Baby Paralyzed in Gaza's 1st Case of Type 2 Polio for 25 Years, WHO Says

A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights
A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights
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Baby Paralyzed in Gaza's 1st Case of Type 2 Polio for 25 Years, WHO Says

A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights
A Palestinian girl is examined by a doctor amid fears over the spread of polio after the first case was reported by the Ministry of Health, as the conflict between Israel and Hamas continues, at Al-Aqsa Martyrs Hospital, in Deir Al-Balah in the central Gaza Strip, August 18, 2024. REUTERS/Ramadan... Purchase Licensing Rights

A 10-month-old baby in war-shattered Gaza has been paralyzed by the type 2 polio virus, the first such case in the territory in 25 years, the World Health Organization said on Friday, with UN agencies appealing for urgent vaccinations of every baby.

The type 2 virus (cVDPV2), while not inherently more dangerous than types 1 and 3, has been responsible for most outbreaks in recent years, especially in areas with low vaccination rates.

UN agencies have called for Israel and Hamas to agree to a seven-day humanitarian pause in their 10-month-old war to allow vaccination campaigns to proceed in the territory.

"Polio does not distinguish between Palestinian and Israeli children," the head of the UN agency for Palestinian refugees (UNRWA) said on Friday in a post on X, Reuters reported.

"Delaying a humanitarian pause will increase the risk of spread among children," Philippe Lazzarini added.

The baby, who has lost movement in his lower left leg, is currently in stable condition, WHO Director-General Tedros Adhanom Ghebreyesus said in a statement.

The WHO has announced that two rounds of a polio vaccination campaign are set to begin in late August and September 2024 across the densely populated Gaza Strip.

With its health services widely damaged or destroyed by fighting, and raw sewage spreading amid a breakdown in sanitation infrastructure, Gaza's population is particularly vulnerable to outbreaks of disease.

- CHALLENGE OF VACCINATIONS IN WAR ZONE

Gaza's health ministry first reported the polio case in the unvaccinated 10-month-old baby a week ago in the central city of Deir Al-Balah, an often embattled area in the war.

Hamas on Aug. 16 supported a UN request for a seven-day pause in the fighting to vaccinate Gaza children against polio, Hamas political bureau official Izzat al-Rishq said on Friday.

Israel, which has laid siege to Gaza since last October and whose ground offensive and bombardments have levelled much of the territory, said days later it would facilitate the transfer of polio vaccines into Gaza for around one million children.

The Israeli military's humanitarian unit (COGAT) said it was coordinating with Palestinians to procure 43,000 vials of vaccine - each with multiple doses - for delivery in Israel in the coming weeks for transfer to Gaza.

The vaccines should be sufficient for two rounds of doses for more than a million children, COGAT added.

As well as allowing the entry of polo specialists into Gaza, the UN has said a successful campaign would require transport for vaccines and refrigeration equipment at every step as well as conditions that would allow the campaign to reach children in every area of the rubble-clogged territory.

Poliomyelitis, a highly infectious virus primarily spread through the fecal-oral route, can invade the nervous system and cause paralysis.

Traces of polio virus were detected last month in sewage in Deir al-Balah and Khan Younis, two areas in southern and central Gaza that have seen hundreds of thousands of Palestinians displaced by the fighting seek shelter.

Children under five are particularly at risk.



War-battered Gaza Faces Uphill Battle Against Polio

An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP
An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP
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War-battered Gaza Faces Uphill Battle Against Polio

An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP
An UNRWA employee on September 9, 2020 provides polio and rotavirus vaccines for children at a clinic in Bureij refugee camp, central Gaza - AFP

The Gaza Strip's first recorded polio case in 25 years has health workers and aid agencies grappling with the steep obstacles to conducting mass vaccination in the war-torn Palestinian territory.

Unrelenting airstrikes by Israel more than 10 months into its war against Hamas, restrictions of aid entering the besieged territory and hot summer temperatures all threaten the viability of a life-saving inoculation drive.

Still, equipment to support the extensive campaign -- which UN agencies say could start on August 31 -- has already arrived in the region.

The Palestinian health ministry in the occupied West Bank said last week that tests in Jordan had confirmed polio in an unvaccinated 10-month-old baby from central Gaza, AFP reported.

According to the United Nations, Gaza had not registered a case for 25 years, although type 2 poliovirus was detected in samples collected from the territory's wastewater in June.

Poliovirus is highly infectious, and most often spread through sewage and contaminated water -- an increasingly common problem in Gaza as the Israel-Hamas war drags on.

The disease mainly affects children under the age of five. It can cause deformities and paralysis, and is potentially fatal.
UN bodies the World Health Organization (WHO) and children's agency UNICEF say the have detailed plans to vaccinate 640,000 children across Gaza.

But a major challenge remains Israel's devastating military campaign, after Hamas's October 7 attack.

"It's extremely difficult to undertake a vaccination campaign of this scale and volume under a sky full of air strikes," said Juliette Touma, director of communications for the UN agency for Palestinian refugees, UNRWA.

Under the UN plan, 2,700 health workers in 708 teams would take part, with the WHO overseeing the effort, said Richard Peeperkorn, the agency's representative in the Palestinian territories.
UNICEF would ensure the cold supply chain as vaccines are brought into and distributed across Gaza, spokesman Jonathan Crickx said.

Cold chain components including refrigerators arrived Wednesday at Israel's main international airport.

Some 1.6 million doses of the oral vaccine would follow, and are expected to enter Gaza on Sunday via the Kerem Shalom crossing, Crickx said.

The UN agencies plan to administer two doses each for about 95 percent of children under 10 in Gaza, according to Crickx. Surplus doses would cover expected losses to heat or other causes.

While Israel has repeatedly dismissed claims it was blocking aid into Gaza, relief workers have long complained of the many obstacles they face in getting supplies into the territory, which has suffered severe shortages of everything from fuel and medical equipment to food.

And once in Gaza, fighting, widespread devastation and crumbling infrastructure all complicate delivery and safe access.

Touma, who worked on polio response during wars in Iraq and Syria, said that "the return of polio to a place where it's been eradicated says quite a lot."

Israel's military campaign since October 7 has killed at least 40,223 people in Gaza.

Gaza's health care system has been decimated, with "only 16 out of 36 hospitals... still functioning, and only partially," Crickx said.

Out of those, only 11 facilities are capable of maintaining the cold chain, he added.

The vaccines would first be kept at a UN storage space in central Gaza, and then distributed to public and private health facilities as well as UNRWA shelters "hopefully by refrigerated trucks if we can find some, otherwise by cold boxes" filled with ice packs, Crickx said.
Many Gazans now live in makeshift camps or UNRWA schools, making them hard to reach, said Moussa Abed, director of primary health care at the Gaza health ministry.

Nearly all of the territory's 2.4 million people have been displaced at least once during the war.

UN Secretary-General Antonio Guterres has called for two seven-day breaks in the war to administer doses.

Abed said that "without a safe environment for the vaccination campaign, we will not be able to reach 95 percent of the children under the age of 10, which is the goal of this campaign."