Two-Source Capture-Recapture Method to Estimate the Incidence of Acute Flaccid Paralysis in the Marches Region (Italy)

A combination of high infant immunization coverage and surveillance of acute flaccid paralysis (AFP) cases, plays a critical role in polio eradication. This study aimed to estimate the incidence of AFP, to evaluate the completeness of AFP ascertainment during the years, age groups and gender, and to define the main associated diagnosis among children aged under 15 in the Marches region of Italy. Analysis was performed on data from the active AFP surveillance system and the hospital discharge records in the 2006-2014 period. The two-source capture-recapture method was applied. After cross-validation, 30 AFP compatible conditions as defined by the WHO were identified, with an incidence estimate of 1.91 cases of AFP per 100,000 children under 15 years (95% CI = 1.4-2.6/100,000). Guillain-Barrè syndrome was the most common diagnosis. A significant difference (p < 0.05) has been registered in the estimated probability of case ascertainment in females. The reasons for the lower reporting of cases in females are unknown. Specific research and the implementation of a more sensitive surveillance system are essential in verifying potential inequalities and to succeed in the polio eradication initiative.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

International journal of environmental research and public health - 17(2020), 24 vom: 15. Dez.

Sprache:

Englisch

Beteiligte Personen:

Barbadoro, Pamela [VerfasserIn]
Luciani, Aurora [VerfasserIn]
Ciotti, Matteo [VerfasserIn]
D'Errico, Marcello Mario [VerfasserIn]
On Behalf Of The Afp Working Collaborative Group [VerfasserIn]

Links:

Volltext

Themen:

Acute flaccid paralysis
Epidemiologic methods
Epidemiologic surveillance/methods
Italy
Journal Article
Poliomyelitis
Sensitivity
Socioeconomic factors
Surveillance systems

Anmerkungen:

Date Completed 12.02.2021

Date Revised 12.02.2021

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijerph17249400

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318989360