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)
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)
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)
As of 21 December, 19 WPV1 cases were 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)
One new wild poliovirus type 1 (WPV1) case was reported in Killa Abdullah, Balochistan, with onset of paralysis on 22 December 2016. This brought the total number of WPV1 cases for 2016 to 20. (GPEI, 17 Jan 2017)
Pakistan continues to implement the National Emergency Action Plan for polio eradication. The focus is to continue to build immunity against both type 1 and 2 poliovirus, and to address ongoing circulation of both the WPV1 and the circulating vaccine-derived poliovirus type 2 (cVDPV2) strains. (GPEI, 01 Feb 2017)
As of 7 June 2017, there were two WPV1 cases for 2017. There were 20 cases in 2016. The most recent case had onset of paralysis on 13 February, from Diamir district, Gilgit Baltistan. The year 2016 saw the lowest ever annual number of polio cases in the country but poliovirus continues to be isolated through environmental surveillance over a significant geographical range. Efforts are ongoing through implementation of the national emergency action plan to address remaining gaps in coverage and surveillance, in close coordination with neighbouring Afghanistan. (GPEI, 07 June 2017)
In Syria, 15 new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were reported in the past week, bringing the total number of cVDPV2 cases in the country to 17. Sixteen of the 17 cases are from Mayadeen district, Deir-Al-Zour governorate, and one case is from Raqua district, Raqua governorate. All cases had onset of paralysis between 3 March and 23 May.
The 14th report of the Independent Monitoring Board (IMB) has been published, following the group’s meeting in May.
Important lessons on stopping the poliovirus in the most challenging locations are moving the polio eradication programme closer to the finishing line.
In recent years, the global drive to eradicate polio has seen the virus cornered in fewer places than ever before. Yet polio’s final strongholds are some of the most complicated places in the world to deliver vaccination campaigns. Insecurity and conflict are some of the challenges to delivering vaccines, as well as populations on the move, testing terrain and weather, and weak health systems.
Current major event
Diagnostic capacity for Zika Virus enhanced
Countrywide Conflict Displacement
This year, more than 136,300 people have fled their homes due to conflict in Afghanistan. This is 25 per cent less compared to the same period in the previous year, in which 181,030 people were displaced. Displacements this year have reached the majority of the country, with displacements being registered in 29 out of 34 provinces. Some 17 per cent of all displaced people have sought refuge in areas deemed hard to reach for humanitarian partners.
Current major event
Communications in public health emergencies
Recent experience with famine and cholera outbreak in Somalia has shown that communication, whether with affected communities, among public health response actors, or with the media, is a critical component of effective response to public health emergencies.
13 JUNE 2017 | GENEVA - World Health Organization Director-General elect, Dr Tedros Adhanom Ghebreyesus has welcomed contributions and pledges of US$1.2 billion for the Global Polio Eradication Initiative. The pledges were made at the Rotary Convention in Atlanta, USA which is being attended by 32 000 Rotarians from around the world.
“It is humbling to see again the power of this incredible global partnership to generate funding to fight one of the world’s most horrible and debilitating diseases,” said Dr Tedros.
Countries and partners pledge US$ 1.2 billion to protect 450 million children from polio every year
ATLANTA (12 June 2017) – Today, global health leaders gathered at the Rotary Convention in Atlanta to reaffirm their commitment to eradicating polio and pledge US$ 1.2 billion to finance efforts to end the disease.
Bhurban, 10 June 2017 - The National Polio Management Team (NPMT) met in Bhurban on 8 and 9 June to review the progress of Pakistan’s National Emergency Action Plan (NEAP) on polio eradication and to chalk out the programme’s critical steps for the remainder of 2017.
Minister for Foreign Affairs
The Hon Julie Bishop MP
9 June 2017
Today I announce that the Australian Government will contribute new funding to the Global Polio Eradication Initiative (GPEI) to help the global fight to end polio.
In Syria, a circulating vaccine-derived poliovirus type 2 (cVDPV2) outbreak has been confirmed. The virus strain was isolated from two cases of acute flaccid paralysis (AFP) and one healthy contact, from Deir-Ez-Zor governorate. See the ‘Syrian Arab Republic’ section below for more information.
LAHORE: “The government health facility is located at a distance and we were reluctant to go there. But we came here because this place is easily accessible”, says the mother of 10-month old Mashal Khan after getting routine immunization to the child at a specially organized health camp set up in Lahore’s old Victoria School.
“Since we were away to our ancestral home my child missed out on OPV drops in the last campaign and also did not receive measles vaccination, this camp has helped me catch up on those missed opportunities,” says the mother.
Current major event
Resurgence of Cholera Outbreak in Yemen
The current cholera outbreak in Yemen, started in October 2016, showed a sign of decline in the first three months of the year. An upsurge of cases and deaths were recorded from 27 April 2017. As of 28 May 2017, a cumulative total of 88,849 suspected cholera cases including 657 associated deaths (CFR: 0.73%) were recorded from 261 districts in 19 governorates across the country since the beginning of the outbreak in 2016
In the last stage of polio eradication, Pakistan con-tinues to implement an intense vaccination cam-paign schedule focused on operational improve-ments to achieve high population immunity in the core reservoirs of Karachi, Khyber-Peshawar and the Quetta block, and to keep the rest of the coun-try polio-free.
In the last stage of polio eradication, Pakistan continues to implement an intense vaccination campaign schedule focused on operational improve-ments to achieve high population immunity in the core reservoirs of Karachi, Khyber-Peshawar and the Quetta block, and to keep the rest of the coun-try polio-free.
Current major event
Implementation of Electronic EWARN Platform in EMRO
In collaboration with ITT unit of the Regional Office, the IHM unit of the Department of WHO Health Emergen- cies Programme in EMRO is developing a regional electronic platform for EWARN (Early warning Alert and Re- sponse Network) for humanitarian crisis affected settings.
Islamabad, 20 May, 2017: On an unusually hot morning in May, Sehat Muhafiz (health protector) mobile vaccination teams mark the gates of residents of Koral village in Islamabad. The markings denote numerous technical aspects serve to facilitate for teams, supervisors and monitors, but the most important of which is the count of children who either have been or should be given two drops of the oral polio vaccine (OPV) in this door to door campaign.
The World Health Assembly (WHA) is meeting this week in Geneva, Switzerland. Ministers of Health and public health professionals from around the world are discussing global public health issues, including the global drive to eradicate polio. The Global Polio Eradication Initiative (GPEI) secretariat has prepared a status report, which will inform the discussions by Member States.