Though Pakistani officials said Monday there has been a significant decline in the number of families refusing polio vaccination in the country, almost a half million children did not receive the immunization, Agence France-Presse reports. “The number of refusing families has declined (44 percent) from 80,330 during the first national polio round held in January to 45,122 in October,” according to a joint statement from the WHO, the U.N., and the Pakistani government, the news agency writes. “The success achieved notwithstanding, every unvaccinated child constitutes a major challenge,” Elias Durry, WHO senior coordinator for polio eradication, said, according to the news agency. Shahnaz Wazir Ali, a senior adviser to the prime minister, said, “We need to take adequate steps to ensure that the number of children missed for reasons other than refusals is also brought down,” AFP writes. Polio remains endemic in Afghanistan, Nigeria, and Pakistan, where 30 cases have been recorded so far this year, the news agency notes (10/22).
“Last month, U.N. Secretary-General Ban Ki-moon convened a group of global leaders, including [Bill & Melinda Gates Foundation Co-Chair] Bill Gates and heads of state of polio-affected countries, to renew the commitment to eliminate polio,” William Keenan, executive director of the International Pediatric Association, and Robert Block, president of the American Academy of Pediatrics, note in the Huffington Post’s “Global Motherhood” blog. “This show of solidarity reminds us that the fight is not finished,” they write, and continue, “Armed with effective vaccines, pediatricians, partner organizations and front-line workers around the globe have eliminated 99 percent of all new polio cases.” They state, “We can’t afford to lose sight of this remaining one percent of polio cases.”
NPR’s “Shots” blog reports on efforts to eradicate polio in Nigeria. “[N]orthern Nigeria is the only place in the world where polio cases are increasing,” the blog writes, noting, “As of Sept. 1, it had recorded 90 polio cases in 2012 — or nearly three times as many as in the same period last year.” The blog highlights the city of Kano in northern Nigeria, which “has been called the ‘epicenter’ of the current polio outbreak,” and where “remnants of the paralyzing disease are visible even on its streets.” “Vaccination campaigns are regular fixtures here,” the blog writes, adding, “In the past few years, religious leaders in this region have gone from opposing vaccination to requiring it.”
Writing in the Global Bioethics Blog, Stuart Rennie, a bioethics researcher and professor, notes another polio worker was killed in Pakistan last week and describes Taliban opposition to U.S.-supported polio vaccination efforts in Pakistan. “For its part, the Taliban argues that U.S. efforts to eradicate polio in Pakistan contradict U.S. efforts to combat terrorism in the region, more specifically its campaign of drone strikes,” he states, adding, “As Taliban officials argue, many more Pakistanis — including women and children not involved in terrorist activity — have died or been injured (psychologically and otherwise) from drone strikes than have died or are likely to die from polio.” He continues, “When you can see the point in a Taliban ethical argument, the world is a dark place.” Rennie concludes, “The eradication of polio is of global interest: it is important that it joins smallpox in the tiny category of eliminated infectious diseases, while we still have the chance” (10/21).
“Over 70,000 health workers and community volunteers were combing the streets and jungle paths in Sierra Leone Friday at the start of a vaccination program targeting young children in the West African country,” Agence France-Presse reports. “The four-day vaccination drive dubbed ‘Kick polio out of Sierra Leone’ is focusing on some 1.3 million children under the age of five,” the news service writes, adding, “The health ministry’s program manager, Dr. Thomas Samba, who is coordinating the initiative told AFP: ‘The vaccination exercise in Sierra Leone is being undertaken simultaneously with eight other ECOWAS states — Guinea, Liberia, Nigeria, Niger, Cote d’Ivoire, Ghana, Burkina Faso, and Mali’” (10/20).
UNICEF Calls For 'Finishing' Global Polio Eradication; Rotary International Warns Of Funding Shortfall In India
UNICEF on Wednesday “called for continued dedication in ‘finishing the job’ in eradicating polio, while also applauding India for being ‘declared polio free’ for the first time in history,” Xinhua reports. “UNICEF Executive Director Anthony Lake said in a statement released â€¦ on World Polio Day, which falls on Oct. 24, that ‘fewer children than ever before suffer the debilitating effects of this cruel disease,’” the news service writes (10/24). “Lake added that the world must concentrate its efforts in reaching children that are most at risk: children with disabilities, living in extreme poverty and in conflict zones in remote areas,” the U.N. News Centre writes (10/24).
October 24 “is World Polio Day, a day to celebrate the remarkable progress we’ve made in the fight against polio and to focus on the urgency of the work we still have to do,” Bill Gates, co-chair of the Bill & Melinda Gates Foundation, writes in “The Gates Notes” blog. “But equally important, it’s also a day to say ‘thank you’ to the millions of people around the world who have generously given their time and money to this critical effort,” he continues, and features a video thanking the different organizations working together to bring an end to polio. “To ensure success, we need to fully fund polio campaigns and routine immunizations”; “continued leadership and accountability”; and “ensure the security of vaccination teams so they can get to children — even in the most difficult areas,” Gates writes (10/24). In a post on the Gates Foundation’s “Impatient Optimists” blog, Jay Wenger, head of the polio program at the foundation, lists five reasons why he’s “excited” about World Polio Day. “It’s really because I have seen an unprecedented series of successes, commitment from existing and new donors and signs of progress that give me confidence we can finish the job,” he writes (10/23).
In this post in the Center for Global Development’s (CGD) “Global Health Policy” blog, Victoria Fan, a research fellow at CGD, and Rachel Silverman, a research assistant at the center, respond to India’s marking of one-year since a case of polio was found in the country, writing, “While we applaud India for its commitment to reaching this milestone, let us not allow this recent success obscure the sorry state of vaccination in India.” They provide statistics regarding vaccination coverage in India and conclude, “We wonder whether India’s focus on polio may have come at the expense of other diseases,” and, “[w]hile India should be applauded for its contribution to global eradication, we urge India to consider the trade-offs in focusing on any one disease at the expense of another and, as much as possible, to try to piggy-back one effort to another effort” (1/14).
GlobalPost’s “Global Pulse” blog interviews Ellyn Ogden, USAID’s worldwide polio eradication coordinator since 1997, about India’s progress in eradicating polio as it marked one year without a confirmed case and discusses what the overall eradication fight looks like today. Ogden said she believes global eradication of polio is possible, adding, “We pretty much owe it to India to give this effort some time. They worked so hard to get 172 million kids vaccinated. There are always skeptics. But it doesn’t get much more difficult than in India. If they can do it here, we should be able to do it anyplace with the tools and strategies we have” (Donnelly, 1/17).
“After more than a century as a global scourge and hundreds of thousands lives lost, polio may now be on the verge of being the second human disease wiped off the face of the Earth,” Charles Kenny, senior fellow at the Center for Global Development, writes in his column for ForeignPolicy.com, “The Optimist,” and asks whether it is worth it to spend billions of dollars to wipe out the few remaining cases of the disease. Kenny discusses the cost-effectiveness of eradication efforts and writes, “In part because of the considerably greater complexity of the vaccination program, the cost of the polio eradication program is mounting.”