Environmental surveillance (ES) can detect circulating polioviruses from sewage without relying on clinical presentation. Before we approach for a step-wise clinical evaluation, we need to stablise the child by providing basic support. It allows detecting poliovirus (PV) reintroductions from endemic countries. Ambil 2 spec <14 stlh lumpuh dengan kondisi baik (>= 80 %) Pemeriksaan laboratorium Biofarma, BLK Sby, Puslit Jkt. Several follow up campaigns in the period 2007 -2011 were conducted. The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. Dr. Sunil A. Tore M.B.B.S., D.P.H.,D.H.A., M.I.P.H.A. If you continue browsing the site, you agree to the use of cookies on this website. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. 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. – alpha-fetoprotein (AFP) and – carcino -embryonic antigen (CEA ). If you continue browsing the site, you agree to the use of cookies on this website. Looks like you’ve clipped this slide to already. 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. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. AJOG: June 2011. Kinerja Baik. 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 ? Conversely, Lin et al. acute flaccid paralysis (AFP) without delay. 15 years of age or paralysis in a person of any age in whom polio is suspected. Cases are defined as: Acute flaccid paralysis/myelitis in an individual aged 30 years and under, not explained by an non-infectious cause. • 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 Corporation surveillance for AFP/AFM and to gather more information on clinical history, possible risk factors and outcomes for cases reported in 2018. lower, surveillance did not prolong survival. The standardized system of AFP surveillance adopted internationally has made it … 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. 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. The 8-week Mobius Advanced Covert Surveillance Course has the following breakdown with each phase also delivered as individual 5-day courses. Title Concerning Activities They Carry Out In Relation To Afp Surveillance, 34 PPT. Konsep SAFP. 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. An awareness Programme in Acute Flaccid Paralysis surveillance. Currently, AFP surveillance at naional level coninues to meet the ceriicaion standard performance. Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. With the evolution of wireless and microchip technologies, surveillance devices have become smaller, cheaper and better than ever before. If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. Active surveillance for AFP has been designed for eradication, but all communicable diseases that are subject to control need a responsive surveillance system. There might be rapid metabolization of Ivig....so TRF...and so retreatment is required. Polio legacy planning discussion. Department of Health & Family Welfare, Government of West Bengal, No public clipboards found for this slide, Consultant Paediatrician at J&K Healthcare Services. Acute Flaccid Paralysis ( GBS and Poliomyelitis ) Dr. Raghav Kakar 2. The programme is able to identify where the polio virus is circulating through its highly sensitive surveillance activities. While ES often outperforms, or is more sensitive than AFP surveillance, the sensitivity of the ES system has not been well characterized. Screening and diagnostic surveillance of latent conditions have a profound impact on public healthcare expenditure and clinical outcomes. AFP is a complex clinical syndrome with a broad array of potential etiologies. • AFP is produced only as a secreted protein whereas CEA is found both on cell membranes and in secreted fluids. AFP surveillance helps to detect reliably areas where poliovirus transmission is occurring. Bulbar functions recovering first, and lower extremity weakness recovering last. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. AFP is defined by the acute onset of weakness or paralysis with reduced muscle tone in children. AFP Surveillance 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. Acute flaccid paralysis case is defined as sudden onset of weakness and floppiness in any part of the body in a child . Conversely, Lin et al. The standardized system of AFP surveillance adopted internationally has made it … Background More than 99% of poliovirus infections are non-paralytic and therefore, not detected by acute flaccid paralysis (AFP) surveillance. 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. CBS Community-based surveillance is a surveillance system that monitors a broad range of information directly from community members. Dr. Raghav Kakar. Thus, although there is some disagreement between published models, surveil-lance … Integrated With Afp Surveillance. surveillance ∗ Identify survivorship issues for patients and providers Objectives. 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. 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. Acute flaccid paralysis (afp): surveillance standard for certification. Date : 20.08.2010. Jadi fokus perhatian surveilans penyakit adalah penyakit, bukan individu. Acute Flaccid Paralysis (AFP) Surveillance of polio virus in Pakistan is a systematic collection, analysis and interpretation of data and the dissemination of information. Now customize the name of a clipboard to store your clips. See our Privacy Policy and User Agreement for details. If untreated, AFP may not only persist but also lead to death due to failure of respiratory muscles. Recent immunisation –swine influenza vaccine, older rabies vaccine (nervous system), OPV...conjugated meningococcal. Environmental surveillance (ES) can detect circulating polioviruses from sewage without relying on clinical presentation. integrated with AFP surveillance. Surveillance is one of the main pillars of the Polio Eradication Programme. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Finding and reporting children with acute flaccid paralysis (AFP), 1. You can change your ad preferences anytime. Positif . 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… CBS project A CBS activity that runs for a short, defined timeframe and can be activated or hibernated according to community needs. ( GBS and Poliomyelitis ) surveillance ∗ Identify survivorship issues for patients and providers Objectives. With the evolution of wireless and microchip technologies, surveillance devices have become smaller, cheaper and better than ever before. 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. Mengamati semua AFP 2/100.000/<15th. The AFP gene is located on the q arm of chromosome 4 (4q25). Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities. According to the 2014 WHO AFP surveillance report, the stool adequacy At the same time, using the right counter-surveillance tactics and techniques, you can elude most forms of physical and electronic eavesdropping. The four steps of surveillance are: finding and reporting children with acute flaccid paralysis (AFP) transporting stool samples for analysis. You can change your ad preferences anytime. for the doctors to End Polio. Abnormal ST segment depression in GBS....Arrhythmia. Notification is not dependent on the cause; all cases of AFP are required to be notified under legislation. The AFP gene is located on the q arm of chromosome 4 (4q25). Download Share Share. While ES often outperforms, or is more sensitive than AFP surveillance, the sensitivity of the ES system has not been well characterized. VPL (terfokus) VPL (menyebar luas) 3 tahun kinerja AFP baik. Acute Flaccid Paralysis 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). It allows detecting poliovirus (PV) reintroductions from endemic countries. 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 Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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 Afp surveillance ppt Diagnosis and reporting of acute flaccid paralysis (afp). 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. 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