U.N. officials said they were mobilizing to vaccinate 2.5 million young children in Syria and more than 8 million others in the region to combat what they fear could be an explosive outbreak of polio, which has reappeared in the war-ravaged country for the first time in more than a dozen years.
In this image taken from Thursday, Oct. 24, 2013 video obtained from the Shaam News Network, which has been authenticated based on its contents and other AP reporting, two men treat a civilian young man rescued from the wreckage of a building after it was struck by government forces in the suburb of Jobar, Damscus, Syria. The Syrian conflict, which began as a largely peaceful uprising against Assad in March 2011, has triggered a humanitarian crisis on a massive scale, killing more than 100,000 people, driving nearly 7 million more from their homes and devastating the nation's cities and towns. (AP Photo/Shaam News Network via AP Video)
By RICK GLADSTONE
New York Times
U.N. officials said Friday that they were mobilizing to vaccinate 2.5 million young children in Syria and more than 8 million others in the region to combat what they fear could be an explosive outbreak of polio, the incurable viral disease that cripples and kills, which has reappeared in the war-ravaged country for the first time in more than a dozen years.
The officials said the discovery a few weeks ago of a cluster of paralyzed young children in Deir al-Zour, a heavily contested city in eastern Syria, had prompted their alarm, and that tests conducted by both the government and rebel sides strongly suggested the children had been afflicted with polio.
The possibility of a polio epidemic in Syria, where the once-vaunted public health system has collapsed after 31 months of political upheaval and war, came as the United Nations is increasingly struggling with the problem of how to deliver basic emergency aid to millions of deprived civilians there.
Valerie Amos, the top U.N. relief official, told the Security Council on Friday that combatants on both sides of the conflict had essentially ignored the council’s Oct. 2 directive that they must give humanitarian workers access to all areas in need.
Speaking to reporters afterward, Amos said she had expressed to council members “my deep disappointment that the progress that we had hoped to see on the ground as a result of that statement has not happened, and in fact what we are seeing is a deepening of the crisis.”
Bruce Aylward, the assistant director general for polio and emergencies at the World Health Organization, which is helping to lead the new polio vaccination effort in Syria, said officials at the agency were taking no chances and assuming that the 20 paralyzed children in Deir al-Zour were polio victims.
“This is polio until proven otherwise,” he said in a telephone interview from the group’s headquarters in Geneva.
Despite the war, Aylward said, he believed both sides understood the urgent need for repeated vaccinations of all young children because polio can spread indiscriminately and is so difficult to eradicate. Nonetheless, he said, it remained unclear whether the vaccination effort in all parts of Syria would be impeded by the conflict’s chaos and politics.
“The virus is the kind of virus that finds vulnerable populations, and the combination of vulnerability and low immunization coverage, that is a time bomb,” he said. “There is a real risk of this exploding into an outbreak with hundreds of cases.”
The WHO, working with the U.N. Children’s Fund and other aid groups, has organized a plan to administer repeated oral doses of polio vaccine in concentric geographical circles, starting with children in Deir al-Zour and eventually reaching western Iraq, southern Turkey, Jordan, Israel, the Palestinian territories and Egypt. In Lebanon, home to more than 700,000 Syrian refugees, public health officials said Friday that they were undertaking a related effort to vaccinate all children younger than 5.
Altogether, Aylward said, more than 10 million young children in the Middle