PAKISTAN is on the verge of hitting 50 polio cases this year. A look at the trends leaves one bewildered. We were down to just one case in 2021. Then, despite a setback with 20 cases in 2022 — possibly due to the floods — there was again some hope with six cases in 2023. The situation has taken a drastic turn with over 40 cases this year. What is driving the numbers up? Why is Pakistan unable to get a handle on this? Despite nearly three decades of sustained efforts, the virus’s resurgence likely stems from critical gaps in immunisation coverage, public cooperation, and community trust. The situation demands a renewed approach, with a focus on proactive measures rather than reactive interventions. The government’s National Emergency Action Plan is a positive step. It emphasises targeted efforts for mobile and migrant populations, particularly near the Afghan border, where unchecked movement has exacerbated the virus’ spread. This focus is essential. However, provinces must engage communities at the grassroots level. Sindh has enlisted the ulema and elected representatives in its vaccination drive, which should inspire similar initiatives nationwide. Clerics carry immense influence, especially in communities that are resistant to vaccination; their support is crucial to dispel misinformation and boost vaccine acceptance.

Yet, this obstacle cannot be tackled through religious endorsement alone. There are reports of number fudging, which means areas on the map where children are being missed. This is where transparency and accountability are needed. Moreover, Balochistan’s high infection rates — particularly in remote areas — demand better protection of polio workers. Equally vital is addressing hygiene and sanitation challenges that perpetuate transmission. As we move forward with the year’s third vaccination campaign, official commitment must translate into action. Alongside rigorous vaccination efforts, public health messages must be clear and resonate with parental responsibility. Only through a collective effort can this battle be won.

Published in Dawn, October 29th, 2024