Characteristics of districts in Pakistan with persistent transmission of wild poliovirus, 2000-2001
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Characteristics of districts in Pakistan with persistent transmission of wild poliovirus, 2000-2001. / Lowther, S A; Mir, T; Bile, M K; Abdul Hafiz, R; Mounts, A W.
in: E MEDITERR HEALTH J, Jahrgang 10, Nr. 4-5, 13.12.2005, S. 582-590.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Characteristics of districts in Pakistan with persistent transmission of wild poliovirus, 2000-2001
AU - Lowther, S A
AU - Mir, T
AU - Bile, M K
AU - Abdul Hafiz, R
AU - Mounts, A W
PY - 2005/12/13
Y1 - 2005/12/13
N2 - We sought to identify factors associated with being a reservoir district for wild poliovirus in Pakistan. Differences between reservoir and non-reservoir districts were identified using acute flaccid paralysis surveillance data, population census statistics and data from a survey of district health officials (DHOs). Of the 11 poliovirus reservoir districts identified, population density was significantly higher (median 550 persons/km2) than the non-reservoirs (median 175 persons/km2). DHOs from reservoir districts more often reported that planning was affected by refugees and they had more frequent DHO transfers compared with non-reservoir districts. Multivariate analysis confirmed that reservoirs more often had high population density and frequent DHO transfers. Assessment of district-level and management characteristics can supplement surveillance methods to further improve health programmes.
AB - We sought to identify factors associated with being a reservoir district for wild poliovirus in Pakistan. Differences between reservoir and non-reservoir districts were identified using acute flaccid paralysis surveillance data, population census statistics and data from a survey of district health officials (DHOs). Of the 11 poliovirus reservoir districts identified, population density was significantly higher (median 550 persons/km2) than the non-reservoirs (median 175 persons/km2). DHOs from reservoir districts more often reported that planning was affected by refugees and they had more frequent DHO transfers compared with non-reservoir districts. Multivariate analysis confirmed that reservoirs more often had high population density and frequent DHO transfers. Assessment of district-level and management characteristics can supplement surveillance methods to further improve health programmes.
KW - Adult
KW - Attitude of Health Personnel
KW - Disease Reservoirs/statistics & numerical data
KW - Endemic Diseases/prevention & control
KW - Health Planning
KW - Humans
KW - Male
KW - Middle Aged
KW - Multivariate Analysis
KW - Needs Assessment
KW - Pakistan/epidemiology
KW - Personnel Turnover/statistics & numerical data
KW - Physicians/organization & administration
KW - Poliomyelitis/epidemiology
KW - Poliovirus/classification
KW - Population Density
KW - Population Surveillance
KW - Refugees
KW - Risk Assessment
KW - Risk Factors
KW - Seasons
KW - Surveys and Questionnaires
M3 - SCORING: Journal article
C2 - 16335650
VL - 10
SP - 582
EP - 590
JO - E MEDITERR HEALTH J
JF - E MEDITERR HEALTH J
SN - 1020-3397
IS - 4-5
ER -