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Article: Surveillance of acute flaccid paralysis in Hong Kong: 1997 to 2002

TitleSurveillance of acute flaccid paralysis in Hong Kong: 1997 to 2002
Authors
KeywordsEvaluation studies
Guillain-Barre syndrome
Paralysis
Poliomyelitis
Sentinel surveillance
Issue Date2005
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2005, v. 11 n. 3, p. 164-173 How to Cite?
AbstractObjectives. To describe the characteristics of patients reported with acute flaccid paralysis between 1997 and 2002, and to evaluate the performance of the acute flaccid paralysis surveillance system using indicators recommended by the World Health Organization. Design. Retrospective study. Setting. Department of Health, Hong Kong. Participants. Children aged younger than 15 years who were reported to the Department of Health between 1997 and 2002 with acute flaccid paralysis. Results. Of 120 children with acute flaccid paralysis reported between 1997 and 2002, 42% were younger than 5 years of age. None of the cases were acute poliomyelitis or polio-compatible. A neurological cause was identified in 67.5% of cases, of which the most common was Guillain-Barré syndrome (42%), followed by transverse myelitis (15%). All except one of the performance indicators consistently met World Health Organization requirements and thus demonstrated the effectiveness of the acute flaccid paralysis surveillance programme. The acute flaccid paralysis notification rate consistently exceeded 1.0 per 100 000 population below 15 years of age. The requirement for adequate stool investigation was the single indicator that did not satisfy World Health Organization requirements. This highlighted the importance of maintaining physicians' awareness of acute flaccid paralysis surveillance. Conclusion. Hong Kong should remain vigilant for acute flaccid paralysis. The effective surveillance system and its evaluation may serve as a model for surveillance of other infectious diseases.
Persistent Identifierhttp://hdl.handle.net/10722/53523
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorLam, RMKen_HK
dc.contributor.authorTsang, THFen_HK
dc.contributor.authorChan, KYen_HK
dc.contributor.authorLau, YLen_HK
dc.contributor.authorLim, WLen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorLeung, NKen_HK
dc.date.accessioned2009-04-03T07:22:16Z-
dc.date.available2009-04-03T07:22:16Z-
dc.date.issued2005en_HK
dc.identifier.citationHong Kong Medical Journal, 2005, v. 11 n. 3, p. 164-173en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/53523-
dc.description.abstractObjectives. To describe the characteristics of patients reported with acute flaccid paralysis between 1997 and 2002, and to evaluate the performance of the acute flaccid paralysis surveillance system using indicators recommended by the World Health Organization. Design. Retrospective study. Setting. Department of Health, Hong Kong. Participants. Children aged younger than 15 years who were reported to the Department of Health between 1997 and 2002 with acute flaccid paralysis. Results. Of 120 children with acute flaccid paralysis reported between 1997 and 2002, 42% were younger than 5 years of age. None of the cases were acute poliomyelitis or polio-compatible. A neurological cause was identified in 67.5% of cases, of which the most common was Guillain-Barré syndrome (42%), followed by transverse myelitis (15%). All except one of the performance indicators consistently met World Health Organization requirements and thus demonstrated the effectiveness of the acute flaccid paralysis surveillance programme. The acute flaccid paralysis notification rate consistently exceeded 1.0 per 100 000 population below 15 years of age. The requirement for adequate stool investigation was the single indicator that did not satisfy World Health Organization requirements. This highlighted the importance of maintaining physicians' awareness of acute flaccid paralysis surveillance. Conclusion. Hong Kong should remain vigilant for acute flaccid paralysis. The effective surveillance system and its evaluation may serve as a model for surveillance of other infectious diseases.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.en_HK
dc.subjectEvaluation studiesen_HK
dc.subjectGuillain-Barre syndromeen_HK
dc.subjectParalysisen_HK
dc.subjectPoliomyelitisen_HK
dc.subjectSentinel surveillanceen_HK
dc.subject.meshParalysis - diagnosis - economics - epidemiologyen_HK
dc.subject.meshPredictive Value of Testsen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshAcute Diseaseen_HK
dc.titleSurveillance of acute flaccid paralysis in Hong Kong: 1997 to 2002en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=11&issue=3&spage=164&epage=173&date=2005&atitle=Surveillance+of+acute+flaccid+paralysis+in+Hong+Kong:+1997+to+2002en_HK
dc.identifier.emailLau, YL:lauylung@hkucc.hku.hken_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLau, YL=rp00361en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid15951581-
dc.identifier.scopuseid_2-s2.0-20444459503en_HK
dc.identifier.hkuros98253-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-20444459503&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume11en_HK
dc.identifier.issue3en_HK
dc.identifier.spage164en_HK
dc.identifier.epage173en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridLam, RMK=8517161300en_HK
dc.identifier.scopusauthoridTsang, THF=7101832378en_HK
dc.identifier.scopusauthoridChan, KY=36985741000en_HK
dc.identifier.scopusauthoridLau, YL=7201403380en_HK
dc.identifier.scopusauthoridLim, WL=7202378277en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridLeung, NK=7006841120en_HK

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