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Somalia Weekly Polio Update: Week 31 2019

Situation Update

The Somalia Polio Programme has not confirmed any new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) in children with acute flaccid paralysis (AFP) since 8 May 2019. A total of three cVDPV2 cases have been reported in Somalia across 2019;

A cVDPV2 was recently detected (25 May 2019) during routine collection of healthy child samples from a child in Ufen district, of Bari region, Puntland, indicating evidence of ongoing circulation of the virus;

The Somalia Polio Programme last detected and confirmed circulating vaccine-derived poliovirus type 3 (cVDPV3) in a child with AFP on 7 September 2018;

Somalia has confirmed a total of 15 cases of children with cVDPV since onset of the ongoing type 2 and concurrent type 3 outbreaks (eight children with cVDPV type 2, six children with cVDPV type 3 and one with co-infection of cVDPV2 and cVPDV3).

Case Response

In response to the detection of the circulating type 2 virus in Somalia, a series of targeted campaigns using monovalent oral polio vaccine type 2 (mOPV2) are underway. The next campaign is planned for 19 - 22 August. Health workers are intending to reach 1.1 million children under the age of five living in Puntland and Somaliland with the life-saving vaccine. This campaign will be synchronized with parallel immunization activities carried out in Somalia region, Ethiopia.

Preparation for the Campaign

In preparation for the upcoming campaign, an immunization activity review workshop was held Hargeisa and Garowe to discuss the results of the last vaccination round, and the way forward to ensure better campaign quality;

A revaccination strategy has also been finalized, to help ensure that more children will receive vaccine doses;

To help reduce the number of children missed by polio vaccination teams, UNICEF has planned a joint training for vaccinators and house-to-house mobilizers.

Source: UN Children's Fund