Epidemiological surveillance for acute flaccid paralysis, Casanare, 2009-2022

Abstract

Objective: to characterize epidemiologically the notification of acute flaccid paralysis cases in the department of Casanare during the period 2009–2022.
Materials and methods: observational, descriptive, and retrospective study of the notification of the event in the SIVIGILA. Absolute and relative frequencies of sociodemographic variables, the number of vaccine doses received, clinical findings, and laboratory tests were included and analyzed in time, place, and person using the statistical program Epi-Info®.

Results: 26 cases were included (89,6%), one case in 2009 (3,8%), one case in 2010 (3,8%), three cases in 2014 (11,5%), one case in 2015 (3,8%), three cases in 2016 (11,5%), four cases in 2017 (15,4%), three cases in 2018 (11,5%), four cases in 2019 (15,4%), one case in 2021 (11,5%), and two cases in 2022 (7,7%); 18 cases were from urban areas (69,2%); average notification rate of 22,00 per 100.000 children under 15 years of age; 12 fever cases (46. 2%), 8 respiratory (30.8%), 6 digestive (23.1%), 19 muscle aches (73.1%), and 3 meningeal signs (11.5%) were reported; average OPV applied 2 doses, average IPV 1 dose; 13 samples collected timely (50.0%), 12 referred within times (46.1%), 8 of 12 samples processed (66.7%).

Conclusions: In Casanare, in the past 14 years, the annual goal of notification of at least one probable case has been met by 80%, which is the country’s strategy according to the WHO goals for the erradication of acute flaccid paralysis.