For Your Information: Ensuring the Full Eradication of Polio (WHO Topic A)



Polio, short for Poliomyelitis, is an infectious disease that usually spreads by contact through the mouth. This virus stems from the lack of sanitation; it is incurable, and mainly targets children five or under. Although this virus can cause paralysis or death, the vast majority do not become sick. Thanks to the World Health Organization (WHO)s dedication to the ongoing eradication of polio, the majority of people are no longer in danger of this virus; however, it has not been totally eradicated, and thus may still exacerbate into an epidemic.

There are three types of poliomyelitis; sub-clinical, non-paralytic, and paralytic. Thankfully, ninety-five percent of people with polio are infected with first kind, which is relatively harmless. The remaining five percent are divided into the other two cases: non-paralytic polio results in flu symptoms such as headaches, vomiting, fever, fatigue, and stiffness; paralytic polio causes, well, paralysis from the spine, brainstem, or both. Furthermore, you may be affected by the post-polio syndrome. In most cases, the victims are influenced with severe swelling, fatigue, and exhaustion which may lead to death.
Before the advent of modern medicine, most people had no idea that they had been contracted polio until the symptoms worsened. Initially, it was believed to be incurable. However, after much research, scientists have found polio to be preventable by means of vaccination, which has been responsible for the significant reduction in polio worldwide.

Two vaccinations were developed in the 1950s: one by Hilary Koproski in 1950, and the other by Jonas Salk in 1955. Designed to strengthen the immune system, the ‘Inactivated Polio Vaccine (IPV) consists of a total of three injections that contain inactivate polio strains, which prevents the virus from entering the nervous system. A third vaccine was developed by Albert Sbin in 1961; this administers a much weaker version of poliovirus through the mouth and is called the ‘Oral Polio Vaccine (OPV). While the OPV generates a stronger immunity to the bacteria, it requires additional sterilization. Also, a side effect from the OPV called ‘Vaccine-derived poliovirus (IDPV) is said to be able to cause an outbreak, even if that chance is one in a million. So, these two immunizers are used on different occasions. Countries that are in need of mass polio eradication rely on the OPV, while countries that need to focus on individual vaccinations depend on the IPV.


Through the efforts of the WHO and many other foundations, the polio situation has taken a turn for the better and the virus has almost been totally eradicated. Unfortunately, it remains in three countries: Pakistan, Nigeria, and Afghanistan. Many attempts to eradicate and eliminate polio have been and are being made. Nevertheless, problems arising from these countries prevent them from doing so. One common issue among countries is religion. Religious controversies in countries surrounding the vaccination have caused people to turn away those who are trying to help stop the disease. Another main cause stems from the refusal of childrens parents and the children themselves, and part of the reason has to do with the lack of polio awareness. With little or no knowledge of polio, parents feel no need for children to receive vaccines as long as they feel that their children are healthy. 

Furthermore, despite having the vaccinators come to their houses door-by-door, many children miss this opportunity because they are not at home at that point in time. In spite of these problems, people are looking for better ways to stop polio. Compromises between countries, volunteer activities, and others are coming together to bring a healthier and safer world without polio.

by Janette Rhee

Photo courtesy of http://www.drjohnejones.com/end_polio_now.htm