Polio is a stubborn foe…and so can be some of our fellow human beings.
The Rotary International campaign to eliminate the polio virus from our world has been underway for decades now. Deadlines and completion projections have come and gone more often than we all had hoped. Over the years, we cheered the reducing number of cases, fully expecting to reach zero one day, never to be concerned again. It is the nature of the effort that you cannot stop at any point before elimination, or else all the ground gained would eventually be lost as polio became redistributed over the globe (and in short order given our mobility advances).
It is also the nature of this effort that the further reductions in number of cases come at ever-increasing cost per case. You eliminate the “low-hanging” portion of the threat early-on and move toward the tougher challenges down the road. Even acknowledging that, there are those who question the never-ending need for vast amounts of money to win the war. Isn’t the vaccine perfected? (It is) Don’t we have enough volunteers (who need money to do their jobs) to distribute that vaccine? (We do) Isn’t there less in the way of bureaucracy necessary to handle the remaining endemic areas? (Seems logical) Don’t the logistical costs go down as the geographic area we have to cover shrinks? (Generally, yes)
So why do we still need hundreds of millions of dollars to reach our goal?
Besides polio being a tough foe, the remaining locations where it is endemic are particularly tough to access. Not just by virtue of geography. Much tougher than that is the human factor. Specifically, there are people in polio’s last strongholds who are hostile to the vaccination teams trying to reach the population. Absent this sometimes-violent human resistance, it’s widely believed the eradication of polio would already have seen an anniversary.
We find we need to spend more, not on medical research, but on public relations, education campaigns, rescheduling team travel, identifying pockets of unvaccinated residents, and, quite possibly, paying for access or information. And there will, eventually, need to be continued monitoring and readiness for a period of time.
All that - plus so many more considerations - costs money.
Put aside, for the time being, the huge monetary consideration of tackling the next major disease. We can do that, using the lessons we have learned combating polio, AFTER we succeed in our current campaign; which we will do.
Many of you know, and all of you should, that Tucson’s Ride to End Polio accounts for a significant portion of the funds to be raised by Rotary in wiping out polio. The District 5500 goal is to reach $3.33 million this November. That’s before accounting for any matching contributions. That sum is nearly 10% of the worldwide 2015 goal. From our one District! (You are permitted a brief moment of proud reflection.)
As of July 24, 2015, it is a year since the last case of wild poliovirus has been found in Nigeria. And Nigeria is the last country in all of Africa where polio hasn’t been stopped. One year is a traditional measuring point for achieving permanent elimination in a region.
Dr. Hamid Jafari, Director of the Global Polio Eradication Initiative for the World Health Organization, told the Sao Paulo RI Convention audience that world-wide eradication is only “months” away. That optimism is energizing! It will take the confluence of several vital factors to eventually eliminate polio. Like it or not, money is one of those factors.