Maulana Tayyab Qureshi, the top cleric in Pakistan’s Khyber Pakhtunkhwa Province, has seen up close the devastating effects of polio.

Two of his own kin were once paralyzed, victims of a scourge that has been vanquished worldwide yet refuses to go away from Pakistan and neighboring Afghanistan.

“Had their parents not neglected [to have their children vaccinated], their children wouldn’t be disabled today,” Qureshi said of his relatives.

As the chief khateeb, or Friday prayer leader, of the northwestern province, Qureshi preaches this message at every opportunity — Friday sermons at his 17th century Mahabat Khan Mosque in Peshawar, Eid prayers when upward of 40,000 people congregate, meetings with village elders.

“I’m very clear cut: I tell them, it’s free. It doesn’t cost you anything. Why don’t you take it seriously?” Qureshi said in an interview with VOA.

Qureshi is not the only Pakistani cleric advocating vaccination. Several renowned scholars have issued decrees in its support, with a notable shift in attitudes. Vaccine hesitancy, an intractable obstacle to eradicating polio, has waned, he said.

A once infamous bastion of vaccine resistance outside Peshawar has now embraced immunization.

“The fatwas have had a great impact,” Qureshi said.

Yet, as Pakistan and Afghanistan seek to eradicate polio, misinformation remains a key hurdle. While immunization rates are generally high in both countries, pockets of resistance persist along the border, jeopardizing eradication efforts.

To counter vaccine misinformation, public health officials increasingly have turned to influential clerics like Qureshi. As the trusted voices within their communities, these religious leaders play a crucial role in dispelling harmful myths and misconceptions about vaccines, experts say.

“The best way to fight through this is empowering trusted voices in communities to push back on it and provide real information,” said Kai Ruggeri, a Columbia University health policy professor who has written about vaccine disinformation.

The stakes are high. Afghanistan and Pakistan are the only countries where polio remains endemic. And as World Polio Day arrives this year, there are renewed concerns over their ability to eliminate the disease.

The neighboring countries were once on the brink of going polio-free. But persistent insecurity coupled with cross-border movements has fueled a resurgence.

Pakistan has recorded 40 cases and Afghanistan at least 20, this year. This marks a significant increase from the six cases each reported last year.

A setback came last month when more than 1 million Pakistani children missed vaccinations, and Afghanistan’s Taliban briefly suspended immunization campaigns.

Oliver Rosenbauer, a spokesman for WHO’s polio eradication program in Geneva, noted that misinformation is not the only obstacle to eliminating polio; a lack of infrastructure, insecurity and population density also contribute.

“The important point is the polio virus doesn’t care why a child is not vaccinated,” Rosenbauer said in an interview. “It’s very, very good at finding that unvaccinated child.”

Polio, a crippling disease that can lead to paralysis and death, has long been eradicated globally thanks to universal immunization efforts. For most people around the world, polio is a distant memory or even a relic of history.

But in Afghanistan and Pakistan, the disease remains a stark reality despite significant progress in recent decades. Its scars are visible to those who look, Rosenbauer said.

“It’s a disease that parents still see,” he said. “If you walk around Karachi or Kabul, you’ll still see people with polio on the streets.”

This “respect for the disease” explains why vaccine hesitancy remains around 1.5% in Afghanistan and Pakistan, significantly lower than many Western countries.

Yet in densely populated areas, such as the border regions of Afghanistan and Pakistan, lingering resistance can prevent efforts to eradicate the virus.

Leading the charge against the vaccine, militants on both sides of the border have waged violent attacks on polio workers and their escorts. Their claim that the vaccine program violates Islamic law and is used for surveillance has fueled resistance.

Hundreds have been killed in both Pakistan and Afghanistan.

In January, at least five policemen were killed and more than a dozen injured in a major attack on polio teams and security personnel in northwestern Pakistan.

According to the Emergency Operations Center in Khyber Pakhtunkhwa, militants have carried out 21 attacks against polio teams and security escorts in Pakistan this year.

Mainstream clerics have pushed back.

In 2019, prominent Islamic scholars from Afghanistan and Pakistan declared the polio vaccine safe and Sharia-compliant. They stressed the “moral duty” of parents to have their children vaccinated.

In 2022, the al-Azhar University, the Sunni Muslim world’s most prestigious institution of religious education, warned against decrees banning the polio vaccine in Pakistan.

Last month, nearly 200 renowned religious scholars in Khyber Pakhtunkhwa declared support for polio vaccination.

Qureshi, the chief khateeb of KP, was among them.

The scholars “took a strong stand not only regarding the polio vaccine but all health measures by the ministry of health,” Qureshi said.

Across the border, Taliban health officials are waging their own campaign against vaccine misinformation even as attacks on health workers, often claimed by ISIS, have persisted.

Ehsanul Haq Hanafi, a cleric and senior official in the health ministry, understands the clergy’s influence in Afghan society.

“People listen to the ulema and accept what they say,” Hanafi said in an interview with VOA.

Among the myriad misconceptions about the vaccine, he said, some Afghans believe it corrupts morals or causes sterility. Others think it can accelerate puberty, he said.

“This is unscientific and baseless disinformation,” he said.

To combat this, Hanafi travels around the country to meet with locals and mullahs to convince the skeptics. While some clerics remain opposed, most accept the vaccine once its benefits are explained, he said.

“We can’t convince 100% of the people, but 80% agree with us and have their children vaccinated,” Hanafi said.

VOA’s Ihsan M. Khan contributed to this article.
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Snakebites are classified as a neglected tropical disease by the World Health Organization. In South Africa and other countries in the region, there are numerous barriers to getting the antivenom necessary to save limbs and lives. But scientists are working to make antivenom cheaper, safer and easier to produce. Kate Bartlett reports from Johannesburg. Camera: Zaheer Cassim
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The naturally occurring form of polio remains active in only two countries in the world: Pakistan and Afghanistan. Over 50 cases of so-called wild polio have been confirmed in the region this year despite continuing efforts to eradicate the disease. This report comes from both sides of the border, narrated by Bezhan Hamdard.
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One person died and dozens fell ill from E. coli infections linked to McDonald’s Quarter Pounder hamburgers in 10 states, led by Colorado, where 26 people were sickened, the U.S. Centers for Disease Control said on Tuesday.

The E. coli outbreak, linked to one of McDonald’s most popular menu items, has sickened 49 people and sent 10 to the hospital, officials say.

The strain involved, E. coli O157:H7, can cause serious illness and was the source of a 1993 outbreak that killed four children who ate undercooked hamburgers at Jack in the Box restaurants.

Shares of the world’s largest fast-food chain were down about 6% in extended trading. A livestock trader said the outbreak also could pressure U.S. cattle futures on Wednesday by threatening demand for beef.

Everyone interviewed as part of an investigation into the outbreak has reported eating at McDonald’s before their illness started, and most mentioned eating a Quarter Pounder hamburger, according to the CDC.

The specific ingredient linked to the illness has not been identified but investigators are focused on fresh, slivered onions and fresh beef patties, the CDC said.

Most of the illnesses were reported in Colorado and Nebraska.

“The initial findings from the investigation indicate that a subset of illnesses may be linked to slivered onions used in the Quarter Pounder and sourced by a single supplier that serves three distribution centers,” McDonald’s North America Chief Supply Chain Officer Cesar Piña said in a statement.

McDonald’s has proactively removed the slivered onions and beef patties used for the Quarter Pounder hamburgers from stores in the affected states while the investigation continues, the company informed the CDC.

U.S. food safety attorney Bill Marler, who represented a victim in the Jack in the Box outbreak, said more cases of illness could surface. Onions have been linked to prior E. coli O157:H7 outbreaks, he said.

According to Marler, a founder of Marler Clark in Seattle, beef contamination is less common due to food safety measures. “You’d have to have multiple restaurants under-cooking the meat,” he said.

McDonald’s is temporarily removing the Quarter Pounder from restaurants in the impacted areas, including Colorado, Kansas, Utah and Wyoming, it said in a statement, adding it was working with suppliers to replenish supply in the coming week.

Symptoms for E. coli include severe stomach cramps, diarrhea and vomiting. Most people who suffer an infection will start feeling sick three to four days after eating or drinking something that contains the bacteria, Colorado’s public health department said. However, illnesses can start anywhere from one to 10 days after exposure, the department added.

In 2015, burrito chain Chipotle saw its sales battered and reputation hit due to E.coli outbreaks in several states. That outbreak was linked to a different strain of E. coli that typically causes less severe illness than E. coli O157:H7.

In addition to Colorado, the CDC said small clusters of a few people fell ill after eating a Quarter Pounder in Nebraska, Utah and Wyoming. Kansas, Missouri, Oregon, Iowa, Wisconsin and Montana had one illness apiece.
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Health officials say there have been six cases of polio reported in Ivory Coast in 2023, and one so far this year. It doesn’t seem like many, but any polio cases are cause for concern among health officials trying to completely eradicate the disease.  VOA’s Yassin Ciyow reports from Abidjan, in this story narrated by Anthony LaBruto. (Camera: Yassin Ciyow )
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Berlin — An infection with the new mpox variant clade 1b has been detected in Germany for the first time, the Robert Koch Institute health authority said on Tuesday.  

The infection occurred abroad and was detected last Friday, the institute said, adding that it did not see an increased risk for Germany but was “monitoring the situation very closely.”  

Mpox, a viral disease related to smallpox that causes fever, body aches, swollen lymph nodes and a rash that forms into blisters, has two main subtypes — clade 1 and clade 2.  

From May 2022, clade 2 spread around the world, mostly affecting gay and bisexual men in Europe and the United States. In July 2022, the WHO declared an international public health emergency, its highest level of alarm over the spread.  

Vaccination and awareness drives in many countries helped stem the number of worldwide cases and the WHO lifted the emergency in May 2023 after reporting 140 deaths out of roughly 87,400 cases.  

But this year, a new epidemic has broken out in the Democratic Republic of Congo.  

As well as clade 1, which mainly affects children, a new strain emerged in the DRC, called clade 1b.  

Clade 1b cases have also been recorded in nearby Burundi, Kenya, Rwanda and Uganda — none of which had previously detected mpox. The WHO declared another international emergency in August.
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HONG KONG — China’s National Health Commission (NHC) published its first set of guidelines to standardize the diagnosis and treatment of obesity, with more than half of China’s adults already overweight and obese, and the rate expected to keep rising.

The guidelines, made public on October 17, come as China experiences an upward morbidity trend of its overweight and obese population. The rate of overweight or obese people could reach 65.3% by 2030, the NHC said.

“Obesity has become a major public health issue in China, ranking as the sixth leading risk factor for death and disability in the country,” the guidelines said.

China is facing a twin challenge that feeds its weight problem: In a modernizing economy underpinned by technological innovation, more jobs have become static or desk-bound, while a prolonged slowdown in growth is forcing people to adopt cheaper, unhealthy diets.

Job stress, long work hours and poor diets are growing high-risk factors in the cities, while in rural areas, agriculture work is becoming less physically demanding and inadequate healthcare is leading to poor screening and treatment of weight problems, doctors and academics say.

The guidelines provide guidance and regulations including in clinical nutrition, surgical treatment, behavioral and psychological intervention, and exercise intervention for obesity, Zhang Zhongtao, director of the guideline drafting committee and deputy head of Beijing Friendship Hospital, told the official Xinhua news agency.

China’s NHC and 15 other government departments in July launched public awareness efforts to fight obesity. The campaign, set to last for three years, is built around eight slogans: “lifelong commitment, active monitoring, a balanced diet, physical activity, good sleep, reasonable targets and family action.”

Health guidelines were distributed to primary and secondary schools in July urging regular screening, daily exercise, hiring nutritionists and implementing healthy eating habits – including lowering salt, oil and sugar.

Obesity in China is an “unintended consequence of improving living standards in the country,” Xinhua said, after China struggled for centuries to feed its population and under-nourishment was a genuine concern for many families before the reform and opening-up in the late 1970s.
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Paris — French drugmaker Sanofi’s confirmation that it will sell a controlling stake in its consumer health unit to a U.S. investment fund sparked a new political backlash Monday, stoked by fears the deal marks a loss of sovereignty over key medications.  

Paris “must block the sale” using powers to protect strategic sectors, Manuel Bompard, a senior lawmaker in the hard-left France Unbowed (LFI) party, told the TF1 broadcaster.  

Politicians and unions have torn into Sanofi’s proposed 16-billion-euro ($17.4 billion) deal with U.S. investment fund CD&R for a controlling stake in Opella.  

The subsidiary makes household-name drugs including Doliprane branded paracetamol  whose yellow boxes dominate the French market.  

Under pressure, Prime Minister Michel Barnier’s minority government said it had secured a two-percent stake in Opella for public investment bank Bpifrance and “extremely strong” guarantees against job cuts and offshoring.  

Opella employs over 11,000 workers and operates in 100 countries.  

Sanofi said it is the third-largest business worldwide in the market for over-the-counter medicines, vitamins and supplements.  

CD&R — which has a battery of investments in France — would help build Opella into a “French-headquartered, global consumer healthcare champion,” the pharma giant said in a statement.  

‘Just words’

But with memories of drug shortages during and since the Covid-19 pandemic still raw for many, critics say the defenses are too weak.

A small stake “won’t give the French state a say in strategic decisions” at Opella, said Bompard, whose LFI dominates a left alliance that is the largest opposition group against Barnier and President Emmanuel Macron.  

Thomas Portes, also of the LFI, posted on X that the government had offered “no guarantees, just words.”  

Economy Minister Antoine Armand said a contract between CD&R, Sanofi and the government included maintaining production sites, research and development and Opella’s official headquarters in France, as well as investing at least 70 million euros over five years.  

It covers “keeping up a minimum production volume for Opella’s sensitive products in France,” Armand added, including Doliprane, digestive medication Lanzor and Aspegic branded aspirin.  

There would be financial penalties for closing French production sites, laying off workers or failing to buy from French suppliers.  

That includes Seqens, a company re-establishing production in France of Doliprane’s active ingredient paracetamol.  

“Workers are not at all reassured by the latest developments,” said Johann Nicolas, a CGT union representative at Opella’s Doliprane plant in Lisieux, northern France.  

He added that a picket had throttled production there from around 1.3 million boxes of the drug per day to around 265,000.  

The proposed protections in the deal have also failed to win over even some in the government camp.  

Monday’s guarantees “do not at all indicate a commitment for the long term, whether on investment, supply or jobs,” Charles Rodwell, a lawmaker in Macron’s EPR party who has closely followed the case, told AFP.  

He vowed “painstaking” parliamentary surveillance of government action over the deal including measures to “block” the sale if ministers fall short.

Brand loyalty

Macron said last week that “the government has the instruments needed to protect France” from any unwanted “capital ownership.”  

Emotion over the Opella sales is closely linked to Doliprane.  

Boxes of the non-opioid analgesic against mild to moderate pain and fever often line entire pharmacy walls.  

The drug comes in many doses — from 100 mg for babies to 1,000 mg for adults — and in tablet, capsule, suppository and liquid forms.  

It is so ubiquitous that French people call any paracetamol product Doliprane, even when made by a different manufacturer.  

Sanofi, among the world’s top 12 health care companies, says the planned spinoff is part of a strategy to focus less on over-the-counter medication and more on innovative medicines and vaccines, including for polio, influenza and meningitis.
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Bogota, Colombia — Global environmental leaders gather Monday in Cali, Colombia to assess the world’s plummeting biodiversity levels and commitments by countries to protect plants, animals and critical habitats.

The two-week United Nations Biodiversity Conference, or COP16, is a follow-up to the 2022 Montreal meetings where 196 countries signed a historic global treaty to protect biodiversity.

The accord includes 23 measures to halt and reverse nature loss, including putting 30% of the planet and 30% of degraded ecosystems under protection by 2030.

In opening remarks on Sunday, Colombia’s environment minister and COP16 president Susana Muhamad said the conference is an opportunity “to collect the experience that has passed through this planet from all civilizations, from all cultures, from all knowledge … to generate livable, relatively stable conditions for a new society that will be forged in the light of the crisis.”

A real threat to biodiversity loss

All evidence shows a dramatic decline in species abundance and distribution, said Linda Krueger, director of biodiversity at The Nature Conservancy.

“A lot of wild species have less room to live, and they’re declining in numbers,” Krueger said. “And we also see rising extinction rates. Things that we haven’t even discovered yet are blinking out.”

The world is experiencing its largest loss of life since the dinosaurs, with around 1 million plant and animal species now threatened with extinction, according to the United Nations Environment Programme.

In the Amazon rainforest, threats to biodiversity include the expansion of the agricultural frontier and road networks, deforestation, forest fires and drought, says Andrew Miller, advocacy director at Amazon Watch, an organization that protects the rainforest.

“You put all of that together and it’s a real threat to biodiversity,” Miller said.

Global wildlife populations have plunged on average by 73% in 50 years, according to the WWF and the Zoological Society of London biennial Living Planet report this month.

The report said Latin America and the Caribbean saw 95% average declines in recorded wildlife populations.

Indigenous communities key to biodiversity protection

Indigenous people are on the front lines of protecting biodiversity and fighting against climate change, putting their lives at great risk, said Miller of Amazon Watch.

“A lot of discourse has been given about the voices of local communities … Indigenous peoples really playing a key role,” he said. “So that’s one of the things that we’ll be looking for at COP16.”

Indigenous peoples hold the solutions to combat the climate change and biodiversity crises, said Laura Rico, campaign director at Avaaz, a global activism nonprofit.

“They’re who have been taking care of the land, healing the land through their governance systems, their care systems and their ways of life,” she said. “So … it’s fundamental that the COP recognizes, promotes and encourages the legalization of their territories.”

In Colombia’s capital, Bogota, the head of an Amazon Indigenous organization said the region’s Indigenous people have been preparing for months for COP16.

“This is a great opportunity to make the impact that we need to demonstrate to all the actors that come from other countries the importance of Indigenous peoples for the world,” said José Mendez, secretary of the National Organization of the Indigenous Peoples of the Amazon.

“It’s no secret to anyone that we … are at risk right now,” he said. “The effects that we are currently experiencing due to climate change, the droughts that the country is experiencing, the Amazon River has never gone through a drought like the current one. … This is causing many species to become extinct.”

Nature can recover

Environment minister Muhamad told local media this month that one of the conference’s main objectives is to deliver the message that “biodiversity is as important, complementary and indispensable as the energy transition and decarbonization.”

Part of Colombia’s first ever leftist government, Muhamad cautioned last year’s World Economic Forum about the risks of continuing an extractive economy that ignores the social and environmental consequences of natural resource exploitation.

Since the 2022 Montreal conference, “progress has been too slow”, says Eva Zabey, executive director of the coalition Business for Nature.

“There’s been some progress,” she said. “But the headline message is the implementation of the global biodiversity framework is too slow and we need to scale and speed up.”

“COP16 comes at an absolutely critical moment for us to move from targets setting to real actions on the ground,” Zabey said.

Although biodiversity declines are grim, some environmentalists believe a reversal is possible. “We’ve had some very successful species reintroductions and we’ve saved species when we really focus on what is causing their decline,” said The Nature Conservancy’s Krueger.
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Geneva — The WHO chief on Sunday urged Rwanda to keep up its fightback against Marburg, as the country battles an outbreak of one of the world’s deadliest viruses.  

There have been 62 confirmed cases and 15 deaths in the outbreak, which was first announced in late September.  

No new cases have been detected in the last six days and 44 people have recovered from infection.  

Tedros Adhanom Ghebreyesus, the head of the World Health Organization, visited Rwanda to see the outbreak response for himself and hailed the country’s handling of the situation.  

“We’re pleased to see that there have been no new cases in the past six days, and we hope that remains the case,” he told a press conference in the capital Kigali.  

“But we are dealing with one of the world’s most dangerous viruses, and continued vigilance is essential.  

“Enhanced surveillance, contact tracing and infection prevention and control measures must continue at scale until the outbreak is declared over.”  

Such a declaration can only be made after 42 days — two consecutive incubation periods — without a new confirmed case.  

Marburg is transmitted to humans from fruit bats, and is part of the filovirus family that includes Ebola.  

With a fatality rate of up to 88 percent, Marburg’s highly infectious hemorrhagic fever is often accompanied by bleeding and organ failure.   

However, the case fatality rate in this outbreak has been held down at 24 percent.   

On Saturday, Tedros visited the treatment center where the remaining patients are being looked after.  

“Two of the patients we met had experienced all of the symptoms of Marburg, including multiple organ failure, but they were put on life support, they were successfully intubated and extubated, and are now recovering,” he said.  

“We believe this is the first time patients with Marburg virus have been extubated in Africa. These patients would have died in previous outbreaks.”  

There are currently no officially approved vaccines nor approved antiviral treatments, but potential treatments, including blood products, immune and drug therapies are being evaluated.  

A vaccination program using a trial vaccine was launched in Rwanda earlier this month. 
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MILWAUKEE — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”
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People with HIV can safely receive donated kidneys from deceased donors with the virus, according to a large study that comes as the U.S. government moves to expand the practice. That could shorten the wait for organs for all, regardless of HIV status.

The new study, published Wednesday in the New England Journal of Medicine, looked at 198 kidney transplants performed across the U.S. Researchers found similar results whether the donated organ came from a person with or without the AIDS virus.

Last month, the Department of Health and Human Services proposed a rule change that would allow these types of kidney and liver transplants outside research studies. A final rule would apply to both living and deceased donors. If approved, it could take effect in the coming year.

Participants in the study were HIV positive, had kidney failure and agreed to receive an organ from either an HIV-positive deceased donor or an HIV-negative deceased donor, whichever kidney became available first.

Similar survival rates

Researchers followed the organ recipients for up to four years. They compared the half who received kidneys from HIV-positive donors to those whose kidneys came from donors without HIV.

Both groups had similarly high rates of overall survival and low rates of organ rejection. Virus levels rose for 13 patients in the HIV donor group and for four in the other group, mostly tied to patients failing to take HIV medications consistently, and in all cases returned to very low or undetectable levels.

“This demonstrates the safety and the fantastic outcomes that we’re seeing from these transplants,” said study co-author Dr. Dorry Segev of NYU Langone Health.

In 2010, surgeons in South Africa provided the first evidence that using HIV-positive donor organs was safe in people with HIV. But the practice wasn’t allowed in the United States until 2013 when the government lifted a ban and allowed research studies, at the urging of Segev. At first, the studies were with deceased donors. Then in 2019, Segev and others at Johns Hopkins University in Baltimore performed the world’s first kidney transplant from a living donor with HIV to an HIV-positive recipient.

All told, 500 transplants of kidneys and livers from HIV-positive donors have been done in the U.S.

‘A win-win’

People with HIV have been actively discouraged from signing up to be organ donors by stigma and outdated state laws and policies criminalizing organ donation for people with HIV, said Carrie Foote, a sociology professor at Indiana University in Indianapolis.

“Not only can we help those of us living with this disease, but we free up more organs in the entire organ pool so that those who don’t have HIV can get an organ faster,” said Foote, who is HIV positive and a registered organ donor. “It’s a win-win for everyone.”

More than 90,000 people are on the waiting list for kidney transplants, according to the U.S. Organ Procurement and Transplantation Network. In 2022, more than 4,000 people died waiting for kidneys.

In an editorial in the journal, Dr. Elmi Muller of Stellenbosch University in South Africa predicted the new study will have “far-reaching effects in many countries that do not perform transplantations with these organs.”

“Above all, we have taken yet another step toward fairness and equality for persons living with HIV,” wrote Muller, who pioneered the practice.
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ISLAMABAD — Pakistan said Saturday that two children in its southern Sindh province had been paralyzed by poliovirus, bringing the total number of cases nationwide to 39 for the year since March, when officials confirmed the first case.

The South Asian nation of around 240 million people reported six cases of paralytic poliovirus infections in 2023, following a period of more than a year without any documented cases, only to see the numbers rise again.

“Genetic sequencing of the cases is under way,” said a Pakistan polio eradication program statement Saturday while reporting the two new infections in Sindh. “The intense virus transmission and increase in polio cases are indicative of the harm that children suffer when they miss opportunities for vaccination.”

Pakistan and neighboring Afghanistan, with at least 20 cases this year, are the only two countries where the crippling disease is still endemic.

Pakistani officials are preparing to launch a nationwide vaccination campaign on October 28 to immunize more than 45 million children under 5 against the paralytic disease.

“It is critical for parents to open their doors to vaccinators during this drive and ensure that all children in their care receive two drops of the crucial oral polio vaccine to keep them protected from the devastating effects of polio,” the program emphasized in its Saturday statement.

Pakistan’s southwestern Balochistan province, which sits on the Afghan border, has reported 20 polio cases in 2024, while Sindh has detected 12 cases.

The Khyber Pakhtunkhwa province bordering Afghanistan has documented five paralytic poliovirus cases. Pakistan’s most populous Punjab province and the national capital, Islamabad, reported one case each.

The resurgence of poliovirus in Pakistan is blamed on boycotts of vaccination drives by parents in rural areas who allege the initiatives are a Western plot to sterilize Muslim children.

Anti-state militants in violence-hit districts bordering Afghanistan occasionally attack vaccinators and their police escorts, suspecting them of spying for the government. The violence has claimed the lives of dozens of security forces and vaccinators.

An independent monitoring board of the Global Polio Eradication Initiative noted in a report last month that more than 420,000 Pakistani children could not be inoculated in anti-polio campaigns in 2024.

The board reported more than 200 boycotts of the polio vaccination campaign in Khyber Pakhtunkhwa last year. “It is disturbing to realize that violence, insecurity, and boycotts are still as prevalent in Khyber Pakhtunkhwa as they were in 2023,” the report said.

It highlighted that residents in several impoverished districts of Pakistan also demanded electricity, gas supply, and road construction in return for getting their children vaccinated.

A representative for Pakistan’s Ministry of Health told a World Health Organization meeting in Doha, Qatar, earlier this week that polio eradication is the country’s “top priority,” and efforts have been intensified to halt virus transmission.

“Despite recent resurgence, a unified plan with provinces aims to stop polio transmission by 2025,” Safi Malik stated. “We’re focusing on quality campaigns, digital tracking of missed areas, and a strong Pakistan-Afghanistan collaboration for cross-border vaccinations,” he said. 
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