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Acute flaccid paralysis (AFP) surveillance: challenges and opportunities from 18 years' experience, Spain, 1998 to 2015.
Masa-Calles, Josefa; Torner, Nuria; López-Perea, Noemí; Torres de Mier, María de Viarce; Fernández-Martínez, Beatriz; Cabrerizo, María; Gallardo-García, Virtudes; Malo, Carmen; Margolles, Mario; Portell, Margarita; Abadía, Natividad; Blasco, Aniceto; García-Hernández, Sara; Marcos, Henar; Rabella, Núria; Marín, Celia; Fuentes, Amelia; Losada, Isabel; Gutiérrez, Juan García; Nieto, Alba; Ortúzar, Visitación García; Cenoz, Manuel García; Arteagoitia, José María; Martínez, Ángela Blanco; Rivas, Ana; Castrillejo, Daniel.
Afiliação
  • Masa-Calles J; National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain.
  • Torner N; Spanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
  • López-Perea N; Spanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
  • Torres de Mier MV; Public Health Agency of Catalonia, Generalitat of Catalonia, Spain.
  • Fernández-Martínez B; Department of Medicine, University of Barcelona, Barcelona, Spain.
  • Cabrerizo M; National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain.
  • Gallardo-García V; Spanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
  • Malo C; National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain.
  • Margolles M; Spanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
  • Portell M; National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain.
  • Abadía N; Spanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
  • Blasco A; National Polio Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
  • García-Hernández S; Servicio de Vigilancia y Salud Laboral, Consejería de Salud, Andalucía, Spain.
  • Marcos H; Servicio de Vigilancia en Salud Pública, D.G. de Salud Pública, Departamento de Sanidad, Aragón, Spain.
  • Rabella N; Servicio de Vigilancia Epidemiológica, Consejería de Sanidad, Instituto de Investigación Sanitaria del Principado de Asturias, Spain.
  • Marín C; Servicio de Vigilancia Epidemiológica, Conselleria de Salut, Família i Bienestar Social Baleares, Spain.
  • Fuentes A; Servicio de Epidemiologia y Prevención, Dirección General Salud Pública, Servicio Canario de Salud, Canarias, Spain.
  • Losada I; Sección de Vigilancia Epidemiológica, D.G. de Salud Pública, Cantabria, Spain.
  • Gutiérrez JG; Servicio de Epidemiología, D.G. de Salud Pública, Consejería de Sanidad, Castilla-La Mancha, Spain.
  • Nieto A; Servicio de Vigilancia Epidemiológica y Enfermedades Transmisibles, D.G. de Salud Pública, Consejería de Sanidad, Castilla y León, Spain.
  • Ortúzar VG; Microbiology Department, Hospital de la Santa Creu i Sant Pau, Microbiology & Genetics Department, Universitat Autònoma de Barcelona, Barcelona, Spain.
  • Cenoz MG; Servei de Vigilància i Control Epidemiològic, Conselleria de Sanitat Universal i Salut Pública, Comunitat Valenciana, Spain.
  • Arteagoitia JM; Subdirección de Epidemiología. D.G. de Salud Pública, Servicio Extremeño de Salud, Consejería de Salud y Políticas Sociales, Extremadura, Spain.
  • Martínez ÁB; Servizo de Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Xunta de Galicia, Spain.
  • Rivas A; Servicio de Epidemiología, Subdirección General de Epidemiología, Dirección General de Salud Pública, Comunidad Autónoma de Madrid, Spain.
  • Castrillejo D; Servicio de Epidemiología, Subdirección General de Epidemiología, Dirección General de Salud Pública, Comunidad Autónoma de Madrid, Spain.
Euro Surveill ; 23(47)2018 11.
Article em En | MEDLINE | ID: mdl-30482263
ABSTRACT
Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. It allows detecting poliovirus (PV) reintroductions from endemic countries. This study describes AFP surveillance in Spain from 1998 to 2015. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. The mean notification rate was 0.58 AFP cases/100,000 population under 15 years old (range 0.45/100,000-0.78/100,000). Two periods (P) are described P1 (1998-2006) with the AFP notification rate ranging from 0.66/100,000 to 0.78/100,000, peaking in 2001 (0.84/100,000); and P2 (2007-2015) when the AFP rate ranged from 0.43/100,000 to 0.57/100,000, with the lowest rate in 2009 (0.31/100,000). No poliomyelitis cases were caused by wild PV infections, although two Sabin-like PVs and one imported vaccine-derived PV-2 were detected. Overall, 23 (3.4%) cases met the hot case definition. Most cases were clinically diagnosed with Guillain-Barré syndrome (76.9%; 504/655). The adequate stool collection rate ranged from 33.3% (7/21) to 72.5% (29/40). The annual proportion of AFP cases with non-polio enterovirus findings varied widely across the study period. AFP surveillance with laboratory testing for non-polio enteroviruses must be maintained and enhanced both to monitor polio eradication and to establish sensitive surveillance for prompt detection of other enteroviruses causing serious symptoms.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia / Poliomielite / Vacina Antipólio Oral / Vigilância da População / Surtos de Doenças / Vacinas contra Poliovirus / Poliovirus Tipo de estudo: Screening_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Europa Idioma: En Revista: Euro Surveill Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia / Poliomielite / Vacina Antipólio Oral / Vigilância da População / Surtos de Doenças / Vacinas contra Poliovirus / Poliovirus Tipo de estudo: Screening_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Europa Idioma: En Revista: Euro Surveill Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Espanha