Document Detail


Surveillance of acute flaccid paralysis in Australia, 1995-97. Australian Paediatric Surveillance Unit.
MedLine Citation:
PMID:  10634978     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Acute flaccid paralysis (AFP) surveillance in Australia as part of the World Health Organization (WHO) certification process for polio eradication in the Western Pacific region. METHODS: Active monthly AFP surveillance through the Australian Paediatric Surveillance Unit, from March 1995 to December 1997. RESULTS: Based on 80 cases, the reported overall rate of AFP was 0.73 per 10(5) children < 15 years (below the expected 1 per 10(5)). The major causes of AFP were Guillain-Barré syndrome (51%) and transverse myelitis (19%). According to the WHO virological classification, there was no case of poliomyelitis, 37.5% were 'non-polio' and 62.5% cases were 'polio compatible' due to inadequate stool testing and follow-up. However, case review by an expert panel enabled 95% to be classified as 'non-polio'. CONCLUSION: Australia must improve AFP surveillance to confirm absence of wild poliovirus. Paediatricians can help Australia meet its certification requirements and contribute to the global eradication effort by reporting and investigating all cases of AFP.
Authors:
R M D'Souza; M Kennett; J Antony; A Herceg; B Harvey; H Longbottom; E Elliott
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  35     ISSN:  1034-4810     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-28     Completed Date:  2000-01-28     Revised Date:  2007-09-24    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  536-40     Citation Subset:  IM    
Affiliation:
Surveillance and Management Section, National Centre for Disease Control, Department of Health and Aged Care, Canberra, Australian Capital Territory, Australia. Rennie.D'Souza@health.gov.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Australia / epidemiology
Child
Child, Preschool
Female
Humans
Incidence
Infant
Male
Paralysis / epidemiology*,  etiology
Poliomyelitis / epidemiology*,  virology
Population Surveillance / methods*
World Health Organization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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