In this post in Global Health Frontline News’ “Notes From the Field” blog, Kevin Cain, chief of the tuberculosis (TB) branch for a research and public health collaboration between the Kenya Medical Research Institute (KEMRI) and the CDC in Kisumu, Kenya, reports on TB research underway as part of the collaboration. Cain highlights several current research initiatives in Kisumu and concludes, “The world cannot afford another phase of neglect. We know by partnering with governments as well as affected communities in innovative ways more progress can be made improving programs and the tools available for diagnosing, treating, and preventing TB, and lives will be saved” (1/20).
“Following separate investigations into the misuse of GAVI funding in Cameroon and Niger, both Ministries of Health have cooperated fully and confirmed their commitment to take all necessary measures, including the reimbursement of misused funds,” the GAVI Alliance said in a statement released on Thursday. According to the statement, “The findings suggest that up to US$4.2 million allocated for health systems strengthening (HSS) has been misused in Cameroon and up to US$2.5 million allocated for immunization services support (ISS) has been misused in Niger,” with approximately $1.8 million and $1.5 million of those funds under investigation for theft in the respective countries.
The New York Times examines how after years of decline, the number of recorded polio cases in Afghanistan tripled in 2011 to 76, following only 25 cases in 2010, raising concerns among international health experts that polio is seeing a resurgence, “particularly since some of the cases erupted far outside the disease’s traditional areas in Afghanistan.”
In this Journal Sentinel Online opinion piece, Thomas Inglesby, chief executive officer and director of the Center for Biosecurity of UPMC in Baltimore; Anita Cicero, chief operating officer and deputy director of the center; and D.A. Henderson, a distinguished scholar at the center, comment on a recent announcement by scientists that they have genetically modified a strain of H5N1 bird flu that is “capable of spreading through the air between ferrets that were physically separated from each other,” indicating “it would be readily transmissible by air between humans.” They write, “We believe the benefits of [purposefully engineer(ing) avian flu strains to become highly transmissible in humans] do not outweigh the risks.”
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).
Al Jazeera reports on the candidate malaria vaccine known as RTS,S, which “has been heralded as one of the Top 10 Scientific Breakthroughs of 2011 by Time and Science magazines, Doctors Without Borders and the Lancet.” The news service recaps the history of the vaccine’s development, outlines a number of existing prevention strategies and details ongoing efforts in the global fight against malaria (Dalal, 1/11).
“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).