A health worker administers the live polio vaccine to a child during a vaccination campaign in Lahore. AFP
A health worker administers the live polio vaccine to a child during a vaccination campaign in Lahore. AFP
A health worker administers the live polio vaccine to a child during a vaccination campaign in Lahore. AFP
A health worker administers the live polio vaccine to a child during a vaccination campaign in Lahore. AFP

WHO: Polio outbreaks in London and Ukraine show 'children have been left behind'


Gillian Duncan
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Polio outbreaks in London, Israel and other areas which previously eradicated the virus are proof “children have been left behind,” said the World Health Organisation.

A concerted campaign must be waged to ensure the WHO’s 95 per cent vaccination target is reached, or the virus could gain a foothold in “underserved” populations.

The virus has been detected in several countries in Europe recent months, including the UK and Ukraine.

All the cases are vaccine-derived polio, rather than indigenous wild polio, but its detection means Europe’s status as polio-free remains “vulnerable,” said WHO Europe’s regional director, Dr Hans Kluge.

“Vaccine-derived polio virus refers to a strain of polio virus that has mutated from a weakened strain originally contained in the oral polio vaccine,” he said, at a WHO press briefing to mark World Polio Day on Monday.

“Such vaccine-derived polio virus can spread in pockets of under-immunised persons, thus making it paramount to ensure high vaccination coverage in all population groups.”

WHO’s regional immunisation adviser Dr Siddhartha data said it was critically important communities reached the 95 per cent vaccination target.

“I think the most important element is we need to understand the occurrence of the vaccine-derived polio or wild polio virus cases in any community, anywhere in the globe, clearly indicates one thing, we have left our children behind by not getting them vaccinated,” said Dr data.

“That is critically important.”

  • The UAE has donated hundreds of millions of dirhams to support anti-polio vaccination drives in Pakistan, along with other humanitarian operations. Photo: Asim Hafeez
    The UAE has donated hundreds of millions of dirhams to support anti-polio vaccination drives in Pakistan, along with other humanitarian operations. Photo: Asim Hafeez
  • The UAE is playing an important role in the broad effort to eradicate polio in Pakistan. Wam
    The UAE is playing an important role in the broad effort to eradicate polio in Pakistan. Wam
  • Pakistani children are being inoculated against the virus, under the UAE-Pakistan Assistance Programme. Wam
    Pakistani children are being inoculated against the virus, under the UAE-Pakistan Assistance Programme. Wam
  • More than 100 million children in Pakistan have been vaccinated through the polio eradication campaign. Photo: Mobeen Ansari
    More than 100 million children in Pakistan have been vaccinated through the polio eradication campaign. Photo: Mobeen Ansari
  • President Sheikh Mohamed, while serving as Crown Prince of Abu Dhabi, greets Abdullah Al Ghufli director of the UAE-Pakistan Assistance Programme, after a panel discussion titled 'Every Last Child: Eradicating Polio', at Al Bateen Palace, in 2015. With them is Dr Elias Durry, Emergency Co-ordinator for Polio Eradication at the World Health Organisation. Photo: Presidential Court
    President Sheikh Mohamed, while serving as Crown Prince of Abu Dhabi, greets Abdullah Al Ghufli director of the UAE-Pakistan Assistance Programme, after a panel discussion titled 'Every Last Child: Eradicating Polio', at Al Bateen Palace, in 2015. With them is Dr Elias Durry, Emergency Co-ordinator for Polio Eradication at the World Health Organisation. Photo: Presidential Court
  • Mr Al Ghufli, second left, Dr Durry, third left, and Tom Roberts, director of the documentary, 'Every Last Child', right, take part in the panel discussion, in 2015. With them is Dr Omniyat Al Hajri, director of public health and policy at the Health Authority - Abu Dhabi and the panel moderator. Presidential Court
    Mr Al Ghufli, second left, Dr Durry, third left, and Tom Roberts, director of the documentary, 'Every Last Child', right, take part in the panel discussion, in 2015. With them is Dr Omniyat Al Hajri, director of public health and policy at the Health Authority - Abu Dhabi and the panel moderator. Presidential Court
  • Dr Durry speaks during the panel discussion. Photo: Presidential Court
    Dr Durry speaks during the panel discussion. Photo: Presidential Court
  • The UAE supports campaigns against what are known as neglected tropical diseases, as well as malaria and polio.
    The UAE supports campaigns against what are known as neglected tropical diseases, as well as malaria and polio.
  • President Sheikh Mohamed and philanthropist Bill Gates present the Heroes of Polio Eradication (Hope) Education award to Atta Ullah, chairman of a local support organisation in Khyber Pakhtunkwa, Pakistan, in 2015. Photo: Presidential Court
    President Sheikh Mohamed and philanthropist Bill Gates present the Heroes of Polio Eradication (Hope) Education award to Atta Ullah, chairman of a local support organisation in Khyber Pakhtunkwa, Pakistan, in 2015. Photo: Presidential Court
  • An Afghan health worker administers a polio vaccine in Kandahar. Afghanistan and Pakistan are the only two countries where polio remains endemic, crippling hundreds of children every year. Muhammed Sadiq / EPA
    An Afghan health worker administers a polio vaccine in Kandahar. Afghanistan and Pakistan are the only two countries where polio remains endemic, crippling hundreds of children every year. Muhammed Sadiq / EPA
  • Children are immunised in Pakistan as part of the polio campaign supported by the Emirates. Wam
    Children are immunised in Pakistan as part of the polio campaign supported by the Emirates. Wam
  • Support, both practical and financial, has been given to research and vaccination campaigns by the UAE for more than a decade. Wam
    Support, both practical and financial, has been given to research and vaccination campaigns by the UAE for more than a decade. Wam
  • The launch of a polio and measles vaccination campaign for 20,000 children in Pakistan in September 2012. Photo: Wam
    The launch of a polio and measles vaccination campaign for 20,000 children in Pakistan in September 2012. Photo: Wam
  • First as Crown Prince of Abu Dhabi, then as President, Sheikh Mohammed, has donated $250 million since 2014 to charities and humanitarian organisations organising polio eradication campaigns and vaccinating children. Photo: Presidential court
    First as Crown Prince of Abu Dhabi, then as President, Sheikh Mohammed, has donated $250 million since 2014 to charities and humanitarian organisations organising polio eradication campaigns and vaccinating children. Photo: Presidential court

Dr data said if children have been “left behind” by failing to vaccinate them against polio, the virus is a good barometer to reveal who and where they are.

“The reasons could be multifactorial. The reasons could be context-specific,” he said.

“But I think it’s important that we understand that anywhere in the globe, if we have left people behind, the polio virus is a very good barometer to tell us who are they, either in New York, or in Israel, or the UK, or Ukraine, the underserved population groups, because of one reason or another, did not receive the recommended WHO target of 95 per cent coverage.”

The UK, which recorded its last case in 1984, was detected in London waste water in June 2022.

The government said there are “signs the virus is spreading in London and the number of children vaccinated in London is lower than it should be”.

It is offering children age 1 to 9 a dose of the polio vaccine.

Wild polio remains endemic in Pakistan and Afghanistan.

The UAE Pakistan Vaccination Assistance Programme has administered almost 648 million doses of polio vaccine in Pakistan since 2014.

Both the late UAE President Sheikh Khalifa and President Sheikh Mohamed have been active in supporting the fight against polio. First as Crown Prince of Abu Dhabi, Sheikh Mohamed has donated $250 million since 2014 to charities and humanitarian organisations organising polio eradication campaigns and vaccinating children.

The first Global Vaccine Summit was organised in Abu Dhabi 10 years ago under the patronage of Sheikh Mohamed and supported by Ban Ki-moon, the UN Secretary General at the time, and the billionaire Bill Gates.

The summit was attended by more than 300 world leaders, health and development experts, philanthropists and leading business figures.

  • A group of mothers with their children wait outside Middlesex County Council Clinic for the first polio vaccinations in May 1956. All photos: Getty Images
    A group of mothers with their children wait outside Middlesex County Council Clinic for the first polio vaccinations in May 1956. All photos: Getty Images
  • A polio vaccine being tested at the Glaxo Laboratories in Sefton Park, Buckinghamshire, in 1956.
    A polio vaccine being tested at the Glaxo Laboratories in Sefton Park, Buckinghamshire, in 1956.
  • A child is injected with a vaccine against polio in 1956, the first stage of the biggest vaccination programme ever undertaken in Britain at the time.
    A child is injected with a vaccine against polio in 1956, the first stage of the biggest vaccination programme ever undertaken in Britain at the time.
  • Four young children wait for injections against polio at the Fairfield Welfare Clinic in Wandsworth, south London, in 1956.
    Four young children wait for injections against polio at the Fairfield Welfare Clinic in Wandsworth, south London, in 1956.
  • Health minister Dennis Vosper examining the polio virus in 1957, during the production of Polivirin, Britain's anti-poliomyletis vaccine, at Glaxo's Virus Research Laboratories in Stoke Poges.
    Health minister Dennis Vosper examining the polio virus in 1957, during the production of Polivirin, Britain's anti-poliomyletis vaccine, at Glaxo's Virus Research Laboratories in Stoke Poges.
  • A queue of factory workers waiting to receive polio vaccinations in one of the new London Mobile Immunisation Clinics at Highbury Grove in 1959.
    A queue of factory workers waiting to receive polio vaccinations in one of the new London Mobile Immunisation Clinics at Highbury Grove in 1959.
  • Junior members of staff at the Ministry of Health on Saville Row, London, line up to receive their inoculation against polio in 1959.
    Junior members of staff at the Ministry of Health on Saville Row, London, line up to receive their inoculation against polio in 1959.
  • Nurses in one of the many emergency polio vaccination clinics in Hull read the latest reports on the health scare in 1961.
    Nurses in one of the many emergency polio vaccination clinics in Hull read the latest reports on the health scare in 1961.

In total $4 billion was promised to fund a plan to end polio in six years, with Mr Gates praising the UAE leader as “dynamic” and “risk-taking”.

Pakistan has so far recorded more than 20 cases in 2022 and Afghanistan two, although that figure may not be accurate following the Taliban takeover.

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Contributed by Thomas Vanhee and Hend Rashwan, Aurifer

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