Acute Flaccid Paralysis surveillance in Gaza Strip, Palestine

Acute Flaccid Paralysis (AFP) is a clinical syndrome characterized by rapid onset of weakness, in the respiratory muscles, swallowing and limbs; death because muscles failure. AFP surveillance crucial, clinicians are required to notify AFP cases among children below 15 years old epidemiology department with completion form. In this study, researcher analyzed investigation forms determine picture, viral etiology incidence under years. Material method (Study design): The research study conducted through cross sectional based on department. Results: final diagnosis were as follow, 71.1% “27 cases” GBS, 10.5 % Encephalitis, 7.9% Neuropathy, 2.6% “ one case only” for each following Aseptic meningitis, Transverse myelitis, Tuphus fever Subspinal muscular atrophy. The rate less than which range from 0.58 / 100.000 2006 1.2 2012; Most 89.5 had fully vaccinated 10.5% not due their ages year, 65.8 “25 residual all classified discarded according expert committee decision; no dead, samples sent Tal-Hashomir laboratory occupied land 1948 isolation; most results 81.6% revealed that virus isolated, 11.8% isolated ECHO virus, Coxsachie 4 NPEV. Conclusion: No wild polio Palestine free since 1984 certified 2006, our success being attributed to: start 2 doses IPV 5 OPV 1978, high immunization coverage more 95% at district level effective system Palestine. recommended encourage report submitting least two stool (at 24 hours apart within 14 days paralysis).