Help Syrian Victims of Polio

(The Philadelphia Inquirer/MCT) -

Just when you thought you had the measure of the war crimes in Syria, the Assad regime goes one worse.

The Syrian government is blocking efforts to distribute polio vaccine to children in opposition-controlled areas, who are the most endangered after an outbreak in October. More shocking, the U.N. and the international community are bowing to Assad and failing to get the vaccine to the children.

This timidity could spark a polio epidemic throughout the Mideast.

Two months ago, doctors working in the rebel-held area of Deir al-Zour in northeast Syria reported the initial cases. Polio had been nearly wiped out globally, and this was the first outbreak in Syria since 1999.

Clearly an emergency vaccination campaign was needed. With sanitary conditions deteriorating under regime bombs, the outbreak could explode if spread throughout the region by Syrian refugees.

But here’s the kicker. The fastest way to reach many endangered areas would be to transport vaccine across the Turkish border; opposition medical personnel and activists in Turkey and Syria organized a task force for distribution within Deir al-Zour and other northern districts.

However, the U.N. agencies that provide such vaccines — the World Health Organization and the United Nations’ Children’s Fund (UNICEF) — will only work through governments, meaning the Assad regime.

WHO and UNICEF won’t deliver aid across the Turkish border to Syrian children because the Assad regime won’t OK it. “U.N. agencies do not provide such cross-border aid fearful that their operations in Damascus will suffer reprisals,” complains Dr. Joanne Liu, president of Medecins sans Frontieres International, an agency that sends medical aid across the border.

The U.N. stance means the Syrian government is in charge of the vaccination effort. True, U.N. personnel and Syrian health workers do take big risks crossing endless checkpoints to deliver vaccine to many parts of the country. But tens or even hundreds of thousands of children in opposition-controlled areas are not getting the vaccine. (Children in areas of Damascus and Homs besieged by government soldiers are getting no medicine at all.)

Last week, I met Dr. Bashir Tajaldin, an epidemiologist with the opposition’s transitional government in Gaziantep; he insisted that WHO’s two vaccination campaigns since the October outbreak have failed.

Tajaldin said Assad’s health ministry sent the vaccine to its office in Deir al-Zour, in a small government-controlled area in the middle of rebel territory. To collect the vaccine, subdistrict health officials have to cross a bridge from rebel-held to regime-held territory. “Every day five, 10 people are killed on this bridge,” Tajaldin said. “Some subdistrict employees fear to go.”

Their fears are enhanced by the regime’s campaign against opposition doctors and medical personnel. “The government tries to bomb field hospitals,” Tajaldin said. “I was 100 meters away from a hospital when it was bombed in Latakia. Many of my doctor friends have been imprisoned or killed.”

In contrast to the government, Tajaldin says that the opposition’s medical network can go door to door with vaccines, the optimum procedure for anti-polio campaigns.

He also claims he got a “verbal promise from senior WHO and UNICEF officials” that they would deliver polio vaccine to Gaziantep in early December. Aid groups could then ferry the vaccine in without requiring U.N. agencies to violate their rules on sovereignty. However, the allegedly promised vaccine has not arrived.

Asked about Tajaldin’s claim, Cairo-based WHO spokesperson Rana Sidani replied: “We cannot confirm that such a pledge has been made.”

If it hasn’t been made, it should be. After almost eradicating polio, it is criminal for the U.N. to risk a resurgence for reasons of politics.

Although WHO says there are 17 confirmed polio cases, Tajaldin says there are 66, with two more recently discovered in Tal Abyad. For each known case, he says, there are 200 asymptomatic carriers who could be spreading the disease. Whoever is correct, the disease has not been contained.

When the world feared a genocide in the Darfur region of Sudan, the U.N. sent in food from Chad without asking the Sudanese government’s permission. True, that operation obtained a U.N. Security Council mandate, which it might not get on Syria because of the Russian veto. But would Moscow really nix an anti-polio campaign to help Bashar al-Assad? If so, the world community should mount a global campaign aimed at shaming Moscow — or stand complicit in the coming epidemic.

As for WHO and UNICEF, the global protectors of children’s health, they must find a way to speed vaccine across the Turkish border to Syria, and soon.


 

Trudy Rubin is a columnist and editorial-board member for the Philadelphia Inquirer.