DrNKArora

Report
National Certification
Committee for Polio Eradication
Proposed Work Plan Till 2014
24th IEAG Meeting, New Delhi,
15-16 March, 2012
NCCPE Members
Shri P. K. Uma Shankar
Chairman,
Meenakshi, 857, 13th Main Road
Annanagar, Chennai – 40 TN
Dr. V.M.Katoch
Director General,
Indian Council of Medical Research
Ansari Nagar, Delhi-29
Dr. S. Pattanayak
B-91, Swasthya Vihar
Vikas Marg, Delhi – 92
Dr. Kalyan Banerjee
A-1-A/5-6, Sopan Baug
Opp. Mantri Avenue
Pashan - 36, Pune – 8
Dr. (Brig.) S. L. Chadha
C-719, New Friends Colony
New Delhi - 65
Dr. E. G. P. Haran PhD
H-201 Ambience Lagoon Apts
NH-8, Gurgaon-122002, Haryana
Dr Narendra K. Arora
Member Coordinator
The INCLEN Trust International
F1/5, Okhla Industrial Area Phase-1
New Delhi-20
17th Meeting of NCCPE
(16 September, 2011)
• Last case of WPV on 13 Jan, 2011
– Date of certification Jan 2014
– Activities of Committee till certification
• Certification
– NCCPE to convince itself that country is ‘polio free’
• Onerous task
– 37 states and union territories
National Document for Certification of
Polio Eradication
• Criteria for certification
– Three years from the occurrence of last WPV case
– 13 January, 2011 to 13 January, 2014
• Document to have information about eradication
activities
– Three years before the last occurred i.e. 2008 – 2010
– Three years after the last case occurred i.e. up to January
2014
• National polio importation preparedness plan
• Cross border activities
NCCPE’s Assessment
1. Vulnerability of the population to infection with
wild virus infection
 Polio related immunity gap and routine immunization
2. Whether system is sensitive enough to identify any
WPV circulation?
3. Whether system is capable of identifying any
importation of WVP in to the country?
4. Ability of the system for rapid and effective
response to detection of any WPV identified?
NCCPE Roadmap
• State level documents before collating national
document
• Request Secretary, MOHFW, GOI to write to all state
health departments for support and facilitation
– Exploring the possibilities of convening a meeting of State
Health Directors in Delhi
• Identifying medical college faculty, professional
organizations (IAP, IMA), voluntary organizations to
partner
• Systematic scrutiny of PEI data (NPSP, GOI, UNICEF,
Other agencies, national & state level)
NCCPE Roadmap
• Field visits
– District wise risk assessment
• NCCPE Secretariat already doing
• WHO developing a risk assessment scale
• Selected high risk districts and areas visited
– Identification of senior professionals
• ~15 from medical schools, polio experts
• Intense orientation for task at hand during field visits
• Oversight provided by NCCPE members
• Polio Eradication Initiative related data
– Systematic analysis
– Scrutinize for internal consistency, and agreement with feedback from
the field
• Polio laboratories
– Activities; turn around time; quality assurance
Process of Regional & Global Certification
NCCPEs prepare National
Documents
RCCPE convinces itself and
certifies the region
(Countries not certified)
Global Commission declares
Global Eradication
2nd Regional Certification Committee for
Polio Eradication
(25-27 January, 2012; Chiang Mai, Thailand)
• General Recommendations
–
–
–
–
–
–
High population immunity (Routine immunization & SIAs)
Uniform & highly sensitive AFP surveillance
Documentation of discarded AFP cases (final diagnosis)
National plans for responding to poliovirus importation
Access to OPV & licensure of tOPV/bOPV/mOPV
Countries with recent importation and circulation of
WPV/cVDPV to survey & update laboratory inventories
– NCC to review and improve quality of annual National
Documents
2nd Regional Certification Committee for
Polio Eradication
(25-27 January, 2012; Chiang Mai, Thailand)
• India specific recommendations
– Begin preparation of National Documentation on
Certification of Poliomyelitis Eradication for submission on
14 January 2012
– Submit Preliminary Report for review at the 3rd SEA-RCCPE
– Include
• An updated copy of the polio preparedness plan as an attachment
to the preliminary report
• A list of cross border activities
– URGENTLY initiate laboratory containment activities
Laboratory Containment Activities
• National Task Force
–
–
–
–
Constituted by MOHFW, GOI on 11 September, 2003
Director General, ICMR as Chairperson
Secretariat: Indian Council of Medical Research
Report to be prepared by Secretariat & submitted to NCCPE
• Activities
– To avoid chances of re-introduction of WPV when indigenous
circulation of virus interrupted
– Document location and type of WPV infectious material
retained: preparation of nation wide inventory of laboratories
storing infectious /potentially infectious materially
Timeline for preparing and
submitting
1st draft national document
to WHO-SEAR & RCCPE
31/05/12
15/05/12
11-12/05/12
NCCPE meets to
review the
document
01/05/12
NCCPE Secretariat prepares and
circulates draft document to NCCPE
members.
Time preiod-2008, 2009, 2010 and
2011
NCCPE
Secretariat
finalizes the
document
Draft India
Report
submitted to
SEARO
NCCPE puts on record its deep
appreciation for constant support and
advice to
– MOHFW, Government of India
– NPSP
– WHO-SEAR
– State Governments
– All other Stakeholders

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