Acute Flaccid Paralysis Surveillance in Central of Iran, 2003 To 2007: a Multicenter Study

Abstract

Purpose: To examine the national program indicators for Acute flaccid paralysis (AFP) surveillance system in Isfahan and Markazi provinces of Iran. Methods: This is an evaluation study assessing indicators of acute flaccid paralysis surveillance system in Isfahan and Markazi provinces. All data registered for suspected AFP cases in departments of communicable diseases in health deputy of the mentioned provinces were reviewed. These documents included linear lists, patient records, national polio lab results, and classification committee reports. Demographic information and specific AFP surveillance indicators such as AFP number and non-polio AFP rate were obtained and calculated exactly, finally being compared with the available standards. Data analysis was performed by SPSS statistical software package. Results: Five-year mean values for all indicators (AFP number, non-polio AFP rate, AFP reported and tested within 48 hours of onset , AFP detected after 7 days, AFP with two stool specimens in 14 days, Stool specimens send to lab in 3 days , AFP cases followed up in 60 days) in both provinces were above the standard rate. Conclusion: Our study showed AFP surveillance system in central parts of Iran worked effectively and appropriately, however, it is necessary to regularly monitor ongoing process of this sensitive surveillance system.