In this file photo from November 2013, a Pakistani child is vaccinated agains polio. The World Health Organization says the spread of polio is an international public health emergency.
Photo Credit: AP Photo/Muhammed Muheisen, FILE

Polio, a public health emergency: WHO

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The world has come close several times to eradicating the crippling disease that is polio, but a resurgence of the virus in several countries has prompted the World Health Organization(WHO) to declare an international public health emergency.

‘Tantalizingly close’ to eradication

“Polio is something that only lives in humans. The vaccine works extremely well. It should be something that we could actually get rid of,” says Michael Gardam, director of infection control and prevention at University Health Network in Toronto.

“We’ve seen this before when they get very, very close (to eradicating polio) and suddenly you end up having new cases popping up in other countries,” he says.

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Nigerian child gets a polio vaccine. Nigeria is one of three countries in the world where the wild polio virus remains endemic, and where Islamic extremists have killed vaccination workers. © AP Photo/ Sunday Alamba

Conflict stalls vaccination

Worldwide immunization campaigns have stalled in some countries allowing the virus to gain a foothold. “The parts of the world that still have polio are very difficult countries to operate in,” says Gardam. “There’s frequently a lot of hostility towards vaccination campaigns. Sometimes vaccines get caught up in the whole regional conflicts.”

Islamic militants oppose vaccination

Dozens of polio workers have been killed over the last two years in Pakistan as Islamic militants accuse them of spying for the U.S. government. Militants have also spread the falsehood that the vaccine causes sterility.

Pakistan, Syria and Cameroon were identified as countries that have allowed the virus to spread beyond their borders. The world Health Organization recommended the governments of those three countries require citizens to have proof of vaccination before they be allowed to travel.

The World Health Organization has no power to oblige countries to require vaccination, but it urges them to do so and to support immunization campaigns by, for example, providing protection to those working on vaccination campaigns.

Warning parents who do not vaccinate

Canada has not had a case of polio in years because most Canadian children are vaccinated against it. But two to three per cent of children have not been immunized, some for religious reasons, other because their parents are suspicious of the very minimal risks of vaccines, or because they see no need since there is no polio in Canada. But health officials warn that people travel, and those children were exposed to polio they would be at risk of catching it.

They also warn that it is only because the vast majority of children have been vaccinated that the disease is kept at bay. If vaccination levels drop, polio and other diseases can make a comeback.

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