Investigation of Six (06) Cases of AFP Notified from Week 01 to 17 in the Health District of Kolondièba in Mali in 2023

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DOI: 10.21522/TIJAR.2014.10.04.Art011

Authors : Kouame Stanislas Kafflouman, Fousseni Soulama, René Diarra, Alou Macalou, Seydou Fomba, Chaka Togola, Moumouni Sanogo, Lassana Sissoko, Bindy Ouoba, Muhindo Kinda, Sekou Amadou Kouata

Abstract:

Poliomyelitis is an infectious disease caused by the poliovirus and largely affects children under the age of 05. Our descriptive study concerned the analysis of suspected cases of poliomyelitis notified from week 01 to 17 in the health district of Kolondièba in 2023. During this period six (06) cases of AFP were notified by Community Health Centers (CHC) from Diaka (02 cases), Kolosso (01 case), Central (02 cases) and Fakola (01 case) case imported from the Ivory Coast in search of care. Their age range was 0-4 years and presented paralysis of the lower limbs for some and upper for others. Vaccination coverage with oral polio vaccine in the first quarter in Diaka and Kolosso was> 95%, on the other hand, Central and Kolosso had a rate <95%. The female gender accounted for 66.67% of cases with a sex ratio of 0.6. The attack rate was 8.91 cases per 100,000 inhabitants. Only three of the six (06) cases received at least three doses of vaccine. The risk factors were the uncontrolled migratory flow and the inaccessibility of health centers. The assessment of the living environment did not show any environmental risk factors. The survey made it possible to build the capacity of service providers on the surveillance of notifiable diseases, raise public awareness of risk factors, the declaration of children under 15 with paralysis regardless of the cause at the health center. and compliance with the vaccination schedule.

Keywords : AFP, Mali, Poliomyelitis, investigation, vaccination.

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