Pakistan: Polio Outbreak - 2014-2017Ongoing
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)
Pakistan’s Polio Eradication Programme launched the offensive campaign against the virus. The intense preparations were underway for a special targeted campaign in vulnerable pockets of 73 districts / towns / agencies across the country. The program targeted a total of 10.44 million children under the age of five. (Gov't of Pakistan, 4 July 2017)
One new wild poliovirus type 1 (WPV1) case was reported, bringing the total number of WPV1 cases for 2017 to three. It was the most recent case in the country, and had onset of paralysis on 11 June, from Killa Abdullah, Balochistan. Meanwhile, the Pakistan and Afghanistan National Emergency Operation Centre teams put together a joint response plan for new wild poliovirus type 1 (WPV1) cases / isolates in the southern corridor (comprising Quetta Block / Greater Kandahar). (GPEI, 12 July 2017)
No new wild poliovirus type 1 (WPV1) case was reported in the past week; the total number of WPV1 cases for 2017 remains three. Six new WPV1-positive environmental samples were reported in the past week, all collected in July, from Killa Abdullah, Balochistan; Gadap, Gulberg, Kamari, greater Karachi, Sindh; Islamabad; and, Rawalpindi, Punjab. Five country-wide vaccination campaigns had been held in Pakistan since October 2016, preparing for the 2017 high season for poliovirus transmission, which ran from June until September. (GPEI, 27 July 2017)
The Federally Administered Tribal Areas (FATA) achieved a milestone as it completed a year without reporting a single case of polio. According to a statement issued by FATA Secretariat, the last polio case in Fata was reported on July 27, 2016. In line with the National Emergency Action Plan 2017-18, female vaccination teams are being hired with renewed focus on developing accurate micro plans so that the space for missing a single child is eliminated. Immunisation efforts have in the past been hampered by militants. (Gov't of Pakistan, 1 Aug 2017)
As of 13 September, the total number of WPV1 cases for 2017 was four. The most recent case was reported from Karachi. Meeting of the Provincial Task Force Sindh Province reviewed the situation in Karachi and agreed for an action plan to improve the SIAs quality in Karachi. (GPEI, 13 Sep 2017)
Pakistan has launched the first national immunization days campaign of the 2017–2018 low transmission season targeted more than 37 million children under the age of 5. The campaign is taking place in all the districts/agencies of the country. The current polio epidemiology in the country is best ever observed. In 2017, the current case count is 4 compares to 16 at same point in time during 2016. (WHO, 19 Sep 2017)
A two-year-old girl in Khyber Pakhtunkhwa (KP) has been diagnosed with the polio virus, the province's health department told DawnNews on Thursday.
The girl, who belongs to the Lakki Marwat district, had been vaccinated against polio this year. However, her family decided to have her examined after they realised that one of her legs hurt.
Health officials say that though she has contracted virus, she will be able to walk normally thanks to her prior vaccination.
19 September 2017 – Pakistan, being one of the last 3 polio-endemic countries in the world, has launched the first national immunization days campaign of the 2017–2018 low transmission season during which more than 37 million children under the age of 5 will be vaccinated against polio. The campaign is taking place in all the districts/agencies of the country with a few local operational adjustments.
ISLAMABAD: The National Polio Programme is set to start first nationwide polio campaign from Sept 18, aimed at vaccinating 37.74 million children.
New on polioeradication.org: Polio vaccines reach vulnerable children in hard to reach areas of Syria.
Following flooding in Benue, Nigeria, the World Health Organization has deployed its polio infrastructure across the state to strengthen disease prevention efforts.
Pakistan and Afghanistan plan to implement National Immunization Days during the second half of September.
Current major event
Dengue fever in Pakistan
The Ministry of National Health Services, Regulations and Coordination in Pakistan has recently reported a high number of dengue fever cases in the province of Khyber Pakhtunkhwa (KPK). A total of 1,279 laboratory confirmed cases were reported during the months of July and August 2017.
Polio this week as of 6 September 2017
KARACHI: The city on Friday reported its first polio case in 20 months, setting alarm bells ringing for the megapolis still not clear of the crippling virus, officials said.
They said that a seven-month-old baby of an Afghan refugee family living in Union Council-13 of Gulshan-i-Iqbal had contracted polio. They added that the National Institute of Health, Islamabad, confirmed the samples sent from here three weeks ago tested positive for polio.
New on www.polioeradication.org: Planning an effective vaccination campaign; and, reaching the hard-to-reach: overcoming physical obstacles.
Pakistan and Afghanistan polio eradication teams convened last week in Islamabad to follow up on the southern corridor (Quetta Block – Greater Kandahar) joint planning for the upcoming low transmission season. The meeting was attended by the national teams as well as the staff from the southern region of Afghanistan and Balochistan province of Pakistan.
Current major event
Meningitis in Yemen
The suspected bacterial meningitis cases continue to be monitored. From 01 January to 06 August 2017 (Epidemiological week 31), a total of 2,467 clinically diagnosed cases including 37 related deaths (Case fatality ratio- 1.5%) were reported through the Electronic Disease Early Warning System (eDEWS) in Yemen.
Islamabad: August 25, 2017- Reiterating firm commitment of the Government of Pakistan to rid the country from the polio, Prime Minister Shahid Khaqan Abbasi while chairing a meeting of National Task Force on Polio Eradication has said that even a single case of polio in the country should be taken seriously and no effort should be spared to ensure complete eradication of the disease from the entire country.
ISLAMABAD: Even a single case of polio in the country should be taken seriously and no effort should be spared to eradicate the disease, Prime Minister Shahid Khaqan Abbasi said on Friday.
High mobility rates and the existence of polio reservoirs across the border were among the major challenges faced by Pakistan in rooting out polio, “but we are fully determined to overcome them”, Mr Abbasi said while presiding over a meeting of the National Task Force (NTF) on Polio Eradication.
August 15, 2017 - Prime Minister Shahid Khaqan Abbasi chaired a high level meeting at PM Office in Islamabad, wherein the Minister for National Health Services, Regulations and Coordination Mrs. Saira Afzal Tarar and Prime Minister’s Focal Person on Polio Eradication Senator Ms. Ayesha Raza Farooq briefed the Prime Minister on progress regarding polio eradication.
Islamabad: President Mamnoon Hussain has appreciated the efforts of the Government for eradication of polio virus which is evident from the fact that only three cases of polio have been reported this year. The President hoped that Pakistan will soon get rid of polio owing to successful continuation of polio eradication drive.
QUETTA: A five-day polio eradication campaign will begin in Quetta, Pishin, Qila Abdullah and Mastung districts on Monday.
Syed Faisal Ahmed, Coordinator of the Emergency Operation Centre, told reporters on Sunday that 127 union councils in the four districts would be covered by the campaign.
He said that 800,000 children would be administered vaccination drops during the campaign.
453 Progress towards poliomyelitis eradication: Afghanistan,
January 2016–June 2017
460 Human cases of influenza at the human-animal interface,
January 2015–April 2017
476 Health conditions for travellers to Saudi Arabia for the pilgrimage to Mecca (Hajj), 2017
453 Progrès accomplis en vue de l’éradication de la poliomyélite:
Afghanistan, janvier 2016-juin 2017
460 Cas humains de grippe à l’interface homme-animal, janvier 2015-avril 2017
By Faiza Ilyas
KARACHI: Regretting the country’s slow progress on childhood vaccination especially on the polio front despite massive government spending over the years, experts at the concluding day of a health seminar held on Monday called for concerted efforts to break the many myths surrounding vaccines, one of the most effective ways to prevent many serious illnesses.
They also warned about the high prevalence of antibiotic resistance resulting from the overuse and misuse of antibiotics and urged doctors to be cautious in their prescriptions.
GoP repatriation program assists nearly 260,000 displaced households to return to FATA
Recent polio vaccination campaigns reach 92 percent of targeted children countrywide
Flooding results in nearly 50 deaths and displaces at least 11,200 people
WHO statement 3 August 2017
The fourteenth meeting of the Emergency Committee under the International Health Regulations (2005) (IHR) regarding the international spread of poliovirus was convened by the Director General on 3 August 2017 at WHO headquarters with members, advisers and invited member states attending via teleconference.