Document Detail

Surveillance of poliomyelitis in the United Kingdom.
MedLine Citation:
PMID:  8041888     Owner:  NLM     Status:  MEDLINE    
Routine surveillance of poliomyelitis is undertaken through statutory notification, laboratory reporting, and examination of death certificates where poliomyelitis is mentioned. All health districts report weekly and include zero reporting of poliomyelitis in their returns. UK weekly reports on poliomyelitis are forwarded to WHO Europe. There have been no wild virus cases for over a decade. Since August 1991, there has been active surveillance of acute flaccid paralysis (AFP) in children under 16 years. All Consultant Paediatricians are contacted monthly through the British Paediatric Surveillance Unit and asked for reports of any cases of AFP. These are then investigated further. The study protocol specifies the investigations that are required for AFP cases, including stool samples for virology. AFP rates from this surveillance, approximately one per hundred thousand children under 16 years, provide a valuable guide for industrialised countries; consideration is being given to extending this scheme into the adult population. In 1992, a 44-year-old man died after sudden onset of AFP. Histology suggested poliomyelitis, and intensive investigations were undertaken to establish a diagnosis. The role of AFP surveillance and investigation of suspected cases are discussed in the light of the need to establish that poliomyelitis has been eliminated.
D M Salisbury; N T Begg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Public health reviews     Volume:  21     ISSN:  0301-0422     ISO Abbreviation:  Public Health Rev     Publication Date:    1993-1994
Date Detail:
Created Date:  1994-08-22     Completed Date:  1994-08-22     Revised Date:  2006-07-19    
Medline Journal Info:
Nlm Unique ID:  0370123     Medline TA:  Public Health Rev     Country:  ISRAEL    
Other Details:
Languages:  eng     Pagination:  35-40     Citation Subset:  IM    
Department of Health, London, UK.
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MeSH Terms
Child, Preschool
Data Collection / methods
Death Certificates*
Great Britain / epidemiology
Infant, Newborn
Poliomyelitis / diagnosis,  epidemiology*,  microbiology,  prevention & control
Population Surveillance / methods*
Sensitivity and Specificity

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

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