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Oral Polio Vaccine
The fact that Oral Polio Vaccine can create polio in
otherwise healthy children is still kept out of
public discussion even as GOI went ahead with the
programme 11years ago in 1995. Both IMA and the NPSP
now acknowledge that Vaccine Associated Paralytic
Poliomyelitis (VAPP) is a problem. The complex
classification system that NPSP chose to adopt
resulted in masking all instances of childhood
paralytic diseases in India including VAPP related
deaths, cVDPV and non- polio paralysis cases, in
favor of confirmed polio cases that never formed
more than 3% of the AFP cases chosen by NPSP. In
addition it resulted in a large and unknown number
of paralyzed children all across the country that
were never tested. The paper argues that the GOI
should apologize to the nation for hiding truth from
public, that all children who developed polio in the
post 1995 era are paid compensation, and that the
scope of NPSP be expanded to include all children
with any paralytic disease including VAPP. While
criticizing NPSPs approach to club individual types
of instances into monolithic categories, it argues
that all children with AFP should be diagnosed
fully. It exhorts GOI to make use of the
infrastructure created by NPSP to further our
national interests, and hopes that alternative
medical systems find a genuine solution to the
problem of childhood paralysis in India, so as to
short-circuit the complications caused by such
vaccination drives.
Vaccine Virus: (Dr.Samatha
and Narayana)
In this situation, various problems associated with
the vaccine came to light. The Government had to
declare that some children whose stools did not
yield wild poliovirus, still yielded vaccine virus.
Many doctors, who expected such instances of vaccine
associated paralysis to be around 180, were alarmed
to find that in the last three years alone they
totaled to about 4400. Those who expected them to be
“too small numbers to be of any consequence” were
startled with this information. Also the doctors,
who were earlier raising ethical concerns about such
issues being limited to academic circles, now became
more vocal. Eventually they started writing in
popular press, claiming that the Pulse Polio
Programme has failed in India, and that it has many
associated problems.
During these 12 years that the Pulse Polio programme
continued, people, both lay and medical
practitioners alike, were misled by the Government’s
propaganda: that “polio drops are completely safe”,
“Get your children vaccinated again and again”.
Media, filmdom, and even the Honorable President of
India were made use of in spreading this untruth.
The Government of India knew well though -like the
WHO did too- that some VAPP cases would surely
emerge in the process. Had the Government taken
people into confidence, explained the risks involved
in this programme truthfully, gone on with it with
their consent, examined any VAPP cases that emerged,
and paid pre-arranged compensations to such victims
honestly, it would have been OK. Instead, by keeping
the information on VAPP secret, by spreading
untruth, by declaring the numbers of only “confirmed
wild polio cases” and putting all other AFPs into
“discarded” category- in an apparent effort to cover
up the exact numbers of VAPP victims, by not taking
into account the deaths following vaccination, and
by employing many such devious methods, the
Government of India complicated the issue.
During the 80s, every case of sudden childhood
paralysis associated with fever was declared polio
on clinical grounds, projecting the disease as a
“Big menace”. So it is not enough now, to test equal
number of children with paralysis and declare only
one in a hundred of them “polio’ and simply
‘discard’ others: Causes for paralysis in the
remaining 99% children must also be determined and
made public. Not only that, the programme has
created paralysis in thousands of otherwise healthy
children- the Government has to take complete
responsibility for this and pay suitable
compensations to all such victims.
Let us demand:
1. Polio drops contain live polioviruses. A large
number of people may benefit from them; but some
children will develop polio like paralysis because
of the drops. The State has to own responsibility
for them.
2. Tests can be conducted, within 60 days from the
onset of paralysis, to determine the type of
poliovirus. Yet those tests were (and are) not
available to many. So the list of VAPP victims with
the Government is definitely incomplete, and also
unscientific. Yet their names must be made public,
and their present status be verified by independent
agencies.
3. Taking all aspects into account, including the
governments’ contribution to chaos, all children
that developed polio-like paralysis after 1995 be
considered for compensations.
4. A High power commission, comprising of experts
with known pro-people stance should carefully work
out the details of identification of victims and
compensation aspects of the programme.
5. Government has to own responsibility for
investigating and diagnosing not just polio, but all
paralyses of childhood.
6. Children who died after consuming polio drops
must be identified and their parents compensated.
Government has to publicly apologize to them, to
VAPP victims, and to the Nation.
7. Vaccination programmes should exhibit truthful,
transparent, and healthy attitude towards people.
These programmes should evolve into democratic
processes deriving the informed consent of all
parties.
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