UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Surviving polio in a post-polio world

Groce, NE; Banks, LM; Stein, MA; (2014) Surviving polio in a post-polio world. SOCIAL SCIENCE & MEDICINE , 107 171 - 178. 10.1016/j.socscimed.2014.02.024. Green open access

[thumbnail of 1-s2.0-S0277953614001282-main.pdf]
Preview
PDF
1-s2.0-S0277953614001282-main.pdf

Download (328kB)

Abstract

Excitement mounts as the global health and international development communities anticipate a poliofree world. Despite substantial political and logistical hurdles, only 223 cases of wild poliovirus in three countries were reported in 2012. Down 99% from the estimated 350,000 annual cases in 125 countries in 1988dthis decline signals the imminent global eradication of polio. However, elimination of new polio cases should not also signal an end to worldwide engagement with polio. As many as 20 million continue to live with the disabling consequences of the disease. In developed countries where polio immunization became universal after dissemination of the polio vaccine in the 1950s, almost all individuals who have had polio are now above age 50. But in many developing countries where polio vaccination campaigns reached large segments of the population only after 1988, millions disabled by polio are still children or young adults. Demographically, this group is also different. After three decades of immunization efforts, those children unvaccinated in the late 1980s were more likely to be from poorer rural and slum communities and to be girlsdgroups not only harder to reach than more affluent members of the population but also individuals who, if they contract polio, are less likely to have access to medical and rehabilitation programs or education, job training, employment and social support services. The commitment to eradicate polio should not be considered complete while those living with the disabling sequelae of polio continue to live in poor health, poverty and social isolation. This paper reviews what is currently known about disabled survivors of polio and highlights areas of need in public health research, policy and programming. Based on a literature review, discussion and field observations, we identify continuing challenges posed by polio and argue that the attention, funding and commitment now being directed towards eradication be shifted to provide for the rehabilitative, medical, educational and social needs of those for whom the disabling sequelae of polio will remain a daily challenge for decades to come.

Type: Article
Title: Surviving polio in a post-polio world
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.socscimed.2014.02.024
Publisher version: http://dx.doi.org/10.1016/j.socscimed.2014.02.024
Additional information: �© 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/). PubMed ID: 24607679
Keywords: Polio, Post-polio, Eradication, Disability, Rehabilitation, Global public health
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1435603
Downloads since deposit
232Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item