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Health
23 August 2024

Polio Returns To Gaza With First Case Reported In 25 Years

Urgent vaccination campaigns are underway as public health crisis deepens amid war and sanitation breakdown

Gaza is facing a public health crisis as polio makes its reappearance for the first time in 25 years, with the health authorities confirming the first case involving a 10-month-old baby. The baby girl from Deir Al Balah suffered paralysis due to the poliovirus and is currently reported to be stable.

According to the World Health Organization (WHO), the presence of the virus was genetically linked to environmental samples taken from Gaza's wastewater earlier this year, which confirmed the virus’s presence. The detection of poliovirus type 2 highlights significant concerns over rising infection rates amid deteriorated living conditions.

UN health officials emphasized the urgency of vaccinating children against the virus to prevent any potential outbreak, calling for two rounds of vaccinations to be administered shortly. This intervention is being coordinated by the Palestinian health authorities along with the WHO and UNICEF.

The situation has been exacerbated by the Israeli military operations, which have drastically affected sanitation and healthcare services across Gaza. With major medical facilities either damaged or non-functional, health workers face immense challenges delivering necessary healthcare to affected populations.

The environment is ripe for the spread of infectious diseases, as people have limited access to clean water and sanitary conditions. UN humanitarian officials noted grave concerns over the impact of the war on children's health.

UNRWA, the agency serving Palestinian refugees, announced it will collaborate with WHO and UNICEF to deliver vaccines and health services effectively throughout Gaza. The UN's humanitarian coordinator has drawn attention to the vulnerabilities facing residents, particularly children who depend on the already scarce healthcare resources.

Since the outbreak of conflict intensified last October, vaccinations against varying diseases, including polio, have been significantly hampered. Numerous evacuation orders exacerbated the situation, leading thousands to flee their homes, often without access to basic health services.

Experts warn of severe public health consequences if vaccination efforts are delayed. The risk of poliovirus transmission is heightened by the poor living conditions many families face, making rapid vaccination campaigns even more urgent.

World Health Organization Director-General Tedros Adhanom Ghebreyesus expressed deep concern about the first reported polio case, referring to it as alarming. He reiterated the necessity for immediate and sustained vaccination efforts to combat the virus’s spread.

Polio is transmitted primarily through fecal contamination of food and water, making the situation particularly dangerous where sanitation infrastructure has collapsed. Gaza’s only functioning wastewater treatment facilities are limited, leading to untreated sewage seeping onto the streets, creating higher risks for communicable diseases.

Dr. Majed Jaber, who has been treating patients affected by war and disease, highlighted how the circumstances surrounding the polio case reflect broader systemic health failures. With children increasingly vulnerable due to limited vaccination histories, the reemergence of polio presents clear dangers.

Health advocate Philippe Lazzarini remarked, "Polio does not discriminate between Palestinian and Israeli children," emphasizing the importance of cooperative measures to mitigate the health risks. The lack of access to medical supplies and hygiene products exacerbates the difficulties faced by healthcare providers attempting to curb this outbreak.

Local health services reported serious challenges, including electrical outages and fuel shortages, which hinder efforts to maintain necessary cold chains for vaccine storage. Jafari, the WHO's Polio Eradication Program Director noted the importance of ensuring continuous access to the vaccines.

The UN reported it is planning vaccination campaigns intending to reach children under the age of ten, aiming to curb the spread of disease effectively. Preparatory efforts include delivering logistical support to quickly introduce the oral polio vaccine type 2 (nOPV2) across the region.

Another compounding problem is the threat posed by cholera, which shares similar transmission routes with polio and could worsen the existing humanitarian crisis. United Nations agencies are prioritizing urgent humanitarian pauses to allow vaccination efforts to proceed smoothly.

Given the current conflict dynamics, achieving these vaccination goals may prove exceptionally challenging. Continued bombardments, coupled with infrastructure destruction, pose significant barriers to delivering medical aid.

International health officials are pushing for immediate humanitarian interventions to avert what could develop as widespread outbreaks of polio. Without addressing these issues, the health situation for Gaza's children could become increasingly dire, leading to long-lasting repercussions for future generations.

Health organizations stress the essence of unity and collaboration among parties to effectively combat the polio threat and protect children's health across the region. The WHO and similar bodies remain hopeful for positive action from all involved to facilitate the needed healthcare interventions.

This situation is not merely about health; it embodies the human rights concerns of wars waged where states exhibit control over civilians. Gazans face dire prospects not only from the conflict itself but also from the resurgence of diseases long thought eradicated, making it imperative for both local and international actors to prioritize health initiatives.

Now, as campaigns begin, the world watches to see if urgent healthcare access can restore some hope among the populace, who have endured relentless adversities. Gaza's once-polio-free status stands on the precipice of recovery, depending on the collective effort to deliver vaccinations swiftly and effectively.

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