UNICEF released a statement on Tuesday correcting an October 21 report by its office in Madagascar “expressing concern over a resurgence of polio in Madagascar after a routine health survey identified vaccine-derived poliovirus (VDPV) in several healthy children.” According to the statement, “there was no re-emergence of polio in Madagascar,” and “[t]he last wild poliovirus case in Madagascar was detected in 1997.”
A new report from the Global Polio Eradication Initiative (GPEI) “has concluded that the major obstacle to eradication is not political or scientific or monetary, but something seemingly mundane — bad management,” health reporter Andre Picard writes in his Globe and Mail column, adding that “the panel offers concrete proposals for what needs to be done to close the deal.” He continues, “The fundamental problem though, according to the expert panel, is that the global eradication effort is overeager to celebrate the successes (like India) and ignore the failures (like Pakistan).”
Though the number of new polio cases has dropped by 99 percent over the past 20 years, World Polio Day is recognized “because we havenâ€™t done enough yet,” Bill Gates, co-chair of the Bill & Melinda Gates Foundation, writes in his blog, “The Gates Notes.” He continues, “The last one percent is the hardest percent, and we have to do even more than weâ€™ve already done if we hope to finish the job on polio. The day the world is declared polio free is the day we can really begin celebrating” (10/21).
“India has not had a case of polio in nine months, raising hopes the country is on the verge of defeating the disease, health officials said Monday,” the Associated Press reports. “India remains one of only four countries in the world where polio is still endemic, and the nine months that it has been without a case is the longest since eradication efforts were launched nearly two decades ago,” the AP writes, adding, “A country is declared polio free when no cases of the disease are reported for three years, according to the World Health Organization.”
“An outbreak of polio in three children from the south of Madagascar has raised concerns over a possible resurgence of this crippling disease,” BBC News reports, adding, “UNICEF spokesman Daniel Timme says three cases of polio without symptoms have been identified … during UNICEF’s Mother and Child Health week following tests and urine samples” (Healy, 10/22). “Although the children are currently not showing symptoms of polio, [Timme] said symptoms of the disease could make itself known at any time” Examiner.com writes (Herriman, 10/22).
The latest quarterly report (.pdf) by an independent board that monitors the progress of the Global Polio Eradication Initiative (GPEI), released in mid-October, warned that “unless the program addresses ‘fundamental problems,’ there is a ‘substantial risk’ that stopping polio transmission will not be achieved by end-2012,” AlertNet reports. “‘Important changes in style, commitment and accountability are essential,’ the panel of international health experts said,” according to AlertNet, which adds, “Afghanistan, India, Nigeria and Pakistan are still classified as ‘polio-endemic,'” and “in Angola, Chad and Democratic Republic of Congo, transmission has become re-established for 12 months or more.”
“Clearly, there is no room for complacency” in India’s efforts to eradicate polio, defined by the WHO as no recorded case of the disease for three years, because “[t]he goal of complete eradication is within reach,” Deepak Gupta, a senior U.N. professional in Strategic Health/Development Communication, writes in an Asia Sentinel opinion piece. “[T]he next three years — till 2014 — will be crucial,” he writes, meaning experts should focus on “intense communication and preventive work, especially with regard to critical risk-factors like poor routine immunization and lack of proper sanitation,” he states, concluding, “The challenge is to ensure the sustainability of the success achieved so far” (10/19).
“China vaccinated 4.5 million children and young adults over the last five weeks in the western region of Xinjiang in a fight against polio after the disease paralyzed 17 people and killed one of them, the World Health Organization said,” according to Reuters. This is the first outbreak of polio in China since 1999, “and scientists say the strain originated from Pakistan,” one of four remaining countries where polio is endemic, the news service writes.
The Los Angeles Times examines polio eradication campaigns in Pakistan, which is one of just four countries where the disease remains endemic. “Several factors have stood in the way of eradication,” including tribal violence, migration within the country and “an intense mistrust among some Pakistanis for the vaccines and the people who supply and administer them,” according to the newspaper (Rodriguez, 10/16).
Bill Gates, co-chair of the Bill & Melinda Gates Foundation, on Tuesday “announced a new initiative … for Nigeria’s Executive Governors, challenging them to deliver a dramatic improvement in polio and routine immunization by the end of 2012,” according to a Gates Foundation press release. “The program … will recognize those Executive…