Eradication of poliomyelitis: countdown or slowdown

  • B. D. Schoub


Vast obstacles remain in the path to the global eradication of poliomyelitis, particularly on the African continent. These include huge deficiencies in primary health care aggravated by the competition with other daunting health and social priorities, political difficulties and ignorance. Primary health care remains the cornerstone of the drive to eradicate polio and needs to be strengthened by greater community involvement, increased mobility and therefore reach, and increasing access to newborns. However, polio eradication cannot be achieved without mass immunization campaigns additional to primary health care programmes. The immense cost savings of mass immunization and disease eradication need to be strongly emphasized.


Polio Eradication Eradication Campaign Primary Health Care Clinic Global Eradication Routine Immunization Programme 
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  1. 1.
    Kim-Farley RJ, Bart KJ, Schonberger LB, Orenstein WA, Nkowane BM, Hinman AR, Kew OM, Hatch MH, Kaplan JE (1984) Poliomyelitis in the USA: Virtual elimination of disease caused by wild virus. Lancet ii: 1315–1317CrossRefGoogle Scholar
  2. 2.
    de Quadros CA, Andrus JK, Olivé J-M, da Silveira CM, Eikhof RM, Carrasco P, FitzsimmonsJW, Pinheiro M, and FP (1991) Eradication of poliomyelitis: progress in the Americas. Pediatr Infect Dis J 10: 222–229PubMedCrossRefGoogle Scholar
  3. 3.
    World Health Organization (1988) Global eradication of poliomyelitis by the year 2000. Wkly Epidemiol Rec 63:161–168Google Scholar
  4. 4.
    World Health Organization (1988) Global poliomyelitis eradication by the year 2000: Plan of action. Expanded Programme on Immunisation (EPI/POLIO/88-1) 1–21Google Scholar
  5. 5.
    Sutter RW, Patriarca PA, Brogan S, Malankar PG, Pallansch MA, Kew OM, Bass AG, Cochi SL, Alexander JP, Hall DB, Suleiman AJM, Al-Ghassany AAK, El-Bualy MS (1991). Lancet 338: 715–720PubMedCrossRefGoogle Scholar
  6. 6.
    World Health Organization (1989) Expanded Programme on Immunization (EPI). Poliomyelitis in 1986, 1987 and 1988, Part I. Wkly Epidemiol Rec 64: 273–279Google Scholar
  7. 7.
    Schoub BD, Johnson S, McAnerney JM, van Middelkoop A, Küstner HGV, Windsor I, Vinsen C, McDonald K (1992) Poliomyelitis outbreak in Natal/KwaZulu, South Africa, 1987-1988. II. Immunity aspects. Trans R Soc Trop Med Hyg 86:83–85PubMedCrossRefGoogle Scholar
  8. 8.
    Wright PF, Kim-Farley RJ, de Quadros GA, Robertson SE, Scott R McN, Ward NA, Henderson RH (1991) Strategies for the global eradication of poliomyelitis by the year 2000. N Eng J Med 325:1774–1779CrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1993

Authors and Affiliations

  • B. D. Schoub
    • 1
  1. 1.National Institute for Virology and Department of VirologyUniversity of the WitwatersrandJohannesburgSouth Africa

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