Acute Flaccid Paralysis

Generalities on Poliovirus
Agent	Virus: poliovirus (genus enterovirus), with 3 serotypes: 1, 2 and 3
Incubation period	7-14 days (3-35 days)
Period of transmissibility	7-10 days before onset, up to 3-6 weeks after onset
Reservoir	Humans
Modes of transmission	-Person-to-person: faecal-oral route, and rarely pharyngeal -Rarely through water and food
Clinical presentation	-90-95% asymptomatic infection -4-8% mild illness (influenza-like illness or gastro-intestinal illness) -1-2% aseptic meningitis -<1% paralytic poliomyeltis
Resources
Case definition	- MOPH circular no 34 (2012) - MOPH circular no 76 (2006)
Forms	- General reporting form - Specific reporting form - Investigation form: data collection - Investigation form: additional data - Investigation form: specimen collection - Investigation form: Rapid OPV3/IPV3 coverage survey - Investigation form: Follow up at day 60 - Investigation form: Final classification
Guidelines	Acute Flaccid Paralysis surveillance guideline: Ar, En, Fr
Data	- AFP surveillance bulletin