Strategies for Improving Polio Surveillance Performance in the Security-Challenged Nigerian States of Adamawa, Borno, and Yobe During 2009-2014.
J Infect Dis
; 213 Suppl 3: S136-9, 2016 May 01.
Article
em En
| MEDLINE
| ID: mdl-26655842
ABSTRACT
BACKGROUND:
The security-challenged states of Adamawa, Borno, and Yobe bear most of the brunt of the Boko Haram insurgency in Nigeria. The security challenge has led to the killing of health workers, destruction of health facilities, and displacement of huge populations. To identify areas of polio transmission and promptly detect possible cases of importation in these states, polio surveillance must be very sensitive.METHODS:
We conducted a retrospective review of acute flaccid paralysis surveillance in the security-compromised states between 2009 and 2014, using the acute flaccid paralysis database at the World Health Organization Nigeria Country Office. We also reviewed the reports of surveillance activities conducted in these security-challenged states, to identify strategies that were implemented to improve polio surveillance.RESULTS:
Environmental surveillance was implemented in Borno in 2013 and in Yobe in 2014. All disease surveillance and notification officers in the 3 security-challenged states now receive annual training, and the number of community informants in these states has dramatically increased. Media-based messaging (via radio and television) is now used to sensitize the public to the importance of surveillance, and contact samples have been regularly collected in both states since 2014.CONCLUSIONS:
The strategies implemented in the security-challenged states improved the quality of polio surveillance during the review period.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Poliomielite
/
Vigilância da População
/
Melhoria de Qualidade
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
J Infect Dis
Ano de publicação:
2016
Tipo de documento:
Article