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

Basit Öğe Kaydı
dc.contributor.authorÖzgün, N.
dc.contributor.authorKubat, G.
dc.contributor.authorTuran, B.
dc.contributor.authorÖzgün, M.
dc.contributor.authorToktaş, İ.
dc.contributor.authorKorukluoğlu, G.
dc.date.accessioned2024-05-19T14:33:15Z
dc.date.available2024-05-19T14:33:15Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
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.en_US
dc.identifier.doi10.21101/cejph.a7605
dc.identifier.endpage51en_US
dc.identifier.issn1210-7778
dc.identifier.issue1en_US
dc.identifier.pmid38669157en_US
dc.identifier.scopus2-s2.0-85191618982en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage45en_US
dc.identifier.urihttps://doi.org/10.21101/cejph.a7605
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4163
dc.identifier.volume32en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofCentral European journal of public healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAcute Flaccid Paralysisen_US
dc.subjectEnterovirusen_US
dc.subjectNon-Polio Enterovirusen_US
dc.subjectRefugeesen_US
dc.subjectSurveillanceen_US
dc.titleThirteen-year surveillance results of acute flaccid paralysis cases in Southeast Turkey and the effect of refugee movements on surveillance resultsen_US
dc.typeArticleen_US

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