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)
The first country-wide immunization campaign of the current low season for poliovirus transmission took place from 18-22 September 2017. More than 38 million children under 5 years were vaccinated by a team of 250,000 dedicated frontline workers. According to the independent post-campaign monitoring, the September National Immunization Days (NIDs) have been one of the best campaigns this year, with 96% of children nationally found vaccinated and finger marked. So far this year, the number of polio cases reported in Pakistan is five, including the most recent case from Lakki Marwat district of Khyber Pakhtunkhwa, reported in September 2017. All these cases are being contained through aggressive outbreak responses. (Gov't of Pakistan, 30 Sep 2017)
Pakistan has launched the first sub-national immunization days (SNIDs) campaign of the current low transmission season on 30 October 2017, targeting more than 21 million children under the age of 5. The campaign has taken place in a total of 95 districts. The current polio epidemiology in the country is best ever observed. The number of wild poliovirus cases has declined from 306 in 2014 to 54 in 2015 and only 20 in 2016. Momentum is maintained in 2017 where the current case count of 5 compares to 18 at same point in time during 2016. (WHO, 2 Nov 2017)
ZHOB: The three-day anti-polio drive kicked-off amid strict monitoring of a federal team in bordering town here on Monday. The drive amid massive field visits of a federal monitoring team would be continued till Nov 22nd, 2017 followed by a catch-up day of missed children.
RRU National Emergency Operations Center for polio eradication Dr. Tufail inaugurated the drive by administering anti-polio drops to children at the newly established District Polio Control Room (DPCR) here.
QUETTA: A three-day polio vaccination campaign in 33 districts of Balochistan will begin on Monday (today).
The coordinator of the Emergency Operation Centre (EOC), Balochistan, Syed Faisal Ahmed, said on Sunday that all arrangements for the campaign had been made. He said more than 2.4 million children were expected to be vaccinated against the polio virus during the campaign, adding that the children would also be given Vitamin-A drops.
PESHAWAR: As many as 5.712 million children below the age of five years will be given oral polio vaccine (OPV) in the upcoming anti-polio drive whereas children between the age group of six to 59 weeks will be given vitamin A drops to boost their immunity.
This was disclosed in a meeting held at Emergency Operations Center Khyber Pakhtunkhwa (EOC) to review the readiness status of the upcoming NID starting from November 20, 2017 in all districts of the province.
Polio this week as of 15 November 2017
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Underlining their commitment to a polio-free world for all future generations, Italy has provided €4.5 million to deliver polio vaccines in Afghanistan and Pakistan.
ABU DHABI, 15th November, 2017 (WAM) -- The UAE has provided over 219 million units of polio vaccine to more than 43 million Pakistani children between 2014 and September 2017, through its anti-polio drive in the country.
The UAE-Pakistan Assistance Programme (UAE-PAP) was launched under the directives of President His Highness Sheikh Khalifa bin Zayed Al Nahyan and His Highness Sheikh Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi and Deputy Supreme Commander of the UAE Armed Forces.
With families on the move posing one of the biggest challenges to eradication in Pakistan, an innovative campaign is vaccinating children on trains.
Dressed in a blue uniform, carrying a vaccine carrier on his shoulder, Imran Khan is a polio vaccinator working at Karachi Cantonment Railway station. “I make sure no child under five travelling by train is missed during the immunization campaign,” he says. Apart from vaccinating children, Imran also sensitizes their parents on the importance of vaccination and threats posed by the crippling disease.
Italy’s contribution supports efforts to vaccinate every last child against polio in the only two countries reporting cases of the disease in 2017.
taly has provided EURO 4.5 million to support efforts to reach and vaccinate all children under five years of age in Pakistan and Afghanistan – the only two countries worldwide that have reported polio cases this year.
Current major event
Deaths from Dengue in Pakistan
Pakistan is endemic for Dengue fever (DF) since 1994. The country faced a number of repeated outbreaks in different provinces during last two decades. The recorded peak transmission season of DF virus is during July to October/ November. This year an outbreak was reported from the province of Khyber Pakhtunkhwa with 69 deaths reported from this outbreak so far.
SPIN BOLDAK, Afghanistan, 13 November 2017 – “The town of Spin Boldak on Afghanistan’s southern border with Pakistan is at the epicentre of the global effort to eradicate polio.
“This year, only Afghanistan and Pakistan have recorded wild poliovirus cases and the virus has no respect for the borders. As of 9 November 2017, there are 14 cases of wild poliovirus globally – nine in Afghanistan and five in Pakistan – the lowest number recorded in history.
Islamabad, November 2017: The National Polio Management Team reviewed the progress and discussed the challenges pertaining to the implementation of the National Emergency Action Plan for polio eradication in its recently held meeting at national EOC the other day.
The meeting was chaired by Prime Ministers Focal Person Senator Ayesha Raza Farooq with Coordinator for National EOC Dr. Rana Muhammad Safdar and was attended by coordinators from all the provinces as well as representatives from the Capital Development Authority, Gilgit Baltistan and Azad Jammu Kashmir.
Polio this week as of 8 November 2017
Current major event
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TIMERGARA: A polio team comprised of two health workers and a security official remained unhurt luckily when an improvised explosive device went up near them at Arif Kaly Khwar in the jurisdiction of Munda Lower Dir police station on Tuesday, residents and police told.
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 29 October-4 November 2017 and includes updates on chikungunya, Legionnaires' disease, malaria, Middle East respiratory syndrome coronavirus (MERS-CoV), influenza A(H7N9), plague, poliomyelitis, seasonal influenza and West Nile virus. Access the full set of maps, graphs and visuals for the CDTR at: http://ecdc.europa.eu/cdtr
Abdullah Khalid is one of the hardworking vaccinators making sure that even children on the move are protected against polio.
The poliovirus knows no borders, making children on both sides of the border between Afghanistan and Pakistan vulnerable to contracting the debilitating disease. This is why, placed strategically along the border, 19 WHO-supported vaccination posts reach children on the move as they cross between countries, ensuring that all children under the age of 10 receive two drops of the oral polio vaccine to protect them from polio.
Polio this week as of 1 November 2017
New on polioeradication.org: Mobile Circus Bringing Afghanistan Closer To Eradication, and Reaching The Hard-To-Reach: Dense Urban Environments.
This month Harvard University and National Public Radio (NPR) hosted an online forum to discuss how social data shines a global spotlight on polio’s last challenges.
2 November 2017 – Pakistan has launched the first sub-national immunization days (SNIDs) campaign of the current low transmission season on 30 October 2017, targeting more than 21 million children under the age of 5. The campaign has taken place in a total of 95 districts/agencies/towns of the country. The majority of districts concluded the SNIDs on 2 November, while three districts of Khyber Pakhtunkhwa including Chitral, Dir Lower and Dir Upper as well as Lahore will start the campaign on 6 November.
Current major event
Cholera in Yemen: Key questions
The cholera outbreak in Yemen continues to rage and from April to 28 October 2017, a total of 880,987 suspected cholera cases including 2,183 associated deaths with a case fatality rate of 0.25% were reported from Yemen. The cases were reported from almost all governorates (96% of the governorates were affected) and almost all districts (92% of the districts were affected).
Three Levies personnel were injured in an improvised explosive device (IED) blast targeting a polio team in Bajaur Agency's Khar district on Tuesday, officials said.
Officials in the political administration said the team was targeted while administering polio drops to children in the area.
The wounded were shifted to District Headquarters Hospital for treatment, the officials added.
Fieldworkers and security forces involved in anti-polio drives in the Federally Administered Tribal Areas and Khyber Pakhtunkhwa have often been targeted by militants.