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)
No new wild poliovirus type 1 (WPV1) cases were reported in the past week. The total number of WPV1 cases for 2017 remains two, and for 2016 remains 20. 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, 19 Apr 2017)
Sakhi Sarwar, April 23, 2017 - In a small health facility in Sakhi Sarwar, a little town in Pakistan’s Punjab province, Dr Ujala Nayyar, WHO’s Surveillance Officer for Punjab, leans over a register to review all doctors’ appointments in the recent months, as District Surveillance Coordinator (DSC) stands by her side to assist her. She is checking all records that may reflect signs of polio, like sudden onset of paralysis or floppy weakness in arms, legs or any part of the body that indicate acute flaccid paralysis (AFP).
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 16-22 April 2017 and includes updates on influenza, cholera, poliomyelitis, measles, legionnaires' disease and yellow fever.
Over the next two weeks, key global meetings will take place to review the global polio epidemiology and examine what additional efforts must be implemented to achieve a lasting polio-free world. Next week, the Strategic Advisory Group of Experts on immunization (SAGE) will meet in Geneva, as well the next meeting of the International Health Regulations (IHR) Emergency Committee on the spread of poliovirus (via teleconference). These meetings will be followed the week after by the Independent Monitoring Board (IMB), convening in London.
Islamabad, April 16, 2017: First of the two back-to-back nation-wide immunization campaigns will be starting across Pakistan on Monday where more than 37.2 million children will be administered polio drops during the whole week.
The Polio Research Committee (PRC) is meeting this week in Geneva, to continue to provide guidance to the eradication effort’s research agenda. Research underpins polio eradication, evaluating new strategies, products and solutions to long-standing operational, epidemiological and virological challenges.
Summary of newly-reported viruses this week: two new wild poliovirus type 1 positive environmental samples from Pakistan.
165 Surveillance systems to track progress towards polio eradication worldwide, 2015–2016
175 Performance of acute flaccid paralysis (AFP) surveillance and incidence of poliomyelitis, 2017
179 Monthly report on dracunculiasis cases, January– December 2016
165 Systèmes de surveillance pour suivre les progrès accomplis dans le monde vers l’éradication de la poliomyélite, 2015-2016
175 Fonctionnement de la surveillance de la paralysie flasque aiguë (PFA) et incidence de la poliomyélite, 2017
Last week, the Technical Advisory Group Consultation on Polio Eradication in Pakistan convened in Islamabad, to review current epidemiology and strategies to eradicate remaining strains of transmission for the rest of the year. See ‘Pakistan’ section below for more.
Summary of newly-reported viruses this week: no new viruses reported this week.
Islamabad, 1 April 2017--The Technical Advisory Group (TAG) on polio eradication commended the Government of Pakistan for the progress in the polio situation made over the past nine months.
This week, synchronized polio campaigns were conducted across 13 countries in west and central Africa including Nigeria, Chad, Cameroon, Guinea, Mali, and Niger. Over 190 000 vaccinators aimed to immunize more than 116 million children over the course of the campaign.
QUETTA: Balochistan Chief Secretary Shoaib Mir has said that each member of society has to play their role for eradicating polio that could paralyse generations.
During a visit to the Polio Emergency Centre on Friday, he said the provincial government was working actively for the eradication of the virus by achieving major targets in this regard.
Polio this week as of 22 March 2017
From 25 to 28 March, synchronised polio campaigns will take place across 13 counties in west and central Africa including Nigeria, Chad, Cameroon, Guinea, Mali and Niger. Over 190 000 vaccinators will immunize more than 116 million children over the course of the campaigns. Summary of newly-reported viruses this week: No new WPV or cVDPV positives were reported this week.
PESHAWAR: The health department is hoping to eradicate poliomyelitis this year and divert the resources and manpower to strengthening routine immunisation for 10 diseases including polio, according to sources.
They said that polio vaccination had been the most politicised and costly intervention, which ate up resources and kept the technicians busy for more than 15 days a month.
Decades of conflict and the search for better economic opportunities have pushed millions of Afghans into neighboring Pakistan and Iran.
While an estimated 2.5 million Afghans are registered refugees, a possibly equal number of Afghans live in Pakistan and Iran without legal refugee status. These undocumented Afghans face numerous protection challenges both in their host country and upon their return to Afghanistan either voluntarily (“spontaneous return”) or through deportation.
QUETTA: A three-day polio drive will kick off on March 20 across 29 districts of Balochistan to ensure that each and every child in the province is vaccinated against the crippling disease, said Emergency Operation Centre (EOC) Balochistan Coordinator Syed Faisal Ahmed.
Speaking at a press conference on Friday along with religious scholars, he said that the campaign would cover all districts except Ziarat — where arrangements had been made to hold the anti-polio drive after March 27.
He added that security arrangements for the campaign had been finalised.
Summary of newly-reported viruses this week (see country-specific sections below for further details): Pakistan – one WPV1 case, six WPV1 positive environmental samples.
Yemen and Syria have both carried out polio immunization campaigns as part of ongoing efforts to protect children affected by conflict.
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 12-18 March 2017 and includes updates on cholera, measles and Legionnaires disease.
By Saeed Ahmed
Multan March 10: Communication network, commonly known as CommNet seems to have brought about a 360 degree turn around in South Punjab by curtailing refusals to zero and ensuring polio vaccination of 100 % high risk mobile population (HRMP) in the region.
“We have recruited local female staff members to do two basic things; i.e. raise awareness about the personal health and hygiene and mobilize local communities to ensure that herd immunity is achieved through collective responsibility,” said CommNet Coordinator for the area Umer Feroz.
GILGIT: A fresh case of polio disease was reported on Saturday in Diamer district of Gilgit- Baltistan after a gap of six years.
According to GB health department officials, the National Institute of Health (NIH), Islamabad, confirmed poliovirus in 14-month-old Nisar Ahmed, a resident of Thore valley of district Diamer.
GB had been declared free of polio virus in 2012.
An official of the GB health department told Dawn that the child was admitted to a government hospital after being inflicted by poliovirus at his home.
people in need of aid as a result of emergencies – almost 60% of all people-in-need globally
people displaced (internally and in neighboring countries) as a result of conflict and natural disasters
7 graded emergencies
directly and indirectly affecting a total of 14 countries
in Somalia and Sudan
H5N1, MERS CoV, Polio
health security threats currently in the Region