eradication

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India marks one year without polio, inches toward eradication goal line

UNICEF

Child receives polio vaccine

India will have made it one year, as of Friday, without a reported case of polio — a milestone everyone in the global health community is celebrating.

Except for maybe all those skeptics who say, or said, polio will never be eradicated.

The goal here is a world completely without polio, of course, since if this infectious disease exists anywhere it can spread everywhere — as China recently discovered.

But this accomplishment by India, which not that long ago had the world’s lion share of polio cases, does a lot to get us closer to the day when this crippling, sometimes deadly, disease is eradicated.

I’ve seen the ravages of polio in poor countries and, back in 2003 when I was a reporter for the Seattle PI, traveled to parts of India where the polio cases were exploding and reported on the country’s difficulties trying to rid itself of this infectious disease.

It may sound a simple enough goal to vaccinate all kids against polio, but it’s not. I can attest to how complex and challenging it has been — because of the nature of this disease, the lack of health care resources in the countries most in need and the various forms of political opposition that can emerge to obstruct what might seem to many an obvious good.

India’s not out of the woods yet and the disease remains entrenched in three countries, Afghanistan, Pakistan and Nigeria. But the fact that India appears to have completely rid itself of this disease is evidence that the global campaign to eradicate polio is that much closer to reality.

Indian health officials deserve a lot of credit for reaching this milestone, but credit for getting us where we are today should go first to Rotary International — which for decades has sustained the global vaccination effort against all odds (and lots of skepticism) — and then to organizations like UNICEF, the World Health Organization and, lately, the Bill & Melinda Gates Foundation.

The Gates Foundation has thrown a lot of money at this effort over the last ten years or so. Both Bill Gates and his father Bill Sr. also have been outspoken public champions of polio eradication — even to the point of apparently finally winning over the world’s leading polio eradication skeptic D.A. Henderson.

Here’s Bill Gates’ celebrating India’s achievement on Huffington Post

Other news stories of note:

Globe and Mail: How India conquered polio

Washington Post: Polio focus leaves other diseases behind

Reuters: India’s victory fuels endgame vaccine talks

Scientific American: India on track to be declared polio free

 

Which four diseases face total eradication? Bill Foege predicts extension of smallpox success

by Tom Paulson

Bill Foege

Smallpox was, until today, the only disease that had ever been eradicated from the planet.

The United Nations today declared that rinderpest, a cattle disease that when prevalent had profound adverse impact on humanity, is now the second disease to have been eradicated.

Bill Foege, one of our local boys made good, is a big fan of disease eradication.

Foege is the world-renowned physician who figured out the strategy that succeeded in wiping out smallpox. He is featured in an interview on disease eradication on PRI’s The World today “How to Kill a KIller Disease.”

Here’s a story I did almost a year ago about Foege on the 30th anniversary of the eradication of smallpox. You may notice that PRI used the same photo — a photo I took of Bill in Colville, Eastern Washington, where he grew up.

Foege, a former chief of the U.S. Centers for Disease Control and now a senior adviser to the Bill & Melinda Gates Foundation, has written a fascinating book on the global campaign to eradicate smallpox called “House on Fire.” On PRI, he predicted that four more diseases will be eradicated soon.

“I think maybe six diseases will be eradicated before I die,” said Foege, listing the next four as polio, guinea worm, measles and onchocerciasis (river blindness). What about malaria?

“Malaria may take a little longer … but we need to try to eradicate malaria and I’m very optimistic about it,” he said.

Before Bill Gates became a polio warrior, there was Ezra and the Rotarians

Gates Foundation

Celebrating Rotary's commitment to polio eradication, a display on the north side of the new Gates Foundation campus

For the record, Bill Gates couldn’t have become the world’s leading advocate for polio eradication if not for people like Ezra Teshome. People who wear sprockets on their heads.

Rotarians.

I hung out on Wednesday night with a small gang of Seattle Rotarians, including Ezra and Bill Gates Sr., who had braved the winter storm warning (of, yeah, that dusting of snow) to celebrate Rotary’s 106th anniversary and its decades of commitment to seeing polio wiped off the face of the planet. Continue reading

The Dilemma in the Gates Foundation’s Malaria Mission

The Seattle Times’ science reporter Sandi Doughton today provides an excellent, detailed description of the Gates Foundation’s strategy for fighting malaria.

Flickr, by ACJ1

Malaria hovers over Africa

Basically, it’s a do-or-die strategy — which is what has some malaria experts elated and others worried.

As the Times’ headline says, Bill and Melinda Gates have shaken things up by declaring that they will settle for nothing less than complete eradication of malaria. This is good news for those folks working on creating a vaccine and maybe not such good news for those working right now to prevent or control the disease with existing tools like drugs, nets or spraying programs.

The shake-up started in 2007, when the Gateses made their declaration to a crowd of malaria experts gathered in Seattle with the chief of the World Health Organization in attendance to merely echo their call.

I covered that stunning event, back when the Seattle PI was a newspaper, and heard a lot of grumbling from these experts — mostly off-the-record, of course — about how this was not such a good idea, eradication. Continue reading