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Girls
May Be Cambodia's Last Polio Victim
Mum
Chanthy is like so many Cambodian children, born to a poor
family scraping by in the countryside. But until last week, she was
probably the most sought after 5-year-old in the country.
World Health Organization officials had combed through provincial
villages, asking about a little girl who cannot move her left arm
and leg. Ads with Mum Chanty's photo and the names of her parents
were placed in Khmer-language newspapers and on television. Ads were
played on radio as well.
Last week her family, now living in Svay Rieng province, saw one of
the television ads and were brought to the capital to meet with
Ministry of Health and WHO officials. Today, she is scheduled to
share a stage wit Prime Minister Hun Sen, the ambassadors from
Australia and Japan and the regional directors of Unicef and WHO.
The search began in 1998, the year after Mum Chanthy left a Phnom
Penh hospital after doctors told he family that she had polio.
Health officials realized that the little girl, from a village along
the Mekong River in Kandal province, wasn't just the eighth recorded
case of polio in Cambodia for 1997.
Mum Chanthy is now regarded as perhaps the last person ever to
contract polio in Cambodia and the other 36 nations that make up
the WHO's Western Pacific region. She is scheduled this
morning to take part in a ceremony that will declare the wild polio
virus officially extinct from Cambodia.
Polio is a viral infection that affects the spinal cord and brain.
The disease mainly strikes children younger than 5 years old,
attacking the nervous system and resulting in partial paralysis. It
is spread by unsanitary conditions, such as contact with the bodily
fluids of an infected child.
Monks will gives a blessing this morning, a traditional dance will
be performed and the national anthem will be sung. finally, an
official certification of polio eradication in Cambodia will be
presented by the WHO.
This certification has been seven years in the making. Cambodia
began its eradication program in 1994, a year that saw 300 new cases
of polio. At the time, Cambodia was one of the most heavily endemic
countries for polio in the world.
In 1995, the first of about 20 National Immunization Days began.
More than 40,000 health workers and volunteers spread out across the
country to spoon feed the sugary oral vaccine, which costs less than
$1. Eventually, the vaccine was given to about 2 million children in
all of Cambodia's more than 1,600 communes, according to Keith
Feldon, a a technical officer with WHO'S Cambodia immunization
program.
Feldon estimates that about 80 percent to 90 percent of Cambodia's
children were given the vaccine. That was enough to stop the spread
of the disease, he said.
The campaign was part of a global effort to eradicate polio.
According to a WHO report, 100 between 1994 and 1998.
The disease now exists only in parts of India and Africa and could
be eliminated from there by 2005.
According to WHO standard, health officials can declare a country
safe from polio if it has gone three years without a new discovery.
Fifteen month-old Mum Chanthy contracted the disease in March 1997.
So officials tentatively were able to announce last year that polio
in Cambodia was dead.
The long process of reviewing and verifying Cambodia's immunization
and investigation practices wasn't completed by WHO officials in
Japan until a few month ago. Stool samples have been sent to a
laboratory in Japan, but no one in Cambodia has tested positive for
the wild polio virus since 1997.
"They don't do the declaration until after documentation has
been looked at by regional and national certification committees,
"feldon said. "It's just like a court case. They ask every
question you can think of."
But not everyone is convinced polio has been eliminated as a threat
to Cambodia's fragile public health system. While he admits that a
80 to 90 percent vaccination rate is big success, Dr Beat Richner of
Kanthat Bopha Children's Hospital said his hospitals in Phnom Penh
and Siem Reap are still seeing sporadic cases of polio.
Staff from the Ministry f Health and WHO have come to the hospital
and taken stool samples, he said. But Richner is skeptical that the
tests in Japan can determine whether or not the samples contain the
virus.
"The samples are very fragile. If the temperature is off, then
you cannot find the virus, "Richner said. "As a medical
doctor, I would not have the courage to join this ceremony, she
could benefit from a new campaign to help Cambodia's estimated
70,000 polio victims.
Rotary International, which had helped to pay for the vaccination
campaign, will now shift its focus to caring for victims through
rehabilitation, surgery, education and job placement, Rotary
President Anthony Sanford said, To begin, Rotary's Cambodia
organization decided Wednesday to fund Mum Chanty's education.
"This is a long-term commitment that should remind us that she
is the last victim, "Sanford said. "But we won't just
concentrate on one person. This will be a bigger
program."
By
Matt Reed
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