Why the study?
To determine the prevalence, epidemiologic trends, and clinical features of non-polio enteroviruses among children with acute flaccid paralysis in Iraq to improve surveillance sensitivity and guide public health measures.
Population
Children with acute flaccid paralysis in Iraq from 2018 to 2024
Design
Surveillance system analysis
Key result
Non-polio enteroviruses were detected in 10.5% of acute flaccid paralysis cases in Iraqi children under 15 years, with significantly higher positivity in younger children and an association with residual weakness.
Authors
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AFP surveillance detects ongoing NPEV circulation; leaves open serotype-specific risks and interventions.
Observational (n=5,662)
Yes
Non-polio enteroviruses are a significant cause of acute flaccid paralysis in Iraqi children, particularly those aged 1-2 years, and are associated with residual weakness but lower mortality compared to NPEV-negative cases.
Nasir et al. (2026) conducted an observational in Acute Flaccid Paralysis (n=5,662). Non-polio enteroviruses (NPEV) vs. NPEV-negative acute flaccid paralysis cases was evaluated on Prevalence of non-polio enteroviruses in acute flaccid paralysis cases. Non-polio enteroviruses were detected in 10.5% of acute flaccid paralysis cases in Iraqi children under 15 years, with significantly higher positivity in younger children and an association with residual weakness.
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