Abstract
Since Nigeria reported its last case of wild poliovirus type 1 (WPV1) in July 2014, Pakistan and Afghanistan remain the only two countries where WPV transmission has never been interrupted. This report describes actions taken and progress achieved toward polio eradication in Pakistan during January 2014-September 2015 and updates previous reports. A total of 38 WPV1 cases were reported in Pakistan during January-September 2015, compared with 243 during the same period in 2014 (an 84% decline). Among WPV1 cases reported in 2015, 32 (84%) occurred in children aged <36 months, nine (32%) of whom had never received oral poliovirus vaccine (OPV). Twenty-six (68%) of the 38 reported cases occurred in the Federally Administered Tribal Areas (FATA) and Khyber Pakhtunkhwa (KPK) Province. During January-September 2015, WPV1 was detected in 20% (64 of 325) of environmental samples collected, compared with 34% (98 of 294) of samples collected during the same period in 2014. The quality and scope of polio eradication activities improved considerably following the establishment of a national Emergency Operations Center, which coordinated polio eradication partners' activities. All activities are following a National Polio Eradication Emergency Action Plan that includes a rigorous action plan for the polio low transmission season (January-April). The presence of WPV1 in environmental samples in areas where no polio cases are detected highlights the need to improve surveillance for acute flaccid paralysis (AFP). Focused efforts to close remaining immunity gaps by locating, tracking, and vaccinating continually missed children and improving coverage with OPV through the routine vaccination program are needed to stop WPV transmission in Pakistan.
Highlights
Continued surveillance for diabetes and its risk factors among Asians and Native Hawaiians and other Pacific Islanders (NHPIs) is an important component in monitoring progress toward reducing their burden of diabetes
Because Asians and NHPIs are growing minority populations that are at increased risk for developing type 2 diabetes, continued surveillance for diabetes and its risk factors among Asians and NHPIs is an important component in monitoring progress toward reducing their burden of diabetes
Selected characteristics of persons reporting to emergency departments for symptoms associated with carbon monoxide exposure — Wisconsin, December 13–14, 2014, and of persons who responded to a follow-up survey administered February–April, 2015
Summary
WDHS abstracted patient information for persons who were present at the event and subsequently sought care at four area EDs. Information collected included demographics, smoking status, underlying medical conditions, participant type (player, coach, or spectator), symptoms, COHb levels, and any treatment provided. Selected characteristics of persons reporting to emergency departments for symptoms associated with carbon monoxide exposure — Wisconsin, December 13–14, 2014, and of persons who responded to a follow-up survey administered February–April, 2015
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
