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Published on: November 17, 2010
Incidence of traumatic injection neuropathy among children in Pakistan
1National AIDS Control Programme, National Institute of Health, Islamabad, Pakistan. faisalmansoor100@hotmail.com
Insights
Traumatic injection neuropathy is a significant concern in Pakistan, affecting younger children more severely. This study highlights the disease burden and incidence in children under 15.
Area of Science:
- Pediatrics
- Neurology
- Epidemiology
Background:
- Acute flaccid paralysis (AFP) surveillance data provides insights into neurological conditions in children.
- Traumatic injection neuropathy (TIN) is a potential complication of medical procedures.
Purpose of the Study:
- To describe the epidemiological characteristics of traumatic injection neuropathy in children under 15 years.
- To determine the disease burden and incidence of TIN in Pakistan.
Main Methods:
- Utilized AFP surveillance data from the Pakistan Polio Eradication Initiative (2001-2003).
- Reviewed 5627 AFP cases to identify those with traumatic injection neuropathy.
Main Results:
- 456 cases of traumatic injection neuropathy were identified among children under 15.
- TIN was more prevalent in younger children, with a higher likelihood of persistent paralysis.
- Estimated annual incidence of TIN in Pakistan is 7.1 per 1,000,000 children under 3.
Conclusions:
- Traumatic injection neuropathy represents a notable disease burden in Pakistani children.
- Younger children are disproportionately affected and experience more severe outcomes.
- Targeted interventions may be needed to reduce the incidence of TIN.
Abstract:
We used acute flaccid paralysis surveillance data collected between 1 January 2001 and 31 December 2003 from the Pakistan Polio Eradication Initiative to describe the epidemiological characteristics and disease burden of traumatic injection neuropathy among children aged under 15 years. Of the 5627 acute flaccid paralysis cases reported, 456 were identified as traumatic injection neuropathy by case review. The condition was more common in younger children who were also more likely to have persistent paralysis. We estimate that the annual incidence of traumatic injection neuropathy rate in Pakistan is 7.1 per 1 000 000 in children under 3 years old.

