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Polio Pakistan

ViralEpidemiology2024
Year2024
TypeViral
CategoryEpidemiology

About Polio Pakistan

Pakistan and Afghanistan are the only countries where wild poliovirus remains endemic. Pakistan reported 1 case in 2021, 20 in 2022, and 6 in 2023. In 2024, cases surged again, with 74 reported for the year. The challenges in Pakistan include insecurity, with polio workers killed by militants, particularly in the tribal areas bordering Afghanistan. Militant bans on polio vaccination in parts of Pakistan and Afghanistan, including one imposed in 2012 in the tribal areas, left large under vaccinated populations. Cross border movement between Pakistan and Afghanistan facilitates virus transmission. Pakistan deploys hundreds of thousands of vaccinators in national campaigns. Environmental surveillance detects poliovirus in sewage. Multiple national immunization campaigns are conducted annually. The GPEI has spent tens of billions of dollars since 1988. India recorded its last wild polio case in 2011. Africa was declared wild polio free in 2020. The remaining challenge in Pakistan and Afghanistan is primarily political and security related rather than scientific. Eradication would make polio the second human disease after smallpox to be eradicated.

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