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Health
24 August 2024

Polio Strikes Gaza Amid Ongoing Conflict

A 10-month-old baby is paralyzed, marking the first polio case in Gaza in over two decades, raising urgent vaccination needs.

A 10-month-old baby has been partially paralyzed after becoming the first reported case of polio in Gaza in 25 years, raising alarms among health officials as the World Health Organization (WHO) announced urgent vaccination campaigns.

The baby, who was unvaccinated, developed paralysis due to the type 2 poliovirus, which was previously detected in wastewater samples from the Gaza Strip. This incident highlights how fragile the healthcare system has become amid the prolonged Israel-Hamas conflict, impacting immunization rates significantly.

United Nations agencies are calling for immediate vaccinations for about 640,000 children under ten years old, as they warn of the dire need for humanitarian pauses to facilitate these efforts. Philippe Lazzarini, head of the UN agency for Palestinian refugees, pointed out the indiscriminate nature of the disease, stating, "Polio does not distinguish between Palestinian and Israeli children."

The WHO's Director-General Tedros Adhanom Ghebreyesus expressed grave concern over the situation, remarking on the difficulties involved due to the destruction of health facilities and sanitation systems exacerbated by the war. He indicated the urgent need to safeguard the safety of health workers and the families they aim to help.

With the previous effective immunization coverage at 99% before the war, the shocking drop to current levels reveals significant vulnerabilities faced by children today. Lazzarini warned, "Delaying a humanitarian pause will increase the risk of spread among children," urging immediate action for the campaign's success.

Reports suggest the infant is currently stable, having lost movement only in one leg. Despite this, the long-term effects of polio can be devastating, ranging from permanent disability to life-threatening complications.

The WHO has announced plans for two vaccination rounds set to begin at the end of August and continue through September, aiming to mitigate the outbreak's impact. These campaigns come at a time when conditions within Gaza are particularly challenging, with civilians displaced and basic health services disrupted.

The Israeli military has stated it will facilitate the entry of polio vaccines, committing to supply sufficient dosages for several hundred thousand children. These vaccines, sent from Israel, will undergo careful transport to maintain their effectiveness amid the volatile situation.

Health facilities have been overwhelmed, and raw sewage issues contribute to the rapid spread of the virus, which is predominantly transmitted through contaminated water. Instances of the virus being found in wastewater serve as stark indicators of the outbreak's potential to escalate.

Traces of the polio virus were detected last month across several areas including Deir Al-Balah and Khan Younis, showing concerning evidence of possible widespread infection. The timeline for full-scale vaccination campaigns is critically short, as the heightened humanitarian crisis worsens each day.

Efforts are underway by various humanitarian groups, but the challenges of operating effectively within the war zone present significant obstacles. Advocates are urging for negotiations between Hamas and Israeli officials to allow for safe and effective delivery of healthcare services.

UN Secretary General António Guterres emphasized the urgency of the situation, stating, "Hundreds of thousands of children are at risk" as sanitation and health services remain compromised. With the deteriorated state of public health, preventing the virus from spreading will require decisive action from all parties involved.

The call for vaccination becomes more pressing as international agencies rally to address the crisis, working tirelessly to set up the necessary infrastructure for successful immunization. The health authorities are racing against time to avert what could become a public health catastrophe.

Long-term solutions will need to be addressed beyond immediate vaccination efforts, focusing on rebuilding and improving health infrastructure after the conflict. The re-emergence of polio serves as both a reminder of past successes and the current vulnerabilities exposed by war.

Global health entities continue to monitor the situation, providing resources and support where possible. The stakes are high, with the health and future of countless children hanging by the thread of access to basic medical services.

While the vaccination campaign brings some hope, the chaotic backdrop of war undermines every effort made. Still, health experts insist on the imperative need for protecting the next generation from preventable diseases, even amid conflict.

This complex situation will require collaboration between local health authorities and international agencies to coordinate responses effectively. Moving forward, building resilience within the healthcare system will be pivotal to address not only polio but other public health threats exacerbated by the continuing violence.

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