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Gates Rethinks His War on Polio

Shiloh

Editor, Senior Moderator
Source: http://online.wsj.com/article/SB100...4093239615022.html?mod=WSJ_hpp_LEFTTopStories

* APRIL 23, 2010

Gates Rethinks His War on Polio
By ROBERT A. GUTH

Bill Gates walked into the World Health Organization's headquarters in Geneva?for a meeting in an underground chamber where global pandemics are managed?and was greeted by bad news. Polio was spreading across Africa, even after he gave $700 million to try to wipe out the disease.

That outbreak raged last summer, and this week a new outbreak hit Tajikistan, which hadn't seen polio for 19 years. The spread threatens one of the most ambitious health campaigns in the world, the effort to destroy the crippling disease once and for all. It also marks a setback for the Microsoft Corp. co-founder's new career as full-time philanthropist.

Next week, the organizations behind the polio fight, including WHO, Unicef, Rotary International and U.S. Centers for Disease Control and Prevention, plan to announce a major revamp of their strategy to address shortcomings exposed by the outbreaks...

...Is humanity better served by waging wars on individual diseases, like polio? Or is it better to pursue a broader set of health goals simultaneously?improving hygiene, expanding immunizations, providing clean drinking water?that don't eliminate any one disease, but might improve the overall health of people in developing countries?.

The new plan integrates both approaches. It's an acknowledgment, bred by last summer's outbreak, that disease-specific wars can succeed only if they also strengthen the overall health system in poor countries.

If successful, the recalibrated campaign could shape global health strategy for decades and boost fights against other diseases. A failure could rank the effort as one of the most expensive miscalculations in mankind's long war with disease. Already, polio has evaded a two-decade-long, $8.2 billion effort to kill it off...
 
Re: Gates Rethinks His War on Polio

Source: http://www.rotary.org/en/ServiceAnd...ements/Pages/10april23_annc_scott_letter.aspx

Eradicating polio is feasible, says Scott
Rotary International News -- 23 April 2010


Robert Scott, chair of Rotary?s International Polio Plus Committee, responds to a 23 April Wall Street Journal article about polio with the following letter:

Dear Editor,

Your April 23 article documents the myriad complexities inherent in the effort to eradicate polio.

Yet, despite challenges both ongoing and emerging, tremendous progress continues to be made. The incidence of polio has plummeted by more than 99 percent since 1988, when Rotary International partnered with the WHO, the CDC and UNICEF to launch the Global Polio Eradication Initiative.

We are especially heartened by the recent progress in Nigeria, arguably the most challenging of the four remaining polio-endemic countries. Increased efforts to reach all of Nigeria?s children under age 5 with the oral polio vaccine are paying off, with only two cases recorded so far this year, compared with 193 cases this time last year.

The current outbreak in Tajikistan dramatically underscores the necessity of staying the course until the crippling disease is vanquished permanently. It shows how quickly polio can rebound and reclaim territory, and why ?99 percent? is not good enough.

Rotary and its partners have been at this for more than 20 years, achieving successes that demonstrate the feasibility of polio eradication. The partners? commitment and tenacity were recognized in 2007, when the Bill & Melinda Gates Foundation stepped in to provide major crucial funding.

Finally, in a timely perspective in the April 17 issue of The Lancet, University of Toronto researchers made the case for ?an ethical obligation? to finish polio eradication. ?We are on the last kilometre of a marathon,? they conclude. ?Surely it is worth crossing the finish line??

Dr. Robert Scott
Chair, Rotary?s International PolioPlus Committee
 
Re: Gates Rethinks His War on Polio

polio evaded death - but was really diminished
you'd think it's only <1% of work left to eliminate it
 
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