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PRESENTATION ON CURRENT
NATIONAL CHALLENGES-
POLIOMYELITIS
GROUP 3
TOPIC: POLIOMYELITIS IN CHILDREN
• The focal point of this presentation is on poliomyelitis
• Its impact on the society, management and possible solutions.
ABSTRACT
• This presentation focuses on polio and how the prevalence about 1%.
• Polio is a highly infectious disease caused by the poliovirus.
• It primarily affects children under the age of 5 and can lead to
permanent paralysis and even death, however, anyone of any age
who is unvaccinated can contract the disease.
• Outbreaks of polio are more likely to occur in communities where
there are unimmunized children and coupled with poor sanitary and
hygiene environments. WHO(2022).
INTRODUCTION
• In 1988, the World Health Assembly adopted a resolution for the
worldwide eradication of polio, marking the launch of the Global Polio
Eradication Initiative (GPEI)
• It was spearheaded by national governments, WHO, Rotary
International, the US Centers for Disease Control and Prevention
(CDC), UNICEF, and Bill & Melinda Gates. WHO(2022).
• Since then, the incidence of polio worldwide has been reduced by
99% from an estimated 350,000 cases in more than 125 endemic
countries then, to 6 reported cases in 2021.
INTRODUCTION
• According to the World Health Organization, there has been a
significant reduction from the 350,000 cases reported in 1988 to
140 reported cases of wild poliovirus worldwide in 2020.
• On average between 1950 and 1955, WHO recorded annual
prevalence of almost 85,000 of which 87% originated from Europe,
Asia , North America and Japan.
• In 1994, WHO region of America was certified as polio-free, followed
by the Pacific region in 2000; European and South-East Asiain the year
2002 and 2014 respectively.
INTRODUCTION
• In 2020, Africa became the fifth region to be certified wild poliovirus-
free
• The Polio Eradication Strategy 2022–2026 lays out the roadmap to
securing a lasting and sustained world, free of all polioviruses.
WHY ERADICATION OF POLIO HAS NOT BEEN
ACHIEVED
• In spite of the 1% prevalence rate globally, the eradication of
Poliomyelitis has not been achieved due to;
• The lack of basic health infrastructure, which limits vaccine
distribution and delivery.
• The climate conditions which affects the potency of vaccines.
• vaccine-derived poliovirus outbreaks and funding issues.
• Inadequate mobilisation of community groups.
• Opposition to vaccination in some countries and some regions in
Ghana
GHANA’S INITIATIVE TO ERADICATE POLIO
• Various measures were put in place to eradicate polio in childeren.
• Ensuring high immunization coverage.
• Robust surveillance for the signs and symptoms of polio.
• Implementation of polio vaccination campaigns targeting children
under five years across all 16 regions of Ghana.
• Rapid response to any detection of the virus.
• Organisation on educational forums and campaigns for public
education and sensitization.
• Globally, the Polio Eradication Strategy 2022–2026 offers a
comprehensive set of actions that will position the GPEI to deliver on
a promise that brought the world together in a collective
commitment to eradicate polio.
• The Government of Ghana, with the support of the World Health
Organization (WHO) and other partners of the Global Polio
Eradication Initiative (GPEI),has revived its drive to eradicate polio
(WHO,2022).
METHODOLOGY
• In 1974, Nicholas, Ofosu-Amaah and their colleagues conducted a
research on lame children, initially identified by school teachers as
being unable to walk normally.
FINDINGS
• They found out that, the annual incidence of polio in children in
Ghana, at 232 per million population, was twice as high as it has been
in the United State before vaccination.
• The polio was the cause of the disability in over 60% in the lame
children examined.
• In August 2020, Africa was declared free of poliomyelitis (polio),
bringing to fruition a goal that took more than 30 years to
achieve.(Mohammed & Nkengasong,2021).
FINDINGS
• By 2001, 575 million children (almost one-tenth the world's
population) had received some two billion doses of oral polio vaccine.
• In 2007, there were 1,315 cases of poliomyelitis reported worldwide.
REFERENCES
1. Estivariz, Concepcion F.; Link-Gelles, Ruth; Shimabukuro, Tom (2021). "Chapter 18: Poliomyelitis". In Hall, Elisha; Wodi, A. Patricia; Hamborsky,
Jennifer; Morelli, Valerie; Schillie, Sarah (eds.). Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book) (14th ed.). Centers
for Disease Control and Prevention (CDC, US).
2. Poliomyelitis: Key facts". World Health Organisation. 22 July 2019.
3. CDC (29 March 2022). "What is Polio?". Centers for Disease Control and Prevention.
4. Nathanson N, Martin JR. The epidemiology of poliomyelitis: enigmas surrounding its appearance, epidemicity, and disappearance. Am J
Epidemiol. 1979 Dec;110(6):672-92.
5. Global Polio Eradication Initiative, World Health Organization (April 2015). Polio environmental surveillance expansion plan: global expansion plan
under the endgame strategy 2013-2018 (PDF) (Report). World Health Organization (WHO).
6. Hiromasa Okayasu; Carolyn Sein; Diana Chang Blanc; Alejandro Ramirez Gonzalez; Darin Zehrung; Courtney Jarrahian; Grace Macklin; Roland W.
Sutter (2017). "Intradermal Administration of Fractional Doses of Inactivated Poliovirus Vaccine: A Dose-Sparing Option for Polio Immunization"
(PDF). The Journal of Infectious Diseases. 216 (S1): S161–7.
7. Edward P K Parker; Natalie A Molodecky; Margarita Pons-Salort; Kathleen M O'Reilly; Nicholas C Grassly (2015). "Impact of inactivated poliovirus
vaccine on mucosal immunity: implications for the polio eradication endgame". Expert Review of Vaccines. 14 (8): 1113–1123.
8. Patel JC, Diop OM, Gardner T, Chavan S, Jorba J, Wassilak SG, Ahmed J, Snider CJ (April 2019). "Surveillance to Track Progress Toward Polio
Eradication - Worldwide, 2017-2018" (PDF). Morbidity and Mortality Weekly Report. 68 (13): 312–318.
9. Mohammed, A., Tomori, O. & Nkengasong, J.N.(2021). Lessons from the elimination of poliomyelitis in Africa. Nat Rev Immunol 21, 823–828.
10. Agyei-Mensah, Samuel; Aikins, Ama de-Graft (2010). "Epidemiological Transition and the Double Burden of Disease in Accra, Ghana". Journal of
Urban Health. 87 (5): 879–897.

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Group%20presentation%20Pcc.pptx

  • 1. PRESENTATION ON CURRENT NATIONAL CHALLENGES- POLIOMYELITIS GROUP 3
  • 2. TOPIC: POLIOMYELITIS IN CHILDREN • The focal point of this presentation is on poliomyelitis • Its impact on the society, management and possible solutions.
  • 3. ABSTRACT • This presentation focuses on polio and how the prevalence about 1%. • Polio is a highly infectious disease caused by the poliovirus. • It primarily affects children under the age of 5 and can lead to permanent paralysis and even death, however, anyone of any age who is unvaccinated can contract the disease. • Outbreaks of polio are more likely to occur in communities where there are unimmunized children and coupled with poor sanitary and hygiene environments. WHO(2022).
  • 4. INTRODUCTION • In 1988, the World Health Assembly adopted a resolution for the worldwide eradication of polio, marking the launch of the Global Polio Eradication Initiative (GPEI) • It was spearheaded by national governments, WHO, Rotary International, the US Centers for Disease Control and Prevention (CDC), UNICEF, and Bill & Melinda Gates. WHO(2022). • Since then, the incidence of polio worldwide has been reduced by 99% from an estimated 350,000 cases in more than 125 endemic countries then, to 6 reported cases in 2021.
  • 5. INTRODUCTION • According to the World Health Organization, there has been a significant reduction from the 350,000 cases reported in 1988 to 140 reported cases of wild poliovirus worldwide in 2020. • On average between 1950 and 1955, WHO recorded annual prevalence of almost 85,000 of which 87% originated from Europe, Asia , North America and Japan. • In 1994, WHO region of America was certified as polio-free, followed by the Pacific region in 2000; European and South-East Asiain the year 2002 and 2014 respectively.
  • 6. INTRODUCTION • In 2020, Africa became the fifth region to be certified wild poliovirus- free • The Polio Eradication Strategy 2022–2026 lays out the roadmap to securing a lasting and sustained world, free of all polioviruses.
  • 7. WHY ERADICATION OF POLIO HAS NOT BEEN ACHIEVED • In spite of the 1% prevalence rate globally, the eradication of Poliomyelitis has not been achieved due to; • The lack of basic health infrastructure, which limits vaccine distribution and delivery. • The climate conditions which affects the potency of vaccines. • vaccine-derived poliovirus outbreaks and funding issues. • Inadequate mobilisation of community groups. • Opposition to vaccination in some countries and some regions in Ghana
  • 8. GHANA’S INITIATIVE TO ERADICATE POLIO • Various measures were put in place to eradicate polio in childeren. • Ensuring high immunization coverage. • Robust surveillance for the signs and symptoms of polio. • Implementation of polio vaccination campaigns targeting children under five years across all 16 regions of Ghana. • Rapid response to any detection of the virus. • Organisation on educational forums and campaigns for public education and sensitization.
  • 9. • Globally, the Polio Eradication Strategy 2022–2026 offers a comprehensive set of actions that will position the GPEI to deliver on a promise that brought the world together in a collective commitment to eradicate polio. • The Government of Ghana, with the support of the World Health Organization (WHO) and other partners of the Global Polio Eradication Initiative (GPEI),has revived its drive to eradicate polio (WHO,2022).
  • 10.
  • 11. METHODOLOGY • In 1974, Nicholas, Ofosu-Amaah and their colleagues conducted a research on lame children, initially identified by school teachers as being unable to walk normally.
  • 12. FINDINGS • They found out that, the annual incidence of polio in children in Ghana, at 232 per million population, was twice as high as it has been in the United State before vaccination. • The polio was the cause of the disability in over 60% in the lame children examined. • In August 2020, Africa was declared free of poliomyelitis (polio), bringing to fruition a goal that took more than 30 years to achieve.(Mohammed & Nkengasong,2021).
  • 13. FINDINGS • By 2001, 575 million children (almost one-tenth the world's population) had received some two billion doses of oral polio vaccine. • In 2007, there were 1,315 cases of poliomyelitis reported worldwide.
  • 14. REFERENCES 1. Estivariz, Concepcion F.; Link-Gelles, Ruth; Shimabukuro, Tom (2021). "Chapter 18: Poliomyelitis". In Hall, Elisha; Wodi, A. Patricia; Hamborsky, Jennifer; Morelli, Valerie; Schillie, Sarah (eds.). Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book) (14th ed.). Centers for Disease Control and Prevention (CDC, US). 2. Poliomyelitis: Key facts". World Health Organisation. 22 July 2019. 3. CDC (29 March 2022). "What is Polio?". Centers for Disease Control and Prevention. 4. Nathanson N, Martin JR. The epidemiology of poliomyelitis: enigmas surrounding its appearance, epidemicity, and disappearance. Am J Epidemiol. 1979 Dec;110(6):672-92. 5. Global Polio Eradication Initiative, World Health Organization (April 2015). Polio environmental surveillance expansion plan: global expansion plan under the endgame strategy 2013-2018 (PDF) (Report). World Health Organization (WHO). 6. Hiromasa Okayasu; Carolyn Sein; Diana Chang Blanc; Alejandro Ramirez Gonzalez; Darin Zehrung; Courtney Jarrahian; Grace Macklin; Roland W. Sutter (2017). "Intradermal Administration of Fractional Doses of Inactivated Poliovirus Vaccine: A Dose-Sparing Option for Polio Immunization" (PDF). The Journal of Infectious Diseases. 216 (S1): S161–7. 7. Edward P K Parker; Natalie A Molodecky; Margarita Pons-Salort; Kathleen M O'Reilly; Nicholas C Grassly (2015). "Impact of inactivated poliovirus vaccine on mucosal immunity: implications for the polio eradication endgame". Expert Review of Vaccines. 14 (8): 1113–1123. 8. Patel JC, Diop OM, Gardner T, Chavan S, Jorba J, Wassilak SG, Ahmed J, Snider CJ (April 2019). "Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2017-2018" (PDF). Morbidity and Mortality Weekly Report. 68 (13): 312–318. 9. Mohammed, A., Tomori, O. & Nkengasong, J.N.(2021). Lessons from the elimination of poliomyelitis in Africa. Nat Rev Immunol 21, 823–828. 10. Agyei-Mensah, Samuel; Aikins, Ama de-Graft (2010). "Epidemiological Transition and the Double Burden of Disease in Accra, Ghana". Journal of Urban Health. 87 (5): 879–897.