Health
Fake Records, Vaccine Gaps and Mismanagement Hamper Global Polio Eradication Push
Despite decades of effort and billions in funding, polio continues to defy eradication in parts of Afghanistan and Pakistan — the last two countries where the disease remains endemic. A recent investigation has revealed that deep-seated issues, including falsified immunisation data, reliance on an imperfect oral vaccine, and strategic missteps, have allowed the virus to persist.
The findings, published by the Associated Press, draw on internal documents and interviews with health workers and former World Health Organization (WHO) staff. They paint a troubling picture of systemic flaws within the Global Polio Eradication Initiative, one of the most ambitious public health campaigns in history.
While the campaign has vaccinated more than 3 billion children and prevented an estimated 20 million paralysis cases worldwide, its failures in South Asia raise concerns. In both Afghanistan and Pakistan, internal WHO reports dating back to 2017 document repeated warnings about vaccine mishandling, falsified records, and untrained staff. One report from Kandahar, for example, described vaccinators working “in a hurried manner” with “no plan for monitoring” and entire villages being skipped for years.
In Pakistan, front-line workers like Sughra Ayaz say logistical challenges and community resistance are rampant. “In many places, our work is not done with honesty,” Ayaz told AP, noting that some supervisors instruct workers to falsely mark children as vaccinated to meet targets. Families in poor regions often demand basic necessities over immunisations, while others cling to conspiracy theories about vaccine-induced sterilisation.
At the heart of the controversy is the oral polio vaccine (OPV), a cornerstone of the global campaign. While inexpensive and easy to administer, the OPV contains live, weakened virus strains. In rare cases, these can mutate and cause vaccine-derived outbreaks, particularly in communities with low vaccination coverage. Since 2021, several hundred such cases have been recorded annually, with 98 already reported this year.
Public health experts widely agree that a switch to the injectable inactivated polio vaccine (IPV) is essential. Unlike the oral version, IPV carries no risk of mutation. However, it is more expensive and requires trained healthcare workers — a major hurdle in remote and unstable areas.
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