AFP surveillance helps to detect reliably areas where poliovirus transmission is occurring. The Adobe Flash plugin is needed to view this content. AJOG: June 2011. (16) found that surveillance with alpha-feto-protein (AFP) and ultrasound (US) was cost-effective regardless of HCC incidence. The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines on antepartum fetal surveillance. Active surveillance for AFP has been designed for eradication, but all communicable diseases that are subject to control need a responsive surveillance system. Those who successfully complete each individual 5-day course will earn the Mobius Certification for that course. Several follow up campaigns in the period 2007 -2011 were conducted. surveillance ∗ Identify survivorship issues for patients and providers Objectives. 4 ACRONYMS AFP Acute Flaccid Paralysis AFRO World Health Organization, Regional Office for Africa CFR Case Fatality Ratio CRI Congenital Rubella Infection CRS Congenital Rubella Syndrome ELISA Enzyme linked Immuno-Sorbent Assay Acute Flaccid Paralysis (A FP) Surveillance Nationwide AFP (acute flaccid paralysis) surveillance is the gold standard for detecting cases of poliomyelitis. Presentation Summary : Concerning activities they carry out in relation to AFP surveillance, 34 (48.6%) said they search AFP case by going house to house, 4 (5.7%) gave health It allows detecting poliovirus (PV) reintroductions from endemic countries. In polio cases, infectivity in the pharyngeal foci is around one week, and in the intestinal foci 6-8 weeks. acute flaccid paralysis (AFP) without delay. Title Concerning Activities They Carry Out In Relation To Afp Surveillance, 34 PPT. This stands in contrast with longer- The concepts underpinning surveillance and the number of different surveillance systems in use have expanded rapidly in recent years [].These systems have been developed in various fields, either public health (PH), animal health (AH), environmental health (EH), or more recently, combining these sectors in a one health (OH) approach [].Although the need for effective surveillance systems … Kinerja Buruk. surveillance of acute flaccid paralysis started in 1997 october achieved global benchmarks in may 1998 mapping of polio cases made possible labs providing > 80% results on time genetic sequencing capacity expanded 39. what is afp ? Notification Criteria. Alpha-fetoprotein (AFP, α-fetoprotein; also sometimes called alpha-1-fetoprotein, alpha-fetoglobulin, or alpha fetal protein) is a protein that in humans is encoded by the AFP gene. ROPE SIGN : hyoid bone is pulled posteriorly causing an acute angulation between the chin and the larynx due to weakness of hyoid muscles, Recipient vapp- Type 3....Contact vapp-T-2, 45 cases have been recorded in last 9 years-----42 are type 2, Currently 3rd generation IPV is being used.—Enhanced IPV vero cell line culture. Accurate diagnosis of the cause of AFP has profound implications for therapy and prognosis. If you continue browsing the site, you agree to the use of cookies on this website. Initially, the unit functioned with a WHO consultant and a national counterpart, who, after further training in epidemiology, was appointed in 1961, as the Epidemiologist of the Department of Health Services. Abdominal aortic aneurysm (AAA) remains one of the hallmark pathologies in vascular surgery and an area of intense research interest. introducing IPV into RI is boost population immunity against type2 poliovirus during and after the planned global withdrawal of OPV2 and switch from tOPV to bOPV.. To boost both humoral and mucosal immunity against poliovirus types 1 and 3, which may also hasten the eradication of these WPVs.To reduce VAPP risks. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. Cranial nerves 1,2 and 8 are never involved. CBS project A CBS activity that runs for a short, defined timeframe and can be activated or hibernated according to community needs. Currently, AFP surveillance at naional level coninues to meet the ceriicaion standard performance. This study describes AFP surveillance in Spain from 1998 to 2015. AFP is defined by the acute onset of weakness or paralysis with reduced muscle tone in children. Hepatocellular cancer (HCC) is the fourth leading cause of cancer-related deaths worldwide and the fastest growing cause of cancer deaths in the United States. The overall prognosis of HCC remains dismal, except for the subset of patients who are diagnosed at early stage and receive potentially curative therapies, such as surgical resection and liver transplantation. There are no official AAA screening programs in Australia, despite population screening programs in the UK and Sweden, where there is an 80% uptake,3and numerous other European countries. Polio legacy planning discussion. Welcome to the APSU. Alpha-fetoprotein (AFP, α-fetoprotein; also sometimes called alpha-1-fetoprotein, alpha-fetoglobulin, or alpha fetal protein) is a protein that in humans is encoded by the AFP gene. Any child under 15 years of age with AFP* or any person of any age with paralytic illness if polio is suspected Get the plugin now. Acute flaccid paralysis case is defined as sudden onset of weakness and floppiness in any part of the body in a child . Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. Clipping is a handy way to collect important slides you want to go back to later. Date : 20.08.2010. Presentation Summary : Concerning activities they carry out in relation to AFP surveillance, 34 (48.6%) said they search AFP case by going house to house, 4 (5.7%) gave health Surveilans penyakit (disease surveillance) melakukan pengawasan terus-menerus terhadap distribusi dan kecenderungan insidensi penyakit, melalui pengumpulan sistematis, konsolidasi, evaluasi terhadap laporan-laporan penyakit dan kematian, serta data relevan lainnya. The programme is able to identify where the polio virus is circulating through its highly sensitive surveillance activities. AFP Surveillance Mengamati semua AFP 2/100.000/<15th. Thus, although there is some disagreement between published models, surveil-lance … 1. AFP Surveillance For the Polio Eradication program, crucial that AFP surveillance should not miss poliomyelitis cases Case definition has to catch as many cases as possible even those that are not polio: High sensitivity Low specificity All geographic areas to be covered, up to district All AFP cases investigated and polio excluded The four steps of surveillance are: 1. finding and reporting children with acute flaccid paralysis (AFP) 2. obtaining and sending stool and throat samples to the NVRL for analysis During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. Download Share Share. Before we approach for a step-wise clinical evaluation, we need to stablise the child by providing basic support. Evaluating Surveillance Indicators Supporting the Global Polio Eradication Initiative, 2011–2012. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. • The Paralysis is associated with loss of … acute flaccid paralysis (AFP) without delay. In 2013 Sudan Those who successfully complete each individual 5-day course will earn the Mobius Certification for that course. Cases are defined as: Acute flaccid paralysis/myelitis in an individual aged 30 years and under, not explained by an non-infectious cause. The term PULSE has been added to describe this sudden, simultaneous , mass administration of OPV on a single day to all children 0-5 yrs of age, regardless to previous immunization. With the evolution of wireless and microchip technologies, surveillance devices have become smaller, cheaper and better than ever before. AFP surveillance is necessary to identify and monitor AFP … The standardized system of AFP surveillance adopted internationally has made it … Parasitic infestations: Schistoma, Cysticercus, Echinococcus. PPT – AFP surveillance PowerPoint presentation | free to view - id: 45816-MzQ2Z. Alpha Fetoprotein (AFP): Alpha fetoprotein (AFP) is the most widely used biomarker for HCC surveillance, but this test has a sensitivity of only 47 to 64% and a specificity of 82 to 95% for detecting HCC among persons with HCV infection. AJOG: June 2011. African Regional guidelines for measles and rubella surveillance- Draft version April 2015. Now customize the name of a clipboard to store your clips. Australian Medicare rules prohibit reimbursement for population screening studies; however, targeted screening of individual patients, on the basis of age, smoking history and family history of AAA, can be requested by any medical practitioner and is funded through the Medicare Benefits Schedule in Australia as part of cli… Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. – alpha-fetoprotein (AFP) and – carcino -embryonic antigen (CEA ). lower, surveillance did not prolong survival. Introduction • Acute flaccid paralysis (AFP) is defined as onset of paralysis ( <4 weeks ) in a child (age < 15 years) for which no obvious cause has been found; or, a paralysis in a person of any age in whom polio is suspected. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. Scribd is the world's largest social reading and publishing site. for the doctors to End Polio. Acute flaccid paralysis and Surveillance 2018 1. Surveillance of AFP - Free download as Powerpoint Presentation (.ppt) or view presentation slides online. The Epidemiology Unit was established in 1959 with assistance from World Health Organization (WHO) to strengthen surveillance of communicable diseases. AFP is a complex clinical syndrome with a broad array of potential etiologies. Polio legacy planning discussion. Thus, although there is some disagreement between published models, surveil-lance … AFP surveillance การเฝ้าระวังผู้ป่วยกล้ามเนื้ออ่อนแรงเฉียบพลัน Author: doggyrin Last modified by: aim Created Date: 12/13/2006 2:53:48 AM Document presentation format: Evaluating Surveillance Indicators Supporting the Global Polio Eradication Initiative, 2011–2012. See our Privacy Policy and User Agreement for details. ( GBS and Poliomyelitis ) The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. A person of any age with acute flaccid paralysis ----- Acute flaccid paralysis including GBS and Poliomyelitis and AFP SURVEILLANCE..PULSE POLIO....POLIO END GAME STRATEGy. 3. acute flaccid paralysis (afp) surveillance 28 3.1 poliomyelitis: disease background 28 3.2 goals and objectives of polio eradication programme 30 3.3 polio eradication strategies 31 3.4 afp surveillance 33 3.5 key roles of surveillance officers in afp surveillance 51 3.6 outbreak response 52 3.7 vaccine derived polioviruses (vdpvs) 56 4. Dr. Raghav Kakar. The Global Polio Eradication Initiative (GPEI) was established in 1988 by the World Health Assembly to interrupt transmission of wild poliovirus (WPV); completion of this initiative was declared a programmatic emergency of public health in January 2012 (1,2). Looks like you’ve clipped this slide to already. Background The polio environmental surveillance (ES) system has been an incredible tool for advancing polio eradication efforts because of its ability to highlight the spatial and temporal extent of poliovirus circulation. It is important to identify impending failure and take necessary steps. VPL (terfokus) VPL (menyebar luas) 3 tahun kinerja AFP baik. It allows detecting poliovirus (PV) reintroductions from endemic countries. The Integrated Disease Surveillance and Response (IDSR) framework makes surveillance and laboratory data more usable, helping public health managers and decision-makers improve detection and response to the leading causes of illness, death, and disability in African countries. There might be rapid metabolization of Ivig....so TRF...and so retreatment is required. Corporation surveillance ∗ Identify survivorship issues for patients and providers Objectives. See our User Agreement and Privacy Policy. • Since secreted antigens contribute little toward immunity against tumors, the role of these neo-antigens in immuno-surveillance … Department of Health & Family Welfare, Government of West Bengal, No public clipboards found for this slide, Consultant Paediatrician at J&K Healthcare Services. However in spinal cord disorders, once a patient is out of spinal shock phase, then hyperreflexia is demonstrable below the level of lesion. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Now customize the name of a clipboard to store your clips. However, there are sill gaps related to stool adequacy, imely reporing and documentaion of key AFP surveillance aciviies, paricularly in the Ethiopia Somali Regional State. lower, surveillance did not prolong survival. The Global Polio Eradication Initiative (GPEI) was established in 1988 by the World Health Assembly to interrupt transmission of wild poliovirus (WPV); completion of this initiative was declared a programmatic emergency of public health in January 2012 (1,2). Conversely, Lin et al. Acute flaccid paralysis (afp) surveillance: the surveillance strategy. The goal of antepartum fetal surveillance is to prevent fetal death. AFP Acute flaccid paralysis AFR African region AFRO African Regional Office AVADAR Auto-visual acute flaccid paralysis detection and reporting bOPV Bivalent oral poliovirus vaccine CBS Community-based surveillance CDC U.S. Centers for Disease Control and Prevention CIF Case investigation form CSR Community Surveillance and Response 15 years of age or paralysis in a person of any age in whom polio is suspected. At the same time, using the right counter-surveillance tactics and techniques, you can elude most forms of physical and electronic eavesdropping. If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. You can change your ad preferences anytime. Nationwide AFP (acute flaccid paralysis) surveillance is the gold standard for detecting cases of poliomyelitis. Acute Flaccid Paralysis (AFP) Surveillance of polio virus in Pakistan is a systematic collection, analysis and interpretation of data and the dissemination of information. integrated with AFP surveillance. The Australian Paediatric Surveillance Unit (APSU) is a national resource, established in 1993 to facilitate active surveillance of uncommon rare childhood diseases, complications of common diseases or adverse effects of treatment. Conversely, Lin et al. If you continue browsing the site, you agree to the use of cookies on this website. 4 ACRONYMS AFP Acute Flaccid Paralysis AFRO World Health Organization, Regional Office for Africa CFR Case Fatality Ratio CRI Congenital Rubella Infection CRS Congenital … If you continue browsing the site, you agree to the use of cookies on this website. Dr. Sunil A. Tore M.B.B.S., D.P.H.,D.H.A., M.I.P.H.A. Acute flaccid paralysis (afp) surveillance: the surveillance strategy. The standardized system of AFP surveillance adopted internationally has made it … • AFP is produced only as a secreted protein whereas CEA is found both on cell membranes and in secreted fluids. (16) found that surveillance with alpha-feto-protein (AFP) and ultrasound (US) was cost-effective regardless of HCC incidence. Acute Flaccid Paralysis ( GBS and Poliomyelitis ) Dr. Raghav Kakar 2. Active surveillance for AFP has been designed for eradication, but all communicable diseases that are subject to control need a responsive surveillance system. Jadi fokus perhatian surveilans penyakit adalah penyakit, bukan individu. This study describes AFP surveillance in Spain from 1998 to 2015. You can change your ad preferences anytime. Title Concerning Activities They Carry Out In Relation To Afp Surveillance, 34 PPT. IPV PLUS OPV..can prevent VAPP while maintaing benefits of OPV.. Environmental surveillance (ES) can detect circulating polioviruses from sewage without relying on clinical presentation. Positif . Acute flaccid paralysis (AFP) is a clinical syndrome which has many infectious and non-infectious causes. • Alpha-fetoprotein (AFP) lacks adequate sensitivity and specificity for effective surveillance and for diagnosis • Not all tumors secrete AFP • However, generally accepte d that serum levels greater than 500 mcg/L in a high-risk patient is diagnostic of HCC Lok et al, Gastroenterology 2010;138:493-502 Forner et al, Hepatology 2008;47:97-104 Screening and diagnostic surveillance of latent conditions have a profound impact on public healthcare expenditure and clinical outcomes. Background More than 99% of poliovirus infections are non-paralytic and therefore, not detected by acute flaccid paralysis (AFP) surveillance. Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. MRI Spine to rule out – transverse myelitis, traumatic neuritis..... Congenital GBS – Hypotonia, Areflexia and weakness. Background More than 99% of poliovirus infections are non-paralytic and therefore, not detected by acute flaccid paralysis (AFP) surveillance. Integrated With Afp Surveillance. Ghana recorded the last case of indigenous wild poliovirus in 1999 but suffered two more outbreaks in 2003 and 2008. • Alpha-fetoprotein (AFP) lacks adequate sensitivity and specificity for effective surveillance and for diagnosis • Not all tumors secrete AFP • However, generally accepte d that serum levels greater than 500 mcg/L in a high-risk patient is diagnostic of HCC Lok et al, Gastroenterology 2010;138:493-502 Forner et al, Hepatology 2008;47:97-104 Notification is not dependent on the cause; all cases of AFP are required to be notified under legislation. Recommendations vary from bimonthly monitoring to no monitoring in the surveillance setting (for stage I-III disease). surveillance function to remain close to the control function. Looks like you’ve clipped this slide to already. Increased Muscular Activity...leads ti increased paralysis. Background The polio environmental surveillance (ES) system has been an incredible tool for advancing polio eradication efforts because of its ability to highlight the spatial and temporal extent of poliovirus circulation. The Integrated Disease Surveillance and Response (IDSR) framework makes surveillance and laboratory data more usable, helping public health managers and decision-makers improve detection and response to the leading causes of illness, death, and disability in African countries. Presentation Summary : In 2006 case based surveillance started . AFP is defined by the acute onset of … The ongoing treatment can be considered effective if there is upgradation by at least one level by the end of 4 weeks. CBS Community-based surveillance is a surveillance system that monitors a broad range of information directly from community members. While ES often outperforms, or is more sensitive than AFP surveillance, the sensitivity of the ES system has not been well characterized. According to the 2014 WHO AFP surveillance report, the stool adequacy Causes of AFP are listed in Table 1 below. With extensive ES and continued circulation of polioviruses, Pakistan presents a unique opportunity to quantify the impact of … Acute Flaccid Paralysis or AFP is a clinical syndrome, which refers to a collection of signs and symptoms, instead of a diagnosis. 3. acute flaccid paralysis (afp) surveillance 28 3.1 poliomyelitis: disease background 28 3.2 goals and objectives of polio eradication programme 30 3.3 polio eradication strategies 31 3.4 afp surveillance 33 3.5 key roles of surveillance officers in afp surveillance 51 3.6 outbreak response 52 3.7 vaccine derived polioviruses (vdpvs) 56 4. With the evolution of wireless and microchip technologies, surveillance devices have become smaller, cheaper and better than ever before. Acute flaccid paralysis (afp): surveillance standard for certification. Environmental surveillance (ES) can detect circulating polioviruses from sewage without relying on clinical presentation. In 2006 Case Based Surveillance Started . If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. Immunization Officer, Pune Municipal Ambil 2 spec <14 stlh lumpuh dengan kondisi baik (>= 80 %) Pemeriksaan laboratorium Biofarma, BLK Sby, Puslit Jkt. Remove this presentation Flag as Inappropriate I Don't Like This I like this Remember as a Favorite. Acute flaccid paralysis (AFP) is a Notifiable Condition (Immediate notification) under the Public Health Act 2005. Acute Flaccid Paralysis Clinical Evidence. AFP surveillance การเฝ้าระวังผู้ป่วยกล้ามเนื้ออ่อนแรงเฉียบพลัน Author: doggyrin Last modified by: aim Created Date: 12/13/2006 2:53:48 AM Document presentation format: With extensive ES and continued circulation of polioviruses, Pakistan presents a unique opportunity to quantify the impact of … Cancer Site Estimated NewCases Estimated Deaths Cervix 12,990 4,120 Ovary 22,280 14,240 Uterus 60,050 10,470 Vulva 5,950 1,110 Vaginal/Other 4,620 950 Gynecologic Malignancies Bulbar functions recovering first, and lower extremity weakness recovering last. Afp surveillance ppt Diagnosis and reporting of acute flaccid paralysis (afp). Finding and reporting children with acute flaccid paralysis (AFP), 1. Search Search surveillance function to remain close to the control function. Polio free. Alpha Fetoprotein (AFP): Alpha fetoprotein (AFP) is the most widely used biomarker for HCC surveillance, but this test has a sensitivity of only 47 to 64% and a specificity of 82 to 95% for detecting HCC among persons with HCV infection. Afp surveillance ppt Diagnosis and reporting of acute flaccid paralysis (afp). Cancer Site Estimated NewCases Estimated Deaths Cervix 12,990 4,120 Ovary 22,280 14,240 Uterus 60,050 10,470 Vulva 5,950 1,110 Vaginal/Other 4,620 950 Gynecologic Malignancies Following the World Health Organization (WHO) guidelines, transmission was interrupted through high routine immunisation coverage with live-attenuated oral polio vaccine (OPV), effective acute flaccid paralysis (AFP) surveillance and supplementary immunisation activities … Konsep SAFP. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Surveillance is one of the main pillars of the Polio Eradication Programme. Kinerja Baik. The four steps of surveillance are: finding and reporting children with acute flaccid paralysis (AFP) transporting stool samples for analysis. Accurate diagnosis of the cause of AFP has profound implications for therapy and prognosis. Recent immunisation –swine influenza vaccine, older rabies vaccine (nervous system), OPV...conjugated meningococcal. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Acute flaccid paralysis (afp): surveillance standard for certification. No Limb Weakness, 6th CN and 3 rd most commonly involved, Hexacarbon—paints..glue...dysarthria ataxic gait and blurred vision. While ES often outperforms, or is more sensitive than AFP surveillance, the sensitivity of the ES system has not been well characterized. See our Privacy Policy and User Agreement for details. PPT. Carcinoembryonic antigen (CEA) monitoring in patients with stage I-IV colorectal cancer has been, and remains, a controversial issue in oncology practice. If you continue browsing the site, you agree to the use of cookies on this website. The AFP gene is located on the q arm of chromosome 4 (4q25). These include fetal movement assessment, nonstress test, contraction stress test, fetal biophysical profile, modified biophysical profile and umbilical artery Doppler velocimetry. Acute Flaccid Paralysis (AFP) Surveillance. See our User Agreement and Privacy Policy. Actions. The AFP gene is located on the q arm of chromosome 4 (4q25). surveillance for AFP/AFM and to gather more information on clinical history, possible risk factors and outcomes for cases reported in 2018. Abnormal ST segment depression in GBS....Arrhythmia. AFP is a complex clinical syndrome with a broad array of potential etiologies. Approach to a case of paediatric hepatitis, An approach to a case of Paediatric Stridor, Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell), No public clipboards found for this slide, Acute flaccid paralysis and Surveillance 2018. An awareness Programme in Acute Flaccid Paralysis surveillance. African Regional guidelines for measles and rubella surveillance- Draft version April 2015. IPV administration is recommended at 14 weeks of age because it provide the optimal balance between vaccine efficacy and early protection. On the other hand, the overall surveillance function in a country can become badly disjointed and inefficient with field workers participating in multiple complicated systems, using different surveillance methods, … Clipping is a handy way to collect important slides you want to go back to later. On the other hand, the overall surveillance function in a country can become badly disjointed and inefficient with field workers participating in multiple complicated systems, using different surveillance methods, … Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. At the same time, using the right counter-surveillance tactics and techniques, you can elude most forms of physical and electronic eavesdropping. Several techniques for antepartum fetal surveillance currently in use are discussed in the ACOG bulletin. Complete each individual 5-day course will earn the Mobius certification for that course efficacy! Reading and publishing site profile and activity data to personalize ads and to provide you with advertising... Causes of AFP are required to be notified under legislation and lower extremity weakness last! Causes of AFP are required to be notified under legislation foci is around week! 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