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American Journal of Public Health, Vol 91, Issue 1 146-150, Copyright © 2001 by American Public Health Association

JOURNAL ARTICLE

A new paradigm for international disease control: lessons learned from polio eradication in Southeast Asia

JK Andrus, AB Thapa, N Withana, JW Fitzsimmons, P Abeykoon and B Aylward
World Health Organization Southeast Asia Regional Office, New Delhi, India. andrusj@whosea.org

OBJECTIVES: This study evaluated the impact of international coordination on polio eradication in Southeast Asia. METHODS: Active surveillance systems for acute flaccid paralysis were assessed. Analyses focused on surveillance proficiency and polio incidence. RESULTS: Ten countries coordinated activities. Importations occurred and were rapidly contained in China and Myanmar. Countries that have been free of indigenous polio transmission for at least 3 years include Sri Lanka, Indonesia, Myanmar, and Thailand. In the remaining endemic countries--India, Nepal, and Bangladesh--poliovirus transmission has been substantially reduced; however, these countries still harbor the world's largest polio reservoir. CONCLUSIONS: Unprecedented international coordination in Southeast Asia resulted in dramatic progress in polio eradication and serves as a paradigm for control of other infectious diseases such as malaria and tuberculosis.


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