The Lancet Infectious Disease
Jun 2012 Volume 12 Number 6 p423 – 496
Your Editorial in the October, 2011, issue covers the theme of polio eradication. Everyone that has a scientific or humanitarian interest in achieving the noble task of eliminating poliomyelitis remains confident that it is an attainable public-health goal in the near future. There is also an agreement that eradication should be a global effort that requires increased financial and political support. However, polio eradication efforts may be at risk of losing political and financial momentum in view of the persistent failures of the Global Polio Eradication Initiative (GPEI) and its inability to consistently reach target dates.
Masahiko Hachiya, Shinsaku Sakurada, Tomomi Mizuno, Yasuo Sugiura
The Editorial,1 in the October, 2011, issue of The Lancet Infectious Diseases discusses innovations for polio eradication. We agree that social factors are one of the most important barriers to a polio eradication initiative. The essential problem is that the Global Polio Eradication Initiative (GPEI) is not consistent with current local priorities. Moreover, the Ministry of Health in Pakistan was devolved, and the relevant federal programme disappeared in June, 2011. Therefore, local governments take more responsibility for immunisation programmes than before.