After 25 years, children in Gaza are experiencing a poliovirus outbreak. Health officials have stated that there are links between the virus in Egypt and the poliovirus outbreak in Gaza, which is currently experiencing an outbreak in the middle of the war. The United Nations and local health officials launched a vaccination campaign in September 2024, hoping to reach as many children as possible. “The World Health Organization (WHO) has said Israel agreed to limited pauses in the fighting to facilitate the campaign,” AP News reports.

Background

Polio’s infection spreads quickly and painfully, especially in contaminated situations and conditions. It transmits from person to person, especially in contaminated water. Due to the war in Gaza, the water supply has been tainted with and contaminated with excrement. The Israeli army devastated the water supply and the wastewater disposal networks throughout the entirety of the Palestinian territory, according to Al Jazeera. This causes the wastewater to reach hundreds to thousands of civilian homes, forcing them to move to safer and healthier conditions.

“According to the Government Media Office in Gaza, the Israeli army has also stopped transferring the waste away from civilian areas by imposing control over waste dumps and targeting municipality workers, machinery and mechanisms in place to manage waste,” said Al Jazeera.

Cases of Polio in Gaza

Gaza reported one case of the polio virus in September 2024. The case is of a 10-month-old little boy, who is now paralyzed in both his legs, according to AP News. One confirmed case of polio leads to a few more suspected cases of polio, which leads to an outbreak of poliovirus in Gaza. According to Dr Majdi Duhair, scientifically speaking, one confirmed case of polio is an outbreak. One case of the polio virus can lead to at least 200 more infected people with no symptoms, NPR reports.

“Authorities plan to vaccinate children in central Gaza until Wednesday before moving on to the more devastated northern and southern parts of the strip,” AP News reports.

The Poliovirus Campaign

The poliovirus affects children under the age of 5 and affects the unvaccinated. Since the discovery of the poliovirus in July 2024, the campaign fighting the poliovirus outbreak in Gaza has received support from WHO, UNICEF, UNRWA and the Ministry of Health in Gaza. The campaign has about 2,700 health workers moving to different parts of Gaza throughout September. The first round of polio vaccinations began at the end of August and only covered a few children. According to Al Jazeera, the campaign aims to give oral polio vaccine drops to 640,000 children under 10.

“But we know from our experience in so many places that we have to implement at least two large-scale vaccination campaigns with the novel oral polio vaccine type two that achieves high levels of coverage to stop transmission,” said Hamid Jafari from CSIS.

Outbreak During a War

On August 16, 2024, U.N. Secretary-General Guterres called for a seven-day cease-fire. The cease-fire was to allow the campaign to safely move around Gaza during the poliovirus outbreak, looking for families with children under 10 years old to administer the oral vaccine. According to NPR, reaching all the families in Gaza is difficult. The war has moved people out of their homes, making them move to find a safe haven every hour. The campaign’s goal is to reach 90% of the children in Gaza. Since the territory is extensive and vulnerable, the campaign has more than 200 teams going around the entire territory to eradicate the disease.

“We go from shelter to shelter and tent to tent. People are literally everywhere. In the middle of the street, you have people living by the beach. So the idea is to reach every child wherever they are,” said Juliette Touma for NPR.

Conclusion

The poliovirus outbreak in Gaza is a result of the conditions Gaza is under because of the war. The ceasefire allowed for 558,963 children under 10 to receive oral drops of the vaccine. The goal of the 12-day campaign was to reach 640,000 children, but that was difficult since families were scattered all over Gaza on the streets, in tents, shelters, etc. because of the war. But each day health officials are reaching more families with their teams and area planning. According to Dr Richard Peeperkorn from the WHO, the campaign is a symbol or a show of the possibilities of peace in the world if given a chance to act.

– Ashley Diaz

Ashley is based in Homestead, FL, USA and focuses on Global Health for The Borgen Project.

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