# 7878
The World Health Organization has just released a GAR (Global Alert & Response) update on a cluster of AFP (Acute Flaccid Paralysis) detected in civil war-torn Syria. While Polio is immediately suspected, there are other viral causes of AFP, including many of the non-polio enteroviruses like EV71 (see Australia: Acute Flaccid Paralysis & EV71), and Coxsackie virus A10, A16, and A24.
There are also vector borne arboviruses known to cause AFP as well (eg. West Nile Virus, Japanese Encephalitis, etc.).
Disease outbreaks are always a concern during armed conflicts because of limitations in both surveillance and in mounting an effective response. With reports earlier this year of polio detection in the Middle East (see WHO: WPV1 (Polio) Risks In Israel Remain Moderate to High) and in Africa (see WHO: Polio Outbreak In Horn Of Africa) - should this prove to be Polio - it would represent a serious development.
Report of suspected polio cases in the Syrian Arab Republic - 19 October 2013
19/10/2013
On 17 October 2013, the World Health Organization (WHO) received reports of a cluster of acute flaccid paralysis (AFP) cases in the Syrian Arab Republic. This cluster of ‘hot’ AFP was detected in early October 2013 in Deir Al Zour province and is currently being investigated. Initial results from the national polio laboratory in Damascus indicate that two of the cases could be positive for polio – final results are awaited from the regional reference laboratory of the Eastern Mediterranean Region of WHO. Wild poliovirus was last reported in Syria in 1999.The Ministry of Health of the Syrian Arab Republic confirms that it is treating this event as a cluster of ‘hot’ AFP cases, pending final laboratory confirmation, and an urgent response is currently being planned across the country. Syria is considered at high-risk for polio and other vaccine-preventable diseases due to the current situation.
A surveillance alert has been issued for the region to actively search for additional potential cases. Supplementary immunization activities in neighbouring countries are currently being planned.
WHO’s International Travel and Health recommends that all travelers to and from polio-infected areas be fully vaccinated against polio.
