Data for polio cases in Pakistan showed an increase by 57 per cent from 58 cases in 2012 to 91 in 2013. (OCHA, 15 Jan 2014) WHO declared Pakistan's northwestern city of Peshawar as the world's "largest reservoir" of polio and called for urgent action to boost vaccination. (DAWN, 2 Feb 2014)
By the end of 2014, 295 polio cases had been recorded, compared to 91 in 2013. The number of infected districts/towns had almost doubled from 22 in 2013 to 40 in 2014. (WHO, 27 Dec 2014)
In the period between July 2012 and February 2015, 80 polio workers and those protecting them have been killed whereas 54 received serious injuries. Such brazen attacks against health workers finds no precedent anywhere in the world. (Gov't of Pakistan, WHO, UNICEF, 24 Oct 2015)
The Prime Minister of Pakistan / Chairman of the National Task Force for Polio Eradication endorsed the National Emergency Action Plan for Polio Eradication in a meeting held on 11 June 2015.
Pakistan's polio cases are declining, with just 54 cases of wild polio virus reported in 2015, down more than 80 percent from 2014, when the country experienced a large spike in cases.(Gov't of Pakistan, 1 Mar 2016)
As of 29 June 2016, the Global Polio Eradication Initiative (GPEI) had confirmed 12 cases of polio in Pakistan in 2016, with the most recent case located in KPk’s Dera Ismail Khan District. During the same week in 2015, the GPEI had confirmed 25 polio cases. The GPEI also reported that no environmental samples have tested positive for polio since May 12 when a team collected a positive sample in Punjab’s Dera Ghazi Khan District. (USAID, 30 Jun 2016)
One new case of wild poliovirus type 1 (WPV1) was reported in early October, from Sujawal, Sindh (south-east of Karachi), with onset of paralysis on 3 September. It is the most recent case in the country, and brings the total number of WPV1 cases for 2016 to 15. (GPEI, 12 Oct 2016)
Pakistan continues to push forward with polio vaccination drives across the country. However, on 25 October 2016, a police officer was killed and a member of a bomb defusal squad was injured in two separate Improvised Explosive Device (IED) blasts targeting a polio team in Peshawar's Daudzai area, according to local media. (DAWN, 25 Oct 2016)
Continued detection of positive environmental samples throughout 2016 confirms that virus transmission remains geographically widespread across Pakistan, despite strong improvements being achieved, according to the European Centre for Disease Prevention and Control. (ECDC, 04 Nov 2016)
In November 2016, a new case of wild poliovirus type 1 (WPV1) was reported with onset of paralysis on 3 September, from Kohistan in Khyber Pakhtunkhwa (KP), in the north of the country. It brought the total number of WPV1 cases for 2016 to 16. As well, three new WPV1 positive environmental samples were reported from Balochistan (two from Quetta and one from Killa Abdullah, collected on 20 September, 14 October and 15 October). (GPEI, 09 Nov 2016)
An additional new case of wild poliovirus type 1 (WPV1) was reported in Sujawal district in central Sindh, with onset of paralysis on 3 November. It brought the total number of WPV1 cases for 2016 to 17. (GPEI, 23 Nov 2016)
As of 7 December, the total number of WPV1 cases for 2016 stood at 18. (GPEI, 7 Dec 2016)
Pakistan continues to implement the National Emergency Action Plan for polio eradication, to urgently interrupt all remaining strains of polio transmission in the country. The majority of the polio cases during the last six months were reported from non-reservoir areas, i.e. from ‘tier 2, 3 and 4’ districts (districts which are considered to be more vulnerable to polio re-infection or spread). There have been no paralytic cases of wild poliovirus from the traditional polio reservoirs in Pakistan since February 2016. (Gov't of Pakistan, 18 Dec 2016)
Pakistan continues to be affected by endemic transmission of wild poliovirus type 1 (WPV1). As of 21 December, 19 WPV1 cases have been reported in 2016. It is the lowest number of annual cases ever reported, from the fewest number of affected areas in the country. WHO assesses the risk of international spread of WPV1 within the common reservoir between Pakistan and Afghanistan to be high (due to the historical spread of such strains across the joint epidemiological block with Afghanistan). (WHO, 27 Dec 2016)
Polio this week as of 17 January 2017
Peshawar, January 19, 2016 - After reviewing the successful campaign in rest of FATA agencies, Emergency Operation Centre (FATA) has welcomed the decision of Agency Polio Eradication Committee (APEC) to start Polio campaign in Khyber Agency from January 23, 2017.
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KARACHI: The city made history on Monday when it completed a year without reporting a single case of poliovirus, health department officials told Dawn.
“This is the first time in its history that Karachi hasn’t reported a single case the whole year. Fortunately, the reports of samples collected from various drains in the city have repeatedly come negative the whole year,” said coordinator for emergency operation centre, Sindh, Fayyaz Jatoi, adding that the city was close to eradicating the crippling disease.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 8-14 January 2016 and includes updates on Legionnaires' disease, Zika virus and seasonal influenza.
The Khyber Pakhtunkhwa Governor Engr. Iqbal Zafar Jhagrawhile appreciating the tremendous progress of health and political administration of FATA in the fight against Polio has directed all the Political Agents and Agency Surgeons to ensure polio eradication from the entire region within first three months of 2017.
Outfitted in blue Rotary vests and flanked by armed military personnel, the vaccinators approach a white van as it pulls away from the scattered stream of traffic, cars rattling east toward Islamabad and west to the nearby border with Afghanistan. One worker leans toward the driver to ask a question as another reaches into a cooler to prepare the vaccine. Among the crush of passengers in the van, they identify one child who has not yet been vaccinated.
There is no time for second-guessing.
Summary of newly-reported viruses this week (see country-specific section below for further details): Pakistan: one circulating vaccine-derived poliovirus type 2 (cVDPV2) isolated from an acute flaccid paralysis (AFP) case; three positive environmental samples (two wild poliovirus type 1 – WPV1, and one cVDPV2).
QUETTA: The Emergency Operations Centre, Balochistan, on Tuesday confirmed a new case of poliomyelitis in a four-month-old boy in the Mehmoodabad area of Chaman town, Qila Abdullah district.
Parents of the infant said that the boy developed high-grade fever and weakness in muscles in the last week of December.
They first took him to a local dispensary and then to a paediatrician in Quetta where he was diagnosed suffering from polio after receiving confirmed medical results from the National Institute of Health Laboratory.
GoP repatriation program assists more than 224,100 families to return to FATA
More than 370,100 registered Afghan refugees depart Pakistan in 2016
USAID/FFP provides an additional $10 million for emergency food assistance to conflict-affected households
Local officials recruited Muslim clerics to promote immunisations for 400,000 children after past programmes were met with resistance and violence by extremists
By Gul Yousafzai
QUETTA, Pakistan, Jan 2 (Reuters) - Pakistan began a special five-day polio immunisation campaign in the southwestern city of Quetta on Monday for children under five after a rare strain of the virus was found in sewage samples, officials said.
At least nine more infants died due to malnutrition and outbreak of the various diseases in Thar during that last two days, raising the toll to 476 this year.With the death of nine more children the toll rose to 476 during past 12 months of the outgoing year, said health officials. However, according to the unofficial details gathered from various independent sources, the toll rose to 606 this year.
QUETTA: A special five-day polio immunisation campaign will kick off on Monday in Quetta, during which children below five years of age will be administered anti-polio drops.
The Coordinator of the Emergency Operation Centre, Syed Faisal Ahmed, said on Sunday that the campaign was being launched following confirmation of positive cases in the city’s environmental samples.
The campaign will cover 39 union councils of the city with the help of 1,345 teams, 105 fixed sites and 175 transit points along with mobile teams.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals about active public health threats. This issue covers the period 25-31 December 2016 and includes updates on polio, influenza A(H7N9) in China and Zika virus.
In 2016 to date, 35 children have been paralyzed due to wild poliovirus, fewer than in any preceding year. However, eradication requires reaching zero. Poliovirus survives in a limited number of places, with decreasing genetic diversity; the eradication programme continues to intensify its efforts to reach every child.
Disease outbreak news
27 December 2016
In Pakistan, a circulating vaccine-derived poliovirus type 2 (cVDPV2) has been detected from environmental samples in Quetta, Balochistan. Two isolates with apparent genetic linkages were isolated from environmental samples, collected on 20 October and 28 November 2016. Virus was isolated from environmental samples only and no associated cases of paralysis linked to the isolated strains have been detected in Quetta or anywhere else in the province.