Orlando Sentinel

Officials: Polio outbreak in Syria threatens region

- By Loveday Morris

BEIRUT — A cluster of 10 young Syrian children has been infected with polio, the World Health Organizati­on said Tuesday, sparking fears of a major regional outbreak amid mass migration and the collapse of Syria’s health services under the pressures of civil war.

WHO officials warned there is a significan­t risk of the infectious disease spreading after the cases were confirmed in the eastern province of Deir elZour. Twelve more children suspected to be suffering from the virus are awaiting test results.

In response to the outbreak, seven countries in the region, including Syria and its neighbors Jordan, Lebanon and Turkey, have announced that they are launching emergency vaccinatio­n programs during the next three weeks to cover 20million children in a six-month period, the WHOsaid.

The war in Syria has created conditions for the spread of communicab­le diseases. The country’s health care system has been devastated by the 21⁄ year conflict, with routine immunizati­on programs disrupted amid the violence.

Health workers have warned that the unsanitary conditions in which many of the millions of displaced live are breeding grounds for diseases such as polio, which is spread through contaminat­ed food or water supplies. With as many as 4,000 refugees fleeing the country every day, the risk of the disease spreading is particular­ly serious.

Destructio­n of watertreat­ment plants, electric power plants and other infrastruc­ture has left Syrians “on average with only one-third the daily water” available to thembefore the A health worker administer­s a polio vaccinatio­n to a schoolgirl this month in Damascus, the Syrian capital.

Deputy prime minister dismissed

BEIRUT — Syria’s deputy prime minister, Qadri Jamil, was dismissed Tuesday for leaving the country and acting without government permission after meeting U.S. officials in Switzerlan­d, state media said.

The fired minister is a member of what President Bashar Assad calls the “patriotic opposition” — political parties that consider themselves rivals to the president but have not joined the revolt against his rule.

“Jamil … undertook activities outside the nation without coordinati­ng with the government,” said a statement posted on Syria TV.

U.S. and Middle Eastern officials told Reuters that Jamil met Robert Ford, the American ambassador to Syria, on Saturday in Geneva. conflict, muchof it contaminat­ed, U.N. humanitari­an chief Valerie Amos said in an interview Monday in Washington.

Doctors and health care workers have fled the country in massive numbers, Amos said, and U.N. humanitari­an workers have been unable to reach nearly 3 million Syrians in need because they are prevented by government or opposition checkpoint­s from traveling to some areas by road.

“It’s the perfect storm into which to drop the polio virus,” said Bruce Aylward, assistant director general for polio and emergencie­s at the WHO. “It could explode.”

The disease, which usually affects children young- er than 5, can cause permanent paralysis within hours. Some cases result in death. There is no known cure.

Just 1 in 200 polio cases result in paralysis, meaning the real number infected in Syria is in the thousands, Aylward said.

“The confirmed cases are just the tip of the iceberg,” said Aylward, who estimates that the regional vaccinatio­n effort will cost at least $15 million.

The disease is endemic in three countries — Afghanista­n, Nigeria and Pakistan. But its presence in those countries risks reinfectio­ns elsewhere.

The outbreak in Syria marks the first confirmed cases there in 14 years.

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SANA PHOTO

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