Progress Toward Poliomyelitis Eradication - Pakistan, January 2019-September 2020

MMWR. Morbidity and Mortality Weekly Report
Christopher HsuDerek Ehrhardt

Abstract

Pakistan and Afghanistan are the only countries where wild poliovirus type 1 (WPV1) is endemic (1,2). In 2019, Pakistan reported 147 WPV1 cases, approximately 12 times the number reported in 2018. As of September 15, 72 cases had been reported in 2020. Since 2019, WPV1 transmission has also spread from Pakistan's core poliovirus reservoirs (Karachi, Peshawar, and Quetta block) to southern districts of Khyber Pakhtunkhwa (KP), Punjab, and Sindh provinces. Further, an outbreak of circulating vaccine-derived poliovirus type 2 (cVDPV2), first detected in July 2019, has caused 22 paralytic cases in 2019 and 59 as of September 15, 2020, throughout the country. The coronavirus disease 2019 (COVID-19) pandemic has substantially reduced delivery of polio vaccines through essential immunization (formerly routine immunization) and prevented implementation of polio supplementary immunization activities (SIAs)* during March-July 2020. This report describes Pakistan's progress in polio eradication during January 2019-September 2020 and updates previous reports (1,3,4). The Pakistan polio program has reinitiated SIAs and will need large, intensive, high-quality campaigns with strategic use of available oral poliovirus vaccines (OPVs)† to cont...Continue Reading

References

Nov 23, 2017·MMWR. Morbidity and Mortality Weekly Report·Youness ElhamidiDerek Ehrhardt
Nov 9, 2018·MMWR. Morbidity and Mortality Weekly Report·Christopher HsuDerek Ehrhardt
Aug 23, 2019·MMWR. Morbidity and Mortality Weekly Report·Maureen MartinezDerek Ehrhardt
Nov 15, 2019·MMWR. Morbidity and Mortality Weekly Report·Christopher H HsuDerek Ehrhardt
Apr 24, 2020·MMWR. Morbidity and Mortality Weekly Report·Mary M AllemanCara C Burns

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Citations

Jan 20, 2021·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·Christian Bogdan
May 7, 2021·MMWR. Morbidity and Mortality Weekly Report·Jude N TumaJamal Ahmed
Aug 27, 2021·MMWR. Morbidity and Mortality Weekly Report·John Paul BigouetteJohn F Vertefeuille
Oct 1, 2021·MMWR. Morbidity and Mortality Weekly Report·Chukwuma MbaeyiRichard Franka
Jul 24, 2021·Open Forum Infectious Diseases·Dominika A KalkowskaKimberly M Thompson

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