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                                                                                         WORLD NEWS Tuesday 17 april 2018





























            Nigeria's Boko Haram extremists hamper polio eradication



            By  HARUNA  UMAR  and  has  expanded  beyond  Ni-
            KRISTA LARSON                geria's  borders  to  neigh-
            MAIDUGURI,  Nigeria  (AP)  boring  Niger,  Chad  and
            —  Islamic  extremists  made  Cameroon. Its violence has
            Imana Alhaji Gana's village  proved  to  be  a  major  set-
            in northeastern Nigeria too  back  to  the  international
            dangerous for health work-   campaign against polio.
            ers  to  vaccinate  against  Nigeria  is  one  of  just  three
            polio.  Now  that  she  and  countries where polio is en-
            her  family  have  fled  to  a  demic  and  has  not  been
            displacement camp, those  eliminated, along with Pak-
            workers want to catch her  istan and Afghanistan. The
            children in time.            final phase to wipe out po-
            Here in the camps housing  lio is "proving to be extraor-
            thousands of families seek-  dinarily  difficult"  because
            ing safety from the extrem-  "the  poliovirus  is  surviving
            ists, health teams are going  despite  all  the  good  work
            from tent to tent, inoculat-  and  in  the  face  of  every-
            ing  youngsters  against  the  thing  that  is  being  thrown
            disease  that  withers  limbs  at it," said a WHO-appoint-
            and  disables  children  for  ed monitoring group at the
            life.                        end of last year.
            At first, Gana is afraid to let  In Nigeria, there is little or no
            the  outreach  workers  vac-  surveillance  data  in  Borno    In this Saturday, Aug. 27, 2016, file photo, a health official from the United Nations International
            cinate her baby. Eventually  state,  and  "unless  there  is   Children's Emergency Fund (UNICEF) administers a polio vaccine to a child at a camp for people
            they persuade her that the  a  breakthrough  to  reach    displaced by Islamist extremists, in Maiduguri, Nigeria.
            three-week-old  child  is  not  those  areas  in  Borno,  the                                                                   Associated Press
            too  young  for  immuniza-   entire  polio  (eradication)
            tion, which can take place  program is at risk," said the  Now  the  WHO  says  it  will  some of their colleagues to  "I also tell them should your
            as early as the day of birth.  monitoring  group.  Nige-  be  spending  $127  million  disguise their vaccine carri-  child  contract  polio  and
            The    complicated    fight  ria  had  other  outbreaks  toward  eradicating  polio  ers or hide them under their  grew  up  to  understand
            against polio is yet another  last  year  including  chol-  in  Nigeria  between  2018  hijabs.                     that  his  or  her  parent  had
            way the Nigeria-based ex-    era,  hepatitis,  monkeypox,  and 2019. Rotary's program  In  addition  to  the  threat  a  chance  to  prevent  the
            tremist  group  Boko  Haram  Lassa  and  yellow  fevers,  is  helping  that  effort  by  posed  by  Boko  Haram,  disease but failed, the child
            has  disrupted  life  in  the  showing  the  challenges  to  targeting  some  2.1  million  some  communities  are  still  would  never  forgive  the
            northeast,  leaving  children  the  country's  health  care  children in 24 accessible lo-  fearful of the polio vaccine  parents," she said. "This kind
            vulnerable  to  an  entirely  system.  Globally  the  cam-  cal governments. But there  after  years  of  misinforma-  of  message  actually  spurs
            preventable disease.         paign  to  eradicate  polio  are still three areas in Borno  tion that it can cause steril-  many mothers to offer their
            "When such children come  has  been  faced  with  out-    state that are not included  ity  and  other  health  prob-  kids for the vaccine."
            to the camps or host com-    breaks last year in non-en-  because  of  ongoing  insta-  lems.                       Fatimah  Muhammed,  a
            munities  they  become  a  demic countries like Congo  bility:  Kala-Balge,  Marte  "Many people now accept  45-year-old  mother  of  six,
            threat  to  other  children,"  and Syria.                 and  Abadam.  For  those  the  vaccine  against  polio,  says parents should accept
            said  Almai  Some,  the  field  The  World  Health  Organi-  unreachable  areas,  the  but there are still more cas-  the vaccine.
            coordinator  in  Borno  state  zation had declared Nige-  vaccinators  train  Nigerian  es  of  rejections  here  and  "Today  we  have  children
            for  the  vaccination  cam-  ria polio free in September  soldiers  in  how  to  adminis-  there  and  we  are  doing  that had taken the vaccine
            paign run by Rotary.         2015  after  it  went  a  year  ter the vaccines.         our  best  to  tackle  them,"  some 15 years ago who are
            Some of the families arriving  without any new cases. But  In  a  few  cases,  villag-  said Digma Zubairu, district  married and are even hav-
            are from areas where polio  in  2016  —  after  two  years  ers  have  reported  being  head in Shehuri-North.      ing  children  of  their  own,"
            vaccinators have not been  with  no  cases  —  fresh  po-  threatened by Boko Haram  Falmata Kolo, a 21-year-old  she  says.  "So  my  advice
            able to visit for as long as six  lio cases broke out in three  fighters  to  avoid  the  po-  volunteer with Rotary's out-  for my fellow mothers who
            years.                       locations in Borno state. No  lio  vaccine.  And  in  2013  reach  program  Polio  Plus,  have  kids  under  the  age
            Boko  Haram's  insurgency  new  cases  were  reported  a  number  of  vaccinators  said  she  works  to  reassure  bracket (6 years old) to get
            began in Maiduguri, Borno  in  Nigeria  in  2017  or  so  far  were  attacked  and  killed  people  that  the  vaccina-  them  to  take  the  vaccine
            state's capital, but its reach  this year.                by  the  extremists,  leading  tions are safe.            because it is good."q
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