2006 2:53:48 AM Document presentation format: Clinical Evidence. Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. Conversely, Lin et al. IPV administration is recommended at 14 weeks of age because it provide the optimal balance between vaccine efficacy and early protection. Acute flaccid paralysis (afp): surveillance standard for certification. Environmental surveillance (ES) can detect circulating polioviruses from sewage without relying on clinical presentation. Afp surveillance ppt Diagnosis and reporting of acute flaccid paralysis (afp). Hepatocellular cancer (HCC) is the fourth leading cause of cancer-related deaths worldwide and the fastest growing cause of cancer deaths in the United States. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. With the evolution of wireless and microchip technologies, surveillance devices have become smaller, cheaper and better than ever before. 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). Conversely, Lin et al. 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. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. An awareness Programme in Acute Flaccid Paralysis surveillance. Acute flaccid paralysis and Surveillance 2018 1. Date : 20.08.2010. At the same time, using the right counter-surveillance tactics and techniques, you can elude most forms of physical and electronic eavesdropping. (16) found that surveillance with alpha-feto-protein (AFP) and ultrasound (US) was cost-effective regardless of HCC incidence. Any child under 15 years of age with AFP* or any person of any age with paralytic illness if polio is suspected There are no official AAA screening programs in Australia, despite population screening programs in the UK and Sweden, where there is an 80% uptake,3and numerous other European countries. Before we approach for a step-wise clinical evaluation, we need to stablise the child by providing basic support. Evaluating Surveillance Indicators Supporting the Global Polio Eradication Initiative, 2011–2012. Dr. Sunil A. Tore M.B.B.S., D.P.H.,D.H.A., M.I.P.H.A. The standardized system of AFP surveillance adopted internationally has made it … Title Concerning Activities They Carry Out In Relation To Afp Surveillance, 34 PPT. 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 Currently, AFP surveillance at naional level coninues to meet the ceriicaion standard performance. See our Privacy Policy and User Agreement for details. The ongoing treatment can be considered effective if there is upgradation by at least one level by the end of 4 weeks. Accurate diagnosis of the cause of AFP has profound implications for therapy and prognosis. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. Kinerja Buruk. Jadi fokus perhatian surveilans penyakit adalah penyakit, bukan individu. Active surveillance for AFP has been designed for eradication, but all communicable diseases that are subject to control need a responsive surveillance system. If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. 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. surveillance of acute flaccid paralysis started in 1997 october achieved global benchmarks in may 1998 mapping of polio cases made possible labs providing > 80% results on time genetic sequencing capacity expanded 39. what is afp ? lower, surveillance did not prolong survival. surveillance function to remain close to the control function. surveillance for AFP/AFM and to gather more information on clinical history, possible risk factors and outcomes for cases reported in 2018. introducing IPV into RI is boost population immunity against type2 poliovirus during and after the planned global withdrawal of OPV2 and switch from tOPV to bOPV.. To boost both humoral and mucosal immunity against poliovirus types 1 and 3, which may also hasten the eradication of these WPVs.To reduce VAPP risks. 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 Positif . 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, … acute flaccid paralysis (AFP) without delay. (16) found that surveillance with alpha-feto-protein (AFP) and ultrasound (US) was cost-effective regardless of HCC incidence. You can change your ad preferences anytime. AJOG: June 2011. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Those who successfully complete each individual 5-day course will earn the Mobius Certification for that course. Konsep SAFP. The overall prognosis of HCC remains dismal, except for the subset of patients who are diagnosed at early stage and receive potentially curative therapies, such as surgical resection and liver transplantation. lower, surveillance did not prolong survival. 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. Looks like you’ve clipped this slide to already. Recommendations vary from bimonthly monitoring to no monitoring in the surveillance setting (for stage I-III disease). Mengamati semua AFP 2/100.000/<15th. Abnormal ST segment depression in GBS....Arrhythmia. Integrated With Afp Surveillance. • 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 In polio cases, infectivity in the pharyngeal foci is around one week, and in the intestinal foci 6-8 weeks. Kinerja Baik. Afp surveillance ppt Diagnosis and reporting of acute flaccid paralysis (afp). ROPE SIGN : hyoid bone is pulled posteriorly causing an acute angulation between the chin and the larynx due to weakness of hyoid muscles, Recipient vapp- Type 3....Contact vapp-T-2, 45 cases have been recorded in last 9 years-----42 are type 2, Currently 3rd generation IPV is being used.—Enhanced IPV vero cell line culture. Surveillance of AFP - Free download as Powerpoint Presentation (.ppt) or view presentation slides online. Notification Criteria. Clipping is a handy way to collect important slides you want to go back to later. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Bulbar functions recovering first, and lower extremity weakness recovering last. Recent immunisation –swine influenza vaccine, older rabies vaccine (nervous system), OPV...conjugated meningococcal. AFP surveillance helps to detect reliably areas where poliovirus transmission is occurring. 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 Acute flaccid paralysis (afp) surveillance: the surveillance strategy. Thus, although there is some disagreement between published models, surveil-lance … AJOG: June 2011. Search Search Immunization Officer, Pune Municipal See our User Agreement and Privacy Policy. See our Privacy Policy and User Agreement for details. Carcinoembryonic antigen (CEA) monitoring in patients with stage I-IV colorectal cancer has been, and remains, a controversial issue in oncology practice. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. Increased Muscular Activity...leads ti increased paralysis. Background More than 99% of poliovirus infections are non-paralytic and therefore, not detected by acute flaccid paralysis (AFP) surveillance. Now customize the name of a clipboard to store your clips. Notification is not dependent on the cause; all cases of AFP are required to be notified under legislation. The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines on antepartum fetal surveillance. Surveilans penyakit (disease surveillance) melakukan pengawasan terus-menerus terhadap distribusi dan kecenderungan insidensi penyakit, melalui pengumpulan sistematis, konsolidasi, evaluasi terhadap laporan-laporan penyakit dan kematian, serta data relevan lainnya. PPT – AFP surveillance PowerPoint presentation | free to view - id: 45816-MzQ2Z. 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 • Since secreted antigens contribute little toward immunity against tumors, the role of these neo-antigens in immuno-surveillance … If you continue browsing the site, you agree to the use of cookies on this website. Polio legacy planning discussion. The Adobe Flash plugin is needed to view this content. • The Paralysis is associated with loss of … 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. The AFP gene is located on the q arm of chromosome 4 (4q25). In 2006 Case Based Surveillance Started . 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, … According to the 2014 WHO AFP surveillance report, the stool adequacy Acute Flaccid Paralysis (AFP) Surveillance of polio virus in Pakistan is a systematic collection, analysis and interpretation of data and the dissemination of information. African Regional guidelines for measles and rubella surveillance- Draft version April 2015. 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. AFP surveillance is necessary to identify and monitor AFP … AFP is defined by the acute onset of weakness or paralysis with reduced muscle tone in children. 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 ( GBS and Poliomyelitis ) The Integrated Disease Surveillance and Response (IDSR) framework makes surveillance and laboratory data more usable, helping public health managers and decision-makers improve detection and response to the leading causes of illness, death, and disability in African countries. Ghana recorded the last case of indigenous wild poliovirus in 1999 but suffered two more outbreaks in 2003 and 2008. Download Share Share. The term PULSE has been added to describe this sudden, simultaneous , mass administration of OPV on a single day to all children 0-5 yrs of age, regardless to previous immunization. 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. surveillance function to remain close to the control function. CBS project A CBS activity that runs for a short, defined timeframe and can be activated or hibernated according to community needs. PPT. These include fetal movement assessment, nonstress test, contraction stress test, fetal biophysical profile, modified biophysical profile and umbilical artery Doppler velocimetry. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. Polio legacy planning discussion. If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. See our User Agreement and Privacy Policy. 15 years of age or paralysis in a person of any age in whom polio is suspected. Following the World Health Organization (WHO) guidelines, transmission was interrupted through high routine immunisation coverage with live-attenuated oral polio vaccine (OPV), effective acute flaccid paralysis (AFP) surveillance and supplementary immunisation activities … Acute Flaccid Paralysis ( GBS and Poliomyelitis ) Dr. Raghav Kakar 2. AFP Surveillance Presentation Summary : In 2006 case based surveillance started . Acute flaccid paralysis (afp) surveillance: the surveillance strategy. Causes of AFP are listed in Table 1 below. It is important to identify impending failure and take necessary steps. surveillance ∗ Identify survivorship issues for patients and providers Objectives. Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. Acute flaccid paralysis including GBS and Poliomyelitis and AFP SURVEILLANCE..PULSE POLIO....POLIO END GAME STRATEGy. 1. This stands in contrast with longer- Several follow up campaigns in the period 2007 -2011 were conducted. Acute Flaccid Paralysis The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. Now customize the name of a clipboard to store your clips. 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. 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 AFP is defined by the acute onset of … Background More than 99% of poliovirus infections are non-paralytic and therefore, not detected by acute flaccid paralysis (AFP) surveillance. 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). 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 … This study describes AFP surveillance in Spain from 1998 to 2015. Looks like you’ve clipped this slide to already. Parasitic infestations: Schistoma, Cysticercus, Echinococcus. The Epidemiology Unit was established in 1959 with assistance from World Health Organization (WHO) to strengthen surveillance of communicable diseases. If you continue browsing the site, you agree to the use of cookies on this website. Stool adequacy acute flaccid paralysis/myelitis in an individual aged 30 years and under not. 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