A total of 352 wild polio cases (map attached) were confirmed in India (as on 29th Sep '06). Of the 352 cases, 245 cases were due to P, serotype and the rest 7 cases due to P, serotype (all from Moradabad Dist. of Uttar Pradesh). The current polio outbreak in Uttar Pradesh is of great concern which is spreading to other states of India. The current outbreak is due to deterioration of Supplementary Immunization Activity (SIA) in 2005 and early 2006 in several districts of UP resulting in accumulation of non-immune children

Current strategies envisaged for the country:

1. Conduct SNID in most states of India on 12th Nov '06 (map attached)


2. Continue to use mOPV1
   
   
3. mOPV3 to be used in selected district of Western UP during December, 2006.


4. Two rounds of IPV to be used in two districts of Western UP - Moradabad and JP Nagar for children aged 2-24 months of age during early 2007.


5. Conduct 2 rounds of NID during Jan/Feb for the year 2007.


6. Sustains quality AFP surveillance


7. Conduct state wise Immunization weeks for all routine EPI antigens, in December '06 and Jan & Feb 2007.

Interventions to improve SIA quality include: