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Transcript
Goal
Polio cases drop by 99 per cent
from 1988 to 2000
Global eradication of poliomyelitis by the
year 2000
Estimated number of polio cases
Figures in thousands
0
50
100
150
200
250
1991
134,900
1992
137,700
1993
75,300
1994
72,500
59,900
32,800
18,500
1998
10,900
1999
10,100
2000
Eradication
233,600
1990
1997
» Polio
260,900
1989
1996
350
344,900
1988
1995
300
3,500
Narrowing in on polio, 2000
Result
Polio cases have declined by 99 per cent
since the launch of the polio eradication initiative in 1988, from 350,000
to less than 3,500 in 2000. Large
areas of the world, including
North and South America,
Europe, the Commonwealth
of Independent States,
South-East Asia, China,
and northern and southern
Africa are polio-free. Polio
immunization remains
high, with more than 550
million children immunized
in 2000 alone through
National Immunization
Days. Polio surveillance
Countries reporting polio cases (polio is not endemic in all of them)
has improved significantly.
No reported polio cases
… but
Surveillance improves in
10 high-priority countries, 1999 and 2000
Region
Country
Number of reported
polio cases
Non-polio AFP* detected
(per 100,000 under 15)
Target: at least 1 case
1999
2000
2000
South
Asia
India
Pakistan
Bangladesh
Afghanistan
2,817
558
393
150
265
199
198
120
2.0
1.5
1.9
1.1
Africa
Nigeria
Congo, Dem. Rep.
Ethiopia
Angola
Somalia
Sudan
981
45
131
1,103
19
60
637
513
144
119
96
79
0.7
2.3
0.7
1.6
2.2
1.4
*Non-polio acute flaccid paralysis (AFP) detection is a sensitive indicator of the precision of a polio surveillance
system. Given the normal frequency of non-polio AFP in a population, an effective surveillance system should diagnose
at least one case per 100,000 population under the age of 15. The increase in reported polio cases in some countries
is mainly attributable to the increased quality of the surveillance system and does not reflect an increase in the
number of polio cases.
Source for graph, map and table: WHO, July 2001.
Polio is still endemic in
20 countries, most of them extremely
poor, heavily populated and/or devastated
by civil war, making it difficult to reach
and immunize children.
Issue
Polio is a highly infectious disease that
has paralysed millions of children. The
polio virus spreads silently and rapidly –
only the first case of paralysis triggers
awareness of an outbreak. Polio cannot
be cured but it can be prevented by
immunization.
Eradication of polio involves both halting
the incidence (the number of new cases)
of the disease and the worldwide eradication of poliovirus, the virus that causes it.
The world will be certified polio-free after
at least three years of no new cases
reported due to indigenous wild poliovirus.
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