Will the Poliovirus Eradication Program Rid the World of ChildhoodParalysis?
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Will the Poliovirus Eradication Program Rid the World of Childhood
Paralysis?
Hey, guess what the definition of polio is, according to Pediatric
Infectious Diseases, by Hugh Moffet: nonpurulent
meningitis with asymmetric flaccid paralysis .. - SM
Will the Poliovirus
Eradication Program Rid the World of Childhood Paralysis? With So Little Poliovirus Detected Around the World, What Is Causing
Todays Outbreaks of Acute Flaccid Paralysis? By Neenyah Ostrom
April 20, 2001 - The World Health Organizations massive poliovirus eradication
program recently declared Egypt on the threshold of eradicating poliovirus.
We are now at the end of a polio era, a UN Childrens Fund Project Officer
told Reuters news service at the end of February 2001, with not a single case
of the crippling virus reported so far this year or last (2000) in Egypt. Does
this trend toward eradication of poliovirus mean an end to childhood paralysis
around the world?
There is no obvious answer to that question.
According to another set of statistics compiled by the World Health
Organization (WHO), there were 54 cases of acute flaccid paralysis
(abbreviated AFP) in Egypt in 2000, the most recent year for which statistics
are available. In 1999, although 9 AFP cases were classified as due to
poliovirus, Egypt had 276 more AFP cases that were classified as nonpolio
paralysis. These WHO statistics, kept back to 1996 for almost every country
in the world, reveal a surprising fact: Most of the paralysis around the world
today is not caused by the poliovirus.
This fact raises new,
disturbing questions, including: Was there ever an epidemic of poliovirus
infection in the United States and Canada? These two countries experienced a
great number of cases of AFP, to be sure, during which many children (and some
adults) tragically were paralyzed or died.
How many of these cases of paralysis, however, were caused by poliovirus? What
did cause those not associated with poliovirus? And what continues to cause so
much misery in areas of the world least-equipped to be able to deal with it?
Will mass vaccination campaigns and poliovirus eradication programs ensure that
no child is ever again paralyzed? Or is it timeusing new tools that didnt
exist in the mid-twentieth century when ground-breaking poliomyelitis research
was first performedto re-examine that basic research and the assumptions
underlying it?
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
Sandy's Scandals Column
Past and current Scandals
- columns by Sandy Gottstein (aka Mintz)*
* ►March 11, 2010 - School
refuses
access for Gardasil vaccine - www.stuff.co.nz
- "The school's
decision comes only days after Wellington woman Rhonda Renata publicly
blamed the Gardasil vaccine for the death of her 18-year-old daughter
last year. Jasmine died in September, six months after she
received the last of the three injections of the vaccine. Ms Renata
said "right from the first shot" Jasmine complained of ailments
including headaches, weak limbs, pins and needles, abdominal and chest
pains, and a racing heartbeat. She is now waiting for answers from the
coroner. Meanwhile, Timaru mother Julie Smith has started a website,
www.offtheradar.co.nz, out
of concern about the vaccine as she
researched it."
* ►March 10, 2010 - Rapid
Responses: Why did the Lancet take so long? Patient Confidentiality
- John A. Dodge, Hon. Professor of Child Health University of Wales
Swansea - journal article (BMJ)
-
" It is particularly surprising that a journalist for a lay newspaper
under orders to find a big story (Mr Deer's own words) could persuade a
respected teaching hospital to give him such data. Did the request go
to the research ethics committee? Did he obtain written consent from
the parents? Was he not given instructions to destroy all information
which could possibly identify individuals as soon as he had extracted
what he needed, in which case he should no longer hold names and
addresses? Remembering the threat of litigation if journalists should
try to reveal the immunisation status of the child of the then Prime
Minister, I can only conclude that Mr Deer either covered his back and
went through the correct procedures, or else that he assumed that the
parents would have no appetite, or money, to take him, his newspaper or
the hospital Trust to court for violating their privacy. I await his
clarification with interest."