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Anand Dalit Oppression
Anand Dalit Oppression
Anand Dalit Oppression
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EradicatingPolio:
Bylate2003,endemicfociwerelocated
in fivestates/provinces ofIndia,Pakistan
Makinga ShortStoryLong
and Nigeria.Itwas projectedthatby2006,
therewouldbe no endemiccountries, and
by 2008, all countrieswouldbe certified
polio-free.But poliocontinuetopersistin
RAJIBDASGUPTA developing,tropicalcountriesowing to
lower"levelsofserocon-
(1) "substantially
A discussionofIndia'spolio eradicationof smallpoxin the version,on accountofconcomitant infec-
eradication whathas mid-1970s led to a newglobalcon- tionsand malnutrition; (2) programmatic
programme,
fidence. Atthesametime,theAlma factors,includingcold chainweaknesses;
worked,what has notand what factorsincluding
Atadeclaration of1978markeda commit- and (3) environmental
nowneedstobe and can be done. mentto primary healthcare. Soon, selec- sub-optimalsanitation,high population
tiveprimary healthcare withits techno- densityand tropicalclimates.The challen-
centricfocusdislodgedtheoriginalvision, ges forIndiaincludedthefailurein reach-
at leastto someextent.Itis at thisjuncture ingveryyoungand underserved children
thattheidea ofpolioeradication appeared in general,and implementing theprogra-
on thehorizon.Theyear2008 markedthe mme,specifically,inwestern UttarPradesh,
25thyearinthehistory of thepolioeradi- wherea "substantial number"of children
cationprogramme. In 1983,a meetingof had missedpulsedoses.Whilethesechal-
publichealthexpertsheldat Bellagio,rec- lengeswereidentified andstrategiesdrawn
ommendedtheinclusionofpolio eradica- up to facethem,thecrucialmissingpiece
tionas a component oftheExpandedPro- was the numberof doses requiredin en-
gramme on Immunisation (John 1996: demicareaslikewestern UttarPradeshand
76-90). A consultative committee consti- Biharto achieveelimination/eradication.
tutedbytheRotaryInternational declared answer.
Tilldate,thereis no satisfactory
inthefollowing yearthateradication could
possibly be achieved by 2005. Meanwhile, Polio Situation in 2008
theWorldHealthAssembly in 1988,in its Following a sharpdeclineofwildpoliovirus
wisdom, advanced the goal to 2000 term- (wpv) cases globallyin 2003, the period
ing it an "appropriate gift,together with from 2004 to 2008 actuallyrecordeda sharp
theeradication ofsmallpox,fromthe20th increase.In 2008,therewere1,625globally
to the 21st century*.1 The Global Polio reported wpvcases,including 137from non-
EradicationInitiative(gpei), popularly endemiccountries. Seventeen countries re-
knownas "PulsePolio",was thuscrafted portedwpv including Nigeria(788), India
as a shortstorywitha happyending.As (551),Pakistan(188) and Afghanistan (31).
statedbytherecently releasedgpel Start- In a reversaloftrendssince2006, pi virus
egicPlan2009-13,whatstarted as a 12-year was back as the dominantinfection, ac-
operation(1988-2000) now stands offi- counting forabout 60% of allwpv cases.Ac-
cially extendedby another12 years,to tiveoutbreaks on accountofimported cases
RajibDasgupta{rdasgupta@mailjnu.ac.in)
isattheCentre and
ofSocialMedicine 2013. Pulse in is
Polio, India, currently were reported from 12 countries,five of
Community Nehru
Jawaharlal
Health, not onlyby missed deadlines, but them experiencedprolonged transmission
plagued
NewDelhi.
University, formorethan12months.2
also bythecrisisofconfidence.
10 june 20, 2009 vol xliv no 25 13X3 Economic weekly
& Political