Friends, This interesting and thought provking piece is a pionter to the fact that the public health problem is paralysis, not just a poliomyelitis virus. If NPEV are causing a large chunk of the residual parlaysis, we need to take it up a research priority for vaccine development, and the GOAL has to be broader in scope- "ELIMINATION of CHILDHOOD PARALYSIS". Non polio AFP also need to be looked into if we really want to make a healthier society. Moroever Ethical concerns also emanate from the fact that disease surveillance is not linked to rehabilitation, and the data is used only to serve the EPI programme goals. We need serious thinking, How many of the AFP cases with residual paralysis in India, still have residual paralysis now? What measures can be taken and have ben taken to rehabilitate them ? --
Dr RK Sood
(Masters in Applied Epidemiology)
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District AIDS Project Officer, # 402 C, ZH Dharmashala, HP. 176215, India
+91 9418064077, +91 1892-225559
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