HEALTH INTERACTIVE WITH DR AMINU MAGASHI

 

Now That the Polio Controversy is over

healthinteractive@hotmail.com

 

 

As reported by Daily Trust in its lead story ‘ Polio: Kano Resume Vaccination (Tuesday, July, 20th, 2004), the Executive Governor of the State who reportedly directed that the conduct of polio immunization should resume in the state and directed the state’s ministry of health to commence all necessary preparation for the conduct of the programme which was suspended for about 11 month.

 

That changed of heart followed the investigation of the vaccines imported from Indonesia by the committee of polio expect led by Dr Lawan Alhassan Bichi and another review by another committee of experts led by Professor Sadiq Wali. Although at the end of the investigation, traces of Estradiol were discovered, the second committee who reportedly did a wider consultation with experts both within and outside the country had  confirmed that the traces of Estradiol would not have any harmful effect and will not induce production of anti bodies to cause infertility.

 

I want to believe that it was based on that report that the Kano State government resumes the exercise of operation kick polio out of Nigeria . We equally witnessed the flagging off of the exercise at Takai local government on Saturday, 31st July, 2004 where all stakeholders reaffirmed commitment and safety of the vaccines being used and the need to work together for the final push as Kano was alleged to be the major reservoir of polio remain in the continent and probably the entire world.

 

The flagging off has ended the 11-month controversy, which has put the country in a mess and with different warring factions taking a hard line stands. As I mentioned so many times on this page that , the suspicion and later on discovery of estradiol in polio vaccine although that  was what dominated the 11 month old controversy, but never the less that was not the genesis of the imbroglio. It is rather an EEFECT of a CAUSE, or in other word a manifestation of a concealed saga brushed off intentionally to cover weaknesses and lack of seriousness to face the actual plight of world children.

 

Other issues which I expected stakeholders to resolve at the end of the saga which of course are carpeted has to do with implementation of the programme Whether we like it or not, the programme being engineered by National Programme On Immunisation (NPI) and other development partners is suffering from poor management and implementation, exaggeration and declaration of awesome percentage coverage, poor advocacy and social mobilisation which tend to confuse the beneficiaries to differentiate between marketing of commercial product and advocating for a programme that will impact positively on their life.

 

The cause of the controversy and its genesis was not even raised by both Kano state, other stakeholders, NPI and development partners. When I mentioned sometime back that the genesis of the quagmire is the apparent neglect of other childhood killer diseases, some people accused me of trying to generate another controversy. What do we expect to happen, when polio beneficiaries witness on daily basis, diseases eliminating their children or living them with life deformity and astoundingly, no one seems to genuinely care to provide succour and address such yearning, while side by side, the same polio beneficiaries are being bombarded with house to house approach to kick polio of the country, a disease that they know based on what is seen on the ground, is of less prevalence compared to other numerous problems afflicting their children.

 

The window dressing approach towards Measles, Meningitis, Malnutrition And Malaria And Cholera and other issues and the desperation and aggressive manner on polio eradication is what led to suspicion and apprehension and the later on discovery of Estradiol and the entire saga.

 

Until our leaders are willing to address those itemised diseases, controversy of this nature will continue to be with us and from time to time will roar its head into national area. A look at the UNICEF document will confirm my assertion and believe that polio virus although a problem in our midst but certainly it is not the only issue that need our desperation and aggressiveness.   That document which is titled  "Master Plan of Operation, a country agreement between UNICEF and Federal Government of Nigeria between 2002 and 2007 on page 32, where the justification of entering such agreement is adequately covered, among such is the child hood killer diseases, and 22 % of all child mortalities in Nigeria is attributed to them. Among such diseases, measles and meningitis carry the highest percentage, followed by tuberculosis, pertusis, diphtheria and tetanus. It may interest the reader to know that polio carries the least percentage. It is very negligible to the extent that the document has ignored allocating any percentage to it. .  I believe practically based on what is seen at the government hospitals and various communities that assertion is quite acceptable.

 

Another promising landmark with regard to accepting that the neglect of the immunisable diseases is the root of the problem came from European Union, a major financier of the Global Polio Eradication Programme. In a lead story in Kano state government owned daily newspaper (Daily Triumph) of Monday, 28th, June 04, the story captioned ‘ E U (European Union) To Support Kano On Health Care Delivery. It was reported by the paper that E. U delegation who visited the executive  governor of Kano, Mallam Ibrahim Shekarau reportedly promise to support routine immunisation and equally reportedly reaffirmed that scepticism on polio had cause problems to other routine immunisation

 

I called it a land mark because I am of the firm belief that unless the international development partners and their local counterpart  (NPI, Federal Ministry Of Health And States and LGAs) commence addressing other diseases mentioned above, suspicion and boy cot will be the least expected and to be seen by the larger populace.

 

I will conclude this discourse by saying that I am of the support that we should do all what we can to push the eradication of polio in our country and beyond and equally reaffirm my stand that I envisage the need for a sustain advocacy in the country to ensure working together for the purpose of ensuring programming and planning to address the children’s health problems. The advocacy shall ensure

 

·        Meetings with  media houses to ensure editorial policies reform to support health activities in terms of reporting, coverage and features writings.

 

·        Periodic Documentation and Research on specific needs of children with the aim of assisting towards effective advocacy to stakeholders.

 

·        Interactive seminars/dialogue  with stakeholders

 

·        Advocacy visits to International development  Agencies  on the need to invest on  children as well as understanding what works, priority areas to invest on and good practices

 

·        Organised Private Sector Initiative, this is an initiative that will task private sector to engage in children activities as part of their social responsibility to the populace.

 

·        Advocacy visits to states  and LGAs  and federal government parastatals  implementing on children

 

The task is enormous but I believe it is achievable, what is needed is sincerity of purpose and a commitment to make a difference.

 

Dr Magashi Is the Executive Director of Community Health and Research Initiative, Kano , Nigeria and can be reached at healthinteractive@hotmail.com.