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|Title:||Review of documentation for certification of poliomyelitis eradication (Denmark, Finland, Netherlands, United Kingdom) : report on the fifth certification commission meeting, Copenhagen, Denmark 27-29 April 1998|
|Authors:||World Health Organization. Regional Office for Europe|
|Publisher:||Copenhagen : WHO Regional Office for Europe|
|Abstract:||The Commission met to discuss the documentation prepared by four countries for the certification of poliomyelitis eradication and to review the plan of action for 1998-2000. Achieving certification of the WHO European Region requires clear objective evidence of the absence of poliovirus circulation; judgements must be made on the data presented to the Regional Commission by the national committees. Acute flaccid paralysis (AFP) surveillance remains the preferred means of data collection supporting certification. Overall improvements in AFP surveillance have been noted in the Region, but further improvements will be needed in many countries. When alternative surveillance techniques were to be used, full descriptions and estimates should be made of their sensitivity and specificity for detection of wild polioviruses. The Commission approved the manual of operations as the appropriate means for the remainder of countries to submit data; a country report summary that presented and justified the key elements of the claim for poliomyelitis elimination should be appended. Country submissions should identify main risk groups with details of the steps taken to ensure that they did not transmit poliovirus. Thirty other "non-endemic" countries require review by the end of 1999, while manuals of operations would be requested from the countries of the "recently endemic" and "endemic" zones in 1999 and 2000. The national committees of the four countries considered at the Meeting were well aware of the challenges of providing documentation; individual guidance would be offered to other committees as necessary based on submitted plans of action. Updates from all countries will be requested when the Regional Commission approached a final judgement on Region-wide elimination. Only when all data were reviewed and found acceptable could the Region be certified as having eliminated indigenous poliovirus circulation|
|Description:||EUR/ICP/CMDS 03 03 02|
Regional Health Planning
|Context:||epidemiology prevention and control|
|metadata.dc.subject.other:||Communicable Diseases and their Control|
|Gov't Doc #:||EUR/ICP/CMDS 03 03 02|
|Appears in Collections:||Technical documents|
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