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What is the World Doing?


The Global Eradication of Polio: Target 2005

In May 1988, at its annual meeting in Geneva, the World Health Assembly, the governing body of the World Health Organization (WHO), resolved to eradicate polio from the world by the year 2005. 

The global eradication of polio involves both halting the incidence of the disease and the worldwide eradication of the virus that causes it Poliovirus. 
 

Rationale for Polio Eradication

Polio is one of only a limited number of diseases (others include measles and guinea worm disease) that can be eradicated. Polio can be eradicated because: 

1. Polio only affects humans, and there is no animal reservoir.
2. An effective, inexpensive vaccine exists (OPV).
3. Immunity is life-long.
4. There are no long-term carriers.
5. The virus cannot survive for long outside the body.

The polio eradication strategy is based on the premise that poliovirus will die out if it is deprived of its human host through immunization. The strategy is similar to that used for smallpox eradication in 1977; smallpox is the only disease so far to have been eradicated. 

Other diseases can be controlled through immunization, but never eradicated. For example, in the case of tetanus, the bacterium that causes the disease (Clostridium tetani) is widespread in the environment and can survive independently from a human host. 
 

A Four-Pronged Strategy

A strategy developed by WHO and its partners to eradicate polio consists of: 

  1. Routine immunization with OPV Supplementary
  2. Additional doses of oral poliovaccine during National Immunization Days
  3. Mopping-up immunization activities
  4. Enhanced surveillance for all cases of acute flaccid (floppy) paralysis and wild poliovirus 
     

(Text and Photos Courtesy of the World Health Organization)
 


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