AFPAK: Polio Rises With Border Flows

•  peshawar
• Thursday, January 27, 2011
• Inter Press Service

'About 200,000 children cross the border every year,' said Rasheed Juma, director-general of health in Pakistan. Thousands of these children are not administered oral polio vaccine (OPV).

Ministers of health from Pakistan and Afghanistan have established a cross- border coordination committee to consider the operational challenges in tackling the transmission of polio in high-transit areas and to devise a strategy to cope with vaccination along the border. Under the strategy, one dozen vaccination points are being set up to ensure that all children below the age of five years get vaccinated.

In addition, the governments are partnering with the Taliban to help with vaccination in the border regions, Juma said. 'We have planned to hold talks with Taliban in the border areas and win their support,' he said. Cooperation of Taliban in some provinces of Afghanistan had paid off, he added.

Pakistan has long been blaming its border with Afghanistan for the continuing rise in polio cases. According to the Polio Eradication Initiative of the World Health Organisation (WHO), Pakistan recorded 140 cases of polio in 2010, followed by India with 41, Afghanistan 24 and Nigeria 18 cases. In 2009, India topped polio- endemic countries with 694 cases, followed by Nigeria with 388 cases, Pakistan 86, and Afghanistan 31 cases.

The global health agency blames these four countries for transportation of polio to other countries long declared polio-free. 'Of the total 140 confirmed polio cases in Pakistan, 72 are from the Federally Administered Tribal Area (FATA) bordering Afghanistan where administration of OPV to children is a herculean task,' Mujahid Hussain, a polio officer in FATA and adjacent Khyber Pakhtunkhwa, told IPS.

'Unrestricted mass movements across the 2,400-kilometre Pak-Afghan border is a major reason due to which thousands of children remained un- immunised,' Hussain said. 'The problem is the transportation of P3 virus, which is found in Afghanistan. This year, 33 children have got P3 virus in Pakistan which is due to the Afghan children,' Hussain explained. Twelve of the 33 children who tested positive for P3 in 2009 were Afghan refugees, he said.

Years of conflict in Afghanistan has meant that it remains among four endemic countries that have failed to eradicate the acute viral disease that attacks the nerve cells of the brain stem and spinal cord. In 2007, a Pakistani student of the Melbourne University visited the border area of the Khyber Agency and was tested positive when he returned to Australia.

© Inter Press Service (2011) — All Rights ReservedOriginal source: Inter Press Service

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