New Polio Cases Reported in Pakistan’s Sindh and Punjab: Public Health Alert

New Polio Cases Reported in Pakistan’s Sindh and Punjab: Public Health Alert

Pakistan faces Polio resurgence: Five Cases Reported in 2025

Islamabad, February 28, 2025 – Pakistan is grappling with a concerning resurgence of wild poliovirus type 1 (WPV1), with the nation reporting two new cases, bringing the total count for 2025 to five. This development raises concerns about the effectiveness of ongoing eradication efforts and the vulnerability of unvaccinated populations.

New Cases Emerge in Sindh and Punjab

The latest polio cases have surfaced in the provinces of Sindh and Punjab, according to the National Institute of Health’s Regional Reference Laboratory for Polio Eradication. specifically, the cases where detected in Kambar, Sindh, and Mandi Bahauddin, Punjab.

A lab official stated, “This is the third polio case from Sindh and the first from Punjab this year, bringing the total number of cases in 2025 to five.” The previous three cases were identified in the Badin and Larkana districts of Sindh, and the Dera Ismail Khan district of Khyber Pakhtunkhwa.

A Troubling Trend: Increase in Polio Cases

The current situation marks a worrying trend for Pakistan, especially considering the important number of cases reported in the preceding year. In 2024, Pakistan recorded 74 polio cases, with Balochistan reporting 27, khyber Pakhtunkhwa 22, Sindh 23, and Punjab and Islamabad each reporting one.

Recent Vaccination Efforts and Challenges

In response to the escalating situation, Pakistan initiated its first nationwide polio vaccination campaign earlier this month. Following this, a fractional IPV-OPV Polio (injectable polio vaccine) campaign was conducted in Quetta and Karachi on February 20 and 22, respectively. These campaigns aim to boost immunity among vulnerable children and prevent further spread of the virus.

Though, vaccination efforts face resistance in some communities. On February 2, the Quetta administration arrested five people who refused to allow their children to be vaccinated against polio. Assistant Commissioner Maria Shamooun, accompanied by a polio team, visited various areas of Sariab, and 15 children of reluctant parents were administered the polio vaccine after persuasion, according to district administration. Despite repeated warnings, five parents who continued to refuse vaccination were taken into custody.

Understanding Polio: Transmission, Symptoms, and Prevention

According to the World Health Institution (WHO), polio is a highly infectious disease caused by a virus transmitted mainly through the faecal-oral route or, less frequently, through contaminated water or food. The virus multiplies in the intestine and can lead to severe health complications.

Initial symptoms of polio include fever, fatigue, headache, vomiting, stiffness of the neck, and pain in the limbs. “One in 200 infections leads to irreversible paralysis (usually in the legs),” states the WHO. Among those paralyzed, 5-10% die when their breathing muscles become immobilized. Children under 5 years of age are mainly affected by polio, according to WHO. Though, anyone of any age who is unvaccinated can contract the disease.

While there is no cure for polio, it is entirely preventable through vaccination. “Polio vaccine, given multiple times, can protect a child for life,” emphasizes the WHO. Two types of vaccines are available: oral polio vaccine and inactivated polio vaccine.

The Path Forward: Strengthening Vaccination and Addressing Misinformation

The resurgence of polio in Pakistan underscores the urgent need for intensified vaccination efforts and community engagement.Addressing misinformation and building trust in vaccines are crucial steps in ensuring wider coverage and preventing further outbreaks. Continued collaboration between the government, healthcare organizations, and international agencies is essential to achieve polio eradication in Pakistan.

Protect your children and community: Ensure that your children receive all recommended polio vaccinations. contact your local healthcare provider for more information.

What strategies are being implemented to improve vaccination coverage in insecure areas?

Interview with Dr. Amina khan, Polio Eradication specialist

As Pakistan grapples with a concerning resurgence of wild poliovirus type 1 (WPV1), we sat down with Dr. Amina khan, a renowned polio eradication specialist, to discuss the recent cases, challenges in vaccination efforts, and the path forward in combating this deadly disease.

New Cases Emerge in Sindh and Punjab

Dr.khan, two new polio cases have been reported in Sindh and Punjab, bringing the total count for 2025 to five. What are your thoughts on this worrying trend?
Dr. Amina khan: “Indeed, the resurgence of polio in Pakistan is a grave concern. The latest cases in Sindh and Punjab underscore the need for heightened vigilance and intensified vaccination efforts.We must ensure that no child is left unvaccinated, as this can lead to further outbreaks and put our progress towards polio eradication at risk.”

A Troubling Trend: Increase in Polio Cases

Last year, Pakistan recorded 74 polio cases.How do you explain this notable increase, and what measures are being taken to curb the spread?
Dr. Amina khan: “The increase in polio cases can be attributed to various factors, including gaps in vaccination coverage, especially in insecure areas, and misinformation surrounding vaccines. In response, we have been working diligently to improve vaccination strategies, enhance security for vaccination teams, and engage communities to address misconceptions about vaccines.”

Recent Vaccination efforts and Challenges

Nationwide vaccination campaigns have been initiated, along with fractional IPV-OPV campaigns in Quetta and Karachi. Though,vaccination efforts still face resistance in some communities. How are these challenges being addressed?
Dr. Amina khan: “Challenges in vaccination efforts, such as resistance from certain communities, are indeed a setback. We are addressing these challenges by engaging with community leaders, religious scholars, and parents to build trust in vaccines and emphasize the importance of vaccination for their children’s health and well-being. in some cases, law enforcement measures, like the recent arrests in Quetta, have been employed to ensure that children receive life-saving vaccinations.

Understanding Polio: Transmission, Symptoms, and Prevention

Could you explain how polio is transmitted, its initial symptoms, and how it can be prevented?
Dr. amina khan: “Polio is mainly transmitted through the feces-oral route or, less frequently, through contaminated water or food. initial symptoms include fever, fatigue, headache, vomiting, stiffness of the neck, and pain in the limbs. However, polio can be entirely prevented through vaccination. Both oral polio vaccine (OPV) and inactivated polio vaccine (IPV) are effective in stopping the transmission of the virus and protecting individuals from infection.

The Path Forward: Strengthening Vaccination and Addressing Misinformation

With the recent resurgence of polio in Pakistan, what steps do you believe are crucial in achieving polio eradication and ensuring no child is left behind?
Dr.Amina khan: “To eradicate polio, we must strengthen vaccination efforts by improving coverage, especially in hard-to-reach areas. Addressing misinformation and building trust in vaccines is equally crucial. We must also continue collaborating with various stakeholders,including the government,healthcare organizations,and international agencies,to pool resources and expertise in the fight against polio.”
Protect your children and community: Ensure that your children receive all recommended polio vaccinations. Contact your local healthcare provider for more information.
Stay informed and engaged in the fight against polio. Share your thoughts and suggestions in the comments below.

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