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Just Two Drops
AFP Surveillance
 South Sudan
   & Sudan
The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
Objectives of AFP


Assess the ability of the AFP (Acute Flaccid Paralysis)
surveillance system
   To identify any circulating poliovirus
   (wild or vaccine-derived)
   To detect in a timely manner any
   importation of wild poliovirus
To make specific recommendations on how
to maintain certification-standard AFP surveillance
Sudan is the
largest
country in
Africa

South Sudan
is the same
size as
France




               The Rotary Foundation of Rotary International
WHO Compound Juba
            Cold Chain
          Vaccine Boxes
                 &
           Refrigeration
             for stool
             samples




   The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
Dr. Ann Buff - CDC/WHO reviewing
 AFP records with student nurses




                                                                    Children
                                                                   watch from
                                                                  hospital ward




                  The Rotary Foundation of Rotary International
Children playing outside
                health centre


The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
Stool Sample collection &
                                 Reverse Cold Chain
The Rotary Foundation of Rotary International
Routine
Immunization Clinic




              The Rotary Foundation of Rotary International
Stop for
 Lunch




                                                    Note 2 UN vehicles used
                                                     due to security rules



           The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
Dr. Ann Buff asked by mother
                                                 to look at child - Possible TB




       Possibly malaria

Hard to refuse mothers when they
  found out there was a doctor
           in the village



                  The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
9000 person
 refugee camp
near border with
     Eretria
The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
The Rotary Foundation of Rotary International
Keeping our promise to
the children of Sudan &
       the World




                     The Rotary Foundation of Rotary International

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Afp surveillance polio - sudan