Columnists

Good governance is crucial in the fight against polio

polio-vaccine

There is no longer an acceptable reason for anyone to contract polio. Photo/FILE

It’s a common sight in Africa’s streets: a young man pulls himself along on makeshift crutches, trying to sell you cigarettes or cellphone credit.

Infected early with polio, this man has lost the use of his legs, and must now work harder and longer than anyone else to make a living.

The fact that he does, as do affected men and women across the continent, is a remarkable example of courage in adversity.

Polio is no barrier to success – just ask Archbishop Desmond Tutu, who suffered from the disease, or the Congolese band Staff Benda Bilili made up of polio survivors who are taking the world by storm – but it does make success more difficult to achieve.

And the real tragedy is that their suffering was entirely preventable.

There is no longer an acceptable reason for anyone to contract polio.

The debilitating disease, which has crippled and killed millions throughout history, can be completely eradicated thanks to effective and inexpensive vaccines and immunisation programmes.

A global campaign to eradicate polio - spearheaded by WHO, Rotary International, UNICEF and the US Centres for Disease Control and Prevention - has already seen astonishing success in reducing incidences of the disease.

In 1988, more than 100,000 new cases of polio were reported annually on the African continent.

Today, the disease no longer appears in many African countries.

Where it does, new incidents of polio are often measured in single digits rather than thousands.

The most recent success story is Nigeria; only five new cases of polio have been reported so far this year, compared to 388 cases at the same time last year.

There are two valuable lessons to be drawn from this experience.

Firstly, it emphasises the importance of good governance in fighting disease.

The Kick Polio Out of Africa campaign has commended the political leaders of Nigeria, and government officials in West and Central Africa, for their commitment to polio eradication, a commitment which has manifested itself in effective policies and ultimately a decrease in new infections.

Eradication campaigns on such a large scale require, at minimum, co-operation from governments.

It is important to remember that good governance is not always about direct action from governments; it is sometimes just about allowing others to do their jobs.

A great example of this is the campaign to eradicate guinea worm, led by the Carter Centre.

The campaign has been very successful, and incidences of guinea worm have been reduced from over three million to just 3,000.

Another important lesson is the necessity of cross-border co-operation and regional integration in fighting disease.

Unfortunately, polio pays no attention to border posts or immigration officials, so countries have to work together.

After a polio outbreak in northern Nigeria in 2008, the virus spread again into neighbouring countries and as far as Angola, Mauritania and Kenya.

This highlights the need for all countries have preventative vaccination policies to safeguard their population.

The author is founder and chair of the Mo Ibrahim Foundation www.moibrahimfoundation.org