Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020
Introduction: During the state of emergency posed by the COVID-19 pandemic, one of the primary communications for the public health control and prevention measures was "stay at home". However, what happens to the indicators of diseases aimed at eradication when people stay at home? We aime...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
African Field Epidemiology Network
2024-08-01
|
| Series: | Journal of Interventional Epidemiology and Public Health |
| Subjects: | |
| Online Access: | https://www.afenet-journal.net/content/article/7/37/full/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849744158020861952 |
|---|---|
| author | Beatriz Nhantumbo Dionísia Balate Samuel Nuvunga Fabião Maússe Eduardo Chicanequisso Neusa Fataha Cidia Francisco Áuria Banze Judite Monteiro Erika Rossetto Cynthia Baltazar |
| author_facet | Beatriz Nhantumbo Dionísia Balate Samuel Nuvunga Fabião Maússe Eduardo Chicanequisso Neusa Fataha Cidia Francisco Áuria Banze Judite Monteiro Erika Rossetto Cynthia Baltazar |
| author_sort | Beatriz Nhantumbo |
| collection | DOAJ |
| description | Introduction: During the state of emergency posed by the COVID-19 pandemic, one of the primary communications for the public health control and prevention measures was "stay at home". However, what happens to the indicators of diseases aimed at eradication when people stay at home? We aimed to evaluate the Acute Flaccid Paralysis (AFP) surveillance indicators and determine the polio vaccine coverage in Mozambique, 2019-2020.
Methods: We conducted a cross-sectional study using secondary data extracted from the AFP surveillance system and the monthly vaccination summaries for January to June 2019 and January to June 2020 for these five Mozambique provinces: Cabo Delgado, Nampula, Niassa, Tete, and Zambezia. The surveillance indicators were compared based on the target group for AFP surveillance and considered adequate when the sample rate was ≥80%, detection rate ≥3 / 100,000 among those <15 years old, surveillance index ≥1.6, and ≥80 % of districts had one or more cases under investigation. Polio vaccine coverage was analyzed among those <15 years.
Results: A total of 133 suspected AFP cases were reported in 2019 and 74 in 2020. Tete province reported the highest number of cases, with 86.6% (13/15) in 2019 and in 2020 (73.3%, 11/15). All areas reached the ≥80% sample rate in 2019 and 2020, except Cabo Delgado with 57% in 2019 and 100% in 2020. Tete province was the only one to reach the target detection rate of 4.9 in 2019 and 3.9 in 2020. Also for the surveillance index, the same province was above the target 4.9 in 2019 and 3.9 in 2020. The province of Cabo Delgado registered, in April 2019, a 118% coverage rate in the 3rd dose of polio and 61% in April 2020. In Nampula province, the vaccination coverage rate in April 2019 was 103% compared to 76% in 2020.
Conclusion: The COVID-19 pandemic may have negatively influenced AFP surveillance and vaccination coverage in Mozambique, demonstrating the need to reinforce the AFP surveillance during the COVID-19 state of emergency. |
| format | Article |
| id | doaj-art-bdf6424d4b9e4dbd82edb982f1a0fb22 |
| institution | DOAJ |
| issn | 2664-2824 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | African Field Epidemiology Network |
| record_format | Article |
| series | Journal of Interventional Epidemiology and Public Health |
| spelling | doaj-art-bdf6424d4b9e4dbd82edb982f1a0fb222025-08-20T03:21:46ZengAfrican Field Epidemiology NetworkJournal of Interventional Epidemiology and Public Health2664-28242024-08-0173https://doi.org/10.37432/jieph.2024.7.3.128Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020Beatriz Nhantumbo0Dionísia Balate1Samuel Nuvunga2Fabião Maússe3Eduardo Chicanequisso4Neusa Fataha5Cidia Francisco6Áuria Banze7Judite Monteiro8Erika Rossetto9Cynthia Baltazar10Field Epidemiology and Laboratory Training Program, Maputo MozambiqueField Epidemiology and Laboratory Training Program, Maputo MozambiqueField Epidemiology and Laboratory Training Program, Maputo MozambiqueField Epidemiology and Laboratory Training Program, Maputo MozambiqueField Epidemiology and Laboratory Training Program, Maputo MozambiqueField Epidemiology and Laboratory Training Program, Maputo MozambiqueMassGenics, assigned to Centers for Disease Control and Prevention, Maputo, MozambiqueNational Institute of Health, Maputo, MozambiqueNational Institute of Health, Maputo, MozambiqueFaculty of Science, Eduardo Mondlane University, MozambiqueNational Institute of Health, Maputo, MozambiqueIntroduction: During the state of emergency posed by the COVID-19 pandemic, one of the primary communications for the public health control and prevention measures was "stay at home". However, what happens to the indicators of diseases aimed at eradication when people stay at home? We aimed to evaluate the Acute Flaccid Paralysis (AFP) surveillance indicators and determine the polio vaccine coverage in Mozambique, 2019-2020. Methods: We conducted a cross-sectional study using secondary data extracted from the AFP surveillance system and the monthly vaccination summaries for January to June 2019 and January to June 2020 for these five Mozambique provinces: Cabo Delgado, Nampula, Niassa, Tete, and Zambezia. The surveillance indicators were compared based on the target group for AFP surveillance and considered adequate when the sample rate was ≥80%, detection rate ≥3 / 100,000 among those <15 years old, surveillance index ≥1.6, and ≥80 % of districts had one or more cases under investigation. Polio vaccine coverage was analyzed among those <15 years. Results: A total of 133 suspected AFP cases were reported in 2019 and 74 in 2020. Tete province reported the highest number of cases, with 86.6% (13/15) in 2019 and in 2020 (73.3%, 11/15). All areas reached the ≥80% sample rate in 2019 and 2020, except Cabo Delgado with 57% in 2019 and 100% in 2020. Tete province was the only one to reach the target detection rate of 4.9 in 2019 and 3.9 in 2020. Also for the surveillance index, the same province was above the target 4.9 in 2019 and 3.9 in 2020. The province of Cabo Delgado registered, in April 2019, a 118% coverage rate in the 3rd dose of polio and 61% in April 2020. In Nampula province, the vaccination coverage rate in April 2019 was 103% compared to 76% in 2020. Conclusion: The COVID-19 pandemic may have negatively influenced AFP surveillance and vaccination coverage in Mozambique, demonstrating the need to reinforce the AFP surveillance during the COVID-19 state of emergency.https://www.afenet-journal.net/content/article/7/37/full/poliovirussurveillancecovid-19pandemicmozambique |
| spellingShingle | Beatriz Nhantumbo Dionísia Balate Samuel Nuvunga Fabião Maússe Eduardo Chicanequisso Neusa Fataha Cidia Francisco Áuria Banze Judite Monteiro Erika Rossetto Cynthia Baltazar Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020 Journal of Interventional Epidemiology and Public Health poliovirus surveillance covid-19 pandemic mozambique |
| title | Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020 |
| title_full | Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020 |
| title_fullStr | Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020 |
| title_full_unstemmed | Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020 |
| title_short | Acute flaccid paralysis indicators during the COVID-19 pandemic in Mozambique 2019 - 2020 |
| title_sort | acute flaccid paralysis indicators during the covid 19 pandemic in mozambique 2019 2020 |
| topic | poliovirus surveillance covid-19 pandemic mozambique |
| url | https://www.afenet-journal.net/content/article/7/37/full/ |
| work_keys_str_mv | AT beatriznhantumbo acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT dionisiabalate acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT samuelnuvunga acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT fabiaomausse acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT eduardochicanequisso acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT neusafataha acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT cidiafrancisco acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT auriabanze acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT juditemonteiro acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT erikarossetto acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 AT cynthiabaltazar acuteflaccidparalysisindicatorsduringthecovid19pandemicinmozambique20192020 |