Pakistan’s Polio Tipping Point

Early this month, tragedy struck Pakistan’s polio eradication campaign once again with the killing of two more polio workers and a policeman on patrol with the vaccination teams. The continued targeting of such workers, together with official missteps, jeopardizes the goal of reaching every child with lifesaving vaccines.

ISLAMABAD – Early this month, tragedy struck Pakistan’s polio eradication campaign once again with the killing of two more polio workers and a policeman on patrol with the vaccination teams. The latest murders in Pakistan preceded the killing of nine polio workers in Nigeria, and follow the slaying of another nine Pakistani health workers in December and the New Year’s Day murders of development workers affiliated with public-health efforts. The continued targeting of such brave workers is posing a severe challenge to these countries’ public-health communities and their collective ambition to reach every child with lifesaving vaccines.

For Pakistan, the irony is that the country has been a success story for polio eradication, with the number of cases falling from 197 in 2011 to 58 in 2012. Despite recent challenges, Pakistan put vaccinators back on the job in 28 districts, where 12 million children needed to be reached. Widespread public support for polio eradication efforts has been reflected in a parliamentary resolution. The Ulema Council, a group of influential clerics, has given its backing as well.

The most recent report by the Independent Monitoring Board of the Global Polio Eradication Initiative, released in November 2012, acknowledged Pakistan’s recent progress – in stark contrast to the bleak outlook of its previous report. But it is critical that the country’s upcoming election does not jeopardize recent gains, particularly during the current low-transmission season, which is the best opportunity to stop the disease in its tracks. All political factions must remain committed to the eradication drive if it is to succeed.

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