Causes of Acute Flaccid Paralysis in District Nankana Sahib, Punjab, Pakistan; An 18-Month Surveillance

Faheem Anjum, Rabia Bashir, Hafiz Muhammad Irfan Razzaq, Muhammad Rizwan Farooq



This study was conducted to know incidence of various causes of Acute flaccid paralysis in District Nankana Sahib, Punjab, Pakistan.


This is an observational type of study.

Duration and Time:

This study was conducted at District Polio Control Cell and Surveillance Center Nankana Sahib , Punjab, Pakistan from January 2017 to June 2018.


All the Children who fulfilled WHO Criteria of Acute flaccid paralysis were included in the study. Stool samples of all the patients were collected as per WHO Protocol and were examined for Poliovirus isolation. The clinical record i.e History, Lab Investigations  of all the patients were assessed after consent and final Diagnosis were recorded as per clinical notes of Pediatricians of Tertiary Care Hospital.


A total of 81 Patients were included in the study. Stool Examination of all the patients showed that Polio virus was not isolated in any patient thus declaring District Nankana Sahib Polio free for the said period. A total of 23(28.39%)  patients had GBS, 20(24.69%) had Traumatic neuritis, 13(16%) had Arthritis, 9(11.11%) had Viral myositis , 8(9.8%) had Cerebrovascular accident/Hemiplegia , 4(4.9%) had  Hypokalmeic periodic paralysis and 4(4.9%) had Meningoencephalitis.


AFP Surveillance is an excellent method to monitor polio eradication and to find out patients of Poliomyelitis. Similar model can be used for surveillance of other infectious diseases.


Poliomyelitis, Paralysis, Acute Flaccid Paralysis, Surveillance.


Poliomyelitis; Paralysis; Acute Flaccid Paralysis;Surveillance

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