“While India has been polio-free for a year, there has been a huge increase in non-polio acute flaccid paralysis. In 2011, there were an extra 47,500 new cases of non-polio acute flaccid paralysis. Clinically indistinguishable from polio paralysis but twice as deadly, the incidence of non-polio acute flaccid paralysis was directly proportional to doses of oral polio received.”

Indian Journal of Medical Ethics - Polio programme: let us declare victory and move on.

• This paper investigated the medical ethics of a polio eradication campaign in India that cost more than $2.5 billion and was followed by an exponential increase in cases of non-polio acute flaccid paralysis.
• In regions where children are vaccinated multiple times, the non-polio acute flaccid paralysis rate is up to 35 times higher than international norms.
• The non-polio acute flaccid paralysis rate in a given year correlates to the cumulative doses of oral polio vaccine received in the previous 3 years.
• Children who are stricken with non-polio acute flaccid paralysis have twice the risk of dying compared to those with a wild polio infection. (More than 43% of cases had residual paralysis after 60 days or died.)
• The significant increase in non-polio acute flaccid paralysis following India’s aggressive polio eradication campaign was not investigated openly.
• Strain shifts of entero-pathogens induced by over-vaccination with the oral polio vaccine may be a factor in high rates of non-polio acute flaccid paralysis.
• It is not possible to extinguish polio because the sequence of its genome is known and scientists can resurrect it at any time.
• India’s polio eradication campaign has been very costly due to the amount of human suffering and from a monetary standpoint.

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