{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:14:04Z","timestamp":1787318044299,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T00:00:00Z","timestamp":1406678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ministries of Health"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2015,2]]},"abstract":"\n Aim<\/jats:title>\n \n To compare acute flaccid paralysis (\n AFP<\/jats:styled-content>\n ) surveillance systems used by members of the International Network of Paediatric Surveillance Units (\n INoPSU<\/jats:styled-content>\n ) across the five\n AFP<\/jats:styled-content>\n surveillance performance indicators recommended by the World Health Organization (\n WHO<\/jats:styled-content>\n ) for the maintenance of polio\u2010free certification.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A survey was administered to\n AFP<\/jats:styled-content>\n surveillance co\u2010ordinators in five\n INoPSU<\/jats:styled-content>\n member countries (\n A<\/jats:styled-content>\n ustralia,\n B<\/jats:styled-content>\n elgium,\n C<\/jats:styled-content>\n anada,\n N<\/jats:styled-content>\n ew\n Z<\/jats:styled-content>\n ealand and\n S<\/jats:styled-content>\n witzerland). Data collected included information on surveillance system processes,\n WHO<\/jats:styled-content>\n \u2010recommended performance indicators, investigative practices and final diagnoses of cases from 2006 to 2010.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n All countries contacted completed the survey. Each country used similar case definitions and processes for collecting\n AFP<\/jats:styled-content>\n data. All countries used at least one of the\n WHO<\/jats:styled-content>\n indicators for surveillance. No country consistently met the performance indicator for incidence or stool sampling. In all countries, at least one form of neurological testing was used to diagnose cases of\n AFP<\/jats:styled-content>\n . Guillain\u2010Barr\u00e9 syndrome was the most common final diagnosis in all countries for all years examined.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Industrialised countries surveyed do not consistently meet the\n WHO<\/jats:styled-content>\n \u2010recommended\n AFP<\/jats:styled-content>\n surveillance performance indicators. An opportunity exists for\n INoPSU<\/jats:styled-content>\n to suggest a standard way for member countries to collect\n AFP<\/jats:styled-content>\n data in order to examine the potential for strengthening the current systems or introducing additional enterovirus surveillance or alternative\/complementary neurological performance measures suitable for countries that have eliminated polio.\n INoPSU<\/jats:styled-content>\n member countries are evaluating these possibilities.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jpc.12691","type":"journal-article","created":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T05:52:09Z","timestamp":1406699529000},"page":"209-214","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Performance of acute flaccid paralysis surveillance compared with\n W<\/scp>\n orld\n H<\/scp>\n ealth\n O<\/scp>\n rganization standards"],"prefix":"10.1111","volume":"51","author":[{"given":"Shalini","family":"Desai","sequence":"first","affiliation":[{"name":"Centre for Immunization and Respiratory Infectious Diseases Public Health Agency of Canada Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Smith","sequence":"additional","affiliation":[{"name":"Centre for Immunization and Respiratory Infectious Diseases Public Health Agency of Canada Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce R","family":"Thorley","sequence":"additional","affiliation":[{"name":"Enterovirus Reference Laboratory Victorian Infectious Diseases Reference Laboratory Peter Doherty Institute Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Grenier","sequence":"additional","affiliation":[{"name":"Canadian Paediatric Surveillance Program Canadian Paediatric Society Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Dickson","sequence":"additional","affiliation":[{"name":"New Zealand Pediatric Surveillance Unit Department of Women's and Children's Health University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekkehardt","family":"Altpeter","sequence":"additional","affiliation":[{"name":"Federal Office of Public Health Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SPSU Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martine","family":"Sabbe","sequence":"additional","affiliation":[{"name":"Public Health and Surveillance Scientific Institute of Public Health Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Elliott","sequence":"additional","affiliation":[{"name":"Australian Paediatric Surveillance Unit Kids Research Institute The Children's Hospital at Westmead Australia"},{"name":"The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Zurynski","sequence":"additional","affiliation":[{"name":"Australian Paediatric Surveillance Unit Kids Research Institute The Children's Hospital at Westmead Australia"},{"name":"The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,30]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Polioeradication.org [Internet]. Global Polio Eradication Initiative; c2010. [updated2013]. Available from:http:\/\/www.polioeradication.org\/[accessed 22 January 2013]."},{"key":"e_1_2_8_3_1","first-page":"33","article-title":"Acute flaccid paralysis. Canadian paediatric surveillance program 2008","author":"Canadian Paediatric Society","year":"2009","journal-title":"Results [Internet]"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1501.080791"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S095026881000316X"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1303368"},{"key":"e_1_2_8_7_1","unstructured":"Inopsu.com [Internet]. International Network of Paediatric Surveillance Units; c2001\u201005. [updated2012]. Available from:http:\/\/www.inopsu.com\/[accessed 14 August 2013]."},{"key":"e_1_2_8_8_1","first-page":"40","article-title":"IMPACT after 17\u2009years: lessons learned about successful networking","volume":"14","author":"Schieffle D","year":"2001","journal-title":"Paediatr. Child Health."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12282"},{"key":"e_1_2_8_10_1","first-page":"136","article-title":"Performance of acute flaccid paralysis (AFP) surveillance and incidence of poliomyelitis, 2010","volume":"86","author":"World Health Organization","year":"2011","journal-title":"Wkly. Epidemiol. Rec. [Internet]"},{"key":"e_1_2_8_11_1","first-page":"846","article-title":"Using the two\u2010source capture\u2010recapture method to estimate the incidence of acute flaccid paralysis in Victoria, Australia","volume":"80","author":"Whitfield KKH","year":"2002","journal-title":"Bull. 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