Tags

Type your tag names separated by a space and hit enter

Achieving the end game: employing "vaccine diplomacy" to eradicate polio in Pakistan.
BMC Public Health. 2019 Jan 17; 19(1):79.BP

Abstract

BACKGROUND

On April 28, 2014, the World Health Organization (WHO) declared polio a "Public Health Emergency of International Concern" (PHIC) under the authority of the International Health Regulations. Although polio has been eradicated from nearly every nation on earth, Pakistan is one of three countries where wild polio and vaccine-derived polio strains remain, thwarting global eradication efforts.

AIMS

Polio eradication progress is complicated by security and conflict issues at the border area between Pakistan and Afghanistan. In addition to security issues, other critical challenges, such as maintaining cold supply chain for vaccines, active and sentinel surveillance, false beliefs about vaccines, distrust of healthcare workers, and accessibility to conflict areas due to terrorist activities, all play a role in the continued persistence of Polio. In response to these challenges, we assess the local and international policy environment and its impact on polio eradication in Pakistan.

FINDINGS

Based on our analysis of existing barriers and challenges associated with polio eradication in Pakistan, this study discusses why employing "vaccine diplomacy" represents a key policy and advocacy strategic approach to achieve the overall end game of polio eradication. Specifically, we identify a set of concrete public health, international development, and diplomatic and policy recommendations that can act synergistically under the umbrella of health and vaccine diplomacy to finally put an end to polio.

Authors+Show Affiliations

Joint Master's Program in Health Policy and Law, University of California, San Diego School of Medicine - California Western School of Law, San Diego, CA, USA.National Institutes of Health, National Cancer Institute, U.S. Embassy, China Office, Beijing, China.Combined Military Hospital, Rawalpindi, Pakistan.Department of Anesthesiology and Division of Infectious Diseases and Global Public Health, University of California, San Diego School of Medicine, San Diego, CA, USA. tmackey@ucsd.edu. Global Health Policy Institute, 8950 Villa La Jolla Drive, A124, La Jolla, San Diego, CA, 92037, USA. tmackey@ucsd.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30654797

Citation

Shakeel, Shahella Idrees, et al. "Achieving the End Game: Employing "vaccine Diplomacy" to Eradicate Polio in Pakistan." BMC Public Health, vol. 19, no. 1, 2019, p. 79.
Shakeel SI, Brown M, Sethi S, et al. Achieving the end game: employing "vaccine diplomacy" to eradicate polio in Pakistan. BMC Public Health. 2019;19(1):79.
Shakeel, S. I., Brown, M., Sethi, S., & Mackey, T. K. (2019). Achieving the end game: employing "vaccine diplomacy" to eradicate polio in Pakistan. BMC Public Health, 19(1), 79. https://doi.org/10.1186/s12889-019-6393-1
Shakeel SI, et al. Achieving the End Game: Employing "vaccine Diplomacy" to Eradicate Polio in Pakistan. BMC Public Health. 2019 Jan 17;19(1):79. PubMed PMID: 30654797.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Achieving the end game: employing "vaccine diplomacy" to eradicate polio in Pakistan. AU - Shakeel,Shahella Idrees, AU - Brown,Matthew, AU - Sethi,Shakeel, AU - Mackey,Tim K, Y1 - 2019/01/17/ PY - 2018/07/20/received PY - 2019/01/03/accepted PY - 2019/1/19/entrez PY - 2019/1/19/pubmed PY - 2019/3/14/medline KW - Acute flaccid paralysis (AFP) KW - Circulatory vaccine derived polio virus (cVDPV) KW - Global health diplomacy (GHD) KW - Health diplomacy KW - Polio eradication KW - Vaccine diplomacy KW - Wild polio virus (WPV) SP - 79 EP - 79 JF - BMC public health JO - BMC Public Health VL - 19 IS - 1 N2 - BACKGROUND: On April 28, 2014, the World Health Organization (WHO) declared polio a "Public Health Emergency of International Concern" (PHIC) under the authority of the International Health Regulations. Although polio has been eradicated from nearly every nation on earth, Pakistan is one of three countries where wild polio and vaccine-derived polio strains remain, thwarting global eradication efforts. AIMS: Polio eradication progress is complicated by security and conflict issues at the border area between Pakistan and Afghanistan. In addition to security issues, other critical challenges, such as maintaining cold supply chain for vaccines, active and sentinel surveillance, false beliefs about vaccines, distrust of healthcare workers, and accessibility to conflict areas due to terrorist activities, all play a role in the continued persistence of Polio. In response to these challenges, we assess the local and international policy environment and its impact on polio eradication in Pakistan. FINDINGS: Based on our analysis of existing barriers and challenges associated with polio eradication in Pakistan, this study discusses why employing "vaccine diplomacy" represents a key policy and advocacy strategic approach to achieve the overall end game of polio eradication. Specifically, we identify a set of concrete public health, international development, and diplomatic and policy recommendations that can act synergistically under the umbrella of health and vaccine diplomacy to finally put an end to polio. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/30654797/Achieving_the_end_game:_employing_"vaccine_diplomacy"_to_eradicate_polio_in_Pakistan_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6393-1 DB - PRIME DP - Unbound Medicine ER -