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22 - 26 May 2006 World Health Assembly:
26 May 2006 – Noting that the number of
countries with indigenous poliovirus transmission is at a historic low of four,
and that outbreaks in re-infected countries have been systematically stopped or
slowed , the World Health Assembly (WHA) this week recognized that significant
progress has been made during the past year towards polio eradication and
resolved to support the final stages.
The policy-setting body of the World Health
Organization, the WHA studied the Report
on poliomyelitis eradication and adopted a resolution
calling for increased focus on interrupting transmission in endemic areas (those
which have never interrupted polio transmission), adherence to rapid response
standards in case of importation of poliovirus and technical advice on planning
for a post-eradication world.
In their comments, Member States unanimously
acknowledged the progress in further restricting the circulation of indigenous
polioviruses. At the beginning of this year,
Egypt
and
Niger
marked 12 months without indigenous poliovirus transmission, leaving
Nigeria
,
India
,
Afghanistan
and
Pakistan
as the only remaining polio-endemic countries in the world. In
the latter three
, poliovirus is restricted to a handful of high-risk districts.
The WHA also recognized that importations of
polio had been dealt with swiftly and effectively, with a total of 31 cases
linked to imported poliovirus reported in 2006 to date, compared to 105 cases at
the same time last year.
Delegates pointed, however, to the risk to all
countries as long as poliovirus circulates anywhere, voicing particular concern
over the increase in the incidence of polio in northern Nigeria – which has
trebled over the same period last year – and the need to successfully
implement the new strategies being proposed to increase vaccination coverage in
that country.
Member states – both polio-affected and
polio-free – renewed their commitment to the eradication programme and called
for sustained financial and political support. Mass polio immunization
activities needed to stop the virus everywhere are threatened by a shortfall of
US $85 million in 2006 and $400 million for 2007-2008.
In his report
to the WHA, written the day before his sudden death, WHO Director-General
Dr. LEE Jong-Wook had said, "Some have questioned whether polio eradication
is possible. Let there be no doubt. We can do it. And we will." Member
States fully supported Dr. Lee's statement by endorsing an enhanced global
effort to finish eradication and requesting that the WHO provide further
guidance on policies for a post-eradication world.
In his closing remarks to the WHA Plenary on
27 May, Dr Anders Nordström, WHO Acting Director-General, remembered Dr LEE and
his determination to see polio eradication completed. "In his memory, and
in honour that all of that he stood for, let us commit with absolute dedication
to see that goal quickly accomplished."
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