Rik Peeperkorn, the World Health Organization (WHO) representative for Palestine, briefs the media on the polio vaccination campaign in Gaza. Credit: Naureen Hossain/IPS

UNITED NATIONS, Aug 29 2024 (IPS) – The UN’s multi-agency polio vaccine campaign in Gaza is set to begin this weekend. It will do so under continued constraints on humanitarian operations and mobility, but with the assurance from Israel to pause fighting for the campaign to go ahead.

Rik Peeperkorn, the World Health Organization (WHO) Representative for Palestine, briefed reporters virtually on Thursday, August 29, 2024, on the upcoming polio vaccine campaign. The campaign will consist of two rounds, with the first round beginning on September 1.
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There will be a four-week interval between the first and second doses. Over 1.26 million doses of the polio vaccine have arrived in Gaza, with room for an additional 400,000 doses. The campaign, coordinated with WHO, UNICEF, UNRWA and the Palestine Ministry of Health, will aim to administer two drops of novel oral polio vaccine type 2 (nOPV2) to at least 640,000 children under the age of ten.

“It’s critical that we reach 90 percent vaccination coverage during each round,” said Peeperkorn. That is needed. Actually, you need 90 percent to stop the outbreak, the transmission within Gaza and to prevent the international spread of polio.”

The first round of the campaign will be carried out in three zones over three-day phases: starting in central Gaza, then in southern Gaza, and northern Gaza. Under constant monitoring of the situation, an additional one or two days may be added to extend each period in the zones, according to Peeperkorn. Even with this period, there is still pressure to carry out the campaign as soon as possible to ensure the highest coverage possible.

Health centers have been set up for families to gather to with their children. Ove 2180 outreach workers and volunteers have been trained to administer the vaccine, and mobile teams have been set up to travel to groups that may not be able to visit the centers.

“We want to make sure we have three days of the best access possible, that families bring their children to those fixed sites,” said Peeperkorn. “We will go out and reach out through mobile teams.”

Since the announcement of this campaign in early August, WHO has requested a humanitarian pause for operations to be carried out safely. According to Peeperkorn, an agreement has been reached with the Office of the Coordinator of Government Activities in the Territories (COGAT), wherein a humanitarian pause would come into effect for nine hours from 6am to 3pm.

Under the agreement, the campaign is to be carried out within the timeframe. Peeperkorn stated that the humanitarian pause would be honored and was given assurance by Israeli authorities that evacuation orders would not be issued during the campaign.

“I want to stress that without a humanitarian pause, the campaign delivery—which is already implemented under constraints in a complex environment—will not be possible,” said Peeperkorn.

When asked how confident he was of the campaign’s success, Peeperkorn replied: “I think this is a way forward. I won’t say this is the ideal way forward, but this is a workable way forward. Not doing anything would be really bad. We have to stop this transmission in Gaza We are reasonable with this approach and everyone is playing accordingly.”

“Of course, all parties will have to stick to this. We have to make sure that every day we can do this campaign in this humanitarian pause.”

Gaza and the West Bank have high immunization coverage across the population. Peeperkorn noted that the immunization rate of over 95 percent in recent years was much higher than in some high-income countries.

Yet since current hostilities broke out in October 2023, immunization for polio dropped from 99 percent in 2022 to less than 90 percent in the first quarter of 2024.

Over the last ten months, blockades of humanitarian aid, electricity and water sanitation resources has seen a breakdown of the healthcare and sanitation systems in Gaza. The lack of clean water and sanitation in Gaza has already seen an increase in respiratory diseases and infections.

IPS UN Bureau Report