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<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
<strong>THE</strong> MENINGITIS AND POLIO BELT<br />
Nigeria: Meningitis Again What is the <strong>African</strong> <strong>Traditional</strong><br />
<strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong>?<br />
Editorial<br />
We can make you healthy and wise<br />
24 February 2009<br />
It is now obvious that the scourge of Meningitis has<br />
be<strong>com</strong>e an annual epidemic in Nigeria.<br />
The figures from the many states where the disease has<br />
manifested, point to a picture of death and pain. Almost<br />
a hundred people are said to have died of the disease,<br />
with the highest death toll of 54 persons <strong>com</strong>ing from<br />
Maiduguri, Borno state. Other high death tolls include<br />
Kano, 21 people and Gombe, 14. In all, about 2000 cases<br />
have been recorded in Gombe, Kano, Borno, Yobe,<br />
Jigawa and Kaduna states.<br />
What is more disturbing about the Meningitis outbreak,<br />
this year, is the fact that it has spread outside the areas<br />
traditionally known as the 'Meningitis Belt' to include<br />
areas where the disease did not use to manifest.<br />
According to health experts this current scourge has led<br />
to cases in Akwa Ibom, Ebonyi, and Cross River states.<br />
Even before its threat to be<strong>com</strong>e a national disease, the<br />
re-current outbreak of Meningitis in the North should<br />
have been a huge cause for concern to our federal health<br />
authorities.<br />
Nakato Lewis<br />
<strong>Blackherbals</strong> at the Source of the Nile, UG Ltd.<br />
The <strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong> located<br />
in Bukoto, Uganda is a modern clinic facility created to<br />
establish a model space whereby indigenous herbal<br />
practitioners and healers can upgrade and update their<br />
skills through training and certification and respond to<br />
<strong>com</strong>mon diseases using <strong>African</strong> healing methods and<br />
traditions in a modern clinical environment.<br />
<strong>Traditional</strong> healers are the major health labor resource<br />
in Africa as a whole. In Uganda, indigenous traditional<br />
healers are the only source of health services for the<br />
majority of the population. An estimated 80% of the<br />
population receives its health education and health care<br />
from practitioners of traditional medicine. They are<br />
knowledgeable of the culture, the local languages and<br />
local traditions. Our purpose is to raise public<br />
awareness and understanding on the value of <strong>African</strong><br />
traditional herbal medicine and other healing practices<br />
in today’s world.<br />
I NSIDE T HIS I SSUE<br />
Continued on page 2<br />
1 Nigeria: Meningitis Again<br />
2 Nigeria: WHO – Serious Outbreak of Meningitis Hits Country<br />
3 Afrikan Spirituality-Yoruba Spirituality and Philosophy<br />
4 Feature – Vaccines: Fear of Meningitis Hits Edmonton<br />
6 Feature – Bacterial Meningitis: Deadly, Preventable Disease<br />
8 Feature – Hiding Polio Quotes<br />
10 Similarity of Polio to Pellgra, Beriberi and Deficiency Diseases<br />
16 Feature – Diet Major Factor in Polio Prevention<br />
18 Uganda: Meningitis Contained<br />
19 Burkina Faso: Meningitis Epidemics in Vaccinated Areas<br />
21 Chad: W135 Meningitis Shows up After Nearly a Decade<br />
22 Feature – Chronic Fatigue Syndrome -The New Polio<br />
30 Nigeria: Pfizer to Pay N11.2 Billion Compensation<br />
33 Uganda: Mass Immunisation Returns as Polio Attacks Again<br />
34 Kenya: Millions of Children Targeted in Stop-Polio Campaign<br />
35 Tanzania: Polio at Arusha’s Doorstep<br />
38 Nigeria: 50 Million Dollar Loan for Polio?<br />
40 Feature – Vaccine Induced Polio, Ugandan Kids Die By 1000s<br />
48 Herb of the Month – Momordica Charantia (Cerasee) con’t.<br />
The <strong>Clinic</strong> is open and operational. Some of the<br />
services we offer are <strong>African</strong> herbal medicine,<br />
reflexology, acupressure, hot and cold hydrotherapy,<br />
body massage, herbal tonics, patient counseling, blood<br />
pressure checks, urine testing (sugar), and nutritional<br />
profiles. We believe in spirit, mind, and body. Spiritual<br />
counseling upon request.<br />
Visit us also at www.<strong>Blackherbals</strong>.<strong>com</strong><br />
Hours: 9:00 am to 6:00 pm Monday thru Friday<br />
Saturday - Sundays – Closed<br />
1--<strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> – May 2009
Continued from Page 1 – Nigeria: Meningitis Again<br />
The government ought to be preparing for it annually,<br />
since it is an illness whose causes and season of outbreak<br />
are well-known. An emphasis on prevention through a<br />
well-coordinated enlightenment campaign could have<br />
saved many of those currently groaning in pain over the<br />
neck-stiffing scourge. The current efforts of the National<br />
Emergency Management Agency (NEMA) to contain the<br />
epidemic in the North-East would have made greater<br />
impact if it had <strong>com</strong>e earlier, by way of a preventive<br />
campaign.<br />
Governors of states within the traditional Meningitis zone<br />
should have <strong>com</strong>e together since the initial outbreak in<br />
November, last year and synergized towards a <strong>com</strong>bined<br />
effort to fight its spread. To this end, they could have<br />
embarked on immediate immunization exercises in all<br />
<strong>com</strong>munities prone to the outbreak. Apart from giving the<br />
all-important advice on sleeping in an airy environment<br />
and stopping overcrowding in rooms, a special clean up<br />
campaign should have been embarked upon by these<br />
states. Sanitation exercises in order to rid our dirty streets<br />
of their never-ending rubbish heaps and fetid gutters<br />
should have been a priority of the states' health and<br />
environment ministries.<br />
As an air and water- borne disease, Meningitis will<br />
certainly find a fertile breeding ground in dirt, a factor<br />
which is not in short supply all over the country. With our<br />
inability to stop it before it struck, we are left with no<br />
option but to try and contain the scourge before it spreads<br />
too far. Towards containment, the federal government<br />
must make the vaccines available for general<br />
immunization so that both <strong>com</strong>munities where the disease<br />
has manifested and where it has not will be immunized<br />
against it.<br />
Already in Kano state, where 278 cases were recorded in<br />
28 out of its 44 local governments, the critical problem<br />
facing health workers is shortage of necessary vaccines<br />
from the federal ministry of health. The Minister of<br />
Health should note this and send the needed supplies with<br />
dispatch. More and more health workers should be<br />
trained to diagnose the various type of Meningitis and<br />
know the appropriate treatment for each. Correct<br />
diagnosis can lesson the pain of the disease on patients<br />
and hopefully also limit fatalities.<br />
In the meantime, there is the urgent need to start a<br />
massive media campaign to enlighten people on ways to<br />
guard against contracting the disease. Radio and<br />
television jingles should urge people to avoid<br />
overcrowding, practice personal hygiene, boil water<br />
before drinking and be familiar with the earliest<br />
symptoms of Meningitis. They should be told to immediately<br />
seek medical attention when these symptoms<br />
are noticed. In babies and little children where the<br />
symptoms may resemble other childhood diseases, mothers<br />
should be told to take any serious symptom on their infants<br />
to the hospital.<br />
While hoping that all hands will be on deck to deal with the<br />
current Meningitis epidemic, Daily Trust advises both<br />
federal and state governments to, in future, take necessary<br />
measures to prevent another outbreak of the disease rather<br />
than run helter-skelter trying to treat an epidemic.<br />
http://allafrica.<strong>com</strong>/stories/200902240404.html<br />
☻☻☻☻☻☻<br />
Nigeria: WHO - Serious<br />
Outbreak of Meningitis Hits<br />
Country<br />
THISDAY<br />
30 March 2009<br />
Lagos — World Health Organisation (WHO) has said that a<br />
"serious" outbreak of meningitis has hit the northern part of<br />
Nigeria.<br />
A statement issued by WHO, a copy of which was made<br />
available to the News Agency of Nigeria (NAN) on<br />
Saturday said that, "some 17,500 cases had been registered<br />
and 960 people had already died of the disease".<br />
The statement said that although the states most affected<br />
were Bauchi, Gombe, Taraba, Yobe and Zamfara States,<br />
"the epidemic has also hit other states in northern part of<br />
the country hard."<br />
It also stated that vaccination campaigns were underway,<br />
with the support of UNICEF and other NGOs .<br />
According to the statement, the UN health agency is<br />
supporting the Nigerian Health Ministry's efforts to boost<br />
disease surveillance, with technical experts on ground since<br />
last month.<br />
Aong with its partners, the statement said WHO had<br />
released 2.3 million doses of vaccines to Nigeria. It,<br />
however, noted that, "nearly 13 million doses were<br />
stockpiled for 2009, but more are needed for this meningitis<br />
season which will run from January through June".<br />
Meanwhile, WHO has also reported an outbreak of the<br />
disease in Niger Republic with 4,513 cases and 169 deaths.<br />
http://allafrica.<strong>com</strong>/stories/200903300151.html<br />
☻☻☻☻☻☻<br />
2--<strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> – May 2009
AFRIKAN SPIRITUALITY<br />
Yoruba Spirituality and Philosophy<br />
There are various religious systems in Africa that share many<br />
<strong>com</strong>monalties. To discuss them all in their intricacies would<br />
take volumes. This page will attempt to focus on the Yoruba<br />
spiritual philosophy of West Africa. It stresses an extremely<br />
ancient rooted <strong>African</strong> tradition of working with natural<br />
forces and the ancestral realm to better one's life. Its system<br />
of divination in fact has led some scholars to remark on its<br />
similarity to Eastern philosophical beliefs such as those found<br />
among the Chinese in the I Ching. And while it may not be as<br />
ancient as Nilotic beliefs, it is the <strong>African</strong> spiritual system<br />
that can be best called a world religion.<br />
Map showing strong centers of Yoruba belief<br />
The origins of Yoruba religion lie at Ille-Ife', a holy city that<br />
is regarded as the cradle of civilization for the Yoruba of<br />
Southwestern Nigeria. Currently there are 20 million or more<br />
people who speak Yoruba as their mother tongue. Yorubaspeaking<br />
<strong>com</strong>munities have lived in other West <strong>African</strong><br />
countries for centuries. When speaking of a "Yoruba spiritual<br />
system," we are discussing traditional beliefs of those who<br />
speak the language and not the more modern religions some<br />
may practice today (Christianity, Islam, etc.) Over the years<br />
the Yoruban spiritual system has taken on the characteristics<br />
of a world religion. With the trans Atlantic Slave Trade, the<br />
Yoruba religion was transplanted in various parts of the<br />
western hemisphere. Today it is practiced in a host of<br />
different forms. One of these is Vodoun, a mixture of Yoruba,<br />
Catholicism, and Freemasonry, in Haiti. It is known<br />
throughout South America, the Caribbean, and Central<br />
America as Santeria where it is practiced not only by<br />
<strong>African</strong>s but also the descendants of indigenous peoples<br />
(misnomered Indians or Hispanic) that inhabit the region.<br />
Worship in the Yoruba religion is based upon the belief in a<br />
Supreme Being (Oldumare), the creator of Heaven (Orun)<br />
and Earth (Aye); the belief in a multitude of spiritual deities<br />
(Orisha); and the belief in ancestral spirits (Egungun).<br />
The Yoruban spiritual system has been described as a<br />
pyramid with five layers. At the apex is Oldumare, the<br />
Supreme Being. The second layer beneath the Supreme<br />
___________________________________<br />
Managing Editor: Nakato Lewis<br />
PUBLISHER: KIWANUKA LEWIS<br />
Published monthly and freely by BHSN for the ATHR <strong>Clinic</strong><br />
The traditional shrine as a symbol of our cultural history<br />
Being is <strong>com</strong>posed of lesser deities called Orisha. Below<br />
these deities are ancestral deities called Egungun. While<br />
all of the above are noted as spiritual beings, the next two<br />
layers of the pyramid consist of human beings. Firstly<br />
there are the kings, queens, chiefs, priests and priestesses<br />
while at the last layer are devotees.<br />
The Yoruba universe has a "heaven" and an "earth" which<br />
differs from the Western view. The Yoruba divide the<br />
physical world into two planes, the upper Outerworld<br />
(Orun) and the world of the living (Aye). This universe is<br />
often pictured as sphere. Orun is the home of Oldumare,<br />
Creator and Supreme Being. It is also home to the Orisha<br />
and the ancestral spirits, Egungun. The heavenly plane<br />
(Orun) has two dimensions: simply put, a good heaven<br />
and a bad heaven. Earthly deeds and character decide<br />
which heaven one travels to when one dies. In traditional<br />
Yoruban belief there is no "hell" nor is there a "devil" in<br />
the western sense. It was not until 1850AD, with the<br />
influence of Christianity and Islam, that a "devil" was<br />
assigned to the Yoruba spiritual system.<br />
The Yoruba believe in the existence of spiritual beings or<br />
divinities. Called Orishas, they are seen as emissaries of<br />
Oldumare from whom they emanated. These Orisha are<br />
ancestors whose great deeds earned them divinity. The<br />
Orisha are said to recognize themselves and are<br />
recognized through a host of different numbers and colors.<br />
These polarities which each Orisha exhibits are expressed<br />
as personalities called Roads or Paths of the Orisha. This<br />
is done through offerings to Orisha of their particular<br />
favorite foods and other gifts. One can learn much about<br />
these different Orishas by watching the forces of nature at<br />
work about you. These Orishas can be contacted during a<br />
"bembe" where one or more of their priests will be<br />
mounted in a form of highly spiritualized trance<br />
possession. This possession by an Orisha is an integral<br />
part of Yoruba religious ritual as it serves as a means of<br />
<strong>com</strong>municating with the forces of Oldumare (God).<br />
The Babaloawo, Diviner, holds a sacred place in Yoruba<br />
spirituality. It is the Babaloawo who calls upon Ifa, the<br />
oracle of divination who mediates between the Orishas,<br />
Continued on page 15<br />
3--<strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> – May 2009
<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
FEATURED ARTICLES<br />
VACCINES: MENINGITIS<br />
FEAR OF MENINGITIS HITS EDMONTON<br />
VRAN Newsletter – Fall, 1999<br />
By Edda West<br />
Following the deaths of two teens and another 22<br />
confirmed cases of invasive meningococcal disease<br />
(IMD) in the Edmonton area in recent months, health<br />
officials launched a massive vaccine campaign aimed at<br />
70,000 teens between the ages of 15-19. As the<br />
campaign got under way, a heightened fear of the<br />
disease took hold, and the public demanded an<br />
expansion of the meningitis campaign to include all<br />
children from the age of 2 onward. One concerned<br />
parent who called VRAN to inquire about vaccine side<br />
effects said that numerous adverse reactions to the<br />
vaccine like nausea and vomiting had also been<br />
reported. Edmonton health officials identified the<br />
reported cases as group C of neisseria meningitis.<br />
Meningococcal disease is primarily relegated to the late<br />
winter months and often seems to hit teen populations.<br />
Health Canada’s web site indicates that 200-300 cases<br />
of meningococcal disease occur each year. Mortality<br />
can range from 5% to 15% of cases.<br />
Meningitis is the term used to describe infections of the<br />
central nervous system and “can be caused by almost<br />
any infectious agent, including bacteria, mycobacteria,<br />
fungi, spirochetes, protozoa, helminths, and viruses.<br />
Certain symptoms and signs are <strong>com</strong>mon to all types of<br />
central nervous system infection: headache, fever,<br />
sensorial disturbances, neck and back stiffness, positive<br />
Kernig and Brudzinski signs, and cerebrospinal fluid<br />
abnormalities. Central nervous system infection<br />
constitutes a medical emergency.” (1)<br />
A few years ago, Kitchener/Waterloo area was host to<br />
the neisseria meningitidis pathogen, which claimed the<br />
lives of several young people. One teenage girl<br />
developed meningitis and died a week after getting the<br />
vaccine which health officials explained away as not<br />
enough time to develop immunity, which takes about<br />
10-14 days. Pathogens <strong>com</strong>monly linked to meningitis<br />
are haemophilus Influenza B, pneumococcal organisms,<br />
and the numerous sub groups of neisseria meningitidis.<br />
Menomune, produced by Aventis Pasteur (previously<br />
known as Connaught), is the quadrivalent vaccine used in<br />
Canada during outbreaks to ‘protect’ from 4 groups of<br />
neisseria mengitis – A,C, Y & W135. Product<br />
information indicates that 20% of reported cases of<br />
meningococcal disease occurs in infants and about one<br />
quarter of resulting deaths are in infants. Thimerosal, a<br />
mercury derivative is added to the vaccine as a<br />
preservative. How long ‘protection’ lasts is not indicated<br />
in the product information sheet.<br />
A frightening possibility is that the vaccine might<br />
actually fuel the outbreak of serogroups not covered.<br />
Smith Kline’s statement about its meningitis vaccine<br />
Mencevax reflects this concern. “The use of Mencevax<br />
ACWY may increase the meningococcal carriage rates,<br />
especially for meningococcal groups not included in the<br />
vaccine.”<br />
The most <strong>com</strong>monly occurring groups that appear in<br />
Canada are C and B. However, the vaccine does not<br />
‘protect’ from sub-group B. The age distribution of group<br />
B and group C varies greatly. Infants with meningococcal<br />
disease were significantly more likely to be infected with<br />
group B disease than group C, and children below the age<br />
of one year have the greatest age specific incidence of the<br />
disease. The graph posted below is from Health Canada’s<br />
web site and indicates the percentage of reported cases<br />
according to serogroups, in 1995 and 1996. Clearly,<br />
group B is quite dominant as it <strong>com</strong>prises 48% and 46%<br />
respectively in these years. (2) Undoubtedly, this is why<br />
health officials are often seemingly reluctant to do<br />
sweeping vaccination campaigns because group B<br />
meningitis antigen is not included in the vaccine. And<br />
they know that statistically nearly half the cases that are<br />
likely to occur may be ‘unprotectable’ by the vaccine.<br />
Continued on page 5<br />
4--<strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> – May 2009
Continued from page 4 – Fear of Meningitis Hits<br />
Edmonton<br />
In addition, there is a growing awareness in the<br />
research <strong>com</strong>munity that use of the vaccine may<br />
actually precipitate the switching of group C to group<br />
B. In a letter to the editor of the New England Journal<br />
of Medicine, January 20, 2000, German researchers<br />
had this to say. “In view of the fact that an outbreak of<br />
meningococcal disease follows transmission of the<br />
meningococcus within only a few days, our report<br />
illustrates the extraordinary speed with which<br />
meningococci switch capsular serogroups. In the case<br />
we describe, the serogroup changed as a result of the<br />
transfer of serogroup-specific genes during the short<br />
period of transmission of the disease isolate. The<br />
rapidity of the serogroup switching arouses concern<br />
about the induction of herd immunity against single<br />
serogroups by vaccination programs in which capsular<br />
antigens (e.g., serogroup C polysaccharides) are used.<br />
Without lowering the incidence of meningococcal<br />
disease in the long run, such programs may rapidly<br />
increase the incidence of serogroup B meningococcal<br />
disease, for which no vaccine is available.” (13)<br />
Another abstract from the Journal of Infectious<br />
Diseases (June, 1998) emphasized a similar concern.<br />
“The appearance of serogroup B:ET15 was related<br />
temporally and geographically to mass immunization<br />
campaigns designed to control serogroup C<br />
meningococcal disease in Canada. Since there is no<br />
vaccine available to control serogroup B<br />
meningococcal disease, the appearance of this variant<br />
may have public-health significance if it demonstrates<br />
the same epidemic potential as its serogroup C<br />
counterpart.” (14)<br />
Nature has provided strong and effective protection to<br />
babies from meningitis through breastfeeding.<br />
<strong>Research</strong>ers at Howard University College of<br />
Medicine in Washington DC found that breast-milk<br />
samples studied contained “significant titres of specific<br />
IgG and IgA to four organisms; Bordetella pertussis,<br />
Haemophilus influenzae type B, Streptococcus<br />
pneumoniae and Neisseria meningitidis……, and that<br />
the antibody levels to the four organisms were higher<br />
in breast-milk than in both maternal and infant<br />
sera……. the significant concentrations of specific IgG<br />
and IgA antibodies in milk samples may indicate a<br />
protective role for breast-milk against the four<br />
infections in early childhood”. (3)<br />
In the U.S. where college students are urged to get the<br />
meningitis vaccine, it is estimated that college students<br />
are at increased risk of developing meningitis. Some<br />
observers are linking their susceptibility to meningitis<br />
to stress, overcrowded dormitories, cigarette smoke,<br />
alcohol consumption, late nights, inadequate sleep and<br />
poor nutrition. (4) Although Canadian high school students<br />
don’t live dormitory life styles, they are also subjected to<br />
high stress levels just by virtue of the fact that teen years<br />
are a very difficult time of life. Coupled with peer<br />
pressures, school pressures, and nutritional status that is<br />
ften suboptimal – all are contributing factors to lowered<br />
immunity and lowered resistance to disease.<br />
Dr. Cheraskin’s research in the mid 1970’s demonstrated<br />
that refined sugar lowers the white blood cell count<br />
dramatically. He sampled people’s blood before and after<br />
sugar intake, and found that eating a few teaspoons of<br />
sugar lowers the white blood cell count up to 50% or more,<br />
within an hour, and that it takes 5-6 hours for blood<br />
chemistry to normalize. Sugar can drastically impair white<br />
blood cell activity, sending the immune system into a<br />
tailspin. Teens need real health education that teaches them<br />
nutritional ways to protect their immune systems. And they<br />
need to understand the role of junk foods, fast foods,<br />
highly sugared foods and drinks in lowering their bodies’<br />
resistance to pathogens. (12)<br />
Canadian health officials have in recent years targeted teen<br />
populations with diphtheria/tetanus & polio vaccine ‘catchup’<br />
campaigns. Consider this. “When we know that<br />
vaccine antigens are nearly all a neurocerebral tropism*<br />
the question that arises when a child presents with<br />
meningitis is: Has the child had a vaccination of some<br />
sort? In nature dangerous meningococci do not wander<br />
about haphazardly. Vaccinations predispose to more<br />
aggressive bacterial strains, which will soon have nothing<br />
to fear from all our antibiotics.” (*Turning of (part of)<br />
particular organism in a particular direction in response to<br />
(5, 13)<br />
external provocation.)<br />
The provocation effect caused by vaccines in precipitating<br />
meningitis is well documented. The Urabe strain of mumps<br />
vaccine has been linked to meningitis, as was an outbreak<br />
of asceptic meningitis in Brazil that started in August,<br />
1997, 3 weeks after the highly publicized “national<br />
vaccination day” when an intensive mass vaccination<br />
campaign against MMR (measles, mumps and rubella) was<br />
launched. In a survey of 87 children hospitalized in one<br />
area of the country (ages 1-11), it was determined that 86<br />
% had been vaccinated with MMR. According to a Reuters<br />
news report, on March 3, “The researchers "conservatively<br />
estimated" that the risk of aseptic meningitis is about 1 in<br />
14,000 MMR vaccine doses.” (6)<br />
5--<strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> – May 2009<br />
Commenting on asceptic viral meningitis, Dr. Viera<br />
Scheibner Ph.D. recounts a brief history of the redefinition<br />
of polio. “When the first injectable polio vaccine was<br />
trialed on 1.8 million of American children in 1954, within<br />
9 days there was a huge outbreak of paralytic polio in the<br />
Continued on page 11
<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
FEATURED ARTICLES<br />
Bacterial Meningitis: A Deadly but Preventable Disease<br />
Victoria Porter<br />
www.Medscape.<strong>com</strong><br />
Introduction<br />
On January 26, 2004, my 19-year-old son awoke with<br />
what I thought was a stomach virus. He had been<br />
treated for a stomach virus just 2 months earlier, so I<br />
felt <strong>com</strong>fortable taking care of him at home since we<br />
still had medicine available. His nausea and fever were<br />
controlled with Phenergan and Motrin, and he was able<br />
to tolerate liquids. By that afternoon, he experienced<br />
some abdominal cramping and diarrhea, which I<br />
contributed to the virus. . . . Soon after [I had checked<br />
on] him, my son walked into our living room and sat<br />
down. His face was covered with bruises, and his<br />
extremities were blue. I immediately called 911 and<br />
waited for help to arrive. My son was conscious on our<br />
arrival to the ER at the hospital where I work. Within<br />
minutes, he was in full arrest. The ER doctor told me he<br />
suspected meningococcal meningitis, and that there<br />
had already been several cases in our area in the last<br />
month. I had no idea, since I had never <strong>com</strong>e in contact<br />
with this deadly disease. My son died within 1 hour of<br />
serious symptoms presenting. Imagine my shock only 2<br />
days later to learn that there is a vaccine available. I<br />
have talked with many people, including doctors and<br />
nurses, who were not aware that a vaccine existed.<br />
[Amy Necaise, RN, personal <strong>com</strong>munication, May 30,<br />
2004.]<br />
* * *<br />
Saturday, September 11 started the same as any other.<br />
At around 9 AM, I was on the phone when [my son]<br />
Aaron said his shoulder hurt and he had a headache.<br />
He climbed into bed. . . . His temperature began to rise<br />
and he vomited. . . . His temperature had risen to 103˚<br />
F. . . . At the hospital, I told the admitting nurse each<br />
symptom and said I was worried that it was meningitis.<br />
. . . We went in to see the doctor. Again, I said<br />
meningitis. He did a general examination. He ordered<br />
blood tests and a chest x-ray, for pneumonia. . . . When<br />
the results came back, he gave me a bottle of Motrin,<br />
told us it was a virus and to <strong>com</strong>e back in 3 days. . . .<br />
As the evening wore on, I again started to worry. He<br />
was still vomiting occasionally but was able to drink<br />
water. The fear started to set in when he had a bowel<br />
movement and didn't seem to notice. Then I noticed a<br />
bruise on his neck -- not a pinprick rash, a bruise. . . .<br />
That was it, we woke up our other son and went to the<br />
local ER. . . . All I had to do was move the sheet and<br />
show the bruise on his neck. We were rushed through<br />
immediately. I laid Aaron gently on the bed, keeping<br />
hold of his hand. That was the last time I saw him alive.<br />
. . . I truly believe that Aaron died not just from<br />
meningitis but also from ignorance. We have to get the<br />
message out. This is real, it is killing and maiming our<br />
children. I thought I was protected because I knew the<br />
symptoms. That only helps if the doctors know them,<br />
too. [1]<br />
These scenarios -- heartbreakingly similar to hundreds<br />
of thousands of other meningitis cases with fatal<br />
out<strong>com</strong>es -- are devastating. Adding to the tragedy is the<br />
fact that these deaths could have been avoided -- either<br />
through vaccination or by accurate diagnosis and rapid<br />
intervention. With almost 8000 cases and 2000 deaths<br />
occurring annually in the United States, bacterial<br />
meningitis represents a significant source of morbidity<br />
and mortality.[2]<br />
According to a World Health Organization estimate,<br />
about 171,000 people worldwide die from bacterial<br />
meningitis each year. Even with antimicrobial treatment,<br />
fatality rates are as high as 5% to 10% in the developed<br />
world. The incidence and mortality rates are much<br />
higher in third-world countries. Between 10% and 20%<br />
of those who do survive bacterial meningitis suffer<br />
permanent damage such as mental retardation, deafness,<br />
or epilepsy.[3]<br />
And yet, many people -- patients and healthcare workers<br />
alike -- are only vaguely aware of the signs and<br />
symptoms of this deadly disease. As the nurses reporting<br />
the above cases emphasized, awareness and recognition<br />
of this lethal disease must improve, and the healthcare<br />
industry must step up its prevention efforts by getting<br />
the word out about vaccination. Continued on page 7<br />
6--<strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> – May 2009
Continued from page 6 – – Bacterial Meningitis<br />
Recognizing the Disease<br />
Meningitis is a viral or bacterial infection of the<br />
meninges (membranes that surround the brain and spinal<br />
cord) that enters through the bloodstream from other parts<br />
of the body. The meninges have no host defenses to fight<br />
off invading bacteria. Meningeal inflammation of the<br />
brain or spinal cord can also be of noninfectious origin.<br />
One of the most important things to determine when<br />
meningitis is suspected is whether it is bacterial<br />
(meningococcal) or viral. If a bacterial pathogen is the<br />
culprit, it is essential to identify the specific causative<br />
agent so that the appropriate antibiotics can be prescribed<br />
immediately. If left untreated, bacterial meningitis can<br />
lead to severe <strong>com</strong>plications such as brain damage,<br />
hearing loss, epilepsy, and even death. Viral meningitis is<br />
generally less severe and typically resolves on its own.<br />
The classic presentations of meningitis are fever,<br />
headache, meningismus (nuchal rigidity), and signs of<br />
cerebral dysfunction such as confusion, delirium, or<br />
impaired consciousness. However, in the vast majority of<br />
cases, only 1 or 2 of these symptoms will be present, so<br />
the diagnosis is not always so clear-cut. Only two thirds<br />
of patients with bacterial meningitis will present with all<br />
3 classic symptoms of fever, nuchal rigidity, and change<br />
in mental status. [4] However, the diagnosis of meningitis<br />
can be ruled out, with 99% to 100% sensitivity, by the<br />
absence of at least one of the classic symptoms of fever,<br />
neck stiffness, and altered mental status.<br />
Additional presenting symptoms include nausea,<br />
confusion, sleepiness, stupor, visual dis<strong>com</strong>fort, and<br />
seizure activity. All of the above-mentioned<br />
characteristics are harder to detect in infants -- signs to<br />
look for in the very young include lethargy, irritability,<br />
vomiting, and poor appetite. Symptoms may have a<br />
sudden onset, whereby the patient be<strong>com</strong>es severely ill<br />
within a matter of hours, or they may develop more<br />
gradually (over the course of 1 to 2 days). [5]<br />
Methods of Diagnosis<br />
Early diagnosis of meningitis -- especially the bacterial<br />
form -- is crucial. Because the symptoms of meningitis<br />
can closely mimic the flu or other viral illnesses, many<br />
clinicians miss the diagnosis and prescribe inappropriate<br />
treatments. In many cases, a missed diagnosis can have<br />
fatal consequences. All healthcare workers should be<br />
aware that early recognition of the symptoms can be a<br />
matter of life and death, and they should be<strong>com</strong>e familiar<br />
with all possible signs and symptoms. A careful and<br />
thorough diagnosis must be undertaken.<br />
The cerebrospinal fluid (CSF) must be examined for<br />
general appearance, consistency, and tendency to clot.<br />
CSF analysis should include cell counts (including a<br />
WBC differential), glucose and protein analysis, and<br />
Gram staining of the centrifuged sediment. The use of C-<br />
reactive protein levels has been shown to play an<br />
important role in differentiating among the various types<br />
of meningitis. Polymerase chain reaction has a high<br />
sensitivity for viral meningitis and is also used to detect<br />
bacterial meningitis. [6]<br />
The hands, ears, nose, throat, and sinuses should be<br />
checked for the possible source of infection, and a latex<br />
agglutination test to detect bacterial antigens of<br />
Streptococcus pneumoniae, Neisseria meningitidis,<br />
Haemophilus influenzae type b, group B streptococcus,<br />
and Escherichia coli strains can aid in the diagnosis of<br />
bacterial meningitis. However, this test may lack<br />
sensitivity unless ultrasonic enhancement is used. [6]<br />
Patients with suspected bacterial meningitis should also<br />
undergo testing for serum electrolytes and blood urea<br />
nitrogen, which indicate the degree of dehydration and<br />
identify hyponatremia and hypoglycemia -- <strong>com</strong>mon<br />
symptoms of meningitis.<br />
<strong>Clinic</strong>al clues signaling the presence of bacterial<br />
meningitis may include sinusitis, otitis, mastoiditis,<br />
infective endocarditis, and characteristic skin<br />
manifestations (such as those seen in infections caused by<br />
herpes simplex virus, varicella-zoster virus, Rickettsia<br />
species, Treponema pallidum, Borrelia burgdorferi, and<br />
Sporothrix schenckii). [5] Cardiovascular instability or<br />
focal neurologic signs such as pupillary changes,<br />
hemiparesis, and ocular palsies are indicative of bacterial<br />
meningitis. Pulmonary infection, otitis media,<br />
mastoiditis, head trauma, alcoholism, splenectomy, sickle<br />
cell disease, and immunosuppression are also known risk<br />
factors for bacterial meningitis. [2] Petechial and purpuric<br />
rashes usually indicate meningococcemia or H influenzae<br />
meningitis. Arthritis suggests the presence of H<br />
influenzae or N meningitidis, and head trauma or a<br />
chronically draining ear usually signals pneumococcal<br />
meningitis. [6]<br />
Bacterial meningitis can be difficult to distinguish from<br />
other infectious diseases. To aid in the differential<br />
diagnosis, physicians should take a <strong>com</strong>plete<br />
epidemiologic history and ask questions about contact<br />
with sick persons; sexual behavior; dietary habits; illicit<br />
drug use; medication history; exposure to insects,<br />
rodents, or arthropods; and recent travel history. [5]<br />
For example, a warning bell should go off if a patient<br />
with suspected meningeal infection reports having<br />
recently traveled to Africa or Asia. In the past 30 years,<br />
these continents have experienced major epidemics of<br />
meningitis, with much higher incidences than those seen<br />
Continued on page 12<br />
-7- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> May 2009
<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
FEATURED ARTICLES<br />
Hiding Polio Quotes<br />
www.whale.to/vaccine/polio1.html<br />
[Polio now hides behind these names: Viral or aseptic<br />
meningitis, Guillaine Barre Syndrome (GBS), Chinese<br />
Paralytic syndrome, CHRONIC FATIGUE SYN-<br />
DROME, epidemic cholera, cholera morbus, spinal<br />
meningitis, spinal apoplexy, inhibitory palsy,<br />
intermittent fever, famine fever, worm fever, bilious<br />
remittent fever, ergotism, ME, post-polio syndrome,<br />
acute flaccid paralysis Synonyms for GBS]<br />
See: flaccid paralysis Chinese Paralytic syndrome<br />
"Polio has not been eradicated by vaccination, it is<br />
lurking behind a redefinition and new diagnostic names<br />
like viral or aseptic meningitis.......According to one of<br />
the 1997 issues of the MMWR, there are some 30,000<br />
to 50,000 cases of viral meningitis per year in the<br />
United States alone. That's where all those 30,000 -<br />
50,000 cases of polio disappeared after the introduction<br />
of mass vaccination"---Viera Scheibner<br />
"Today, various other forms of the the word "polio" are<br />
still used to describe the effects of poisoning, though<br />
usually with regard to paralysis in animals. A search of<br />
Medline ("polio" and "poison") finds about 45<br />
contemporary articles where poisoning causality is<br />
attributed to polio. The terminology found was:<br />
"polioencephalomalacia", "poliomyelomalacia", "poly<br />
radiculoneuritis", "neurological picture similar to that<br />
of poliomyelitis", "polioencephalomyelomalacia",<br />
"lumbal poliomyelomalacia", "cerebrocortical necrosis<br />
(polioencephalomalacia)", "Lead poisoning in greyheaded<br />
fruit bats (Pteropus poliocephalus)", "multi-<br />
focal poliomyelomalacia", "spinal poliomalacia", "Polio<br />
and high-sulfate diets", "Atypical porcine enterovirus<br />
encephalomyelitis: possible interraction between<br />
enteroviruses and arsenicals", "Polioencephalomalacia<br />
and photosensitization associated with Kochia scoparia<br />
consumption in range cattle", "bovine polioencephalomalacia".<br />
---Jim West, Health and <strong>Research</strong><br />
Publications, http://www.geocities.<strong>com</strong>/harpub/<br />
"The United States Public Health Bureau is extremely<br />
reticent about reporting diseases caused by vaccination<br />
but the report from 1922 to 1931 admitted that there had<br />
been 85 cases of post-vaccinal encephalitis, which<br />
DeKruif states "is the twin of infantile paralysis.""--<br />
Eleanor McBean<br />
"Paralytic cases were not distinguished from nonparalytic<br />
cases until a re<strong>com</strong>mendation was made by the<br />
Dominion Council of Health in 1949- The LCDC figures<br />
provided from 1952 and onward represent this<br />
administrative change: recording only those cases<br />
adhering to the requirements for a diagnosis of paralytic<br />
poliomyelitis. In a report released in June of 1959,<br />
Continued on page 9<br />
-8- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> May 2009
Continued from page 8 – Hiding Polio Quotes<br />
another administrative change was re<strong>com</strong>mended by<br />
the Dominion Council of Health, further altering the<br />
way in which apparent cases of poliomyelitis would be<br />
reported. All non-paralytic cases of poliomyelitis were<br />
to be henceforth recorded as "meningitis, viral or<br />
aseptic," a disease which itself only became reportable<br />
in 1952." These two administrative changes effectively<br />
reduced the apparent incidence of poliomyelitis. In<br />
particular, since the latter change is temporally<br />
correlative to the introduction of the polio vaccines,<br />
the vaccines appear to have been responsible for a<br />
reduction in poliomyelitis cases when it is entirely<br />
possible that the administrative changes are primarily<br />
responsible."--Catherine Diodati MA (Immunization<br />
History, Ethics, Law and Health p116)<br />
Statistics on polio were manipulated. One such way<br />
was to redefine the disease, renaming it "viral or<br />
aseptic meningitis" or "cocksackie virus". In one US<br />
county, for example, in July 1955 there were 273 cases<br />
of polio reported for 50 cases of asceptic meningitis,<br />
<strong>com</strong>pared to 5 cases of polio in 1966 and 256 cases of<br />
aseptic meningitis. These new diagnostic guideline's<br />
were issued by the CDC. If you object to polio<br />
vaccination, and you get polio--it is usually called<br />
"polio." If you have been vaccinated and you get<br />
"polio", it is called meningitis.<br />
Beddow Bayly, author of the book “The Case Against<br />
Vaccination” said: “After vaccination was introduced,<br />
cases of aseptic meningitis were more often reported<br />
as a separate disease from polio, but such cases were<br />
counted as polio before the vaccine was introduced.<br />
The Ministry of Health admitted that the vaccine status<br />
of the individual is a guiding factor in diagnosis. If a<br />
person who is vaccinated contracts the disease, the<br />
disease is simply recorded under a different name.”<br />
Coxsackievirus and echoviruses can cause paralytic<br />
syndromes that are clinically indistinguishable from<br />
paralytic poliomyelitis. (John H. Menkes, Textbook Of<br />
Child Neurology, 5th ed., page 420)<br />
http://www3.bcity.<strong>com</strong>/harpub/<br />
The definition of 'epidemic' was changed from 20<br />
cases/1000,000 to 35 cases/100,000. Pre-vaccination,<br />
cocksackie virus and aseptic meningitis were classified<br />
as polio; post-vaccination they were classified<br />
separately. In addition, non-paralytic polio cases were<br />
now reported as viral or aseptic meningitis.<br />
"Ralf R. Scobey, M.D., president of the Poliomyelitis<br />
<strong>Research</strong> Institute. Inc. Syracuse, New York (in the<br />
Archives of Pediatrics, Sept. 1950) lists 170 diseases<br />
of polio-like symptoms and effects but with different<br />
names such as: epidemic cholera, cholera morbus, spinal<br />
meningitis, spinal apoplexy, inhibitory palsy, intermittent<br />
fever, famine fever, worm fever, bilious remittent fever,<br />
ergotism, etc. There are also such <strong>com</strong>mon nutritional<br />
deficiency diseases as beriberi, scurvy, Asiatic plague,<br />
pellagra, prison edema, acidosis etc."--E. McBean<br />
"Dr. Thomas Francis did not mention in his key<br />
evaluation of the 1954 Salk field trials that those who<br />
contracted polio after their first innoculation and before<br />
their second inoculation were placed in the "notinoculated"<br />
list.' (Maurice B. Bayly, The Story Of The<br />
Salk Anti-poliomyelitis Vaccine, 1956).<br />
Dr. Buchwald responds that prior to the introduction of<br />
polio vaccinations in Germany, anyone was counted as<br />
having polio, even if they only had the virus in their<br />
feces. It is known, he goes on, that there are people who<br />
are healthy but who evacuate polio viruses when they go<br />
to the bathroom. Based on this criteria, the number of<br />
cases was approximately 4,000 per year. After the<br />
introduction of the vaccine, statistics included only those<br />
polio cases of people who were paralyzed for at least six<br />
weeks.--Testimony of Dr Buchwald MD<br />
A former public health officer, Dr Ratner, reported that<br />
just before the introduction of the first polio vaccine the<br />
National Foundation For Infant Paralysis was paying<br />
physicians $25 for each reported diagnosis. "A patient<br />
would walk into a doctors office with a limp from an<br />
accident. He'd say he had a fever a few days ago...and<br />
guess what the diagnosis would be?" It was well known<br />
Paralytic polio cured itself 50% of the time within 60<br />
days. After the Salk vaccine was introduced, the<br />
definition of polio was changed by the CDC. Now, in<br />
order to have paralytic polio, you had to have it longer<br />
than 60 days.<br />
Because the Salk vaccine was promoted as being<br />
incapable of causing polio, cases that occurred following<br />
administration of the vaccine were denied, and excluded<br />
from the Vaccine injury table.<br />
Dr. Bernard Greenberg, a biostatistics expert, was<br />
chairman of the Committee on Evaluation and Standards<br />
of the American Public Health Association during the<br />
1950s. He testified at a panel discussion that was used as<br />
evidence for the congressional hearings on polio vaccine<br />
in 1962. During these hearings he elaborated on the<br />
problems associated with polio statistics and disputed<br />
claims for the vaccine's effectiveness. He attributed the<br />
dramatic decline in polio cases to a change in reporting<br />
practices by physicians. Less cases were identified as<br />
polio after the vaccination for very specific reasons.<br />
"Prior to 1954 any physician who reported paralytic<br />
Continued on page 9<br />
-9- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> May 2009
Continued from page 9 – Hiding Polio Quotes<br />
poliomyelitis was doing his patient a service by way of<br />
subsidizing the cost of hospitalization and was being<br />
<strong>com</strong>munity-minded in reporting a <strong>com</strong>municable<br />
disease.<br />
The criterion of diagnosis at that time in most health<br />
departments followed the World Health Organization<br />
definition: "Spinal paralytic poliomyelitis: signs and<br />
symptoms of nonparalytic poliomyelitis with the<br />
addition of partial or <strong>com</strong>plete paralysis of one or more<br />
muscle groups, detected on two examinations at least<br />
24 hours apart." Note that "two examinations at least<br />
24 hours apart" was all that was required. Laboratory<br />
confirmation and presence of residual paralysis was<br />
not required.<br />
In 1955 the criteria were changed to conform more<br />
closely to the definition used in the 1954 field trials:<br />
residual paralysis was determined 10 to 20 days after<br />
onset of illness and again 50 to 70 days after onset....<br />
This change in definition meant that in 1955 we started<br />
reporting a new disease, namely, paralytic<br />
poliomyelitis with a longer-lasting paralysis.<br />
Furthermore, diagnostic procedures have continued to<br />
be refined. Coxsackie virus infections and aseptic<br />
meningitis have been distinguished from paralytic<br />
poliomyelitis. Prior to 1954 large numbers of these<br />
cases undoubtedly were mislabeled as paralytic<br />
poliomyelitis. Thus, simply by changes in diagnostic<br />
criteria, the number of paralytic cases was<br />
predetermined to decrease in 1955-1957, whether or<br />
not any vaccine was used.<br />
Health officials convinced the Chinese to rename the<br />
bulk of their polio to Guillaine Barre Syndrome<br />
(GBS). A study found that the new disorder (Chinese<br />
Paralytic syndrome) and the GBS was really polio.<br />
After mass vaccination in 1971, reports of polio went<br />
down but GBS increased about 10 fold.......In the<br />
WHO polio vaccine eradication in the Americas, there<br />
were 930 cases of paralytic disease—all called polio.<br />
Five years later, at the end of the campaign, roughly<br />
2000 cases of paralytic disease occurred—but only 6<br />
of them were called polio (41). The rate of paralytic<br />
disease doubled, but the disease definition changed so<br />
drastically that hardly any of it was called polio any<br />
more."—Greg Beattie<br />
"They started vaccinating in 1985 (in the Americas).<br />
Within 4 months they had 350 cases…They caused a<br />
substantial, huge outbreak of polio but they started<br />
‘discarding’ most of the cases (put as flaccid<br />
paralysis)."—Viera Scheibner, Ph.D.<br />
http://www.whale.to/vaccine/polio1.html<br />
☻☻☻☻☻☻<br />
-10- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
SIMILARITY OF POLIO TO<br />
PELLAGRA, BERIBERI AND<br />
O<strong>THE</strong>R DEFICIENCY<br />
DISEASES<br />
Eleanor McBean<br />
Ralf R. Scobey, M.D., president of the Poliomyelitis<br />
<strong>Research</strong> Institute. Inc. Syracuse, New York (in the<br />
Archives of Pediatrics, Sept. 1950) lists 170 diseases of<br />
polio-like symptoms and effects but with different names<br />
such as: epidemic cholera, cholera morbus, spinal<br />
meningitis, spinal apoplexy, inhibitory palsy, intermittent<br />
fever, famine fever, worm fever, bilious remittent fever,<br />
ergotism, etc. There are also such <strong>com</strong>mon nutritional<br />
deficiency diseases as beriberi, scurvy, Asiatic plague,<br />
pellagra, prison edema, acidosis etc. No drugs, medicines<br />
or medical treatments have ever been able to cure any of<br />
these diseases and no germs have been isolated as the<br />
cause. But they all respond to fasting, cleansing, proper<br />
diet and improved circulation. The similarity of these<br />
diseases to polio is too obvious to go unnoticed. They are,<br />
in reality, all one disease with varying stages of intensity<br />
and different names. It is ridiculous to assume that polio<br />
is caused by a virus and the rest of them are caused by<br />
nutritional deficiency. Dr. Scobey senses this fact when<br />
he states: "Inasmuch as nerve cells react in much the<br />
same way to various poisons, further research will<br />
probably show that in these cases polio micro-organisms<br />
are not always present, but intoxication (poisoning) may<br />
be produced through faulty metabolism or by the<br />
absorption of poisons from without."<br />
http://www.whale.to/vaccine/polio2.html<br />
☻☻☻☻☻☻<br />
Nigeria Meningitis Death Toll<br />
Surpasses 2,000<br />
Outbreak more serious than initially feared, nation’s<br />
health officials say<br />
Reuters<br />
May 6, 2009<br />
ABUJA, Nigeria - A meningitis outbreak in Nigeria is<br />
more serious than initially feared with the death toll<br />
rising more than sixfold over the past two months, the<br />
Health Ministry said on Wednesday.<br />
Deaths from the epidemic have risen to 2,148 since the<br />
first case was recorded in December from 333 announced<br />
by the health minister in early March. The number of<br />
reported cases has climbed more than eightfold to 47,902<br />
over the same period. Continued on page 18
Continued from page 5– Fear of Meningitis Hits Edmonton<br />
just vaccinated and some of their parents and other<br />
contacts. The U.S. Surgeon General discontinued this<br />
trail for 2 weeks. The vaccinators put their heads together<br />
and came back with a new definition of poliomyelitis.<br />
The classical definition of polio: a disease with residual<br />
disease with the residual paralysis which persists for<br />
more than 60 days. This nifty administrative move<br />
“eradicated” some 99% of cases of polio. When a<br />
vaccinated child gets paralysis which resolves within 60<br />
days changed into a polio, it will be diagnosed as viral or<br />
aseptic meningitis. According to one of the 1997 issues of<br />
the MMWR, there are between 30,000 to 50,000 cases of<br />
viral meningitis in the U.S. each year. That’s where all<br />
those cases of polio now are: hidden under a new name.”<br />
(7)<br />
An article in Lifeforce magazine (summer/99) presented<br />
an overview of a meningitis outbreak in Niger, Africa in<br />
1997: Dr Marc Vercoutere having studied the official<br />
figures had this to say. "You will note the appreciable and<br />
constant increase in the epidemic, particularly at the end<br />
of March, when the vaccination campaign had virtually<br />
ended and protection was supposed to be effective after 8<br />
days. Despite massive vaccination which, in principle,<br />
should have given protection for about 3 years, we<br />
counted, in March 1996 after a new epidemic, 341 deaths<br />
in 2945 cases. On 8 October 1997, after yet another<br />
epidemic (within the supposed period of vaccine<br />
protection), they announced 504 deaths from 4925 cases."<br />
Dr Vercoutere noted a slight increase in the deaths-tocases<br />
ratio, which would suggest increasing resistance to<br />
the antibiotic treatment, in addition to the inefficacy of<br />
the vaccinations. A review of the 1996 epidemic in<br />
Nigeria, which killed 8000, provided similar results.” (5,<br />
13)<br />
And then there is the fluoride question. Edmonton<br />
drinking water has been fluoridated for many years.<br />
Fluoride suppresses the thyroid gland, which in itself<br />
leads to a huge assortment of health problems. In Europe<br />
fluorides were used for many years as effective antithyroid<br />
agents, even at doses below the level deemed<br />
"optimal" for water fluoridation. Its use was abandoned<br />
due to its high toxicity and accumulative nature. Product<br />
information for current anti-thyroid agents state that<br />
when patients are on anti-thyroid drugs vaccinations<br />
should not be administered because anti-thyroids may<br />
lower the body's resistance and chances are high that one<br />
might get the infection the immunization is meant to<br />
prevent. (9)<br />
Fluoride manipulates and interferes with a myriad of<br />
biochemical functions. It acts as an adjuvant, intensifying<br />
the activity of pathogenic organisms. Department of<br />
Microbiology, University of Iowa, showed how fluoride<br />
proved to be a most potent adjuvant when given<br />
intragastrically to rats. The authors warned that the<br />
supplemental fluoride prescribed for infants and especially<br />
that which is inadvertently ingested by children and adults<br />
given fluoride gels, is within the concentration range of that<br />
which produced the effects observed in rats in their studies,<br />
concluding that the fluoride adjuvant effect described<br />
should have relevance for fluoride therapy worldwide. (8) In<br />
other words, fluoride increases the risk of susceptibility to<br />
infectious organisms.<br />
Other studies have documented the fact that fluorides<br />
enhanced mating activity of certain organisms which cause<br />
meningitis and that mating activity was dependent on body<br />
temperature. The lower the body temperature the higher the<br />
mating activity. Again, low body temperature is a sure-tell<br />
sign of an underfunctioning thyroid gland. (10) Maharajan et<br />
al (1978) investigated 20 patients suffering from<br />
meningococcal meningitis and other acute febrile illnesses<br />
and found that in all patients thyroid function was<br />
significantly low. (11)<br />
References:<br />
1. Current Medical Diagnosis & Treatment, edited by Lawrence<br />
M. Tierney Jr, S.J. McPhee & Maxine A. Papadakis – 34th<br />
edition, 1995.<br />
2. Health Canada website:<br />
http://www.phac-aspc.gc.ca/publicat/ccdrrmtc/00vol26/dr2621e.html<br />
English<br />
http://www.phac-aspc.gc.ca/publicat/ccdrrmtc/00vol26/rm2621f.html<br />
French<br />
3. Ann..Trop Paediatrics 1989;4:226-232 (also quoted in Hilary<br />
Butler’s position paper on The Role of Vaccines In SIDS at<br />
the Sixth SIDS International Conference, Auckland<br />
University, New Zealand, Feb. 11/2000)<br />
4. The Unknown Killer: What is Meningitis & Who is at Risk –<br />
from ABCNEWS.<strong>com</strong><br />
5. Vaccination Information (UK) & Lifeforce magazine<br />
6. Reuters Health Report(Mar 3/00) – quotes from Am J<br />
Epidemiology 2000;151:524-530. Forwarded to VRAN by<br />
Raymond Gallup<br />
7. Viera Scheibener – Statement to U.S. House of<br />
Representatives – Hearings on safety of hepatitis B vaccine.<br />
8. Butler et al [Butler JE; Satam M; Ekstrand J - "Fluoride: an<br />
adjuvant for mucosal and systemic immunity." Immunol<br />
Lett26(3):217-20 (1990) Department of Microbiology,<br />
University of Iowa.<br />
9. With many thanks to Andreas Schuld – Parents of Fluoride<br />
Poisoned Children, for providing fluoride related resources<br />
for this article.<br />
10. (->hypothyroidism.) (Dong et al, 1998) [Dong H,<br />
Courchesne W - "A novel quantitative mating assay for the<br />
fungal pathogen Cryptococcus neoformans provides insight<br />
into signalling pathways responding to nutrients and<br />
temperature." Microbiology144 ( Pt 6):1691-7 (1998)]<br />
Continued on page 11<br />
-11- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 11 – Fear of Meningitis Hits Edmonton<br />
11. [Maharajan G, Etta KM, Singh A, Ahuja IS, Ahuja GK -<br />
"Thyroxine, triiodothyronine and thyrotrophin levels in<br />
meningococcal meningitis, typhoid fever and other febrile<br />
conditions." Clin Endocrinol (Oxf) 9(5):401-6(1978)<br />
12. W.M. Ringsdorf, JR., D.M.D., M.S., E. Cheraskin, M.D.,<br />
D.M.D., and R.R. Ramsay, JR., D.M.D., "Sucrose,<br />
Neutrophilic Phagocytosis and Resistance to Disease,"<br />
Dental Survey 52 no. 12 (December 1976): 46-48.<br />
13. The New England Journal of Medicine -- January 20,<br />
2000 -- Vol. 342, No. 3 .<br />
14. Journal of Infectious Diseases, 1998 Jun;177(6):1754-7<br />
(PUBMED abstract)<br />
Further References:<br />
(PUBMED abstract)<br />
J Infect Dis 1998 Jun;177(6):1754-7<br />
Serogroup B, electrophoretic type 15 Neisseria<br />
meningitidis in Canada.<br />
Kertesz DA, Coulthart MB, Ryan JA, Johnson WM,<br />
Ashton FE<br />
Bureau of Infectious Diseases, Laboratory Centre for<br />
Disease Control, Health Canada, Ottawa.<br />
Invasive meningococcal disease is nationally reportable<br />
in Canada. In recent years, a serogroup C genotype,<br />
designated electrophoretic type 15 (ET15), has been the<br />
most frequently isolated meningococcal genotype in<br />
Canada and has caused epidemics across the country.<br />
Between August 1993 and September 1995, there were 9<br />
cases of invasive meningococcal disease caused by a<br />
variant of this genotype, expressing group B capsular<br />
polysaccharide. The appearance of serogroup B:ET15<br />
was related temporally and geographically to mass<br />
immunization campaigns designed to control serogroup C<br />
meningococcal disease in Canada. Since there is no<br />
vaccine available to control serogroup B meningococcal<br />
disease, the appearance of this variant may have publichealth<br />
significance if it demonstrates the same epidemic<br />
potential as its serogroup C counterpart.<br />
http://www.vran.org/vaccines/meningitis/men-edmonton.htm<br />
☻☻☻☻☻☻<br />
Continued from page 7 - Bacterial Meningitis<br />
in Europe and the United States. [7] Sub-Saharan Africa,<br />
which is plagued by the highest meningitis disease<br />
burden, is referred to as the "meningitis belt." [3]<br />
How Is Meningitis Transmitted?<br />
Meningococcal disease was first described as early as<br />
1805, when an outbreak spread through Geneva,<br />
Switzerland. (However, a probable description of a<br />
meningococcal epidemic was given by Willis in 1661.)<br />
But it wasn't until 1887 that a causative agent of<br />
meningococcal meningitis was identified. [7] The germs<br />
that cause bacterial meningitis are very <strong>com</strong>mon and live<br />
naturally in the back of the nose and throat. At any given<br />
time, 10% of the population are carriers of the disease but<br />
never actually be<strong>com</strong>e ill. [6] In fact, most cases of<br />
meningitis are acquired through exposure to asymptomatic<br />
carriers. [3]<br />
Meningitis can be spread via nose and throat secretions (eg,<br />
coughing, sneezing, and kissing); however, meningitis is<br />
not considered to be a highly contagious disease; casual<br />
contact or breathing in the air where a person with<br />
meningitis has been normally would not expose someone to<br />
meningitis because the causative organisms cannot live<br />
outside the body for very long.<br />
Acute meningitis usually develops from an invasion of<br />
bacterial and/or viral pathogens from mucosal surfaces in<br />
the nasopharynx, sinus cavities, and middle ear space into<br />
the bloodstream. It can also result from head injuries,<br />
penetrating wounds, or neurologic surgeries. [6] Subacute<br />
meningitis and chronic meningitis, which evolve more<br />
slowly than acute meningitis, are more <strong>com</strong>monly caused<br />
by fungi, parasites, disseminated malignancy, tuberculosis,<br />
AIDS, sarcoidosis, Lyme disease, or syphilis. [6] Certain<br />
medications, such as nonsteroidal anti-inflammatory drugs<br />
and antimicrobial agents, can cause aseptic meningitis. [2]<br />
In infants, most cases of meningitis are caused by group B<br />
streptococcus and Gram-negative enteric bacilli (eg, E<br />
coli). Mother-to-infant transmission and aspiration of<br />
intestinal and genital tract secretions during labor and<br />
delivery are <strong>com</strong>mon modes of transmission. [6] After<br />
infancy, S pneumoniae is the leading bacterial cause of<br />
meningitis.<br />
N meningitidis is another <strong>com</strong>mon offending pathogen<br />
causing bacterial meningitis. H influenzae type b<br />
meningitis, once the most prevalent form of meningitis in<br />
children, is now more rare in the developed world because<br />
of successful immunization practices (H influenzae type b<br />
conjugate vaccine) in the past 2 decades. [6] In fact,<br />
incorporation of this vaccine into the routine immunization<br />
schedule resulted in a 94% decline in the number of US<br />
cases of meningitis caused by H influenzae. [5] Table 1<br />
shows the <strong>com</strong>mon pathogens causing meningitis, by age<br />
group.<br />
People living in unsanitary and/or crowded conditions and<br />
those with immuno<strong>com</strong>promised status are at particularly<br />
high risk for meningitis. Incidence is at a peak in the winter<br />
and early spring. [6] In 1995, the median age of US patients<br />
with bacterial meningitis was 25 years. This signified a<br />
dramatic shift: about a decade earlier, the median age was<br />
15 months. [5]<br />
-12- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
Antibiotic Interventions<br />
It cannot be overemphasized that treatment must be started<br />
early in the course of the disease if it is of bacterial<br />
Continued on page 13
Continued from page 12 – Bacterial Meningitis<br />
etiology. Prompt intervention can reduce the risk of<br />
death to below 15% (the risk reduction is not as<br />
high among the elderly). [5] If not treated as a medical<br />
emergency, bacterial meningitis can lead to seizures,<br />
<strong>com</strong>a, increased intracranial pressure, nerve damage,<br />
stroke, and even death.<br />
Table 1. Pathogenic Causes of Meningitis by Age<br />
Group<br />
• Neonates<br />
o Group B Streptococcus spp (49%)<br />
o Escherichia coli (18%)<br />
o Listeria monocytogenes (7%)<br />
o Non-group B Streptococcus spp<br />
• Children and infants<br />
o Haemophilus influenzae (40% to 60%)<br />
o Neisseria meningitidis (25% to 40%)<br />
o Streptococcus pneumoniae (10% to<br />
20%)<br />
• Adults<br />
o S pneumoniae (30% to 50%)<br />
o N meningitidis (10% to 35%)<br />
o Staphylococcus spp (5% to 15%)<br />
o H influenzae (1% to 3%)<br />
o Gram-negative bacilli (1% to 10%)<br />
o Streptococcus spp (5%)<br />
o L monocytogenes (5%)<br />
Adapted from Incesu L and Khosla A. Meningitis, bacterial.<br />
eMedicine. [2]<br />
By identifying the causative agent, the appropriate<br />
antibiotic can be administered. A patient's age,<br />
<strong>com</strong>orbidities, and the status of his or her immune<br />
system can aid in this identification. For example,<br />
immuno-<strong>com</strong>promised patients are at particular risk for<br />
infection with S pneumoniae, N meningitidis, Listeria<br />
monocytogenes, and aerobic Gram-negative bacilli. S<br />
pneumoniae affects all age groups whereas Streptococcus<br />
agalactiae affects the very young, L<br />
monocytogenes affects both the very young and the<br />
very old, and N meningitidis is rarely seen in infants or<br />
in persons over the age of 60 years. [4]<br />
Antibiotic intervention only improves the patient's<br />
prognosis if the antimicrobial therapy is administered<br />
before the patient's clinical condition has deteriorated.<br />
If antibiotics are started when the patient is already in<br />
an advanced stage of the disease, the patient's chance<br />
for survival is poor. [2]<br />
Administration of antibiotics can also protect against<br />
the development of the disease among persons who<br />
have been exposed to a meningitis patient. According<br />
to a group of investigators from the Communicable Disease<br />
Surveillance Centre in Gloucester, United Kingdom, and<br />
from other centers in Austria, Germany, and Wales, giving<br />
the appropriate antibiotics to household contacts of a<br />
patient with meningococcal disease can reduce their risk of<br />
infection by 89%. [8]<br />
The use of corticosteroids as an adjunct to antibiotic<br />
therapy has been shown to render treatment of bacterial<br />
meningitis more effective, especially in children, by<br />
reducing CSF inflammation and hearing loss. However,<br />
most of the data pertaining to corticosteroid treatment relate<br />
specifically to pediatric meningitis caused by H influenzae,<br />
and further study is needed to determine whether these<br />
positive findings can be extrapolated to adults and to<br />
children with meningitis caused by other pathogens. [5]<br />
Prevention: Where Do We Stand With Vaccination<br />
Efforts?<br />
Vaccination is the only known way to protect against<br />
meningitis. Meningococcal group C conjugate vaccine, H<br />
influenzae type B conjugate vaccine, and pneumococcal<br />
conjugate vaccines are the 3 types of vaccination available<br />
against meningitis. All 3 are necessary in order to provide<br />
full protection, as each one is only effective against a<br />
particular pathogen. Unfortunately, there is no single<br />
vaccine available that can prevent all forms of meningitis.<br />
The vaccine with the most far-reaching benefit is<br />
Menomune (Aventis Pasteur), the meningococcal<br />
polysaccharide vaccine, which protects against all but 1 of<br />
the 5 main serogroups of meningococcal meningitis (A, B,<br />
C, Y, and W135), with an estimated efficacy rate of 85% to<br />
90% in older children and adults and has been shown to be<br />
useful in controlling epidemics. It is approved by the US<br />
Food and Drug Administration (FDA) for active<br />
immunization against invasive meningococcal disease<br />
caused by the 5 aforementioned serogroups. Protective<br />
antibody levels may be achieved within 7-10 days after<br />
vaccination. [9] Menomune is the only FDA-approved and<br />
available meningococcal vaccine in the United States.<br />
Meningococcal vaccination is re<strong>com</strong>mended by the Centers<br />
for Disease Control and Prevention (CDC) for certain highrisk<br />
populations, such as military recruits, asplenic patients,<br />
anyone with an immune system disorder, household or<br />
institutional contacts of persons with meningococcal<br />
disease, and persons traveling to areas where<br />
meningococcal disease is <strong>com</strong>mon (such as West<br />
Africa). [9,10] According to the CDC, the vaccine should also<br />
be considered for laboratory workers who are routinely<br />
exposed to the meningococcal bacteria and for college<br />
students, especially those living in dormitories. Menomune<br />
is made available at many colleges, and awareness<br />
campaigns are conducted to inform students of this option.<br />
Continued on page 14<br />
-13- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 13– Bacterial Meningitis<br />
Meningococcal vaccination with Menomune is usually<br />
not re<strong>com</strong>mended for children under the age of 2 years,<br />
unless they are determined to be at increased risk of<br />
exposure due to an outbreak or travel to a region where<br />
meningitis is endemic, or as short-term protection<br />
against Group A infection among infants at least 3<br />
months of age. [9]<br />
It is re<strong>com</strong>mended that high-risk children between the<br />
ages of 3 months and 2 years receive 2 doses of<br />
vaccine, spaced 3 months apart. People older than 2<br />
years of age should receive a single dose of the<br />
meningococcal vaccine, but revaccination may be<br />
indicated for those at high risk.<br />
The CDC warns against vaccinating people who have<br />
had serious allergic reactions to previous doses of the<br />
vaccine. Those with moderate or severe illnesses<br />
should not be vaccinated until their health improves,<br />
but people who are mildly ill can still receive the<br />
vaccine. [10] Although there are risks associated with the<br />
meningococcal vaccine, (as there are with any vaccine),<br />
such as severe allergic reactions, fever, or pain, it has<br />
been determined to be much safer than the actual<br />
disease.<br />
Aventis Pasteur announced on April 7, 2003, that the<br />
FDA approved extending the use of the 10-dose vial of<br />
the vaccine, once reconstituted, from 10 to 35 days.<br />
The manufacturer believes this will help to alleviate<br />
physicians' concerns about not utilizing a 10-dose vial<br />
within the previously allowed interval and encourage<br />
healthcare providers to maintain a supply of<br />
Menomune. To obtain detailed information on<br />
Menomune vaccine schedules, see<br />
http://www.aventispasteur.<strong>com</strong>/Index.cfm?FA=Vaccines_Sc<br />
hedules.<br />
The pneumococcal 7-valent conjugate vaccine (Prevnar<br />
[Wyeth Pharmaceuticals, Lederle Laboratory Division])<br />
provides protection against some forms of pneumo<br />
coccal meningitis. It is manufactured by attaching the<br />
polysaccharides (purified surface <strong>com</strong>ponents of the<br />
different strains) to a genetically modified nontoxic<br />
form of the diphtheria toxin protein called CRM197.<br />
Prevnar is the first multivalent conjugate<br />
pneumococcal vaccine for use in children under the age<br />
of 2 years. It targets the most <strong>com</strong>mon 7 strains of<br />
pneumococcus, which account for approximately 80%<br />
of invasive disease in infants. Prevnar can be<br />
administered as a series of 4 inoculations at 2, 4, 6, and<br />
12-15 months of age. [11]<br />
Prevnar was approved by the FDA in February 2000<br />
for immunization of infants against invasive<br />
pneumococcal disease. Infants follow a typical<br />
schedule, getting the vaccine at 2, 4, and 6 months of age<br />
followed by a fourth shot at 12 to 15 months of age. For<br />
previously unvaccinated older infants and children, who<br />
are beyond the age of the routine infant schedule, the<br />
dosing schedule will vary. [12,13]<br />
Polysaccharide vaccines against groups A and C, and<br />
against A, C, Y, and W-135 (Aventis Pasteur, Baxter,<br />
Chiron, GlaxoSmithKline, SmithKline Beecham, Wyeth)<br />
are available worldwide. The first successful capsular<br />
polysaccharide vaccines against groups A and C were<br />
developed in response to meningitis epidemics among<br />
military recruits in the United States in the 1970s and<br />
were widely tested in Africa, Europe, and Latin America.<br />
Although they demonstrated safety and efficacy in<br />
preventing group C disease in US military recruits and in<br />
controlling group A epidemics during mass campaigns in<br />
Africa, they have not achieved much success in young<br />
infants. For this reason, and because they fail to induce<br />
immunologic memory in patients of all age groups, they<br />
have not been routinely used.<br />
However, it was found that <strong>com</strong>bining Hib and<br />
pneumococcal conjugate vaccines with a protein carrier<br />
improves the immunogenicity of polysaccharides. The<br />
resulting polysaccharide-protein conjugate vaccines have<br />
been shown to be safe, immunogenic in young infants,<br />
and offer long-term protection. [3] These conjugate<br />
vaccines include Haemophilus b Conjugate Vaccine<br />
(Diphtheria CRM 197 Protein Conjugate) (HbOC),<br />
manufactured by Praxis Biologics, Inc; Haemophilus b<br />
Conjugate Vaccine (Meningococcal Protein Conjugate)<br />
(PRP-OMP), manufactured by Merck Sharp and Dohme<br />
(newly licensed for use in infants); and Heptavalent<br />
CRM197 (PCV), manufactured by Wyeth Lederle.<br />
Table 2 summarizes the types of vaccination available<br />
worldwide for the prevention of meningococcal or<br />
pneumococcal meningitis. Worldwide efforts to develop<br />
new vaccines in the fight against meningitis continue. In<br />
1997, the WHO set up the International Coordinating<br />
Group on Vaccine Provision for Epidemic Meningitis in<br />
response to recent, devastating epidemics that paralyzed<br />
the routine healthcare systems and exhausted<br />
international stocks of vaccine in some regions of Africa.<br />
During the epidemic season, this organization distributes<br />
vaccine from an international stockpile to countries in<br />
the <strong>African</strong> meningitis belt. [3]<br />
Vaccination efforts can go a long way in minimizing the<br />
impact of this disease and reducing the number of deaths<br />
in its wake. The Meningitis Foundation of America has<br />
declared that August 2004 will be the first annual<br />
Meningitis Awareness and Prevention Month -- so what<br />
better time than now to start spreading the word about<br />
available vaccines? Continued on page 15<br />
-14- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 14– Bacterial Meningitis<br />
Table 2. Vaccines Available Against Meningococcal<br />
Disease<br />
Type of<br />
Vaccine Description Re<strong>com</strong>mendation<br />
Meningococcal<br />
polysaccharide<br />
Group A<br />
polysaccharide<br />
Group C<br />
polysaccharide<br />
Meningococcal<br />
group C<br />
conjugate<br />
vaccines<br />
Safe and effective<br />
for children aged ≥<br />
2 years against<br />
serogroups A, C,<br />
Y, and W-135, but<br />
no protection<br />
against group B<br />
meningococci<br />
(which, in some<br />
countries, are the<br />
leading cause of<br />
endemic<br />
meningococcal<br />
disease)<br />
Shows poorer<br />
immunogenicity<br />
and shorter<br />
duration of<br />
protection in<br />
children and<br />
infants < 2 years of<br />
age<br />
No<br />
immunogenicity in<br />
children and<br />
infants < 2 years of<br />
age<br />
Safe and effective<br />
in all age groups,<br />
including infants<br />
Re<strong>com</strong>mended for<br />
routine immunization<br />
of specific risk groups<br />
≥ 2 years of age; also<br />
re<strong>com</strong>mended for use<br />
in controlling<br />
epidemics of<br />
meningococcal disease<br />
through large-scale<br />
emergency<br />
immunization of<br />
population at risk;<br />
approved by the FDA<br />
and available in the<br />
United States<br />
Generally not used in<br />
routine infant<br />
immunization<br />
programs; not<br />
approved by the FDA<br />
and not available in<br />
the United States<br />
Generally not used in<br />
routine infant<br />
immunization<br />
programs; not<br />
approved by the FDA<br />
and not available in<br />
the United States<br />
Re<strong>com</strong>mended for<br />
inclusion in routine<br />
childhood<br />
immunization<br />
programs, for<br />
protection of high-risk<br />
individuals, and for<br />
targeted vaccination<br />
during outbreaks; not<br />
approved by the FDA<br />
and not available in<br />
the United States<br />
Adapted from Weekly Epidemiological Record, October 4,<br />
2002. [14]<br />
References<br />
13. Meningitis Foundation of America. Stories: Aaron Paul<br />
Mart. Available at:<br />
http://www.musa.org/Stories/aaron_mart.htm. Accessed<br />
June 17, 2004.<br />
14. Incesu L, Khosla A. Meningitis, bacterial. eMedicine.<br />
Last updated June 6, 2003. Available at:<br />
http://www.emedicine.<strong>com</strong>/radio/topic441.htm.<br />
Accessed June 17, 2004.<br />
-15- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
1. World Health Organization. Initiatives for Vaccine <strong>Research</strong>.<br />
State of the art of new vaccines: research & development.<br />
Available at:<br />
http://www.who.int/vaccine_research/documents/new_vaccines<br />
/en/index7.html. Accessed June 17, 2004.<br />
2. Aronin SI, Quagliarello VJ. <strong>Clinic</strong>al pearls: bacterial<br />
meningitis. Infect Med. 2003;20:142-153.<br />
3. Centers for Disease Control and Prevention. Division of<br />
Bacterial and Mycotic Diseases. Meningococcal disease:<br />
general information. Available at:<br />
http://www.cdc.gov/ncidod/dbmd/diseaseinfo/meningococcal_<br />
g.htm. Accessed June 17, 2004.<br />
4. Spiro CE, Spiro DM. Acute meningitis: focus on bacterial<br />
infection. Clin Rev. 2004:14, 53-60.<br />
5. World Health Organization. Meningitis: Impact of the problem.<br />
Available at:<br />
http://www.who.int/csr/disease/meningococcal/impact/en/.<br />
Accessed June 17, 2004.<br />
6. Purcell B, Samuelsson S, Hahne SJ, et al. Effectiveness of<br />
antibiotics in preventing meningococcal disease after a case:<br />
systematic review. BMJ. 2004;328:1339.<br />
7. Aventis Pasteur. Menomune Product Information. Available at:<br />
http://www.vaccineshoppe.<strong>com</strong>/US_PDF/Menomune_4813.48<br />
75_12.03.pdf. Accessed June 17, 2004.<br />
8. Centers for Disease Control and Prevention. National<br />
Immunization Program: Meningococcal. Available at:<br />
http://www.cdc.gov/nip/publications/VIS/default.htm#mening.<br />
Accessed June 17, 2004.<br />
9. US Department of Health and Human Services. HHS News.<br />
First pneumococcal vaccine approved for infants and toddlers<br />
[press release]. Available at:<br />
http://www.fda.gov/bbs/topics/NEWS/NEW00716.html.<br />
Accessed June 17, 2004<br />
10. Wyeth (Lederle Laboratories Division). Prevnar dosing<br />
schedule. Available at:<br />
http://www.prevnar.<strong>com</strong>/parent_dosing.htm. Accessed June 17,<br />
2004.<br />
11. Frequently asked questions about pneumococcal disease and<br />
Prevnar. Available at:<br />
http://www.prevnar.<strong>com</strong>/parent_qa.htm#eight. Accessed June<br />
17, 2004.<br />
12. World Health Organization. Meningococcal vaccines:<br />
polysaccharide and polysaccharide conjugate vaccines<br />
[Position Paper]. Wkly Epidemiol Record. 2002;77:329-340.<br />
Available at:<br />
http://www.who.int/docstore/wer/pdf/2002/wer7740.pdf.<br />
Accessed June 17, 2004.<br />
http://www.medscape.<strong>com</strong>/viewarticle/481019<br />
☻☻☻☻☻☻<br />
Continued from page 3 – Yoruba Spirituaity and<br />
Philosophy<br />
Egungun and men. The priest is able to thus suggest actions<br />
and give solutions through his divination with these deities.<br />
http://www.geocities.<strong>com</strong>/CollegePark/Classroom/9912/yorubaspirit.html<br />
☻☻☻☻☻☻
<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
FEATURED ARTICLES<br />
DIET IS MAJOR FACTOR IN POLIO PREVENTION, DR.<br />
SANDLER BELIEVES<br />
From The Asheville Citizen, August 5, 1948<br />
A theory concerning a major cause for human infection<br />
with polio has been advanced by Dr. Benjamin P.<br />
Sandler, of Asheville, N. C.<br />
Dr. Sandler, a recognized authority in nutrition<br />
research, was the first doctor to transmit polio to the<br />
rabbit, believed to be immune, a test he <strong>com</strong>pleted in<br />
1938.<br />
His theory is two-fold — he believes he has found a<br />
major cause for polio in humans, and he believes that<br />
preventive measures are simple, easy, and quickly<br />
applicable.<br />
Dr. Sandler believes that the major cause is the low<br />
blood sugar in the human body, caused, paradoxically<br />
as it may sound, by eating too much sweets and starchy<br />
food.<br />
The preventive measures? Cut out foods containing<br />
sugars and starches.<br />
In 24 hours, according to Dr. Sandler, the body can<br />
build up sufficient resistance to the polio virus to<br />
prevent disease. The diet would have to continue, of<br />
course.<br />
"The crisis is here and hours have be<strong>com</strong>e precious," he<br />
said. "I have been impelled to bring this directly to the<br />
newspapers because of my profound conviction that,<br />
through <strong>com</strong>munity cooperation and general acceptance<br />
of a diet low in sugars and starches, this epidemic can<br />
be got under control in about two weeks time.<br />
"I am willing to state without reserve that such a diet,<br />
strictly observed, can build up in 24 hours time a<br />
resistance in the human body sufficiently strong to<br />
<strong>com</strong>bat the disease successfully. The answer lies<br />
simply in maintaining a normal blood sugar."<br />
Here is Dr. Sandler’s program:<br />
(1) Eliminate from the diet sugar and foods containing<br />
sugar, such as: soft drinks; fruit juices (except tomato<br />
juice); ice cream; cakes, pastries, pies; candies; canned<br />
and preserved fruits.<br />
(2) Cut down the consumption of starchy foods, such<br />
as: bread, rolls, pancakes; potatoes; rice; corn; cereals<br />
and grits.<br />
(3) Substitute for such starch foods and starchy<br />
vegetables, the following: tomatoes, string beans,<br />
cucumbers, greens, lettuce, turnips, carrots, red beets,<br />
cabbage, onions and soybeans.<br />
(4) Do not eat fresh fruits or melons more than once a<br />
day, and then only in small quantities.<br />
(5) Eat more protective protein foods, such as: eggs,<br />
pork and beef products; fish (fresh or canned); poultry;<br />
milk, cream and cheese.<br />
Eat three substantial meals a day, advises Dr. Sandler.<br />
And avoid exertion and fatigue because they are known<br />
to be associated with low blood sugar content. Avoid<br />
swimming in cold water. Rest as much as possible.<br />
Dr. Sandler suggests that the re<strong>com</strong>mended diet be<br />
followed until the polio danger season officially is<br />
declared over by local health authorities.<br />
"One of the puzzling characteristics of polio," Dr.<br />
Sandler said yesterday, "has been its prevalence in<br />
warm weather. Many people cut down on protective<br />
protein foods— such as meat, fish and poultry —<br />
because of a mistaken idea that a ‘light’ diet is better<br />
for them in warm weather. And they increase<br />
consumption of cooling foods and beverages — most<br />
of them heavily sweetened. It is this increase in<br />
consumption of sugar that produces a lowering of blood<br />
sugar and thereby a lowering of the body’s resistance to<br />
the polio virus and other diseases."<br />
Here is the basis for the Sandler theories:<br />
A normal blood sugar content of 100 milligrams in<br />
each 100 cubic centimeters of blood is necessary to<br />
maintain resistance to bodily infection. Any appreciable<br />
lowering of this blood sugar content (say, to from 75 to<br />
55 mg.) can lower the barriers and permit bodily<br />
invasion by the virus of polio. Continued on page 17<br />
-16- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 16 – Diet is Major Factor in Polio<br />
Prevention<br />
Dr. Sandler offers as the scientific basis for these<br />
statements research done with rabbits and monkeys. This<br />
research he began at Willard Parker hospital in New York<br />
during the metropolitan area’s record polio outbreak of<br />
1931.<br />
Authorities had noted that rabbits normally are resistant<br />
to polio virus. Dr. Sandler, observing that studies showed<br />
that in rabbits the blood sugar never dropped below 100<br />
mg., began pondering the far-differing case of the rhesus<br />
monkey, a notoriously easy prey to poliomyelitis. In<br />
monkeys, blood sugar content frequently was observed to<br />
fall to abnormally low levels, around 50 mg.<br />
Furthermore, observations on humans who had recovered<br />
from polio revealed low blood sugar — hypoglycemia is<br />
the technical term — to be frequently present.<br />
From these — rabbits, monkeys and humans — Dr.<br />
Sandler first deducted that low blood sugar could be an<br />
important factor in susceptibility to the polio virus.<br />
The job was to check this deduction through experiments<br />
in which the blood sugar content of rabbits would be<br />
lowered and their susceptibility to polio again tested.<br />
In the laboratories of the Morrisania hospital in New<br />
York 10 years ago, Dr. Sandler began a series of<br />
experiments in which insulin was injected in rabbits to<br />
lower the blood sugar for periods of four to six hours.<br />
Once the blood sugar content had been thus dropped, the<br />
doctor attempted again to transmit the polio virus to the<br />
normally highly resistant animals. The rabbits then fell<br />
easy victims.<br />
The animals showed evidence of polio infection within<br />
eight to 10 hours after intracerebral inoculation with the<br />
virus, indicating rapid spread of the disease during the<br />
period of hypoglycemia. (Dr. Sandler reported on these<br />
studies in the American Journal of Pathology in January,<br />
1941). Some rabbits died within 14 hours after infection.<br />
Characteristic nerve-cell destruction with paralysis was in<br />
evidence.<br />
Chronic hypoglycemia (low blood sugar) is a <strong>com</strong>mon<br />
disorder in childhood and adolescence, Dr. Sandler points<br />
out, and is readily influenced by diet as well as exertion.<br />
This, he believes, serves to explain the high incidence of<br />
polio in younger age groups, as well as the frequently<br />
reported occurrence of the disease following strenuous<br />
physical exertion.<br />
Dr. Sandler received his degree in medicine at New York<br />
University in 1931. He interned at Morrisania city<br />
hospital in New York City and later was on the staff there<br />
as well as Polyclinic and Montefiore hospitals in New<br />
York city. From July, 1941, until February, 1947, he was<br />
in the U. S. naval medical corps, attaining the rank of<br />
<strong>com</strong>mander.<br />
He has done considerable research in polio and the<br />
relationship between diet and disease. He has published<br />
six papers on the latter subject, as well as papers on other<br />
medical subjects. His research includes a period assisting<br />
the research staff at Willard Parker hospital in New York<br />
city during the epidemic there in 1931, and independent<br />
research later, when he "gave" polio to a rhesus monkey,<br />
transmitted it to a rabbit, and then to another monkey.<br />
Summarizing the evidence for my contention that low<br />
blood sugar is a factor of susceptibility to polio, and that<br />
a diet aimed to prevent low blood sugar can prevent<br />
polio, I submit the following:<br />
1. Low blood sugar is not present in the rabbit, a nonsusceptible<br />
animal.<br />
2. Low blood sugar is present in monkeys, a susceptible<br />
animal.<br />
3. Inducing low blood sugar in rabbits with insulin<br />
renders the animals susceptible.<br />
4. Physical exertion, swimming in cold water, predispose<br />
to polio because they may be associated with low blood<br />
sugar.<br />
5. The diet campaign aimed to prevent low blood sugar<br />
and thereby prevent polio had a significant effect on the<br />
number of cases during the 1948 epidemic both locally in<br />
the city of Asheville, the state of North Carolina, and in<br />
the nearby southeastern states as shown by the earlier<br />
peak dates in those states. The diet campaign also had a<br />
significant effect on the number of cases throughout the<br />
country as shown by the change in the trend of the 1948<br />
epidemic when <strong>com</strong>pared with the trend in 1946.<br />
6. The unique change in the graph <strong>com</strong>paring 1946 with<br />
1948 is exceptional, in that the change occurred<br />
immediately after the release of the diet instructions, and<br />
because such a change had never before occurred in the<br />
history of polio in this country.<br />
7. Although the 1949 polio epidemic for the country as a<br />
whole was more severe than the 1948 epidemic, the city<br />
of Asheville and the state of North Carolina experienced<br />
the greatest reduction in the number of cases in 1949 in<br />
spite of the fact that North Carolina had the second<br />
highest case rate in the country in 1948. The state of<br />
North Carolina had a case rate of 66.3 in 1948 and a case<br />
rate of only 6.3 in 1949. South Dakota had a case rate<br />
153.9 in 1948, the highest in the nation, but showed a<br />
reduction in 1949 to only 63.0.<br />
Continued on page 18<br />
-17- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 17 – Diet is Major Factor in Polio<br />
Prevention<br />
8. Polio epidemics have occurred throughout the world in<br />
past years only in those countries with high per capita<br />
sugar consumption. Epidemics are unknown in countries<br />
with low sugar consumption. The greater the sugar<br />
consumption the more severe the epidemic.<br />
"Foods must be in the condition in which they are found<br />
in nature or at least in a condition as close as possible to<br />
that found in nature."<br />
HIPPOCRATES<br />
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Continued from page 10 – Nigeria Meningitis<br />
Death Toll Surpasses 2000<br />
About two-thirds of Nigeria's 36 states are affected by the<br />
epidemic, the ministry said. Nigeria is Africa's most<br />
populous country with a population of more than 140<br />
million.<br />
UNICEF said last month that more than 2,500 people had<br />
been killed by meningitis this year in West and Central<br />
Africa in what could be the worst epidemic for five years.<br />
Nigeria, Niger, Burkina Faso and Chad are considered<br />
Africa's high-risk zone.<br />
Meningitis is the inflammation of the tissue surrounding<br />
the brain and spinal cord, and can be caused by viral or<br />
bacterial infections. It spreads mainly through kisses,<br />
sneezes, coughs and in close living quarters.<br />
The meningitis death toll in Nigeria since December is<br />
almost 50 times the number of people killed worldwide<br />
by the H1N1 swine flu virus. But the speed with which it<br />
has spread underscores the potential dangers if swine flu<br />
reaches Africa.<br />
Basic healthcare is limited in rural parts of Nigeria, where<br />
most people live on less than $2 a day, despite the<br />
country's huge oil resources. Many Nigerians fear that an<br />
outbreak of swine flu would be devastating.<br />
The Health Ministry said no suspected case of swine flu<br />
had been recorded in the country but that it had taken<br />
steps to contain any outbreak.<br />
The worst recent meningitis epidemic in West and<br />
Central Africa occurred in 1996-97 when an estimated<br />
100,000 people were infected in Nigeria and 50,000 in<br />
Niger.<br />
http://www.msnbc.msn.<strong>com</strong>/id/30604930/<br />
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Uganda: Meningitis<br />
Contained<br />
Anthony Bugembe<br />
19 February 2009<br />
Kampala — <strong>THE</strong> health ministry has contained the<br />
meningitis outbreak in the country.<br />
"We are on top of the situation. No new cases have been<br />
reported since January 28," said Dr. Sam Zaramba, the<br />
director general of health services.<br />
He said there was increased awareness about the disease<br />
in the affected areas, which saw many people receive<br />
treatment and vaccination.<br />
The outbreak hit the country in December. Uganda is one<br />
of the countries in the <strong>African</strong> meningitis belt.<br />
The epidemic, that started in Hoima and Arua districts,<br />
also spread to Masindi, Adjumani and Moyo. By<br />
February 3, 336 people had been affected, while 42 had<br />
died.<br />
Last month, the ministry delivered drugs and financial<br />
support to the affected areas.<br />
Dr. Nathan Kenya Mugisha, the director for clinical<br />
services, said the ministry and the World Health<br />
Organisation had vaccinated people aged between two<br />
and 30 years in the affected districts.<br />
"This age group is more vulnerable to meningitis and our<br />
assessment teams continue doing their work. We have<br />
also advised people to avoid congestion especially in the<br />
affected districts," Mugisha said.<br />
"We allowed the schools in the affected districts to open<br />
for the new academic year because our assessment teams<br />
have reported no new cases. This is also one of the signs<br />
that we are managing the epidemic," he added.<br />
Meningitis is an inflammation of the meninges, the lining<br />
surrounding the brain and spinal cord. The disease is<br />
caused by bacteria and is transmitted through contact<br />
with the respiratory or throat secretions from an infected<br />
person.<br />
Last year, the country also suffered cholera, botulism,<br />
ebola, marburg, typhoid, measles and Hepatitis E<br />
outbreaks.<br />
While presenting the status report on major disease<br />
outbreaks to Parliament last week, health state minister<br />
Richard Nduhura said all the diseases had been<br />
controlled, save for Hepatitis E.<br />
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-18- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Burkina Faso: Five Million at<br />
Risk As Meningitis Death Toll<br />
Climbs<br />
1 February 2008<br />
Ouagadougou — Amid warnings of a major meningitis<br />
outbreak in Africa this year, epidemic levels of the<br />
bacterial infection have broken out in parts of Burkina<br />
Faso.<br />
"Despite the efforts of the government and its partners in<br />
2008, the vaccination campaign did not reach all the<br />
districts currently facing the outbreak," Alain Yoda,<br />
Burkina Faso's Minister of health said in a press<br />
conference in early January.<br />
Overall 774 cases have been reported, with Mandogara<br />
district close to the Cote d'Ivoire border at epidemic<br />
levels and three other health districts on high alert.<br />
Souleymane Sanou, director general at the Ministry of<br />
Health, estimated five million people are now at risk in<br />
20 health districts across the country.<br />
The government has received one million vaccine doses<br />
to fight the outbreak.<br />
Vaccinations missed<br />
Dr. Souleymane Sanou, director-general of health at the<br />
Ministry of Health, said the high number of people at risk<br />
in Burkina Faso is partly because the government could<br />
not predict exactly which regions would be affected, and<br />
had not carried out vaccinations in all of them.<br />
Just one of the affected districts has been immunised in<br />
the past three years, and altogether, 19 out of 55 districts<br />
have not been covered, he said.<br />
"The vaccine against meningitis immunises people for<br />
three years," Sanou said. "People in the affected regions<br />
were immunised over three years ago."<br />
Burkina Faso lacked vaccination drugs and the money to<br />
buy it, leaving health workers no choice but to wait for<br />
the illnesses to begin before they could react, officials<br />
said.<br />
Dr. André Ouedraogo, region adviser at the World Health<br />
Organization (WHO) blamed donors. Prevention of<br />
epidemics that might not happen is costly, so donors<br />
prefer to wait for a crisis to hit before providing the funds<br />
for an emergency response, he said.<br />
WHO asked donors to provide US$14 million over 2008<br />
to purchase 12 million doses of vaccine and injection<br />
materials, to cover transport, storage and insurance costs<br />
llto boost prevention efforts across the region.<br />
-19- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
Next Steps<br />
Minister of Health Yoda said the government needs a<br />
further US$4.5 million to add to its existing US$2.2<br />
million if it is to prepare for an epidemic across all 55 of<br />
the country's health districts.<br />
This money would go towards reacting to the current<br />
outbreak through vaccination campaigns and monitoring<br />
the spread of the disease, as well as trying to prevent<br />
future outbreaks through raising awareness and ensuring<br />
all health districts have the medicines they need, he said.<br />
"We need our partners to step in to make up the budget,"<br />
said Sylvestre Tiendébéogo, director of the fight against<br />
diseases at the Ministry of Health.<br />
Burkina Faso's main donors are the European Union and<br />
the World Bank, while France is the biggest bilateral<br />
donor.<br />
Cost effective<br />
Maxime Yameogo, health coordinator of the International<br />
Federation of the Red Cross (IFRC), said more could be<br />
done to prevent the disease from spreading, even without<br />
millions of donor dollars.<br />
The IFRC trains volunteers around the region to try to<br />
spread health messages in rural and urban areas and to<br />
help people know how to avoid contracting the illness in<br />
the first place.<br />
At least 80 million people living in 21 countries from<br />
Ethiopia in East Africa to Mauritania in West Africa that<br />
make up a region often called Africa's 'meningitis belt'<br />
might need to be injected with preventative vaccines this<br />
year, according to a WHO spokesperson.<br />
Epidemic levels of meningitis have also been reported<br />
elsewhere in West Africa in late 2007 and early 2008.<br />
250 cases have been recorded in two northern Nigerian<br />
states, Jigawa and Katsina, while 18 people have died in<br />
Mali, Niger and Ghana, according to the WHO.<br />
[ This report does not necessarily reflect the views of the<br />
United Nations ]<br />
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Burkina Faso: Meningitis<br />
Epidemics in Vaccinated<br />
Areas<br />
10 April 2008<br />
Ouagadougou — People vaccinated against meningitis<br />
are supposed to have protection for three years but health<br />
officials have announced that meningitis epidemics have<br />
occurred in several areas where populations had recently<br />
Continued on page 20
Continued from page 19- Burkina Faso: Meningitis<br />
Epidemics in Vaccinated Areas<br />
been immunized.<br />
"[Health researchers] are currently collecting information<br />
so as to identify the factors explaining the recurrence of<br />
the epidemic in districts where populations have been<br />
vaccinated", Ousmane Badolo, head of the epidemiologic<br />
surveillance department at the ministry of health, told<br />
IRIN.<br />
Vaccination campaigns target people between 2 to 30<br />
years old; according to the ministry of health, 80 to 90<br />
percent of the victims of meningitis belong to that age<br />
group.<br />
A total of 714 people have died since 1 January out of<br />
7,184 cases.<br />
Several different bacteria can cause meningitis which is<br />
an inflammation of the protective membranes covering<br />
the central nervous system. The Neisseria sero-group is<br />
one of the most important to watch because it often leads<br />
to epidemics, experts say.<br />
Badolo, the epidemiologist, said that health research<br />
teams from the UN World Health Organization and USbased<br />
Centers for Disease Control and Prevention have<br />
<strong>com</strong>e to Burkina Faso to investigate. "This is the first<br />
time that such research is being conducted," Badolo said,<br />
adding that at this stage he could only guess why the<br />
vaccination programmes have not worked.<br />
"Perhaps it is because of population M displacement," he<br />
said, "for instance in gold mining areas people are often<br />
<strong>com</strong>ing and going."<br />
The health researchers will focus their work on the<br />
districts of Réo in the central west of the country, Boulsa<br />
in the central north, Titao in the north and in Sig-nonghin<br />
a district in the north of the capital Ouagadougou.<br />
The populations in each of those four districts were<br />
vaccinated last year yet each has reached epidemic<br />
thresholds.<br />
A total of five out of the country's 55 districts have<br />
reached the epidemic threshold and 14 others are on alert.<br />
Meanwhile, 3.5 million people have been vaccinated this<br />
year out of a population of 14 million. The government<br />
said it is in the process of procuring a million more<br />
vaccines with the help of UN Children's Agency<br />
UNICEF.<br />
[This report does not necessarily reflect the views of the<br />
United Nations ]<br />
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Africa: New Meningitis<br />
Vaccine Nears Debut<br />
12 March 2009<br />
Dakar — A new vaccine that promises to eradicate<br />
meningitis in Africa will be rolled out in a mass<br />
campaign in West Africa this year, according to the UN<br />
World Health Organization (WHO).<br />
Twenty-five million doses of the meningococcal A, or<br />
MenA, vaccine are currently in production in India and<br />
the drug is expected to be introduced in Burkina Faso late<br />
2009.<br />
"This is the beginning of the end of the disease," said<br />
Mark LaForce, the director of the Meningitis Vaccine<br />
Project (MVP), an initiative of WHO and the non-profit<br />
PATH that has been developing the vaccine since 2003.<br />
The vaccine currently used in the region spanning from<br />
Senegal to Ethiopia - called the 'meningitis belt' for its<br />
vulnerability to deadly outbreaks - offers at most two<br />
years of protection, according to MVP.<br />
While the disease is more deadly in the meningitis belt<br />
than anywhere else in the world, there have been no<br />
prevention vaccines for the strain found in Africa- until<br />
now, according to clinical trials with MenA.<br />
Recent studies with patients age one to 29 in India, Mali,<br />
and The Gambia have shown that the new vaccine will<br />
provide long-term protection. Lead researcher LaForce<br />
has said the drug "will allow the elimination of the<br />
meningococcal [meningitis] epidemics that have afflicted<br />
the continent [Africa] for more than 100 years."<br />
Months away from the vaccine's US$29-million donorfinanced<br />
debut in three countries - Burkina Faso, Mali<br />
and Niger - LaForce told IRIN the deadly bacteria that<br />
attack the spinal cord and brain lining cannot be wiped<br />
out overnight.<br />
"Look at polio and how long it took to eradicate that. We<br />
are looking at 10 years at least [for eradication]," he said.<br />
More than 45 years after the polio vaccine was licensed,<br />
there were still more than 1,600 infections worldwide in<br />
2008, according to WHO - down from 350,000 cases 20<br />
years ago.<br />
LaForce told IRIN the MenA vaccination campaign's<br />
goal is to reach "herd immunity", in which if at least 70<br />
percent of the population is immunised, then the entire<br />
population is protected.<br />
When asked if people who might refuse vaccinations<br />
could thwart herd immunity, LaForce said the response<br />
Continued on page 21<br />
-20- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 20– New Meningitis Vaccine Nears<br />
Debut<br />
has been "tremendous" in clinical trials to the vaccine and<br />
that "70 percent [immunisation] coverage will not be hard<br />
to reach."<br />
LaForce has said that "a single case of meningitis can<br />
drive a family into a spiral of poverty from which they<br />
may never recover."<br />
Even with antibiotic treatment, at least 10 percent of<br />
people stricken with meningitis die and 20 percent are<br />
left with permanent disability including mental<br />
retardation, deafness or amputation, according to WHO.<br />
WHO aims to immunise 250 million people in the<br />
meningitis belt by 2015. The Global Alliance for Vaccine<br />
and Immunization (GAVI) has agreed to create an<br />
emergency stockpile of the MenA vaccine starting in<br />
2011 with an initial investment of $55 million.<br />
WHO has pledged to "fast-track" approval of the vaccine<br />
as soon as it is licensed in India, according to the director<br />
of WHO's Initiative for Vaccine <strong>Research</strong>, Marie-Paule<br />
Kieny.<br />
Kieny told IRIN the vaccine is scheduled to be<strong>com</strong>e a<br />
routine childhood immunisation by 2012.<br />
Potential obstacles to mass immunisation are new<br />
meningitis strains and inadequate funds to continue<br />
beyond the three roll-out countries, according to Kieny.<br />
MenA is expected to cost governments 40 cents per dose;<br />
current meningitis vaccines cost up to $1.58, according to<br />
WHO.<br />
LaForce said the challenge in developing MenA has been<br />
in part financial. "These are the poorest areas in the<br />
world. Large pharmaceuticals were not interested in<br />
producing a specific product for Africa."<br />
Bill & Melinda Gates Foundation has funded MVP's<br />
creation, research and development since 2001.<br />
[This report does not necessarily reflect the views of the<br />
United Nations ]<br />
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Chad: W 135 Meningitis<br />
Shows Up After Nearly a<br />
Decade<br />
16 April 2009<br />
N'djamena — Health officials in Chad are gearing up to<br />
vaccinate hundreds of thousands of people against<br />
meningitis, which as of 14 April had killed 102 of 871<br />
-21- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
people infected in 2009, the health minister says.<br />
Chad's Health Ministry and the World Health<br />
Organization (WHO) have asked WHO's International<br />
Coordinating Group on Vaccine Provision for<br />
Epidemic Meningitis Control for vaccines against the<br />
potent W 135 strain, Nedardoum Apollos, WHO<br />
epidemiologist in Chad, told IRIN.<br />
"We last saw W 135 in Chad about 10 years ago,"<br />
Chad's Health Minister Ngombaye Djaïbé told IRIN.<br />
The presence of W 135 is "very worrying," he said. "It<br />
is highly virulent and the vaccine is expensive."<br />
In the <strong>com</strong>ing days health officials and aid workers<br />
plan to begin vaccinating - one million people for W<br />
135 and two million for A, Health Minister Djaïbé said.<br />
Of 12 identified serogroups of the meningitis bacteria,<br />
four - Neisseria meningitidis A, B and C and W 135 -<br />
are recognised to cause epidemics, WHO says.<br />
Up to 2002 the W 135 strain broke out only in sporadic<br />
cases in Africa, but that year it affected 14,453 people<br />
and killed 1,743 in Burkina Faso, according to WHO.<br />
Health Minister Djaïbé declared a meningitis epidemic<br />
in Chad on 14 April. Health ministry officials told IRIN<br />
that to date infections have been reported in the regions<br />
of Chari Baguirmi, Mandoul and Tandjilé, and in parts<br />
of the capital N'djamena.<br />
The 11.7-percent mortality rate, though lower than<br />
during past epidemics in Chad, is higher than in Niger<br />
and Nigeria- the two countries with the highest number<br />
of infections this year, where the death rate is about<br />
five percent. The WHO defines successful epidemic<br />
control as keeping the mortality rate below 10 percent.<br />
Djaïbé said the lethality rate is lower than in previous<br />
epidemics in Chad "thanks to the treatment and<br />
medicines now more widely available with the help of<br />
partner organisations."<br />
Fatimé Djibrine, who works in the pediatric unit of<br />
Liberty Hospital in N'djamena, told IRIN: "We saw just<br />
one case of meningitis in this unit in January, then nine<br />
cases in February, with one death." She said people<br />
must rush to the nearest health centre for antibiotic<br />
treatment at the first signs of the illness, which include<br />
stiff neck, high fever, headaches and sensitivity to light.<br />
Meningitis, which attacks the brain and spinal column,<br />
is transmitted through droplets of respiratory or throat<br />
secretions, according to WHO. The disease is endemic<br />
across the Sahel region from Senegal in the west to<br />
Ethiopia in the east.<br />
http://allafrica.<strong>com</strong>/stories/200904170004.html<br />
☻☻☻☻☻☻
<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
FEATURED ARTICLES<br />
CHRONIC FATIGUE SYNDROME: <strong>THE</strong> HIDDEN POLIO<br />
Dr. William Campbell Douglas<br />
Second Opinion Newsletter<br />
Periodically, we receive letters such as the following (but<br />
surprisingly few, considering the controversial nature of<br />
the subject):<br />
"I like your publication and gain a lot of useful<br />
information from it. But I question all of your ideas<br />
because of your stand on vaccinations. It is perfectly<br />
obvious that the major infections diseases caused by<br />
viruses have been eliminated by vaccinations."<br />
This letter is fairly typical. Most of them are not<br />
vindictive or insulting. They are simply, like this<br />
example, disbelieving that something as "obvious" and<br />
effective as vaccinations can be challenged by a medical<br />
doctor. As I explained to one of my medical colleagues<br />
who supports vaccination almost to the degree of a<br />
religion, it took a lot of serious pondering and soulsearching<br />
to join Dr. Robert Mendelsohn in his crusade<br />
against immunizations. It's not easy to take a stand that<br />
you know will alienate 95 percent of your medical<br />
colleagues and 99 percent of the scientific <strong>com</strong>munity.<br />
Post hoc, ergo prompter hoc reasoning states that "A"<br />
happened, then "B" happened, thus "A" caused "B." So if<br />
we gave children polio shots and the polio epidemic<br />
ceases, then it is "obvious" that the vaccine halted the<br />
epidemic. But this faith in the polio vaccines will not<br />
even stand up to this faulty reasoning because...<br />
The Salk vaccine failed <strong>com</strong>pletely. And the Sabin<br />
vaccine was a disaster. It caused many cases of polio and<br />
showed no relationship to the disease except for an<br />
increase in polio during the early '60s, caused by the<br />
vaccine itself. And now we have the sensational findings<br />
from the Annals of the New York Academy of Sciences,<br />
which strongly indicate that polio did not go away at all,<br />
but now manifests itself as chronic fatigue syndrome. The<br />
public press is strangely silent on this sensational report -<br />
- I wonder why.<br />
I remember 20 years ago hearing someone to whom I<br />
paid little attention (although the seed was planted) say<br />
that polio had not gone away. He said that since the<br />
advent of the shots, polio had changed and was<br />
called something else by the neurologists. I was<br />
intrigued, but I quickly discarded the idea -- where<br />
were the thousands of paralyzed kids, the iron<br />
lungs, the shriveled limbs? I had not seen a case of<br />
active polio (I thought) in my entire career. Then I<br />
heard that the neurologists were calling chronic<br />
fatigue syndrome (CFS) "Myalgic<br />
Encephalomyelitis." That's funny I thought, why<br />
are they calling it "myalgic," which means muscle;<br />
"encephalo," which means brain; and "myelitis,"<br />
which means inflammation of the covering of the<br />
nerves?<br />
Being slow, I just decided they gave it this fancy<br />
moniker because it sounded more scientific than<br />
chronic fatigue syndrome.<br />
And then, almost like a divine revelation, I saw the<br />
report in the New York Academy of Sciences and<br />
said: "Of course, why didn't I think of that--chronic<br />
fatigue syndrome is the modern form of<br />
poliomyelitis. "Now don't hang up on me. I know it<br />
sounds like a front-page piece from the National<br />
Inquirer, but this is from legitimate research. As<br />
you may recall, polio is contracted from ingesting<br />
the polio virus, which then goes to the small<br />
intestine and reproduces there. With the use of the<br />
vaccines, especially the oral Sabin vaccine, the<br />
traditional polio viruses were replaced by other<br />
members of the same family called Coxsackie<br />
viruses.<br />
When the Coxsackie viruses were first isolated<br />
from CFS patients, it wasn't realized that we were<br />
simply dealing with a new form of polio. This new<br />
polio was caused by the replacement of the polio<br />
viruses with their brothers, the Coxsackie viruses.<br />
When the Coxsackie viruses were first isolated<br />
from CFS patients, it wasn't realized that we were<br />
Continued on page 23<br />
-22- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 22 – Chronic Fatigue Sydrome<br />
simply dealing with a new form of polio. This new polio<br />
was caused by the replacement of the polio viruses with<br />
their brothers, the Coxsackie viruses. As the researchers<br />
didn't get the connection at first, these new polio cases<br />
were labled "post-polio syndrome," "chronic fatigue<br />
syndrome," and "myalgic encephalomyelitis."<br />
Modern genetics has confirmed the genetic similarity<br />
between polio viruses, Coxsackie, and another group<br />
called the Echo viruses. Before the advent of the Salk and<br />
Sabin vaccines, there were only three polio viruses. Now,<br />
with the drastic alteration of the human gut over the years<br />
as a result of these vaccines, there are at least 72 viral<br />
strains that can cause polio-like diseases.<br />
Sadly, this evidence of the changing of polio rather than<br />
the elimination of it is not new. The first epidemic of<br />
"atypical polio" was reported in Los Angeles in 1934 and<br />
there was another epidemic of CFS called "abortive<br />
poliomyelitis" in Switzerland in 1939. After the<br />
introduction of the vaccines, the trend toward a new polio<br />
rapidly increased and it has been recognized by the<br />
neurologists for 40 years. The terms "atypical" and<br />
"abortive" polio have been quietly dropped because they<br />
would point to the awful realization that polio is more<br />
<strong>com</strong>mon than ever and caused by polio vaccination.<br />
The neurologists and the vaccinators just seem to have<br />
gone into a state of denial about the ubiquitousness of<br />
polio. The GPs and the internists were unaware of the<br />
polio research of the 1950s, and the pediatricians were<br />
<strong>com</strong>pletely out of it because CFS/polio/ME is a disease<br />
of adults -- "infantile paralysis," as polio was called, has<br />
be<strong>com</strong>e in the modern era "adult paresis" (muscle<br />
weakness).<br />
We now know that chronic fatigue syndrome isn’t a new<br />
disease, but simply an "aborted form" of the more serious<br />
paralytic polio. There is just no doubt about it; it's only a<br />
question of getting the public health bureaucrats, the<br />
pediatricians, and doctors in general to face up to the<br />
facts.<br />
Dr. Richard Bruno, New Jersey Medical School,<br />
Department of Physical Medicine, pointed out, in the<br />
New York Academy report, that of more than a dozen<br />
outbreaks of CFS before the introduction of the Salk<br />
vaccine, nine occurred during or immediately after polio<br />
outbreaks and several of the victims of CFS had been<br />
taking care of polio patients.<br />
As the polio vaccination program opened the door for<br />
these opportunistic relatives of polio, the CFS epidemic<br />
gathered steam and the new polio was upon us. One of<br />
the forerunners in this research is Dr. Elizabeth Dowsett,<br />
a microbiologist from Britain. Dr. Dowsett states unequi-<br />
vocally what you don't hear in this country: True CFS<br />
(as differentiated from other fatigue states) "strikes one<br />
clinically as being polio-like and it has often been<br />
diagnosed as 'nonparalytic polio.' "<br />
Dowsett says the term chronic fatigue syndrome was<br />
"an unfortunate mistake" because this is truly a<br />
neurological disease and the practice of doctors waiting<br />
six months before doing anything so they could label it<br />
"chronic," obviated the pollibility of identifying the<br />
virus. The harm has been done and the patient now has<br />
chronic new-age polio that will not be amenable to<br />
treatment.<br />
I always considered CFS to be some kind of infection<br />
and wondered why photoluminescence didn't cure it.<br />
But, as was proven with old-fashioned polio 40 years<br />
ago, light blook therapy only works on the acute form<br />
of the disease, even including the usually deadly bulbar<br />
polio (see Into the Light). When there are lesions in the<br />
brain, which can now be demonstrated in CFS patients<br />
with MRI and other advanced radiologic methods, it is<br />
too late to effect a cure. Parenthetically, how can CFS<br />
be a neurotic problem, as the psychiatrists and many<br />
real doctors have labelled it, when it can be<br />
demonstrated that there are changes in the brain?<br />
We know that multiple vaccinations, such as those<br />
given our soldiers during the Gulf War, can cause what<br />
is known as "provocation polio." The evidence is fairly<br />
convincing that the "Gulf War Syndrome" is simply<br />
vaccination-induced chronic fatigue syndrome. One<br />
argument against these new scientific findings needs to<br />
be countered before it arises, because it's a<br />
misconception that confuses the public. It goes like<br />
this: "If CFS is a form of polio, and these 72 viruses are<br />
in everybody's intestine, then why doesn't everybody<br />
<strong>com</strong>e down with CFS?<br />
Simply put, it's because everybody doesn't contract a<br />
disease because they are exposed to it. If they did, we<br />
would all be dead or at least sick all the time. Some<br />
people have stronger immune systems than others and<br />
that's why you must do everything within reason to<br />
protect your health. During the polio epidemic in the<br />
'30s and '40s, most of the children who "caught" polio<br />
didn't even know they had it. It was passed off as a cold<br />
and no one ever knew about it. This is <strong>com</strong>parable to<br />
tuberculosis, where many people are found on X ray of<br />
the chest to have clear evidence of having had TB, but<br />
they never knew it.<br />
The evidence is overwhelming that Salk and Sabin did<br />
nothing but cause tremendous confusion in the medical<br />
world by modifying the polio disease, as Pasteur did<br />
over a hundred years ago with so many other diseases.<br />
Continued on page 24<br />
-23- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Central <strong>African</strong> Republic:<br />
Scramble to Contain<br />
Meningitis Epidemic<br />
13 February 2008<br />
Nairobi — Aid agencies and the authorities in the Central<br />
<strong>African</strong> Republic (CAR) have joined forces to vaccinate<br />
hundreds of thousands of people at risk of meningitis in the<br />
northwest of the country, officials said.<br />
Toby Lanzer, the UN humanitarian coordinator in CAR,<br />
said the latest vaccination effort was targeting at least<br />
80,000 people at the centre of the epidemic.<br />
The UN Office for the Coordination of Humanitarian<br />
Affairs (OCHA) reported on 11 February that meningitis<br />
was spreading across three northwestern districts and was<br />
threatening up to one million people. The announcement<br />
followed a declaration by national authorities of an<br />
outbreak of meningitis after several cases and numerous<br />
deaths were reported in Ouham, Ouham Pendé and Nana-<br />
Grebizi districts in the first five weeks of this year.<br />
"In the town of Kaga Bandoro and neighbouring villages<br />
alone, 38 cases of meningitis have been reported, of which<br />
several were lethal," OCHA reported. "The ill are now<br />
being treated."<br />
Meningitis takes its name from the meninges, the protective<br />
membranes covering the central nervous system, which<br />
be<strong>com</strong>e inflamed as a result of infection by bacteria, viruses<br />
or other agents. Meningitis can kill unless quickly treated<br />
with antibiotics.<br />
The type spreading in CAR is caused by the<br />
meningococcus bacterium. Symptoms can rapidly progress<br />
from fever, headache and neck stiffness to <strong>com</strong>a and, in<br />
around 10 percent of cases, death.<br />
CAR is part of the meningitis belt that stretches from<br />
Senegal to Ethiopia. Annual outbreaks occur mainly in the<br />
dry season (January-May).<br />
The UN World Health Organization (WHO) had requested<br />
US$100,000 from the UN Emergency Response Fund<br />
(ERF), and the money has been released to buy vaccines.<br />
The ERF is part of an aid programme in CAR, supported by<br />
donors, with $69 million to protect, feed and care for<br />
people displaced and affected by violence.<br />
Ruhala Bissimwa, the medical coordinator for Merlin in<br />
Kaga Bandoro, who has been coordinating the fight against<br />
meningitis, said the country was beyond the threshold for<br />
an epidemic, which is 10 cases per 100,000 people.<br />
"We are very worried, very afraid," he said. "Outbreaks are<br />
being reported in new <strong>com</strong>munes, such as Ngenga in Nana-<br />
Grebizi district, and it is continuing to spread.<br />
"The most important thing is to make vaccines<br />
available to everyone. We are more than a month into<br />
this situation and we are still waiting for vaccines."<br />
OCHA said national stocks of vaccines for the disease<br />
were running short.<br />
"Protecting the people in the north of the Central<br />
<strong>African</strong> Republic will prevent meningitis from<br />
spreading to the rest of the country and into<br />
neighbouring Chad," OCHA said.<br />
The agency said the health situation in the conflict-torn<br />
north of the country remained dire, with over threequarters<br />
of the population having little, if any, access to<br />
healthcare. Life expectancy stands at 43 years, one of<br />
the lowest in the world.<br />
Violence affects at least one million people in northern<br />
CAR. OCHA estimates there are 197,000 internally<br />
displaced people in the country while 98,000 others<br />
have sought refuge in Chad, Cameroon, or Sudan.<br />
[ This report does not necessarily reflect the views of<br />
the United Nations ]<br />
http://allafrica.<strong>com</strong>/stories /200802130507.html<br />
☻☻☻☻☻☻<br />
Continued from page 23– Chronic Fatigue<br />
Multiple sclerosis, amyotrophic lateral sclerosis, CFS,<br />
Tourette syndrome, "learning disabilities," Guillain<br />
Barre Syndrome, idiopathic epilepsy, and many other<br />
neurological conditions may very well be just forms of<br />
polio induced by these vaccines. Salk and Sabin opened<br />
Pandora's box and we now have 72 types of polio rather<br />
than three. But it will be a long time before you read<br />
about this in the mass media -- what would this<br />
revelation do to the credibility of the vaccination<br />
programs so fervently promoted by the federal and state<br />
bureaucrats and the public health doctors?<br />
ACTION TO TAKE<br />
You must resist <strong>com</strong>pulsory vaccination of your<br />
children. It won't be easy. If you have no choice in the<br />
matter, give the child some vitamin C (in dropper form,<br />
if necessary). Then see a homeopathic doctor about a<br />
remedy to protect the child from the <strong>com</strong>ing assault on<br />
his immune system.<br />
Ref: Annals of the New York Academy of Sciences,<br />
1955:273; Neurology, 1954:4; British Medical Journal,<br />
1961:1061; What Doctors Don't Tell You, January<br />
1996; Lancet, October 8, 1994; Journal of the<br />
American Medical Association, 1947:134.<br />
http://www.whale.to/w/douglas.html<br />
☻☻☻☻☻☻<br />
-24- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
New Hope in the Fight Against<br />
Meningitis<br />
Dr. Abraham Hodgson<br />
30 March 2007<br />
Navrongo, Ghana — Right now Africa may be gearing up<br />
for a recurring health crisis: a major outbreak of<br />
meningococcal meningitis. About every 8-12 years,<br />
massive epidemics sweep across the "Meningitis Belt,"<br />
which stretches from Senegal to Ethiopia. With new<br />
vaccines on the horizon, modern medicine may soon<br />
provide better tools to fight this scourge.<br />
Meningococcal meningitis is a bacterial infection that<br />
strikes with lightning speed. If left untreated, meningitis<br />
can kill up to half of those infected within 48 hours.<br />
Survivors can suffer permanent disabilities such as mental<br />
retardation, deafness, or paralysis.<br />
Eleven years ago, during one of the largest epidemics on<br />
record, meningitis affected more than 250,000 and killed<br />
more than 25,000 people. In addition, outbreaks occur<br />
every year in the meningitis belt during the dry season. Last<br />
year, for example, the World Health Organisation reported<br />
more than 31,677 cases and 2,783 deaths in the meningitis<br />
belt.<br />
Meningitis is more than just a seasonal problem. In Africa,<br />
it targets our youngest year-round. Children under 5 years<br />
of age represent more than half of all the meningitis cases<br />
that occur outside epidemics.<br />
A recent spike in infections suggests the beginning of<br />
another large-scale epidemic. We are not defenseless.<br />
Using meningitis vaccines developed in the 1960s in a reactive<br />
immunisation campaign would save thousands of<br />
lives. This strategy, however, is not ideal. Emergency<br />
immunisations are expensive. -- just last year, Burkina Faso<br />
spent approximately US$3.5 million on a reactive<br />
vaccination campaign, one considered moderate in scale.<br />
Also the current vaccines do not protect babies. Even in<br />
adults, immunity wears off after a few years, leaving people<br />
vulnerable to the next epidemic.<br />
Africa needs a new strategy to defeat meningitis. Experts<br />
agree the best long-term solution is an improved vaccine<br />
that could be given to babies and protect them for life. In<br />
2000, the WHO formally called for a new vaccine that<br />
could be incorporated in routine child vaccination<br />
programmes. Routine immunisation would allow our public<br />
health officials to shift from crisis mode to sustainable,<br />
long-term prevention strategies.<br />
Scientists have risen to the challenge. They have developed<br />
a new class of vaccines that would protect our most<br />
vulnerable, our children. Modern vaccines are being tested<br />
-25- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
around the world and they could be available here soon.<br />
One particularly promising candidate was submitted for<br />
approval to the European Medicines Agency this week<br />
and could be available as early as next year. Alongside<br />
expanded treatment and ongoing vaccination for older<br />
children and adults, this new tool will help break the<br />
meningitis epidemic cycle and put an end to costly lastminute<br />
vaccination campaigns.<br />
In addition to being the most advanced in its<br />
development, this particular candidate is also remarkable<br />
for being a <strong>com</strong>bination vaccine. It would take public<br />
health in the meningitis belt to a new level by<br />
simultaneously protecting against other major diseases of<br />
great importance in Africa, like hepatitis B, tetanus,<br />
pertussis, diphtheria, and another form of meningitis,<br />
caused by the bacteria Haemophilus influenzae.<br />
Designed expressly for this region, this vaccine would<br />
simply replace the current <strong>com</strong>bination vaccine.<br />
Clearly, we have to protect our children from more than<br />
one disease. It's similar to patching holes in a bucket – all<br />
holes should be patched at once instead of patching some<br />
and leaving others.<br />
Every Immunisation Day, mothers proudly line up at<br />
health clinics with their smiling babies. Even the mothers<br />
who leave with crying babies are glad they came, because<br />
they know that one jab is worth the priceless gift of<br />
health. In a few years, we could ensure that this one jab<br />
also includes meningitis, giving children fuller protection.<br />
There is no excuse for a delay. It is up to us to show that<br />
Africa can implement smart, long-term solutions based<br />
on innovative technology. It is up to us to build the<br />
necessary political will in the WHO and purchasing<br />
organisations, such as the Global Alliance for Vaccines<br />
and Immunisation. It is up to us to convince international<br />
bodies and our governments to budget for these new<br />
vaccines that can end this cycle once and for all. And it is<br />
up to us to gain the support of those who can deliver the<br />
vaccines on the ground, such as medical practitioners and<br />
Ministries of Health.<br />
We do not know when the next meningitis epidemic will<br />
hit. But, as we do our utmost to prepare for it, let us<br />
remember that there is another option over the long term.<br />
Next time, we do not just have to witness the devastation<br />
or lose friends and family to this disease. Let us instead<br />
honour them by changing course and raising our voices,<br />
since they can not. Let us start to make good on a new<br />
promise, a new tradition now emerging in Africa.<br />
Dr Hodgson is the Director of the Navrongo Health <strong>Research</strong><br />
Centre, a part of Ghana's Ministry of Health.<br />
http://allafrica.<strong>com</strong>/stories/200703301011.html<br />
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Nigeria: Meningitis - FG<br />
Sues Pfizer $700bn<br />
Ise-Oluwa Ige<br />
5 June 2007<br />
Abuja — The Federal Government has sued the world<br />
largest pharmaceutical <strong>com</strong>pany, Pfizer, before a<br />
Federal high court sitting in Abuja for allegedly<br />
maiming or and killing in 1996, not fewer than 200<br />
children afflicted in Kano state by bacterial meningitis<br />
through alleged illegal experimentation of its products,<br />
Trovafloxacin Mesylate, (Trovan) on them.<br />
The government is asking the court to award<br />
$700billion damages against the pharmaceutical firm.<br />
If the damages is awarded, it is capable of closing down<br />
the operation of the pharmaceutical firm.<br />
In the writ of summons filed at the registry of the high<br />
court, nine other persons including the medical<br />
personnel that allegedly administered the Trovan on the<br />
victims for the purpose of testing the potency of the<br />
drug, were named as co-defendants.<br />
They include Pfizer Nigeria Limited, William Steere,<br />
Samuel Ohanbuwa, A Dogunro, Isa Dutse, Scott<br />
Hopkin, Mike Dunne, Debra Williams and Robert<br />
Buhl.<br />
But the management of the Pfizer International<br />
Incorporated has served a notice through its counsel,<br />
Chief Afe Babalola (SAN) that it would challenge the<br />
<strong>com</strong>petence of the entire case and collapse the claim by<br />
the Federal Government.<br />
Chief Afe Babalola (SAN) who appeared personally in<br />
the case yesterday also requested for an accelerated<br />
hearing of the case.<br />
He particularly said in court yesterday that the damages<br />
being sought by the Federal Government was more<br />
than its annual budget and that it should not have any<br />
problem with the accelerated hearing of the case so that<br />
it could claim the sought damages.<br />
The trial high court judge, Justice Babs Kuewumi<br />
hearing the case has granted the request for accelerated<br />
hearing of the suit and has ordered the government to<br />
furnish the firm. all relevant papers in the matter.<br />
The matter is scheduled for mention on June 26, this<br />
year while full blown trial kicks off in July.<br />
The background of the case as captured by the<br />
statement of claim filed by the Federal Government<br />
was that on or about the month of April 1996, there was<br />
an epidemic of bacterial meningitis, measles and<br />
cholera in parts of Northern Nigeria particularly Kano State<br />
and some of the victims and/or patients were receiving<br />
medical attention at the Infectious Diseases Hospital (IDH)<br />
through the joint efforts of the Federal Government of<br />
Nigeria and the Kano State Government of Nigeria.<br />
Government to <strong>com</strong>bat and contain the epidemic were<br />
<strong>com</strong>plemented by the humanitarian assistance and supplies<br />
donated by Non-governmental Organizations including<br />
Medecins Sans Frontieres (MSF), the Nobel Prize-winning<br />
humanitarian relief organization also known as "Doctors<br />
Without Borders".<br />
The epidemic was extremely ravaging and as such there<br />
was a limitation of space and resources which limitation led<br />
to MSF setting up its tent on the grounds of the IDH from<br />
where it attended to the patients and/or victims.<br />
The Federal Government contends that in the midst of the<br />
epidemic, Pfizer, acting by itself and through its agents,<br />
devised a scheme under which it misrepresented, concealed<br />
and failed to disclose its primary motive in seeking to<br />
participate in giving care to the victims of the epidemic in<br />
Kano.<br />
http://allafrica.<strong>com</strong>/stories /200706050032.html<br />
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Early Symptoms of Meningitis<br />
• high fever<br />
• neck stiffness<br />
• rash<br />
• lethargy<br />
• vomiting<br />
• nausea<br />
• severe headache<br />
• sensitivity to light<br />
• Meningitis usually peaks in late winter and early<br />
spring, overlapping flu season, and symptoms can<br />
easily be mistaken for the flu.<br />
• Because the infection progresses quickly, people<br />
should seek medical care immediately if 2 or more<br />
of these symptoms occur at one time.<br />
• If untreated, meningitis can lead to shock and death<br />
within hours of the first symptoms.<br />
https://www.hvcc.edu/healthsvcs/meningitis.html<br />
☻☻☻☻☻☻<br />
-26- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Pfizer Blocks Prosecution<br />
By Mohammed Lawal Shuaibu. Abuja<br />
Daily Trust (Abuja)<br />
28 November 2007<br />
Pharmaceutical giant, Pfizer, yesterday blocked the<br />
Federal Government from prosecuting it on criminal<br />
charges by obtaining an injunction restraining police<br />
from arraigning its officials.<br />
The Federal Government is instituting criminal charges<br />
against Pfizer before an Abuja Federal High Court for<br />
allegedly making Nigerian children "guinea pigs" for<br />
testing its meningitis drug in Kano in 1996.<br />
The government said the injunction is preventing it from<br />
prosecuting the multi-national <strong>com</strong>pany.<br />
Counsel representing the government said "the police<br />
could not bring Pfizer officials to court because the<br />
<strong>com</strong>pany got an injunction at a Lagos court restraining<br />
the police from bringing its officials to court for<br />
prosecution".<br />
"What Pfizer has done is what a former governor did to<br />
stop EFCC from prosecuting them. They went to Lagos<br />
State where there is no action pending to procure an<br />
exparte order to stop the police from taking steps to serve<br />
criminal summons on its officials. What the court has<br />
said is that police cannot arrest any of the defendants and<br />
bring them to court. And that is why none of them is in<br />
court," Mr Babatunde Irukera, one of the government<br />
counsel said.<br />
The government lead counsel, Mrs Mariam Uwais, asked<br />
the court for a date to enable the <strong>com</strong>plainants time to<br />
convince the Lagos court to withdraw the exparte order<br />
restraining police from arresting the defendants so that<br />
they could bring Pfizer to court for prosecution.<br />
The presiding judge, Justice Anwuri Chikere, adjourned<br />
the case to January 28.<br />
Meanwhile the court has also adjourned the victims'<br />
application to be joined in the case to December 3 for<br />
parties to file their written addresses on arguments for<br />
and against the application.<br />
Pfizer is contesting that the move for application for<br />
victims to be joined in the case was illegal because the<br />
victims' families lacked representative capacity to be<br />
involved and that their application does not disclose<br />
sufficient interest in the subject matter to enable the court<br />
exercise jurisdiction.<br />
But the government said it would wel<strong>com</strong>e anything that<br />
would hasten the process of justice for the drug victims.<br />
http://allafrica.<strong>com</strong>/stories/200711280492.html<br />
☻☻☻☻☻☻<br />
Re - Pfizer's Cold Blooded<br />
Logic<br />
Leadership (Abuja)<br />
OPINION<br />
31 October 2007<br />
By Ngozi Edozien<br />
Unfortunately, the numerous errors contained in your<br />
newspaper's report of 24 October, 2007 entitled Pfizer's<br />
Cold Blooded Logic make it necessary to set the record<br />
straight.<br />
First, the results of the 1996 clinical trial in Kano<br />
during the most serious cerebral spinal meningitis<br />
epidemic ever recorded in Nigeria plainly proved that<br />
Trovan helped save lives.<br />
Second, it is important to note that 99 children were<br />
treated with Trovaflosacin not 200 as you reported<br />
erroneously in your article.<br />
Third. the clinical investigation did not turn tragic.<br />
Instead it demonstrably saved more lives than any other<br />
treatment available in Kano at the time. The average<br />
mortality rate of those receiving treatment in Kano's<br />
hospital using other drugs was slightly more than one<br />
patient in every 10. Whereas, with Trovan, the<br />
mortality rate was around half that rate; of 99 patients<br />
who took Trovan, only five died from the meningitis<br />
they had contracted.<br />
Moreover, your anger at the tragedy of the meningitis<br />
epidemic that claimed 12, 000 or so young lives in the<br />
Kano region is misplaced. It was not any of the<br />
treatments that killed people in 1996; it was the disease.<br />
Left untreated the disease claims somewhere between<br />
30 to 40 per cent of its victims.<br />
Based on existing treatments, the intervention of<br />
science and professional care can reduce the mortality<br />
rate to around 10 per cent of those who contract<br />
meningitis. To date, no treatment has been developed<br />
that can save all who fall victim of this deadly disease.<br />
Yet, that objective of obtaining the highest possible<br />
survival rate in such epidemics is what Pfizer is in<br />
business to discover. and why it conducted a clinical<br />
trial in Kano in 1996 in the first place.<br />
You seem to have misunderstood what Pfizer is all<br />
about. The purpose of Pfizer, the focus of its business,<br />
Continued on page 28<br />
-27- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 27 – Pfizer’s Cold Blooded Logic<br />
is to develop safe medicines to prevent and treat the<br />
world's most serious diseases; making them available to<br />
the people who need them most. It is the pursuit of<br />
science that has enabled Pfizer over the last 150 years to<br />
make the world a healthier place for people to fulfill their<br />
potential.<br />
Our clinical investigation in Kano in 1996 was in the best<br />
tradition of Pfizer pursuing its purpose as a <strong>com</strong>pany.<br />
Meningitis is clearly a disease that limits people's<br />
potential to live full lives. Even today, in Kano, there can<br />
be no doubt that the stamp of meningitis still haunts it.<br />
Thousands of young people are maimed by varying<br />
degrees of hearing loss, mental retardation, paralysis,<br />
seizures and other debilitating symptoms associated with<br />
surviving this disease. In addition, the mourning of<br />
12,000 lost young lives obviously still weighs heavily on<br />
their parents, relatives, friends and <strong>com</strong>munities.<br />
That said, Pfizer objects to the false accusations made by<br />
a columnist in LEADERSHIP speaking to those<br />
audiences. Others may also object to your columnist's<br />
strong remarks.<br />
Moreover, nothing could be further from the truth than<br />
your columnist's accusation that Pfizer sees developing<br />
nations as inferior and therefore, undeserving of respect<br />
and fundamental rights. Pfizer is a global <strong>com</strong>pany whose<br />
medicines are available worldwide to treat diseases that<br />
generally have no geographic boundaries and do not<br />
distinguish between rich and poor. Pfizer has been in<br />
Nigeria for 50 years. In that time, Pfizer has formed<br />
alliances with stakeholders of all sorts to improve<br />
people's ability to live healthy lives by preventing<br />
premature deaths, easing pain and arresting illnesses.<br />
In Nigeria, Pfizer continues to partner with others to<br />
educate the public on the risks and prevention of heart<br />
disease, breast cancer and other ailments. The <strong>com</strong>pany<br />
also works with the government to ensure that Nigeria is<br />
constantly improving its regulatory framework governing<br />
access to drugs, their pricing and ethical use. In the<br />
process, Pfizer has risked its reputation, shareholders'<br />
capital and won many allies among its many<br />
stakeholders.<br />
In other words, Pfizer takes and always has taken Nigeria<br />
seriously as a respected long-term business partner.<br />
Pfizer has always accepted that the suffering of the<br />
people of Kano was real. The devastation caused by<br />
meningitis in 1996 is still doing harm to the people of the<br />
region today. But by breaking the bonds of trust between<br />
<strong>com</strong>panies that exist to bring life saving drugs to market<br />
and those who require them to <strong>com</strong>bat disease and fulfill<br />
their potential, the columnist in LEADERSHIP <strong>com</strong>mits<br />
his own errors. That's why we were obliged to respond.<br />
Ngozi Edozien is the Managing Director of Pfizer<br />
Specialties Nigeria<br />
http://allafrica.<strong>com</strong>/stories/200710310526.html<br />
☻☻☻☻☻☻<br />
Pfizer Asks Court to Quash<br />
FG's Meningitis Drug Test<br />
Report<br />
By Mohammed Lawal Shuaibu<br />
Daily Trust (Abuja)<br />
25 October 2007<br />
The families of children killed or maimed during a drug<br />
test in 1996 have appealed to an Abuja high court to be<br />
allowed to present their stories during the trial.<br />
But lawyers acting for pharmaceutical giant, Pfizer said<br />
the move was illegal because they lack representative<br />
capacity to be involved and their application does not<br />
disclose sufficient interest in the subject matter to enable<br />
the court exercise jurisdiction.<br />
The federal government said it would wel<strong>com</strong>e anything<br />
that would hasten the process of justice for the drug<br />
victims.<br />
The presiding judge, Justice Anwuri Chikere, adjourned<br />
to October 29, for hearing. Pfizer yesterday asked the<br />
court to throw out the federal government's report which<br />
declared as illegal, its 1996 Kano meningitis drug test.<br />
The lawyer representing Pfizer, Mr Anthony I. Idigbe<br />
(SAN), said the application to quash the report before the<br />
court was on grounds that the panel did not carry out<br />
proper investigations on the issue before carrying out the<br />
report.<br />
A federal government panel headed by Dr Nasidi<br />
Abdussalam of the Federal Ministry of Health had<br />
reported in March 2001, that the Pfizer drug test was<br />
illegal and responsible for the death of over 11 Nigerians<br />
in Kano.<br />
But Pfizer says they were not given opportunity to crossexamine<br />
witnesses who gave evidence at the panel and<br />
that the report can not form the basis for the federal<br />
government's suit against the <strong>com</strong>pany.<br />
He said: "even the so called victims had sued the federal<br />
government on the drug issue until a kangaroo panel set<br />
up by the government forced them to withdraw the suit in<br />
2003."<br />
Continued on page 29<br />
-28- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 28 – Pfizer Asks Court to Quash FG<br />
Meningitis Drug Report<br />
But the federal government said it would <strong>com</strong>e all out to<br />
challenge the multi-national drug <strong>com</strong>pany from<br />
quashing the report in court. Mr Babatunde Irukera,<br />
counsel to the government, said Pfizer is only afraid of<br />
anything that could prove the clinical test that killed<br />
many Nigerians in Kano illegal.<br />
"It is absurd for Pfizer to think of quashing the Nasidi<br />
report in court. The government will contest it because<br />
the report was carried out by professionals in health and<br />
pharmaceutical sectors. Their fear is that the report will<br />
expose their heinous act of using Nigerians as guinea<br />
pigs," he said.<br />
The counsel maintained the <strong>com</strong>pany is guilty of charges<br />
against it and insisted on prosecuting it until they are<br />
punished by the law for illegally testing the meningitis<br />
drug.<br />
Also, victims were in court yesterday to consolidate the<br />
suit against Pfizer but the <strong>com</strong>pany said the move was<br />
illegal because they lack representative capacity to be<br />
involved and that their application does not disclose<br />
sufficient interest in the subject matter to enable the court<br />
exercise jurisdiction.<br />
The federal government said it would wel<strong>com</strong>e anything<br />
that would hasten the process of justice for the drug<br />
victims. The presiding judge, Justice Anwiri Chikeri<br />
adjourned to October 29 for hearing.<br />
http://allafrica.<strong>com</strong>/stories/200710250603.html<br />
☻☻☻☻☻☻<br />
Pfizer Official Appears in<br />
Court<br />
By Ibrahim Shuaibu, Kano<br />
This Day (Lagos)<br />
12 January 2008<br />
One of the three accused staff of Pfizer International<br />
Incorporated Nigeria, Segun Dogunro, appeared before a<br />
Kano High Court yesterday over a criminal case<br />
instituted by the Kano State government over an alleged<br />
illegal drug trial in 1996 by Pfizer, which killed many<br />
children.<br />
Dogunro was, however, granted bail to the tune of N5<br />
million.<br />
It would be recalled that presiding judge, Justice Shehu<br />
Atiku had issued a warrant of arrest on three officers of<br />
Pfizer for their failure to appear before it after receiving<br />
court summons on a criminal suit.<br />
Counsel to Pfizer, Damian Dodo (SAN), filed a motion for<br />
an acceleration hearing of the case and also pleaded for<br />
adjournment of the sitting to the next day to enable one of<br />
the defendants arrested by the court appear before it.<br />
The applicant, Barrister Aliyu Umar, who is also Kano<br />
State Attorney General, supported the motion, informing<br />
the court that he had been briefed by the police who said<br />
one of the bench warrant was successfully executed, adding<br />
that based on mutual understanding with his learned<br />
colleague, he supports the adjournment.<br />
Justice Shehu, after interrogating both counsels, adjourned<br />
the sitting to the next day to enable the arrested defendant<br />
appear before the court. Speaking with THISDAY shortly<br />
after the court session, the applicant, Umar, explained that<br />
he succumbed to the motion filed by his colleague for the<br />
accelerated sitting based on mutual understanding, said<br />
after the accelerated hearing of this motion, it means the<br />
court will go substantive hearing of the case.<br />
According to him, what the counsel to the defendant will<br />
present before the court tomorrow is an application because<br />
of the three people have been arrested.<br />
Barrister Umar hinted that the defendant counsel will file<br />
an application for bail which we will not oppose because<br />
our trial in not to punish anybody before the courts decides<br />
he is guilty or not.<br />
"They have assured us that the will bring the three accused<br />
persons before the court on 29th and we agreed until then<br />
because what we want is for the accused person to appear<br />
before the court in the cause of the trials'.<br />
They want an assurance from us and we have assured them<br />
that the suit was not to humiliate or get anybody<br />
imprisoned, adding that what Kano state government is<br />
trying to do it to prove to the world that some innocent<br />
children suffered damages and untold hardship.<br />
Kano state government filed civil and criminal suits against<br />
Pfizer in May, claiming $2.75 billion in <strong>com</strong>pensation and<br />
prosecution of nine Pfizer staff for allegedly testing a<br />
meningitis drug called Trovan on 200 children in April<br />
1996 during a triple epidemic of measles, cholera and<br />
meningitis in which over 12,000 people died.<br />
http://allafrica.<strong>com</strong>/stories/200801140133.html<br />
☻☻☻☻☻☻<br />
Ananova: Meningitis Children<br />
'do worse'<br />
A quarter of teenagers who suffered meningitis as a child<br />
do not pass any GCSEs above grade C, accord-ing to a new<br />
study.<br />
Continued on page 32<br />
-29- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Nigeria: Pfizer to Pay<br />
N11.2bn Compensation<br />
How Gowon, Carter Negotiated Out-of-Court<br />
Settlement<br />
Nuruddeen M. Abdallah<br />
1 March 2009<br />
Daily Trust<br />
Abuja — United States pharmaceutical giant, Pfizer,<br />
may have finally agreed to release the sum of $75<br />
million (about N11.250 billion) as <strong>com</strong>pensation over<br />
the 1996 Trovan drug test in Kano State, Sunday Trust<br />
can authoritatively report.<br />
The experiment left over 200 persons, mainly children,<br />
with deformities. Some have died.<br />
A source close to the <strong>com</strong>pany told Sunday Trust last<br />
night in a telephone interview that of the amount, $35<br />
million is going to be shared among the victims as<br />
<strong>com</strong>pensation; $30 million will be paid to Kano State<br />
Government for the construction of modern hospitals;<br />
and the remaining $10 million will be paid to cover<br />
litigation expenses by government on behalf of the<br />
victims.<br />
This development, it was gathered, was the drug<br />
<strong>com</strong>pany's response to a proposal submitted to it in a<br />
meeting held last month in Abuja by the stakeholders'<br />
delegation that included the Kano State Attorney-<br />
General and Commissioner for Justice, Aliyu Umar, a<br />
representative of the victims' parents, Mustapha<br />
Maisikeli, Barrister Maryam Uwais, and the state<br />
Commissioner for Health, Hajiya Aisha Isiyaku Kiru,<br />
the former Head of State, General Yakubu Gowon (rtd)<br />
and former American President Jimmy Carter.<br />
The two former presidents have been brokering an outof-court<br />
resolution of the issue. It was gathered also<br />
that General Gowon has intimated Governor Ibrahim<br />
Shekarau about the giant <strong>com</strong>pany's acceptance of the<br />
proposal. The deal will be sealed in Rome in March this<br />
year.<br />
"The money would be finally released to us in March in<br />
Rome when we are going to meet with General Gowon<br />
and Pfizer's representatives to finalise the deal," a<br />
parent of a victim told this newspaper.<br />
According to him, it is only when the agreement is<br />
written and the money received that the stakeholders<br />
would withdraw both the civil and criminal suits<br />
pending against Pfizer.<br />
When Sunday Trust contacted the drug <strong>com</strong>pany over<br />
the issue, its spokesman Christopher Loder, said in a<br />
statement issued in New York that "the <strong>com</strong>pany does<br />
not believe it is appropriate to <strong>com</strong>ment on the<br />
substance of its discussions with the governments at<br />
this time".<br />
"The Company has made and continued to make<br />
serious efforts to reach an appropriate and amicable<br />
resolution of the Nigerian federal and Kano state cases<br />
pertaining to Trovan. The settlement process is<br />
ongoing, and Pfizer is prepared to stay at the<br />
negotiating table until agreement are reached. We<br />
believe that settlement is in the best interest of all<br />
parties, and will avoid the continued cost and<br />
distraction of litigation, and can help improve and<br />
expand health care for the people of Nigeria," the<br />
statement said.<br />
This settlement follows months of negotiations between<br />
Pfizer and the Kano state government, representing the<br />
victims. The talks were brokered by General Gowon<br />
and US former president Jimmy Carter.<br />
It could be recalled that Kano State had filed civil and<br />
criminal suits against Pfizer, demanding $2.75 billion<br />
in <strong>com</strong>pensation for what it said was an illegal test of<br />
the meningitis vaccine Trovan on 200 children in 1996.<br />
Eleven of those children are alleged to have died from<br />
the drug test which also caused deformities in 189<br />
others. A separate $6.5 billion suit has been lodged<br />
against the US drug firm by the Nigerian federal<br />
government.<br />
Pfizer has denied any wrong-doing and insisted that the<br />
trial conformed to ethical practices and was carried out<br />
with the consent of the Nigerian government, insisting<br />
that "the <strong>com</strong>pany has said all along that all clinical<br />
evidence points to the fact that any deaths or injuries<br />
were the direct result of the devastating meningitis<br />
epidemic, and not the treatment provided to patients in<br />
the Trovan clinical study. With a survival rate of<br />
94.4%, Trovan helped save lives and was at least as<br />
effective as the best treatment available at Kano's<br />
Infectious Disease Hospital (IDH). For patients who<br />
did not participate in the Trovan clinical study, the<br />
survival rate was slightly less than 90%," Pfizer<br />
insisted in a statement.<br />
A source closed to the victims told our reporter in<br />
confidence that it was not true the rumour going round<br />
that it was the government that pressurized them to<br />
accept the drug giant's proposal. The decision, he said,<br />
was borne out of sympathy with the victims and their<br />
parents, as some of them had already died of<br />
frustration.<br />
-30- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
http://allafrica.<strong>com</strong>/stories/200903010014.html<br />
☻☻☻☻☻☻
WHO Predicts Worst<br />
Meningitis Epidemic for<br />
Decade<br />
UN Integrated Regional Information Networks<br />
9 October 2007<br />
Ouagadougou<br />
The end of the rainy season in Africa could trigger the<br />
worst meningitis epidemic to hit the continent in a<br />
decade, which the international <strong>com</strong>munity is poorly<br />
prepared to handle, the World Health Organization<br />
warned on 9 October.<br />
At least 80 million people living in 21 countries from<br />
Ethiopia in East Africa to Mauritania in West Africa that<br />
make up a region often called Africa's 'meningitis belt'<br />
might need to be injected with preventative vaccines this<br />
year, WHO said at an emergency meeting held in the<br />
Burkina Faso capital Ouagadougou.<br />
Last year just 7 million doses of vaccines were available<br />
to the entire region because of funding shortfalls and a<br />
global deficit in the production of the cheaper vaccines<br />
usually used in Africa as European drug manufacturers<br />
have focused on producing newer, long-lasting but more<br />
expensive vaccines.<br />
The meningitis virus, which usually reaches epidemic<br />
levels in the meningitis belt between December and May,<br />
could be especially severe this year as the region is<br />
heading toward the peak of a 10- to 12-year cycle of<br />
meningitis crises, health forecasters say.<br />
"The number of cases has increased in the last two<br />
seasons and we are likely to have major epidemics in a<br />
context of vaccine shortages," Dr Deo Nshimirimana,<br />
Director of the Communicable Disease Control<br />
Department at WHO Africa office told IRIN. "We need<br />
to educate everybody so that we can be prepared in case<br />
of an epidemic."<br />
An estimated total population of between 300 million and<br />
400 million people live in the meningitis belt countries,<br />
the vast majority of them in isolated, rural areas, often far<br />
from roads or health centres. Between 1995 and 1997, the<br />
last time there was a major epidemic in the region, at<br />
least 25,000 people died and 250,000 people were<br />
infected.<br />
From December to May last year 53,000 cases of<br />
meningitis were reported and an estimated 4,000 people<br />
died across the region.<br />
The countries affected are mostly extremely poor and<br />
have desperately under-resourced health systems. In<br />
many of the countries, governments rely on foreign<br />
donors to prop up basic health infrastructure even when<br />
there is not a crisis.<br />
WHO has asked donors to provide US$14 million to<br />
purchase 12 million doses of vaccine and injection<br />
materials, and to cover transport, storage and insurance<br />
costs. WHO also wants to strengthen surveillance and<br />
diagnosis capacities in the region, which includes several<br />
of the poorest countries in the world.<br />
"The partners have been receptive to our appeal and to<br />
the stakes," Nshimirimana said. "They have agreed to<br />
lobby at their headquarters."<br />
The 12 million doses - a minimum, according to WHO -<br />
will be pre-positioned for response in case of epidemics.<br />
Additionally, WHO wants to set up a security stock of<br />
500,000 vaccine doses in each of the countries of the<br />
meningitis belt.<br />
"I think this meeting is very important because the<br />
budgets of <strong>African</strong> countries mean left alone they cannot<br />
support the fight against meningitis," Burkina Faso's<br />
health minister Alain Yoda said at the opening of the<br />
WHO meeting. Burkina Faso, where nearly 26,000 cases<br />
of meningitis were recorded last year and 1,732 people<br />
died, needs six million doses, Yoda said.<br />
Semi-arid Sahelian countries are hit each year by<br />
outbreaks of meningitis during the dry seasons between<br />
December and June when strong, dust-laden winds and<br />
cold nights make people more prone to respiratory<br />
infections. The meningitis bacteria is transmitted by<br />
sneezing or coughing.<br />
Meningitis is an infection of the thin lining around the<br />
brain and spinal cord. Even when meningitis is diagnosed<br />
early and adequate therapy is available, between 5 and 10<br />
percent of patients die, typically within 24 and 48 hours<br />
of experiencing the first symptoms. Many thousands of<br />
survivors live on with brain damage, hearing loss, or<br />
learning disabilities.<br />
UN agencies and non-governmental organisations at<br />
the Ouagadougou meeting included the UN<br />
children's fund, the European Commission<br />
Humanitarian Aid Office, USAID, Medecins Sans<br />
Frontiers, the World Bank and the US Centers for<br />
Disease Control and Prevention.<br />
[This report does not necessarily reflect the views of<br />
the United Nations]<br />
http://allafrica.<strong>com</strong>/stories/200710091014.html<br />
☻☻☻☻☻☻<br />
-31- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued on page 29 –Ananova: Meningitis Children do<br />
worst<br />
That figure is around four times the national average,<br />
with almost 2% of the general school population in<br />
England attending special schools.<br />
Almost half of the teenagers who had had meningitis and<br />
went to state schools failed to achieve five grade C GCSE<br />
passes.<br />
That rate was twice as high as among children at the<br />
same type of school who had not been affected by<br />
meningitis.<br />
More than a fifth of those who had been ill failed to pass<br />
even one GCSE at grade C, <strong>com</strong>pared with 8% of the<br />
(unaffected) <strong>com</strong>parison group and the national average<br />
in England of less than 4%.<br />
Even pupils who showed no signs of disability associated<br />
with meningitis aged five were half as likely to achieve<br />
the national standard as other children. The national<br />
"yardstick" for pupils is to pass five subjects at grade C or<br />
above.<br />
The study was based on the GCSE exam results of 750<br />
16-year-olds in England and Wales, of whom 461 had<br />
had bacterial meningitis during their first year of life.<br />
It is due to be published in the journal Archives of<br />
Disease in Childhood.<br />
http://www.ananova.<strong>com</strong>/news/story/sm_2252763.html?menu=<br />
☻☻☻☻☻☻<br />
1 Million Doses of Meningitis<br />
Shot Recalled<br />
Tests showed a sterilization problem at plant that<br />
makes Hib vaccine<br />
The Associated Press<br />
December 12, 2007<br />
ATLANTA - More than a million doses of a <strong>com</strong>mon<br />
vaccine given to babies as young as 2 months were being<br />
recalled Wednesday because of contamination risks, but<br />
the top U.S. health official said it was not a health threat.<br />
A shortage of the widely used vaccine appeared possible,<br />
though.<br />
The recall is for 1.2 million doses of the vaccine for Hib,<br />
which protects against meningitis, pneumonia and other<br />
serious infections, and a <strong>com</strong>bination vaccine for Hib and<br />
hepatitis B. The vaccine is re<strong>com</strong>mended for all children<br />
under 5 and is usually given in a three-shot series,<br />
starting at 2 months old.<br />
Drugmaker Merck & Co., which announced the recall<br />
after this week identifying a sterility problem in a<br />
Pennsylvania factory, said concerned parents should<br />
contact their child’s doctor.<br />
“The potential for contamination of any individual vaccine<br />
is low,” said Merck spokeswoman Kelley Dougherty.<br />
’Dr. Julie Gerberding, head of the Centers for Disease<br />
Control and Prevention, echoed that in a news conference.<br />
“This is not a health threat in the short run, but it is an<br />
inconvenience,” she said.<br />
Merck produces about half of the nation’s annual supply of<br />
14 million doses of Hib vaccine. It said sample vials from<br />
the recalled lots, tested before shipment, were not found to<br />
be contaminated but the <strong>com</strong>pany was unable to assure<br />
sterility of the entire lots.<br />
Shortage ‘likely’<br />
Barbara Kuter, executive director of pediatric medical<br />
affairs for Merck, told The Associated Press that because of<br />
the contamination, the <strong>com</strong>pany will not be able to supply<br />
any vaccine for at least nine months.<br />
“Manufacture of vaccines is pretty <strong>com</strong>plicated, and we<br />
have to basically make some changes in the process,” then<br />
get approval from the Food and Drug Administration before<br />
resuming production and shipments, Kuter said. Merck<br />
hopes to restart production in the fourth quarter of 2008,<br />
she said.<br />
“It’s likely that there’s going to be a shortage of this<br />
product,” Kuter said, adding that the impact on the public is<br />
unclear because the other <strong>com</strong>pany making the vaccine for<br />
the U.S., Sanofi Pasteur, may be able to produce more.<br />
However, Sanofi Pasteur spokeswoman Donna Cary said<br />
Wednesday night that it was too soon to say whether that is<br />
possible. The <strong>com</strong>pany, a unit of Paris-based drugmaker<br />
Sanofi-Aventis SA, makes an Hib vaccine in France that is<br />
distributed both to the U.S. and other countries.<br />
“We’re looking at what we can add and we’re working<br />
closely with the CDC on this,” to see whether some vaccine<br />
could be shifted to the U.S. from other countries, Cary said.<br />
Health officials said they already are talking about<br />
prioritizing shots for American Indian and Alaska Native<br />
children, who are considered at higher risk for Hib-caused<br />
illnesses, said Dr. Anne Schuchat, director of the CDC’s<br />
National Center for Immunization and Respiratory<br />
Diseases.<br />
No reported harm to children<br />
The officials said they did not know how many of the 1.2<br />
million doses were administered to children.<br />
The recalled doses, which were distributed beginning in<br />
April, are considered potent, so children who got vaccine<br />
Continued on page 33<br />
-32- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 32 – 1 Million Doses of Meningitis<br />
Shot Recalled<br />
from the recalled lots will not have to be revaccinated,<br />
Schuchat said.<br />
Parents will probably be concerned, CDC officials<br />
acknowledged. Should the vaccine later prove<br />
contaminated, health officials believe most children<br />
will experience, at worst, a skin irritation around the<br />
vaccination site. Problems could be worse for children<br />
with <strong>com</strong>promised immune systems.<br />
Such problems would have appeared within one week<br />
of the vaccination, Schuchat said, adding that there<br />
have been no reports suggesting vaccine contamination<br />
so far.<br />
The contamination involved unspecified equipment<br />
used in making the vaccine, which involves taking part<br />
of the Hib bacterium, diluting it and <strong>com</strong>bining it with<br />
other agents. Kuter said that during a routine evaluation<br />
of Merck’s West Point, Pa., vaccine plant, a sterility<br />
test determined that the equipment was contaminated<br />
with a bacteria called Bacillus cereus, or B. cereus.<br />
It is a spore-making microorganism <strong>com</strong>monly<br />
associated with food poisoning and has caused diarrhea<br />
and vomiting in people who eat contaminated foods.<br />
“It’s one of the most <strong>com</strong>mon organisms” around,<br />
Kuter said.<br />
The recall is likely to heighten a debate over childhood<br />
vaccines and their safety and whether too many are<br />
required. Some parents are distrustful and suspect some<br />
vaccines of being linked to autism, although scientific<br />
studies have not shown such a connection.<br />
This week, New Jersey took a controversial step toward<br />
be<strong>com</strong>ing the first state to require flu shots for<br />
preschoolers after a health advisory board backed new<br />
vaccine requirements over opposition from parents.<br />
Merck, based in Whitehouse Station, N.J., is one of the<br />
few drugmakers that produces a significant number of<br />
vaccines. Its representatives could not immediately say<br />
how much revenue the <strong>com</strong>pany gets from the Hib<br />
vaccine or whether it will have to take an accounting<br />
charge due to the production shutdown.<br />
While the <strong>com</strong>pany took a black eye with its September<br />
2004 withdrawal of the painkiller Vioxx due to<br />
increased risk of heart attacks and strokes, the <strong>com</strong>pany<br />
has been performing well recently. On Tuesday, it gave<br />
an upbeat assessment in its annual briefing for analysts.<br />
Five weeks ago, Merck reached a deal to settle up to<br />
50,000 Vioxx lawsuits for $4.85 billion, an amount<br />
expected to save the <strong>com</strong>pany millions in trial costs.<br />
Its stock price has more than recovered from its post-<br />
Vioxx slump, a two-year-old restructuring plan is going<br />
well and profits are up. For example, Merck posted a<br />
62 percent increase in its third-quarter profit as<br />
revenues jumped by double digits.<br />
The <strong>com</strong>pany also has had an impressive seven new<br />
products approved for U.S. sale in the last two years,<br />
including three vaccines: RotaTeq, to revent an<br />
intestinal virus that is the top cause of early childhood<br />
diarrhea; Zostavax to prevent shingles, and Gardasil, to<br />
block the virus that causes cervical cancer.<br />
http://www.msnbc.msn.<strong>com</strong>/id/22221666/<br />
☻☻☻☻☻☻<br />
Uganda: Mass Immunisation<br />
Returns As Polio Attacks<br />
Again<br />
Diana Nabiruma<br />
12 March 2009<br />
The Weekly Observer<br />
Although the World Health Organisation declared<br />
Uganda Polio free in 2006, new cases of the crippling<br />
disease have been reported in the northern part of the<br />
country.<br />
The disease is suspected to have spread to Uganda from<br />
the Sudan. As of February 6, 2009, 11 people in Sudan<br />
were reported to have Polio. However in Uganda, only<br />
one case has so far been reported in Amuru district.<br />
The Global Polio Eradication Initiative website reports<br />
that previously restricted to Southern Sudan and<br />
Western Ethiopia, the Polio outbreak has since spread<br />
to Northern Kenya, Northern Uganda, as well as<br />
Northern Sudan. To counteract this menace, the<br />
Ministry of Health announced a campaign to immunise<br />
all children below five years against Polio from<br />
February 9-15.<br />
According to Joseph Wamala, an epidemiologist with<br />
the Ministry of Health, it is yet to be determined how<br />
many people responded to the call to get all children of<br />
less than five years immunised during the campaign.<br />
Mass immunisation campaigns have previously been<br />
undermined by ignorance and misinformation, often<br />
leading to low turn up. In some cases, parents are made<br />
to believe that the drug is intended to kill or disable<br />
their children. A few years ago, Muslims in Northern<br />
Nigeria refused to immunise their children against<br />
Polio after it was rumoured that the vaccine was<br />
actually a contraceptive that would make their children<br />
sterile. Continued on page 34<br />
-33- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 33–Mass Immunizations Returns as<br />
Polio Attacks Again<br />
Indeed as of February 6, 2009, Nigeria had reported 42<br />
Polio cases since the year began, the highest in the world.<br />
An estimated 801 Nigerians had Polio in 2008, still the<br />
highest in the world.<br />
Joseph Wamala explains that when you discover one<br />
Polio case, it implies that there about 100-200 more. All<br />
children that <strong>com</strong>e into contact with this one case are at a<br />
risk of catching the disease. That is what makes<br />
immunisation so critical.<br />
How it spreads<br />
Polio is a viral disease which may affect the spinal cord,<br />
causing muscle weakness and paralysis. It spreads<br />
through the fecal-oral route. Poor disposal of fecal matter<br />
may result in uninfected people carrying the virus on<br />
them, say on their hands. Failure to wash hands well<br />
results in introduction of the virus into the body through<br />
the mouth where it could incubate for 3-35 days before it<br />
manifests itself. The incubation period though is usually<br />
between 7-14 days.<br />
Symptoms depend on the type of Polio one has. There is<br />
a type that causes no symptoms, though it is infectious.<br />
The abortive type causes symptoms like fever, headache,<br />
stiff neck and muscle pain. These two types of Polio do<br />
not lead to paralysis, though when another person gets<br />
infected by the same virus, they could get paralysed. The<br />
third type of Polio is the paralytic type. 1-2% of those<br />
infected get this type.<br />
There is no cure for Polio but it can be prevented through<br />
vaccination of children before they turn one. Four doses<br />
are administered, with the first one being given at birth,<br />
then at six weeks, 10 weeks and finally at 14 weeks.<br />
However, when there is an outbreak, all children below<br />
five are re-immunised.<br />
According to Ministry of Health officials, another round<br />
of immunsation will take place in Uganda from March<br />
20- 23.<br />
Children are more susceptible to catching Polio because<br />
they have weaker immune systems. People suffering from<br />
Polio can only be supported using painkillers,<br />
physiotherapy, and use of wheelchairs when needed.<br />
http://allafrica.<strong>com</strong>/stories/200903120729.html<br />
☻☻☻☻☻☻<br />
Uganda: Polio Blamed on<br />
Juba Traders<br />
30 March 2009<br />
New Vision<br />
Stella Naigino<br />
-34- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
Kampala — UGANDAN traders operating in Juba and<br />
Congo have been accused of bringing back polio into<br />
the country.<br />
"The disease is believed to have been brought into<br />
Uganda by those who carry out business from Juba and<br />
Congo. We have detected a case in northern Uganda,"<br />
the World Health Organisation representative, Dr.<br />
Joaquim Seweka, said.<br />
"People affected by this disease are viewed as people<br />
who cannot perform and many are left without<br />
employment, which hinders the growth of a country<br />
because funds are diverted to cater for polio victims,"<br />
he said.<br />
Seweka made the remarks during a polio immunisation<br />
campaign launched by Kampala City Council at Kiswa<br />
Health Centre.<br />
The drive was funded by the Infectious Disease<br />
Institution, the World Health Organisation and the<br />
Government.<br />
About 90% of children are expected to be immunised<br />
against the disease.<br />
The KCC environment and tourism city chief, Doreen<br />
Naakatya, said all children in Kampala district would<br />
be immunised against polio.<br />
LC1 chairpersons, she said, had been urged to register<br />
children below the age of five for immunisation.<br />
Polio is a highly contagious illness spread through<br />
contact with the faeces of an infected person.<br />
http://allafrica.<strong>com</strong>/stories/200903310461.html<br />
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Kenya: Millions of Children<br />
Targeted in Stop-Polio<br />
Campaign<br />
25 March 2009<br />
UN Integrated Regional Information Networks<br />
Nairobi — A five-day anti-polio campaign, targeting<br />
more than two million children in 42 districts, has been<br />
largely successful, officials said on 25 March, the last<br />
day of the house-to-house immunization project.<br />
"The response has been good and we are likely to reach<br />
95 percent of the targeted children - those aged between<br />
0 and 59 months," Josephine Odanga, the<br />
health/emergency officer for the UN Children's Fund<br />
(UNICEF Kenya), told IRIN on 25 March.<br />
She said the campaign was an emergency response to a<br />
Continued on page 35
Continued from page 34 –Kenya: Millions of Children<br />
Targeted in Stop-Polio Campaign<br />
threat posed by two cases of the wild polio virus type 1<br />
detected in February in Turkana district, northern Kenya,<br />
which were genetically linked to the virus circulating in<br />
neighbouring South Sudan.<br />
Those cases followed two others three years ago, at a<br />
refugee camp in North Eastern Province, also confirmed<br />
to have been linked to a virus circulating in neighbouring<br />
Somalia.<br />
Odanga said: "With this campaign, we hope to create<br />
'herd immunity', that is, reach at least 95 percent of the<br />
targeted children in order to develop an immune response<br />
in the targeted children."<br />
All districts in Central and Nairobi provinces, as well as<br />
selected districts in Rift Valley, were covered in the<br />
campaign, undertaken by the Ministry of Public Health<br />
and Sanitation, with UNICEF and the World Health<br />
Organization (WHO).<br />
Odanga said routine polio vaccination, carried out in<br />
health facilities, targets types 1, 2 and 3 - but this houseto-house<br />
campaign involved the monovalent vaccine,<br />
targeting only polio type 1, as identified by the Kenya<br />
Medical <strong>Research</strong> (KEMRI) laboratory.<br />
Miriti M'Ibui, the Nairobi provincial disease surveillance<br />
officer, told IRIN the stop-polio campaign was<br />
undertaken following a risk analysis by the Ministry of<br />
Public Health and Sanitation, with WHO and UNICEF,<br />
which found that 42 districts across the country were at<br />
high risk of the wild polio virus.<br />
"All the three districts of Nairobi were found to be highrisk<br />
areas and we are targeting at least half a million<br />
children [there]," M'Ibui said. "For the vaccine to be<br />
effective, we need to capture not less than 95 percent of<br />
the targeted children; by yesterday [24 March] our<br />
coverage was more than 80 percent, we hope to meet our<br />
target by the end of the campaign today."<br />
Health experts say there is now a real threat of circulation<br />
of the wild polio in the country<br />
He said the process of moving house-to-house was slow<br />
but necessary to ensure <strong>com</strong>prehensive coverage.<br />
"The high-rise buildings in parts of Nairobi slow the<br />
process further as every house has to be covered ... but<br />
the health teams are working hard to immunize as many<br />
children as possible," M'Ibui said.<br />
According to UNICEF, Kenya presented its<br />
documentation on polio certification to the Africa<br />
Regional Certification <strong>com</strong>mittee in 2005 and was in the<br />
process of being certified polio-free by WHO.<br />
"Health experts say there is now a real threat of<br />
circulation of the wild polio in the country," UNICEF<br />
said in a statement. "The government, supported by<br />
WHO and UNICEF, have moved swiftly to stop the<br />
spread of the viral disease which causes paralysis and<br />
has no cure."<br />
[This report does not necessarily reflect the views of<br />
the United Nations]<br />
http://allafrica.<strong>com</strong>/stories/200903250888.html<br />
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Tanzania: Polio at Arusha's<br />
Doorstep<br />
21 March 2009<br />
Arusha Times<br />
Arusha — The Rotary Club of Moshi, which this year<br />
celebrates 50 years of reaching out to humanity, last<br />
Sunday organized a fund raising event to help eliminate<br />
polio, a crippling disease.<br />
The venue of the well attended event was the Mountain<br />
View Inn made available by Rotarian Harshit while<br />
new Rotarians Bijal and Bejay did all the organizing.<br />
This dreaded disease, which suddenly reappeared in<br />
Kenya last month, does not discriminate. President<br />
Roosevelt of USA and from one of the richest families<br />
in the world was a victim.<br />
Launched in 1985, after 23 years of Rotarians efforts,<br />
polio has decreased from 350,000 cases a year to less<br />
than 1000 cases last year. Last month the Rotary<br />
Foundation sent US$75,000 to the Kenyan government<br />
to immediately control the spread of the disease.<br />
The Chairman of Lions Club Moshi and members came<br />
together in an l effort to enjoy fellowship with<br />
Rotarians and donated generously to help the protection<br />
of children worldwide from the cruel and fatal<br />
consequences of Polio.<br />
The highest price paid in the auction was 900,000/- by<br />
Mustafa Panju of Bushbuck Safaris for a beautiful<br />
leather giraffe, made by polio victims at Shah<br />
Industries, Moshi and presented by Lion Himat Shah.<br />
http://allafrica.<strong>com</strong>/stories/200903231106.html<br />
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-35- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
West Africa: Massive UN-<br />
Backed Polio Immunization<br />
Campaign Underway in West<br />
Africa<br />
27 February 2009<br />
UN News Service<br />
Some 53 million children under the age of five,<br />
including every girl and boy in Nigeria, have been<br />
targeted by a mass polio immunization campaign across<br />
West Africa, the United Nations Children's Fund<br />
(UNICEF) announced today.<br />
The door-to-door polio eradication drive is planned to<br />
sweep through eight countries: Benin, Burkina Faso,<br />
Côte d'Ivoire, Ghana, Mali, Niger, Togo, and Nigeria,<br />
aiming to reach every child even in the remotest of<br />
areas.<br />
The campaign, employing 162,000 trained immunizers,<br />
will attempt to stop last year's outbreak which hit<br />
northern Nigeria and spread to six countries in West<br />
Africa after the wild polio virus had already re-infected<br />
Niger in 2007, as well as Chad and Cameroon in<br />
Central Africa.<br />
"The highest priority was to reach every child in<br />
Nigeria, which was one of the four endemic countries,<br />
and in the high-risk areas across the region," said<br />
Miranda Eeles, a spokesperson for UNICEF.<br />
The total cost of the campaign is $29 million for the<br />
seven countries, with an additional $38 million for<br />
Nigeria, including the cost of the vaccine, operational<br />
costs, social mobilization and surveillance.<br />
The campaign, which kicked off today and started<br />
earlier this month in Ghana, involves the health<br />
ministries of all the countries, as well as support from<br />
UNICEF, the World Health Organization (WHO) and<br />
Rotary International, among others. It is being<br />
organized as part of the Global Polio Eradication<br />
Initiative.<br />
Contracted through contaminated food, water and<br />
faeces, polio is a highly infectious and incurable viral<br />
disease, which mainly affects children under five,<br />
attacking the nervous system. One in 200 infections<br />
leads to irreversible paralysis, usually in the legs, and<br />
among those paralyzed, five to 10 per cent die when<br />
their respiratory muscles be<strong>com</strong>e immobilized.<br />
http://allafrica.<strong>com</strong>/stories/200903010007.html<br />
☻☻☻☻☻☻<br />
Africa: International Body<br />
Launches Appeal for Polio-<br />
Affected Countries<br />
12 April 2009<br />
Daily Trust<br />
The International Federation of Red Cross and Red<br />
Crescent Societies (IFRC) has launched an emergency<br />
appeal for fund to help 14 <strong>African</strong> countries respond to<br />
wild polio virus outbreaks.<br />
"We have clear indications that polio is spreading again,<br />
including in countries such as Uganda which had been<br />
polio-free for more than a decade," Dr Tammam Aloudat,<br />
IFRC seni The UN correspondent of the News Agency of<br />
Nigeria (NAN) reports that the statement was released in<br />
Geneva, and made available to reporters at the UN<br />
headquarters on Friday.<br />
The statement said the international body was hoping to<br />
raise 2.1 million dollars in funding for such intervention.<br />
Aloudat stated: "We need to act now by reinforcing<br />
emergency vaccination campaigns before efforts made<br />
over the last 20 years to eradicate polio are severely set<br />
back by these series of outbreaks".<br />
IFRC had reported that polio cases surged again last year<br />
in Nigeria, and that that had re-infected surrounding<br />
countries in West Africa.<br />
In addition, it said that an outbreak of polio which was<br />
previously restricted to southern Sudan and western<br />
Ethiopia had recently spread to Kenya, Uganda and<br />
northern Sudan.<br />
The Red Cross also noted that "persistent outbreaks of<br />
wild polio virus are also ongoing in Angola, Chad and the<br />
Democratic Republic of Congo, and threatening<br />
surrounding countries".<br />
NAN learnt that activities related to the IFRC appeal will<br />
support social mobilisation for the massive immunization<br />
campaigns currently taking place or planned in all<br />
affected countries.<br />
Funds raised by the Geneva-based organisation will<br />
reinforce the training and mobilisation of thousands of<br />
volunteers throughout the continent to ensure that as<br />
many children as possible can be reached for vaccination.<br />
"These outbreaks in the previously polio-free countries<br />
<strong>com</strong>e as a sad reminder to the same international<br />
<strong>com</strong>munity that the fight against polio is not over yet,"<br />
Kate Elder, IFRC senior health officer in charge of polio<br />
and measles, also said.<br />
http://allafrica.<strong>com</strong>/stories/200904130221.html<br />
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-36- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Nigeria: Country Gets $630<br />
Million Polio Fund from<br />
Gates Foundation<br />
Nwakpa O. Nwakpa<br />
23 January 2009<br />
Leadership<br />
Abuja — A huge sum of $630 million has been donated<br />
by Bill Gates through the Bill and Melinda Gates<br />
Foundation in conjunction with Rotary International<br />
and the British and German governments to fight polio<br />
in Nigeria, with the hope of finally bringing the disease<br />
under control in its last four bastions.Other countries to<br />
benefit from the donation are India, Pakistan and<br />
Afghanistan where this disease is still endemic<br />
Gates, addressing a Rotary conference in San Diego,<br />
acknowledged that mobilising armies of health workers<br />
to squeeze billions of doses of vaccine each year into<br />
the mouths of hundreds of millions of children could<br />
not go on indefinitely, even as he voiced confidence<br />
that polio would ultimately be vanquished.<br />
Eradicating a disease is hard, slow, painstaking work,"<br />
he said. "We can't circle a year on the calendar and say<br />
we'll end polio by this date or that date. That sets us up<br />
for failure."<br />
Nigeria's flawed effort has most disheartened<br />
international public health officials. Almost half the<br />
1,625 polio cases counted internationally last year<br />
occurred in that one nation. And the disease has spread<br />
from Nigeria to adjacent countries.<br />
"They're harming their neighbours by repeatedly<br />
bombarding them with polio virus," said Dr. Stephen<br />
Cochi, a senior adviser in the global immunisation<br />
division of the U.S. Centers for Disease Control and<br />
Prevention. "These very poor neighbours have driven<br />
out the virus only to be reinfected by Nigerian polio<br />
virus."<br />
Northern states in Nigeria halted the vaccination<br />
campaign for a year in 2003-2004 after the spread of<br />
rumors that the vaccine contained AIDS or a Western<br />
plot to sterilise Muslim girls. But even after the country<br />
rededicated itself to the campaign in late 2004, its<br />
performance has been weak, public health officials say.<br />
http://allafrica.<strong>com</strong>/stories/200901230544.html<br />
☻☻☻☻☻☻<br />
Nigeria: UNICEF Gets N940m<br />
to Combat Malaria, Polio<br />
Onwuka Nzeshi<br />
24 June 2008<br />
This Day<br />
Abuja — The United Nations Children's Fund (UNICEF)<br />
has obtained a grant of N940 million ($8 million) in<br />
support of child survival programmes in Nigeria.<br />
This is in a bid to save the Nigerian child from avoidable<br />
childhood diseases and death. The contribution, which<br />
came courtesy of the Japanese government is to be<br />
directed towards polio eradication, malaria prevention<br />
and routine immunisation.<br />
The donation is <strong>com</strong>ing on the heels of a resolution by<br />
Nigeria and her neighbour, Republic of Niger to<br />
collaborate in the task of eradicating polio <strong>com</strong>pletely<br />
from both countries.<br />
Under the new pact, both countries are expected to set up<br />
task forces to work within their respective territories and<br />
a joint technical <strong>com</strong>mittee to oversee the entire project.<br />
Available statistics indicate that one out of every five<br />
Nigerian children will die before their fifth birthday, with<br />
malaria alone being responsible for one quarter of these<br />
deaths.<br />
Also vaccine preventable diseases such as measles,<br />
tetanus and diphtheria claim the lives of many children<br />
under the age of five. Nigeria also remains one of the<br />
only four countries in the world that has not yet<br />
interrupted indigenous wild polio virus transmission, and<br />
accounts for 92 per cent of the cases in Africa currently.<br />
UNICEF Country Representative in Nigeria Dr. Robert<br />
Limlim, at a ceremony to seal the humanitarian deal, said<br />
the donation was demonstration of the renewed<br />
<strong>com</strong>mitment of the Japanese government to child survival<br />
in Nigeria.<br />
The gesture, Limlim said, came at an appropriate time<br />
given the current resurgence of wild polio virus in<br />
Nigeria and the fight to interrupt its transmission this<br />
year.<br />
He said the grant will also boost Nigeria's efforts towards<br />
achieving the health-related Millennium Development<br />
Goals by 2015.<br />
In specific terms, the grant will be used for the<br />
procurement of polio vaccines, child survival supplies<br />
such as Oral Rehydration Sachets, deworming tablets for<br />
children aged 1 to 5 years and also drugs for malaria<br />
prevention in pregnant women. Continued on page 38<br />
-37- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 37 – Nigeria: UNICEF Gets N940m<br />
Child Obesity Linked to Chemicals<br />
In addition, 159,300 Long Lasting Insecticide Nets<br />
(LLIN) will be procured for malaria control. This will<br />
<strong>com</strong>plement the 521,500 nets already procured in the<br />
last two years with funding from the Government of<br />
Japan.<br />
These nets are expected to be distributed to the most<br />
deprived and hard to reach families in <strong>com</strong>munities, as<br />
well as pregnant women attending ante-natal care and<br />
children who will have <strong>com</strong>pleted their scheduled<br />
vaccinations as an incentive to boost immunisation.<br />
Since 2000, Japan has contributed about N5 billion<br />
($44.24 million) for the prevention of infectious<br />
diseases in Nigeria through UNICEF/Federal<br />
Government of Nigeria Programme of Cooperation.<br />
The Japanese Ambassador to Nigeria, Mr. Toshitsugu<br />
Uesawa, expressed hope that this project will enhance<br />
the welfare of Nigerian children and boost bilateral<br />
relationship between Nigeria and Japan.<br />
http://allafrica.<strong>com</strong>/stories/200806250221.html<br />
☻☻☻☻☻☻<br />
Nigeria: 50 Million Dollar<br />
Loan for Polio?<br />
18 February 2009<br />
Daily Trust, Editorial<br />
Many Nigerians were aghast to hear of the Federal<br />
Government's plan to secure a 50 million dollar World<br />
Bank loan to fight polio.<br />
This, <strong>com</strong>ing soon after American billionaire Bill<br />
Gates' 75 million dollar donation to fight the same<br />
child-hood disease, smirks of a misplacement of<br />
priorities. Is funding the main problem facing the fight<br />
against polio in Nigeria? It can't be. Right now there is<br />
enough funding <strong>com</strong>ing in from the US government,<br />
from the United Kingdom, the European Union and<br />
other donor agencies for the specific aim of polio<br />
eradication.<br />
Government officials were quick to say that the loan<br />
was interest-free so there is no danger in taking it. After<br />
our hard-won liberation from the London and Paris<br />
Club of creditors, it is only natural for Nigerians to be<br />
wary of international debt, regardless of the soft<br />
conditions. In any case, a project that is so severallyfunded<br />
by international donors can not justify any kind<br />
of loan. What the campaign against polio in Nigeria<br />
desperately needs, is a measure to encourage full<br />
acceptance by the Nigerian populace.<br />
Until a few years ago, when allegations of contaminants<br />
in the vaccines led to a heated national controversy on the<br />
safety or even desirability of the vaccination, Nigerians<br />
have never shown aversion to immunization programmes.<br />
Indeed killer-diseases like whooping cough and small<br />
pox were all eradicated from the country through those<br />
mass immunization programmes of three to four decades<br />
ago. With well-planned media campaigns that included<br />
cinema shows in schools and village squares, people were<br />
mobilized to <strong>com</strong>e forward and have themselves<br />
immunized against the diseases, with great results.<br />
Most people over the age of thirty bear the marks of those<br />
routine immunizations which were held regularly to fight<br />
those childhood killer diseases. Today, according to<br />
World Health Organisation statistics, Nigeria is among<br />
the four countries in the world which are yet to eradicate<br />
the polio virus and the only one with the three different<br />
strands of the disease all in existence here. In his<br />
interview with Daily Trust, Bill Gates claimed that polio<br />
has already been eradicated in the South, it is in the North<br />
that the disease still exists. If all the three claims above<br />
are true, for international statistics are sometimes<br />
misleading, then government must re-strategise to<br />
eradicate polio in the North.<br />
As noted above, decades ago immunization exercises<br />
were successful because the people in the North<br />
subscribed to them without question, something had to<br />
have gone wrong for them to develop this recent apathy.<br />
In the last two decades, a vigorous family planning<br />
campaign was embarked upon by both government<br />
agencies and non-governmental organizations. The<br />
campaign was obviously targeted at the North, whose<br />
polygamous practices and extended family structures<br />
favour large families. They also frown on any attempt to<br />
impose birth control because it is against certain tenets of<br />
Islamic religion, which most Northerners profess.<br />
The fact that a renewed emphasis on immunization,<br />
which came <strong>com</strong>plete with fanfare, came high on the<br />
heels of this aggressive birth control drive must have<br />
provided fertile grounds for conspiracy theorists to say<br />
that the vaccines were being used to sterilize infants. This<br />
will, of course, make the task of population control easier<br />
for the advanced countries which wish to impose it on us.<br />
These conspiracy theorists won the day, thanks mainly to<br />
the fact certain contaminated vaccines were indeed found<br />
and confirmed to be so by some Nigerian scientists.<br />
-38- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
Daily Trust believes that the way to fight this apathy to<br />
polio immunization, is to first of all address these fears. A<br />
vigorous media campaign through jingles, drama and talk<br />
shows should seek to dispel any notion that polio<br />
vaccines can make children sterile. Special care should be<br />
taken to store the vaccines properly, as this will prevent<br />
Continued on page 39
Continued from page 38 - Nigeria: 50M Dollar Loan for<br />
Polio<br />
premature expiration of batches, a fact which might<br />
have caused the contaminants detected in 2003.<br />
Additionally, any <strong>com</strong>plaints of adverse reaction, after<br />
the vaccine, should be taken seriously and investigated,<br />
as failure to do so can give rise to speculations that the<br />
vaccines are harmful. This, rather than the haste to take<br />
a 50 million dollar World Bank loan, is what will<br />
ensure a speedy eradication of polio in Nigeria.<br />
http://allafrica.<strong>com</strong>/stories/200902180315.html<br />
☻☻☻☻☻☻<br />
UNICEF Nigerian Polio<br />
Vaccine Contaminated with<br />
Sterilizing Agents - Scientist<br />
Finds<br />
Scientist says things discovered in vaccines are<br />
"harmful, toxic"<br />
KADUNA, Nigeria, March 11, 2004<br />
(LifeSiteNews.<strong>com</strong>) - A UNICEF campaign to<br />
vaccinate Nigeria's youth against polio may have been<br />
a front for sterilizing the nation. Dr. Haruna Kaita, a<br />
pharmaceutical scientist and Dean of the Faculty of<br />
Pharmaceutical Sciences of Ahmadu Bello University<br />
in Zaria, took samples of the vaccine to labs in India for<br />
analysis.<br />
Using WHO-re<strong>com</strong>mended technologies like Gas<br />
Chromatography (GC) and Radio-Immuno assay, Dr.<br />
Kaita, upon analysis, found evidence of serious<br />
contamination. "Some of the things we discovered in<br />
the vaccines are harmful, toxic; some have direct<br />
effects on the human reproductive system," he said in<br />
an interview with Kaduna's Weekly Trust. "I and some<br />
other professional colleagues who are Indians who<br />
were in the Lab could not believe the discovery," he<br />
said.<br />
A Nigerian government doctor tried to persuade Dr.<br />
Kaita that the contaminants would have no bearing on<br />
human reproduction. "…I was surprised when one of<br />
the federal government doctors was telling me<br />
something contrary to what I have learned, studied,<br />
taught and is the <strong>com</strong>mon knowledge of all<br />
pharmaceutical scientists -- that estrogen cannot induce<br />
an anti-fertility response in humans," he said. "I found<br />
that argument very disturbing and ridiculous."<br />
When asked by the Trust why Dr. Kaita felt the drug<br />
manufacturers would have contaminated the Oral Polio<br />
Vaccine, he gave three reasons: "These manufacturers or<br />
promoters of these harmful things have a secret agenda<br />
which only further research can reveal. Secondly they<br />
have always taken us in the third world for granted,<br />
thinking we don't have the capacity, knowledge and<br />
equipment to conduct tests that would reveal such<br />
contaminants. And very unfortunately they also have<br />
people to defend their atrocities within our mist, and<br />
worst still some of these are supposed to be our own<br />
professionals who we rely on to protect our interests."<br />
Dr. Kaita is demanding that "those who imported this<br />
fake drug in the name of Polio Vaccines…be prosecuted<br />
like any other criminal."<br />
The campaign to rid Nigeria of polio is in its fourth year.<br />
Officials there claim that all contaminated vaccines have<br />
been exhausted and replaced by uncontaminated batches.<br />
In a rhetorical conclusion to the interview, Dr. Kaita<br />
asked "What plans has the government put in place to<br />
help children who have been given these toxic and<br />
contaminated vaccines in case they start reacting to<br />
them?"<br />
This is not the first time UNICEF has been embroiled in a<br />
controversy over sterilizing agents in vaccines.<br />
LifeSiteNews.<strong>com</strong> reported that in 1995, the Catholic<br />
Women's League of the Philippines won a court order<br />
halting a UNICEF anti-tetanus program because the<br />
vaccine had been laced with B-hCG, which when given<br />
in a vaccine permanently causes women to be unable to<br />
sustain a pregnancy. The Supreme Court of the<br />
Philippines found the surreptitious sterilization program<br />
had already vaccinated three million women, aged 12 to<br />
45. B-hCG-laced vaccine was also found in at least four<br />
other developing countries.<br />
http://www.lifesite.net/ldn/2004/mar/04031101.html<br />
☻☻☻☻☻☻<br />
Polio made from Scratch<br />
First ever virus synthesized from chemicals alone.<br />
Tom Clarke<br />
12 July 2002<br />
Using genetic code as the recipe and carbon-containing<br />
chemicals as ingredients, researchers have made infective<br />
poliovirus entirely from scratch. This is the first time that<br />
a working biological entity has been made using<br />
chemistry alone.<br />
The team behind the achievement, claim that it<br />
demonstrates the risk of further viruses being created<br />
from just their genetic code- by bioterrorists, for example.<br />
Continue on page 50<br />
-39- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
<strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
Volume 4, Issue 4 NEWSLETTER May 2009<br />
FEATURED ARTICLES<br />
Vaccine Induced Polio - Ugandan Kids Die By 1,000s<br />
A Transcript of a talk given by Kihura Nkuba at the National Vaccine Information Center's<br />
Third International Public Conference on Vaccination November 7- 9, 2002 - Arlington,<br />
Virginia, aired on C-Span 2 on November 7, 2002.<br />
INTRODUCTION by Barbara L. Fisher:<br />
We're now going to look at oral polio vaccination<br />
conducted in Africa. Our next speaker, known in the<br />
pan-<strong>African</strong> world as Kihura Nkuba, which means "one<br />
who handcuffs lightning and puts thunder in jail", is<br />
founder of Greater <strong>African</strong> Radio and president of the<br />
East <strong>African</strong> World Broadcasters Association, and<br />
director of the Pan-<strong>African</strong> Center for Strategic and<br />
International Studies. Several years ago he began<br />
hearing from villagers who were being subjected to<br />
repeated forced live oral polio vaccinations despite<br />
reports of injuries and death among the children. On his<br />
radio program he began to speak out and questioned the<br />
safety of giving the children - especially children with<br />
HIV - so many live oral polio vaccinations, rather than<br />
giving them the safer "killed" polio vaccine used in the<br />
U.S. and Canada. Since that time, he tells me, he has<br />
been persecuted by the government, World Health<br />
Organization and UNICEF, and his radio station has<br />
been driven into bankruptcy. Kihura is appearing here<br />
at great personal and professional risk to tell his story.<br />
It is my great honor and privilege to introduce you to<br />
the recipient of the National Vaccine Information<br />
Center's humanitarian award - my good friend and<br />
colleague, Kihura Nkuba.<br />
KIHURA NKUBA: I am indeed very honored to be<br />
here and to have been invited by Barbara Fisher and<br />
Cathy Wiliams to <strong>com</strong>e and tell my story, which is also<br />
my people's story. Normally, when they ask you to<br />
<strong>com</strong>e and speak, you sit there and think of what's the<br />
first word that you'd say, but in listening to my brother<br />
Sunny Bates and Karen Forschner and Stanley Kopps<br />
(sp?) I was [unintelligible] and I was saying 'My God,<br />
if they can do this here in one of the most powerful<br />
countries on Earth, what will happen to me - what will<br />
happen to us ? If they can do that in the United States,<br />
then you know when it <strong>com</strong>es to other countries like<br />
Africa and Asia and South America, our chances are<br />
pretty slim.<br />
I did not start off as being a campaigner for other peoples'<br />
rights and polio. I am a pan-<strong>African</strong>ist, and by that I<br />
mean I believe in equality of thought and practices that<br />
are rooted in the best interests of <strong>African</strong> people. I spent<br />
most of my time in England teaching film and television,<br />
and also running Pan-<strong>African</strong> conferences for so many<br />
<strong>African</strong> people that live in the Diaspora to mobilize them<br />
to go and do some work in Africa. And by then<br />
eventually, I remember it was at a conference in<br />
Manchester and somebody said to me 'You keep telling<br />
us about helping Africa, and however much you feel it's<br />
about swimming, one day you have to remove your<br />
clothes and jump into the water. Why don't you go to<br />
Africa yourself?'<br />
And at that time my wife and I decided to borrow money<br />
and raise some, and go and set up a radio station. And we<br />
thought of a radio station because I believe that just one<br />
person with a microphone and a radio can teach more<br />
people than a professor in a good university. So I started<br />
Great <strong>African</strong> Radio in 1999 and, like most radio stations<br />
that you find in Africa, we decided to broadcast in<br />
<strong>African</strong> languages and record <strong>African</strong> music and talk<br />
about issues that concern people, like growing food and<br />
storing grain and eating fruit and drinking clean water;<br />
and sanitation, and all the other issues that were really not<br />
(trained) into most of the urban stations that broadcast<br />
music.<br />
-40- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009<br />
And on this program I ran a program that we call <strong>African</strong><br />
metaphysics every night, and some people call it the hour<br />
of truth. It's a one and a half hour program where I talk<br />
about literally anything I wish. And it became so popular<br />
that people started organizing in theatres, in assembly<br />
halls, in churches and mosques, and they paid to have me<br />
go and speak there. So it was in one of these lectures I<br />
gave in one small town - and normally before I go,<br />
Continued on page 41
Continued from page 40 – Vaccine-Induced Polio<br />
like minders and people who do crowd control, and they<br />
hide me somewhere, and they introduce me last minute so<br />
that people don't see me before they have paid.<br />
Now, when I was in one of those hideouts, I sat with a<br />
preacher who started telling me a story of 1997 during the<br />
National Immunization Days. In 1996 the government of<br />
Uganda introduced what they call National Immunization<br />
Days. For those of you who don't know Uganda, Uganda<br />
is in East Africa. It is at the foothills of the Mountains of<br />
the Moon just where River Nile begins. And according to<br />
paleontology, archeology, molecular biology, it is one of<br />
the countries that is said to be the source of humanity<br />
because now I think everybody agrees that humanity,<br />
from the stage of Australopithecine to Homosapiens,<br />
started in Africa - according to UNESCO anyway. So -<br />
and it is governed as a democracy - quote, unquote - not<br />
that it's not a democracy like you've got here. It's just that<br />
I'm always very skeptical when I hear the word<br />
'democracy' mentioned. So they have a parliament. They<br />
have a president who is elected by all those that can vote<br />
and then they have a parliament. And in the northern part<br />
of Uganda just in one district there is some trouble by<br />
people who think they should have been president and<br />
not they guy who is in charge.<br />
So I was told by this preacher that when the government<br />
introduced the National Immunization Days in 1997,<br />
most of the children after vaccination started dying. The<br />
preacher told me that they had so much death that his<br />
cassock, that he wears to go and conduct the burial<br />
ceremony, got old. He said "I buried the children and my<br />
cassock got old."<br />
In the same room there was one mother who had four<br />
children, and she hid one and took three other children<br />
for vaccination, and three children died and that one<br />
survived. Now when I went to do my presentation and I<br />
asked most of the people who were there - about two,<br />
three thousand people - each person had the same story.<br />
Now, in 1992 I believed that vaccination was a good<br />
thing. I didn't know very much about vaccination like<br />
most people, and I thought the doctors must really know<br />
what they are doing. So I thought vaccination is a very<br />
good thing. But I had an argument with my wife who<br />
didn't want my son to receive vaccinations. So I started<br />
reading about polio, and I think I knew at that time that<br />
there were difficulties with the oral polio vaccine, which I<br />
called 'polio Sabin'. So in this lecture I said "I hope it's<br />
not the 'polio Sabin'". And that was just the one remark I<br />
made. I said "I hope it's not 'polio Sabin'"<br />
Now all my lectures are broadcast every evening, so I'd<br />
go before a crowd - I'd give a lecture and they'd broadcast<br />
it on radio at night. And the following day the<br />
government sent people to me to ask me about my remark<br />
- you know, what I meant about "I hope they're not using<br />
the 'polio Sabin'." I didn't know that that was the polio<br />
vaccination they were using in the country, because I<br />
think I had read from literature from the National<br />
Vaccine Information Center - the small consumer - I had<br />
a small book, the consumer guide, which must be one of<br />
the most well-read books in Uganda because everybody<br />
wanted a copy of it, including the health officials from<br />
the government. So they came to me and asked me - they<br />
said "What did you mean by 'you hope it's not polio<br />
Sabin'?" I said "Well, I hope it's not polio Sabin because,<br />
according to the information I have, it was stopped in<br />
America in 1996 because it was a cause of polio in<br />
America." And they said "Really? There's no polio in<br />
America." I said "Yeah?" The health officials told me<br />
they weren't vaccinating in America, and I said "No,<br />
that's not true. I know they vaccinate in America." They<br />
said "No, because they eliminated wild polio over there."<br />
I said "What do you mean wild polio?" They said "Well,<br />
there are two types of polio. One is wild and one is<br />
domestic." So I said "O.K. Of these two polios, which<br />
one are you trying to eliminate in this country?" They<br />
said "We're trying to eliminate the wild polio so you can<br />
have the domestic polio because the domestic polio can<br />
be controlled." And I said "Why don't you leave the wild<br />
polio in the bush? Why do you have to bring it - why do<br />
you have to go and fight wild polio to introduce it in the<br />
house? At least if it is out there then you know at least it's<br />
not threatening inside the house?"<br />
But anyway, soon after that, articles started appearing in<br />
the newspapers about myself, and they claimed that I was<br />
not really interested in my people - in <strong>African</strong> people, and<br />
that to demonstrate that, I had married a white wife - that<br />
I had all my children locked up in England, and they had<br />
been vaccinated, and I had stopped them <strong>com</strong>ing to<br />
Africa because if they came to Africa they'd probably<br />
pick up some disease. Now all this was unfortunate for<br />
them because at the time my wife was in Africa and my<br />
children; and with all due respect, my wife was not white,<br />
but they tried to show that really I hated (<strong>African</strong>) people<br />
so much that I couldn't even marry somebody from them.<br />
Now then at that time, the parliament of Uganda, the<br />
Minister of Information, the minister in charge of (the)<br />
presidency, started writing the attorney general to close<br />
the radio station because I was broadcasting anti-presidency,<br />
started writing the attorney general to close the<br />
radio station because I was broadcasting anti-government<br />
messages. And they sent me civil intelligence to <strong>com</strong>e<br />
and interrogate me. At that time they were saying it<br />
wasn't really polio they were interested in. It was that I<br />
had anti government views and I was plotting to over<br />
Continued on page 42<br />
-41- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 41 – Vaccine-Induced Polio<br />
throw the government. Fortunately the intelligence<br />
officer who came to interrogate me proved to be very<br />
intelligent. When I told him that really the polio<br />
(vaccine) they were using in Uganda was discontinued<br />
in America because it was the sole cause of polio. And<br />
according to the information I had, there was really no<br />
polio in Uganda.<br />
There had been no polio. I grew up to be twenty five. I<br />
didn't see anybody with polio. I started seeing polio<br />
when I went to the cities where polio vaccination had<br />
taken place. And the more they challenged me, the<br />
more I started digging about polio, you know, to<br />
educate myself and stand ready to go to court or to be<br />
charged. And then what the intelligence officer<br />
re<strong>com</strong>mended to government was (that they) bring<br />
health officials to debate me at the radio station so that<br />
if I was telling lies, then they should <strong>com</strong>e and expose<br />
me before my very audience.<br />
To this the Minister of Health, who was backed by<br />
UNICEF, the United States Agency for International<br />
Development and the World Health Organization, said<br />
that really it shouldn't be like this. I shouldn't debate<br />
polio because I'm not a scientist. Now I have been a<br />
broadcaster for more than fourteen years, and all I was<br />
saying was not that people should not go for<br />
vaccination, but that if they are to go for vaccination, if<br />
there is a vaccine that is deemed to be safe, then that's<br />
what they should use. And then by a stroke of good<br />
luck somebody brought me an insert that <strong>com</strong>es with<br />
the polio vaccine, and it was from Pasteur-Mer???? a<br />
French <strong>com</strong>pany that manufactures the polio vaccine,<br />
and that was the one that was used in 1997 when<br />
children started dying in large numbers. And when I<br />
looked at the contra-indications it stated that inactivated<br />
polio vaccine and not oral polio vaccine should be used<br />
in situations where families had HIV - where there was<br />
a history of HIV in the family. And when I got this<br />
information I was really shocked because since 1984<br />
Uganda has had a very difficult HIV and AIDS<br />
problem. In fact it says that if a child is inadvertently<br />
given the oral polio vaccine, that that child should be<br />
quarantined for four to seven weeks because oral polio<br />
vaccine is "live" and they keep shedding it between that<br />
period, and they could contaminate other people. So I<br />
was saying here is the manufacturer who is writing for<br />
anybody who could read English that please do not give<br />
this oral polio vaccine to population that have HIV and<br />
here is the Ministry of Health which, in its own<br />
wisdom, says this has to be used here.<br />
So, armed with this insert from the manufacturer, I<br />
decided to install wireless internet in the radio station<br />
and also to see what other people were saying. At that<br />
time one of the main advisors to the government of<br />
Uganda was the Centers for Disease Control - one of the<br />
most respected agencies in the world. So I tried to see<br />
what the Centers for Disease Control was saying about<br />
this oral polio vaccine, which should not be used<br />
according to the manufacturer, and the Centers for<br />
Disease Control was even more clear than the<br />
manufacturer. In fact, this is what it says. It says that<br />
persons who have congenitally acquired immune<br />
deficiency disease -e.g. <strong>com</strong>bined immune deficiency,<br />
blah, blah - should not be given oral polio vaccine<br />
because of their substantially increased risk for vaccine<br />
associated disease. Now, they continue: they say<br />
"inactivated polio vaccine and not oral polio vaccine<br />
should be used to vaccinate immunodeficient persons and<br />
their household contacts." So I said if this is the Centers<br />
for Disease Control which is advising the government of<br />
Uganda, and it is saying we should not use oral polio<br />
vaccine, and here is the manufacturer saying oral polio<br />
vaccine should not be used, now why should oral polio<br />
vaccine be used here ?<br />
And then at the time, because of the heightened tension<br />
that the Minister of Health was bringing to bear on the<br />
radio station, then other people started throwing their<br />
own questions. And they went like this: In Africa polio<br />
does not kill anybody and they say it's very rare to catch.<br />
It's really very rare to get paralytic polio. They say it's in<br />
very rare circumstances, so what is it that is killing<br />
people in Africa? Malaria. Every five seconds a child is<br />
dying of malaria in Africa. Now to get the dose of lifesaving<br />
anti-malaria is about $5 but there is no<br />
government to give anti-malaria. When somebody gets<br />
malaria, if they have no money they even die. So the<br />
question I was asking and many people were asking was<br />
'If you really want to help children, why begin with a<br />
disease that they don't have? (applause) Why not look for<br />
something that is killing them and save them from what is<br />
killing them?' And then (inaudible) .............'you know<br />
what, I like you very much. I save your children from this<br />
killer disease. Now there are no other diseases apart from<br />
this rare polio, so let's go and fight that as well.' But you<br />
don't begin with the rarest disease and spend all the<br />
government's meagre resources fighting polio, which is<br />
not a threat to most people, and then ignore something<br />
that is killing them in large numbers like malaria, like<br />
AIDS, like cholera, issues to do with sanitation, stunted<br />
growth - all the main things that matter to people the<br />
government was not fighting. So what they decided to do<br />
was to appeal to the president and say... and the president<br />
says to them 'What you could do is go and take him to<br />
court and if the court decides that he's giving false<br />
information, then charge him with sedition which carries<br />
Continued on page 43<br />
-42- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 42 – Vaccine-Induced Polio<br />
a death sentence or a life sentence.' So when they told<br />
me this I said 'Well, if I am to die' - I think there is an<br />
American poet called McCain, and he had a poem<br />
which was "If I Am To Die". So if I was to die, I did<br />
not want to take anybody with me, but I really have to<br />
give people a run for their money. So I decided to use<br />
the experience that I had gained in broadcasting and<br />
research for over 14 years to research everything that I<br />
could find out about polio to prepare myself for the<br />
ultimate challenge if I was to go to court.<br />
I discovered that really the whole concept of<br />
vaccination is like getting a disease, putting it in an<br />
undiseased person to cure a disease that person hasn't<br />
got. It's like if you have an army and it's fighting an<br />
enemy, and then you bring the enemy into the barracks<br />
just to see if the soldiers can defend themselves should<br />
an enemy surprise them. I mean, you don't do such<br />
things in a war. And then I started asking myself -<br />
humanity has lived in Africa for 5.5 million years from<br />
the stage of Australopithecines to Homo sapiens. Polio<br />
vaccination in Uganda started in 1963. So if we were<br />
all to die of polio like the Minister of Health was telling<br />
us, we would have died by 1963 and it would have<br />
been 'case closed'. There would have been nobody to<br />
vaccinate. So the fact that we have survived 5.5 million<br />
years without polio vaccination shows that people can<br />
survive without it. (applause) And if really somebody is<br />
that desperate for the vaccine, then let's look for a<br />
vaccine that - you know - somebody says 'This is safer<br />
than the other.' Because the manufacturer who should<br />
know more than the Minister of Health that we have, or<br />
the World Health Organization, says 'Do not use this in<br />
this country.'<br />
Now, when they wrote to the attorney general and the<br />
attorney general asked me to <strong>com</strong>e and make my<br />
representation, and I went to the attorney general and<br />
gave him my views of what I thought of inactivated<br />
polio vaccine - and basically my case was simple. This<br />
oral polio vaccine was discontinued in America. Why?<br />
Because it's a cause of polio, and you're telling me that<br />
the minister of health here wants to (use it) to stop<br />
polio. You don't stop polio by bringing something that<br />
causes polio, and giving it to people. You stop polio by<br />
bringing something that will prevent it. That was my<br />
first argument. The second argument was - the<br />
manufacturer says don't use it, and since the minister of<br />
health and myself are not manufacturers, we have to<br />
wait for that time when the manufacturer says 'Use it'<br />
and the attorney general says 'O.K. I don't think he can<br />
be prosecuted.' And he wrote to the minister of health<br />
and the minister of information and said 'I think you<br />
have a weak case. If you took this person to court you'd<br />
probably lose.' So what they decided to do then was to<br />
use what they call the broadcast council, and the<br />
broadcast council is the one that gives licenses for broadcasters.<br />
So you couldn't broadcast without the broadcast<br />
council.<br />
I have to say that at that time every government minister,<br />
every member of parliament was talking about the radio<br />
station as how we are misleading the public - giving false<br />
information - really they were calling me a child killer<br />
and everything, and most of my advertisers <strong>com</strong>pletely<br />
fled, because in Uganda 80% of the advertisers is the<br />
government anyway. And the government was not going<br />
to advertise with the radio station that was giving it that<br />
trouble. So the broadcast council then wrote to me saying<br />
that I was giving information that was deemed to be antigovernment<br />
and anti-people, and they were going to<br />
withdraw the license. In fact, to back their words up, the<br />
minister of information came to the council hall where<br />
the radio is based with soldiers and the police and local<br />
counselors and district medical officers, and they called<br />
me and he had a pen in his hand and he said 'This is what<br />
I want you to do. I want you to go on radio tonight on<br />
your popular program and tell people that polio Sabin is<br />
safe - that they can have it and that you support it. If you<br />
don't do this I am going to sign, re<strong>com</strong>mending that your<br />
radio station be closed, and by tomorrow you won't be on<br />
air. I looked at the handsome minister of information in<br />
the face and I said "Go to heaven and stay there" because<br />
I was not going to do such a thing. (applause) I did not<br />
believe that oral polio vaccine was safe and I was not<br />
going to tell anybody to mislead the public that it was.<br />
So when he left I expected the radio station to be closed,<br />
and what I did is I went off air. I stopped broadcasting<br />
my program voluntarily. So I stopped the broadcasting.<br />
So what happened was really a revolution because people<br />
waited for my program to <strong>com</strong>e, and what they did - they<br />
decided to <strong>com</strong>e to the radio station and mount a vigil -<br />
and before long I had over ten thousand people at the<br />
radio station - taxi drivers threatening to block the road -<br />
I had riots in almost every town demanding that my<br />
program <strong>com</strong>e back on air. And at that time information<br />
had gone (out) that the government was really raining<br />
down on me because of oral polio vaccine, and that's<br />
what upset people. They said 'What's in polio (vaccine)<br />
that you really want to give to us ? When we want<br />
clothes, you can't give us clothes. When we want<br />
education you can't give us education. When our children<br />
die you can't give us coffins or even <strong>com</strong>e and assist us.<br />
Why are you forcing polio (vaccine) on us ? If it's so<br />
good why can't we see the benefit of it ?" You know<br />
because it was their children dying. And then they started<br />
narrating all these stories..... At the main hospital in<br />
Continued on page 44<br />
-43- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 43 – Vaccine-Induced Polio<br />
Mbarara during that month of 1977 more than 600<br />
children had died following polio vaccination. 600<br />
children! So even some of the timid medical<br />
practitioners who were initially afraid to <strong>com</strong>e out,<br />
started <strong>com</strong>ing out giving information and saying 'Oh,<br />
we knew this oral polio vaccine was trouble because as<br />
soon as the child receives it, they get a temper- ature<br />
and their health goes downhill and there is nothing that<br />
you could do.' So the mothers said they would not take<br />
their children for oral polio vaccination. And this<br />
information was going back to the government at the<br />
capitol. So what the government decided to do was to<br />
say let's send a team of experts to <strong>com</strong>e and debate me<br />
at the radio (station) on my program. I have to tell you<br />
that on that day in the month of July - I think July 22nd<br />
- some date like that - all the town sold out of radios<br />
and mobile phones because they were ready to ring<br />
inside the radio station and tell the doctors that really it<br />
should be their choice to decide what is given to their<br />
children, and it shouldn't be the choice of the doctors<br />
(applause); and that whether they agreed with me or<br />
not, that both sides should present their information to<br />
the parents so that the parents can make a choice. Now<br />
I thought that these doctors were going to <strong>com</strong>e with<br />
thousands of books and evidence and references, and I<br />
spent two weeks preparing myself. I ordered books<br />
from Australia and Britain, and Barbara sent me some<br />
literature, and I didn't sleep for almost a week. I was<br />
reading day and night trying to educate myself about<br />
immunity - how the body's immunity works. I was<br />
trying to educate myself about viruses jumping species<br />
and immuno-suppressive treatments, and I learned<br />
about - for example - the Marburg virus which<br />
appeared in Germany in 1967 [unintelligible] from a<br />
[unintelligible] laboratory that they were developing<br />
oral polio vaccine, and actually the monkeys had <strong>com</strong>e<br />
from Uganda. So the monkey viruses had jumped from<br />
- had been - some of the viruses that lie dormant in<br />
some of these species for a long time - if you take these<br />
viruses and put them in the human body, they could do<br />
anything. And one of the things they did was to give<br />
Marburg, which is a cousin to ebola. In fact, after<br />
reading that information I predicted [what year ? N.S.]<br />
that there would be ebola in Uganda because of these<br />
vaccinations, and there WAS ebola in Uganda a year<br />
after ! So they started saying I was a prophet !<br />
So when they came, here am I in the studio thinking<br />
'God ! These are the real experts. How am I going to<br />
handle them ? I'm just a broadcaster - somebody who<br />
has questions that any right-thinking member of the<br />
society should ask.' And when they came they were<br />
than I was, and they started saying 'You know, we<br />
really apologize because... one of the leaders of the team<br />
of the district medical officer said 'You know what ? I<br />
have never read even a medical journal since I left<br />
medical school. We have no internet. I cannot afford to<br />
buy new books. How would I know what is safe or what<br />
is not ? All I know is that the World Health Organization<br />
says it's safe. UNICEF says it's safe, and all these other<br />
agencies say it's safe. So if it is safe then we must use it.'<br />
and then my first question was 'Well, why didn't the<br />
World Health Organization say it was safe for America to<br />
use ? Doesn't the jurisdiction of UNICEF extend to<br />
America. If they stopped it in America why should we<br />
use it here ?' And people were saying to them 'O.K. - you<br />
are the physicians. You studied the same things as the<br />
physicians who manufactured this vaccine.' And they said<br />
'Yeah. You know, when you are a physician you don't<br />
want to say No, I didn't study that. I'm sorry - I went to<br />
school but I didn't study what you studied.' They said<br />
'Yeah, we did. We studied exactly the same thing.' And I<br />
said 'O.K. Why do we have to import the vaccine anyway<br />
? Why can't we manufacture the vaccine here if you know<br />
what goes in it ?' And they said 'Oh, that's a problem. We<br />
don't have factories.' And then people were ringing in to<br />
the studio asking - 'We had our own way of ensuring our<br />
childrens' immunity. You know, when a child was born<br />
there was an assortment of herbs that were collected from<br />
the wild, and then they were boiled, and every day the<br />
child would bathe in these herbs for six months, and a<br />
little bit of the herbs would be given to the child to drink.'<br />
And it was in this debate that most of the physicians<br />
admitted that that method was as effective as the<br />
immunization that was being carried out. So people were<br />
saying 'Well, if we have this method that had proved very<br />
good for us all this time, why are you giving us oral polio<br />
? And why are you not fighting the diseases that affect us<br />
? And most significantly : where are all these so-called<br />
paralyzed people - all our people that are physically<br />
challenged - that you said existed in villages ?'<br />
And at that time we had marshalled the people that had<br />
contracted polio after immunization, and they were in the<br />
studio with us. In that debate most of the people that had<br />
<strong>com</strong>e to debate us ran out of the studio, and they could<br />
not answer the questions from the people. And the<br />
national newspapers splashed these headlines so that even<br />
in other parts of the country where my radio station was<br />
not reaching started picking up the story. The World<br />
Health Organization got worried. UNICEF got worried.<br />
UNICEF representatives came to the station to appeal to<br />
me, saying 'Well, we know you have a case but you are<br />
giving it to the wrong audience. I mean these people don't<br />
understand what you are saying. If you are talking to<br />
people in cities - you know, people in villages – they<br />
cannot understand the argument. Polio is good. O.K. it<br />
Continued on page 45<br />
-44- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 44 – Vaccine-Induced Polio<br />
may have some difficulties, but why don't you <strong>com</strong>e<br />
and join us ? Then we will support you and give you<br />
more advertising.' And...I didn't think it was an<br />
advertising issue. I thought it was a moral issue at the<br />
time.<br />
But just for them to prove their case, one time I'm<br />
leaving Mbarara, which is where my radio station was<br />
based, and I'm going to Kampala - 250 miles away -<br />
and in my driving mirror I see two pickup trucks<br />
following me. And they must have followed me for<br />
about 100 miles. I noticed it because the two people<br />
that were driving were white, and there aren't a lot of<br />
white people in that region. So when I saw them<br />
following me I stopped - they slow down and overtake<br />
me and when I went back on the road I see them again.<br />
I said I thought I was in trouble. So I reached the next<br />
town, turned off my engine and waited for about two<br />
hours, and I thought I must have lost them. So I jumped<br />
on the road again. I am driving full speed - about<br />
maybe 120 MPH because I am late. I was going to get<br />
my son from the airport and I had already lost two<br />
hours trying to avoid people who were following me,<br />
and Lo and behold one of the pickup trucks is in my<br />
driving mirror again. And I am going downhill and this<br />
guy <strong>com</strong>es and over- takes me, gets in front of me and<br />
brakes. He had a big pickup truck and behind there<br />
were bull bars (?) And the other pickup that is behind<br />
me is also very close to my bumper. So I tried to avoid<br />
by going off on the right side of the road. In Uganda<br />
they drive on the left - and he also goes on the right<br />
side of the road. When I attempt to <strong>com</strong>e back onto the<br />
road my vehicle starts overturning and it must have<br />
overturned about 15 times. The vehicle was totally<br />
mashed up, and it was near a small town. Everybody<br />
thought nobody could escape from that car. I thought I<br />
had died. I was still breathing. I could hear myself<br />
breathing, but I thought I had died. I looked at the<br />
mashed car and the smashed windows, and I thought<br />
'Maybe heaven looks this ugly.' So eventually people<br />
came and they cut the door, and I waited to see...<br />
because when it overturned it knocked somebody who<br />
was on a bicycle, but the person didn't die. And it<br />
knocked bannana trees . It was horrible. But I came out.<br />
When I stepped out everybody started running. They<br />
thought it was a ghost walking - some kind of dead man<br />
walking. So one of the people recognized me, and they<br />
took me to hospital, and they found I had just sustained<br />
very minor injuries.<br />
So I knew that they were going to make their point and<br />
they were going to make it very well. But at that time I<br />
think I had passed the door of no return, and I could not<br />
take a step backwards. So the minister of health knew<br />
that if they lost the debate it would be very difficult for<br />
them. Because in speaking to Barbara I also understand<br />
that here you follow a certain regime - like you give<br />
certain doses in certain years, and after that it's finished.<br />
In Uganda or Kenya or Tanzania it's not like that. You<br />
have what they call routine where your children keep<br />
getting all these vaccines. And then they have National<br />
Immunization Days. It doesn't care whether you go<br />
through the immunization or whether you were<br />
immunized last year. You <strong>com</strong>e this year and they still<br />
give you the same thing. So for polio, for measles there is<br />
no end. It's that <strong>com</strong>plicated.<br />
So what happened then was the government then decided<br />
to say 'Well, those experts that came weren't really<br />
experts. They were some kind of experts but they are not<br />
experts. And these are the experts that are now going to<br />
<strong>com</strong>e in the final debate on radio.' And I said 'O.K. The<br />
experts can <strong>com</strong>e because my questions are still the<br />
same.' So they brought now a team of other experts which<br />
was supposed to be the final team of experts, and when<br />
they came this was my first question : 'Tell us - you say<br />
that this oral polio virus is attenuated, which means<br />
weakened. What does that mean ?' And the guy says<br />
'Well, it's not really a virus. It's the jacket of a virus.' 'It's<br />
a live virus.' 'It's an attenuated live virus.' And they<br />
started saying 'No, it's not a live virus. It's the jacket of a<br />
virus.' Then another one said 'No no no' And this is live<br />
on radio so the experts from the ministry of health are<br />
contradicting themselves in a live debate listened to by<br />
more than 15 million people who for a long time have<br />
trusted doctors as really people who should know<br />
everything about vaccines. And one of them said 'No, it's<br />
not a jacket. You can't say it's a jacket. It's just harmless.'<br />
O.K. well if it's harmless, and if the virus goes into the<br />
body, it can do several things. It can lie dormant; it can<br />
die, or it can be<strong>com</strong>e potent.<br />
And then people were ringing and saying 'What would<br />
you call a virus in the local language ?' And one of the<br />
experts called it a small animal, and that's where<br />
problems started because then another caller would ring<br />
in and say 'Well, if it's a small animal, what does it eat ?<br />
And if you don't give it food and it gets really hungry,<br />
what would happen ? Won't it attack the body's immune<br />
system ?' Now you may find this hilarious and laugh, but<br />
really those are deep philosophical questions that<br />
scientists grapple with. When a virus gets in your body it<br />
can do several things. It can die. It can sleep, or it can<br />
be<strong>com</strong>e potent or virulent. And if that happens, then you<br />
have a problem. So this expert debate didn't do the work,<br />
because what people were interested in was to hear why it<br />
is possible that they cannot get the killed virus. And the<br />
answer was that it would be too expensive - it would be<br />
Continued on page 46<br />
-45- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 45 – Vaccine-Induced Polio<br />
too expensive to give the killed virus to the population.<br />
And then the people said 'O.K. if it's too expensive, we<br />
don't want the cheap one. We think at least we are<br />
worth five dollars or ten dollars, or something like this.<br />
So if you can't bring the inoculated polio virus, we are<br />
not going to have the oral polio.' And that's what they<br />
did. But the government was ready for them - not really<br />
the government - the minister of health, the World<br />
Health Organization and the UNICEF. They mobilized<br />
the army, and the police and moved from house to<br />
house. They had asked the local authorities to do a list<br />
of people who had children, so they moved from house<br />
to house grabbing children at gunpoint and vaccinating<br />
them.<br />
Now those that knew - as soon as the army got into the<br />
village - the rest of the people who had children would<br />
run into the bush, and they stayed there for a week. And<br />
there is the story of this child who was met on the road,<br />
and they grabbed him and asked him whether he was<br />
immunized, and he said 'Yes'. He lied to them - said<br />
'Yes' - He was running away, but he said 'Yes' and they<br />
said 'Well, we still have to immunize you anyway. So<br />
they got the (dose). They put it in his mouth and the<br />
child spit it out – first time. They put it a second time<br />
(spit) - third (spit) - fourth (spit) and then they hit the<br />
child and then the child ran away unvaccinated. So it<br />
became a very difficult exercise, and the government<br />
put all the blame on me. They said it must have been<br />
me who had learned all these hypno-therapeutic<br />
techniques and had (majored ?) in psycho-cranial<br />
therapies, and I was an agent of all these organizations<br />
abroad that really do not believe in traditional<br />
medicine; and I had hypnotized the population so that<br />
they were not able to respond to government messages<br />
on vaccination - something that was totally good for<br />
them. Now the thing was - those that went for<br />
vaccination came immediately to report reactions, and a<br />
good many of them lost their children. Those that did<br />
not go for vaccination did not have the same reaction.<br />
So they would be ringing in to the radio station and<br />
saying 'Well, I vaccinated my child and this is what<br />
happened.' I know this is what was happening even<br />
before we started, but they had no way of expressing<br />
themselves. They had no means. So at this stage most<br />
people really got convinced that there must be a<br />
relationship between having a history of HIV... I have<br />
to tell you HIV is very big in Uganda - very big in East<br />
Africa. I was born in a family of eleven, but from 1987<br />
up to today I have lost eight members of my family<br />
through HIV. So when the manufacturer says 'Do not<br />
give this vaccine to families that have a history of HIV'<br />
there are no families in Uganda that have no history of<br />
HIV. Everybody knows somebody who has died or has<br />
lost an uncle or a brother's wife or his children through<br />
HIV. And it's that relationship that people were able to<br />
put together saying 'Maybe really the oral polio vaccine,<br />
when given to population that has HIV - when live<br />
vaccine is given to a population that has HIV, it produces<br />
that reaction.'<br />
But for me, up to today, that is still the situation. The oral<br />
polio vaccine in Uganda, northern Tanzania, Rwanda,<br />
Burundi, Congo and part of Kenya has be<strong>com</strong>e a hotly<br />
contested debate. Thousands of people, during the<br />
National Immunization Days in the months of July and<br />
September, go into the bush and stay there for weeks. The<br />
army and the police move house to house looking for<br />
children to vaccinate. At the same time, things that kill<br />
children like malaria, cholera, issues of stunted growth,<br />
sanitation, are <strong>com</strong>pletely untackled.<br />
Now - last year I came to Washington to give a lecture to<br />
the Voice of America, and I decided to ring the Centers<br />
for Disease Control. Normally when I travel I record my<br />
travel and I do a travel program. So I tell people what I'm<br />
seeing because I know the majority of my people have no<br />
chance of travelling - so I describe the situation to them.<br />
And I rand the Centers for Disease Control and they have<br />
a line of experts that you can ask different questions. And<br />
I said 'I am living in America and I want to go to Uganda,<br />
and my children have not received oral polio vaccination.<br />
And they said 'No, they can't receive oral polio<br />
vaccination in this country.' I said 'Why not ?' and they<br />
said 'Well, you can get polio from oral polio vaccination.'<br />
And I said 'Is this the Centers for Disease Control ?' and<br />
they said 'Yes'. 'Are you sure you are not the Centers for<br />
Disease Uncontrol ?' They said 'No, we are the Centers<br />
for Disease Control - the real McCoy.' So I said 'What if I<br />
have a history of HIV and I receive oral polio ?' They<br />
said 'That would be really pretty dangerous. It could be a<br />
death sentence.' (And I said) can I have your name ?' 'No,<br />
you can't have my name. You can have a reference<br />
number.' I said 'O.K.' but I recorded this, and when I went<br />
back I played it on radio. (applause) I said 'Well, this is<br />
not me now. You can't arrest me. You have to arrest the<br />
Centers for Disease Control, because, I mean, it's them<br />
doing the talking. It's not me. I have just given them<br />
space on the radio !'<br />
So the minister of health said 'O.K. this is what we're<br />
going to do. We're going to invite you and you'll <strong>com</strong>e<br />
and sit with all the experts from World Health Organization,<br />
from UNICEF and the minister of health, and<br />
we'll do a deal.' So what I did - I went to the website of<br />
the Centers for Disease Control. I photocopied a big<br />
document on vaccine reactions, and I took it with me.<br />
Continued on page 47<br />
-46- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 46 – Vaccine-Induced Polio<br />
So I sat before the minister of health and I said 'Well,<br />
before we can do any deal, I just want to see what our<br />
very good friends from the Centers for Disease Control<br />
say about vaccine reactions - particularly polio.' And<br />
the minister gave it to the head of public health, and the<br />
head of public health looks at this document and says<br />
'This is not a genuine CDC document. This is from the<br />
internet.' And I said 'So what ? It's from the internet -<br />
the CDC on the internet. This is the 21st Century !' He<br />
said 'No, it's not.' And I said 'O.K. At the bottom there<br />
is a number, and it says you can ring this number. Why<br />
don't we ring the Centers for Disease Control ? Here is<br />
a mobile phone' And he said 'No, we can't ring them.<br />
We wouldn't know if it was the CDC answering.' So<br />
what do we do ? They said 'We'll send the document to<br />
the embassy and ask the embassy to verify if it's a CDC<br />
document.' 'Oh' I said - 'Well, you have an expert from<br />
the CDC in Kampala. Why don't you call that expert to<br />
verify ?' He said 'No, he's sick. He's not available for<br />
verification.' So I said 'O.K. I will do a deal with you<br />
only after you verify that this is a genuine CDC<br />
document. We'll give each other 24 hours. You go and<br />
do your verification, and then after that I'll <strong>com</strong>e and<br />
we can deal.' 24 hours. No reaction. One week - one<br />
month - I am still waiting.<br />
But in the meantime I had two radio stations. One of<br />
them is now closed. I employed over 60 people. I am 6<br />
months in arrears. I can't afford to pay them. As I speak<br />
I have not a single advertiser on my radio station that<br />
has an audience of more than 50 million. My radio<br />
program, when it goes on air - even buses that carry<br />
people stop to listen to my program for one and a half<br />
hours. And I have already told you that people even pay<br />
to hear me speak. But I have taken a bank loan from<br />
England. My house is up for grabs, including all my<br />
books and my videos and everything - just for asking<br />
simple questions as 'Why don't you fight a disease that<br />
kills people instead of one that has a theoretical risk of<br />
attacking them ? Why don't you deal with issues that<br />
people want you to deal with, and maybe after you have<br />
dealt with that, then you can deal with oral polio<br />
vaccine ? Why use a vaccine that was discon tinued in<br />
America - which is a technological nation where people<br />
should know - and you use it here ? Why at least can't<br />
you say to people "Pay for the killed vaccine" so that<br />
they get the vaccine that, according to the<br />
manufacturer, would be less harmful?'<br />
That is my story. I am not opposed to vaccination. I<br />
have not gone out to cause trouble for anybody. It's just<br />
I felt as a broadcaster my job is to ask questions that<br />
my audiences would have asked had they been in the<br />
same position that I was, or had the opportunity to meet<br />
the people that matter. So - and that's what I did. Instead<br />
of giving me appropriate answers, I was victimized. One<br />
government minister said the experts from the ministry of<br />
health had carried out a study and they had found me mad<br />
! And I said 'Well, if you say I am mad, I think you could<br />
say it's mutually assured destruction, and definitely this<br />
poison would have mutually assured us of destruction.'<br />
So in my own madness it seems I was the only person<br />
that could stand in front of millions of people to ask<br />
legitimate questions.<br />
I know one thing - that people who have lost their<br />
children as a result of taking oral polio vaccine will not<br />
be going for immunization unless that policy is changed.<br />
I also know - I think if you go to the website of the World<br />
Health Organization you'll find my name - you know they<br />
depict me as this anti-polio campaigner and whatever,<br />
which I am not - But I also know that the World Health<br />
Organization, UNICEF and all these agencies are really<br />
looking for what they call victory - to vaccinate the last<br />
child. And they are saying that right now the person who<br />
stands in front of them is myself.<br />
For more than six months I have not been on radio<br />
broadcasting because I was involved in a conflict in<br />
eastern Congo - in the Democratic Republic of Congo -<br />
and it was the center that I ran, called the Pan-<strong>African</strong><br />
Center for Strategic and International Studies that began<br />
the peace initiative about a year ago that led to different<br />
peace accords that have been signed to bring peace in this<br />
country. And one of the peace conferences was chaired<br />
by myself for more than six months. Now I also know<br />
that the population is not going to accept these oral polio<br />
vaccinations unless they change to killed vaccine. But for<br />
the government and for the minister of health, and all the<br />
other agencies, they will continue to look at me as the<br />
enemy. I have been out of radio for this period of time,<br />
but still there is very little people going for vaccination,<br />
and the government is pouring in more money - millions<br />
and millions of dollars of meagre resources that a small<br />
country like Uganda cannot afford. And most of that is<br />
really going into misinformation - a campaign against<br />
me. That's my story. Thank you very much.<br />
Contact Kihura Nkuba through Barbara Loe Fisher at The<br />
National Vaccine Information Center; 421-E Church<br />
Street Vienna, VA 22180; phone: 703-938-0342; fax:<br />
703-938-5768.<br />
http://www.rense.<strong>com</strong>/general39/polio.htm<br />
http://www.blackherbals.<strong>com</strong>/vaccine_induced_polio.htm<br />
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-47- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
<strong>African</strong> Health Leaders Vow<br />
to Keep Polio Eradication<br />
Goal<br />
17-January-2005<br />
Following a year in which Africa grappled with an<br />
escalating polio epidemic, ministers of health of the key<br />
affected countries today concluded that the spread of<br />
polio was slowing in most countries. They agreed to<br />
step up their vigilance and their vaccination<br />
programmes in order to meet polio eradication targets<br />
this year.<br />
The 2005 eradication strategy for Africa, reviewed by<br />
Health Ministers of eight <strong>African</strong> countries at the<br />
World Health Organization’s headquarters in Geneva,<br />
involves a massive series of immunization campaigns<br />
across 25 countries, supported by strengthened polio<br />
surveillance.<br />
The scale-up <strong>com</strong>es in the wake of a challenging year<br />
for the region, in which the number of <strong>African</strong> children<br />
stricken by polio doubled to 1037 (85 per cent of the<br />
global total). Cases began to rise during 2003 following<br />
a suspension of polio immunization activities in parts<br />
of Nigeria. The upswing rapidly reached epidemic<br />
proportions, propelled by low immunization rates<br />
across the region. The continent is further threatened by<br />
the swift spread of the epidemic in Sudan in late 2004<br />
and the halt of immunization activities in Côte d'Ivoire<br />
due to civil unrest.<br />
Some countries are still feeling the impact of the 2004<br />
epidemic, particularly the Sudan, which went from zero<br />
to 112 cases in the last 9 months. The Sudan outbreak,<br />
which is a result of the spread of poliovirus originating<br />
in Nigeria, now threatens the polio-free Horn of Africa,<br />
the Democratic Republic of Congo, and the Gulf region<br />
as evinced by a recent case in Saudi Arabia. Authorities<br />
in the Sudan carried out an emergency campaign this<br />
week, which kicked off immediately after the signing<br />
of the North-South peace agreement.<br />
Following resumption of polio immunization in<br />
Nigeria’s Kano state in mid-2004, Africa held the<br />
world’s largest series of immunization activities,<br />
synchronized across 23 <strong>African</strong> countries, reaching 80<br />
million children. These campaigns have begun to rein<br />
in the epidemic. In northern Nigeria, independent<br />
monitoring shows that nearly 75 per cent of children<br />
were vaccinated against polio, the highest numbers ever<br />
for the area.<br />
Côte d'Ivoire and the Sudan, as well as Burkina Faso,<br />
the Central <strong>African</strong> Republic and Chad now have re-<br />
established poliovirus transmission, meaning the virus<br />
has been circulating among the population for more than<br />
six months. Representatives of each of these countries<br />
attended the meeting in Geneva, together with Egypt,<br />
Nigeria and Niger.<br />
Despite the setbacks, all the evidence looks promising for<br />
stopping polio transmission this year, the Ministers<br />
stressed. Similar mass campaigns previously stopped<br />
polio in nearly all countries across the region. Progress in<br />
Egypt eliminated all but one type of poliovirus, paving<br />
the way for the introduction of a new vaccine there that<br />
targets the single remaining type.<br />
All the year’s activities will be lead by the <strong>African</strong><br />
Union. At the up<strong>com</strong>ing <strong>African</strong> Union summit in Abuja<br />
(29-30 January) the continent’s heads of state are<br />
expected to announce a similar ramp-up of action and to<br />
vow to increase independent monitoring of immunization<br />
activities to ensure quality coverage.<br />
The meeting in Geneva today was the one-year follow-up<br />
to the Geneva Declaration on the Eradication of<br />
Poliomyelitis, a 2004 pledge by polio-endemic countries<br />
to intensify their activities towards eradication. The 16-<br />
year Global Polio Eradication Initiative, a public-private<br />
partnership, has reduced the incidence of polio across the<br />
world by 99% since 1988. Endemic countries in Asia -<br />
Afghanistan, India and Pakistan - will examine their<br />
progress in a February meeting.<br />
The Global Polio Eradication Initiative is spearheaded by<br />
WHO, Rotary International, the US Centers for Disease<br />
Control and Prevention and UNICEF. The polio<br />
eradication coalition includes governments of countries<br />
affected by polio; private foundations (e.g. United<br />
Nations Foundation, Bill & Melinda Gates Foundation);<br />
development banks (e.g. the World Bank); donor<br />
governments (e.g. Australia, Austria, Belgium, Canada,<br />
Denmark, Finland, Germany, Ireland, Italy, Japan,<br />
Luxembourg, the Netherlands, New Zealand, Norway,<br />
Russia, the United Kingdom and the United States of<br />
America); the European Commission; humanitarian and<br />
nongovernmental organizations (e.g. the International<br />
Red Cross and Red Crescent societies) and corporate<br />
partners (e.g. Sanofi Pasteur, De Beers).<br />
http://www.news-medical.net/?id=7335<br />
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-48- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Uganda: Ministry Exceeds<br />
Polio Vaccination Targets<br />
Edward Echwalu<br />
15 April 2009<br />
The Weekly Observer<br />
The Ministry of Health has vaccinated more than two<br />
million children under five years in the first phase of its<br />
emergency polio vaccination exercise carried out in the<br />
29 high risk districts of northern Uganda.<br />
This <strong>com</strong>es as a response to the unexpected reemergence<br />
of the virus in February, 13 years since the<br />
country last reported a polio case. Seven cases have<br />
been reported so far. Phase one, in which the ministry<br />
planned to vaccinate about 2.2 million children, ended<br />
up exceeding that figure by about 130,000 children.<br />
According to a report released last week, Amuru<br />
District had the highest coverage with all its eight subcounties<br />
covered, while Moroto which had the least<br />
coverage had only three sub-counties of its 11 covered.<br />
The exercise had 100% coverage of only 10 of 29<br />
districts where all sub-counties were covered.<br />
Carried out in partnership with World Health<br />
Organisation and UNICEF, the exercise will now focus<br />
on the second and third phases between April 25 -28;<br />
and May 23 -25, 2009 respectively.<br />
Polio is acquired through drinking water or eating food<br />
contaminated with the polio virus (oral-faecal route).<br />
It's enhanced by poor sanitation and low immunisation<br />
coverage. Fever and sudden weakness in the legs and<br />
arms are some of the symptoms.<br />
State Minister for Health (General Duties), Dr. Richard<br />
Nduhura, said while launching the vaccination<br />
campaign, that those trying to sabotage the exercise are<br />
irresponsible citizens. "When government <strong>com</strong>es out to<br />
immunise our children, it's well intended," Nduhura<br />
said. "It's an act of treason for anybody to sabotage the<br />
immunisation exercise."<br />
The minister was reacting to concerns that politicisation<br />
of the exercise has discouraged some parents from<br />
taking their children for immunisation. Such parents<br />
believe that the vaccine could harm their children.<br />
"This of course is rubbish," Nduhura said.<br />
"Government can never have such an intention. It is<br />
very irresponsible of such people who call themselves<br />
leaders to demobilise a well intended exercise like this<br />
one."<br />
http://allafrica.<strong>com</strong>/stories/200904160750.html<br />
☻☻☻☻☻☻<br />
Continued from page 39 – Polio Made from<br />
Scratch<br />
Other virologists are sceptical.<br />
Compared with living things such as bacteria, animals<br />
and plants, viruses are rudimentary - even their status as<br />
organisms is debated. Building <strong>com</strong>plex life forms from<br />
scratch, at least using current technology, is still regarded<br />
as impossible.<br />
Eckard Wimmer of the State University of New York in<br />
Stony Brook and his colleagues assembled large chunks<br />
of the poliovirus genome by joining up the four chemical<br />
subunits of DNA in the correct sequence. They put this<br />
synthetic virus genome into "cell juice" - a mixture of<br />
protein-building molecules and catalysts - and watched<br />
the virus assemble itself 1 .<br />
The re-engineered virus infected mouse cells just as a<br />
normal poliovirus would and successfully replicated itself<br />
in them.<br />
"It's a beautiful study," says virologist Olen Kew of the<br />
US Centers for Disease Control in Atlanta, Georgia. The<br />
individual steps of Wimmer's process, such as<br />
manufacturing the sequence, and growing a virus outside<br />
a cell, had been demonstrated before. The strength of this<br />
study is its having strung them all together," explains<br />
Kew.<br />
Open season?<br />
The gene sequences for ebola, influenza, smallpox, HIV<br />
and many other viruses are publicly available on the<br />
Internet. Wimmer argues that it could now be open<br />
season for rogue virus engineers. "You can make any<br />
virus from published data," he says.<br />
But poliovirus is easier to build than many others. It has a<br />
very short and simple genome and assembles itself<br />
directly from a DNA template; others go through<br />
intermediate translation stages.<br />
More <strong>com</strong>plex viruses could be synthesized, Wimmer<br />
believes, by additional chemical steps, or by putting<br />
synthetic gene sequences into living cells.<br />
The likelihood of anyone trying this is tiny, thinks Kew.<br />
The poliovirus genome is 7,500 subunits long; that of<br />
smallpox is more than 24 times longer. Synthesizing<br />
larger viruses from scratch would be "very difficult<br />
indeed", he says. Making the building blocks would<br />
demand new technologies and lots of money.<br />
"This is not something you could do in your garden<br />
shed," agrees Neil Berry, who studies HIV at Britain's<br />
National Institute for Biological Standards and Control in<br />
Potters Bar.<br />
Continued on page 50<br />
-49- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 49 – Polio Made from Scratch<br />
Even for a small virus such as HIV, there is hardly any<br />
need. "Nature has got a head start on us," Berry<br />
explains. Most pathogenic viruses are already present<br />
in the environment, and making one as virulent as a<br />
wild form would be nigh on impossible.<br />
Says Kew: "Once any new sequence is published it's<br />
clear the virus can be recovered but we've assumed that<br />
for about 20 years".<br />
References<br />
Cello, J., Paul, A.V. & Wimmer, E. Chemical synthesis<br />
of poliovirus cDNA: Generation of infectious virus in<br />
the absence of natural template. Science published<br />
online, doi:10.1126/science.1072266 (2002). |Article|<br />
© Nature News Service / Macmillan Magazines Ltd<br />
2003<br />
http://www.blackherbals.<strong>com</strong>/polio_made_from_scratch.htm<br />
☻☻☻☻☻☻<br />
Officials say Drug caused<br />
Nigeria Polio<br />
Maria Cheng<br />
October 5, 2007<br />
The Associated Press<br />
A polio outbreak in Nigeria was caused by the vaccine<br />
designed to stop it, international health officials say,<br />
leaving at least 69 children paralyzed.<br />
It is a frightening paradox in a part of the world that<br />
already distrusts western vaccines, making it even<br />
tougher to stamp out age-old diseases.<br />
The outbreak was caused by the live polio virus that is<br />
used in vaccines given orally — the preferred method<br />
in developing countries because it is cheaper and<br />
doesn't require medical training to dispense.<br />
"This vaccine is the most effective tool we have against<br />
the virus, but it's like fighting fire with fire," said Olen<br />
Kew, a virologist at the U.S. Centers for Disease<br />
Control and Prevention.<br />
The CDC and the World Health Organization<br />
announced the cause of the polio outbreak last week,<br />
even though they knew about it last year.<br />
Outbreaks caused by the oral vaccine's live virus have<br />
happened before. But the continuing Nigerian outbreak<br />
is the biggest ever caused by the vaccine. It also<br />
follows a nearly yearlong boycott of the vaccine in<br />
Africa's most populous country because of unfounded<br />
fears the vaccine was a Western plot to sterilize<br />
Muslims.<br />
Officials now worry that the latest vaccine-caused<br />
Nigerian outbreak could trigger another vaccine scare.<br />
Experts say such outbreaks only happen when too few<br />
children are vaccinated. In northern Nigeria, only about<br />
39 percent of children are fully protected against polio.<br />
The oral polio vaccine contains a weakened version of<br />
polio virus. Children who have been vaccinated excrete<br />
the virus, and in unsanitary conditions it can end up in the<br />
water supply, spreading to unvaccinated children.<br />
In rare instances, as the virus passes through<br />
unimmunized children, it can mutate into a form that is<br />
dangerous enough to spark new outbreaks.<br />
In 2001, officials reported that 22 children were<br />
paralyzed from polio in the Dominican Republic and<br />
Haiti in this way. Subsequent vaccine-caused polio<br />
outbreaks have occurred in the Philippines, Madagascar,<br />
China and Indonesia.<br />
In the West, the polio vaccine is given as a shot and uses<br />
an inactivated virus, but that method is more expensive<br />
and requires training.<br />
In Nigeria, the outbreak <strong>com</strong>es "in the wake of all the<br />
other problems they've had in," said Dr. Donald A.<br />
Henderson, who led WHO's smallpox eradication<br />
campaign in the 1970s.<br />
In 2003, politicians in northern Nigeria canceled<br />
vaccination campaigns for nearly a year, claiming the<br />
vaccine was a Western plot to sterilize Muslims. That led<br />
to an explosion of polio, and the virus jumped to about<br />
two dozen countries.<br />
Now, health officials' decision to keep quiet about the<br />
cause of the outbreak for so long may look suspicious.<br />
Dr. David Heymann, WHO's top polio official, said that<br />
because the organization considered the outbreak to be a<br />
problem for scientists and not something that would<br />
change global vaccination practices, they thought it was<br />
was unnecessary to immediately share publicly.<br />
CDC's Kew added: "The people who are against<br />
immunization may seize on anything that could<br />
strengthen their position, even if it's scientifically<br />
untenable."<br />
Rumors are still rife among Nigerians that the vaccine is<br />
unsafe, and several religious leaders continue to lecture<br />
on its dangers. Another mass vaccine boycott could lead<br />
to further polio spread, derailing long-standing<br />
eradication efforts for good.<br />
Nigerian health officials contacted by The Associated<br />
Press declined to <strong>com</strong>ment on the situation.<br />
Continued on page 51<br />
-50- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 50 – Officials say Drug caused<br />
Nigerian Polio<br />
"Convincing the Nigerians to take even more of this<br />
vaccine will be a tough sell," said Dr. Samuel Katz, an<br />
infectious diseases specialist at Duke University and<br />
co-inventor of the measles vaccine.<br />
More than 10 billion polio doses have been given to<br />
children worldwide, and the vaccine has been credited<br />
with cutting polio incidence by more than 99 percent<br />
since 1988. Far more children are paralyzed by the wild<br />
polio virus than the virus spread by the oral vaccine.<br />
But no vaccine is risk- free.<br />
WHO said that changing the vaccination strategy is<br />
unnecessary. "It would be nice if we had a more stable<br />
oral polio vaccine, but that's not the way it is today,"<br />
Heymann said. "We will continue working the way we<br />
have been working because we don't want children to<br />
be paralyzed anywhere."<br />
http://news.yahoo.<strong>com</strong>/s/ap/20071005/ap_on_he_me/nigeria<br />
_polio_paradox<br />
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Preventing Polio from<br />
Be<strong>com</strong>ing a Reemerging<br />
Disease<br />
Panel Summary from the 2000 Emerging<br />
Infectious Diseases Conference in Atlanta,<br />
Georgia<br />
Walter R. Dowdle,* Stephen L. Cochi,† Steve<br />
Oberste,† and Roland Sutter†<br />
*Task Force for Child Survival and Development,<br />
Decatur, Georgia, USA; †Centers for Disease Control<br />
and Prevention, Atlanta, Georgia, USA<br />
The global effort to eradicate polio has be<strong>com</strong>e the<br />
largest public health initiative in history and is<br />
spearheaded by the World health Organization, Rotary<br />
International, the Centers for Disease Control and<br />
Prevention, and UNICEF (United Nations Children's<br />
Fund). During 1999, extraordinary progress continued,<br />
with the number of polio-endemic countries declining<br />
to 30 from 50 in 1998. Of the three poliovirus types,<br />
poliovirus type 2 has reached the verge of extinction,<br />
with the only known remaining foci existing in<br />
northern India. Polio incidence declined to the lowest<br />
levels ever in 1999, although the number of reported<br />
cases (7,012) increased slightly due to improvements in<br />
surveillance and polio outbreaks in Angola and Iraq.<br />
Existing challenges in the initiative include maintaining<br />
effective activities, gaining access to children in<br />
conflict-affected countries, and sustaining political and<br />
financial support until certification is achieved in 2005.<br />
Maintaining sufficient supplies of oral polio vaccine<br />
emerged as an additional challenge during 1999, resulting<br />
from marked acceleration of immunization activities. The<br />
public-private sector partnership supporting the initiative<br />
expanded in 1999 to include the Bill and Melinda Gates<br />
Foundation, Ted Turner's United Nations Foundation, the<br />
World Bank, Aventis Pasteur, and De Beers.<br />
Cessation of Polio Vaccination<br />
Following certification of polio eradication by the year<br />
2005 or shortly thereafter, the public health <strong>com</strong>munity<br />
and policy makers will be faced with the decision of how<br />
and when to stop polio vaccination. The benefits of<br />
ceasing vaccination are well defined (i.e., annual savings<br />
of U.S. $1.5 billion in direct global vaccination costs; the<br />
possibility of directing these savings to other health<br />
priorities; and eradication of vaccine-associated paralytic<br />
poliomyelitis cases). The risks are obvious. If poliovirus<br />
is reintroduced into a susceptible population, a<br />
catastrophic epidemic of paralytic disease, disability, and<br />
death could ensue.<br />
Poliovirus could reemerge through 1) reintroduction of<br />
poliovirus from a laboratory; 2) prolonged replication in<br />
immunodeficient patients; and 3) persistent transmission<br />
of vaccine-derived virus in populations. The probability<br />
of vaccine-derived poliovirus remaining in circulation is<br />
impossible to estimate directly. However, the basic<br />
reproductive number or BRN (derived from proportion<br />
excreting virus, duration of excretion, virus titer in stool)<br />
for vaccine-derived poliovirus is lower than for wild-type<br />
polioviruses (typically between 2 and 5 in industrialized<br />
countries and 10 and 15 under conditions of poor hygiene<br />
in tropical countries). Additional data exist from outbreak<br />
investigations, molecular sequencing of polioviruses, and<br />
studies of poliovirus persistence following mass<br />
vaccination campaigns (e.g., Hungary, Finland, and<br />
Cuba). Although the currently available data are<br />
encouraging (i.e., decreasing BRN and 3 to 6 months'<br />
duration of circulation), substantial gaps in knowledge<br />
still exist, including the probability of continued virus<br />
circulation in populations with poor hygiene. These gaps<br />
need to be addressed to ensure that the best available<br />
scientific data will be available for decision-making.<br />
Laboratory Containment of Wild Polioviruses<br />
Global documentation of laboratory containment of<br />
materials infected or potentially infected with wild<br />
poliovirus is a key <strong>com</strong>ponent in the decision to stop<br />
vaccination. The last smallpox case occurred not in<br />
Somalia in 1977, but in England in 1978. The virus was<br />
transmitted through a faulty ventilation system from a<br />
laboratory to a nearby office, where it infected a person.<br />
Like smallpox virus, the only remaining sources of wild<br />
Continued on page 52<br />
-51- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009
Continued from page 51 – Preventing Polio from be<strong>com</strong>ing<br />
an Emerging Disease<br />
virus will be in the laboratories once the virus has been<br />
eradicated from the natural environment. The reported<br />
transmission of wild poliovirus from a vaccine<br />
production facility, presumably through an infected<br />
worker, to the <strong>com</strong>munity underscores the need for<br />
increased containment once wild poliovirus has been<br />
eradicated (1).<br />
Infectious or potentially infectious poliovirus materials<br />
may be present in a wide range of laboratories,<br />
including clinical diagnostic, environmental, research,<br />
and teaching. The types of materials that might contain<br />
wild poliovirus include clinical (e.g., diagnostic<br />
specimens or unidentified enterovirus like isolates),<br />
research (e.g., wild poliovirus strains or derivatives,<br />
full-length poliovirus RNA, or cDNA containing full<br />
capsid sequences), and environmental (sewage).<br />
Because of its high rate of subclinical infections,<br />
poliovirus may be found in fecal specimens collected<br />
for other purposes. For example, fecal or sewage<br />
samples collected in polio-endemic countries for<br />
nutritional and environmental studies or studies of other<br />
viral, bacterial, or parasitic diseases may contain wild<br />
poliovirus.<br />
The WHO Global Action Plan for Laboratory<br />
Containment of Wild Polioviruses (2) was published in<br />
1999. The plan is linked to the eradication progress. In<br />
the preeradication phase (the present), laboratories are<br />
required to implement safe handling procedures for<br />
materials infected or potentially infected with<br />
poliovirus (biosafety level [BSL] 2/polio). Countries<br />
must establish national inventories of laboratories<br />
holding such materials. Completion of pre-eradication<br />
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5144a2.htm<br />
activities is required before a region can be certified<br />
polio-free. The post-eradication phase (high containment)<br />
begins 1 year after identification of the world's last case.<br />
At that time, laboratories holding wild poliovirus stocks<br />
and potentially infectious materials must either place all<br />
materials under appropriate biosafety conditions, transfer<br />
important virus isolates to WHO interim repositories, or<br />
render all wild poliovirus materials noninfectious.<br />
Documentation of containment <strong>com</strong>pliance by all regions<br />
is required for global certification of poliovirus<br />
eradication. For countries that intend to stop all<br />
poliovirus vaccination, work with materials that could<br />
cause infection with wild poliovirus must be conducted<br />
under BSL 4 containment. High containment (BSL<br />
3/polio) will be required for work with vaccine-derived<br />
viruses.<br />
High-level political involvement and multi-sector<br />
<strong>com</strong>mitments, including departments of health, defense,<br />
education, environment, and private industry are essential<br />
to achieving and maintaining global containment of wild<br />
poliovirus.<br />
References<br />
Mulders MN, Reimerink JHJ, Koopmans MPG, van Loon<br />
AM, van der Avoort HGAM. Genetic analysis of wild<br />
type poliovirus importation into The Netherlands (1979-<br />
1995). J Infect Dis 1997;176:617-24.<br />
World Health Organization. Global action plan for<br />
laboratory containment of wild polioviruses. Geneva,<br />
Switzerland: World Health Organization; 1999.<br />
WHO/V&B/99.32.<br />
http://www.cdc.gov/ncidod/eid/vol7no3_supp/dowdle.htm<br />
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Laboratory Surveillance for Wild and Vaccine-Derived Polioviruses ---<br />
Worldwide, January 2006--June 2007<br />
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5637a4.htm<br />
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Mission Statement<br />
Our aim at The <strong>African</strong> <strong>Traditional</strong> <strong>Herbal</strong><br />
<strong>Research</strong> <strong>Clinic</strong> is to propagate and promote the<br />
awareness in Afrikan peoples at home and abroad of<br />
their health, biodiversity, history and cultural<br />
richness. We gather pertinent information on these<br />
issues and disseminate these freely to our people in<br />
Uganda, the rest of the continent, and anywhere in<br />
the Diaspora where Afrikans are located…. One of<br />
the main ingredients for increasing poverty, sickness,<br />
exploitation and domination is ignorance of one's<br />
self, and the environment in which we live.<br />
Knowledge is power and the forces that control our<br />
lives don't want to lose control, so they won't stop at<br />
anything to keep certain knowledge from the people.<br />
Therefore, we are expecting a fight and opposition to<br />
our mission. However, we will endeavor to carry<br />
forward this work in grace and perfect ways.<br />
“Where there is no god, there is no culture.<br />
Where there is no culture, there is no<br />
indigenous knowledge. Where there is no<br />
indigenous knowledge, there is no history.<br />
Where there is no history, there is no science<br />
or technology. The existing nature is made<br />
by our past. Let us protect and conserve our<br />
indigenous knowledge.”<br />
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C ALENDAR OF E VENTS<br />
SPECIAL EVENT: CLINIC OPENING<br />
PLACE: AFRIKAN TRADITIONAL HERBAL RESEARCH CLINIC<br />
TIME:<br />
Afrikan <strong>Traditional</strong> <strong>Herbal</strong> <strong>Research</strong> <strong>Clinic</strong><br />
1175A Mukalazi Road, P.O. Box 29974<br />
Bukoto, Kampala, Uganda East Africa<br />
Phone: +256 (0) 782 917 902<br />
Email: clinic@blackherbals.<strong>com</strong><br />
ADDRESS CORRECTION REQUESTED<br />
Herb of the Month<br />
Momordica Charantia (Cerasee)<br />
COMMON NAMES: Karela, balsam apple, paoka, madian<br />
apple, mexicaine, caprika, achochilla<br />
Cerasee is native to Africa, the Middle East and the<br />
Mediterranean area. Extracts of various plant parts of the<br />
bitter melon, including the leaf, fruit and seeds have been<br />
investigated and found to be pharmacologically active<br />
against microbes. A leaf, and a fruit, in addition to whole<br />
plant extracts have been found to have antimicrobial and<br />
antiviral activities. Ribosome-inactivating proteins have<br />
been found to be active against both herpes and polio<br />
viruses.<br />
HEp-2 cells were infected with herpes simplex virus-1<br />
(HSV-1) or with poliovirus I in the presence of plant<br />
proteins which inactivate ribosomes in cell-free systems,<br />
while exerting scarce effect on whole cells. Ribosomeinactivating<br />
proteins used were gelonin, from the seeds of<br />
Gelonium multiflorum, an inhibitor from the seeds of<br />
Momordica charantia, dianthin 32, from the leaves of<br />
Dianthus caryophyllus (carnation), and PAP-S, from the<br />
seeds of Phytolacca americana (pokeweed). All proteins<br />
tested had the following effects: 1. They reduced viral<br />
yield; 2. They decreased HSV-1 plaque-forming efficiency;<br />
3. They inhibited protein synthesis more in infected than in<br />
uninfected cells. These results strongly suggest that<br />
ribosome-inactivating proteins impair viral replication by<br />
inhibiting protein synthesis in virus-infected cells, in which<br />
presumably they enter more easily than in uninfected cells.<br />
L. Foà-Tomasi, G. Campadelli-Fiume, L. Barbieri and F. Stirpe;<br />
Effect of ribosome-inactivating proteins on virus-infected cells.<br />
Inhibition of virus multiplication and of protein synthesis;<br />
Archives of Virology; Vol. 71:4. December 1982, pp. 323-332;<br />
http://www.springerlink.<strong>com</strong>/content/mr11023294711m36/<br />
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Mailing Address<br />
Street Number and Name<br />
City, Country, etc.<br />
BULK RATE<br />
US POSTAGE<br />
PAID<br />
PERMIT NO.<br />
00000<br />
-54- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009