advanced search

<< Back To Home

SPECIAL POSTING: WILD POLIOVIRUS OUTBREAK IN KENYA SITUATION REPORT – 8 AUGUST 2013

Thursday, 8th of August 2013

WHO/UNICEF/Government of Kenya report, kindly provided by W.H.O. country office

Wild Poliovirus Outbreak in Kenya Situation Report – 8 August 2013

 

Highlights

• Kenya’s number of confirmed cases of WPV type-1 in 2013 remains at 10. Date of onset of the most recent case is 6 July 2013. All cases are from the Dadaab area: 7 cases in the refugee camps and 3 outside the camps in the host community.
• 1 death reported in a confirmed polio case, an adult aged 23 years. There are two other adult cases confirmed, both aged 19 years.
• Round 4 of Kenya’s immunization response to the current outbreak will be conducted 17-21 August 2013 in 24 counties targeting 4.9 million with bOPV.
• Kenya’s National Polio Steering Committee met on 31 July, chaired by MOH Director of Public Health, Dr S.K. Sharif, to review current response strategies. The country’s SIA calendar through September was endorsed.
• The 3-Month Polio Outbreak Assessment (external review) is proposed to be conducted from 15-26 August in Nairobi. Reviewers are expected to observe/monitor SIAs as part of the review.
• Somalia has reported 5 new cases in the past week bringing to 100 the total number of cases of confirmed WPV type-1 to date from 9 regions. Date of onset of the most recent case is 10 July, from Balad District, Middle Shabelle.
• A cross border meeting of local MOH and NGO health teams from Ethiopia, Somalia, and Kenya was conducted in Mandera, Kenya on 2 August. The meeting report and action plan for follow up will be distributed 8 August.
• A cross border meeting of teams from South Sudan and Kenya was conducted in Kapoeta, South Sudan on 7 August to coordinate vaccination activities of all cross border populations.
• Two cross border meetings between Uganda and Kenya (one each for northern and southern districts) have been postponed until the week of 9 September, final dates to be confirmed.

 

Epidemiology

• Kenya’s polio cases reported so far are in the Dadaab Refugee Camp and the camp’s host community. The ongoing explosion of cases and geographic spread of poliovirus in Somalia continues to present high risk of further spread into Kenya. 

 

Vaccination response

• Round 1 conducted 27-31 May 2013

-          Target pop 512,610 <5 years in all districts except refugee camps and 3 host districts where <15 years were targeted.

-          Antigen: bOPV in Dadaab refugee camp and 3 host districts, tOPV in the rest of Garissa

-          Coverage: 95% administrative and 86% IM.

• Round 2 conducted 17-21 June 2013

-          Target pop 1.35 million

-          Coverage: 101% administrative and 91% IM

• Entire pop in Dadaab Refugee Camps
• Under 15 years in 3 host districts
• Under 5 years in 22 other districts
• Round 3 in three phases during 1-10 July 2013

-          4,661,881 million were vaccinated

-          IM data from finger marking indicate national house to house coverage of <5 years at 93.3%; parents awareness of the campaign at 85.7%; and parents awareness of the disease being vaccinated against at 78.3%.

-          Antigen: bOPV

-          All ages: Completed in Dadaab Refugee Camp (July 1-6)

-          <15 years: Completed in Four districts borderingDadaab Camp – Dadaab, Fafi, Lagdera, Wajir South(3-7 July)

-          <5 years: All other districts

-          Scope: 24 counties (127 districts)

• Phase One: 1-5 July (Dadaab camp)
• Phase Two: 3-7 July (Predominantly Muslim communities)
• Phase Three: 6-10 July (Predominantly non-Muslim communities)
• Mop-up vaccination with bOPV was conducted 27-31 July targeting 25,787 children <5 years around the latest confirmed case of polio in North Eastern province. The divisions targeted are Dadaab, Liboi, Jarajilla and Sabuli.
• Round 4is planned for 17-21 August 2013

-          Target pop 4.9 million

-          Antigen: bOPV

-          Scope: 24 counties (127 districts)

-          Discussions underway for coordination and synchronization with neighboring countries.

• Round 5 (21-25Sept SNID) proposed in the same area& target population
• Round 6 (tbc 2-6 Nov NID, tOPV)
• Round 7 (tbc 7-11Dec NID, bOPV) 

 

Advocacy and Coordination

• Preparations for two national launches of Round 4 in Nairobi and Garissa are on-going.
• Printing of 3,000 copies of the Advocacy Kit is expected to be completed by 10 August.

 

Communication and Social Mobilization

• Funds for county and district advocacy and social mobilization have been in the counties since the last round to allow early start of social mobilization activities.
• At national level, messages for radio and TV have been reviewed and updated. Production of the PSAs will be finalized this week ready for broadcasting from 12 August.
• Printing of IEC materials is expected to be completed by 12 August for distribution by national supervisors.
• A meeting is scheduled with the Nairobi team on 14 August to discuss progress with implementation of strategies for the hard to reach populations.
• A comprehensive ACSM strategy with budget for resource mobilization is under development for inclusion in budget presentations at the HOA polio donors meeting in September.
• A training module for national supervisors on communication, including monitoring and reporting, has been developed for supervisors training in Nairobi on 12 August.   

 

Security

• An early morning fire on 7 August, in the international arrivals terminal of Jomo Kenyatta International Airport in Nairobi, suspended all but emergency inbound and outbound flights. The cause of the fire is unknown and no injuries have been reported. 
• As in previous reports, insecurity due to inter-clan clashes remains a recurring issue and will be monitored regularly. 

 

Resource mobilization

• A HOA donor meeting is to take place on the 6 September tbc in Nairobi. Anjali from UNICEF/HQ will support preparation and concept note development. 
• The UN Foundation/UNICEF delegation visiting Kenya was briefed on the HOA outbreak and response by GOK, WHO, UNICEF, and partners. The delegation lead, American actress Amanda Peet, expressed willingness to advocate for additional resources for the outbreak response.

Line list of laboratory-confirmed cases, 2013, Kenya 

 

No.	Epid number	District	Residence	Date of onset	Age in months	Age in years	Sex	Total OPV doses
1	KEN-NOR-FAF-13-002	FAFI	Hagadera Camp	4/30/2013	4	0	F	2
2	KEN-NOR-FAF-13-011	FAFI	Hagadera Camp	5/12/2013	0	1	F	4
3	KEN-NOR-FAF-13-003	FAFI	Jarajila	5/14/2013	8	4	F	6
4	KEN-NOR-DAD-13-003	DADAAB	Ifo Camp	5/17/2013	0	19	M	0
5	KEN-NOR-FAF-13-006	FAFI	Hagadera Camp	5/18/2013	0	4	F	4
6	KEN-NOR-FAF-13-004	FAFI	Hagadera Camp	5/18/2013	9	19	F	0
7	KEN-NOR-DAD-13-007	DADAAB	Ifo Camp	6/3/2013	1	2	F	0
8	KEN-NOR-DAD-13-009	DADAAB	Mathagesim	6/14/2013	0	3	M	1
9	KEN-NOR-FAF-13-021	FAFI	K 8	7/3/2013	0	22	M	0
10	KEN-NOR-FAF-13-022	FAFI	Hamey	7/6/2013	0	3	M	0

Map showing distribution of AFP & confirmed Polio cases in Kenya, May-August 2013

 

 

 

 

 

Current or planned surge staff

 

Agency	Position	No.	Status	S/M	Duration	Arr	Dep
WHO/IST	TA	1	In country	Sam Okiror
WHO/HQ
	Consultant	1	In country	Farid Ahmed	2.5 mos	01 Jun	25 Sep
	Consultant	2	In country	Chidiadi Joseph Nwogu Abdinasir Osman Isse	3 months	10 Jul	30 Sep
	Consultant	1	In country	Ganga Ram Choudhary	3 months	26 Jul	30 Oct
WHO/KENYA	Logistician	1	Awaiting approval
	Data manager	1	Reallocated from IST
	Lab support	1	Awaiting approval
	Comms officer	1	Awaiting approval
	Reg surveillance coordinators	3	Awaiting approval		At least 2 years	tbd	tbd
	Drivers	3	Awaiting approval		At least 2 years	tbd	tbd
UNICEF ESARO	ACSM	1	In country	Grace Kagondu		06 Jun	05 Sep
	Consultant	1	Under discussion
UNICEF	Consultant	1	Recruiting
	TA	1	Under discussion
CDC	TA	1	In country	Anna Likos		23 Jun	23 Aug
	TA	1	In country	Kim Porter		24 Jul	20 Aug
	TA	1	Pending	Sara Lowther		11 Aug	12 Sep
	TA	1	In country	Djo-Roy Van KoKo		24 Jul	14 Aug
STOP	WHO	5	Arrived (A) En-route (E)	(A) Ndubuisi K  Anyalechi (A) Shoaib Hassan (A) Kassa Resa (E) Ousman Baboucarr Njie(E) Hamid Momand	6 months	Jul-13	Jan-14
	UNICEF	2	Arrived	Honesty Attah-Mensah Abu SadiqueSoyeb	6 months	02 Jul	01 Jan
BMGF	Advocacy	1	In country	Gene Bartley	15 months	Aug  2012	20 Dec
	HOA support	1	In country	Dennis King	4 months	12 Jun	12 Oct

SIAs in Kenya

           

	Date	Campaign type	Area	Target	Target pop	Vaccine
Round 1	27 - 31 May	sNID	Dadaab Refugee Camps & host districts (Dadaab, Lagdera, Fafi)	< 15 yrs	421,874	bOPV
	27 - 31 May		Other districts	< 5 yrs	90,736	tOPV
Round 2	17 - 21 June	sNID	Dadaab Refugee Camps	All ages	441,872	bOPV
	17 - 21 June		Host districts (Dadaab, Lagdera, Fafi)	< 15 yrs	133,468	bOPV
	17 - 21 June		Other districts	< 5 yrs	731,274	bOPV
Round 3	1 - 5 July	sNID	Dadaab Refugee Camps	All ages	441,872	bOPV
	3 - 7 July		Host districts (Dadaab, Lagdera, Fafi)	< 15 yrs	133,468	bOPV
	3 - 7 July		North Eastern, Eastern and Coast provinces	< 5 yrs	1,159,258	bOPV
	6 - 10 July		Nairobi, Nyanza, Western, and Rift Valley provinces	< 5 yrs	3,017,562	bOPV
Mop-up	27-31 July	Mop-up	Divisions around the latest confirmed case of polio in North Eastern province includingDadaab, Liboi, Jarajilla and Sabuli.	< 5 yrs	25,787	bOPV
Round 4	17 - 21 August	sNID	Dadaab Refugee Camps	All ages	441,872	bOPV
	17 - 21 August		Host districts (Dadaab, Lagdera, Fafi)	< 15 yrs	133,468	bOPV
	17 - 21 August		Other districts	< 5 yrs	4,176,820	bOPV
Round 5	22-25 September	sNIDS				bOPV
Round 6	2-6 November	NIDS	All districts	< 5 yrs		tOPV
Round 7	7-11 December	NIDS	All districts	< 5 yrs		bOPV