Posts Tagged ‘Polio’

Polio and Politics

Monday, January 23rd, 2012 by

Just as India celebrated a full year without a single new case of polio this month, Afghanistan and Pakistan officials released data that showed nearly a threefold increase in polio cases in 2011.  Although the total numbers were rather small — 76 (up from 25 in 2010) in Afghanistan and 192 (up from 80 in 2010) in Pakistan — the dramatic increase was particularly disheartening because both countries were so close to eradication.  Indeed, polio is considered endemic in only three countries in the world, with Nigeria the other still reporting new cases each year.

Politicians were quick to place the blame.  President Hamid Karzai of Afghanistan blamed the Taliban. “Those who stand in the way of vaccination are the true enemies of our children’s future,” he said, calling on “the armed opposition to allow the vaccination teams to help save children against the lifetime paralysis.” Taliban leaders fought back, citing no change in their policy of allowing immunization teams to freely travel through territories they occupy.  “It is not for Karzai to ask us to attack or not to attack someone,” said the Taliban’s southern Afghanistan spokesman, Qari Yousaf Ahmadi.

Health officials appear to have their own view, citing many new cases in parts of Afghanistan where polio was seldom seen in the past. Historically, polio cases have been prevalent in the Pashtun belt of the southern region.  In 2011, cases were spread by refugees fleeing the war torn South for other parts of Afghanistan. Muhammed Taufiq Mashal, the director of preventive medicine in the Afghan Ministry of Public Health, blames much of the polio increase on infiltration from neighboring Pakistan.  This allegation has been confirmed by World Health Organization scientists who showed that the genetic sequence of many viruses isolated in Afghanistan match those from Pakistan.

Naqibullah Faieq, a member of the Afghan Parliament, said, “This health issue is nonpolitical, nonmilitary. We want both the government and the Taliban to not use the issue of vaccination in their speeches.”  Members of the World Health Organization responsible for tracking the incidence of polio agree.  Dr. Bruce Aylward, the polio coordinator for the World Health Organization, believes that the efforts to eliminate polio from Afghanistan and Pakistan will only be successful if vaccination efforts remain unimpeded by opposing political groups.

Smallpox was eliminated in 1977.  Will polio be next?

Photo from The Global Polio Eradication Initiative

 

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Travel Bulletin China: New Polio Outbreak, CDC Recommends Vaccination for All Travelers

Friday, September 30th, 2011 by

The Centers for Disease Control have issued an outbreak notice that cases of polio have been reported in China for the first time in more than ten years. The CDC is recommending that travelers to all parts of China be up-to-date on the polio vaccine. Use the link above to learn more about how to protect yourself.

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A World Working to Diminish Measles, Malaria and Other Preventable Diseases

Saturday, April 23rd, 2011 by

Earlier this week the World Health Organization (WHO) reported that 6,500 measles cases have been reported in Europe.  As noted in our earlier post, France is reporting much higher numbers than other countries, but Spain and the former Yugoslav Republic of Macedonia are in a distant second and third.

As with so many infectious diseases, there is a vaccine available to minimize the risk of contracting or spreading the infection.  This is one of the many reasons that 180 countries will be recognizing World Immunization Week starting on April 23rd under the auspices of the World Health Organization. Some of the WHO regions will be focusing on general messaging, such as Europe’s focus on “shared solutions to common threats”, while some will be more specific — Africa will focus on vaccinating for polio.  

Another commemorative day on the global health calendar is World Malaria Day, Monday, April 25th. The event serves as an opportunity for the Roll Back Malaria (RMB) Partnership to check progress and renew efforts towards their aggressive goal to eliminate malarial deaths by 2015.

Do you follow or support any of these (or other) disease elimination campaigns? We’d like to hear about them.

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CDC Updates Dengue and Polio Outbreaks

Friday, June 4th, 2010 by

Key West, FL has reported 28 cases of dengue fever since July 2009 – prior to July 2009 dengue was absent from the continental U.S. since 1945 and from Florida since 1934. Why dengue has returned to Florida is still being investigated but some contributing factors might be an increase in mosquitoes capable of delivering the disease, an increase in international travel to areas where dengue fever is more common (Key West is, after all, a Caribbean destination — see below), and the popularity of south Florida as a vacation destination.

Travelers headed to Africa, the South Pacific, Central and South America, the Caribbean and Middle East are reminded to take precautions to guard against the mosquito while traveling.  According to the Centers for Disease Control (CDC), a high number of cases of dengue fever, are being reported from the following areas:
Africa
Cape Verde, Senegal, and the Indian Ocean islands of Mayotte and Reunion

South Pacific
Malaysia, Philippines, Singapore, Sri Lanka, Vietnam and the northern parts of Queensland, Australia

Central and South America and the Caribbean
Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, El Salvador, French Guiana, Guadeloupe, Honduras, Peru and Puerto Rico

Middle East
Jeddah (Saudi Arabia)

Meanwhile,the polio outbreak in Tajikistan seems to be spreading to the borders it shares with Uzbekistan.   An additional 261 cases have been reported since our post in early May.  The CDC is reminding travelers headed to these areas to talk to their doctors regarding the necessary vaccinations for children and those previously vaccinated. 

When traveling into any area affected by an outbreak, be smart, protect yourself however you can, and practice good hygiene.

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Eyewitness report from UNICEF in Tajikstan: Massive flooding can’t halt polio immunization campaign

Tuesday, May 18th, 2010 by

The problems caused in Tajikistan by the polio virus have been aggravated by a natural disaster. There have been unusual levels of rain this spring. However, nobody could have predicted that rainfall on the night of May 6th would have brought so much grief to Khatlon Province in the south of the country and to Kulyab, the provincial centre.

The number of deaths from the flooding has already reached 24, with more than 50 people missing and more than 200 injured. In addition to this, more than 500 homes were partially or completely destroyed, more than a thousand animals killed, thousands of hectares of wheat, cotton and vegetable fields were washed away and there was extensive damage to roads, bridges, schools, hospitals and electricity cables.

More than 2000 people are currently living in tent camps. For this agricultural area, where most of the population survives through farming, this natural disaster is a real tragedy.

UNICEF staff members, who were on mission in Khatlon Province during those days to monitor the national immunization campaign against polio, have seen with their own eyes what happened in Kulyab.

“I have never seen rain like that before,” says Salokhiddin Shamsiddinov, Child Protection Programme Assistant for UNICEF Tajikistan a witness to the natural disaster.  “In order to get to the city from Davlatobod village to observe how the immunization was going on, we had to take a detour because of destroyed roads, but the roads in the place that we went to had also been washed out, and so we travelled along a river bed. We saw how rivers were roaring and taking down everything in their paths. It was particularly painful to see what had happened in Kulyab. Many houses were flooded and washed out.”

Given that UNICEF staff were already in the field, they were immediately mobilized to provide support for the emergency relief. First-aid items were sent by UNICEF to Kulyab, and staff supervised its distribution as a first step to the affected families.

Despite the emergency, the UNICEF team continued its work and supported local health care professionals in their campaign to complete the first round of the national immunization campaign.

“I was most struck by the high dedication and commitment of primary health care workers during the polio campaign in the most isolated areas, in very remote villages,”  says Nisso Kasymova, UNICEF’s HIV/AIDS Coordinator.  “During the monitoring we met nurses and their assistants who under heavy rain, in rubber galoshes over bare feet walked around all the houses in the areas isolated by mountains to ensure that the children received their vaccinations on time.  It’s good that Khatlon Province received enough vaccines at the beginning of May — enough for all three rounds — otherwise, after everything that happened, delivery of vaccines would have been difficult.”

Currently, the Government of Tajikistan, along with the international and business communities, is taking measures to help people and often loved ones as well, to regain a place to live and hope in the future after having lost all their property so suddenly. Plans have been laid out to re-house displaced persons in safe districts, to build new houses and to provide the victims with essential supplies.

There is also a UNICEF team in the disaster zone that is cooperating with representatives of other organizations to evaluate the damage caused, and to assess the initial needs of the population, especially the needs of the children.

Despite the disaster, the Ministry of Health of Tajikistan has not altered its plans to carry out second and third rounds of vaccination of children against polio in Khatlon Province. “The only change that will happen during second and third rounds, “ says Sabir Kurbanov, UNICEF Health Specialist, “is that more mobile health teams will carry out vaccinations in Khatlon area now.”

Author: Olga Grebennikova
Olga Grebennikova, a guest contributor to Healthy Travel Blog,  is currently working for UNICEF in Tajikistan to help the country offices with the polio immunization campaign.  After her work there is finished, she will return home to Kyrgyzstan where she is the Media Liaison Office for the UNICEF Country Office.

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Polio Breaks Out in Tajikistan

Wednesday, May 5th, 2010 by

The World Health Organization (WHO) is reporting that 171 cases of acute flaccid paralysis, the most common sign of acute polio, have been reported in Tajikistan since January.  It appears that all the current cases are coming from the south-west part of the country which borders Afghanistan and Uzbekistan.  Of the 171 cases, 32 have been confirmed wild poliovirus 1 cases; results are pending for the rest.

The government of Tajikistan is planning a three step program to immunize all the children in the area.  If you are traveling to Tajikistan or any other polio-affected area, be sure to follow the WHO’s recommendation for vaccination.  There are two types of vaccine available, inactivated (IPV) and oral (OPV), and travelers headed into or out of an infected-country should receive a full course of the vaccine as described in Chapter six, page 107 of the WHO’s International Travel and Health Guide.

(Thank you for the photo, Olga!)

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