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Zimbabwe has recorded two more polio cases, bringing the number to three since the country recorded its first case in Sanyati District, Mashonaland West Province, in December last year.
As reported by <a href="https://www.newsday.co.zw/local-news/article/200023373/polio-cases-rise-to-3">NewsDay</a>, the Polio Incident Manager in the Ministry of Health and Child Care, Colline Chigodo, told reporters on Monday in Harare that the cases were detected after they carried out intense surveillance and testing in four areas in Harare suburbs. Said Chigodo:
<blockquote>
During the course of last year, we started to detect this circulating vaccine-derived poliovirus at four sites in Harare.
The four sites where we are collecting from include Budiriro, Mbare, Sunningdale and Crowborough.
The country has been collecting these specimens for our virology lab, and these specimens are sent to South Africa.
In December, there was one case detected, of a child with the weakness of limp, which was detected in Sanyati district.
In this case, two specimens were collected, and this specimen tested positive for circulating vaccine-derived polio virus.
This is the confirmation that now the virus is circulating among our communities.
In addition to that, during the initial investigation within these four sites, specimens were also collected from healthy children, 20 specimens from each site.
From those sites, two cases, and two healthy children tested positive. We recently received the results on Friday last week.
They tested positive on circulating vaccine-derived polio virus type 2, but these are healthy children.
Now the virus, the circulating vaccine-derived poliovirus or wild poliovirus can be asymptomatic. It means that someone can carry the virus without having that paralysis.
So out of, let’s say, 200 children if one case tested positive, it means there are about 199 asymptomatic cases, which don’t have the signs and symptoms of weakness in our communities.
</blockquote>
The Ministry of Health and Child Care has since launched a major polio vaccination campaign countrywide from today till Friday this week.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Pindula News

Zimbabwe Records 3 Polio Cases

The Ministry of Health and Child Care in Zimbabwe has confirmed the presence of a type 2 circulating poliovirus variant in sewage samples collected from certain areas in Harare. In a statement seen by Pindula News, the Ministry said a similar variant was also detected in a 10-year-old child from the Sanyati district of Mashonaland West province. This variant is known as circulating vaccine-derived poliovirus type 2 (cVDPV) and occurs when the weakened live virus in the oral polio vaccine mutates and spreads in the community. The detection of these viruses indicates a polio outbreak in the country.
In a Statement on the Detection of a Circulating Poliovirus Variant in Zimbabwe and the Rollout of Emergency Response Polio Vaccination, the Deputy Minister of Health and Child Care, Suleiman Timiod Kwidini said:
<blockquote>
The Ministry of Health and Child Care wishes to inform the public that it has confirmed through laboratory tests the presence of a type 2 circulating poliovirus variant in environmental samples that were collected towards the end of 2023 from sewage sites covering Budiriro, Mbare and Mufakose catchments in Harare Metropolitan Province. In addition and through intensified Poliomyelitis disease surveillance in the country a similar circulating poliovirus variant has been detected in a 10-year-old child from Sanyati district of Mashonaland West province who presented to us with acute paralysis and had laboratory tests done for confirmation.
The virus that was detected in these occasions is a rare type of poliovirus that can occur when the weakened live virus in the oral polio vaccine (OPV) mutates over time and becomes able to circulate in the community. Hence it is referred to as circulating vaccine-derived poliovirus-type 2 (cVDPV).
The detection of these viruses in the environment or in humans constitutes a Polio outbreak in the country. While the news is concerning, we as Ministry would like to reassure the public that we have taken swift action to investigate and contain the outbreak to prevent any further spread that may occur. Following the detection, the Ministry immediately declared the event to the World Health Organisation (WHO) as required under International Health Regulations and instituted emergency response measures. These included the activation of a Polio Incident Management system and the appointment of an Incident Manager for a coordinated outbreak response, conducting thorough investigations, intensifying Polio surveillance throughout the country and planning for emergency nationwide Polio vaccination campaigns to ensure that transmission is stopped rapidly.
The Ministry further informs the public that two rounds of emergency national polio vaccination campaign targeting all children below 10 years of age have been scheduled for February and March 2024. The detailed Polio risk analysis conducted by the Ministry identified the below 10-year-old old age-group as having a higher risk to these type 2 polioviruses since vaccines targeting this type were stopped globally in 2015 after global eradication. In the planned vaccination campaign, all children below 10 years are being targeted with an initial two rounds of novel oral Polio vaccine (nOPV2) to quickly boost their protection from this type of poliovirus.
The first round is scheduled between 20 February and 01 March 2024 while the second round is scheduled between 19 and 29 March 2024 for all provinces. The emergency vaccination campaign which will be conducted in close collaboration with the Ministry of Primary and Secondary Education targets to vaccinate and protect a total of 4 206 013 children in each of the two rounds. The vaccines for both round 1 and 2 have already been received in country and prepositioned in all provinces and cities. Vaccination will be done through deployment of house-to-house and mobile vaccination teams in addition to vaccination at all health facilities during the campaign days.
Given the contagious nature of circulating polioviruses and their capacity to evolve over time to a type that causes serious disease and debilitating paralysis, the Ministry strongly encourages all parents and caregivers of children to ensure that all children below 10 years of age are vaccinated against polio and protected. Vaccination remains the most effective way to stop these polioviruses and protect children from severe disease.
Besides the vaccination response, a number of key strategies have been put in place for the response to polio including:
• Intensifying surveillance and active search to identify and detect all vaccine-preventable diseases. This includes expanding environmental sampling sites in the country and capacitation of our laboratory to test for the virus 
• Engaging in level advocacy to commit all key stakeholders to the eradication of Polio 
• Training and equipping health workers at all levels for outbreak preparedness and response 
• Intensifying community engagement and awareness campaigns to increase uptake of immunisation and other public health measures.
</blockquote>
Zimbabwe is not the only country facing this issue. Similar polioviruses have been detected in other countries in the region, including Botswana, Burundi, Malawi, Mozambique, Rwanda, and Zambia. Kwidini said collaboration and coordination efforts are ongoing among these countries to respond to the threat.
The government of Zimbabwe acknowledges the support of technical and funding partners, including WHO, the Global Polio Eradication Initiative (GPEI), UNICEF, Gavi-the vaccine alliance, the Bill and Melinda Gates Foundation, Rotary Club, Crown Agents, and others in the fight against polio. The government remains committed to eradicating polio and protecting the health of its citizens through collaborative efforts.
The Deputy Minister of Health and Child Care expresses gratitude to the Polio Incident Management System, national and subnational health teams, and partners for their dedicated work in responding to the polio emergency. The government assures continued support for their efforts.
Polio is a serious disease caused by a virus called the poliovirus. It can make people very sick and even cause death. The virus can spread easily from one person to another. When someone gets infected, the virus can attack their spinal cord, which is an important part of the body that helps us move. This can lead to paralysis, which means a person can’t move certain parts of their body. Polio is a dangerous illness, and it’s important to take steps to prevent its spread.
<h3><a href="https://www.pindula.co.zw/">More Pindula News</a></h3>

Zimbabwe Polio Outbreak: Emergency Response Vaccination Campaigns Launched

The Municipality of Chitungwiza’s health department will embark on the fourth round of the polio vaccination campaign during the period 10-13 October 2023.
In a public notice, the local authority said vaccination teams will be moving from house to house, schools, creches and shopping centres and markets vaccinating all eligible children during the four-day period. It said:
<blockquote>
Poliomyelitis (polio) is a highly infectious viral disease caused by poliovirus that largely affects children under 5 years of age.
The virus is transmitted by person-to-person spread mainly through the faecal-oral route or, by contaminated water or and multiplies in the intestine, from where it can affect the nervous system and cause paralysis.
Zimbabwe has been polio-free since 1989, but now the country is at high risk of infection from the Polio virus.
The virus has already been reported in neighbouring high-risk countries, Malawi and Mozambique.
In 2022, the country made a recommendable success in conducting three rounds of a nationwide oral polio vaccination campaign.
According to the recommendation from the World Health Organization, there is a need to conduct at least four rounds of oral polio vaccination for children below the age of 5 years.
Following this recommendation, the Ministry of Health and Child Care will be conducting the fourth round of oral polio vaccination from 10-13 October 2023
Finger Marking NB: A finger mark is an indication that a child is vaccinated with OPV. We are targeting ALL children 0-59 months (below 5 years).
The vaccination teams will be moving from house to house, schools, creches and at shopping centres and markets vaccinating all eligible children.
</blockquote>
Most people who contract the virus do not experience any symptoms, but in some cases, polio can cause mild to severe symptoms, including, fever, sore throat, headache, nausea and vomiting, fatigue, stiffness in the neck and back, muscle weakness or paralysis (usually in the legs), difficulty swallowing or breathing, abnormal reflexes, and muscle pain or tenderness.
There is no cure for polio, but treatment can help manage the symptoms and prevent complications.
The polio vaccine is highly effective in preventing infection and is recommended for all children.
In addition, good hygiene practices, such as washing hands regularly, can help prevent the spread of the virus.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Chitungwiza To Embark On Four-day Polio Vaccination Campaign

The City of Harare’s Health Department in conjunction with the Ministry of Health and Childcare is currently conducting the second round of Polio vaccination.
The blitz, which commenced on 1 December and will end on 4 December 2022, is targetting children under the age of five including the newly born.
Philomina Chitando, who is the City of Harare’s head of Nursing Services said the vaccines will be administered at all council clinics, shopping centers, and marketplaces. Said Chitando:
<blockquote>
This blitz is the second round of the same campaign. We are going around in communities in Harare and we also have mobile teams at bus termini, schools, creches, and markets who are carrying out this exercise.
We have 400 people providing door-to-door services, vaccinating children under the age of five including the newly born.
Children who got vaccinated for polio during the first round of the blitz in October should also come for their second doses.
</blockquote>
The first round of the polio vaccination campaign ran between October 27 and October 30.
Polio oral vaccine is free for every child and Zimbabwe has been polio-free since 1989.
<a href="https://www.cdc.gov/polio/what-is-polio/index.htm#:~:text=Updated%20August%2011%2C%202022,move%20parts%20of%20the%20body).">According to CDC</a> polio, or poliomyelitis, is a disabling and life-threatening disease caused by the poliovirus.
The virus spreads from person to person and can infect a person’s spinal cord, causing paralysis. | <a href="https://zbcnews.co.zw/2022/12/03/covid-19-and-polio-vaccination-blitz-begins/">ZBC News</a>

Second Polio Vaccination Blitz Underway

The government launched a polio vaccination campaign on Wednesday, 26 October targeting children under the age of five.
The first round of the polio vaccination campaign is scheduled to run between October 27 and October 30 and the second round will run from December 1 to December 4.
Health and Child Care Deputy Minister Dr. John Mangwiro said polio cases have been confirmed in neighbouring countries and there are high chances of cross-border spread of the disease. He said:
<blockquote>
We share strong social and economic activities with the affected countries, hence the vaccination drive to protect children below five years as they are at risk.
</blockquote>
Also speaking at the launch, World Health Organisation (WHO) country representative, Dr. Alex Gasasira, said:
<blockquote>
I am delighted that Zimbabwe has taken great strides to eliminate polio. Parents should take advantage of this initiative and present their children for vaccination regardless of their religion.
</blockquote>
Polio oral vaccine is free for every child and Zimbabwe has been polio-free since 1989.
<a href="https://www.cdc.gov/polio/what-is-polio/index.htm#:~:text=Updated%20August%2011%2C%202022,move%20parts%20of%20the%20body).">According to CDC</a> polio, or poliomyelitis, is a disabling and life-threatening disease caused by the poliovirus.
The virus spreads from person to person and can infect a person’s spinal cord, causing paralysis. 
| <a href="https://www.sundaymail.co.zw/new-govt-launches-polio-vaccination-campaign">The Sunday Mail</a>

Govt Launches Polio Vaccination Campaign

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