WILD POLIO VIRUS CASES (PARALYSED CHILDREN) IN NIGERIA


In accordance with our mandate to advocate for better care for all Nigerians, the Health Reform Foundation of Nigeria (HERFON) is committed to identifying areas of poor performance within the health sector and working with stakeholders to find lasting solutions. As part of our strategy to hold our policymakers accountable, HERFON will publish a series of articles on various high profile health issues. A topical Health scorecard, that puts the spotlight on the performance of those we have elected to represent us, will be serially published to empower consumers to demand for reforms and better health.


Wild Polio Virus Transmission


Nigeria is not currently projected to meet the MDG4 by 2015, immunizations are currently the most cost-effective health intervention.  One of the vaccine-preventable diseases is Polio, which has been known to cause Spinal Polio, leading to irreversible leg paralysis and Bulbar Polio, which may lead to death or the victim spending the rest of their life in an iron lung. For as little as $0.60 (approx N90) worth of vaccine, a child can be protected.
The last indigenous case of Wild Polio Virus was last seen over twenty years ago in the North and South Americas However, the picture for Nigeria remains unfortunately very bleak.  Nigeria is listed amongst the last 4 nations where Polio is still endemic (present continuously throughout the year) and may likely hold the world back from eradicating a disease which will be second only to small pox. As of September 13th, 2011 the number of Wild Polio Virus cases recorded in Nigeria is now 25, is up 400% from 6 recorded in 2010, according to the World Health Organization. Low coverage levels (<60%)  are responsible for the persistence of high transmission levels (NPHCDA 2011).
In April 2011 the Global Polio Eradication Initiative Independent Monitoring Board (IMB) confirmed that Nigeria was not on track to achieve the goal of interruption of wild poliovirus transmission by end 2011. The IMB however noted that Nigeria had the potential to get back on track should implementation of identified priority activities be expedited and gaps in vaccination and surveillance rapidly addressed.
The 25 cases of wild polio for the year to date have been listed alongside the newly elected and re-elected government officials at each level. We are depending on these officials that have the majesty of their distinguished offices and the attendant influence at their disposal, to deliver the much talked about “dividends of democracy” to those who voted them in and who pay taxes with the expectation of good and responsive governance.
According to a myriad of Public health articles published in the last few years, coverage for routine immunization has remained below set targets due to the following factors:

  1. Poor Primary Health Care Infrastructure – Local Government Chairman responsible
  2. Inadequate manpower for PHC  – Local Government Chairman responsible
  3. Poor delivery of  immunization services – Local Government Chairman responsible
  4. Poor community demand for services – Local Government Chairman responsible
  5. Inadequate funding for procuring vaccines – Mr President  responsible
  6. Inadequate Cold Chain Integrity and Storage – State Governor responsible
  7. Poor access roads to rural areas – State Governor responsible
  8. Passage of supporting Health legislations and budget appropriations – Legislators (State House of Assembly members, Federal House of Representatives members and Senators) responsible
  9. Frequent National vaccine stock-outs  – Federal Government responsible

Our National Dailies were inundated with pictures in early September of the Governors administering oral polio doses in the mouths of children as they launched their “War on Polio”.  We are hopeful that lip service is not being paid to this very important issue. These Governors must commit tangibly to Child Survival by the interruption of Wild Polio Virus. Their influence over the Local Government Chairmen is palpable and can be leveraged to improve performance at the LG level. Extended access road networks to local communities, increased health care budget allocations and release, capacity building for improved delivery of quality immunization services as well as adequate investment in cold storage equipment are recommended areas for immediate intervention.
Leadership is about Accountability. Leaders in Nigeria have an immediate opportunity to prove their commitment to the eradication of polio. We are sure they would not want to be remembered as the leaders of lame people but rather physically healthy individuals.

We can do better!
By THE HEALTH REFORM FOUNDATION OF NIGERIA (HERFON)
Advocating for better health for all Nigerians.

SCORE CARD ON POLIO WILD VIRUS CASES IN NIGERIA AS AT SEPTEMBER 13, 2011


A

B

C

D

E

F

G

H

I

 

S/N

 

PATIENT

 

WPV
CASE
TYPE

 

STATE/
LGA

 

GOVERNOR

 

LG
CHAIRMAN

 

STATE HOUSE
Of ASSEMBLY

 

REP./
FEDERAL
CONSTITUENCY

 

SENATOR/
DISTRICT

 

 

KEBBI STATE – 7 CASES (HIGHEST)

1

F. S.

Type 3

Kebbi Aliero LG

 

Nasamu
Dakingari

Garba Bala
Kashin Zama

Muhammad A.
Buhari

Alh. Umar Halilu Aliero
Aliero,Gwandu.Jega

Alh. Abubakar
Atiku Bagudu
Kebbi Central

2

R.

Type 1

Kebbi Augie LG

Nasamu
Dakingari

 

Alh. Yahaya
Muhammad

Adamu Bawa
Augie

 

Alh. Garba Musa Gulma
Argungu/Augie

 

Alh. Isah Galaudu
Kebbi North

3

N.

Type 1

Kebbi
Birnin Kebbi LG

Nasamu
Dakingari

 

Alh. Musa
Mohammed Dan
Illela

Mohammed Bello
Yakubu

 

Alh. Umar Sani Kalgo
Birnin Kebbi-Kalgo-Bunza

Alh. Abubakar
Aliku Bagudu
Kebbi Central

4

M. S.

Type 1

Kebbi
Gwandu  LG

Nasamu Dakingari

 

Alh. Mohammed
 Dangi Juli Yole

Alh. Hassan
Muhammad Salla

Alh. Umaru Halilu Aliero
Aliero,Gwandu.Jega

Alh. Abubakar
Atiku Bagudu
Kebbi Central

 

5

 

U. A.

 

Type 3

 

Kebbi
Gwandu LG

 

Nasamu Dakingari

 

Alh. Mohammed
Dangi Juli Yole

 

Alh. Hassan Muh’d Salla

 

Alh. Umaru Halilu Aliero
Aliero,Gwandu.Jega

 

Alh. Abubakar Atiku Bagudu
Kebbi Central

6

A. A.

Type 3

 

Kebbi
Yauri LG

Nasamu Dakingari

Umar Abdullah

Aminu Musa Gumbi

Hajia Halima Hassan Tukur
Yauri/Shanga/Ngaski

Gen. Muhammad Magoro (Rtd)
Kebbi South

7

X.X.

Type 3

Kebbi
Bagudo LG

Nasamu Dakingari

Mohamed Samaila

Nafiyu Aliyu Bagudo

Hon Bello Kaoje
Bagudo/Suru

Alhaji Isah Galaudu
Kebbi North

 

 

KANO STATE – 6 CASES (2nd HIGHEST)

1

Z.A.

Type 3

KANO
D/WK TOFA LG

Kwankwanso

Muhammad
Tato Gaya

Sale Ahmed Marke

Engr. Tijjani Abdulkadir
Jobe
Dawakin Tofa/
Rimin Gado

 

 

Bello Hayatu Gwarzo
Kano North Senatorial District

2

N.S.

Type 3

KANO
D/WK TOFA LG

Kwankwanso

Muhammad
Tato Gaya

Sale Ahmed Marke

Engr. Tijjani Abdulkadir
Jobe
Dawakin Tofa/
Rimin Gado

 

Bello Hayatu Gwarzo
Kano North Senatorial District

 

3

M.M.

Type 1

KANO
KUMBOTSO LG

Kwankwanso

Shuaibu Musa Umar

 

Alh. Naziru Zakari Sheka

 

Mannir Babba Dan
Agundi
Kumbotso Federal
Constituency

Bashir Lado Garba
Kano Central Senatorial District

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

A.Y.

Type 1

 

KANO
KUMBOTSO LG

Kwankwanso

Shuaibu Musa Umar

Alh. Naziru Zakari Sheka

 

Mannir Babba Dan
Agundi
 Kumbotso Federal
Constituency

 

Bashir Lado Garba
Kano Central Senatorial District

5

H. M.

Type 1

KANO
KUMBOTSO LG

Kwankwanso

Shuaibu Musa Umar

Alh. Naziru Zakari Sheka

 

Mannir Babba Dan
Agundi
Kumbotso Federal
Constituency

 

 

Bashir Lado Garba
Kano Central Senatorial District

6

F.M.

Type 1

KANO
KUMBOTSO LG

Kwankwanso

Shuaibu Musa Umar

Alh. Naziru Zakari Sheka

 

Mannir Babba Dan
Agundi
Kumbotso Federal
Constituency

 

Bashir Lado Garba
Kano Central Senatorial District

 

 

BORNO STATE – 4 CASES (3rd HIGHEST)

1.

Z.Y.

Type 3

Borno
Kukawa LG

Kashim Shettima

 

Alhaji Lawan Yarayi

Alhaji Haruna Kukawa

Isa Lawan Kangarwa
Kukawa,Guzamala,Abadam and Mobbar

 

Alhaji
Maina Ma*aji Lawan
Borno North

 

2

J.I.

Type 1

Borno
Maiduguri LG

 

 

Kashim Shettima

 

Metropolitan Council-
Alhaji Waziri Imam

. Alhaji Abubakar Tujani

 

 Kaka Kyari Gujbawu.
Maiduguri,Fed.Constituency

 

Khalifa Ahmed Zanna
Borno Central

3

M.S.

Type 1

Borno
Marte LG/Alamduri

Kashim Shettima

 

Alhaji Abba Mamman

Alhaji Shettima Kullima

Mohammed Tahir Monguno
Marte,Monguno,Nganzai Fed. Constituency

Maina Ma"aji Lawan
Borno North

4

M.B.

Type 1

Borno
Marte LG/Alamduri

Kashim Shettima

 

Alhaji Abba Mamman

Alhaji Shettima Kullima

Mohammed Tahir Monguno Marte,Monguno,Nganzai Fed. Constituency

 

 

 Maina Ma"aji Lawan
Borno North 

 

 

JIGAWA STATE – 3 CASES (4th HIGHEST)

1

A.G.

Type1

JIGAWA
Guri LG

Sule Lamido

Abdullahi Bulama Zugo

Muhammad Umar Soni

 

Hon. Adamu Hassan Abunabo
Guri/ Birniwa/ Kiri-kasamma

AbdulAziz Usman
Jigawa North East

2

A.A.

Type1

JIGAWA
Guri LG

Sule Lamido

 

Abdullahi Bulama Zugo

Muhammad Umar Soni

Hon. Adamu Hassan Abunabo

Guri/ Birniwa/ Kiri-kasamma

 

AbdulAziz Usman
Jigawa North East

3

Z.

Type1

 

 

 

JIGAWA
Roni LG

 

 

Sule Lamido

Alh. Bako Muhammad

 

Babangida Sardo

 

Bashir Adamu Jumbo
Roni/Gwiwa

 

 

Alh. Danladi Sankara
 Jigawa  North West

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOKOTO STATE – 3 CASES (4th HIGHEST)

 

1

 

N.S.

 

Type 3

 

SOKOTO
ISA LG

 

Aliyu Wamakko

 

Umar Muhammad

 

Mustapha Aliyu Gatau

 

Shuaibu Gwanda Gobir
Isa/Sabon Birni Constituency

 

Engr Ibrahim Abdullahi
Sokoto East Senatorial District

 

2

 

D.

 

Type 1

 

SOKOTO
SABON BIRNI LG

 

Aliyu Wamakko

 

Idris Muhammad

1.Haruna Dauda,
(Sabon/birnin  north)

2. Sumaila Salihu Gangara (South)

 

Shuaibu Gwanda Gobir
Isa/Sabon Birni Constituency

 

Engr Ibrahim Abdullahi

Sokoto East Senatorial District

 

3

 

A.B.

 

Type 1

 

SOKOTO
WAMAKO LG

 

Aliyu Wamakko

 

Alh. Ahmed Abdullahi .K

 

Murtala Maigana Wamako

 

 

Alhaji Abdullahi Wamako
Wamako/Kware constituency

 

Ahmed Muhammed Macido
Sokoto Central senatorial district

 

                                                                                                          YOBE STATE- 2 CASES(5th HIGHEST)

1

S.Y

Type 1

Yobe
Karasuwa LG

Ibrahim Geidam

 

KARASUWA LG
Alhaji Ahmed Yusuf

Hon. Alhaji Adamu Dala Dogo

Nguru/Machina/Yusufari/Karasuwa

Hon. Alhaji Baba Bukar Machina

 

Dr Ahmed Lawan
Yobe North Senatorial District

2

A.I

Missing

Yobe
Nangere LG

Ibrahim Geidam

NANGERE LG
Alhaji Habibu Danyaro

 

Alhaji Abubakar A. Degubi

Nangere/Potiskum

Alhaji Aliyu Yakubu Mainasara

Alhaji Alkali Abdulkadir Jajere
Yobe South
Senatorial District