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VIRUS OUTBREAK

First case of fast-spreading polio found in 5 years in Africa as toddler left paralysed

A CASE of polio has been detected in Africa for the first time in five years, the World Health Organization (WHO) has said.

The three-year-old girl from Malawi has been left paralysed by the fast-spreading virus.

Polio illustration
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Polio illustrationCredit: Getty
A girl receives polio vaccine drops in Karachi, Pakistan July 20, 2020. The new case of polio in Africa has links to Pakistan, where the virus is endemic
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A girl receives polio vaccine drops in Karachi, Pakistan July 20, 2020. The new case of polio in Africa has links to Pakistan, where the virus is endemicCredit: Reuters

Malawi's health authorities have declared a polio outbreak after the case was flagged in the capital Lilongwe.

Laboratory analysis showed the polio strain is type 1 linked to travel in Pakistan.

As of 2020, type 1 is only in circulation in Pakistan and Afghanistan, while type 2 and 3 have been eliminated for over a decade.

But it has not spilled into another country since 2013, when an outbreak occurred in Syria, and has never jumped between continents. 

The girl began experiencing symptoms in November, according to , but the strain she is infected with was in circulation in Pakistan in October 2019.

It suggests there has been undetected spread of the virus since then.

Up to 90 per cent of those infected with polio experience no or mild symptoms and the disease usually goes unrecognised.

Around one in 200 children become paralysed. 

The WHO said it was taking “urgent measures” to prevent polio spreading to other children, including a vaccination drive.

But it said: “As an imported case from Pakistan, this detection does not affect the African region's wild poliovirus-free certification status.”

Africa was declared free of indigenous wild polio in August 2020, a landmark moment in a decades-long campaign to eradicate the notorious disease around the world.

No polio cases had occurred on the continent for the past four years - the threshold for eradication.

Dr Modjirom Ndoutabe, the WHO Africa region's polio coordinator, said the last case of polio was in Nigeria in 2016.

There were only five cases of polio globally in 2021. 

The WHO's regional director for Africa, Matshidiso Moeti, said thanks to high surveillance, the agency has been able to “swiftly launch a rapid response and protect children from the debilitating impact of this disease”.

Polio invades the nervous system, attacking the spinal corn and causing irreversible paralysis in children, usually in the legs.

This can happen within hours of being infected.

It spreads through the faeces of an infected person, and is caught when someone comes into contact with contaminated food or water.

While there is no cure for polio, a vaccine discovered in the 1950s has largely zapped the virus from the globe.

This remained out of reach for many poorer countries in Asia and Africa until a major push in recent decades.

In the UK, 93 per cent of one-year-olds have had their polio jab, compared to 46 per cent in the Central Africa Republic. 

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Some parts of Africa have very high jab rates, such as in Botswana (96 per cent) and Morocco (99 per cent).

There hasn't been a case of polio caught in the UK since the mid-80s, and the NHS says "there remains a very small risk it could be brought back to the UK".