Jan 31, 2013

Pakistan - Two polio vaccination workers have been killed in a landmine blast in the Kurram tribal region of north-west.

Two polio vaccination workers have been killed in a landmine blast in the Kurram tribal region of north-west Pakistan, officials say.

The men were visiting a village in the Malikhel area when the mine went off. No group has claimed the attack. 

Correspondents say Sunni militants may have planted the mine - the upper Kurram area is dominated by Shias who do not oppose anti-polio efforts.

Read more  www.bbc.co.uk

Jan 29, 2013

Gunmen kill police officer protecting polio workers in Pakistan.

Gunmen on motorbikes have shot and killed a police officer escorting polio workers during a UN-backed vaccination campaign in north-west Pakistan, police said.

The attack took place as dozens of health workers – including several women – were going door-to-door to vaccinate children in Gullu Dheri village of the Swabi district in Khyber Pakhtunkhwa province, said Izhar Shah, a senior police.

Read more  www.guardian.co.uk

Jan 27, 2013

Scientists zoom in on a killer virus. SCIENTISTS have developed the world's first moving 3D simulation of the polio virus interacting with drugs.

220113 polio virus


The modelling represents a major breakthrough in the battle to eradicate the disease, and could one day be used to find a cure for HIV and other life-threatening viruses. 
 
Victorian Infectious Diseases Reference Laboratory deputy director and lead researcher Jason Roberts said the simulation was developed using the most powerful supercomputer in the southern hemisphere, Blue Gene Q. 

The technology, developed by the University of Illinois for life sciences research, enables a model of the virus to be built in minutes by mapping the atoms within it. 

‘‘Without it, this research would have taken months, if not years,’’ Dr Roberts said. ‘‘ When you’ve got in excess of two million or three million atoms floating around in a virtual system, it takes an incredible amount of computing power to model that. 

‘‘Up until this machine, this was pie-in-the-sky stuff. Now we can actually do it,’’ he said. 

Dr Roberts said the modelling enabled researchers to see how a virus would react in different situations. ‘‘We’re adding a drug in there, and that drug will float around in solution, bind and do all the things it needs to do,’’ he said. 

The campaign to eradicate polio has made significant advances recently, with only 212 cases reported worldwide last year, compared with 620 in 2011. 
  
The disease is now found in only three countries — Afghanistan, Nigeria and Pakistan — where health authorities have faced significant challenges in trying to immunise the population. 

Reports late last month of a vaccine-resistant polio virus emerging in at least 10 people in Pakistan prompted the World Health Organisation to start using a different vaccine from the one they have used for the past 50 years. 

The supercomputer modelling would enable scientists to deal with growing vaccine-resistant strains of the disease, Dr Roberts said. ‘‘The simulation can be used to determine how the virus mutates, changes with temperature, interacts with water and, most importantly. how it interacts with drugs.’’

Dr Roberts said the research potentially had ‘‘huge ramifications’’ for public health. ‘‘There’s nothing stopping us in 10 years’ time moving this over to other viruses such as HIV.’’ 

He said the researchers had chosen to work on polio, rather than other viruses, because they had nearly 100 years of research on which to base their modelling. 

‘‘It’s one of the most studied viruses of all time, so it’s a fantastic model,’’ he said. 

Accuracy is one of the researchers’ highest priorities as they work at such a minute level. They will need to take time to perfect it before they can think about adapting the simulation to other viruses. 

‘‘The way I often like to imagine it is to tell people it’s like walking into the MCG and saying you need to check one chair to find out if it’s got four legs,’’ Dr Roberts said. ‘‘There are a lot of chair legs in the MCG.’’ 
 

An emergency polio vaccination programme is to be carried out in the Egyptian capital, Cairo, after samples of the virus were found in sewage.

An emergency polio vaccination programme is to be carried out in the Egyptian capital, Cairo, after samples of the virus were found in sewage.

The World Health Organisation (WHO) says the strain of virus matches one found in southern Pakistan.

No-one in Cairo has shown any symptoms of the disease and there have been no cases of polio in Egypt since 2004.

Polio virus samples linked to a southern Pakistani city were discovered in two sewage samples from Cairo.

Pakistani health officials Monday called for infants leaving the country to be issued polio vaccinations at airports after virus samples linked to a southern Pakistani city were discovered in Egypt.

Two sewage samples from Cairo were analysed and found to resemble a recently discovered strain in the Pakistani city of Sukkur, a joint statement by health officials, the World Health Organization (WHO) and UNICEF said.

"To reduce the possibility of spread of the polio virus beyond Pakistan's borders, the government's Monitoring and Coordination Cell is advising to set up permanent vaccination counters at the international departure lounges of all airports," it said.

The statement recommended that "all children under five years leaving the country are vaccinated against the polio virus."

Read more  www.google.com

Jan 18, 2013

Vaccine Switch Urged for Eradication of Remaining Pockets of Polio. An inactivated virus vaccine, delivered by injection rather than orally, could be key to eradicating polio globally.

Vaccine switch urged for polio endgame. Inactivated virus vaccine could deliver the final blow.

By sunrise on a warm December morning, Janila Shulu’s team are out in the dirt roads and alleyways of Ungwan Rimi, a poor neighbourhood in a predominantly Muslim section of Kaduna city in northern Nigeria. Three female health workers, accompanied by a community leader, dart from house to house, squeezing a few drops of polio vaccine into the mouths of all the young children they can find, even those who pass by on the street. By 1 p.m., after giving hundreds of doses, they stop for the day — the first of a national five-day effort.

Such campaigns are the backbone of the global push to eradicate polio, but this month the World Health Organization (WHO) in Geneva, Switzerland, proposed a shift in vaccination strategy from oral vaccines to injected ones that may have to be administered in clinics. The change is needed to mop up the last remaining pockets of polio, but experts say that it poses challenges in places such as Kaduna city, which have poor access to health care. 
 
Continue reading  www.nature.com 
 
 
 

Jan 8, 2013

58 polio cases caused by vaccine-derived poliovirus in 2012.

In 2012, 58 cases causeb by Circulating vaccine-derived poliovirus.

Nigeria 4 reported cases.
Pakistan 15 reported cases.
Afghanistan 4 reported cases.
Somalia 1 reported cases.
Chad 12 reported case.
Kenya 3 reported cases.
DR Congo 17 reported cases.
Yemen 2 reported cases.

Vaccine-derived polioviruses (VDPVs) are rare strains of poliovirus that have genetically mutated from the strain contained in the oral polio vaccine. 
 

218 polio cases in 2012.

218 wild poliovirus cases were reported from five countries in 2012. 

Nigeria 119 reported cases.
Pakistan 58 reported cases.
Afghanistan 35 reported cases.
Niger 5 reported cases.
Chad 1 reported case.
 

Jan 6, 2013

Post-Polio Syndrome: A Rising Health Problem Among Women.

Post-polio syndrome (PPS), a progressive neuromuscular syndrome that primarily affects women, occurs 10-40 years after recovery from an acute polio infection. Risk for developing this syndrome depends on initial damage to motor neurons during the polio infection, which can lead to neurologic damage, muscle atrophy, pain, weakness, and respiratory and speech impairments. Management of women with PPS requires a multidisciplinary approach that entails both pharmacologic and non-pharmacologic therapies. Nurse practitioners may not have learned about this disease during their educational years, or they may have learned about it many years ago, and therefore require up-to-date information about the clinical presentation of PPS in order to lead a team that will manage these patients’ care and treatment plans. The authors provide an overview of PPS with regard to pathophysiology, clinical manifestations, diagnosis, and treatment.

Continue reading www.webnponline.com