Ministerial Meeting Geneva January 13, 2005

1
Ministerial Meeting GenevaJanuary 13, 2005

• Minister of Health Population
• Egypt
• Prof. Dr. M. Awad Tag El Din

2
Political Commitment

• All campaigns conducted under patronage of Her
  Excellency the First Lady
• Special meeting of the cabinet for polio
  eradication was conducted in February 2004
• Special meeting of Governors to support Polio
  campaigns
• Governors participate in preparation of Polio
  campaigns inauguration sessions

3
Current Situation
4
2003 One confirmed case reported from Minia
(June 16, 2003) 2004 One confirmed case
reported from Assuit (May 3, 2004)
Lower
Upper
Environmental wild virus 2004
Confirmed polio case in 2004
Confirmed polio case in 2003
5
Environmental Surveillance

• The recent positive environmental samples
  decreased from 16 in 2002 to only 2.5 in 2004.
• Genomic sequencing of polio virus demonstrated
  continued reduction in number of clusters only 2
  clusters in 2004.

6
Acute Flaccid Paralysis Surveillance

• Is maintained at certification standard in every
  individual governorates in Egypt.
• 2.5 / 100.000 children under 15 years of age.

7
SIAs Conducted in 2004

• February SNIDs (Greater Cairo, and other 5
  Governorates)
• March 1st round NIDs
• April 2nd round NIDs
• June SNIDs Menia Assuit
• July SNIDs upper Egypt (8
  governorate)
• September 1st round NIDs
• October 2nd round NIDs
• December 3rd round NIDs
• With more than 98 coverage as obtained from
  independent Monitoring.

8
Reaching Every ChildReaching Every Flat

• Preparation including training of vaccination
  team and supervisors to improve both quality
  Coverage.
• Special plans focusing on Mega Cities to ensure
  visiting every apartment.
• Special plan for defaulter tracing and
  vaccination in these areas.
• Monitoring and Evaluation of each round
  (International observers, Independent monitors).
• Very high Routine vaccination coverage including
  zero dose.
• Due to the appearance of few ve environmental
  samples a sero-survey was conducted to assess the
  immune status of the children.
• Use of Monovalent type I vaccine in campaigns
  starting May 2005.

9
SIAs Schedule 2005

• SNIDs 10-12 January 2005
• Red Sea, and Aswan.
• NIDs 4 rounds
• 14-16 February 2005
• 29-31 March 2005
• 17-19 May 2005 (Mono valent type 1)
• 21-23 June 2005

10
Plan for importation

• Strengthen Acute Flaccid Paralysis (AFP)
  surveillance particularly in areas receiving
  foreigners from infected countries.
• SNID 10-12 January at governorates bordering
  Sudan (Aswan Red sea) at the same time of Sudan
  campaign.

11
Thank you