“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.”
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).
Afghan President Karzai Urges Taliban To Allow Polio Vaccination Teams Into Insurgent-Controlled Areas
Afghanistan President Hamid Karzai on Tuesday “urg[ed] the Taliban to allow teams conducting a polio vaccination campaign access to areas under their control” and “said that whoever hampers the medical workers ‘is the enemy of our children’s future,'” the Associated Press/Washington Post reports (1/17). “A total of 80 cases of the crippling disease were reported in Afghanistan last year — a three-fold increase over 2010, the health ministry said on Tuesday, marking a major setback in the drive to eradicate polio worldwide,” Agence France-Presse writes, adding that “Karzai appealed to religious and community leaders to persuade the insurgents to allow the immunization teams to vaccinate children” (1/17).
U.S. Health and Human Services Secretary Kathleen Sebelius “administered polio vaccination drops to children in New Delhi on Friday as India marked one year since its last case of the crippling disease,” the Associated Press reports (1/13). The Hill’s “Healthwatch” reports that “[o]fficials with the Centers for Disease Control and Prevention [CDC] say U.S. funding and experience were key to beating back the disease,” but “[t]he news comes as federal funding for global health programs now faces sharp cuts from Tea Party lawmakers and others worried about the deficit” (Pecquet, 1/12). “ÂGlobally, the U.S. government has provided $2 billion for the polio eradication campaign, Rotary International has raised about $1 billion from its members, and the Bill & Melinda Gates Foundation has donated more than $1 billion,” and the CDC “weighed in with crucial expertise,” the Washington Post writes (Denyer, 1/12).
T. Jacob John, a former professor of clinical virology an the Christian Medical College in Vellore, India, who has served on several Global and National Committees on Immunization and Polio Eradication, writes in this opinion piece in India’s Hindu, “While one year has passed without polio caused by natural poliovirus, we can claim complete eradication only after we ensure the absence of wild and vaccine polioviruses in the population.” He provides a brief history of polio eradication efforts, globally and in India, and continues, “For certification of eradication, two more years should pass without any case of wild virus polio. … We must continue working as if we still have poliovirus lurking somewhere, only to show up when least expected” (1/8).
“Mobile health teams in Bangladesh are conducting ‘child-to-child’ searches to reach the remaining half million children not vaccinated during a nationwide polio immunization campaign launched on 7 January,” IRIN reports. With a goal of vaccinating 22 million children, health workers are heading into hard-to-reach and high-risk areas to vaccinate the remaining 560,791 children, the news service writes. “Since a polio outbreak in 2006 of an imported viral strain, the government has not reported any infections, pledging annual polio vaccinations until [neighboring] India is declared polio-free,” IRIN notes, adding the next round of polio vaccinations in Bangladesh is scheduled for February 11 (1/11).
India Marking Health Achievement In Polio-Free Year But Cautious Optimism Remains Among Some Experts
“On Friday, India marks a huge public health milestone — a year since a case of polio was found in the country — a critical step in being declared polio-free and an achievement that many experts long argued was impossible,” the Globe and Mail reports (Nolen, 1/11). “The achievement gives a major morale boost to health advocates and donors who had begun to lose hope of ever defeating the stubborn disease that the world had promised to eradicate by 2000,” the Associated Press/Seattle Post-Intelligencer writes (Nessman, 1/12).
If India does not record a new polio case through January 13, “produc[ing] 12 straight months of polio-free surveillance data, it will be removed from the list of countries where polio is considered endemic, leaving only the other three,” Pakistan, Afghanistan, and Nigeria, Scientific American reports (Branswell, 1/9). “Asking other countries to draw inspiration from India in their polio eradication drive, Microsoft co-founder Bill Gates said the country not reporting a single polio case over the last year is a major milestone in the global health sector,” the Economic Times writes (1/10).
“Nigeria’s 36 Executive Governors and the Federal Capital Territory have signed up to the Nigeria Immunization Challenge launched by the Bill & Melinda Gates Foundation last year,” a Gates Foundation press release states. “The Nigeria Immunization Challenge sets specific objectives that need to be met during each quarter of 2012. If met, Nigeria will significantly improve its chances of stopping polio and protecting more children against vaccine-preventable diseases such as measles and whooping cough,” the release adds, noting, “As of December 30, 2011, 51 cases of wild poliovirus had been reported in eight Nigerian states” (1/5).
“In India, a mass vaccination campaign involving more than a million volunteers reduced cases nationally by 94 percent between 2009 and 2010, from 741 to 42, and down to the single case last year,” the Guardian reports, adding, “If in India as a whole there are no more confirmed cases before 13 January, the country will have completed its first year without a new victim. And if polio is gone from India, the only countries where the disease is still endemic would be Nigeria, Afghanistan and Pakistan.”