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dc.contributor.authorMasa-Calles, Josefa 
dc.contributor.authorTorner, Núria
dc.contributor.authorLopez-Perea, Noemi 
dc.contributor.authorTorres-de Mier, Maria de Viarce 
dc.contributor.authorFernandez Martinez, Beatriz 
dc.contributor.authorCabrerizo, Maria 
dc.contributor.authorGallardo-García, Virtudes
dc.contributor.authorMalo, Carmen
dc.contributor.authorMargolles, Mario
dc.contributor.authorPortell, Margarita
dc.contributor.authorAbadía, Natividad
dc.contributor.authorBlasco, Aniceto
dc.contributor.authorGarcía-Hernández, Sara
dc.contributor.authorMarcos, Henar
dc.contributor.authorRabella, Núria
dc.contributor.authorMarín, Celia
dc.contributor.authorFuentes, Amelia
dc.contributor.authorLosada, Isabel
dc.contributor.authorGutiérrez, Juan García
dc.contributor.authorNieto, Alba
dc.contributor.authorGarcía Ortúzar, Visitación
dc.contributor.authorGarcia-Cenoz, Manuel 
dc.contributor.authorArteagoitia, José María
dc.contributor.authorBlanco Martínez, Ángela
dc.contributor.authorRivas, Ana
dc.contributor.authorCastrillejo, Daniel
dc.date.accessioned2020-01-29T11:50:46Z
dc.date.available2020-01-29T11:50:46Z
dc.date.issued2018
dc.identifier.citationEuro Surveill. 2018 Nov;23(47).es_ES
dc.identifier.issn1560-7917es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/8982
dc.description.abstractAcute flaccid paralysis (AFP) surveillance is key for global polio eradication. It allows detecting poliovirus (PV) reintroductions from endemic countries. This study describes AFP surveillance in Spain from 1998 to 2015. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. The mean notification rate was 0.58 AFP cases/100,000 population under 15 years old (range: 0.45/100,000-0.78/100,000). Two periods (P) are described: P1 (1998-2006) with the AFP notification rate ranging from 0.66/100,000 to 0.78/100,000, peaking in 2001 (0.84/100,000); and P2 (2007-2015) when the AFP rate ranged from 0.43/100,000 to 0.57/100,000, with the lowest rate in 2009 (0.31/100,000). No poliomyelitis cases were caused by wild PV infections, although two Sabin-like PVs and one imported vaccine-derived PV-2 were detected. Overall, 23 (3.4%) cases met the hot case definition. Most cases were clinically diagnosed with Guillain-Barré syndrome (76.9%; 504/655). The adequate stool collection rate ranged from 33.3% (7/21) to 72.5% (29/40). The annual proportion of AFP cases with non-polio enterovirus findings varied widely across the study period. AFP surveillance with laboratory testing for non-polio enteroviruses must be maintained and enhanced both to monitor polio eradication and to establish sensitive surveillance for prompt detection of other enteroviruses causing serious symptoms.es_ES
dc.description.sponsorshipWe sincerely thank Odorina Tello, María Victoria Martínez de Aragón and Gloria Trallero for their valuable contributions to the implementation and development of the National Action Plan Aimed at the Achievement of the Certificate of Polio Eradication, and especially for coordinating the Acute Flaccid Paralysis Surveillance System and the Enterovirus Laboratory Networks in Spain.es_ES
dc.language.isoenges_ES
dc.publisherEuropean Centre for Disease Prevention and Control (ECDC) es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectSpaines_ES
dc.subjectAcute flaccid paralysis surveillancees_ES
dc.subjectEnteroviruses_ES
dc.subjectPoliomyelitis eradicationes_ES
dc.subjectSurveillancees_ES
dc.subjectVaccine preventable diseasees_ES
dc.subject.meshAdolescent es_ES
dc.subject.meshChild es_ES
dc.subject.meshChild, Preschool es_ES
dc.subject.meshDisease Eradication es_ES
dc.subject.meshDisease Notification es_ES
dc.subject.meshDisease Outbreaks es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshInfant es_ES
dc.subject.meshMale es_ES
dc.subject.meshParalysis es_ES
dc.subject.meshPoliomyelitis es_ES
dc.subject.meshPoliovirus es_ES
dc.subject.meshPoliovirus Vaccine, Oral es_ES
dc.subject.meshPoliovirus Vaccines es_ES
dc.subject.meshPopulation Surveillance es_ES
dc.subject.meshSpain es_ES
dc.titleAcute flaccid paralysis (AFP) surveillance: challenges and opportunities from 18 years' experience, Spain, 1998 to 2015es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID30482263es_ES
dc.format.volume23es_ES
dc.format.number47es_ES
dc.identifier.doi10.2807/1560-7917.ES.2018.23.47.1700423es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1560-7917es_ES
dc.relation.publisherversionhttps://doi.org/10.2807/1560-7917.ES.2018.23.47.1700423es_ES
dc.identifier.journalEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletines_ES
dc.repisalud.centroISCIII::Centro Nacional de Microbiologíaes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Atribución 4.0 Internacional
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