CURRENT ISSUES CURRENT ISSUES IN AEFI IN AEFI

REPORTING IN REPORTING IN INDIAINDIA

Dr PRADEEP HALDARDr PRADEEP HALDAR

ASSISTANT COMMISONERASSISTANT COMMISONER

Government of IndiaGovernment of India

BACKGROUNDBACKGROUND

• AEFI Surveillance was initiated AEFI Surveillance was initiated along with launch of EPI/UIP along with launch of EPI/UIP programprogram

• State AEFI committees formed State AEFI committees formed • GoI issued a document in 1989 GoI issued a document in 1989

stressing the importance of AEFI stressing the importance of AEFI reporting and reducing reporting and reducing programmatic errors programmatic errors

PRESENT STATUSPRESENT STATUS

• Only few states have State AEFI Only few states have State AEFI committeescommittees

• Only a few states are reporting and Only a few states are reporting and investigating cases investigating cases

• The cases reports are not received on timeThe cases reports are not received on time• The standard formats are not used at The standard formats are not used at

timestimes• Field functionaries not clear on their roles Field functionaries not clear on their roles

Update on Update on AEFI CasesAEFI Cases

Age distribution of Serious AE/ Death following Immunization (India) - 1999 to 2006

6

5

89

38

17

50

0

0 10 20 30 40 50 60 70 80 90 100

Early Neonates (< 7 days)

Late Neonatal ( 7-28 days)

Post neonatal ( 28 days to 1 year)

1- 3 years

3-5 Years

Over 5 years

Age not known

Source : MOHFW-GOIAs on date : 20/11/2006

Total No. of reported serious /Death cases following immunization since 1999 = 205

Reported Serious/Death cases following immunization (India) 1999 to 2006 Distribution by age

Source : MOHFW-GOIAs on date : 20/11/2006

34

26

1 1 37

2

8

2

8

53

1 1

50

8

0

10

20

30

40

50

60

AndhraPradesh

Assam

Bihar

Chandigarh

Chhattisgarh

Delhi

Jharkhand

Karnataka

Kerala

Madhya

Pradesh

Maharashtra

Orissa

Tamil Nadu

UttarPradesh

West Bengal

Total No. of cases =205

Serious/Death cases following immunization (India) 1999 to 2006 State wise reported cases

Serious AE/ Deaths Following Immunization according to Sex of the Child (India) - 1999 - 2006

105

95

5

0

20

40

60

80

100

120

Male Female Not Known

Source : MOHFW-GOIAs on date : 20/11/2006

Total No. of cases =205

Serious/Death cases following immunization (India) 1999 to 2006 Distribution by Gender

Source : MOHFW-GOIAs on date : 20/11/2006

Serious AEFI Cases (India)

28

0 0 411

2534

103

0

20

40

60

80

100

120Ye

ar_u

nkno

wn 1999

2000

2002

2003

2004

2005

2006

Total No. of cases =205

Reported Serious/Death cases following immunization (India) 1999 to 2006

AEFI cases by Districts - 1999 to 2006

2

1 1

2 2

3

1 1

6

2

1

3

2 2

4

1

13

10

2

1 1 1

3

7

1 1

3

4

1 1 1 1 1 1 1 1

2

1

2

1 1 1 1 1 1

14

2

1

14

3

4

1 1

2

3

1 1 1 1

0

2

4

6

8

10

12

14

16

Total No. of Cases = 205 in 74 districts (15 States)Source : MOHFW-GOIAs on date : 20/11/2006

Reported Serious/Death cases following immunization (India) 1999 to 2006 District wise

Serious AEFI Cases in India Reported Serious/Death cases following immunization (India) 1999 to 2006

Source : MOHFW-GOIAs on date : 20/11/2006

Serious AE/ Death cases following Immunization by Antigen type (India) 1999-2006

19

16

36

8

6

2

21

3

36

7

6

2

21

0

5

7

7

19

5

2

6

3

64

1

4

0 10 20 30 40 50 60 70

BCG

DPT

DPT1

DPT2

DPT3

DPTB

OPV

OPV0

OPV1

OPV2

OPV3

OPVB

OPV PPI

OPV SIA

MEASLES

DT

HEPB

HEPB1

HEPB2

HEPB3

HBV

TT

JE-SA14-14-2

JEV

VITAMIN A

No. of cases =306Source : MOHFW-GOIAs on date : 20/11/2006

Reported Serious/Death cases following immunization (India) 1999 to 2006 Distribution by antigen

Thank YouThank You