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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 />

http://www.whale.to/v/sandler13.html<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 />

☻☻☻☻☻☻<br />

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 />

http://allafrica.<strong>com</strong>/stories/200902200040.html<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 />

http://allafrica.<strong>com</strong>/stories/200802010668.html<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 />

http://allafrica.<strong>com</strong>/stories/200804110048.html<br />

☻☻☻☻☻☻<br />

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 />

http://allafrica.<strong>com</strong>/stories/ 200903120711.html<br />

☻☻☻☻☻☻<br />

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 />

☻☻☻☻☻☻


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 />

☻☻☻☻☻☻<br />

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 />

☻☻☻☻☻☻<br />

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 />

☻☻☻☻☻☻<br />

☻☻☻☻☻☻<br />

-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 />

☻☻☻☻☻☻<br />

-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 />

☻☻☻☻☻☻<br />

-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 />

☻☻☻☻☻☻<br />

☻☻☻☻☻☻<br />

-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 />

☻☻☻☻☻☻<br />

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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-52- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009


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 />

-53- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> April 2009


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 />

☻☻☻☻☻☻☻<br />

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

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