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IAP Recommendations for AFP SURVEILLANCE

  1. A non-Polio AFP rate of 1/100,000 should be adopted as bench mark for adequacy of AFP surveillance in India as per Kerala data, a State, which has been free of Polio for more than three years.
  2. Active community based surveillance should be considered. Involvement of community should be solicited by rewards for reporting a new unreported case of AFP.
  3. State and Centre level Technical Expert Committee be set up to oversee the process of AFP surveillance. This committee should have a IAP representative on it.
  4. Scope of AFP surveillance should be expanded progressively to include contact surveys and environmental surveys. .
  5. The IAP and IMA should be actively involved in the process of AFP surveillance. The information regarding what, where and to whom to report and what to expect after reporting a case should be disseminated to all IAP and IMA members.
  6. Special efforts must be made to ensure coverage of children between the age of 12 and 15 who may not be reporting to the Department of Pediatrics of various reporting units.
  7. Intra-typing differentiation of all cases of AFP must be provided to clinicians reporting the index cases.
  8. Clinicians must follow all cases of AFP for minimum of 60 days and correlate with virus intra-typing.
  9. Every case or AFP-which do not have wild virus, must be scrutinized by technical expert committee which has an IAP representative on it to begin with such expert committees may be constituted at State level, and gradually such committees may be constituted in each district.

IAP Recommendations for Vaccine Associated Paralytic Polio