UNICEF Zimbabwe Polio Response Situation Report No. 1 for 02-16 February 2024

on February 19, 2024 in News, Press Statements

Highlights

  • Zimbabwe detected seventeen (17) circulating vaccine derived polio virus type 2 (cVDPV2) from environmental samples in Harare since October 2023. The samples were from four polio environmental surveillance sites in Harare.
  • Polio outbreak was declared a public health emergency (PHE) by the Minister of Health and Child Care in October 2023.
  • An index human cVDPV2 was reported in a 10-year-old female AFP case in January 2024.
  • Two newly confirmed AFP cases (samples from contacts) have been reported this week (cumulative 23) with a NPAFP rate at 1.3 per cent children over 15 years.
  • A total of 10,517,500 doses of nOPV2 were received on 29 January 2024 for the planned two supplementary immunization activities (SIAs). Expiry date 14/08/2025.
  • A joint press release on Round 1 national nOPV2 polio SIA done by the Honorable Deputy Minister of Health and Child Care (MoHCC) with UNICEF, WHO and Partners on 16 Feb 2024.

Situation Overview & Humanitarian Needs

Zimbabwe last reported a case of indigenous wild polio virus (WPV) in 1986 and had been certified polio free in 2005.

Following the detection of WPV1 in Mozambique and Malawi, in 2022, Zimbabwe also undertook the multi-country supplementary immunization activities (SIAs) with bOPV2 and managed to conduct four rounds of SIA.

In 2023, Zimbabwe detected seventeen circulating vaccine derived polio virus type 2 (cVDPV2) from environmental samples in Harare since October 2023.

The samples were from the 4 polio environmental surveillance sites in Harare.

Two newly confirmed AFP cases (samples from contacts) have been reported this week (cumulative 23) with a NPAFP rate at 1.3 per cent children >15 years.

The cVDPV2 outbreak was declared a public health emergency by the Minister of Health and Childcare (MOHCC) in October 2023.

Polio outbreak response activities commenced with plans to conduct two supplementary immunization activities (SIAs) using novel oral polio vaccine type 2 (nOPV2) starting 20 February 2024.

The risk of poliovirus spreading within the country and neighboring countries remains high.

Special considerations need to be made in the polio outbreak response for special populations who include vaccine hesitant religious groups who are densely populated in Manicaland (Buhera, Mutasa and Mutare districts), populations in refugee camps (Tongogara in Manicaland and Waterfalls transit camp in Harare), populations along borders, cross border traders, artisanal miners, and populations in emerging peri urban settlements in Harare.

SOURCE:: ReliefWeb via link https://reliefweb.int/report/zimbabwe/unicef-zimbabwe-polio-response-situation-report-no-1-02-16-february-2024

Fresh polio outbreak hits Zim

on February 19, 2024 in News, Polio

GOVERNMENT has confirmed the outbreak of a Type 2 poliovirus variant in the country saying an emergency polio vaccination programme has commenced.

Addressing journalists in Harare yesterday, Health and Child Care deputy minister Sleiman Timios Kwidini said the detection of these viruses in the environment or in humans constitutes a polio outbreak.

“The Health and Child Care ministry wishes to inform the public that it has confirmed through laboratory tests the presence of a Type 2 circulating poliovirus variant in environmental samples that were collected towards the end of 2023 from sewage sites covering Budiriro, Mbare and Mufakose catchments in Harare Metropolitan province,” he said.

“In addition and through intensified poliomyelitis disease surveillance in the country, a similar circulating poliovirus variant has been detected in a 10-year-old child from Sanyati district of Mashonaland West province, who presented to us with acute paralysis and had laboratory tests done for confirmation.”

The country has been on high alert after neighbouring Mozambique and Malawi confirmed polio outbreaks in 2022 and four rounds of vaccination were carried out between October 2022 and October 2023.

“The virus that was detected in these occasions is a rare type of poliovirus that can occur when the weakened live virus in the oral polio vaccine (OPV) mutates over time and becomes able to circulate in the community. Hence it is referred to as circulating vaccine-derived poliovirus -type 2 (CVDPV),” said the deputy minister, while urging a multi-sectoral approach to curb the spread of the disease.

“The ministry would like to reassure the public that they have taken swift action to investigate and contain the outbreak to prevent any further spread that may occur.

“Following the detection, the ministry immediately declared the event to the World Health Organisation as required under international health regulations and instituted emergency response measures.

“These included the activation of a polio incident management system and the appointment of an incident manager for a co-ordinated outbreak response, conducting thorough investigations, intensifying polio surveillance throughout the country and planning for emergency nationwide polio vaccination campaigns to ensure that transmission is stopped rapidly.”

Kwidini announced the commencement of round two of emergency national polio vaccination campaign targeting children below 10 years, scheduled for this and next month.

“The detailed polio risk analysis conducted by the ministry identified the below 10-year-old age group as having a higher risk to these Type 2 polioviruses since vaccines targeting this type were stopped globally in 2015 after global eradication.

“In the planned vaccination campaign, all children below 10 years are being targeted with an initial two rounds of novel oral polio vaccine (nOPV2) to quickly boost their protection from this type of poliovirus,” he said.

The first round is scheduled between February 20 and March 1, while the second round is scheduled between March 19 and 29 across all provinces.

The emergency vaccination campaign, which will be conducted in close collaboration with the Primary and Secondary Education ministry, targets to vaccinate and protect a total of 4 206 013 children in each of the two rounds.

“The vaccines for both round one and two have already been received in country and prepositioned in all provinces and cities. Vaccination will be done through deployment of house-to-house and mobile vaccination teams in addition to vaccination at all health facilities during the campaign days.

“Given the contagious nature of circulating polioviruses and their capacity to evolve over time to a type that causes serious disease and debilitating paralysis, the ministry strongly encourages all parents and caregivers of children to ensure that all children below 10 years of age are vaccinated against polio and protected,” Kwidini said.

Botswana, Burundi, Malawi, Mozambique, Rwanda and Zambia have also reported polio outbreaks.

“We are collaborating closely with these countries through regular coordination calls and meetings and where feasible we conduct synchronized vaccination campaigns in response to this threat,” Kwidini added.

SOURCE:: NewsDay via link https://www.newsday.co.zw/local-news/article/200023248/fresh-polio-outbreak-hits-zim

Zim declares polio outbreak, rolling out vaccination programme

on February 19, 2024 in News, Polio

The Zimbabwean government on Friday declared a polio outbreak in the country and announced a rollout of vaccinations starting Feb. 20.

Health and Child Care deputy minister Dr Sleiman Kwidini made the announcement at a media briefing and urged the public not to panic as the government has taken swift action to contain the outbreak.

He said his ministry has done laboratory tests and confirmed the presence of a Type 2 circulating poliovirus variant in environmental samples that were collected toward the end of 2023 from some sewage sites in Harare, the capital of Zimbabwe.

A similar variant was also detected in a 10-year-old child in another province.

In both cases, the virus was a rare type that could occur when the weakened live virus in the oral polio vaccine mutated over time and became able to circulate in the community, he said.

“The detection of these viruses in the environment or in humans constitutes a polio outbreak in the country. While the news is concerning, we as a ministry would like to reassure the public that we have taken swift action to investigate and contain the outbreak to prevent any further spread that may occur,” he said.

Kwidini said two rounds of polio vaccinations targeting children below 10 years of age have been scheduled for February and March, with the first round taking place between Feb. 20 and March 1, and the second between March 19 and 29.

“Given the contagious nature of circulating polioviruses and their capacity to evolve over time to a type that causes serious disease and debilitating paralysis, the ministry strongly encourages all parents and caregivers of children to ensure that all children below 10 years of age are vaccinated against polio and protected,” he said.

The minister said several other countries in the region, including Botswana, Zambia, Burundi, Rwanda, Malawi, and Mozambique, have also been affected and are working with Zimbabwe in a bid to control the outbreak.

SOURCE:: newzimbabwe/xinhua via link https://www.newzimbabwe.com/zimbabwe-declares-polio-outbreak-rolling-out-vaccination-program/