The road to a polio-free Uganda; contribution of the Expanded Program on Immunization Laboratory (EPI-LAB) at Uganda Virus Research Institute

被引:1
|
作者
Nanteza, Mary B. [1 ]
Tushabe, Phionah [1 ]
Bukenya, Henry [1 ]
Namuwulya, Prossy [1 ]
Kabaliisa, Theopista [1 ]
Birungi, Molly [1 ]
Tibanagwa, Mayi [1 ]
Ampeire, Immaculate [2 ]
Kakooza, Proscovia [1 ]
Katushabe, Edson [3 ]
Bwogi, Josephine [1 ]
Bakamutumaho, Barnabas [1 ]
Nanyunja, Miriam [4 ]
Byabamazima, Charles R. [5 ]
机构
[1] Uganda Virus Res Inst, Plot 51-59 Nakiwogo Rd,POB 49, Entebbe, Uganda
[2] Govt Uganda, Minist Hlth, Plot 6,Lourdel Rd,POB 7272, Kampala, Uganda
[3] World Hlth Org Off, Plot 60 Prince Charles Ave, Kampala, Uganda
[4] World Hlth Org AFRO, East & Southern Afr ESA, Nairobi 45335, Kenya
[5] World Hlth Org AFRO, East & Southern Afr ESA, 82-86 Enterprise Rd,POB BE 773, Belvedere, Harare, Zimbabwe
关键词
Poliovirus; eradication; acute flaccid paralysis; laboratory surveillance; Uganda; ACUTE FLACCID PARALYSIS; POLIOVIRUSES; ERADICATION; CULTURE;
D O I
10.4314/ahs.v23i3.23
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The control of poliomyelitis in Uganda dates back as far as 1950 and acute flaccid paralysis (AFP) surveillance has since been used as a criterion for identifying wild polioviruses. Poliovirus isolation was initially pursued through collaborative research however, in 1993, the Expanded Program on Immunization Laboratory (EPI-LAB) was established as a member of the Global Poliovirus Laboratory Network (GPLN) and spearheaded this activity at Uganda Virus Research Institute.Objectives: The aim of this report is to document the progress and impact of the EPI-LAB on poliovirus eradication in Uganda.Methods: Poliovirus detection and identification were achieved fundamentally through tissue culture and intra-typic differentia- tion of the poliovirus based on the real-time reverse transcriptase polymerase chain reaction (rRT PCR). The data obtained was entered into the national AFP database and analysed using EpiInfoTM statistical software.Results: Quantitative and qualitative detection of wild and Sabin polioviruses corresponded with the polio campaigns. The WHO target indicators for AFP surveillance were achieved essentially throughout the study period.Conclusion: Virological tracking coupled with attaining standard AFP surveillance indicators has been pivotal in achieving and maintaining the national wild polio-free status. Laboratory surveillance remains key in informing the certification process of polio eradication.
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页码:186 / 196
页数:11
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