Pulse Polio Pulse Polio is an immunization campaign established by the government of India in 1995-96 to eradicate poliomyelitis (polio) in India by vaccinating all children under the age of five years against polio virus. This project deals with the ways to fight poliomyelitis through a large scale immunization programme, co-operating with various international institutions, state governments and Non Governmental Organizations. In India, vaccination against Polio started in 1978 with Expanded Program in Immunization (EPI). By 1984, it was successful in covering around 40% of all infants, giving 3 doses of OPV to each.
In 1985, the Universal Immunization Program (UIP) was launched to cover all the districts of the country. UIP became a part of child safe and survival motherland program (CSSM) in 1992 and Reproductive and Child Health Program (RCH) in 1997. This program led to a significant increase in coverage, up to 95%. The number of reported cases of polio also declined from 28,757 during 1987 to 3,265 in 1995. In 1995, following the Polio Eradication Initiative of World Health Organization (1988), India launched Pulse Polio Immunization Program along with Universal Immunization Program which aimed at 100% coverage.
In 2012, India was declared free of polio by WHO. Key objectives The Pulse Polio Initiative (PPI) aims at covering every individual in the country. It aspires to reach even children in remote communities through an improved social mobilization plan. [1] •Not a single child should miss the immunization, leaving no chance of polio occurrence. •Cases of Acute Flaccid Paralysis (AFP) to be reported in time and stool specimens of them to be collected within 14 days. Outbreak Response Immunization (ORI) to be conducted as early as possible. •Maintaining high level of surveillance. Performance of good mop-up operations where polio has disappeared. •India to be polio-free by 2005. [1] Steps involved •Setting up of booths in all parts of the country. [1] •Initializing walk-in cold rooms, freezer rooms, deep freezers, ice-lined refrigerators and cold boxes for ensuring steady supply of vaccine to booths. •Arranging employees, volunteers and vaccines. •Ensuring vaccine vial monitor on each vaccine vial. •Immunizing children with OPV on National Immunization Days. •Identifying missing children from immunization process. •Surveillance of efficacy. Study of its success State specific cases-[1]
The Gujarat case- In 1998, in Bhavnagar district of Gujarat, immunization officers reported that 98 children out of the total of 2,000 missed the vaccine. Health workers were first prevented from coming to village. Later, when the booths were established and the program did start, lot of parents did not bring their children to the booth. According to them, children from their village developed polio-paralysis even after the immunization. The Bengal Case-[2] Health officers, who visited the village in West Bengal, saw utter discontent amongst the people as they stated that two children contracted the virus after the vaccine.
In another instance, parents of a two-and-a-half-year-old child who developed cellulites in the heel were convinced that it had been caused by the vaccine that was given to their child a week before. The doctor who gave the vaccine was forced to pay the entire amount for the child’s treatment. Therefore, the reasons for non-compliance by the people can be anything from lack of attitude to lack of awareness, from vaccinating an ill child to apprehension about the side-effects of polio drops (including fever, loose motion, death, infertility etc. [3] It is found out that poor participation of doctors and nurses, difficulty in maintaining and procuring vaccine, difficulty in procuring vehicles, inadequate support from community members are also reasons why the program has not been completely successful. [4] India free of polio 2012 The last reported case of polio in India was in West Bengal on January 13, 2011. [5] On 25 February, 2012, India was officially struck off the list of polio-endemic countries by the World Health Organization (WHO). [6]