ISLAMABAD/PESHAWAR: Pakistan’s polio eradication campaign has hit serious problems with an alarming spike in reported cases that has raised doubts over the quality of vaccination reporting and prompted officials to review their approach to stopping the crippling disease.
The country is one of only three in the world where polio is endemic, along with neighboring Afghanistan and Nigeria, but vaccination campaigns have cut the disease sharply, with only a dozen cases last year compared with 306 in 2014 and more than 350,000 in 1988, according to Pakistani health officials.
However, there has been a worrying jump this year, with 41 cases recorded, 33 of them in the northwestern region of Khyber Pakhtunkhwa, where many people resent what they see as intrusive and coercive vaccination campaigns often involving repeated rounds of visits, officials say.
Just as alarming for health services, environmental sampling has shown the presence of the virus in areas across the country, a clear sign of gaps in vaccination, which must cover the entire population to be effective.
Hopes that transmission of the disease could be ended this year have been abandoned.
“We need to take the bull by the horns and accept there are problems,” said Babar Atta, Prime Minister Imran Khan’s point person on polio eradication.
As well as the difficulty in reaching very remote areas and keeping track of people moving through big cities like Karachi, there have been problems in collecting reliable data, exacerbated by resistance to efforts to force vaccination.
Efforts to eradicate the disease have for years been undermined by opposition from some Islamists, who say immunization is a foreign ploy to sterilize Muslim children or a cover for Western spies.
Local officials say parents suspicious of mass immunization campaigns have been getting hold of special markers, used by health workers to put a colored spot on the little fingers of children who have been vaccinated.
“They themselves would mark the fingers of their children, in case of any official visit to countercheck the vaccinated children,” one official associated with an international organization told Reuters in the northwestern city of Peshawar.
Officials estimate that so-called fake finger marking, sometimes in collusion with health workers, is hiding the true scale of refusal rates — and thus gaps in vaccination.
In some areas, as many as 8% of families may be refusing or avoiding vaccination, a level which would mean the disease is not eradicated.
A senior official of the Health Department in Khyber Pakhtunkhwa said the exact data had been deliberately hidden by local health authorities nervous of being blamed for failing to ensure full coverage. “And the result of hiding figures had led us to face an epidemic-like situation today,” he said.
RESISTANCE
Polio, a disease transmitted through sewage which can cause crippling paralysis particularly in young children, is incurable and remains a threat to human health as long as it has not been eradicated. Immunization campaigns have succeeded in most countries and have come close in Pakistan, but persistent problems remain.
International observers have been watching the situation with alarm for some time. In October, the Independent Monitoring Board, which oversees the global polio eradication effort, wrote in its annual report that there was “something seriously wrong with the program in Pakistan.”
In April, fueled by rumors on social media that children were being poisoned by the vaccinations, mobs rioted in Khyber Pakhtunkhwa and at least three polio workers were killed.
Even without violence, many people consider polio a “US disease.” Facing more immediate threats such as a lack of clean water, many do not see why their families should be disturbed by what they consider intrusive foreign-sponsored campaigns.
Health workers, whose closeness to the communities they work in is vital in building trust, face difficult choices in remote areas where kinship and local power structures can often place them under severe pressure not to report cases of non-compliance.
According to many officials, the stubborn hostility to the campaigns and the high levels of avoidance underline the problems with heavy-handed repeat visits by health workers and police going after families that refuse vaccination.
“Why are the marker pens in the shops? Because parents want to buy them. They are sick and tired of repeated vaccinations,” said Babar Atta.
Officials are now looking at more targeted approaches to areas where there are problems overcoming resistance to vaccination involving more persuasion and education.
Oliver Rosenbauer, a spokesman for the World Health Organization, said resistance to vaccination was hampering the eradication effort although other factors, including the movement of people in Pakistan and across the border with Afghanistan were potentially more important.
He said officials were analyzing the series of problems confronting the program to build a new approach.
“What is very clear to everyone is that if things keep going the way they’re going, we’re not going to eradicate polio in Pakistan,” he said.
“We can keep a lid on it but that’s not the aim. The aim is to eradicate it.”
Fake polio markers highlight risks to Pakistan vaccination drive
Fake polio markers highlight risks to Pakistan vaccination drive
- There has been a worrying jump in polio cases in Pakistan this year
- We need to take the bull by the horns, says Pakistan’s point person on polio
Pakistan says three militants killed trying to infiltrating its border with Afghanistan
- Islamabad frequently accuses Afghanistan of sheltering, supporting militant groups that launch cross-border attacks
- Afghan officials deny state complicity, insisting Pakistan’s security issues are an internal matter of Islamabad
ISLAMABAD: Pakistani security forces have killed six militants attempting to enter the country through its border with Afghanistan in the southwestern Balochistan province, the Pakistan military said on Thursday.
Islamabad frequently accuses neighboring Afghanistan of sheltering and supporting militant groups that launch cross-border attacks. The Taliban government in Kabul says it does not allow Afghan soil to be used by militants, insisting that Pakistan’s security issues are an internal matter of Islamabad.
In the latest incident, the Pakistan army said security forces had picked up on the movement of a group of militants who were attempting to infiltrate the Pakistan-Afghanistan border on the night between Jan 22. and 23 in Balochistan’s Zhob District. Six militants were killed, it said, and a large quantity of weapons, ammunition and explosives was recovered.
“Pakistan has consistently been asking Interim Afghan Government to ensure effective border management on their side of the border,” the army said. “Interim Afghan Government is expected to fulfill its obligations and deny the use of Afghan soil by Khwarij for perpetuating acts of terrorism against Pakistan.”
The Pakistani Taliban, or the Tehreek-e-Taliban Pakistan (TTP), have frequently targeted Pakistani forces in the northwestern Khyber Pakhtunkhwa province. The group also has some presence in Balochistan, the site of a low-level insurgency for decades by separatists fighting for the province’s independence.
On Jan. 19, Pakistani security forces killed five militants as they tried to infiltrate Pakistan’s border in Zhob district.
No talks with India on resumption of trade, Pakistan foreign office says
- In 2019, Indian PM Modi withdrew Indian-administered Kashmir’s autonomy to tighten grip over the territory
- Move provoked outrage in Pakistan and the downgrading of diplomatic ties and suspension of bilateral trade
KARACHI: The Pakistani Foreign Office said on Thursday Islamabad and New Delhi were not holding talks to resume trade, suspended in 2019 when India revoked the special status of the part of Kashmir that it controls and split the region into two federally administered territories.
The disputed Himalayan region is claimed in full, though ruled in part by both India and Pakistan since their independence from Britain in 1947, with the nuclear-armed neighbors having fought two of their three wars over the territory.
In 2019, Indian Prime Minister Narendra Modi withdrew Indian-administered Kashmir’s autonomy in order to tighten his grip over the territory, provoking outrage in Pakistan and the downgrading of diplomatic ties and suspension of bilateral trade.
Speaking to reporters at the Indian embassy in Washington this week, Indian Foreign Minister Dr. Subrahmanyam Jaishankar said no talks on trade resumption had been held between his country and Pakistan.
“Pakistan decided to suspend bilateral trade in response to India’s illegal and unilateral actions of 5 August 2019 relating to ... Kashmir,” Shafqat Ali Khan, the spokesperson for Pakistan’s Ministry of Foreign Affairs, told Arab News when asked to respond to the Indian minister’s comments.
“High level engagement between Pakistan and India remains suspended at the moment. In that backdrop, both sides are not holding talks on resumption of trade.”
Khan said the volume of bilateral trade between Pakistan and India stood at $1.907 billion in the financial year 2018-19. He said India had in 2019 withdrawn the Most-Favored Nation status granted to Pakistan and imposed 200 percent duty on all Pakistani items, “posing a serious setback to Pakistan’s exports.”
Speaking on Wednesday, Jaishankar said it was Pakistan that had suspended trade.
“Their [Pakistan] government took a decision in 2019 not to conduct trade with India, that was from their side,” Jaishankar said.
“Our concern regarding this issue from the beginning was that we should get MFN status. We used to give MFN status to Pakistan, they didn’t give [it] to us.”
For decades, the armies of India and Pakistan have faced off over the the Line of Control (LoC), a UN-monitored ceasefire line agreed in 1972, that divides the areas each administers.
The foes fought a 1999 battle along the LoC that some analysts described as an undeclared war. Their forces exchanged regular gunfire over the LoC until a truce in late 2003, which has largely held since.
PM launches World Bank’s $20 billion Country Partnership Framework for Pakistan
- 10-year-plan will focus on development issues like impact of climate change and boosting private-sector growth
- Last year, Pakistan secured $7 billion IMF loan deal though Sharif has vowed to reduce dependence on foreign loans
ISLAMABAD: Prime Minister Shehbaz Sharif on Thursday launched the World Bank’s Country Partnership Framework (CPF) for Pakistan, a plan to focus $20 billion in loans to the cash-strapped nation over the coming decade on development issues like the impact of climate change and boosting private-sector growth.
Pakistan in 2023 nearly defaulted on the payment of foreign debts when the International Monetary Fund rescued it by agreeing to a $3 billion bailout to Pakistan. Last year, Islamabad secured a new $7 billion loan deal from the IMF. Since then, the country’s economy has started improving with weekly inflation coming down from 27 percent in 2023 to 1.8 percent earlier this month. Sharif has vowed to reduce dependence on foreign loans in the coming years.
The World Bank’s lending for Pakistan will start in 2026 and focus on six outcomes: improving education quality, tackling child stunting, boosting climate resilience, enhancing energy efficiency, fostering inclusive development and increasing private investment.
“Together, this partnership fosters a unified and focused vision for your county around six outcomes with clear, tangible and ambitious 10-year targets,” Martin Raiser, the World Bank vice president for South Asia, said in an address at the launch ceremony of the loan program.
“We hope that the CPF will serve as an anchor for this engagement to keep us on the right track. Partnerships will equally be critical. More resources will be needed to have the impact at the scale that we wish to achieve and this will require close collaboration with all the development partners.”
Speaking at the ceremony, PM Sharif said the CPF was a “vision to transform Pakistan’s economy, building climate resilient projects, alleviating poverty and unemployment and promoting digitization, agriculture and IT led initiatives.”
Separately, Raiser met Ahad Cheema, Pakistani minister for economic affairs, to discuss in detail the framework’s next steps and its implementation.
“The two leaders also discussed the need to address key challenges in project implementation, such as land acquisition, project start-up delays, and ensuring compliance with social safeguards,” Cheema’s office said in a statement.
“Cheema stressed that effective coordination between the World Bank and other development partners, as well as streamlined approval processes, would be essential to overcoming these hurdles.”
Cheema also called on the World Bank to enhance Pakistan’s allocation of concessional resources, especially in support of climate change mitigation and foreign debt management.
Afghans in Pakistan awaiting US resettlement feel betrayal after Trump order
- Nearly 1,660 Afghans cleared by US government to resettle are having flights canceled
- President Trump on inauguration day passed an order suspending US refugee programs
ISLAMABAD: A decision by President Donald Trump’s administration to halt visa processing for refugees has caused uncertainty and shock at an English school for Afghans in Islamabad who are awaiting resettlement in the United States.
Normally enthusiastic students were quiet or crying in class after the news broke on Tuesday, said Sayed Hasseb Ullah, a 20-year-old teacher whose application for resettlement in the US is in process.
Some feel betrayed, with many — including those who fled Taliban rule in Afghanistan — having already spent years in limbo.
“It was really a horrible moment for us. We have been waiting for almost three years and there is no hope anymore,” he told Reuters at the school in Pakistan’s capital.
The sudden delay has upended the plans of many Afghans in Pakistan and left them in despair after undergoing extensive vetting and making preparations for new lives in the US
In an intermediate language class, about half of which had US visa applications in process, a 16-year-old girl broke down in tears.
“I feel very bad from this news,” she said, unable to focus on her work — practicing a list of English phrases for giving formal presentations that was written on the class whiteboard.
She hopes to enroll in high school in the US after being barred from pursuing her education at school in Afghanistan.
The tutoring academy, which has roughly 300 students, is one of the few spaces available for studying for many Afghans waiting for US visas. They cannot legally work or formally study in Pakistan.
Shawn VanDiver, the founder of #AfghanEvac, the leading coalition of resettlement and veterans groups, said there were 10,000-15,000 Afghans in Pakistan waiting for special immigration visas or resettlement in the US as refugees.
Many have waited for years after being instructed when applying to travel to a third country for processing. For many the only option was Pakistan, which borders Afghanistan but, facing economic and security crises, began deporting tens of thousands of Afghans in 2023.
A spokesperson for Pakistan’s foreign ministry did not immediately respond to request for comment on the US announcement.
FLIGHTS CANCELLED?
Nearly 1,660 Afghans cleared by the US government to resettle in the US, including family members of active-duty US military personnel, are having their flights canceled under the order suspending US refugee programs, Reuters reported on Monday.
One of Hasseb Ullah’s students, Fatima, has no idea whether an official email she received on Jan. 14 — and seen by Reuters — seeking documents to proceed with her family’s travel arrangements for the US is still valid.
The 57-year-old women’s rights and development advocate who worked for years for US-funded organizations in central Daikundi province began learning English a few months ago.
She said she had previously never imagined leaving Afghanistan and that she and many others had trusted the US — which spent two decades leading foreign forces in Afghanistan, backing the now-collapsed government and spending billions of dollars on human rights and development programs.
“You supported us at that time and raised us up so we worked with you and after that you invited us to a third country (for visa processing) and now you are doing something like this,” she said.
In addition to concerns about her own safety following her advocacy work, Fatima is particularly worried about her 15-year-old daughter. She hopes she can enroll in school in the US after years out of high school, and that her 22-year-old daughter can complete her engineering degree.
Many students and teachers said they had contacted UN agencies and the US embassy this week and were sharing any information they could find on the Internet in WhatsApp groups. But there were few clear answers.
The US embassy and State Department did not immediately provide comment in request to a question from Reuters on whether the new order would affect Afghans waiting in Pakistan for visas.
“We have been living here for three years with a hope of going to America to be safe but now when President Donald Trump came ... and told us we will not process these case or maybe we will delay it, indeed you feel betrayed,” Hasseb Ullah said.
“I just wanted to tell them respectfully that we have helped you and now we expect help back from you.”
Pakistan parliament passes controversial bill to amend cybercrime law
- Bill proposes Social Media Protection and Regulatory Authority to block illegal online content
- Disinformation will be punishable by three years in prison and fine of $7,150 under new law
ISLAMABAD: Pakistan's National Assembly on Thursday passed a bill to amend the country’s cybercrime law amid a walkout by opposition parties and journalists who fear the new legislation will be used to censor social media platforms.
Pakistan adopted the much-criticized Pakistan Electronic Crimes Act (PECA) in 2016, granting sweeping powers to regulators to block private information they deemed illegal. The law provided for up to seven years in prison for “recruiting, funding and planning of terrorism” online. It also allowed “authorized officers” to require anyone to unlock any computer, mobile phone or other device during an investigation.
The government said at the time restrictions under the new law were needed to ensure security against growing threats, such as terrorism, and to crackdown on unauthorized access, electronic fraud and online harassment. However, journalists and rights activists complain that the law has been largely used to go after journalists, bloggers and other people critical of the government and state institutions like the military.
The new amendment bill now proposes the establishment of the Social Media Protection and Regulatory Authority to perform a range of functions related to social media, including awareness, training, regulation, enlistment and blocking. SMPRA would be able to order the immediate blocking of unlawful content targeting judges, the armed forces, parliament or provincial assemblies or material which promotes and encourages terrorism and other forms of violence against the state or its institutions. The law also makes spreading disinformation a criminal offense punishable by three years in prison and a fine of two million rupees ($7,150).
“Whoever intentionally disseminates, publicly exhibits, or transmits any information through any information system, that he knows or has reason to believe to be false or fake and likely to cause or create a sense of fear, panic or disorder or unrest in general public or society shall be punished with imprisonment which may extend up to three years or with fine which may extend to Rs2m or with both,” a copy of the bill says.
The bill was presented in the National Assembly on Thursday by Federal Minister Rana Tanveer Hussain from the ruling Pakistan Muslim League-Nawaz party of premier Shehbaz Sharif.
“The bill will not harm but protect working journalists,” Information Minister Ataullah Tarar told reporters after the passage of the bill. “This is the first time the government has defined what social media is. There is already a system in place for print and electronic media and complaints can be registered against them.”
He said “working journalists” should not feel threatened by the bill, which had to be passed because the Federal Investigation Agency, previously responsible for handling cybercrime, “does not have the capacity to handle child pornography or AI deep fake cases.”
Tarar said the government was also aiming to bring social media journalists, including those operating YouTube accounts, under the tax framework.
The operative part of the new bill outlines that the Social Media Protection and Regulatory Authority would have the power to issue directions to a social media platform for the removal or blocking of online content if it was against the ideology of Pakistan, incited the public to violate the law or take the law in own hands with a view to coerce, intimidate or terrorize the public, individuals, groups, communities, government officials and institutions, incited the public to cause damage to governmental or private property or coerced or intimidated the public and thereby prevented them from carrying on their lawful trade and disrupted civic life.
The authority will also crackdown on anyone inciting hatred and contempt on a religious, sectarian or ethnic basis as well as against obscene or pornographic content and deep fakes.
Rights activists say the new bill is part of a widespread digital crackdown that includes a ban on X since February last year, restrictions on VPN use and the implementation of a national firewall. The government says the measures are not aimed at censorship.
