1.1 Introduction
Poliomyelitis
is a distinct condition that was identified in 1840 by Jakob Heine, and in
1908, Karl Landsteiner identified its causative agent, poliovirus (Caserta,
2009). Renne, (2010) averred that even
though prior to 19th century, major polio epidemics were not know, the
most fearful children diseases of the 20th century was polio. A lot of children have been maimed by polio epidemics and so many others have
died from this disease.
Kamadjeu (2014), asserted that the polio virus is extremely
communicable disease capable of attacking the nervous organ and in several situations
result to Acute Flaccid Paralysis (AFP) and children under 5 years die most
times. Tomori (2011),
claimed that over 400,000 children are infected and maimed annually as
at 1988. The Global Polio Eradication Initiative (GPEI)
which commenced in 1988 minimized the yearly virus incidence rate at 97%
globally the year after via vaccination. Bank, (2015) posits that the four polio
endemic countries which Nigeria is one of them, the Northern States in Nigeria
serve as major reservoir of the disease. The
ranking of the Nigeria general health care performance by WHO 187th
among the 191 member states propelled formulation of policies and framework
geared towards revamping the nation’s health sector both at State and Federal (WHO,
2016).
In
1988, Nigeria started polio eradication campaign using the fixed post and house
to house strategies on days chosen as National Immunization Days (NIDs) and
become fully dedicated to global goal of polio eradication (Ajibade, 2010). The
national average reached 40- 60 million children (Yahaya, 2015). Although
concerted efforts have been made to eradicating polio in Nigeria, the progress
was not sustained and as a result the polio virus was able to make a comeback (WHO, 2016).
This calls for active commitment of all stakeholders at all levels, improve quality
and coordination of immunization campaigns, sincere commitment of traditional,
opinion, religious leaders, community ownership, integrated social mobilization
and information dissemination. Therefore, there is a need for strong commitment
among all stakeholders to build on previous experiences, provision of high
quality manpower, committing more resources, and improve quality and coordination
of vaccination program for Nigeria to overcome the current situation. This essay therefore, is intended to look at
the reemergence of polio virus
in Nigeria.
1.2
Reemergence of Polio in Nigeria
As stated above, Nigeria has made concerted
efforts and progress to eradicate polio and
was once declared free polio nation.
However, the efforts suffered a setback in August 20….. when, after two
years free of transmission, two cases of polio reemerged in Borno State,
Nigeria, followed by another in September…... A country cannot be declared
polio-free until three years have passed with no new cases (WHO,
2016).
Doune Porter, UNICEF Nigeria’s chief of
communication, stressed that vaccinations were vital in curtailing the
re-emergence of polio in Nigeria and controlling it, saying the new cases were a
“huge disappointment” (WHO, & UNICEF, 2017). Porter
stressed further that;
“we have to restart the clock and more
children need to be accessed with vaccinations as well. Conversely, it is
paramount to note that it’s not going back to having huge numbers of polio
cases. It doesn’t undo the progress we have made so far since we have come a long way.”
Obadare, (2015), claimed that one
major reason for reemergence of polio disease is that large
parts of the northern states have been inaccessible to health workers and humanitarian
organizations due to the Boko Haram insurgency.
Thus this has resulted to a number of children not been immunized in
some part of the States. However, the vaccine
is relatively simple to administer.
Bristol,
(2015), asserted that the people of northern Nigeria where
polio is endemic are predominantly Hausas and are found in other West African countries.
The Hausas who are majorly Muslims
attributed different meaning to the polio virus. Contrary to science, they
understand the virus to be a spiritual cause or sickness called Shan-inna
by the Hausas. While, in Medical field, is caused by a virus and is preventable
through scientific methods of immunization. Bristol (2015), buttressed his argument further
that these dissimilarities among the Hausas would only be
resolved by aggressive education and awareness as it has led to conflicts of believes which have determinedly
contributed acceptance and administering the vaccines.
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