Wild poliovirus has not been found in India since 13 January
2011 meaning that, from that date, India is no longer a country where
polio is endemic. Three years of being polio free is a notable milestone
for the country as a whole, but the success of the immunization and
awareness campaign has had a wider impact – with this achievement, it is
hoped that soon the entire South-East Asia Region can be considered
certifiably free from polio. A commission of experts will meet at the
World Health Organization offices at the end of March to analyze the
data and determine the polio status for the Region.
Historically, India has been the largest endemic reservoir of
polio in the world with between 50 000 to 100 000 paralytic polio cases
occurring each year between 1978 and 1995. It has also been one of the
main sources of polio importation for other countries. This achievement
has been driven by the partnership between the Government of India,
international organizations, local NGOs and other institutions. An
extraordinary mobilization of health workers was necessary to reach this
point, particularly in the Uttar Pradesh and Bihar states. The outcome
of this has been an improved vaccine delivery system, better trained
health staff and high quality surveillance, monitoring and research
This does not mean that the virus cannot reemerge within any
of the countries or the Region. There is no room for complacency with
ongoing polio vaccination work. High immunity levels must continue in
order to protect those in the Region and as newer, more comprehensive
interventions are developed, these too need to be rolled out.
Furthermore, whilst no new cases of wild polio have been recorded
recently, the disease in different forms can be brought in to the Region
via those who have contracted it in other parts of the world and then
travel to South-East Asia.
Original article: http://www.searo.who.int/mediacentre/features/2014/sea-polio/en/index.html
In 2012, the Nigerian government activated an emergency operations center and implemented a national emergency action plan to eradicate polio. The 2013 revision of this plan prioritized
1) improving quality of supplemental immunization activities (SIAs),
2) implementing strategies to reach underserved populations,
3) adopting special approaches in security-compromised areas,
4) improving outbreak response,
5) enhancing routine immunization and activities implemented between SIAs, and
6) strengthening surveillance.
This report summarizes polio eradication activities in Nigeria during January 2012–September 2013 and updates previous reports.
Source: MMWR Weekly December 13, 2013 / 62(49); 1009-1013.
Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a5.htm
The draft strategic plan for outbreak response in the
Middle East is now available online at the following link:
Source: Global Polio Eradication Initiative www.polioeradication.org
Last Updated on Friday, 13 December 2013 12:17
11 November 2013 -
Thirteen cases of wild poliovirus type 1 (WPV1) have been
confirmed in the Syrian Arab Republic. Genetic sequencing indicates
that the isolated viruses are most closely linked to virus detected in
environmental samples in Egypt in December 2012 (which in turn had been
linked to wild poliovirus circulating in Pakistan). Closely related
wild poliovirus strains have also been detected in environmental samples
in Israel, West Bank and Gaza Strip since February 2013. Wild
poliovirus had not been detected in the Syrian Arab Republic since 1999.
A comprehensive outbreak response continues to be implemented
across the region. On 24 October 2013, an already-planned large-scale
supplementary immunization activity was launched in the Syrian Arab
Republic to vaccinate 1.6 million children against polio, measles, mumps
and rubella, in both government-controlled and contested areas.
Implementation of a supplementary immunization campaign in Deir Al Zour
province commenced promptly when the first ‘hot’ acute flaccid paralysis
(AFP) cases were reported. Larger-scale outbreak response across the
Syrian Arab Republic and neighbouring countries will continue for at
least 6-8 months depending on the area and based on the evolving
Given the current situation in the Syrian Arab Republic,
frequent population movements across the region and the immunization
level in key areas, the risk of further international spread of wild
poliovirus type 1 across the region is considered to be high. A
surveillance alert has been issued for the region to actively search for
additional potential cases.
WHO’s International Travel and Health recommends that all
travellers to and from polio-infected areas be fully vaccinated against
View the original article here
PAHO is working on its operational plan to achieve the polio-related outputs defined in the Plan and Budget 2014-2015 approved by the Directing Council in 2013.
These outputs are:
OPT 1.5.4 Maintenance of the regional surveillance systems to monitor acute flaccid paralysis.
OPT 1.5.5 Countries trained on the use of new algorithms aimed at the isolation and intratypic differentiation of poliovirus and improved performance indicators.
OPT 1.5.6 Established processes for risk management of long term poliovirus, including the containment of all poliovirus stocks and the certification of polio eradication in the region.
View the Official Document 346 — Program and Budget of the Pan American Health Organization 2014-2015, pp 31here
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