Opinion
As Africa Gets Polio’s Relief
Among the major ail
ments that have created negative indelible impacts in Africa is poliomyelitis. It has deformed myriads of people, most of which are not recorded.
In 1995, polio affected all countries across Africa and paralysed more than 75,000 children for life. The following year, Nelson Mandela launched a new campaign christened “Kick Polio Out of Africa.” His hope was that polio would go the way of small pox, which is the only human disease ever consigned to the history books.
Today Africa is one step closer to achieving that goal.
On August 11, 2015 for the first time in history, the whole of Africa reached one year without a single case of wild polio virus being confirmed. Just three years ago, Nigeria was home to more than half of all global cases of wild polio virus, and outbreaks in the Horn of Africa and Central Africa in 2013 made some question the feasibility of global eradication.
Nigeria is the only country in Africa still on the polio endemic list. However, there had not been a recorded case since July 2014. Last month, President Mohammadu Buhari committed to ending polio in Nigeria. He sent a powerful message across the country by vaccinating his own grand daughter.
From all indications, once all the Laboratory samples for the past year have been checked and surveillance standards are fully satisfied, Nigeria could be removed from the polio endemic list.
Africa now stands on the brink of being polio-free.
The collective efforts to combat polio have left behind important lessons on the need to built upon what has been done to ensure that no child dies from vaccine – preventable diseases.
To achieve this, government leadership at all levels is critical to success. Leaders across Africa prioritized and resourced the fight against polio. As a result there is currently a blue print to tackle other health and development challenges.
To protect the health and improve the lives of citizens across the region, it is crucial for African leaders to deliver on the 2001 Abuja Declaration Commitment to spend 15 per cent of national budgets on public health.
Innovation is also crucial. In Nigeria, major investments in seven emergency operations centres and a strengthened surveillance system enabled early identification of new cases and a quicker response.
The infrastructure set up for polio proved invaluable when Nigeria was confronted with an incipient Ebola threat and was able to quickly snuft it out in its largest city, Lagos.
Health workers have been the true heroes of Africa’s polio program. Daily, they overcome conflicts trek through marshlands to reach remote villages, community ownership and social mobilization have also been vital. Across Africa, there is the need to invest in and empower health workers, as well as make sure they have the training, skills and incentives to continue delivering for communities.
Another model of success has been the unique public private partnership that has driven progress against polio. Working with governments across Africa and around the world, Rotary International the World Health Organisation, UNICEF, the Centre for Disease Control, and Prevention and the Bill and Melinda Gates Foundation have helped generate public, political and financial support for polio eradication.
From the fore-going, it is obvious that final and lasting success of the polio campaign in Nigeria and across Africa will not be possible without life saving vaccines. With the eradication of polio closer than ever before, leaders must commit to financing polio eradication, strengthening surveillance and improving routine immunization performance.
The first ever continental ministerial conference on immunization in Addis Ababa, Ethiopia in November will call upon every African health minister to ensure that life saving vaccines-against polio and other preventable diseases reach all children.
The polio campaign in Africa has shown that when we invest in health systems, strong leadership health workers and vaccines, over coming even the most difficult health challenge is achievable.
A year with no new confirmed cases of wild polio in Africa is a step in the right direction for the entire continent, and certainly a cause for celebration. However, we cannot become complacent. Now is the time for us to redouble our efforts.
We have an unprecedented opportunity to make good on mandela’s vision and create not only a polio free Africa, but also an Africa where children survive and communities thrive. Let’s do it together.
Dr Moeti is the World Health Organisation’s Regional Director for Africa
Matshidiso Moeti
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