Date 24 Jun 2019
Source: Mena FN [edited]
<https://menafn.com/1098678826/Afghanistan-Polio-cases-reach-to-10th-so-far>

The number of polio positive cases in Afghanistan has reached 10 so far in 2019, with 4 cases reported from Uruzgan [Oruzgan] province and 1 new case detected in the Mehr Abad area of Tirinkot, the provincial capital.

According to Ministry of Public Health, a 21-month-old girl is permanently paralyzed in Tirinkot, making 10 cases of polio in Afghanistan so far [in 2019].

The Health ministry in a statement said that last week, another polio case was reported from Trinkot, which paralyzed a 30-month-old boy [see Poliomyelitis update (50): Afghanistan (OZ) http://promedmail.org/post/20190619.6528976].

House-to-house polio campaigns have been banned in this area since May 2018. This means children under [5 years of age] living in the area have not been vaccinated and protected from the virus since then, the ministry added.

Only one out of 10 polio cases were reported from Eastern Kunar province, while the rest have been reported from the southern region: 4 cases in Urozgan [Oruzgan], 3 in Helmand and 2 cases in Kandahar.

"Access to health services is the right of every citizen of the country," said Dr. Ferozuddin Feroz, the Minister of Public Health of Afghanistan. "We are deeply concerned about the increasing polio cases and the number of children who still don't have consistent access to vaccination. The virus could spread, and more children will be affected and paralyzed by polio virus in Afghanistan. I ask everyone to work together and protect innocent children against polio, to provide a safe and secure environment for our frontline workers to vaccinate children in every corner of the country."

The polio vaccine is safe, even for sick and new-born children. It is very important that new-borns and sick children get the vaccine, because they may have lower immunity, which makes them more susceptible to the virus.

Polio vaccination has also been strongly endorsed by national and global Islamic scholars, the statement added.
======================
[In last week's report on the 30-month-old male child from Oruzgan, there was mention that the vaccination teams were unable to enter the zone where the child lived due to security concerns. The media report above mentions there haven't been vaccinations provided through household visits in this zone since May 2018.

Oruzgan is located in the central part of Afghanistan, sharing southern and southwestern borders with Kandahar and Helmand provinces where other polio cases have been reported this year (2019) as well (<https://www.afghana.com/GetLocal/Afghanistan/Provinces.htm>).

With the addition of this newly confirmed case, there have now been 10 cases of confirmed poliomyelitis reported from Afghanistan since the beginning of 2019. Add these to the 27 cases confirmed in Pakistan, and there are now 37 cases reported this year (2019), 4 more than the total number of cases reported during 2018.

HealthMap/ProMED-mail maps:
Afghanistan: <http://healthmap.org/promed/p/137>
Oruzgan Province, Afghanistan: <http://healthmap.org/promed/p/1257>  - ProMED Mod.MPP]
Date: Tue 18 Jun 2019
Source: MENAFN [edited]
<https://menafn.com/1098654970/Afghanistan-Third-polio-case-registered-in-three-months-in-Uruzgan>

A new polio case has been reported by local officials in southern Uruzgan province. Dr. Saifudin, head of the polio campaign for Uruzgan, said on Tuesday [18 Jun 2019] that a 2-year-old child was affected by polio in Meher Abad village of Terinkot city, the provincial capital. "[The family] of the polio-affected kid lives on the outskirts of Terinkot city and they (family) did not have access to health facilities," he said.

Meanwhile, provincial healthcare officials said the anti-polio vaccine was not launched in Mehrab Abad village due to security conditions; thus, a number of children have not received the polio immunization. Also, the head of the immunization department for the southern provinces has expressed concerns over reports of polio cases in the southern parts of Afghanistan: "7 cases of polio have been registered before; this (polio) is a great threat to the Afghan children," he said.

In the past 3 months, 9 cases of polio have been registered so far: 3 polio cases in Uruzgan, 2 in Kandahar, 3 Helmand and 1 in Kunar.
=======================
[The statement "[The family] of the polio-affected kid lives on the outskirts of Terinkot city and they (family) did not have access to health facilities" should be coupled with the following sentence "Meanwhile, provincial healthcare officials said the anti-polio vaccine was not launched in Mehrab Abad village due to security conditions; thus, a number of children have not received the polio immunization," which strongly suggests that this child lives in an area with significant civil unrest where access to healthcare, both curative and preventive, is significantly limited. What needs to be emphasized is that while there isn't access to normal healthcare services and vaccinators are often unable to access these areas, the poliovirus is able to access these areas and circulate in the pockets of susceptible individuals living there. Until something can be done to convince the warring parties that children's health should not be held hostage for political gain, the goal of polio eradication will also remain hostage to the politics.

A Xinhua.net article on this case mentions that the age of the child is 2.5 years
(<http://www.xinhuanet.com/english/2019-06/19/c_138155928.htm>).

Oruzgan is located in the central part of Afghanistan, sharing southern and southwestern borders with Kandahar and Helmand provinces where other polio cases have been reported this year (2019) as well (<https://www.afghana.com/GetLocal/Afghanistan/Provinces.htm>).

With the addition of this newly confirmed case, there have now been 9 cases of confirmed poliomyelitis reported from Afghanistan since the beginning of 2019. Add these to the 24 cases confirmed in Pakistan, and there are now 33 cases reported this year (2019) -- the same number as reported for the entire year of 2018. - ProMED Mod.MPP]

[HealthMap/ProMED-mail maps:
Afghanistan: <http://healthmap.org/promed/p/137>
Oruzgan Province, Afghanistan: <http://healthmap.org/promed/p/1257>]
Date: Wed 29 May 2019 Source: Xinhua [edited] <http://www.xinhuanet.com/english/2019-05/29/c_138100250.htm>
A fresh positive polio case was detected in Afghanistan's eastern province of Kunar, bringing the number of confirmed cases of poliovirus to 8 since January this year [2019], a public health official said on Wednesday [29 May 2019]. "A new polio case has been reported from Watapur district of Kunar province which permanently paralyzed a 3-month-old boy," Wahidullah Mayar, spokesperson for the Ministry of Public Health, tweeted.
The latest case is the 1st case from the eastern Afghan region this year [2019], and the rest of 7 cases have been reported from southern provinces, he added. Poliovirus can be rapidly transferred, and the only way [to prevent the disease] is vaccination, according to the official.
The ongoing insurgency and conflicts have been hindering the efforts to stamp out the infectious disease in the mountainous country, as more than 1 million children from areas inaccessible to vaccination teams missed the latest vaccination drive.  [byline: Xuxin] ========================
[As this media report is based on a governmental announcement, I suspect this case will be in next week's global update, providing information on the date of onset of paralysis. It is noteworthy that this is the 1st case reported in Kunar province this year (2019). This represents the 8th case of WPV1-associated paralysis reported by Afghanistan with date of onset since 1 Jan 2019.
A map of Afghanistan showing provinces and districts can be found at <http://ontheworldmap.com/afghanistan/administrative-map-of-afghanistan-with-provinces-and-districts.jpg>.  Watapur district is located in the north central part of Kunar province. The southern and eastern districts of Kunar province border with Khyber Pakhtunkhwa and the tribal districts of Pakistan. The region is known for civil unrest. - ProMED Mod.MPP]
Date: Mon, 13 May 2019 18:12:22 +0200

Jalalabad, Afghanistan, May 13, 2019 (AFP) - At least three people were killed and another 20 wounded in a series of blasts in the eastern Afghan city of Jalalabad on Monday, an official said.   Nangarhar provincial spokesman Attaullah Khogyani said three blasts rocked the city centre, and had taken place near an armoured police vehicle.   "The nature of explosions is not clear, but it could be IEDs," Khogyani said, using the acronym for improvised explosive devices.   "So far we can confirm three people have been killed and 20 wounded."

No group immediately claimed responsibility for the attack, but the area around Jalalabad is home to fighters from both the Taliban and the Islamic State group's Afghan affiliate.   On March 6, at least 16 people were killed in a suicide attack on a construction company in Jalalabad, which is near the Pakistan border.   Violence in Afghanistan has continued apace even during the holy month of Ramadan, and despite government calls for a ceasefire.
Date: Sat, 11 May 2019 14:59:03 +0200

Ghazni, Afghanistan, May 11, 2019 (AFP) - A landmine explosion killed seven children and wounded two others in southern Afghanistan on Saturday, officials said, as war ordnance again claimed civilian lives.   The blast occurred in Ghazni province, south of the capital Kabul, when the children stepped on a landmine while playing near a main road, provincial spokesman Aref Noori told AFP.   "The mine was planted by the Taliban on a main road to inflict casualties on security forces," he said.   The Taliban did not immediately respond to a request for comment.   The insurgents often use roadside bombs and landmines to target Afghan security forces, but the lethal weapons also inflict casualties on civilians.   Amanullah Kamrani, a member of Ghazni provincial council, said the children were aged between seven and nine and at least four of them belonged to one family. 

Years of conflict have left Afghanistan strewn with landmines, unexploded mortars, rockets and homemade bombs -- and many are picked up by curious children.   Last month, seven children were killed and 10 more wounded in the eastern province of Laghman when a mortar shell exploded while they were playing with it.    According to the United Nations, 3,804 civilians -- including more than 900 children-- were killed in Afghanistan in 2018, with another 7,000 wounded. It was the deadliest year to date for civilians in Afghanistan's conflict.
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