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Whole Body Vibration Methods with Survivors of Polio
Published on: October 17, 2018
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[Acute flaccid paralysis surveillance in Niger from 1998 to 2021]
Maman Bachir Goni Dit Alassan1, Zeidou Maiga Abdoulaye2, Ibrahim Alkassoum Salifou2
1Département de santé publique, Université André Salifou, Faculté des sciences de la santé (FSS), Hôpital national, BP 656, Zinder, Niger.
Medecine Tropicale Et Sante Internationale
|March 12, 2025
Summary
Acute flaccid paralysis (AFP) surveillance in Niger is acceptable but requires improvement. The study highlights the need for enhanced public health efforts to combat poliomyelitis, particularly in vulnerable populations.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Surveillance
Context:
- Acute flaccid paralysis (AFP) caused by acute anterior poliomyelitis (AAP) remains endemic in several countries, including Niger.
- The World Health Organization (WHO) utilizes performance indicators to assess AFP surveillance systems in affected nations.
Purpose:
- To evaluate the performance and outcomes of the active AFP surveillance system in Niger from 1998 to 2021.
- To analyze the effectiveness of poliomyelitis surveillance in a high-risk region.
Summary:
- A 24-year cross-sectional study analyzed 9,659 AFP cases in Niger, with 92.01% of patients under five years old.
- The Maradi region reported the highest case numbers (32.27%). Usable stool samples were obtained from 88.70% of cases, with poliovirus detected in 3.15% of patients.
- Paralysis affected both limbs in 71.73% of confirmed cases, progressing rapidly in 94.35% within 3 days.
Impact:
- The AFP surveillance system in Niger demonstrates acceptable performance based on WHO indicators.
- Significant progress is still needed at both population and healthcare workforce levels to strengthen polio eradication efforts.
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