الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 117 |  |  |
| | | from | 117 | | |
Abstract
Poliomyelitis is an infectious disease transmitted by fecal-oral contamination. It can cause static flaccid paralysis in a minority of those infected. Global Polio Eradication Initiative (GPEI) pillars of eradication are strengthening routine immunization activities, mass immunization campaigns, conducting ‘mop-up immunization’ campaigns and ensuring an active surveillance system.
The gold standard for spotting poliomyelitis cases is acute flaccid paralysis (AFP) surveillance, which continues to be a cornerstone of polio eradication. It includes both routine and active surveillance. Active surveillance system not only rapidly detects polio in almost real-time, but in fact helps detect many other vaccine-preventable diseases.
Certification of polio-free status requires the absence of WPV transmission from any source (AFP, sewage samples, community samples) for at least three successive years together with timely and sensitive AFP surveillance that meets Global Certification Commission certification standards. Every year, all countries must review their AFP surveillance effectiveness. To assure sensitive surveillance coverage, including regional and demographic representativeness, reviews allow system growth or optimization. No studies were published regarding AFP surveillance at Alexandria, Egypt.