JezK

Edit File: 1654086146.M604281P106372.mocha3025.mochahost.com,S=64036,W=65467:2,S

From: <musawy@jack.ngo>
To: <remt_kunduz@yahoo.com>
Cc: <ghani@jack.ngo>,
	<ahmad@jack.ngo>,
	<takal@jack.ngo>,
	<dr.tokhi@jack.ngo>,
	<nooromari@jack.ngo>,
	"'Majeed Hasan'" <majeedhasan1984@gmail.com>,
	<mirzaee@jack.ngo>,
	"'Aliakbar Shirzad'" <aliakbarshirzad183@gmail.com>,
	<rh.supervisor@jack.ngo>,
	"'nabi ayuobi'" <nabi.ayuobi@gmail.com>,
	<khairullah@jack.ngo>,
	"'Fatima Faizi'" <fatimafaizi153@gmail.com>,
	<amin.hanif@jack.ngo>,
	<dr.amiri@jack.ngo>,
	<maryamkakar9090@gmail.com>,
	<miakhil@jack.ngo>,
	<haroon.mahmoodi@jack.ngo>,
	<ghaznawi@jack.ngo>
References: <CAFGLBE9cOTWarHMWWvP8FQhkn45EMHAg+BWippv76N8wq99KXA@mail.gmail.com> <1392969764.1545005.1636896854839@mail.yahoo.com>
In-Reply-To: <1392969764.1545005.1636896854839@mail.yahoo.com>
Subject: RE: WPV1-AFGHANISTAN (n=03)
Date: Mon, 15 Nov 2021 13:29:41 +0430
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Dear Dr.Sahib Ghani and Dr.Sahib Ahmad,

Salam, then based on the bellow email I had participated in EPR meeting 
today, there are two positive polio cases are found in imam sahib District 
under coverage of Alefbehrdi BHC.

The primary information was presented there and a team including of all 
health members was introduced to investigate the cases.

Mr. Shirzad was introduced to join the team for tomorrow , so I am sharing 
this issue with you and I will hear from your side what should we don?.

With Best Regards,

Dr. Sayed Musa “Musawy” MD

Deputy Technical Manager

Just for Afghan Capacity and Knowledge       بلند بردن سطح دانش و توانمندی 
افغانها (جک)

Address: Khan Abad Port, Kocha Sinama

Beside of DaAfghanistan Bank, House # 08

Ph: +93 +93 0797 138 620 074 934 2907

Email:musawy@jack.ngo

Website:www.jack.ngo

=======================================================================================================================================================================

This e-mail and any files transmitted with it may contain privileged or 
confidential information. It is solely for use by the individual for whom it 
is intended, even if addressed incorrectly. If you received this e-mail in 
error, please notify the sender; do not disclose copy, distribute, or take 
any action in reliance on the contents of this information; and delete it 
from your system. Any other use of this e-mail is prohibited. The views 
expressed herein are those of the author and do not necessarily reflect the 
views or policies of jack (Afghanistan). Electronic transmissions may be 
recorded and monitored.For Verification Please Read the Barcode Reader.

P Every 3000 sheets of paper costs us a tree. Please don't print this e-mail 
unless you really need to

From: REMT Kunduz [mailto:remt_kunduz@yahoo.com]
Sent: 14 November 2021 06:04 PM
To: Abdul Naseer Amin <anamin@unicef.org>; Mohammad Zahir Fazil 
<mzfazil@unicef.org>; Khaled Sadiq <ksadiq@unicef.org>; Najeebullah ZAFARZAY 
<zafarzayn@who.int>; Abdul Sami Ajmal <baselajmal1@gmail.com>; Dr. Abdul 
Samad Sadid <samadsaddid@gmail.com>; Mohammad Ismail 
<mr.ismail5353@gmail.com>; Abdul Karim Bajawri <dr.bajawri@gmail.com>; Ghani 
<ghani@jack.ngo>; Musawy <musawy@jack.ngo>; Noor Ahmad <ahmad@jack.ngo>; 
Sardar Wali Takal <takal@jack.ngo>; Ezatullah Safi 
<ezatullahsafi791@gmail.com>; Gulalam Hanafi <gulalam.hanafi@gmail.com>; 
Aliakbar Shirzad <aliakbarshirzad183@gmail.com>; 
jamshidwahid.sarwary@yahoo.com; jamshidwahid.sarwary@yahoo.com; 
Dr.Ihsanullah Fazli <kundoz@moph.gov.af>; Samaruddin Ashrafi 
<samaruddin.ashrafi@gmail.com>; Zabih Afghan <zabihafghan70@gmail.com>
Cc: Ashraf Afetp <ashraf.afetp@gmail.com>; Tajuddin Deedar 
<tajuddin.deedar@gmail.com>; Dr Qader sidiqi <dr_qader@yahoo.com>; Gula Khan 
Ayoub <gulakhanayoub@yahoo.com>; NEOC Afghanistan 
<neoc.afghanistan@poliofree.af>; Popalzai Wahaj <popalzai.wahaj@gmail.com>; 
Malik Mihraban <malik.mihraban@poliofree.af>; Hanif Faiez 
<hanif.faiez@poliofree.af>
Subject: Fw: WPV1-AFGHANISTAN (n=03)

Dear colleagues hello for ur information please see the below email for tow 
new positive polio case in imam sahib district kunduz province . tomorrow we 
have EPR meeting as will every team member and head of BPHS,WHO,Unicef must 
participate in this meeting in PHD office 10:00 Am date 24 aqrab 1400
BR

*******************************************
Dr.Ghulam Jailani Ataee
REMT Manager
Kunduz Province
Tel: +93 799183661 & 0748839115
Office E-mail: remt_kunduz@yahoo.com <mailto:remt_kunduz@yahoo.com>
Private E-mail:gjailani.ataee@gmail.com
*******************************************

----- Forwarded Message -----

From: NEOC Afghanistan <neoc.afghanistan@poliofree.af 
<mailto:neoc.afghanistan@poliofree.af> >

To: REMT Kunduz <remt_kunduz@yahoo.com <mailto:remt_kunduz@yahoo.com> >; 
Kundoz Jailani <jailani_ataee@yahoo.com <mailto:jailani_ataee@yahoo.com> >; 
"kundoz@moph.gov.af <mailto:kundoz@moph.gov.af> " <kundoz@moph.gov.af 
<mailto:kundoz@moph.gov.af> >; MoPH Kunduz <moph.kunduz@gmail.com 
<mailto:moph.kunduz@gmail.com> >; REOC Eastern <reoc.eastern@poliofree.af 
<mailto:reoc.eastern@poliofree.af> >; REOC Western 
<reoc.western@poliofree.af <mailto:reoc.western@poliofree.af> >; REOC 
Southem <reoc.southern@poliofree.af <mailto:reoc.southern@poliofree.af> >; 
EOC Southeast <eoc.southeast@gmail.com <mailto:eoc.southeast@gmail.com> >; 
Baghlan MoPH <baghlan@moph.gov.af <mailto:baghlan@moph.gov.af> >; PEOC 
Helmand <peoc.helmand@poliofree.af <mailto:peoc.helmand@poliofree.af> >; 
MoPH Urozgan <moph.urozgan@gmail.com <mailto:moph.urozgan@gmail.com> >; 
PEMT-BDK <pemt.badakhshan@gmail.com <mailto:pemt.badakhshan@gmail.com> >; 
takhar pemt <pemt.takhar@yahoo.com <mailto:pemt.takhar@yahoo.com> >; 
Najibullah Kamawal <najibullah.kamawal@poliofree.af 
<mailto:najibullah.kamawal@poliofree.af> >; Dr Abdul Qayyum POKHLA 
<qayoum.pokhla@poliofree.af <mailto:qayoum.pokhla@poliofree.af> >; 
Asmatullah Arab <asmatullah.arab@poliofree.af 
<mailto:asmatullah.arab@poliofree.af> >

Cc: AKBAR, Irfan Elahi <akbari@who.int <mailto:akbari@who.int> >; 
"momin.nws@poliofree.af <mailto:momin.nws@poliofree.af> " 
<momin.nws@poliofree.af <mailto:momin.nws@poliofree.af> >; Ahmadgul Iqbal 
<ahmadgul.iqbal@poliofree.af <mailto:ahmadgul.iqbal@poliofree.af> >; 
Wasiullah Hasam <wasiullah.hasam@poliofree.af 
<mailto:wasiullah.hasam@poliofree.af> >; Malik Mihraban 
<malik.mihraban@poliofree.af <mailto:malik.mihraban@poliofree.af> >; Gula 
khan ayoub <gulakhanayoub@yahoo.com <mailto:gulakhanayoub@yahoo.com> >

Sent: Sunday, November 14, 2021, 02:58:22 AM PST

Subject: WPV1-AFGHANISTAN (n=03)

Dear Colleagues,

The Laboratory has notified two new type-1 polio cases, both from Emamsaheb 
district of Kunduz province of the Northeast Region with a gap of 10 months 
from the last case, the last case was reported from Ghazni province in 
January 2021.

The total number of polio cases in 2021 till date is now 03 in Afghanistan. 
Details of both these cases are as below:

AFG/01/21/325 (n=02)

This is 25-month-old male child who had onset of paralysis on 20 October 
2021. The case was reported on 30 October 2021 and investigated the same 
day. Stool samples were collected on 31 October and 02 November 2021.

*	Case Information

Province: Kunduz

District: Emamsaheb

Age / sex: 25 months / Male

Date Onset of paralysis: 20 October 2021

Date of Investigation: 30 October 2021

Date of S1 collection: 31 October 2021

Date of S2 collection: 02 November 2021

OPV Doses: RI = 4, SIAs = 3

Last OPV dose: 16 June 2021

ITD Results: NSL1

Genetic Sequencing Results: WPV1

Cluster: YB3A

98.89% WITH AFG20-ENV267E5 AFG/NE/KDZ/NML-1/20/009 KUNDUZ
98.89% WITH PAK20-ENV743E3 PAK/KP/DIK/BM-1/20/011 DI KHAN

AFG/01/21/327 (n=03)

This case is a 10-month-old female child who had onset of paralysis on 29 
October 2021. The case was reported on 31 October 2021 and investigated on 
31 October 2021. Stool samples were collected on 31 October and 02 November 
2021.

*	Case Information

Province: Kunduz

District: Emamsaheb

Age / sex: 10 months / Female

Date Onset of paralysis: 29 October 2021

Date of Investigation: 31 October 2021

Date of S1 collection: 31 October 2021

Date of S2 collection: 02 November 2021

OPV Doses: RI = 0, SIAs = 0

ITD Results: NSL1

Genetic Sequencing Results: WPV1

Cluster: YB3A

97.57% WITH AFG20-ENV267E5 AFG/NE/KDZ/NML-1/20/009 KUNDUZ
97.57% WITH PAK20-ENV743E3 PAK/KP/DIK/BM-1/20/011 DI KHAN

Response

*	November 2021 SIAs round was implemented from 08-11 November in whole 
Kunduz province that may be considered as first case response round keeping 
in view the date of onset of paralysis of both the cases that was in October 
2021 respectively. The National EOC/ SWG will decide on the dates and area 
scope for the second and third rounds of case response campaigns.
*	National/Regional RRT will initiate the detailed epidemiological 
investigation at the earliest possible time.

Dr. Momin

<https://lh5.googleusercontent.com/H-_8GhrTTVjwR6r8PZ0UIK4aJQ2v22bJGj6BByXcQNvM8nMGLVrMHwgm4LEOk9pZX2D2cX-a9aI4xyLTQAaJF8hRocpWnNyObpkTQABsbEt4JPqnU7cOd-eKA4Bg2si4LUFZEDBI>

Best Regards,

National EOC Afghanistan
Ministry of Public Health
13th Street, Wazir Akbar Khan, Kabul, Afghanistan

Contact: +93 20 231 4108

Facebook Page: Polio-Free Afghanistan

Just Two Steps To a Polio Free Afghanistan!

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<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:m=3D"http://schemas.microsoft.com/office/2004/12/omml" =
xmlns=3D"http://www.w3.org/TR/REC-html40"><head><meta =
http-equiv=3DContent-Type content=3D"text/html; charset=3Dutf-8"><meta =
name=3DGenerator content=3D"Microsoft Word 15 (filtered medium)"><style></style></head><body lang=3DEN-US link=3Dblue =
vlink=3Dpurple><div class=3DWordSection1>Dear Dr.Sahib Ghani and Dr.Sahib Ahmad,<o:p></o:p>Salam, then based on the bellow email I had participated in EPR meeting =
today, there are two positive polio cases are found in imam sahib =
District under coverage of Alefbehrdi BHC.<o:p></o:p>The primary information was presented there and a team including of all =
health members was introduced to investigate the =
cases.<o:p></o:p>Mr. Shirzad was introduced to join the team for tomorrow , so I am =
sharing this issue with you and I will hear from your side what should =
we don?.<o:p></o:p><o:p>&nbsp;</o:p>With Best Regards,<o:p></o:p><o:p>&nbsp;</o:p><img width=3D49 height=3D38 id=3D"Picture_x0020_21" =
src=3D"cid:image005.jpg@01D7DA24.D8570B60" =
alt=3D"cid:image003.jpg@01D4B669.F250F440"><=
o:p></o:p>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>Dr. Sayed Musa =E2=80=9CMusawy=E2=80=9D =
MD<o:p></o:p>Deputy Technical =
Manager<o:p></o:p>Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
&nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>Address: Khan Abad Port, Kocha =
Sinama<o:p></o:p>Beside of DaAfghanistan Bank, House # =
08<o:p></o:p>Ph: +93 +93 0797 138 620 074 934 =
2907<o:p></o:p>Email:musawy@jack.ngo <o:p></o:p>Website:www.jack.ngo <o:p></o:p>=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D<o:p></o:p><=
/p>This e-mail and any files =
transmitted with it may contain privileged or confidential information. =
It is solely for use by the individual for whom it is intended, even if =
addressed incorrectly. If you received this e-mail in error, please =
notify the sender; do not disclose copy, distribute, or take any action =
in reliance on the contents of this information; and delete it from your =
system. Any other use of this e-mail is prohibited. The views expressed =
herein are those of the author and do not necessarily reflect the views =
or policies of jack (Afghanistan). Electronic transmissions may be =
recorded and monitored.For Verification Please Read =
the Barcode Reader.&nbsp; <o:p></o:p><![if !vml]><table cellpadding=3D0 cellspacing=3D0 =
align=3Dleft><tr><td width=3D6 =
height=3D250></td></tr><tr><td></td><td><img width=3D138 height=3D138 =
src=3D"cid:image006.jpg@01D7DA24.D8570B60" alt=3D"jack smart code" =
v:shapes=3D"Picture_x0020_1"></td></tr></table><![endif]><o:p>&nbsp;</o:p></=
p><o:=
p>&nbsp;</o:p><o:p>&nbsp;</=
o:p><o:p>&nbsp;</=
o:p> P<s=
pan =
style=3D'font-size:7.5pt;font-family:"Arial",sans-serif;color:green'> =
Ever=
y 3000 sheets of paper costs us a tree. Please don't print this e-mail =
unless you really need to<o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><a =
name=3D"_MailEndCompose"><o:p>&nbsp;</o:p></a>From:<=
/b> =
REMT Kunduz [mailto:remt_kunduz@yahoo.com] Sent: 14 November =
2021 06:04 PM To: Abdul Naseer Amin &lt;anamin@unicef.org&gt;; =
Mohammad Zahir Fazil &lt;mzfazil@unicef.org&gt;; Khaled Sadiq =
&lt;ksadiq@unicef.org&gt;; Najeebullah ZAFARZAY =
&lt;zafarzayn@who.int&gt;; Abdul Sami Ajmal =
&lt;baselajmal1@gmail.com&gt;; Dr. Abdul Samad Sadid =
&lt;samadsaddid@gmail.com&gt;; Mohammad Ismail =
&lt;mr.ismail5353@gmail.com&gt;; Abdul Karim Bajawri =
&lt;dr.bajawri@gmail.com&gt;; Ghani &lt;ghani@jack.ngo&gt;; Musawy =
&lt;musawy@jack.ngo&gt;; =E2=80=8BNoor Ahmad &lt;ahmad@jack.ngo&gt;; =
Sardar Wali Takal &lt;takal@jack.ngo&gt;; Ezatullah Safi =
&lt;ezatullahsafi791@gmail.com&gt;; Gulalam Hanafi =
&lt;gulalam.hanafi@gmail.com&gt;; Aliakbar Shirzad =
&lt;aliakbarshirzad183@gmail.com&gt;; jamshidwahid.sarwary@yahoo.com; =
jamshidwahid.sarwary@yahoo.com; Dr.Ihsanullah Fazli =
&lt;kundoz@moph.gov.af&gt;; Samaruddin Ashrafi =
&lt;samaruddin.ashrafi@gmail.com&gt;; Zabih Afghan =
&lt;zabihafghan70@gmail.com&gt; Cc: Ashraf Afetp =
&lt;ashraf.afetp@gmail.com&gt;; Tajuddin Deedar =
&lt;tajuddin.deedar@gmail.com&gt;; Dr Qader sidiqi =
&lt;dr_qader@yahoo.com&gt;; Gula Khan Ayoub =
&lt;gulakhanayoub@yahoo.com&gt;; NEOC Afghanistan =
&lt;neoc.afghanistan@poliofree.af&gt;; Popalzai Wahaj =
&lt;popalzai.wahaj@gmail.com&gt;; Malik Mihraban =
&lt;malik.mihraban@poliofree.af&gt;; Hanif Faiez =
&lt;hanif.faiez@poliofree.af&gt; Subject: Fw: WPV1-AFGHANISTAN =
(n=3D03)<o:p></o:p><o:p>&nbsp;</o:p><div>Dear colleagues hello for ur information =
please see the below email for tow new positive polio case in imam sahib =
district kunduz province . tomorrow we have EPR meeting as will every =
team member and head of BPHS,WHO,Unicef must participate in this meeting =
in PHD office 10:00 Am date 24 aqrab 1400 =
 BR ******************************************* Dr.Ghula=
m Jailani Ataee REMT Manager Kunduz Province Tel: +93 799183661 =
&amp; 0748839115 Office E-mail: <a =
href=3D"mailto:remt_kunduz@yahoo.com">remt_kunduz@yahoo.com</a> Privat=
e =
E-mail:gjailani.ataee@gmail.com **************************************=
*****<o:p></o:p></div><div style=3D'border:none;border-left:solid =
#CCCCCC 1.0pt;padding:0cm 0cm 0cm =
6.0pt;margin-left:4.8pt;margin-top:7.5pt'><div><div>----- Forwarded Message -----<o:p></o:p></div><div>From: NEOC Afghanistan &lt;<a =
href=3D"mailto:neoc.afghanistan@poliofree.af">neoc.afghanistan@poliofree.=
af</a>&gt;<o:p></o:p></div><div>To: REMT Kunduz &lt;<a =
href=3D"mailto:remt_kunduz@yahoo.com">remt_kunduz@yahoo.com</a>&gt;; =
Kundoz Jailani &lt;<a =
href=3D"mailto:jailani_ataee@yahoo.com">jailani_ataee@yahoo.com</a>&gt;; =
&quot;<a href=3D"mailto:kundoz@moph.gov.af">kundoz@moph.gov.af</a>&quot; =
&lt;<a href=3D"mailto:kundoz@moph.gov.af">kundoz@moph.gov.af</a>&gt;; =
MoPH Kunduz &lt;<a =
href=3D"mailto:moph.kunduz@gmail.com">moph.kunduz@gmail.com</a>&gt;; =
REOC Eastern &lt;<a =
href=3D"mailto:reoc.eastern@poliofree.af">reoc.eastern@poliofree.af</a>&g=
t;; REOC Western &lt;<a =
href=3D"mailto:reoc.western@poliofree.af">reoc.western@poliofree.af</a>&g=
t;; REOC Southem &lt;<a =
href=3D"mailto:reoc.southern@poliofree.af">reoc.southern@poliofree.af</a>=
&gt;; EOC Southeast &lt;<a =
href=3D"mailto:eoc.southeast@gmail.com">eoc.southeast@gmail.com</a>&gt;; =
Baghlan MoPH &lt;<a =
href=3D"mailto:baghlan@moph.gov.af">baghlan@moph.gov.af</a>&gt;; PEOC =
Helmand &lt;<a =
href=3D"mailto:peoc.helmand@poliofree.af">peoc.helmand@poliofree.af</a>&g=
t;; MoPH Urozgan &lt;<a =
href=3D"mailto:moph.urozgan@gmail.com">moph.urozgan@gmail.com</a>&gt;; =
PEMT-BDK &lt;<a =
href=3D"mailto:pemt.badakhshan@gmail.com">pemt.badakhshan@gmail.com</a>&g=
t;; takhar pemt &lt;<a =
href=3D"mailto:pemt.takhar@yahoo.com">pemt.takhar@yahoo.com</a>&gt;; =
Najibullah Kamawal &lt;<a =
href=3D"mailto:najibullah.kamawal@poliofree.af">najibullah.kamawal@poliof=
ree.af</a>&gt;; Dr Abdul Qayyum POKHLA &lt;<a =
href=3D"mailto:qayoum.pokhla@poliofree.af">qayoum.pokhla@poliofree.af</a>=
&gt;; Asmatullah Arab &lt;<a =
href=3D"mailto:asmatullah.arab@poliofree.af">asmatullah.arab@poliofree.af=
</a>&gt;<o:p></o:p></div><div>Cc: AKBAR, Irfan Elahi &lt;<a =
href=3D"mailto:akbari@who.int">akbari@who.int</a>&gt;; &quot;<a =
href=3D"mailto:momin.nws@poliofree.af">momin.nws@poliofree.af</a>&quot; =
&lt;<a =
href=3D"mailto:momin.nws@poliofree.af">momin.nws@poliofree.af</a>&gt;; =
Ahmadgul Iqbal &lt;<a =
href=3D"mailto:ahmadgul.iqbal@poliofree.af">ahmadgul.iqbal@poliofree.af</=
a>&gt;; Wasiullah Hasam &lt;<a =
href=3D"mailto:wasiullah.hasam@poliofree.af">wasiullah.hasam@poliofree.af=
</a>&gt;; Malik Mihraban &lt;<a =
href=3D"mailto:malik.mihraban@poliofree.af">malik.mihraban@poliofree.af</=
a>&gt;; Gula khan ayoub &lt;<a =
href=3D"mailto:gulakhanayoub@yahoo.com">gulakhanayoub@yahoo.com</a>&gt;<o=
:p></o:p></div><div>Sent: Sunday, November 14, 2021, 02:58:22 AM =
PST<o:p></o:p></div><div>Subject: WPV1-AFGHANISTAN (n=3D03)<o:p></o:p></div><div><o:p>&nbsp;</o:p></div><div><div =
id=3Dyiv3444121367><div><div>Dear =
Colleagues,<o:p></o:p>&nbsp;<sp=
an =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>The Laboratory =
has notified two new type-1 polio cases, both from Emamsaheb district of =
Kunduz province of the Northeast Region with a gap of 10 months from the =
last case, the last case was reported from Ghazni province in January =
2021.<o:p></o:p>&nbsp;<sp=
an =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>The total =
number of polio cases in 2021 till date is now 03 in Afghanistan. =
Details of both these cases are as below:<o:p></o:p>&nbsp;</u=
><o:p></o:p>AFG/01/21/325&=
nbsp;(n=3D02)<o:p></o:p>This is =
25-month-old male child who had onset of paralysis on 20&nbsp;<a =
name=3D"m_-5762201851382122505__Hlk87725894">October&nbsp;</a>2021. The =
case was reported on&nbsp;<a =
name=3D"m_-5762201851382122505__Hlk87726728">30 October =
2021&nbsp;</a>and investigated the same day. Stool samples were =
collected on 31 October and 02 November 2021.<o:p></o:p><ul style=3D'margin-top:0cm' type=3Ddisc><li =
class=3DMsoNormal style=3D'color:#26282A;mso-list:l1 level1 =
lfo1'>Case =
Information<o:p></o:p></=
span></li></ul>Province: =
Kunduz<o:p></o:p>District: =
Emamsaheb<o:p></o:p>Age / sex: 25 =
months / Male<o:p></o:p>Date Onset of =
paralysis: 20 October 2021<o:p></o:p>Date of =
Investigation: 30 October 2021<o:p></o:p>Date of S1 =
collection: 31 October 2021<o:p></o:p>Date of S2 =
collection: 02 November 2021<o:p></o:p>OPV Doses: RI =
=3D 4, SIAs =3D 3<o:p></o:p>Last OPV dose: =
16 June 2021<o:p></o:p>ITD Results: =
NSL1<o:p></o:p>Genetic =
Sequencing Results: WPV1&nbsp;<o:p></o:p>Cluster:&nbsp;</=
span>YB3A<spa=
n =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>98.89% WITH =
AFG20-ENV267E5 AFG/NE/KDZ/NML-1/20/009 KUNDUZ 98.89% WITH =
PAK20-ENV743E3 PAK/KP/DIK/BM-1/20/011 DI KHAN<o:p></o:p>&nbsp;<sp=
an =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>AFG/01/21/327 (n=3D03)<o:p></o:p>This case is a =
10-month-old female child who had onset of paralysis on 29 October 2021. =
The case was reported on 31 October 2021 and investigated on 31 October =
2021. Stool samples were collected on 31 October and 02 November =
2021.<o:p></o:p><ul style=3D'margin-top:0cm' type=3Ddisc><li =
class=3DMsoNormal style=3D'color:#26282A;mso-list:l0 level1 =
lfo2'>Case =
Information<o:p></o:p></=
span></li></ul>Province: =
Kunduz<o:p></o:p>District: =
Emamsaheb<o:p></o:p>Age / sex: 10 =
months / Female<o:p></o:p>Date Onset of =
paralysis: 29 October 2021<o:p></o:p>Date of =
Investigation: 31 October 2021<o:p></o:p>Date of S1 =
collection: 31 October 2021<o:p></o:p>Date of S2 =
collection: 02 November 2021<o:p></o:p>OPV Doses: RI =
=3D 0, SIAs =3D 0<o:p></o:p>ITD Results: =
NSL1<o:p></o:p>Genetic =
Sequencing Results: WPV1&nbsp;<o:p></o:p>Cluster:&nbsp;</=
span>YB3A<spa=
n =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>97.57% WITH =
AFG20-ENV267E5 AFG/NE/KDZ/NML-1/20/009 KUNDUZ 97.57% WITH =
PAK20-ENV743E3 PAK/KP/DIK/BM-1/20/011 DI KHAN<o:p></o:p>&nbsp;<s=
pan =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>&nbsp;<sp=
an =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#26282A'=
><o:p></o:p>Response<=
/u><o:p></o:p><ul style=3D'margin-top:0cm' type=3Ddisc><li =
class=3DMsoNormal style=3D'color:#26282A;text-align:justify;mso-list:l2 =
level1 lfo3'>November =
2021 SIAs round was implemented from 08-11 November in whole Kunduz =
province that may be considered as first case response round keeping in =
view the date of onset of paralysis of both the cases that was in =
October 2021 respectively. The National EOC/ SWG will decide on the =
dates and area scope for the second and third rounds of case response =
campaigns.<o:p></o:p></=
span></li><li class=3DMsoNormal =
style=3D'color:#26282A;text-align:justify;mso-list:l2 level1 lfo3'>National/Regional RRT will =
initiate the detailed epidemiological investigation at the earliest =
possible time.<o:p></o:p></=
span></li></ul><o:p>&nbsp;</o:p>Dr. =
Momin<o:p></o:p><div><o:p>&nbsp;</o:p></div>-- <o:p></o:p><div><div><div><div =
style=3D'margin-top:6.0pt'><div><div><div><div><table =
class=3DMsoNormalTable border=3D0 cellspacing=3D0 cellpadding=3D0 =
style=3D'border-collapse:collapse'><tr style=3D'min-height:150.75pt'><td =
valign=3Dtop style=3D'padding:5.0pt 5.0pt 5.0pt =
5.0pt;overflow:hidden'><img border=3D0 width=3D130 =
height=3D130 id=3D"_x0000_i1025" =
src=3D"https://lh5.googleusercontent.com/H-_8GhrTTVjwR6r8PZ0UIK4aJQ2v22bJ=
Gj6BByXcQNvM8nMGLVrMHwgm4LEOk9pZX2D2cX-a9aI4xyLTQAaJF8hRocpWnNyObpkTQABsb=
Et4JPqnU7cOd-eKA4Bg2si4LUFZEDBI"><o:p></o:p></td><td =
valign=3Dtop style=3D'padding:5.0pt 5.0pt 5.0pt =
5.0pt;overflow:hidden'>Best =
Regards,<o:p></o:p> National EOC =
Afghanistan Ministry of Public =
Health 13th</=
sup> Street, Wazir =
Akbar Khan, Kabul, Afghanistan<o:p></o:p>Contact: +93 20 231 =
4108<o:p></o:p>Facebook Page: =
<a =
href=3D"https://www.facebook.com/ads/growth/aymt/homepage/panel/redirect/=
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Afghanistan</a><o:p></o:p></td></tr><tr =
style=3D'min-height:24pt'><td colspan=3D2 valign=3Dtop =
style=3D'padding:5.0pt 5.0pt 5.0pt 5.0pt;overflow:hidden'>Just Two Steps To a =
Polio Free Afghanistan!<o:p><=
/o:p></td></tr></table><o:p>&nbsp;</o:p></div></div></div></div></div></di=
v></div></div></div></div></div></div></div></div></div></body></html>
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