POSITIVE SEWAGE SAMPLES A BIG THREAT CIRCULATING POLIO VIRUS

(SAJID HUSSAIN, )

Polio the crippling disease has already killed and paralyzed hundreds of thousands around the globe,But very limited number of people know that one of the main cause of circulating Polio Virus is Water pollution(positive Sewage water samples)where the Polio Virus spread in Environment.

According to available figure of End Polio & World Health Organization(WHO),data thirty years ago during year 1988(A.D) Polio disease was endemic in 125 countries across the globe by killing or paralyzing more than 350000 people annually. After that due to formation and efforts of Global Polio Eradication Initiative (GPEI) by starting Vaccination/campaign of both Oral Polio Vaccine (OPV two oral drops)and Inactivated Polio Vaccine(IPV injectable form) included in some countries in Routine Immunization the positive polio cases remarkably decreased around the globe.With addition to this by minimizing the water pollution and improving sanitation system in many countries after taking Environmental samples of sewage water which is the breading place for growth and spreading of Polio Virus remarkable decrease occurred in Polio disease in last three decades.

Due to above mentioned efforts especially by minimizing the water pollution and improving sanitation system in many countries after taking Environmental samples of sewage water which is the best breading place for growth and spreading of Polio Virus.NOW according to latest figures in year 2018 Polio disease is eradicated from entire world except two neighbors countries Pakistan and Afghanistan as compared to 125-countries in year 1988 thirty years ago.

Worth mentioning in Year 2014-16 Polio was endemic in three countries Pakistan Afghanistan and Nigeria, But Nigeria eradicated Polio Pakistan and Afghanistan are the two countries having Polio which is matter of a shame that even in this era of 21st century when all countries across the globe even Nigeria and African Countries also facing conflict like situation eradicated polio while Pakistan and Afghanistan are still endemic....

Regarding Sewage water samples In areas where polio cases occur, samples are taken from the soil and sewage for testing to see if there is evidence of the wild polio virus. For example, during this year in 2018 there have been 15 positive environmental test results in Afghanistan and similarly positive sewage samples results are coming from some major cities Karachi,Peshawar Kohat And even from Afghan borders areas Distt: Bajur of Ex FATA etc etc of Pakistan which is alarming fact.The continuing positive environmental samples are troubling and a big obstacle and this should be focused on priority.

For complete eradication of Polio from Pakistan & Afghanistan and both to become Polio free countries with addition to three core strategies i.e,

a)Quality Campaigns NID(National Immunization Days) & special focused areas SNID(Sub NID) of Oral Polio Vaccine(OPV two oral polio drops to every child under age of five in ever Campaign).

b)Strengthening Routine Immunization in which with addition to OPV, Inactivated Polio Vaccine(IPV) is also injected.

c)Strengthening Surveillance System/ Acute Flaccid Paralysis(AFP) as well as Environmental Surveillance or Sewage Water, the key factor is also having a clean Environment especially by ending or minimizing Sewage Water pollution.

By strengthen Environmental Surveillance Sewage water samples to completely eradicate Polio from two neighbors Pakistan & Afghanistan which will result the entire World Free of Polio.

Worth mentioning in year 2018 till date Pakistan has reported six polio cases,three from Baluchistan province one from Sindh and one each from KhyberPakhtoonkhawa KPK & Ex FATA(Hence two from KPK Province after merger of Ex FATA with KPK)While neighboring Afghanistan during year 2018 till date has reported more than a dozen positive polio cases which is also alarming fact.

For complete Eradication of Polio the Governments & civil society of both countries with addition to other segments of society and different stakeholders especially community awareness and advocacy regarding ending Sewage water Pollution especially water pollution.The positive sewage water sample tested in laboratory is alarming and root of all major diseases e.g, hepatitis cholera and especially spread of Polio virus that is a global threat and we all around globe need joint efforts.

Thanking You.

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SAJID  HUSSAIN
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