Perspective on Global Polio Eradication Initiative
Abstract:
The subject of poliomyelitis cuts across
several courses undertaken as part of the requirements for the PhD in Public Health
program. It involves issues of public health, use of data in its implementation
and monitoring, including education of communities and the population at large on
the dangers of the disease and prevention.
In
1988, the Forty-first World Health Assembly adopted a resolution for the worldwide
eradication of polio. This resolution marked the launch of the Global Polio Eradication
Initiative (GPEI), a public-private partnership
led by national governments with five partners – spearheaded by national governments, WHO, Rotary
International, the US Centers for Disease Control and Prevention (CDC), UNICEF,
and later joined by additional key partners including the
Bill & Melinda Gates Foundation and Gavi, the Vaccine Alliance. This followed the certification of the eradication
of smallpox in 1980, progress during the 1980s towards elimination of the poliovirus
in the Americas, and Rotary International’s commitment to raise funds to protect
all children from the disease.
The main goal of the GPEI
is to eradicate polio worldwide using four strategies, namely: strong routine immunization
coverage, conduct supplemental immunization activities (SIAs), conduct Acute Flaccid
Paralysis (AFP) surveillance and conduct mop up immunization campaigns wherever
and whenever the cases are detected. Since the resolution to eradicate
polio was adopted in 1988, the number of wild poliovirus cases have decreased by
over 99%,
There are 3 strains of wild poliovirus (type 1, type
2, and type 3). Wild poliovirus type 2 was eradicated in 1999 while wild poliovirus
type 3 was declared eradicated in October 2019 during the celebration of the world
polio day. This paper has been prepared to enhance the reader’s understanding of
the disease of poliomyelitis. The paper will present an overview of poliomyelitis
in relation to the following
2. Definition of Poliomyelitis,
3. Transmission and symptoms
4. Types
of Polio
5. Prevention,
6. Complications
7. Challenges to polio eradication
8. Possibility
of eradicating polio?
9. Progress made toward polio eradication
10. Measures to keep the world free of polio
after certification of eradication,
11. Benefits of polio eradication
12. GPEI Monitoring Boards
13. Conclusion
This paper is aimed at creating
awareness of the disease to the larger community so as to promote understanding
of the importance of eradicating it just as smallpox was eradicated several years
ago.
Keywords: Poliomyelitis
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