The growing contribution of Nigeria and Pakistan to global poliomyelitis incidence reflects decreasing incidence in India, rather than an absolute increase in Nigeria and Pakistan. [1-4] These trends continue to illustrate the relative success of mass vaccination. *

Health care workers in Nigeria and Pakistan might find the last two graphs useful in convincing citizens who hesitate to vaccinate their children.

* Custom graphs are generated using an interactive module in Gideon http://www.gideononline.com/cases/video/multi-graphs/

References:
1. Berger SA. Infectious Diseases of India, 2011. 480 pp, 65 graphs, 3503 references. Gideon e-books, http://www.gideononline.com/ebooks/country/infectious-diseases-of-india/
2. Berger SA. Infectious Diseases of Nigeria, 2011. 410 pp, 60 graphs, 1684 references. Gideon e-books, http://www.gideononline.com/ebooks/country/infectious-diseases-of-nigeria/
3. Berger SA. Infectious Diseases of Pakistan, 2011. 354 pp, 39 graphs, 1243 references. Gideon e-books, http://www.gideononline.com/ebooks/country/infectious-diseases-of-pakistan/
4. Berger SA. Poliomyelitis: Global Status, 2011. 540 pp, 867 graphs, 994 references. Gideon e-books, http://www.gideononline.com/ebooks/disease/poliomyelitis-global-status/

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Reports of a recent outbreak in Sindh question the relative likelihood of various forms of viral hepatitis in Pakistan. The following data are abstracted from GIDEON. One of the modules in GIDEON follows all published prevalence surveys (Ascariasis, Chlamydial infection, Trachoma, Leprosy …) and seroprevalence surveys (HIV infection, Toxoplasmosis, Rubella … etc) – for every infectious disease, in every country.

[primary references available on request]

Viral hepatitis in Pakistan:

Hepatitis A:
Prevalence
4% of acute hepatitis in pregnant women in Karachi
5.4% of acute hepatitis in Lahore.

Seroprevalence:
94% of children by age 5 (Karachi, 1994 publication)
100% of children ages 14 to 15 (Karachi, 2002 to 2004)
40.57% of persons with clinical suspicion of acute hepatitis (2003 to 2004)

(more…)

Recent reports of hepatitis B and C in Sindh underscore a general trend toward high hepatitis rates in Pakistan. The following serosurvey data regarding Hepatitis A-G are abstracted from GIDEON (primary references available on request).

Hepatitis A seroprevalence:
94% of children by age 5 (Karachi, 1994 publication)
100% of children ages 14 to 15 (Karachi, 2002 to 2004)
40.57% of persons with clinical suspicion of acute hepatitis (2003 to 2004)

(more…)