Polio eradication shifts into emergency mode

Despite the dramatic drop in polio cases in the last year, the threat of continued transmission due to funding and immunization gaps has driven the Global Polio Eradication Initiative (GPEI) to launch the Global Polio Emergency Action Plan 2012-13.

The plan aims to boost vaccination coverage in the three remaining polio-endemic countries -- Nigeria, Pakistan, and Afghanistan -- to levels needed to stop polio transmission. Health ministers meeting at the World Health Assembly in Geneva adopted a resolution on 25 May that declared “the completion of polio eradication to be a programmatic emergency for global public health.”

Polio eradication activities have resulted in several landmark successes since 2010. India, long regarded as the nation facing the greatest challenges to eradication, was removed from the list of polio-endemic countries by the World Health Organization (WHO) in February. Outbreaks in previously polio-free countries were nearly all stopped.

During that same time span, however, polio outbreaks in China and West Africa due to importation from Pakistan and Nigeria, respectively, have highlighted the continued threat of resurgence. Failure to eradicate the disease could lead within a decade to paralysis of as many as 200,000 children per year worldwide.

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