Thirteen-year surveillance results of acute flaccid paralysis cases in Southeast Turkey and the effect of refugee movements on surveillance results

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dc.contributor.authorÖzgün, Nezir
dc.contributor.authorKubat, Gülnaz
dc.contributor.authorTuran, Birgül
dc.contributor.authorÖzgün, Mert
dc.contributor.authorToktaş, İzzettin
dc.contributor.authorKorukluoğlu, Gülay
dc.date.accessioned2024-05-06T08:10:50Z
dc.date.available2024-05-06T08:10:50Z
dc.date.issued2024
dc.departmentMAÜ, Fakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective: Acute flaccid paralysis (AFP) is a major neurological problem. Turkey has accepted over 4 million refugees since 2011 due to the wars in neighbouring countries. In the long term, refugees can have adverse effects on the limited resources of health, sanitation, water supply, foodstuff, and shelter services of host countries, precipitating the transmission and spread of enteroviruses causing AFP. This study examines the 13-year surveillance and incidence of AFP cases in southeast Turkey, and questions possible impact of refugee movements on these parameters, comparing the periods before (2007-2010) and after (2011-2019) 2011, when the refugee movements emerged. Methods: The records of cases reported from southeast part of Turkey with suspected AFP between January 2007 and December 2019 were reviewed retrospectively. Results: Of the patients, 121 (58.5%) were male. Mean age was 80.36 ± 46.67 months. Eighty-five (41.1%) were aged 60 months or younger. The number of patients under 60 months increased significantly after 2011. Mean incidence was calculated as 0.88 cases/100,000 person years versus 1.58 cases/100,000 person years in the period before and after 2011, respectively. Guillain-Barré syndrome (GBS) was the most common cause of AFP in both periods. As of 2011, however, the incidence of acute transverse myelitis increased approximately 4 times and GBS decreased proportionally. Non-polio enteroviruses were the most frequent isolates, detected from 9.1% of stool samples. Conclusion: Although refugee movements appear to may have adverse effects on AFP incidence and surveillance outcomes, larger studies involving the whole country, particularly at places where no refugees settled, are needed to achieve more conclusive evidence.
dc.identifier.citationÖzgün N, Kubat G, Turan B, Özgün M, Toktaş İ, Korukluoğlu G. Thirteen-year surveillance results of acute flaccid paralysis cases in Southeast Turkey and the effect of refugee movements on surveillance results. Cent Eur J Public Health. 2024;32(1):45-51. doi: 10.21101/cejph.a7605. PubMed PMID: 38669157.
dc.identifier.doi10.21101/cejph.a7605
dc.identifier.issue1
dc.identifier.pmid38669157
dc.identifier.scopusqualityN/A
dc.identifier.urihttps://doi.org/10.21101/cejph.a7605
dc.identifier.urihttps://hdl.handle.net/20.500.12514/5871
dc.identifier.volume32
dc.identifier.wosqualityN/A
dc.institutionauthorÖzgün, Nezir
dc.institutionauthorToktaş, İzzettin
dc.institutionauthorid0000-0002-0866-2004
dc.language.isoen
dc.publisherNational Institute of Public Health
dc.relation.ispartofCentral European Journal Public Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectacute flaccid paralysis
dc.subjectsurveillance
dc.subjectrefugees
dc.subjectenterovirus
dc.subjectnon-polio enterovirus
dc.titleThirteen-year surveillance results of acute flaccid paralysis cases in Southeast Turkey and the effect of refugee movements on surveillance results
dc.typeArticle

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