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ECONOMIC AND SOCIAL DEVELOPMENT<br />

with relevant international organization stakeholders to understand existing<br />

nutritional improvement efforts, avoid duplication, and identify gaps that<br />

IHSAN could fill. 771<br />

Polio<br />

Afghanistan and Pakistan are two of only three countries where polio is still<br />

endemic. 772 Both countries, which share a 1,500-mile border, suffer from the<br />

Taliban’s opposition to vaccination campaigns. 773 USAID said the Taliban,<br />

and those living in Taliban strongholds in Afghanistan and Pakistan, have<br />

spread misinformation that polio-immunization campaigns are American<br />

conspiracies, that their volunteer workers are spies, and that the polio vaccine<br />

is an anti-fertility drug or that it has side effects. 774<br />

Afghanistan reported 12 new polio cases in 2016, as of December 28,<br />

down from 17 cases at this point last year. The most recent case was<br />

on October 12 in Paktika Province, close to the Pakistan border. Half of<br />

Afghanistan’s polio cases in 2016 came from Paktika. 775 The United Nations<br />

estimates that 600,000 children in Afghanistan—up from 320,000 reported<br />

last quarter—have not been vaccinated, mostly due to fighting and insurgents’<br />

blocking access to children. Almost half the children are from Farah<br />

Province and southern Afghanistan. 776 USAID obligated more than $25.7 million<br />

for polio eradication in Afghanistan since FY 2003. 777<br />

REPORT TO THE UNITED STATES CONGRESS I JANUARY 30, 2017<br />

183

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